A Non Invasive Complex Representation of Muscle: A Description through BOLD Fractal Dimension, Phase Space, and Concurrent EMG Metrics

Abstract

The human body is inherently complex as seen through the structural organization of muscle in terms of its contractile subunit organization and scaling, innervation patterns, and vascular organization. However, the functional complexity of muscle such as its state of oxygenation, metabolism or blood-flow has been less well explored. Thus in an effort to improve our understanding of muscle, blood oxygenation level dependent (BOLD) magnetic resonance imaging of the lower leg, at rest and during a variety of weighted plantar-flexion paradigms, at 40% maximal voluntary contraction, was employed. Prior to experimentation, on 11 healthy subjects, an ergometer and electromyogram (EMG), suitable for use within the MRI, were constructed to allow for concurrent exercise and image acquisition. After collecting muscle BOLD data, four novel techniques were using to describe muscle function. The first technique used the fractal dimension, a measure of complexity, conveying the rate of variation of muscle blood flow at rest. This technique was able to determine differences between the muscles of lower leg, which have varying distributions of muscle fibre types based on function. The second exploratory technique was the use of the phase space, which provides insight into state/state-transitions of a system over time. The phase space representation of the BOLD signal provided novel insight into the muscle activation state. It demonstrated that muscle has more than the two blood flow states of reduced levels at rest and increased levels when exercising. The third technique involved using a signal saturation (SAT) region, proximal to the imaging region, to mitigate the arterial in-flow effects to more accurately represent muscle activation. By observing the correlation between the ideal reference and recorded signal, the acquisition with the arterial suppression improved the assessment of what regions in the muscle were active in the range borderline activation, which has the highest uncertainty. The final outlook on muscle behaviour involved using measures of fatigue from the collected EMG data to develop novel metrics of fatigue based on the BOLD signal. Concurrent BOLD and EMG of the anterior compartment of the lower leg during a plantar-flexion block design, demonstrated that the change in blood-flow between rest and contracted states is an excellent indicator of muscle fatigue. The primary outlook of this thesis is to provide a unique data collection and analytic framework to describe muscle behaviour, which was achieved using non-invasive measures with a complex outlook.