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<strong>BEST</strong> e<br />

Institute of<br />

Biomedical Engineering Sciences<br />

& Technology / eindhoven<br />

12


Table of Contents<br />

2<br />

1. Introduction 4<br />

2. Education 6<br />

Graduate School <strong>BEST</strong>/e 6<br />

School for Medical Physics and Engineering SMPE/e 6<br />

3. Research 8<br />

Mission Statement 8<br />

Molecular Bioengineering and Molecular Imaging (MBEMI) 8<br />

Biomechanics and Tissue Engineering (BMTE) 10<br />

Biomedical Imaging and Modeling (BIOMIM) 10<br />

4. Collaboration with Maastricht 14<br />

5. Department of Biomedical Engineering 16<br />

5.1 Biomedical Chemistry 16<br />

5.1.1 Dendritic architectures 16<br />

5.1.2 Supramolecular Biomaterials 18<br />

5.1.3 Protein Engineering 19<br />

5.1.4 Clinical Chemistry 19<br />

5.2 Biomedical NMR 20<br />

5.2.1 The cardiovascular system 21<br />

5.2.2 Molecular imaging 21<br />

5.2.3 Skeletal muscle 22<br />

5.3 Soft Tissue Biomechanics and Tissue Engineering 24<br />

5.3.1 Tissue Engineering 24<br />

5.3.2 Soft Tissue Mechanics 26<br />

5.3.3 Multi-Phase Mechanics 27<br />

5.4 Cardiovascular Biomechanics 28<br />

5.4.1 Hemodynamics and Vascular Biomechanics 28<br />

5.4.2 Cardiac Biomechanics 30<br />

5.5 Bone and Orthopaedic Biomechanics 31<br />

5.5.1 Mechanical Properties of Bone & Osteoporosis 31<br />

5.5.2 Mechanobiology of Tissue Differentiation 32<br />

5.5.3 Osteoarthrosis & Artificial joints 34<br />

5.5.4 The healing touch of a plasma needle 35<br />

5.6 Biomedical Image Analysis 36<br />

5.6.1 Multi-scale image structure 36<br />

5.6.2 Visualization and Clinical Applications 38<br />

5.6.3 Molecular Imaging of the Ischemic Heart 39<br />

5.7 Biomodeling and Bioinformatics 40<br />

5.7.1 Protein, Membrane, and Cell Simulations 40<br />

5.7.2 Tissue simulations<br />

5.7.3 Metabolic pathways, genetic algorithms,<br />

41<br />

bioinformatics 42<br />

6. Department of Electrical Engineering 44<br />

6.1 BioSignals and Regulation<br />

6.1.1 Generic methods from system and control<br />

44<br />

theory for biosystems<br />

6.1.2 Applications in computational Systems Biology<br />

44<br />

and physiology 46<br />

6.2 Medical Signal Processing 47<br />

6.2.1 Fetal monitoring. 47<br />

6.2.2 Neuromonitoring 48<br />

6.2.3 Medical image and video processing chains 50<br />

6.2.4 Peri-operative signal processing 51<br />

7. Department of Applied Physics 52<br />

7.1 Molecular Biosensors for Medical Diagnostics<br />

7.1.1 Properties, actuation and detection of magnetic<br />

52<br />

nanoparticles 52<br />

<strong>BEST</strong> e<br />

7.1.2 Biophysics: protein detection, biochemical binding,<br />

and cell diagnostics 54<br />

8. Department of Mechanical Engineering 56<br />

8.1 Micro- and Nanoscale Engineering<br />

8.1.1 Bead based fluid actuation techniques for<br />

56<br />

immunoassay devices 56<br />

8.2 Mechanics of Materials 58<br />

8.2.1 Mechanics of biomedical devices 58<br />

8.2.2 Injury biomechanics 59<br />

8.3 Dynamics and Control Technology 60<br />

8.3.1 Medical Robotics 61<br />

9. Department of Mathematics and Computer Science 62<br />

9.1 Differential Equations in the Life Sciences<br />

9.1.1 Mixed finite elements for the modeling of<br />

62<br />

cartilaginous tissues<br />

9.1.2 Metabolic Control Analysis in spatially<br />

62<br />

heterogeneous systems 64<br />

9.1.3 Is bone remodeling an optimization algorithm? 65<br />

10. Research Input 66


Introduction<br />

4<br />

Technology has become indispensable in current medical research, diagnostics, treatment and care.<br />

Representative examples are found in protein engineering for biomolecular imaging and novel drug<br />

design, various imaging modalities, including vital imaging to study molecular events at the cellular<br />

and tissue level, functional MRI and ultra-sound, image analysis, treatment using artificial implants,<br />

the emerging field of regenerative medicine, including tissue engineering, and the use of<br />

computational tools to enhance diagnostics and surgical intervention.<br />

Research in biomedical engineering sciences aims to further the use of engineering principles<br />

and tools to unravel the pathophysiology of diseases and to enhance diagnostics, intervention and<br />

treatment of diseases. The choice made in <strong>Eindhoven</strong>, in collaboration with the University of<br />

Maastricht, is to focus our main research efforts on three interrelated themes:<br />

• Molecular bioengineering and molecular imaging,<br />

• Biomechanics and tissue engineering,<br />

• Biomedical imaging and modeling.<br />

Advances in molecular biology enable the detailed investigation of the pathophysiology of many<br />

diseases, as well as their treatment. Critical parameters in this research are the ability to synthesize<br />

new supramolecular systems and to manipulate proteins. These capabilities enable biomolecular<br />

imaging, using for instance confocal microscopy at the cellular and tissue level, and MRI to examine<br />

molecular events in the whole body. Treatment involves the design of new drugs and site specific drug<br />

delivery systems. Furthermore, our synthetic capabilities foster the design of new materials in which<br />

biological systems are mimicked or expanded in order to obtain materials with new functions or<br />

properties. Applications are found in the field of biosensors and regenerative medicine and tissue<br />

engineering.<br />

Introduction<br />

The rapidly emerging field of tissue engineering aims to reconstitute functional tissues and<br />

organs, either in-vitro or in-vivo. We have chosen to focus our research effort on load bearing tissues<br />

with emphasis on cardiovascular tissues. The prime challenge is to create living, autologous tissues<br />

that can sustain physiological loading, adapt to functional demand changes and grow. The key<br />

biomechanical questions are how biological structure relates to biomechanical properties, how<br />

mechanical loading modulates the microstructure (mechanotransduction), and what biochemical and<br />

mechanical environment should be created inside bioreactor for optimal function tissue formation.<br />

These questions are closely related to the in-vivo remodeling response of biological tissues. Various<br />

pathologies in bone and cardiovascular disease are directly related to the mechanical loading of these<br />

tissues. Fundamental understanding of mechanotransduction pathways, the advance of computational<br />

methods in combination with functional imaging and image analysis, will enable patient specific<br />

diagnostics and intervention planning.<br />

A variety of imaging modalities exist today, e.g. MRI, ultra-sound, etc. Rather than the design of<br />

new imaging hardware, our focus is on using this hardware for functional imaging and to enhance<br />

their image analysis capabilities by using techniques from mathematics, computer science, physics,<br />

electrical engineering and medicine. To further functional imaging, using MRI, our capability to<br />

manipulate biomolecules is of critical importance. Computational modeling of, for instance,<br />

cardiovascular flow, the mechanical response, and events at the cellular level, will advance the<br />

functional performance of MRI.<br />

Computational modeling at the molecular and the cellular level will enhance our fundamental<br />

understanding of the cell metabolism and transport mechanisms in and between cells and lead to the<br />

design of new drugs and drug delivery systems.<br />

<strong>BEST</strong> e


Education<br />

6<br />

The Institute of Biomedical Engineering Sciences & Technology/eindhoven (<strong>BEST</strong>/e) is host of two<br />

(post-)graduate schools of the <strong>Technische</strong> <strong>Universiteit</strong> <strong>Eindhoven</strong> (TU/e): the Graduate School <strong>BEST</strong>/e<br />

and the School for Medical Physics and Engineering SMPE/e.<br />

Graduate School <strong>BEST</strong>/e<br />

The Graduate School <strong>BEST</strong>/e is responsible for two master programs, Biomedical Engineering (BME)<br />

and Medical Engineering (ME) as well as the post-graduate PhD program of the department of<br />

Biomedical Engineering. The Education Committee of <strong>BEST</strong>/e is especially engaged with the following<br />

tasks:<br />

• policy making in master education at BME and ME,<br />

• control of admission to (pre)master programs at BME and ME,<br />

• continuing education in (bio)medical engineering and research.<br />

School for Medical Physics and Engineering SMPE/e<br />

SMPE/e offers post-graduate, professional training programs for students with a background in<br />

engineering physics, (bio)medical engineering, electrical engineering and mechanical engineering<br />

who want to become specialists medical physicists (SMP), qualified medical physicists (QMP) or<br />

qualified medical engineers (QME) eventually with an EFOMP registration (BIG-registration in the<br />

Netherlands).<br />

Education


Research<br />

8<br />

Research within the Institute <strong>BEST</strong>/e is focused on three major themes:<br />

• Molecular Bioengineering and Molecular Imaging (MBEMI)<br />

• Biomechanics and Tissue Engineering (BMTE)<br />

• Biomedical Imaging and Modeling (BIOMIM)<br />

Each theme covers a coherent and well defined discipline. Research projects frequently, if not<br />

generally, are performed across these disciplinary and departmental borders. It is the explicit objective<br />

of <strong>BEST</strong>/e to stimulate and nourish this cross disciplinary attitude among scientific staff and young<br />

scientists. This philosophy is reflected in the mission statement.<br />

Mission Statement<br />

The mission of <strong>BEST</strong>/e is to be an internationally recognized research institute that offers (post)<br />

graduate programs to educate scientists and engineers for advanced biomedical research and<br />

development, who master a cross disciplinary approach.<br />

Molecular Bioengineering and Molecular Imaging (MBEMI)<br />

Research in the theme Molecular Bioengineering and Molecular Imaging is based on a molecular<br />

approach of biomedical engineering problems using knowledge from several fields of study like<br />

organic chemistry, biochemistry, polymer chemistry, physical chemistry and chemical physics.<br />

Research within this theme aims at designing, synthesizing and characterizing new molecules or<br />

materials for various applications, e.g. drug delivery systems, imaging (MRI and optical imaging),<br />

Research


10<br />

tissue engineered heart valves, molecular imaging, the molecular basis for disease processes and<br />

repair, and biomaterials for vascular replacement. The second major aim of the research in this theme<br />

is the development of MR imaging, MR spectroscopy and optical imaging techniques for the in vivo<br />

measurement of vital molecular and cellular processes. The research is performed in <strong>Eindhoven</strong> and<br />

Maastricht in various groups.<br />

Biomechanics and Tissue Engineering (BMTE)<br />

Within the theme Biomechanics and Tissue Engineering we apply principles from fluid and solid<br />

mechanics, and biology, to a variety of biomedical problems and devices. In particular, cause and<br />

aetiology, prevention, diagnosis and treatment of medical conditions and diseases of the cardiovascular<br />

and the musculoskeletal systems are examined. Treatment may involve the engineering of<br />

living tissues and artificial implants, such as heart-valves, small diameter blood vessels, orthopaedic<br />

implants, and extracorporeal systems and devices. These developments critically rely on the<br />

availability of various technologies, such as bioreactors and testing procedures, which are subjects of<br />

research. In all cases, numerical and experimental techniques offer powerful tools for biologically and<br />

clinically relevant research in these areas.<br />

Biomedical Imaging and Modeling (BIOMIM)<br />

Within this theme methods and techniques from mathematics, computer science, physics, electrical<br />

engineering and medicine are used in the imaging and modeling of biomedical systems. In both<br />

research and clinical diagnostics these methods are applied to measure, understand, predict and depict<br />

the structure, function and metabolism of living cells and tissues.<br />

Research<br />

In the modeling groups emphasis is on methods and techniques on the molecular and cellular<br />

levels to enhance the understanding of cell metabolism and transport mechanisms in and between<br />

cells. This understanding is applied to the design of new drugs, drug delivery systems, and medical<br />

treatments of diseases.<br />

In the imaging groups emphasis is on the analysis and exploitation of the multi-scale structure<br />

of images, on advanced visualization methods for multi-spectral data, on diffusion tensor imaging, on<br />

computer-aided diagnosis, image analysis for molecular imaging, and neurosurgical navigation.


12<br />

MBEMI BMTE BIOMIM<br />

Department of Biomedical Engineering<br />

• Biomedical Chemistry •<br />

• Biomedical NMR •<br />

• Soft tissue Biomechanics and Tissue Engineering •<br />

• Cardiovascular Biomechanics •<br />

• Bone and Orthopaedic Biomechanics •<br />

• Biomedical Image Analysis •<br />

• Biomodeling and Bioinformatics •<br />

Department of Electrical Engineering<br />

• BioSignals and Regulation •<br />

• Medical Signal Processing •<br />

Department of Applied Physics<br />

• Molecular Biosensors for Medical Diagnostics •<br />

Department of Mechanical Engineering<br />

• Micro- and Nanoscale Engineering •<br />

• Mechanics of Materials •<br />

• Dynamics and Control Technology •<br />

Department of Mathematics and Computer Science<br />

• Differential equations in the Life Sciences •<br />

Research


Collaboration with Maastricht<br />

14<br />

The educational program of the department of Biomedical Engineering is executed in collaboration<br />

with the University of Maastricht (UM), in particular the department of Medicine and the department<br />

of Health Sciences. In a number of research areas close ties exists between research groups of the<br />

TU/e, the UM, and the academic hospital of Maastricht (azM). This is expressed by the dual, part-time<br />

appointments of several professors within each others institution. Frequently, the research associated<br />

with the part-time appointment at the TU/e is fully integrated with the existing research program of<br />

the host group, which is explicitly expressed in this brochure. In other cases, the research activity is an<br />

entity of its own, and integrated within research institutes of the UM, e.g. CARIM and NUTRIM, and<br />

for that reason has not been duplicated in this brochure.<br />

Collaboration with Maastricht


Department of Biomedical Engineering<br />

16<br />

5.1 Biomedical Chemistry<br />

(Prof. dr. Bert Meijer)<br />

approx. 14 FTE research<br />

By now it is generally recognized that molecular engineering of functional materials is one of the key<br />

aspects in the progress of biomedical engineering. Especially the interactions of novel molecules and<br />

materials with proteins and cells, which rely on the possibility to precisely tune molecular structure<br />

and collective properties, are being regarded as of paramount importance in this young and fast<br />

moving field.<br />

Through mutual collaboration, three major lines of research come together in addressing two<br />

technological targets: molecular imaging and the development of biomaterials. In our approach these<br />

targets are addressed through the design and synthesis of novel, functional and precisely defined<br />

hybrid materials with dimensions between 5 and 20 nm that are constructed through combining<br />

biomolecules (peptides, proteins) and (macro)molecular systems.<br />

5.1.1 Dendritic architectures<br />

(Prof.dr. Bert Meijer, dr.ir. Marcel van Genderen)<br />

The research area of supramolecular architectures is devoted to using the multivalency of the dendritic<br />

framework and other well-defined macromolecules or supramolecular complexes for biomedical<br />

applications. These structures combine the precise chemical nature of an organic compound with the<br />

Biomedical Engineering<br />

<strong>BEST</strong> e


18<br />

cooperativity in interactions of a macromolecule. In particular, we aim to attach multiple peptides or<br />

proteins in a controlled way to multivalent scaffolds, both via covalent and non-covalent synthesis.<br />

These new architectures will then be tested in various applications, e.g. drug delivery, targeted MRI<br />

contrast agents, and polymer diagnostics or therapeutics.<br />

5.1.2 Supramolecular Biomaterials<br />

(Prof.dr. Bert Meijer, dr. Nico Sommerdijk)<br />

The research of the Biomimetic Materials Group is aiming at the realization of biomaterials using the<br />

supramolecular interactions, in particular hydrogen bonding, between macromolecules to achieve<br />

control over their organization, but also as a modular tool to provide them with the bio-functionality<br />

required for optimal performance. With this approach we target implantable biomaterials such as<br />

scaffolds for tissue engineered heart valves, bone replacement materials and coatings for implants.<br />

The use of supramolecular interactions serves not only to generate materials with the required<br />

mechanical properties, but also provides a modular approach to the introduction of functional groups,<br />

such as oligo-peptides that for example stimulate cell adhesion or induce the nucleation of<br />

biominerals. To this end two hydrogen bonding moieties are explored: the ureido-pyrimidinone (UPy)<br />

group and the bis-urea blocks, both capable of forming a fourfold hydrogen bonding interaction with<br />

neighboring (macro)molecules. The fundamental properties of these molecular building blocks are<br />

studied in close collaboration with the members of the Supramolecular Chemistry Group of our<br />

Laboratory and applied to arrive at novel biomaterials with improved mechanical and bioactive<br />

Biomedical Engineering<br />

properties. For the implementation of the resulting materials we collaborate with a number of groups<br />

in the biomedical field both within and outside our university.<br />

5.1.3 Protein Engineering<br />

(Prof.dr. Bert Meijer, dr. Maarten Merkx)<br />

Within the research area of protein engineering we are aiming at the development of novel artificial<br />

proteins for biomedical applications and the fundamental understanding of the interactions of<br />

proteins with small and large molecules. Currently, sensor proteins are being developed for the<br />

intracellular imaging of copper and gaseous messenger molecules such as CO and NO. Techniques<br />

from molecular biology (such as phage display) are used to study the interaction between (synthetic)<br />

materials and biopolymers (peptides, proteins, DNA/RNA).<br />

Finally, new approaches are explored to synthesize multivalent protein and peptide oligomers that can<br />

find applications as antibody mimics and provide insights into the role of protein oligomers in amyloid<br />

diseases such as Alzheimer.<br />

5.1.4 Clinical Chemistry<br />

(Prof.dr.ir. Huib Vader)<br />

According to the formal definition, Clinical Chemistry/Clinical Biochemistry is a scientific discipline<br />

<strong>BEST</strong> e


20<br />

within medicine. It includes the analysis of body fluids, cells end tissues and the interpretation of the<br />

results in relation to health and disease. The discipline encompasses fundamental and applied<br />

research into the biochemical and physiological processes of human and animal life and application<br />

of the resulting knowledge and understanding to diagnosis, treatment and prevention of disease.<br />

The (applied) research area of the clinical chemistry group presently focuses on endocrinology<br />

(especially the influence of thyroid function of the mother during pregnancy on the development of<br />

the child), biomarkers for oxidative stress and the application of new analytical techniques in clinical<br />

chemistry.<br />

5.2 Biomedical NMR<br />

(Prof.dr. Klaas Nicolay)<br />

approx. 7 FTE research<br />

The Biomedical NMR group (NMR: nuclear magnetic resonance) aims to explore novel biomedical<br />

applications of magnetic resonance imaging (MRI) and spectroscopy (MRS) techniques. MRI and<br />

MRS offer exciting possibilities for the non-invasive investigation of a range of structural, functional<br />

and metabolic parameters in living organisms. The present MR research that is both conducted in<br />

animal models and man can be subdivided in three main topics.<br />

Biomedical Engineering<br />

5.2.1 The cardiovascular system<br />

(Prof.dr. Klaas Nicolay, dr.ir. Gustav Strijkers)<br />

Our MR research on the cardiovascular system is aimed at the development of new diagnostic<br />

techniques for the detection of biological processes that are characteristic of the entire time-course of<br />

cardiovascular disease development, including atherosclerosis and cardiac failure. Most of the<br />

research is done in mice, because of the opportunities offered by transgenic and knock-out mouse<br />

models. The MRI tools developed are used to monitor disease progression and to test novel<br />

therapeutic interventions.<br />

5.2.2 Molecular imaging<br />

(Prof.dr. Klaas Nicolay, dr.ir. Gustav Strijkers)<br />

MRI has a lot to offer to biomedical research and healthcare. The changes in MRI contrast that<br />

accompany disease often only occur in a late stage and can have multiple causes. The emerging<br />

technology of molecular imaging aims to visualize specific molecular markers of disease. Our research<br />

on this topic focuses on the use of targeted MRI contrast agents to quantify the in-vivo distribution of<br />

biological markers that are characteristic to a specific step in a disease process. Another focus is the<br />

optimization of the MRI pulse sequences in terms of contrast-to-noise ratio they achieve and<br />

quantification of the local contrast agent concentration. The tools that are developed are evaluated<br />

in-vitro with the use of cultured cells and in-vivo in mouse cardiovascular disease models.<br />

<strong>BEST</strong> e


22<br />

5.2.3 Skeletal muscle<br />

(Prof.dr. Klaas Nicolay, dr. Jeanine Prompers, dr.ir. Gustav Strijkers)<br />

The research in this domain focuses on the development of non-invasive, MR-based assays for<br />

measuring the structure, function and metabolism of skeletal muscle in-vivo. Muscle disorders and<br />

other diseases with severe consequences for muscle function have a major impact on the quality of life<br />

of the patient and represent a major socio-economic burden. Examples include pressure sores that<br />

develop during hospitalization and type 2 diabetes that is caused by an impaired insulin sensitivity of<br />

skeletal muscle. It is our aim to develop MR imaging and spectroscopy methods that enable us to<br />

identify the risk factors that lead to muscle injury, to objectively diagnose muscle status and to monitor<br />

the possible beneficial effects of therapeutic and lifestyle interventions. Studies are done in carefully<br />

controlled animal models as well as in human patients.<br />

Biomedical Engineering


24<br />

5.3 Soft tissue Biomechanics and Tissue Engineering<br />

(Prof.dr.ir. Frank Baaijens)<br />

approx. 19 FTE research<br />

Living tissues show an intriguing, active response to mechanical loading. Not only is the intrinsic<br />

mechanical response complicated, the ability of living tissues to adapt to mechanical loading by<br />

changing their structure and composition is fascinating. For example, tissue proliferation and<br />

differentiation is significantly affected by mechanical loading. A quantitative understanding of these<br />

phenomena, through experimentation and computational modeling, is of crucial importance for many<br />

biomedical applications.<br />

5.3.1 Tissue Engineering<br />

(Prof.dr.ir. Frank Baaijens, prof.dr. Simon Hoerstrup, prof.dr. Mark Post, prof.dr. Josef Bartunek, dr. Carlijn<br />

Bouten, Prof.dr.ir. Han Meijer)<br />

Tissue engineering aims at the in-vitro generation of living tissue substitutes to repair or replace<br />

affected tissues and organs in the human body. It is a fast emerging discipline at the interface of the<br />

engineering and life sciences and generally implies the seeding of cells on pre-shaped temporary<br />

biodegradable carrier materials (scaffolds) to form a construct that is cultured outside the body under<br />

conditions that favor tissue formation. In our group, research concentrates on the creation of tissues<br />

that serve a predominantly biomechanical function, such as cardiovascular tissues and skeletal<br />

Biomedical Engineering<br />

<strong>BEST</strong> e


26<br />

muscle. A combination of experimental and computational research approaches is pursued to<br />

engineer functional, load-bearing tissues with targeted mechanical properties. The main challenges<br />

are to quantify structure-function properties of the developing tissue and to manipulate these with<br />

adequate mechanical conditioning protocols in bioreactors to achieve targeted properties that ensure<br />

in-vivo survival. Thorough investigation of the effects of mechanical stimuli on tissue growth and<br />

adaptation, as well as on damage and de-adaptation are indicative for success in this area. This requires<br />

vital imaging and testing techniques to monitor tissue structure and function in space and time. As<br />

the engineered tissue consists of cells, scaffold material and extra cellular matrix, these components –<br />

as well as their mutual interactions – are included in our studies. Created tissues are applied as in-vitro<br />

model systems or for implantation purposes.<br />

5.3.2 Soft Tissue Mechanics<br />

(Prof.dr.ir. Frank Baaijens, prof.dr. Dan Bader, dr.ir. Cees Oomens)<br />

The objective of this subprogram is to study the mechanical behavior of soft biological tissues. This<br />

implies determination of constitutive equations, but also understanding the influence of mechanical<br />

loading on damage and adaptation of soft tissues. The ultimate goal is to identify early markers for<br />

tissue damage that can be used in biosensors for risk assessment or as leads for bio-molecular imaging<br />

purposes. This includes the study of physiological processes taking place at the tissue and cell level.<br />

The latter is a major development and trend over the last decade were cell biology and biochemistry is<br />

integrated with mechanics. To study these phenomena a hierarchical approach or multi-scale approach<br />

Biomedical Engineering<br />

is adopted, using in-vitro and in-vivo model systems ranging from studies on individual cells, tissue<br />

engineered constructs to animal and human studies, combined with theoretical modeling to bridge<br />

the gap between scales. The most important application area is development of pressure ulcers<br />

(decubitus). Other application areas are interaction of skin with personal care products and comfort<br />

analysis if car seats.<br />

5.3.3 Multi-Phase Mechanics<br />

(Prof.dr.ir. Frank Baaijens, dr.ir. Jacques Huyghe)<br />

This subprogram is focused primarily on intervertebral disc mechanics. Of particular interest is the<br />

integration of 3D deformational behavior of the disc with its swelling propensity. Spin-off areas are the<br />

swelling of shale formation and its implication for bore hole stability in oil industry, the design of a<br />

swelling disc prosthesis and divers applications of the porous media mechanics to biological tissues<br />

such as skin and cartilage. Experimental work on human and animal intervertebral disc samples are<br />

combined with advanced mixture finite element analyses on the disc. The numerical formulations are<br />

developed in cooperation with the Mathematics Department and the Civil Engineering Department of<br />

the University of Stuttgart. MRI-experiments on disc tissue and substitutes are done at the Physics<br />

Department<br />

<strong>BEST</strong> e


28<br />

5.4 Cardiovascular Biomechanics<br />

(Prof.dr.ir. Frans van de Vosse)<br />

approx. 10 FTE research<br />

In our research we focus on model-based biomechanical analysis of the cardiovascular system,<br />

relevant for pathophysiology, diagnostics and treatment of diseases. Although the research generally<br />

stems from questions arising from clinical practice, it often remains fundamental in nature and is<br />

based on mathematical models that originate from classical disciplines (physics, mathematics and<br />

biology). In order to develop, validate and analyze these mathematical models, we use and expand<br />

advanced experimental techniques like laser-Doppler anemometry (LDA), particle image velocimetry<br />

(PIV), ultrasound Doppler (USD), sensor technology and video imaging, as well as computational<br />

methods, like finite (FEM) and spectral element (SEM) methods.<br />

5.4.1 Hemodynamics and Vascular Biomechanics<br />

(Prof.dr.ir. Frans van de Vosse, prof.dr. Nico Pijls, prof.dr. Bas de Mol, dr.ir. Peter Bovendeerd, dr.ir. Marcel<br />

Rutten)<br />

Hemodynamical factors, like local pressure, velocity, wall shear stress and wall deformation play a key<br />

role in the genesis and development of vascular disease and are crucial for the well functioning of the<br />

heart and its natural valves. In our group, hemodynamical (mathematical) fluid structure interaction<br />

models and corresponding computational methods are developed to help in the interpretation of<br />

Biomedical Engineering


30<br />

diagnostic measurements and to predict the impact of clinical interventions like balloon angioplasty,<br />

stent or vascular prosthesis implants, bypass surgery and medication. In-vitro and ex-vivo experiments<br />

are designed and carried out to assess the parameters that define the constitutive and adaptive or<br />

remodeling behavior. Basic aspects of non-invasive diagnostics methods like MRI, CT, X-ray and<br />

ultrasound techniques are investigated and evaluated for this purpose. Finally, medical devices like<br />

pressure and flow sensors, particularly those used for advanced diagnostic measurements like<br />

coronary catheterization are still in the development stage. Research also concentrates on<br />

biomechanical aspects of these systems and devices.<br />

5.4.2 Cardiac Biomechanics<br />

(Prof.dr.ir. Frans van de Vosse, prof.dr. Bas de Mol, prof. Michael Jacobs, dr.ir. Peter Bovendeerd, dr.ir. Marcel<br />

Rutten)<br />

Cardiac biomechanics research is dedicated to the understanding how individual heart-muscle cells<br />

contribute to the contractile function of the complete heart, both in healthy and in pathological<br />

conditions. We are particularly interested in the adaptation of the heart muscle to changes in<br />

mechanical load or electrical activation, for instance induced by cardiac arrest or pacemakers. We<br />

develop and validate powerful mathematical models and computational methods for electrical<br />

conductance, excitation and muscle contraction of the complete heart. These models help to enhance<br />

diagnostic measurements and planning of treatment modalities. In-vitro and ex-vivo experiments are<br />

designed to assess the parameters that define the constitutive behavior en to validate the outcome of<br />

Biomedical Engineering<br />

computational simulations. Research also concentrates on biomechanical aspects of therapeutic<br />

devices like pacemakers and mechanical cardiac assist devices. Sophisticated models, both for the<br />

device that is studied and the physiological system it is used for, are developed to improve technology<br />

and diagnostic procedures. Mechanical and biological heart valves are based on high-end technology<br />

with respect to material, function, durability, and safety. We develop and apply in-vitro and ex-vivo<br />

experimental as well as computational methods for development and evaluation purposes.<br />

5.5 Bone and Orthopaedic Biomechanics<br />

(Prof.dr.ir. Rik Huiskes)<br />

approx. 8 FTE research<br />

The field of bone and orthopaedic biomechanics is directed towards mechanics and biology of bone,<br />

in relation to prevention, diagnosis and treatment of medical conditions and diseases of the<br />

musculoskeletal system. Both basic and applied research is conducted. Present research activities can<br />

be categorized into three main subjects.<br />

5.5.1 Mechanical Properties of Bone & Osteoporosis<br />

(Prof.dr.ir. Rik Huiskes, dr.ir. Bert van Rietbergen)<br />

Bone is a porous, composite tissue, consisting of mineralized collagen. Its main function is to provide<br />

<strong>BEST</strong> e


32<br />

strength and stiffness to the musculoskeletal system. This function can be compromised by<br />

osteoporosis in post-menopausal women, due to the biological consequences of hormone deficiencies,<br />

and also in the elderly in general, due to reduced activities. Osteoporosis is a common condition in<br />

elderly Caucasian and Asian populations, with dramatic effects on risks of fractures in the hip, the<br />

spine and the wrist. It is known that bone mass and strength rely on usage; in other words, they rely<br />

on the dynamic forces of daily living.<br />

In our research program we attempt to quantify the relationship between bone micromorphology<br />

and material characteristics, on the one hand, and bone strength on the other. For that<br />

purpose we apply refined imaging methods to model and quantify morphology (micro-computertomography)<br />

in combination with large-scale micro-FEA (finite element analysis) and experimental<br />

testing devices. Our goal is to be able to estimate bone strength clinically for early detection of<br />

osteoporosis.<br />

Secondly, we attempt to develop effective preventive measures against osteoporosis, by exploiting the<br />

natural effects of mechanical forces on bone mass. For that purpose, we investigate the effects of forces<br />

on the bone-cell metabolic activities of bone maintenance and adaptation.<br />

5.5.2 Mechanobiology of Tissue Differentiation<br />

(Prof.dr.ir. Rik Huiskes, dr. René van Donkelaar, dr.ir. Keita Ito)<br />

Tissue-differentiation processes take place in the embryonic development of bone, where the soft<br />

tissues are eventually mineralized and remodeled into bone. A similar process takes place in<br />

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34<br />

regeneration of bone, during healing of bone fractures, and during the ingrowth phases of surgical<br />

implants. It is known that these differentiation processes, in which one tissue type is replaced by<br />

another, are modulated by stimuli derived from mechanical tissue variables, such as pressure, strain<br />

or fluid transport. Using computer-simulation methods based on FEA, in combination with animalexperimental<br />

data, we attempt to discover the most effective mechanical conditions for the tissuedifferentiation<br />

processes. One aspect of this, the mineralization of cartilage, is embedded in a trans-<br />

European research program.<br />

The information we seek is important for the prevention and treatment of congenital<br />

musculoskeletal deformities in children, the design and application of fracture-fixation devices to<br />

promote bone healing, for tissue engineering of articular-cartilage and meniscal implants, and for the<br />

design and fixation of artificial joints.<br />

5.5.3 Osteoarthrosis & Artificial joints<br />

(Prof.dr.ir. Rik Huiskes, prof. Ruud Geesink)<br />

Wear of human joints is, next to osteoporosis, the most common musculoskeletal disease in the<br />

elderly. Its development is thought to be an effect of a disturbed balance between strength of articular<br />

cartilage, its lubrication mechanism (both of which have a genetic component) and dynamic joint<br />

loading (which depends on mechanical usage). However, there are also indications that the process of<br />

destruction originates in the underlying bone. The knee and the hip are the most commonly affected<br />

joints. Small defects can be repaired surgically with transplanted or, potentially, tissue engineered<br />

Biomedical Engineering<br />

implants. In severe cases of osteoarthrosis, however, the only cure is an artificial joint.<br />

In this research program we conduct in-vitro and animal experiments with tissue-engineered<br />

cartilage replacements, to enable cartilage repair in this way. Using computer simulations with FEA,<br />

we attempt to delineate the causal aspects of the disease. We also perform mechanical analyses of<br />

artificial joints (i.e. hip and knee prostheses), to study fixation strength and in growth processes for the<br />

purpose of improved designs and surgical equipment. Pre-clinical testing methods for new designs<br />

are also developed.<br />

5.5.4 The healing touch of a plasma needle<br />

(dr. Eva Stoffels-Adamowicz)<br />

Acute cell death (necrosis) is inevitable in conventional surgery; it leads to inflammation, pain,<br />

impaired tissue repair and scar formation. Operation without necrosis is possible by means of the<br />

novel cold-plasma technology. Tissues are exposed to a cold ionized gas (plasma), which supplies<br />

chemically active species to the target area, in a non-contact and painless way. Treated cells respond<br />

with apoptosis (programmed cell death), or detachment and migration. Applications of plasma<br />

treatment include microsurgery, disinfection, wound healing and treatment of caries. Current<br />

research focuses on inducing apoptosis, cleaning dental cavities, and improving the performance of<br />

the plasma instrument.<br />

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5.6 Biomedical Image Analysis<br />

(Prof.dr.ir. Bart ter Haar Romeny)<br />

approx. 9 FTE research<br />

The mission of the Biomedical Image Analysis (BMIA) group is to design highly effective algorithms<br />

for quantitative image analysis and visualization. Images are made in such quantities today, that<br />

advanced 3D visualization techniques and computer-aided diagnosis (CAD) have become a necessity.<br />

Every major vendor has a line of sophisticated diagnostic workstations, on which a wide array of<br />

visualization functions and image analysis techniques are implemented. Modern computer vision<br />

techniques have sparked the advent of effective CAD algorithms, e.g. in mammography and thorax<br />

investigations. The BMIA group focuses on 3 key directions, with a balance between fundamental<br />

research, visualization, and applications (both clinical and in life sciences).<br />

5.6.1 Multi-scale image structure<br />

(dr. Luc Florack, prof.dr.ir. Bart ter Haar Romeny)<br />

The automatic recognition of tumors, vessels and other structures in images for 3D visualization and<br />

computer-aided diagnosis (CAD) is a challenging task. Most algorithms are highly specific, and a<br />

generic theory is still missing. The research is inspired by recent neurophysiological findings in the<br />

human visual system (bio-mimicking), and axiomatic physical and mathematical approaches. They<br />

indicate that a multi-scale approach is essential for developing a robust theory for the hierarchical<br />

Biomedical Engineering<br />

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analysis of images. The BMIA group has a strong mathematical backbone, and is internationally<br />

among the pioneers in this field. Focus is on analyzing the ‘deep’ hierarchical multi-scale structure of<br />

images, and to develop contextual models for the Gestalt laws for perceptual grouping. Applications<br />

are image-based retrieval from a medical image database, segmentation for 3D visualization, catheter<br />

enhancement, quantitative analysis of motion, and vascular analysis.<br />

5.6.2 Visualization and Clinical Applications<br />

(dr. Anna Vilanova, prof.dr.ir. Frans Gerritsen)<br />

Diffusion Tensor Imaging (DTI) is a relatively new MRI technique, which is capable of new forms of<br />

analysis of fibrous tissues (brain white matter, muscle fibres, tumors) by generating tensor-valued<br />

voxels. New interactive visualization methods for this new class of images are developed. The<br />

interactive software package “DTI-Tool” has successfully been used in a clinical study to hypoxia<br />

problems in newborns.<br />

3D visualization is essential for the surgeon to prepare the operation. The BMIA group integrates<br />

the visualization and advanced computer vision research, as they are complementary and mutually<br />

beneficial. We currently study the use of graphics cards for fast and economic 3D visualizations, and<br />

how the optimal transfer function for 3D visualization can be automatically found from the data.<br />

Clinical applications of image analysis focus on computer-aided diagnosis, in particular for<br />

automated breast tumor detection with dynamic contrast-enhanced MRI, pulmonary vessel tree<br />

segmentation and automatic detection of pulmonary emboli in high resolution CT scans of the lungs,<br />

Biomedical Engineering<br />

cardiac motion analysis, automatic colon polyp detection in low-dose CT, cardiovascular flow<br />

calculations to determine risk factors in abdominal aorta aneurysms, and enhanced precision<br />

navigation for neurosurgery with intra-operative MRI.<br />

5.6.3 Molecular Imaging of the Ischemic Heart<br />

(drs. Hans van Assen, prof.dr.ir. Bart ter Haar Romeny)<br />

The BMIA research in Molecular Imaging is aimed at quantitative analysis of molecular images,<br />

notably from multi-spectral MRI, high-field MRI, 2-photon spectroscopy and ultrasound. The focus is<br />

on the development of effective algorithms to detect motion (optic flow), and to exploit multispectral<br />

data for pattern recognition, tissue typing and visualization. A statistical classification tool for multispectral<br />

MRI data of atherosclerotic plaque is developed, and a robust multi-scale application for the<br />

extraction of a dense motion field from MRI tagging time sequences of the moving heart. With the<br />

Vital Images group (microscopy, UM) we study remodeling parameters of blood vessels and collagen.<br />

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5.7 Biomodeling and Bioinformatics<br />

(Prof.dr. Peter Hilbers)<br />

approx. 8 FTE research<br />

In the group BioModeling and bioInformatics we study the modeling of processes in living systems,<br />

ranging from atomic interactions within a single molecule to interacting ensembles of organisms.<br />

Next to the research on biomedical modeling methods and techniques in general, we study specific<br />

biomedical applications both on the cellular and the tissue level. Central themes in these activities are<br />

biomedical models, bioinformatics, the implementation of these models in algorithms and computer<br />

simulations.<br />

Current research on the level of the biological cell is on biomolecular modeling of protein<br />

systems and of diffusion processes in cell membranes, gene expression profiling and clustering<br />

techniques for microarray data analysis, and metabolic pathways, while on the level of tissues and<br />

organs the research topics are bone growth and adaptation models, genetic algorithms, and computer<br />

simulations of the electrical behavior of the heart.<br />

5.7.1 Protein, Membrane, and Cell Simulations<br />

(Prof.dr. Peter Hilbers, dr.ir. Koen Pieterse, ir. Bart Markvoort)<br />

Computer simulations are used to study biomedical systems and processes on the cellular level such<br />

as vesicle formation, transport processes through the cell membrane and structured based modeling<br />

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42<br />

of protein-ligand interactions. Many of these processes occur on time scales still unreachable by<br />

modern computers. In order to allow simulations on relevant biological time scales as well as large<br />

systems, we are developing new computational methods and techniques and use a combination of<br />

large scale parallel computing and simplified models, e.g. a coarse grained approach for modeling the<br />

interactions between water and membrane molecules. Current applications include phospholipid<br />

membranes and vesicles (liposomes), their formation, shaping, budding and fusion. Where atomistic<br />

details are a prerequisite, fully atomistic simulations are performed to investigate e.g. possible drugs<br />

for aldosterone synthase inhibition to treat heart failure.<br />

5.7.2 Tissue simulations<br />

(Prof.dr. Peter Hilbers, dr.ir. Ronald Ruimerman, ir. Nico Kuijpers)<br />

The formation and adaptation of biological structures, such as heart tissue and bone, is strongly<br />

influenced by external factors, such as mechanical loading, and by aging and age-related diseases.<br />

Since these processes are in general difficult to study by experiments, computer modeling and<br />

simulations of these processes is challenging. For both the most common heart arrhythmia disease,<br />

atrial fibrillation, and for the age-related disease in bone, osteoporosis, we are developing theories and<br />

models. In these theories cell-biological, metabolic processes are treated and coupled to mechanical or<br />

electrical stimulations of cells. The theories are now applied to simulations of realistic tissues and the<br />

effects of medical treatment are investigated.<br />

Biomedical Engineering<br />

5.7.3 Metabolic pathways, genetic algorithms, bioinformatics<br />

(Prof.dr. Peter Hilbers, dr.ir. Huub ten Eikelder, dr. Dragan Bosnacki)<br />

The understanding of biological networks, such as metabolic and signal transduction pathways, is<br />

crucial for understanding molecular and cellular processes. Our aim is to study various statical,<br />

dynamical and evolutionary aspects of such networks with applications to realistic case studies (e.g.<br />

signaling pathways involved in Type 2 diabetes, pathways relevant for the cardiovascular and<br />

nutritional research fields). To this end we develop novel methods and tools. The methods are mostly<br />

algorithmic and they span over various sub disciplines of computer science, like graph theory, formal<br />

methods, and genetic algorithms. The results are used to search for unanticipated network<br />

interactions as well as to new patterns of regulation that could eventually pave the way toward humanengineered<br />

biological networks. In parts of this subprogram there is a strong collaboration with the<br />

group of Van den Bosch of the electrical engineering department.<br />

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Department of Electrical Engineering<br />

44<br />

6.1 BioSignals and Regulation<br />

(Prof.dr.ir. Paul van den Bosch)<br />

approx. 5 FTE research<br />

Main aim is the development of powerful quantitative methods for the highly qualitative, experiencebased<br />

sciences of biology, physiology and biomedicine, which lack mostly strong quantitative<br />

statements and clear explanations of phenomena. Based on our knowledge on modeling, system<br />

identification and “optimal” experiment design, and our domain knowledge of basic physiological<br />

phenomena, we develop new quantitative models and generic identification and analysis tools. Similar<br />

mathematics and computational methods can be applied to different physiological systems and<br />

biomedical problems. All research is in cooperation with physiologists of Maastricht, Birmingham and<br />

Utrecht and with industry (Siemens, Unilever, Philips).<br />

6.1.1 Generic methods from system and control theory for biosystems<br />

(Prof.dr.ir. Paul van den Bosch, dr.ir. Natal van Riel 1 )<br />

We adapt existing techniques to suit the specific problems and requirements in biomedical research<br />

(few data, large variances in both data and biological subject), such that optimally informative<br />

experiments can be designed to estimate the most relevant parameters with the highest possible<br />

accuracy. Fundamental cellular processes, such as transcription, protein-protein interactions and cell<br />

signaling, possess switch-like dynamics. Models that combine continuous dynamics and discrete<br />

1 Dept. of Biomedical Engineering<br />

Electrical Engineering


46<br />

events (so-called hybrid models) provide computationally efficient approximations of these<br />

nonlinearities, as well as the largely different time scales present in biological systems. Methods for<br />

the description, analysis and quantification (parameter estimation) of biological hybrid systems are<br />

being investigated. It is our ambition to use the tremendous amount of qualitative information from<br />

physiologists for our quantitative approach. This qualitative knowledge will be used to constrain the<br />

parameter space of our quantitative models. With few measurements still more accurate and<br />

physiologically more relevant parameter estimates are to be expected.<br />

6.1.2 Applications in computational Systems Biology and physiology<br />

(Prof.dr.ir. Paul van den Bosch, dr.ir. Natal van Riel)<br />

We apply our research on modeling and identification of physiological systems, in the interesting area<br />

ranging from the rather microscopic level of systems biology up to the high aggregation level of<br />

clinical measurements. Computational models are being developed of the protein networks and<br />

feedback control mechanisms involved in DNA damage and repair, for example for optimizing<br />

radiotherapy (UM). Besides the intracellular metabolic networks and calcium cycling also the effects<br />

of the endothelial barrier on the transport and uptake of glucose and fatty acids by the myocytes is<br />

being investigated; for skeletal muscle in collaboration with Birmingham, for the heart with UM.<br />

Together with UM, the effect of diabetic cardiomyopathy on calcium handling and excitationcontraction<br />

coupling in the intact heart is studied.<br />

Electrical Engineering<br />

6.2 Medical Signal Processing<br />

(Prof.dr.ir. Jan Bergmans)<br />

approx. 6 FTE research<br />

This research group develops new signal-processing techniques and systems for patient monitoring,<br />

aimed at improved diagnosis, improved patient comfort, lower costs, and lower risks to the patient. A<br />

close collaboration exists with the Catharina Hospital in <strong>Eindhoven</strong> (CZH), the Maxima Medical<br />

Center in Veldhoven (MMC), and Kempenhaeghe Epilepsy Hospital in Heeze (KEH). Within <strong>BEST</strong>/e<br />

there is a close collaboration with the Biosignals and Regulation group. Emphasis is primarily on<br />

clinical applications, with ambulatory spin-offs. The work uses and extends key concepts from signal<br />

theory, information theory, and adaptive system theory, and builds extensively on experience from<br />

mature signal-processing application areas such as audio and speech coding, video processing, and<br />

digital communications.<br />

6.2.1 Fetal monitoring<br />

(Prof.dr.ir. Jan Bergmans, prof.dr. Guid Oei, dr.ir. Massimo Mischi)<br />

This work involves a close collaboration with MMC and Philips Research. In high-risk pregnancies,<br />

the state of the fetus must be carefully and frequently monitored to be able to intervene promptly when<br />

necessary. Existing fetal monitoring techniques such as the cardiotocogram (CTG) have serious<br />

accuracy limitations and are only applicable in the hospital. Our research targets an<br />

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48<br />

electrophysiological alternative for the CTG that overcomes these drawbacks. The ultimate objective is<br />

a monitoring system with wearable electrode arrays that provides early warnings for preterm delivery<br />

(through extraction of the uterine electromyogram (EMG)) and deterioration of fetal condition<br />

(through extraction of the fetal ECG in relation to the uterine EMG). Key challenges relate to the<br />

separation and interpretation of the small and non-stationary information-bearing signal components,<br />

within a strong and nonstationary mixture of disturbances such as maternal ECG and sensor and fetal<br />

movement artifacts. To address these challenges, we use advanced analysis-by-synthesis techniques,<br />

originally developed for speech coding.<br />

6.2.2 Neuromonitoring<br />

(Prof.dr.ir. Jan Bergmans, dr.ir. Pierre Cluitmans)<br />

The objective is to develop brain monitoring techniques with significantly improved spatio-temporal<br />

resolution and improved resilience to artifacts and nonstationarities. Key applications include<br />

detection and prediction of epileptic seizures in institutionalized patients. This work involves a close<br />

collaboration with KEH. It uses multiple sensor types (e.g. EEG, 3D accelerometry, ECG) to develop<br />

a robust ambulatory solution with performance comparable to the current ‘golden standard’, which is<br />

based on a combination of EEG and video. Assessment of attention deficits in children. These deficits<br />

affect around 3 to 5 per cent of all children, and are currently mainly assessed by means of behavioral<br />

tests. This research seeks to supplement these tests by an EEG-based analysis for specific event-related<br />

potentials. Eventually this should permit an earlier and more objective diagnosis.To support these and<br />

Electrical Engineering


50<br />

other applications, novel artifact-handling approaches are developed, based, for example, on video<br />

registration of eye movements as a basis for almost perfect elimination of eye-movement artifacts.<br />

6.2.3 Medical image and video processing chains<br />

(Prof. Peter de With)<br />

This research involves a close collaboration with Philips Medical Systems (PMS). It explores novel<br />

architectures and algorithms for future image and video processing systems within PMS. The<br />

emphasis is on architectures that are chain-oriented, as opposed to component-oriented. Key<br />

architectural challenges include: flexibility with respect to input sources, data representations (e.g.<br />

2D/3D), and output devices/monitors; support for volumetric imaging and processing; scalability (in<br />

terms of both hardware and image quality); and display efficiency.<br />

Key algorithmic challenges include efficient compression of 3D data sets, efficient video scaling<br />

and formatting, and improved visualization for novel (LCD) monitors. This work builds on extensive<br />

experience in video coding and architectures for consumer electronics.<br />

Electrical Engineering<br />

6.2.4 Peri-operative signal processing<br />

(Prof.dr.ir. Jan Bergmans, prof.dr. Erik Korsten, dr.ir. Hans Blom, dr.ir. Massimo Mischi)<br />

This research involves a close collaboration with CZH. It aims at novel patient monitoring techniques<br />

to assess cardiovascular condition before, during or after surgery. Two key approaches are pursued:<br />

Model-based analysis using ultrasound contrast agents (UCAs). A small UCA bolus is injected into the<br />

blood stream. An ultrasound image of the dispersed bolus is recorded as it passes the chambers of the<br />

heart, and the resulting indicator-dilutor curves are analyzed. In this minimally-invasive manner,<br />

simultaneous assessment of all critical heart parameters is possible. Important advantages ensue over<br />

existing approaches, which tend to be more invasive, more risky, more costly, less accurate, and less<br />

comprehensive. Apart from diagnostic applications of UCAs, therapeutic applications receive<br />

increasing attention. Model-based analysis of respiratory and circulatory signals during weaning, to<br />

estimate e.g. the pulmonary blood volume.<br />

Key technical challenges relate to the very low signal-to-noise ratios, and to a priori unknown and timevarying<br />

system parameters. To resolve these challenges, adaptive parametric signal-processing<br />

approaches based on the maximum-likelihood principle are used, borrowed from digital<br />

communications and speech processing.<br />

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Department of Applied Physics<br />

52<br />

7.1 Molecular Biosensors for Medical Diagnostics<br />

(Prof.dr.ir. Menno Prins, dr. Leo van IJzendoorn, dr.ir. Arthur de Jong)<br />

approx. 2 FTE research<br />

Molecular biology and medical sciences are advancing to a level at which human health and disease<br />

can be traced down to molecular origin. Consequently biosensors for the detection of specific<br />

molecular markers in minute samples of body fluid or tissue have the potential to revolutionize<br />

medical diagnostics. The group studies the detection and manipulation of magnetic nanoparticles and<br />

their use in biochemical studies. The aim is to design and make new types of research devices, which<br />

will be used for biological studies and which have potential to be applied in integrated medical<br />

biosensors. Optical imaging is an important tool in the experiments with particles and biological<br />

materials. The group integrates expertise from a large number of fields including physics, chemistry,<br />

biochemistry, electronics, micro fluidics and device technology. Cross-disciplinary collaborations with<br />

groups inside and outside TU/e are a key element of our research. The group has access to device<br />

technologies from Philips Research.<br />

7.1.1 Properties, actuation and detection of magnetic nanoparticles<br />

(dr. Leo van IJzendoorn, dr.ir. Arthur de Jong, prof.dr.ir. Menno Prins)<br />

Magnetic nanoparticles are the nanoscopic tool for manipulating biochemical molecules. The<br />

properties of different classes of magnetic particles (e.g. superparamagnetic or ferromagnetic<br />

Applied Physics


54<br />

particles) and their behavior in fluids are investigated by optical microscopic methods. Global as well<br />

as local magnetic fields are used for particle transportation and to apply forces to biochemical<br />

molecules. We study on-chip sensors for the detection of magnetic particles as labels of biochemical<br />

molecules. Responses are studied for different magnetic particles, forms of actuation, and positions of<br />

the beads on the sensor. The detection limit is studied for single beads of various types and sizes. The<br />

studies are supported by modeling of on-chip and near-chip magnetic fields. Experiments with<br />

different magnetic field configurations are used for bead studies and for subsequent biochemical<br />

research.<br />

7.1.2 Biophysics: protein detection, biochemical binding, and cell diagnostics<br />

(dr.ir. Arthur de Jong, dr. Leo van IJzendoorn, prof.dr.ir. Menno Prins)<br />

The physics associated with magnetic bead actuation and detection is linked to biochemical assays. For<br />

example, a sandwich immuno-assay involves the use of magnetic particles labeled with antibodies in<br />

combination with a sensor surface also covered with antibodies. We study bio-molecular binding and<br />

unbinding, as influenced by magnetic forces, pH, temperature, buffer composition, specific protein<br />

concentrations etc. We also plan to study biosensor concepts for sensitive and rapid molecular<br />

diagnostics of cellular materials and tissue.<br />

Applied Physics


Department of Mechanical Engineering<br />

56<br />

8.1 Micro- and Nanoscale Engineering<br />

(Prof.dr. Andreas Dietzel)<br />

approx. 3 FTE research<br />

8.1.1 Bead based fluid actuation techniques for immunoassay devices<br />

(Prof.dr. Andreas Dietzel, prof.dr.ir. Menno Prins 2 )<br />

In future molecular diagnostics, very small quantities of material (e.g. 100 molecule copies) need to<br />

be detected reliably in a very complex sample matrix (e.g. full blood). This requires front-edge<br />

innovations in the fields of device design and fabrication, the physical actuation and detection<br />

methods, and in the (bio)chemistries. A very promising approach is to use small particles, also called<br />

beads or nanoparticles, because these can perform efficient biological functions. Examples of such<br />

functions are mixing of small sample volumes, specific binding to biological molecules, concentration<br />

of biological molecules into an even smaller volume, or the labeling of molecules immobilized on a<br />

sensor surface. The detection can for example have an optical basis (e.g. fluorescence) and/or can be<br />

based on magnetic principles (e.g. magneto-resistive sensors in the case of magnetic labels) and/or<br />

electrical principles. Efficient interactions between the beads and the fluid shall be forced by particle<br />

movement, for instance by magnetic or acoustic excitation. The actuation functionalities and the<br />

design of the micro fluidic structures should be robust against natural variations of fluid properties,<br />

such as viscosity, capillary tension, and cell content. Micro fluidic test chips shall be fabricated using<br />

fast prototyping techniques such as soft lithography. In addition, fabrication techniques that have the<br />

potential to be transferred into high volume production of disposable test chips shall be developed.<br />

2 Dept. of Applied Physics<br />

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58<br />

8.2 Mechanics of Materials<br />

(Prof.dr.ir. Marc Geers)<br />

approx. 1 FTE research<br />

Biomechanical engineering related research at the Mechanics of Materials (McMat) section of the<br />

Department of Mechanical Engineering is shortly described. The McMat section is part of the<br />

interdepartmental Materials Technology Institute, where a close co-operation with BMT groups exists.<br />

Within the field of biomechanical engineering, the following research topics are of interest for the<br />

Mechanics of Materials group: (i) mechanics of biomedical devices; (ii) Injury biomechanics.<br />

8.2.1 Mechanics of biomedical devices<br />

(Prof.dr.ir. Marc Geers, dr.ir. Hans van Dommelen, dr.ir. Piet Schreurs)<br />

This topic addresses the mechanics of technical devices that are used as biomedical engineering<br />

solutions, where the mechanical function (deformability, strength, damage, etc.) plays an essential<br />

role. At present, initiatives have been taken to explore and start up research for cardiovascular stents.<br />

Mechanical Engineering<br />

8.2.2 Injury biomechanics<br />

(Prof.dr.ir. Marc Geers, dr.ir. Hans van Dommelen)<br />

Injury of the human body occurs by deformation of anatomical structures beyond their failure limits<br />

resulting in damage of tissues or alterations in the normal function. The research field injury<br />

biomechanics uses the principles of mechanics to study the behavior of biological material under<br />

extreme loading conditions. Knowledge of this behavior is essential in order to be able to develop<br />

adequate measures for protection of the human body under these extreme loading conditions.<br />

Research focuses on a fundamental understanding of the development of local damage phenomena<br />

and relating injury mechanisms to macroscopic loading conditions in automotive crash situations.<br />

This approach involves research at various length scales, from the cellular level up to the whole human<br />

body. The bridging of these length scales can provide the missing link between cellular mechanism of<br />

injury development and the macroscopic mechanism of mechanical loading in real-life accidents.<br />

Engineering solutions for the prevention of injury based on knowledge of the above aspects are also<br />

the subject of research.<br />

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8.3 Dynamics and Control Technology<br />

(Prof.dr.ir. Maarten Steinbuch)<br />

approx. 3 FTE research<br />

The general research objective of the Dynamics and Control Technology group is the study of all<br />

aspects related to dynamics and control of high-performance mechanical systems. This covers the full<br />

range of topics such as design, modeling and analysis of mechanical systems, controller synthesis,<br />

signal and performance analysis. Practical and experimental validation is, where possible, part of the<br />

research.<br />

8.3.1 Medical Robotics<br />

(Prof.dr.ir. Maarten Steinbuch, dr.ir. Nick Rosielle, dr. Eva Stoffels 3 )<br />

In this research area, special attention is given to explore the experience and research results for<br />

design principles, systems and control and mechatronics with respect to its applicability in bioapplications,<br />

such as medical devices and instruments. Some examples are control of test instruments<br />

and reactors for tissue engineered bio-material, haptics in medical robotics, and plasma needle<br />

instruments. The application of motion technology in medical environments differs from the high<br />

performance mechatronic motion systems in that the environment is uncertain and changing over<br />

time. Hence, performance and stability robustness issues, as well as the use of adaptive estimators and<br />

feedback control are essential.<br />

3 Dept. of Biomedical Engineering<br />

Mechanical Engineering


Department of Mathematics and Computer Science<br />

62<br />

9.1 Differential equations in the Life Sciences<br />

(Prof.dr.ir. Hans van Duijn and prof. dr. Mark Peletier)<br />

approx. 2 FTE research<br />

Mathematical models are a powerful tool in understanding the complex behavior of biological and biomedical<br />

systems. Within CASA (the Centre for Analysis, Scientific Computing and Applications) we<br />

develop mathematical methods, both analytical and numerical, to extract the maximum of information<br />

from these models, understand their limitations, and provide suggestions for improvement.<br />

Applied mathematics is not uniquely connected to one biological or bio-medical application -<br />

applications of mathematics are everywhere. As a consequence, the areas in which our group is active<br />

are very varied; below is a list of recent projects that may serve to illustrate the breadth and scope of<br />

our interests.<br />

9.1.1 Mixed finite elements for the modeling of cartilaginous tissues<br />

(Prof.dr.ir. Hans van Duijn, dr. Rik Kaasschieter, drs. Kamyar Malakpoor, and prof.dr. Mark Peletier)<br />

The swelling and shrinking behavior of cartilaginous tissues can be modeled by a four-component<br />

mixture theory in which deformable and charged porous medium is saturated with a fluid with<br />

dissolved ions. This theory results in a coupled system of non-linear parabolic differential equations<br />

together with an algebraic constraint for electroneutrality. The goal of this project is the threedimensional<br />

computational solution of the system of equations. A suitably chosen mixed finite<br />

Mathematics and Computer Science


64<br />

element method fulfils the conservation laws exactly and yields non-oscillatory solutions. This choice<br />

should be based on a thorough understanding of the system of equations. Furthermore, a suitable<br />

choice for the time-integration is needed as well as an efficient solution procedure for the resulting<br />

non-linear equations. The numerical results will be compared with measurements that will be<br />

obtained in a related project.<br />

9.1.2 Metabolic Control Analysis in spatially heterogeneous systems<br />

(Prof.dr. Mark Peletier)<br />

Metabolic Control Analysis is a type of sensitivity analysis tailored to (time-dependent) ODEs that<br />

describe biochemical reaction networks. A concept that is central to this theory is that of ‘control’, the<br />

degree of influence that a given parameter may have over the system. So-called summation theorems<br />

combine and limit the control that different parameters may have. Our contribution was to generalize<br />

this framework from ODEs to PDE systems with non-trivial diffusive effects. By exploiting the scaling<br />

invariance in these systems we extended the classical results and identified a new summation<br />

theorem. As a by-product we showed that it is possible to bound the control of the diffusion coefficient<br />

explicitly.<br />

Mathematics and Computer Science<br />

9.1.3 Is bone remodeling an optimization algorithm?<br />

(Prof.dr. Mark Peletier)<br />

<strong>BEST</strong> e<br />

Bone remodeling is the continuous maintenance and adaptation of the sub-millimeter structures in<br />

trabecular bone (see section 5.5). Recent computational models of this process, such as those<br />

developed in the group of prof. dr. R. Huiskes, aim to represent the biological mechanism in as much<br />

detail as possible, and thus represent a departure from the decade-old optimization paradigm.<br />

Inspired by the former lack of anatomical and biochemical data, this paradigm stated that the actual<br />

biological mechanism seeks the optimum of some function representing ‘strength’, and that it is more<br />

important to know the strength function itself than to know the process that optimizes this function.<br />

In this project we aim to connect these two views, by investigating if and how the Huiskes<br />

computational model can be viewed as an optimization algorithm for some (still unknown) strength<br />

functional. Such a connection, or lack thereof, should give insight into the evolutionary reasons behind<br />

the actual remodeling mechanism.


Research Input<br />

66<br />

FTE (according to research norm)<br />

20<br />

18<br />

16<br />

Biomedical Chemistry - 2002<br />

2003<br />

2004<br />

2005<br />

Biomedical NMR - 2002<br />

2003<br />

2004<br />

2005<br />

Soft tissue Biomech. & Tissue Eng. - 2002<br />

2003<br />

2004<br />

2005<br />

Cardiovascular Biomechanics - 2002<br />

2003<br />

2004<br />

2005<br />

Bone and Orthopaedic Biomechanics - 2002<br />

2003<br />

2004<br />

2005<br />

Biomedical Image Analysis - 2002<br />

2003<br />

2004<br />

14<br />

12<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

<strong>BEST</strong>/e research input TU/e dept. BMT<br />

2005: total staff ca. 76 FTE research<br />

Tenured Staff PostDocs PhDs<br />

2005<br />

Biomodeling and Bioinformatics - 2002<br />

2003<br />

2004<br />

2005<br />

FTE (according to research norm)<br />

20<br />

18<br />

16<br />

14<br />

12<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

BioSignals and Regulation - 2002<br />

2003<br />

2004<br />

2005<br />

Medical Signal Processing - 2002<br />

<strong>BEST</strong>/e research input TU/e depts. E, TN, W, Wsk/Inf (rough estimation)<br />

2005: total staff ca. 22 FTE research<br />

2003<br />

2004<br />

2005<br />

Mol. Biosensors for Medical Diagnostics - 2002<br />

2003<br />

2004<br />

2005<br />

Micro- and Nanoscale Engineering - 2002<br />

2003<br />

2004<br />

2005<br />

Mechanics of Materials - 2002<br />

2003<br />

2004<br />

Tenured Staff PostDocs PhDs<br />

2005<br />

Dynamics and Control Technology - 2002<br />

2003<br />

2004<br />

2005<br />

Diff. equations in Life Sciences - 2002<br />

2003<br />

2004<br />

2005<br />

<strong>BEST</strong> e


Picture Index<br />

68<br />

P 7 Prof.dr. Klasien Horstman teaches the subject “Medical Ethics”, to prepare<br />

students for the application of technical knowledge in an ethical<br />

responsible way.<br />

P 9 Prof.dr.ir. Frank Baaijens (left) and prof.dr.ir. Frans v/d Vosse (right) in the<br />

Cell & Tissue Engineering Lab.<br />

P 13 Footbridges connect the different buildings on the campus of the<br />

<strong>Technische</strong> <strong>Universiteit</strong> <strong>Eindhoven</strong>.<br />

P 15 Every year the Department of Biomedical Engineering organizes the BME<br />

Research Day in Maastricht or <strong>Eindhoven</strong>.<br />

P 17 MRI-machines (Magnetic Resonance Imaging) are frequently used by<br />

researchers of the division Molecular Bioengineering & Molecular Imaging.<br />

P 23 A Medical Engineering graduate student using an MRI Machine.<br />

P 25 Bioreactor for tissue engineered heart valves.<br />

P 29 Students during Skills Lab.<br />

P 33 Footbridge connecting the main campus to the University sports facilities.<br />

P 37 Advanced computer programs are used by researchers of the division<br />

Biomedical Imaging & Modeling.<br />

P 41 “The Flying Pins” is an artwork located next to the campus of the<br />

<strong>Technische</strong> <strong>Universiteit</strong> <strong>Eindhoven</strong>.<br />

P 45 Laboratory of the Department of Electrical Engineering .<br />

P 49 Impression of the main building (Hoofdgebouw) of the TU/e.<br />

P 53 The Dommel, a small river, runs through the campus of the TU/e.<br />

P 55 Students relaxing on one of the many grassy areas of the campus.<br />

P 57 Footbridges connect the different buildings on the campus of the<br />

<strong>Technische</strong> <strong>Universiteit</strong> <strong>Eindhoven</strong>.<br />

P 61 Plasma needle.<br />

P 63 Impression of the campus of the <strong>Technische</strong> <strong>Universiteit</strong> <strong>Eindhoven</strong>.<br />

<strong>BEST</strong> e


Colophon<br />

70<br />

12<br />

Final editor:<br />

Prof.dr.ir. Frank Baaijens<br />

Dean of the Department of Biomedical Engineering<br />

Produced by<br />

Dr.ir. Ivonne Lammerts<br />

Co-ordinator <strong>BEST</strong>/e<br />

Drs. Marije de Jong<br />

Public Relations BME<br />

Designer:<br />

Robert Brannan, Nuenen<br />

Photography by:<br />

Bart van Overbeeke, <strong>Eindhoven</strong><br />

Rob Stork, <strong>Eindhoven</strong><br />

Norbert van Onna, <strong>Eindhoven</strong><br />

Reprographics & Printing:<br />

Lecturis, <strong>Eindhoven</strong><br />

<strong>BEST</strong> e

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