A Device For Simultaneous Continuous Acquisition Of EEG And MRI
Funder
National Health and Medical Research Council
Funding Amount
$179,401.00
Summary
We aim to further develop a world-leading method we invented that facilitates the simultaneous, continuous acquisition of the electroencephalogram (EEG - electrical brain waves measured at the scalp) and functional Magnetic Resonance Imaging (fMRI - images the location of brain activity throughout the brain). Combining the two permits non-invasive imaging of human brain function with the exquisite temporal resolution of EEG and the high spatial resolution and brain coverage afforded by fMRI.
A Motion Correction Technique For Accurate PET/CT Brain Imaging In Paediatric And Dementia Patients
Funder
National Health and Medical Research Council
Funding Amount
$190,450.00
Summary
PET-CT imaging is a vital tool in the diagnosis and management of patients with brain disorders including dementia, epilepsy and cancer. However images are often distorted by patient motion, particularly in demented and paediatric patients. The CI has recently developed a motion tracking and correction method to derive images nearly free of motion effects. This aim of this project is to evaluate its impact on image quality in a variety of patients referred for PET- CT brain investigations.
Rapid, Cost-effective, Diagnosis And Monitoring Of Multiple Sclerosis By Novel Multifocal Evoked Potential Methods
Funder
National Health and Medical Research Council
Funding Amount
$152,463.00
Summary
A new technology for concurrently stimulating both eyes, and recording thousands of responses from the brain, will be tested for its effectiveness in diagnosing and tracking progression in Multiple Sclerosis (MS), and the degree to which it complements Magnetic Resonance Imaging (MRI). Our understanding of MS has changed in recent years. It is now recognised to have two phases: an initial inflammatory phase, and a secondary progressive phase. The progressive phase produces the inexorable increas ....A new technology for concurrently stimulating both eyes, and recording thousands of responses from the brain, will be tested for its effectiveness in diagnosing and tracking progression in Multiple Sclerosis (MS), and the degree to which it complements Magnetic Resonance Imaging (MRI). Our understanding of MS has changed in recent years. It is now recognised to have two phases: an initial inflammatory phase, and a secondary progressive phase. The progressive phase produces the inexorable increasing disability of MS. MS only affects about 0.04% of Australians but the early onset of MS, the high cost of medication, and the prolonged period of disability, mean that the cost to Australia is about $2 billion pa. MRI quantifies the inflammatory phase well but is poorly correlated with the debilitating secondary progression. The common treatments for MS target the inflammatory phase but not the causes of secondary progression, which are unknown. Current diagnostic methods mean diagnosis can take years, meaning that patients can be denied treatment for some time. The applicants have published experiments on 50 MS patients and 27 normal subjects using a variant of the new method. Not only has it shown high diagnostic accuracy, but the new method seems to provide data on the progressive phase, suggesting strongly that it is complementary to MRI. The new method is also much cheaper to set up and run than MRI and so could provide cost-effective means for monitoring patient condition and testing new drugs that are effective against the progressive phase. The applicants have considerable experience commercialising diagnostic technologies, and are currently working with an Australian company developing new diagnostic hardware. That hardware has been adapted to perform the presently proposed experiments. Overall it is reasonable to assume that positive outcomes will be translated into economic and health benefits for Australians.Read moreRead less
Commercial Testing Of A Physiologically Based Theory Of Oscillatory Brain Electrical Activity In Anaesthesia Monitoring
Funder
National Health and Medical Research Council
Funding Amount
$191,165.00
Summary
While the mechanisms of local anaesthesia are comparatively well known, the mechanisms whereby anaesthetics impair consciousness remain unresolved. This lack of understanding has implications in our ability to monitor the level of anaesthesia while anaesthetic consumption and side effects are minimized. Despite this a number of devices have been developed that attempt to monitor the depth of anaesthesia by quantifying the brains electrical activity. All monitors analyse the activity using a set ....While the mechanisms of local anaesthesia are comparatively well known, the mechanisms whereby anaesthetics impair consciousness remain unresolved. This lack of understanding has implications in our ability to monitor the level of anaesthesia while anaesthetic consumption and side effects are minimized. Despite this a number of devices have been developed that attempt to monitor the depth of anaesthesia by quantifying the brains electrical activity. All monitors analyse the activity using a set of criteria that have been developed by trial and error. The research of Dr David Liley and his team, at Swinburne University of Technology, has resulted in a detailed understanding of the physiological mechanisms that generate brain electrical activity. The outcome is a practical means to carry out a System Based Analysis of Brain Electrical Response (SABER). In 2004, Dr Liley began working with Cortical Dynamics, a company involved in the commercialisation of medical devices. This collaboration incorporated the SABER system into a new prototype device called the Brain Anaesthesia Response (BAR) monitor. In 2004 Dr Liley and Associate Professor Kate Leslie collaborated in a trial, at the Royal Melbourne Hospital to test the sensitivity of the SABER system in quantifying the effect that various levels of nitrous oxide have on measures of anaesthetic depth. The Australian and New Zealand College of Anaesthetists supported this study. Initial results obtained with sevoflurane and 3 levels of nitrous oxide showed the ability to differentiate between conscious and unconscious states of patients based on two physiological characterizations of higher brain dynamic state. The next step requires commercial product validation (ie scale up) and further clinical efficacy in testing beta stage depth of anaesthesia BAR units. Completion of this will help the technology move away from a low volume prototype system into a commercially applicable device.Read moreRead less
A Novel Non-invasive Diagnostic Imaging Technique Of Metastatic Cancer Using Plasminogen Activator Inhibitor Type 2.
Funder
National Health and Medical Research Council
Funding Amount
$187,750.00
Summary
This project aims to develop a non-invasive tumour diagnostic imaging agent based on a non-toxic protein (PAI2) that we know specifically identifies a critical marker of malignancy. PAI2 will be labelled with commonly used imaging radioisotopes. This novel imaging technique has important potential clinical uses including, determination of the most appropriate treatment for individual patients, assessing the success of such treatments, and a novel non-invasive prognostic indicator of malignancy.
Improved electrophysiological mapping techniques have enhanced understanding of arrhythmia mechanisms and the development of curative ablation strategies. Advanced mapping systems utilize online visualization of catheters, 3D geometry, and annotation of ablation sites. To date, all commercially available systems rely on proprietary equipment to locate catheter positions and reconstruct chamber shape from multiple site recordings. Thus, cost is prohibitive, limiting widespread availability. An al ....Improved electrophysiological mapping techniques have enhanced understanding of arrhythmia mechanisms and the development of curative ablation strategies. Advanced mapping systems utilize online visualization of catheters, 3D geometry, and annotation of ablation sites. To date, all commercially available systems rely on proprietary equipment to locate catheter positions and reconstruct chamber shape from multiple site recordings. Thus, cost is prohibitive, limiting widespread availability. An alternative approach has emerged with the use of CT-MRI imaging and analysis. Novel techniques extract images of the endocardial surface from CT-MRI for use in electrophysiological mapping. This surface can be used as the chamber geometry instead of reconstruction based on expensive technology measuring spatial coordinates of the catheter tip inside heart. The proposed Anatomical Template Mapping System (ATMS) will generate maps of electrophysiological parameters derived from catheter recordings without the need for proprietary equipment. The physician will direct the virtual catheter position onto the 3D model of the chamber, obviating the need for equipment to map the spatial distribution of the catheters. The major advantage is that, without the need for specialized equipment, this method of mapping is substantially cheaper and can be used with any conventional electrophysiological mapping systems. Furthermore, it will provide the most important feature of the advanced mapping systems - an understanding of the arrhythmia mechanism.Read moreRead less
A Novel Method For The Early Detection Of Cardiovascular Disease Through The Direct Measurement Of Tissue Wall Elasticit
Funder
National Health and Medical Research Council
Funding Amount
$196,000.00
Summary
Changes in the structure and function of blood vessels are an early stage in the development of arterial disease. A simple means of assessing this damage will allow for early detection of arterial disease and will provide a tool for monitoring outcomes of treatment and preventive medicine. We have developed a novel method for measuring vessel wall displacement throughout the cardiac cycle. This study aims to provide proof of principle data through the validation of these measurements against the ....Changes in the structure and function of blood vessels are an early stage in the development of arterial disease. A simple means of assessing this damage will allow for early detection of arterial disease and will provide a tool for monitoring outcomes of treatment and preventive medicine. We have developed a novel method for measuring vessel wall displacement throughout the cardiac cycle. This study aims to provide proof of principle data through the validation of these measurements against the physical properties of the vessel and application of the technique to a clinical setting.Read moreRead less
Se015: A Developmental Drug For The Treatment Of Brain Tumours
Funder
National Health and Medical Research Council
Funding Amount
$304,206.00
Summary
Primary malignant brain tumors are amongst the most lethal forms of human cancers with median survival for these patients being only around 1 year. In spite of the advent of new targeted therapies for some cancers the prognosis for these patients remains dismal. Worldwide, more than 95% of all people who contract the disease will die of it. This is because there are no effective therapies and all current treatments are only palliative, seeking to lesson the distressing suffering associated with ....Primary malignant brain tumors are amongst the most lethal forms of human cancers with median survival for these patients being only around 1 year. In spite of the advent of new targeted therapies for some cancers the prognosis for these patients remains dismal. Worldwide, more than 95% of all people who contract the disease will die of it. This is because there are no effective therapies and all current treatments are only palliative, seeking to lesson the distressing suffering associated with disease progression. Nearly all therapies that have shown some efficacy in treating cancer, such as chemotherapy and radiation have a mode of action whereby they attempt to kill cancer cells by inflicting enough damage to the cancer cells that they induce them to commit cell suicide, a process called apoptosis. Unfortunately, cancer cells can become resistant to these therapies by activating the cells' own signaling pathways that normally block apoptosis. One of the key pathways that has been implicated in resistance to apoptosis in human cancers is the PI3K-Akt pathway. This pathway is overactivated in many advanced human tumors, particularly in glioblastoma. We have discovered a compound, Se015, which can effecitively block this pathway in brain cancer cells and is able to dramatically improve the effectiveness of both chemotherapy and radiation in killing these cells. We have confirmed the efectiveness of Se015 in preliminary animal models of brain cancer, where we have shown that Se015 demonstrated no noticeable toxicity and was active when taken orally. We now need to explore further the molecular mode of action of Se015, as well as complete our animal studies with the eventual aim of initiating a small trial of Se015 in glioblastoma patients in the forseeable future.Read moreRead less
A Single Digital Handheld Imaging Device For Use In Both Ophthalmology And Dentistry
Funder
National Health and Medical Research Council
Funding Amount
$431,221.00
Summary
Our aim is to produce and validate a single digital imaging device which can be used in ophthalmology (both for retinal and anterior segment imaging) and dentistry. This device will be low-cost, easy-to-operate and portable. Our planned development of the novel screening tool should help in bringing high quality, lower cost health care to those without easy access to it, firstly to residents of rural areas in Australia and then in developing countries in our region. This can be achieved by more ....Our aim is to produce and validate a single digital imaging device which can be used in ophthalmology (both for retinal and anterior segment imaging) and dentistry. This device will be low-cost, easy-to-operate and portable. Our planned development of the novel screening tool should help in bringing high quality, lower cost health care to those without easy access to it, firstly to residents of rural areas in Australia and then in developing countries in our region. This can be achieved by more efficient screening methods and redirecting resources to target those with treatable eye disease only. The detection process can be progressively transferred to less expensive health workers while ophthalmologist input can be redirected to monitoring the screening results and performing surgery. The dentists travel infrequently to rural and remote WA. If the dentist can pre plan their treatment then it will be more efficient and possible to treat more people at each visit to remote and rural WA. With the help of the proposed imaging device for dentistry, the nurses and other allied personnel should be able to send the digital images in advance to dentist over Internet and therefore help dentist pre-plan their treatment. As a result, improved dental care for rural, remote and underserved communities will occur.Read moreRead less