Stroke is a leading cause of death and disability worldwide, and early diagnosis and prompt medical intervention are thus crucial. Frequent monitoring of stroke patients is also essential to assess treatment efficacy and detect complications earlier. While computed tomography (CT) and magnetic resonance imaging (MRI) are commonly used for stroke diagnosis, they cannot be easily used onsite, nor for frequent monitoring purposes. To meet those requirements, an electromagnetic imaging (EMI) device, which is portable, non-invasive, and non-ionizing, has been developed. It uses a headset with an antenna array that irradiates the head with a safe low-frequency EM field and captures scattered fields to map the brain using a complementary set of physics-based and data-driven algorithms, enabling quasi-real-time detection, two-dimensional localization, and classification of strokes. This study reports clinical findings from the first time the device was used on stroke patients. The clinical results on 50 patients indicate achieving an overall accuracy of 98% in classification and 80% in two-dimensional quadrant localization. With its lightweight design and potential for use by a single para-medical staff at the point of care, the device can be used in intensive care units, emergency departments, and by paramedics for onsite diagnosis.

Introduction: Electromagnetic imaging is an emerging technology which promises to provide a mobile, and rapid neuroimaging modality for pre-hospital and bedside evaluation of stroke patients based on the dielectric properties of the tissue. It is now possible due to technological advancements in materials, antennae design and manufacture, rapid portable computing power and network analyses and development of processing algorithms for image reconstruction. The purpose of this report is to introduce images from a novel, portable electromagnetic scanner being trialed for bedside and mobile imaging of ischaemic and haemorrhagic stroke. Methods: A prospective convenience study enrolled patients (January 2020 to August 2020) with known stroke to have brain electromagnetic imaging, in addition to usual imaging and medical care. The images are obtained by processing signals from encircling transceiver antennae which emit and detect low energy signals in the microwave frequency spectrum between 0.5 and 2.0 GHz. The purpose of the study was to refine the imaging algorithms. Results: Examples are presented of haemorrhagic and ischaemic stroke and comparison is made with CT, perfusion and MRI T2 FAIR sequence images. Conclusion: Due to speed of imaging, size and mobility of the device and negligible environmental risks, development of electromagnetic scanning scanner provides a promising additional modality for mobile and bedside neuroimaging.

The timely treatment is the crucial element for the survival of patients with brain stroke. Thus, a fast, cost-effective, and portable device is needed for the early and on-the-spot diagnosis of stroke patients. A 3D electromagnetic head imaging system for rapid brain stroke diagnosis with a wearable and lightweight platform is presented. The platform comprises a custom-built flexible cap with a 24-element planar antenna array, and a flexible matching medium layer. The custom-built cap is made out of an engineered polymer-ceramic composite substrate of RTV silicone rubber and aluminum oxide (Al2O3) for enhanced dielectric properties and mechanical flexibility and robustness. The array is arranged into two elliptical rings that are entirely incorporated into the flexible cap. The employed antenna elements within the system are compact with low SAR values over the utilized frequency range of 0.9–2.5 GHz. Moreover, a flexible matching medium layer is introduced on the front of the apertures of the antenna array to enhance the impedance matching with the skin. The detection capability of the system is experimentally verified on 3D realistic head phantoms at multiple imaging scenarios and different types of strokes. The reconstructed 3D and 2D multi-slice images using the beamforming and polar sensitivity encoding (PSE) image processing algorithms indicate the applicability and potential of the system for onsite brain imaging.

Bringing deep learning techniques to electromagnetic imaging is of interest considering its great success in various fields. Deep neural nets however are known for being data hungry machines, and in many practical cases, such as electromagnetic medical imaging, there is not enough to feed them. Scarcity of data necessitates reliance on simulations to generate a sufficiently large dataset for deep learning to perform any complicated task. Simulations however, can not perfectly represent real environments and therefore, any neural net trained on simulation data will invariably fail when evaluated on real data. This work customizes a deep domain adaptation technique for matching distributions of complex-valued electromagnetic data. We demonstrate the advantage of using complex-valued models over regular ones. An operational neural network trained on simulation data and adapted to practical data to perform brain injury localization is presented.

There is a significant demand for fast and accurate electromagnetic (EM) imaging of stroke in emergency situations. This article presents a method for encoding the raw S-parameters from the Cartesian matrix to polar grid coordinates with weighting coefficients based on the receiver antenna spatial sensitivity. The polar sensitivity encoding (PSE) scheme is based on the fact that the receiver sensitivity generally has an encoding effect and, in this case, it is applied during the transformation of S-matrices to polar grid, which is geometrically congruent with the shape of the head. The PSE scheme alleviates the need for highly accurate and intricate forward and inverse EM field solvers and mitigates the introduction of numerical errors in addition to the unavoidable experimental uncertainties. The simulation and experimental results demonstrate that the PSE method is robust to head shifts up to about 5 mm and accurate in localizing strokes in less than a second.

A wideband wearable electromagnetic (EM) head imaging system for brain stroke detection is presented. The proposed system aims at overcoming the challenges of size, rigidity, and complex structures of existing systems. The proposed system is built into a light-weight and compact imaging platform, which integrates a 16-element antenna array into a highly flexible custom-made wearable cap made of a cost-effective and robust room-temperature-vulcanizing (RTV) silicone. The system mitigates the mismatch between the skin and antenna array by introducing a flexible high-permittivity matching layer. The utilized compact antenna demonstrates wideband operational frequency over 0.6-2.5 GHz with a low signal distortion, safe values of SAR, and unidirectional radiations. The system is experimentally validated on realistic head phantoms. The polar sensitivity encoding (PSE) image processing algorithm is utilized to generate 2D images of different testing scenarios. The obtained images of a stroke-like target inside the head phantoms demonstrate the merits and feasibility of the system for preclinical trials.

ABSTRACT A closer look at the recent Malaysian judicial decisions in Islamic finance cases shows that the power of the courts to adjudicate Islamic finance disputes has been diminished. The main cause of this seems to be the enactment of sections 56 and 57 of the Central Bank of Malaysia Act 2009, which mandated the courts to not only delegate the ascertainment of Shari’ah issues pertaining to Islamic finance to the designated Shari’ah Advisory Council (SAC), but also to accept and apply its rulings. This article examines the constitutionality of both sections with special reference to the recent decision in JRI Resources Sdn Bhd v Kuwait Finance House (Malaysia) Bhd [2019] 5 CLJ 569, in which the Federal Court upheld their validity by a slim majority of 5 to 4. The article offers alternatives that are both constitutional and receptive to the SAC’s role in the resolution of Islamic finance disputes.