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Research Topic : Decision support techniques
Scheme : NHMRC Development Grants
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  • Funded Activity

    Spectrometer Module For Surface Enhanced Raman Scattering Spectroscopy In Glucose Analysis

    Funder
    National Health and Medical Research Council
    Funding Amount
    $385,151.00
    Summary
    Scientists have developed a number of incredibly powerful and sophisticated techniques to identify chemicals and measure their concentrations in the laboratory. However, it remains a major challenge to perform these measurements under everyday circumstances. For example, surface-enhanced Raman scattering (SERS) has gained widespread recognition as a technique for trace chemical detection, but it remains confined to a small number of specialist laboratories. For this reason, Dr Paul Stoddart at S .... Scientists have developed a number of incredibly powerful and sophisticated techniques to identify chemicals and measure their concentrations in the laboratory. However, it remains a major challenge to perform these measurements under everyday circumstances. For example, surface-enhanced Raman scattering (SERS) has gained widespread recognition as a technique for trace chemical detection, but it remains confined to a small number of specialist laboratories. For this reason, Dr Paul Stoddart at Swinburne University of Technology recognised a need for more practical SERS probes for field applications. His team has now developed a proprietary SERS probe, based on an optical fibre that is little thicker than a hair. These optical fibres can form the core element of field-portable SERS spectrometers. This work has recently been boosted by the discovery in the United States that SERS can be used to monitor glucose in blood. The development of a continuous glucose monitor has long been a holy grail of sensor research, because of the millions of diabetes sufferers who regularly perform the painful finger prick test. For SERS to provide a practical solution to glucose monitoring, it is recognised that SERS optical fibres are needed for minimally invasive probes. With support from Biopharmica and the Diabetes Australia Research Trust, Dr Stoddart's team has now demonstrated that sensitive SERS probes can be produced in large quantities. The next objective is to develop a prototype low-cost SERS spectrometer for use as part of a continuous glucose monitoring system. This will require the development of a laser source and spectroscopic system that can interface to the SERS probes. It is proposed to use an Australian designed and manufactured laser system based on a low-power narrow-linewidth laser diode. The project plans to bring together Swinburne University, OptoTech and Grey Innovation in order to develop a commercially scaleable and robust device.
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    Funded Activity

    Development Of A Prototype Production System For Optical Fibre Diagnostic Probes

    Funder
    National Health and Medical Research Council
    Funding Amount
    $191,598.00
    Summary
    Advances in nanotechnology have led to new techniques for the precise fabrication of nanometre scale structures. A recent breakthrough by the applicants now allows high-quality nanostructures to be stamped onto the tip of low-cost optical fibre probes. When coated with silver, these sensitive probes can be used for continuous monitoring of blood glucose in diabetics and in critical care situations. This project aims to develop a prototype manufacturing system for optical fibre glucose probes.
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    Funded Activity

    Computer Program To Predict Premature Birth

    Funder
    National Health and Medical Research Council
    Funding Amount
    $388,000.00
    Summary
    Preterm birth is a major cause of neonatal death and cerebral palsy. This grant will provide proof-of-concept that a computer program can be developed to predict a pregnant woman�s risk of preterm birth. There is a large market (4M US and 8M Europe), there are no competing technologies. This is a unique collaboration between Biomedical Engineering and an Australian centre with an international reputation in preterm birth, assisted by a pathology company.
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    Funded Activity

    Web-based Multimedia Information Management System For Use In Remote Diagnosis Of Eye Diseases

    Funder
    National Health and Medical Research Council
    Funding Amount
    $196,000.00
    Summary
    Our aim is to develop a web-based multimedia information management system for use in remote diagnosis of eye diseases. The proposed system will provide medical advice and diagnosis, information and distance education for those working in health care as well as the community, computer-aided diagnosis and assistance in the operational and medical decision-making process. Less expensive health care personnel should be able to use the system with little training in remote and rural areas. Significa .... Our aim is to develop a web-based multimedia information management system for use in remote diagnosis of eye diseases. The proposed system will provide medical advice and diagnosis, information and distance education for those working in health care as well as the community, computer-aided diagnosis and assistance in the operational and medical decision-making process. Less expensive health care personnel should be able to use the system with little training in remote and rural areas. Significantly, the project should empower remote general doctors and nurses by proper access to expert advice, save many remote patients from unnecessary visits to specialist centres on the one hand and allow more proper diagnosis and intervention on the other. It has the potential for significant reductions in the cost of health care delivery, should strengthening the bond between medical services in remote and city areas, provide training and education of local GPs, nurses, health care workers and optometrists and provide web-based disease management systems will provide instant access to health care information. The outcomes of this project are potentially of great significance to remote and rural communities in Australia and around the world. There will be an enormous impact on current health care practices. Significantly, the project should empower remote general doctors and nurses by proper access to expert advice, save many remote patients from unnecessary visits to specialist centres on the one hand and allow more proper diagnosis and intervention on the other. It has the potential for significant reductions in the cost of health care delivery, should strengthening the bond between medical services in remote and city areas, provide training and education of local GPs, nurses, health care workers and optometrists and provide web-based disease management systems will provide instant access to health care information. The outcomes of this project are potentially of great significance to remote and rural communities in Australia and around the world. There will be an enormous impact on current health care practices.
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    Funded Activity

    Innovations For Better Cardiovascular Prevention In Primary Care

    Funder
    National Health and Medical Research Council
    Funding Amount
    $294,285.00
    Summary
    The goal of this project is to take a new concept for cardiovascular disease management through the proof-of-concept stage and deliver a novel model for cardiovascular disease management. When proven, the application of this new process for service delivery will provide a low-cost way of closing the gap between guideline recommendations and current management of vascular disease in Australian primary care settings.
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    Funded Activity

    Development Of A Novel Biosensor Using Magnetically Amplified Luminescence For The Early Detection Of Cancer

    Funder
    National Health and Medical Research Council
    Funding Amount
    $267,500.00
    Summary
    Cancer is often not detected until it has invaded surrounding tissues and spread to other organs. Current treatment is then often ineffective, and prognosis poor. Early detection of cancer is therefore essential for improved disease management. Such methods must be cheap, non-invasive, and rapid with high sensitivity and specificity. We are investigating a new biosensor technology that satisfies these criteria. This method uses magnetically amplified luminescence for the detection of low levels .... Cancer is often not detected until it has invaded surrounding tissues and spread to other organs. Current treatment is then often ineffective, and prognosis poor. Early detection of cancer is therefore essential for improved disease management. Such methods must be cheap, non-invasive, and rapid with high sensitivity and specificity. We are investigating a new biosensor technology that satisfies these criteria. This method uses magnetically amplified luminescence for the detection of low levels of cancer cells in clinical samples (urine, faeces, blood, biopsy), using telomerase as a marker.
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    Funded Activity

    Binocular Objective Visual Field Testing Using Pupillography

    Funder
    National Health and Medical Research Council
    Funding Amount
    $113,487.00
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    Funded Activity

    Oxidation Of Mismatch: A New Concept For Mutation Detection Which Avoides A Separation Method In Mutation Scanning

    Funder
    National Health and Medical Research Council
    Funding Amount
    $143,000.00
    Summary
    Detection of faults (mutations) in genes is expensive but essential for proper genetic health care. Because of the cost of such tests many people are not diagnosed either through diagnostic labs or research of the cost of such tests many people are not diagnosed either through diagnostic labs or research projects. Such research projects are inhibited due to the complexity of the current methods. Current methods are complex and expensive, especially looking for a possible fault, due to what is ca .... Detection of faults (mutations) in genes is expensive but essential for proper genetic health care. Because of the cost of such tests many people are not diagnosed either through diagnostic labs or research of the cost of such tests many people are not diagnosed either through diagnostic labs or research projects. Such research projects are inhibited due to the complexity of the current methods. Current methods are complex and expensive, especially looking for a possible fault, due to what is called a preparation step on complex and expensive equipment. We will develop and commercialise a simpler test because separation is avoided.
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    Funded Activity

    Anatomical Template Mapping System

    Funder
    National Health and Medical Research Council
    Funding Amount
    $103,150.00
    Summary
    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.
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    Funded Activity

    Mechanical Mobility Of The Thorax For Continuous Determination Of Lung Gas Volume

    Funder
    National Health and Medical Research Council
    Funding Amount
    $165,000.00
    Summary
    Percussion is a valuable clinical method for physical examination of parts of the body. A sharp tap (impulsive force) is applied to the body wall and the sound radiated in response is observed. This sound may be dull (over liver) or stony dull (pleural effusion), or resonant (over normal lung) or hyper-resonant (over bowel). While the variation in radiated sound is not fully understood, it is apparent that the presence of gas, which is highly compliant, increases mobility of the overlying tissue .... Percussion is a valuable clinical method for physical examination of parts of the body. A sharp tap (impulsive force) is applied to the body wall and the sound radiated in response is observed. This sound may be dull (over liver) or stony dull (pleural effusion), or resonant (over normal lung) or hyper-resonant (over bowel). While the variation in radiated sound is not fully understood, it is apparent that the presence of gas, which is highly compliant, increases mobility of the overlying tissue and allows it to resonate; where the sub-tissue is largely fluid, tissue mobility is low and the percussive sound is dull. Percussion is useful for examining the adult chest and lung, but cannot for example be applied in infant intensive care as only limited impulsive force can be used, and the adult finger, which is both a coupling device and sounding board, is too large. As well, percussion requires skill and quiet conditions. Accordingly, we developed a device to measure mobility of the chest and other tissues in real time. The VibroPulse applies a known low-level force to the body surface and records the resultant velocity induced in the surface. The force is generated by a vibrating mass set in motion by an electromagnetic motor driven by pseudo-random noise. Tissue mobility, defined as velocity-force, is derived simultaneously across the frequency range, providing an easily interpreted quantitative output unaffected by ambient noise. This proposal has two aims we can achieve in 1 year: (1) to continue evaluating VibroPulse sensitivity to tissue composition, using symmetrical percussive sites on the human chest and abdomen that are dull on one side and resonant on the other, and the chest of anaesthetised animals with experimentally induced pneumothorax and lung collapse, two life-threatening conditions for which percussion is a key diagnostic method, and (2) to engineer a small device from our bulky prototype that is suitable for clinical use, in infants and adults.
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