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Gregory J. Gerling, Ph.D.
Associate Professor
Systems and Information Engineering
gregory-gerling
virginia edu
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Current Research
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DARPA
N11AP20002 (Gerling,
G.J. with Cederna, P.S. and Urbanchek, M.G., U. of Michigan)
Computational
Models and Real-time Prototypes to Mimic the Signal Modulation
Capability in Connecting Artificial Tactile Sensors with the Peripheral
Neural Afferents
Major goals:
We seek to understand signal modulation
parameters of the biological generation of action potentials in
response to the
controlled input of current pulse waveforms, a necessary step in the
design of
a neural prosthetic sense of touch.
There are two aims proposed: 1)
determining the amplitude and duration
of the minimum current waveform to consistently elicit single APs in
the rat
peripheral nerve, 2) eliciting trains of APs in the living rat which
mimic
natural AP response to ramp-and-hold stimuli and vibration by inputting
a)
controlled modulation current waveforms to the sensory PNI and b)
progressing
to a direct connection between force sensor and SPNI.
Dr. Gerling's group in specific will perform research
design and coordination, modeling of empirical relationships in the
data,
mathematical optimization and experimental actuator design.
Example project:
Designing artificial sensor systems to mimic touch receptors.
As artificial touch in neural prostheses requires replacing
the biological touch receptors lost through amputation, we transition
our computational model to create a physical sensor system that mimics
the output of natural touch receptors. A force sensor is embedded in a
skin-like silicon substrate (A). The analog output of the sensor is
converted via algorithms (B) to biologically relevant trains of action
potentials (C) that represent how mechanoreceptors code the magnitude
of stimulus indentation and velocity of stimulus movement.
Research Staff and
Graduate Student: Elmer Kim and Aaron Williams

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NIH NINDS R01 NS073119-01 (Gerling, G.J. and Lumpkin
E.A., Columbia U.)
Part of NSF-NIH Collaborative Research in
Computational Neuroscience (CRCNS) Program
Collaborative
Research: Predictively Modeling the Impact of Receptor
Arrangement on Action Potential Initiation in Mammalian Touch Receptors
(short
title: CRCNS: Modeling impact of receptor arrangement spike initiation
in
touch)
Major goals:
To
develop a
computational model that describes action potential timing in mammalian
touch
receptors. My group
in specific will
perform computational modeling and experimental actuator design. In our modeling effort, my
group will use
computational methods including solid mechanics, differential
equations,
statistics, and information theory to explain the biphasic sensitivity
and
variability of SAI
afferents. In our
work with experimental
actuator
platforms, we will use a custom-built mechanical indenter to perform
mechanical
characterization of mouse skin and a second indenter to deliver
vibration
stimuli to characterize the noise and variability of afferents.
Example project: Modeling
the spike timing variability from the SAI (slowly adapting
type I) mechanoreceptor in the mouse. In general, to better
understand
the neural basis of touch, we design controlled experiments where our
custom-built, computer-controlled indenter (A) stimulates mouse skin
samples with an intact touch receptor and nerve (B) while neural
responses are recorded (C). We then construct computational models to
explain the sub-transformations underlying the touch
receptor’s neural
response (D).
Graduate Students:
Daine Lesniak and Yuxiang "Shawn" Wang

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National
Library of Medicine T15LM009462 (Guerlain,
S.A.;
Harrison, J.H; Gerling, G.J.; Bass, E.J. and other Co-Is)
Systems
Engineering Focus on Clinical
Informatics
Major goals:
To
train students in health and bioinformatics.
This training grant funds approximately 7 graduate students and 3 post
docs per
year who will attain a degree in Systems and Information Engineering
and who
are co-advised by faculty in the healthcare and biological domains. The grant is a 5-year
renewable grant ending
in 06.30.2012. Dr. Gerling's
role is in advising
Post-doctoral scholars, Ph.D. students,
and STTP students (under-represented minority students on 3 month
assignments)
students. He also serves on the Executive
Committee
and is in charge of recruiting.
Example project:
A mixed reality environment for treating phantom pain. Phantom
Limb Pain (PLP) is chronic, severe, and affects up to 90% of
amputees. Recently, non-invasive therapies like mirror visual
feedback (MVF) have shown promise in treating PLP, and this approach
has been extended to virtual reality (VR). These treatments are
thought to work, in part, by eliminating or reducing the incongruence
between the sensory and motor systems caused by deafferentation.
We hypothesize that a dynamic interaction between the phantom limb,
intact limb, and the environment will afford more life-like simulations
and enhanced pain relief. To test this hypothesis we are
developing a mixed reality (MR) simulator for the treatment of phantom
limb pain. The goals are to augment virtual reality strategies
with additional sense modalities, to enable the phantom to interact and
impart forces on the intact limb in real-time.

Figure 1. (left) Prototype
mirror box with proprioceptive and haptic feedback via slider bar.
Our preliminary results are that with a small group (N=3) of
amputee volunteers, the haptic mirror box provided pain relief within
10 minutes, motion of the phantom was increased, and tactile sensation
of the intact limb was referred to the phantom. Movement of the
stump enhances the illusion for below-knee amputees, and reduces the
illusion for above-knee amputees, (right) Concept for a 1 degree of
freedom mixed reality environment utilizing the animation of phantom
hands and fingers in the VR environment and the presentation of
physical stimuli to the intact limb.
Graduate Students:
Aaron Williams and Mark Farrington (past: Daine Lesniak and Anila
Jahangiri)
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Systems
Engineering Research
Center (SERC) (Scherer,
W. T.; Bailey, R.R.;Gerling,
G.J.; Louis,
G.E.)
Development
of an
Extensible Systems Engineering Capstone Experience for Non-Systems
Engineering
Seniors.
Major goals:
The
request for proposals is entitled: Research
on Building
Education &
Workforce Capacity in Systems Engineering.
This education-focused
effort seeks to develop methods for
teaching Systems Engineering concepts to students in other engineering
departments (e.g., electrical and mechanical engineering) through an
enhanced
capstone experience.
Example projects: Using
Electroactive Polymers to Simulate Light Touch and Vibration and A
Sensorized Glove for Tracking the Hand and Fingers for Visualization in
a Virtual Reality Environment
Click
here for YouTube Video
Click
here for Short Description of Project
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Completed Research
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Congressionally
Directed Medical Research Program, administered by the
Department
of the
Army W81XWH-08-1-005
(Gerling, G.J.,
Martin, M.L. &
Childress, R.M.)
The
development of
prostate palpation skills through simulation training may impact early
detection of prostate abnormalities and early management
Major
goals: To
further develop
the prostate exam simulator by determining distinct skill levels for
the
discernment of palpable inclusions, determine how contextual factors in
the
exam influence diagnosis decision-making, determine methods to
customize
performance assessment and training intervention, and determine if
applied
finger techniques correlate with level of performance.
Example
projects:
1. Characterize the material properties of prostate tissue, removed
post-surgery, and indented with a custom-built spherical
indenter. The mechanical characterization of prostate tissue has
not received much attention and is often disconnected from the clinic,
where samples are readily attained. We developed a spherical
indenter to generate force-displacement data from ex vivo tissue, both
whole mount and 5 mm cross-sections. Indentation velocity, depth,
and sphere diameter, and four means of estimating elastic modulus (EM)
were validated. EM was then estimated for ~30 prostate specimens
in the clinic.
2. Understand the perceptible limits of the DRE, which are based on
some unresolved combination of the size, depth, and hardness of
abnormalities within a given prostate stiffness. Using
psychophysical testing methodologies, this work informs the range of
disease states that are palpable, from human sensory limits.
3. Develop an efficient and accurate means of assessing the palpation
skill of trainees. Integrate computerized adaptive testing (CAT)
with the VPES to provide proficiency estimates with fewer test items,
thereby reducing testing duration. The main components in our CAT exam
are to develop an item bank of prostate scenarios, implement the item
response theory (IRT) and an item selection procedure, and determine
the stopping criteria and scoring method.
4. Correlate general aspects of finger technique with measures of
performance assessment and correlate technique patterns of experts and
novices with measures of performance assessment. Algorithmically
defined a set of finger palpation techniques for the digital rectal
exam (DRE) based upon past qualitative definitions of hands-on
technique and evaluated performance between experts and novices.
Four palpation techniques were defined: global finger movement, local
finger movement, and average intentional finger pressure, and dominant
intentional finger frequency. Streaming feedback from force and
balloon sensors in the instrumented prostate provided the source
data.
Graduate Students: Sarah Rigsbee, Ninghuan "Miki" Wang, Angela Lee and Bill Carson

Figure
1. (left) Main Components of Virginia Prostate Examination Simulator
Apparatus: (A) electronics for automatic balloon inflation and sensor
signal conditioning, (B) instrumented torso, (C) laptop and (D)
instrumented prostate, (center) Example Plot of Force Sensor and
Balloon Sensor Data for a Testing Scenario, (right) Finger pressure
output over time, where three local palpation patterns are identified
algorithmically and characterized..

Figure 2. Portable indentation system and user interface built to make tissue measurements.
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DARPA
HR0011-08-1-0072 (Gerling, G.J.)
Enabling
the Sense of Touch: Mimicking Responses from Single-Receptors and
Optimizing Populations
Major
goals: To
develop a multi-level mathematical model that describes single-unit and
population responses in touch receptors. The focus is upon the
transition of algorithms that characterize the base level of
transduction to artificial sensor-substrates which could be used in the
development of prosthetic sensors to restore a person's sense of touch.
Examine and model how
controlled variations of the skin, mechanoreceptors and stimuli
influence the neuronal response of mechanoreceptors. Our approach is to
build a computational understanding of touch sensing that links
neurophysiological findings with prototype sensor arrays. Based on data
from experiments with mice, we utilize a) solid mechanics models
to calculate distributions of stress and strain in the skin upon
surface deformation, b) neuron models to convert these quantities into
spikes, and c) correlation and Bayesian techniques to compare the
predictions to observed responses for like stimuli. We also use
statistical signal analysis to characterize the variance in neuronal
responses. The resultant models are used to implement artificial sensor
grids in silicone substrates and analog hardware that mimics the
spike-based response.
Example
projects:
1. Previous models of touch have linked skin mechanics to neural firing
rate, neural dynamics to action potential elicitation, and
mechanoreceptor populations to psychophysical discrimination.
However, few span all levels. The objective of work herein is to
build a computational model of cutaneous skin and tactile neuron, and
then validate its predictions of skin surface deflection,
single-afferent firing rate to indenter shift, and population response
for sphere discrimination. The model uses a 3D finite element
representation of the distal phalange with hyper- and visco-elastic
mechanics to model a population of receptors distributed over its
surface. Each receptor model is comprised of a bi-phasic function
to represent Merkel cells' transformation of stress/strain to membrane
current and a leaky integrate-and-fire neuronal model to generate the
timing of action potentials. Results indicate that predicted skin
surface deflection matches Srinivasan's human observations for 50
micron and 3.17 mm cylinders, and single-afferent responses achieve
R2=0.81 when compared to Johnson's primate recordings. Additionally,
sphere discrimination results correlate with Goodwin's psychophysical
experiments, whereby 287 and 365 m-1 spheres are discriminable, but not
287 and 296 m-1. The model predicts that a sensor density of 100
receptors/cm2, as Johansson observed at the fingertip, is required at
the limit of human discrimination.
2. The next generation of prosthetic limbs will restore tactile
feedback to the nervous system by mimicking how skin mechanoreceptors,
such as those innervated by the slowly adapting type I (SAI) afferent,
produce trains of action potentials in response to compressive stimuli.
Our systems integration effort seeks to computationally replicate the
neural firing behavior of an SAI afferent in its response to both
magnitude and rate of indentation force by integrating a force sensor,
housed in a skin-like substrate, with a mathematical model of neuronal
spiking, the leaky integrate-and-fire. The effort is unique
because it accounts for skin elasticity by measuring force within
simulated skin, utilizes few free parameters, and separates parameter
fitting and model validation using response surface methodology.
Additionally, the paradigm of ramp-and-hold, sustained stimuli ties
with tasks of object manipulation and grasp. Ramp-and-hold
experiments were conducted on both the spiking-sensor model and mouse
SAI afferents. The results indicate that model-produced spike
firing compares favorably with that observed for SAI afferents. As
indentation magnitude increases (1.2, 1.3, to 1.4 mm), the time between
spikes decreases from 98.81, 54.52, to 41.11 ms. Moreover, as rate of
ramp-up increases, the time between spikes decreases from 21.85, 19.98,
to 15.42 ms.

Figure 1. The model is validated at each of three points; the skin
mechanics sub-model, single SAI electrophysiological response, and
population response. (1) shows the indentation of a spherical stimulus
into the skin mechanics model, (2) denotes the response in neural spike
times for a single receptor directly underneath the sphere, and (3)
shows the response from a population of 3 receptors. The shaded region
under "Neural Spike Times" signifies the 50 ms timeframe in which the
indenter was moving into the skin.

Figure 2. (left) 3D FE mesh of human distal phalange. Shown are
the (a) overall mesh, (b) cross section of the mesh near the
interconnect with the middle phalange, (c - d) longitudinal section for
both the outer surface and inner mesh, and (e) four layers of
microstructures. In (e) the epidermis is 0.471 mm thick (0.371 mm
stratum corneum and 0.1 mm living epidermis) and the dermis is 1.153 mm
thick, (center) Mapping real-world objects to idealized primitives,
(right) Sensor distribution for two biological variables: population
layout and density. |
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Simulation Framework for Training Chest Tube Insertion Using Virtual Reality and Force Feedback
Major goals: To train the cognitive and
motor tasks that underlie the chest tube insertion procedure to
medical and nursing students. This emergency procedure is
required under conditions of pneumothorax (air leak from lung into
chest), hemothorax (bleeding into chest) and empyema (pus in the
chest).
Example
sub-projects:
1. Developing the first virtual simulator
for training test tube insertion
2. Utilizing force feedback robotic devices
(SensAble OMNI) and programming graphic and haptic interaction
3. Designing a pre-simulation test, vitals
monitor, virtual operating room for hands-on interaction status aids,
and post-performance report.
4. Focusing on teaching cognitive tasks.
5. Creating a reconfigurable virtual
environment that builds upon learning concepts (the grouping and
presentation of cognitive tasks in blocks; navigation and status aids)
to help trainees more readily learn the examination's numerous steps
6. Breaking down the 18 procedural steps
into 6 major tasks within simulation
Collaborators: Dr. Marcus Martin (Medicine, UVa) and Prof. Reba Moyer
Childress (Nursing, UVa)


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