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1. WO2014172521 - SYSTEM AND METHOD FOR EVALUATING ANISOTROPIC VISCOELASTIC PROPERTIES OF FIBROUS STRUCTURES

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[ EN ]

SYSTEM AND METHOD FOR EVALUATING ANISOTROPIC VISCOELASTIC PROPERTIES OF

FIBROUS STRUCTURES

TECHNICAL FIELD

[0001] Methods and systems disclosed herein relate generally to noninvasive methods to evaluate the anisotropic properties of fibrous structures such as neuronal pathways in the human brain (white matter) and muscle for diagnostic purposes.

BACKGROUND ART

[0002] It is known that the material parameters (such as stiffness and viscosity) of human tissue are affected by injury and disease. For example, the stiffness of both gray and white matter decreases in patients with Amyotrophic Lateral Sclerosis (ALS), Multiple Sclerosis (MS), and Alzheimer's Disease (AD). Similarly, in patients with muscular degeneration and myocardial infarction, there are distinct differences in the fiber architecture and stiffness. Therefore, it is of interest to provide a methodology for the noninvasive evaluation and diagnosis of these conditions that improve upon current techniques.

[0003] Previously-developed methods to noninvasively evaluate the material parameters of human tissue typically use knowledge of elastic displacements provided by a single measurement modality (such as Ultrasound (US) or Magnetic Resonance Elastography (MRE)) and an isotropic Helmholtz inversion algorithm. Romano, A., et al., Evaluation oƒ a Material Parameter Extraction Algorithm using MRI-Based Displacement Measurements, IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency control, 2000; 47: 1575-1581 ; and Oliphant, T. et al., Complex-valued Stiƒƒness Reconstruction ƒor Magnetic Resonance Elastography by Algebraic Inversion oƒ the Diƒƒerential Equation, Magnetic Resonance in Medicine, 2001; 45: 299-310.

[0004] These are reasonable approaches for media which are isotropic (meaning that the material stiffness constants are the same in every direction and are represented by two elastic coefficients, one longitudinal and one shear). However, if the medium is comprised of fibers such as muscle and white matter pathways, it is considered to be anisotropic, meaning that waves propagate within these structures as if they were waveguides and the material stiffness constants depend upon the symmetry of the fibrous structures and elastic wave velocities depend on the direction of wave propagation through them. Within media such as these, the material constants can number from three to twenty-one, requiring more sophisticated inversion methods for their evaluation. In addition to knowledge of the elastic displacements in three dimensions, these latter methods require knowledge of the orientation of these waveguides in space as well as appropriate anisotropic inversion algorithms which are lacking in currently available approaches.

[0005] Waveguide Elastography (WGE) combines diffusion tensor imaging (DTI), MRE, spatial-spectral filtering, a Helmholtz decomposition, and inversions for the assessment of the anisotropic elastic constants of fibrous structures, and was demonstrated in the Corticospinal Tracts (CSTs) of five healthy human volunteers (Romano, A., et al., In Vivo Waveguide Elastography oƒ White Matter Tracts in the Human Brain, Magnetic Resonance in Medicine, 2012; 68: 1410-1422.). Specifically, DTI was used to evaluate the fiber pathways of the CSTs which have been observed to act as waveguides for externally induced wave propagation. 3D-vector field MRE was performed at the same spatial resolution and voxel position achieved by DTI in order to track the propagation of waves traveling at specific angles to the fiber directions. Using this waveguide methodology, the viscoelastic properties of the CSTs were analyzed using an orthotopic material model comprised of nine independent elastic constants. Redundancies in the solutions for the orthotropic coefficients indicated that the CSTs could be well represented by hexagonal anisotropy (transverse isotropy) comprised of five independent elastic constants.

[0006] The previously described method was also applied to a cohort of 28 volunteers, 14 of which had been diagnosed with ALS and 14 of which were healthy, age matched controls (Romano, A., et al., In Vivo Waveguide Elastography: Eƒƒects oƒ Neurodegeneration in Patients with Amyotrophic Lateral Sclerosis,

Magnetic Resonance in Medicine. 2013; DOI 10.1002/mrm.25067) . ALS is a rapidly progressive neurodegenerative disease affecting the upper and lower motor neuron with an average life expectancy of only about 2-3 years after symptom onset. The diagnosis of ALS is currently based largely on clinical signs. Both upper and lower motor neuron involvement have to be present to confirm the diagnosis. However, especially the assessment of upper motor neuron involvement can be difficult from clinical signs alone. Hence, there is an ongoing search for reliable biomarkers in ALS. Currently, neuroimaging is performed to rule out any pathologies that could mimic ALS symptoms. Conventional MRI is, in the majority of patients, unremarkable especially at an early stage of the disease. Certain imaging signs/features, e.g. a T2-hyperintensity of the CST or a signal reduction in the primary motor cortex can sometimes be observed in ALS patients, but these signs are neither very sensitive nor specific for ALS. More advanced methods, e.g. Magnetization Transfer Imaging (MTI) and metrics derived from Diffusion Tensor Imaging (DTI) (such as fractional anisotropy (FA), parallel diffusivity (PD), mean diffusivity (MD), and radial diffusivity (RD)) are evaluated as biomarkers for the detection of upper motor neuron involvement and show promising results.

[0007] What is needed, however, is a system that evaluates appropriate dynamic models and associated viscoelastic constants in arbitrarily curved anisotropic biological media. In this latter study, when compared to healthy controls, it was found that the stiffness of the CSTs of the patients with ALS was significantly reduced due to neurodegeneration of the myelin sheaths.

DISCLOSURE OF INVENTION

[0008] The system and method of the present embodiment provide a noninvasive method to evaluate the anisotropic viscoelastic properties of fibrous structures such as neuronal pathways in the human brain (white matter) and muscle using sound for diagnostic purposes. Specific applications include the diagnosis of various neurological conditions such as ALS, MS, AD, and Traumatic Brain Injury (TBI), as well as various diseases in muscle such as degeneration and myocardial infarction in the heart. This detection is enabled through the evaluation of the appropriate anisotropic models and corresponding material coefficients such that they may be used as metrics for correlation with pathology.

[0009] The system and method of the present embodiment are based on the fusion of two FDA approved clinical measurement modalities (i.e. MRE and DTI) and an adaptive anisotropic inversion algorithm (described in Romano, A. et al., In Vivo Waveguide Elastography oƒ White Matter Tracts in the Human Brain, Magnetic Resonance in Medicine 68 (5): pp. 1410-1422 (2012)). MRE uses a phase contrast Magnetic Resonance Imaging (MRI) approach for the noninvasive measurement of intentionally induced dynamic elastic displacements throughout biologic media, while DTI uses multi-aspect magnetic fields measured with MRI for the determination of water perfusion along pathways such as muscle and nerve fibers. By using these two data streams along with computing Laplacians as inputs to an anisotropic inversion algorithm, the dynamic models and associated viscoelastic material parameters of the media along the pathways can be evaluated, alleviating ambiguity in the inversion process within complex biological media. The stiffness values and the velocities (which are the square root of the stiffness values divided by the density) are the outputs of the system and method of the present embodiment.

[00010] The system and method of the present embodiment can provide a clinically relevant evaluation of complex, unknown biological media within minutes, noninvasively, and is not based on the use of harmful X-ray measurement techniques such as computed tomography (CT). The system and method of the present embodiment can also detect ALS, while a typical isotropic Helmholtz inversion method cannot. The system and method of the present embodiment can evaluate orthotropic myocardial muscle stiffness and orthotropic properties of other white matter structures, in vivo. Further, the system and method of the present embodiment can analytically evaluate a generalized non-linear expression for the calculation of the Laplacians which can accurately include the effects of curvature of the waveguides. Still further, the system and method of the present embodiment can perform spatial-spectral filtering procedures that can provide a global band-limited filter prior to the application of the local spatial-spectral filter which reduces noise and improves the inversion results. Even still further, the system and method of the present embodiment can include sliding window band-limited filters that shift as a function of the central or principal wavenumbers for each frequency based upon spectral analysis along the waveguides prior to inversion. The system and method of the present embodiment can calculate a rotating reference frame based on a point-normal form representation of the plane perpendicular to the principal DTI vectors along the waveguides, which can alleviate ambiguity inherent in standard rotating Frenet reference frame methods. The system and method of the present embodiment can include an automated tractography algorithm that evaluates the nearest neighbor family of vectors for pathway continuation to be used in the evaluation of the Laplacians. In the system and method of the present embodiment, the current anisotropic inversion models (currently orthotropic and lower) can be extended to include monoclinic (thirteen elastic coefficients) and triclinic (twenty-one elastic coefficients) to accommodate more complicated fibrous structures. The analytical evaluation of a generalized non-linear expression for the calculation of the Laplacians can more accurately include the effects of curvature of the waveguides. The spatial-spectral filtering procedures which first perform a global band-limited filter prior to the application of the local spatial-spectral filter can reduce noise and improve the inversion results.

BRIEF DESCRIPTION OF DRAWINGS

[00011] FIG. 1 is a flowchart of the method of the present embodiment;

[00012] FIG. 2 is a general right handed orthogonal coordinate system showing the local position of a typical fiber pathway as well as a local tangent vector along the pathway;

[00013] FIG. 3 is an orthotropic stiffness tensor showing its nine independent coefficients;

[00014] FIG. 4 is a graphical depiction of the local coordinate system showing the three major orthogonal axes as well as the three planes for pure longitudinal wave propagation;

[00015] FIG. 5 is an example of the application of the system and method of the present embodiment to the evaluation of the stiffness coefficients C33 and C44 in the CSTs of five healthy volunteers;

[00016] FIG. 6 is a graphical depiction of an application of the system and method of the present embodiment to the detection of Amyotrophic Lateral Sclerosis in 28 volunteers; and

[00017] FIG. 7 is a schematic block diagram of the system of the present embodiment.

MODES FOR CARRYING OUT THE INVENTION

[00018] The problems set forth above as well as further and other problems are solved by the present teachings. These solutions and other advantages are achieved by the various embodiments of the teachings described herein below. Referring now to FIG. 1, method 150 for diagnosing a brain condition can include, but is not limited to including, measuring 151 a physical position in space relative to a global coordinate system of fiber pathways within an anisotropic medium, measuring 153 dynamic elastic displacements within a volume surrounding the fiber pathways at locations of the measured physical position, applying 155 a spatial-spectral filter to the measured displacements to obtain elastic wave components traveling at angles to and along the fiber pathways, applying 157 a Helmholtz decomposition to the filtered displacements to determine longitudinal and transverse components, 159 computing Laplacians by differentiating the longitudinal and transverse components twice with respect to arc length along the angles and along the fiber pathways, 161 evaluating elastic coefficients by dividing the acceleration of the longitudinal and transverse components by the Laplacians corresponding to the longitudinal and transverse components, and diagnosing 163 the brain condition based on the elastic coefficients identified along the pathways. In another embodiment, a noninvasive computer-based method for diagnosis of brain conditions can include, but is not limited to including, determining fiber pathways of white matter tracts using a diffusion tensor imaging (DTI) process, the white matter tracts having viscoelastic properties, the DTI process having a specific spatial resolution and a voxel position, measuring the elastic waves traveling within a volume surrounding the fiber pathways by performing a 3D magnetic resonance elastography (MRE) process at the same spatial resolution and voxel position as the DTI, identifying the elastic waves traveling at pre-selected angles with respect to the white matter tracts using a spatial-spectral filter on the measured elastic waves, evaluating longitudinal and transverse components of the identified elastic waves using a Helmholtz decomposition, evaluating Laplacians of the identified elastic waves by differentiating the longitudinal and transverse components twice with respect to arc length, dividing the acceleration of the longitudinal and transverse components by the Laplacians corresponding to the longitudinal and transverse components to obtain viscoelastic coefficients, and diagnosing the brain conditions based on the viscoelastic coefficients.

[00019] Method 150 can optionally include applying a global band-limited filter before applying the spatial-spectral filter, applying a sliding window band-limited filter based on the longitudinal and transverse components, calculating a local reference frame based on the global coordinate system and on a plane perpendicular to the pathways, and extending the pathways using automated tractography. The inversion can optionally be, but aren't limited to being, an orthotropic inversion, a monoclinic inversion, a triclinic inversion, a cubic inversion, a hexagonal inversion, a trigonal inversion, an isotropic inversion, or a tetragonal inversion.

[00020] MRE uses a phase contrast Magnetic Resonance Imaging (MRI) approach for the noninvasive measurement of intentionally induced dynamic elastic displacements throughout biological media. The MRE measurements can be performed on, for example, but not limited to, a standard 1.5T clinical MRI scanner manufactured by SIEMENS®, Miinchen, Germany. For the displacement measurements using MRE, a head-

cradle extended-piston driver can be used for monochromatic excitation in the range from 50-200 Hz. A piezoelectric actuator can also be used to excite the human head as well. A single-shot spin-echo Echo Planar Imaging (EPI) sequence can be used for rapid 3D motion field acquisition capable of acquiring a full set of MRE data typically within less than three minutes per volunteer per frequency consisting of 128x112x70 pixels with a 2x2x2 mm3 isotropic voxel resolution. The three directions of the encoding gradient can provide the phase and the three Cartesian components of the displacement field at two (or more) equally spaced time steps over one vibration period. The motion encoding gradients can be matched to the frequency of mechanical vibration and include two periods of a cosine approximated by a trapezoidal shape providing the first moment nulling. Further imaging parameters can include echo time (TE), 99 ms, and repetition time (TR), 7210 ms.

[00021] DTI uses multi-aspect magnetic fields measured with MRI for the determination of water perfusion along pathways such as nerve fibers and muscle. DTI can provide a set of orthogonal unit vectors describing the orientation of the local reference frame of the waveguide. The DTI measurements can evaluate the fiber positions of the CSTs using, for example, a single-shot EPI sequence (TR/TE-8500/96 ms) with 12 non-collinear directions and one B0 volume (b-value=1000 s/mm2, six averages). The spatial resolution and image slice positions can be identical to those of the MRE measurements. Tensor calculation and tractography along the CSTs can be performed using the tools from, for example, the FMRIB Software Library (FSL), specifically dtifit and probtrackx. For the fiber position measurements using DTI, a single-shot EPI sequence, for example, can be used with twelve noncollinear directions and six averages. Spatial resolution and image slice positions can be the same as in MRE.

[00022] Referring now to FIG. 2, the spatial-spectral filter is a method for separating, out of a complicated wave field, only those displacement components which are propagating along specific directions at every individual location along pathway 14 within a region of interrogation (ROI) comprised of a specific wavenumber spectrum. When a wave vector k depends on unit vectors 12 at each location as k =kni(r'), (i = 1,3) and k is a scalar, the following spatial-spectral filter representation of uSF(r') holds:



where Ik represents the interval of variation of k = |k| and dependence on arclength, τ, is assumed. These expressions represent a spatial-spectral filter that provides the wave components that are traveling along specific directions relative to the path of a waveguide 14 defined by r' 16. Equations [1] and [2] are equivalent to a spatially dependent Radon transform. For the displacements within this local reference frame with spatially dependent components n1( r'), n2(r'), n3(r'), of unit vector n(r') 12, and filtered representation as uSF(r') where r' is the local position vector, the following set of relationships holds:

[00023] The Helmholtz decomposition provides a method for separating a complicated wavefield into longitudinal (compressional) and transverse (shear) components. This is performed such that pure modes of propagation can be used in the inversions. The total displacement can be expressed as the sum of three components such that

where uL(r) is the longitudinal (or irrotational) component and Uj(r) is the transverse (or solenoidal) component and uH(r) is the Hodge term. This nomenclature is related to the following conditions imposed on the three components:

The spatial Fourier transforms of these vectors can be shown to be:

[00024] There are two methods to evaluate the Laplacians along the pathways: one includes the effects of curvature on the wave propagation and the other assumes plane wave propagation along the local tangent vectors free from the effects of curvature. The Laplacian which includes the effects of curvature on the wave propagation can be achieved by differentiating Equations [2] and [3] twice with respect to arc length to obtain the following expressions where dependence on i = 1,3 is assumed:

where

and

[00025] The representation free from the effects of curvature can be identified as being the first term in

Equation [7] and the term in the fourth line of Equation [9]. This assumes plane wave propagation along the local tangent vector alone. The effects of including curvature can be seen to bias the "inherent" material parameter as an index of refraction alters wave speed in ray theory. Therefore, the orthotropic inversion can be computed at each pixel free from the effects of curvature providing the nine "inherent" viscoelastic coefficients.

[00026] Referring now to FIG. 3, orthotropic elastic tensor 11 (also referred to as the stiffness tensor) of the white matter that is computed subject to monochromatic excitation is shown. Orthotropic elastic tensor 11 includes nine independent coefficients - six diagonal coefficients╌ C11, C 22, C33, C44, C55, C66╌ and three off-diagonal coefficients╌ C12, C13, C23.

[00027] Referring now to FIG. 4, for plane wave propagation along the pathways free from the effects of curvature, the diagonal of the orthotropic elastic tensor subject to monochromatic excitation, the following relationships hold:

Along n1(r) 13,

Along n2(r) 15,


Along n3(r) 17,

[00028] Referring again primarily to FIG. 4, method 150 (FIG. 1) is applied along a central fiber within the CSTs of each subject with the local vertical orientation of the fiber defined as the n3 (r') 17 direction. If each vector position of the central fiber is provided by DTI, the local reference frame can be evaluated and the spatial-spectral filter (Equations [1-2]) and the Helmholtz decomposition (Equations [4-6] ) can be applied to the displacements over a volume of, for example, 16 x 16 x 30 pixels (x,y,z) about the fiber to provide the filtered displacements at each data point using a Cooley-Tukey wavenumber filter with window widths appropriate for the frequencies of excitation obtained from an analysis of the longitudinal and transverse wavenumber spectra in an attempt to isolate the dominant wave components for each wave type. The diagonal of the Orthotropic tensor can then be solved using Equations [11a-c], [12a-c], and [13a-c]) .

[00029] Continuing to refer to FIG. 4, for the three specific pure longitudinal mode directions, the unit vector ηγ 23 is defined as being the propagation direction that lies within the x-y plane (n1 13 -n215 plane), at an angle φγ 21 referenced from the x (n1) 13 axis. Correspondingly, 27 is the propagation direction which

lies within the x-z plane (n1 - n3 plane), at an angle 19 referenced from the z (n3) 17 axis. Finally, 25

is the propagation direction which lies within the y-z plane (n2 - n3 plane), at an angle 29 referenced from

the z(n3) 17 axis. With these definitions, the following relationships for the equations of motion within these planes hold:

Along nγ(r) 23,

Alo 25,

Along 27,


[00030] In Equations [11-16], u1 (n1), u2 (n2), u3 (n3), uγ (nγ), , and represent

the directionally filtered displacements provided by the spatial-spectral filter and a temporal Fourier transform. x1, x2, and x3 , are the differential parameters along the local axes, and the superscripts L and T correspond to the longitudinal and transverse components provided by the Helmholtz decomposition; dependence on r' is assumed. Equations [11a-c], [12a-c], and [13a-c] are solved by a simple division of the right hand side by the 1-D Laplacians for a solution of the complex elastic coefficients for C11, C22, C33, C44, C55, and C66. These values for the coefficients are then inserted into Equations [14a-b], [15a-b], and [16a-b] as known values, and solutions for the remaining complex coefficients C12, C23, and C13 are solved for simultaneously within each separate plane by rotating the angles of interrogation, φγ 21, 19, and θ„229 (FIG. 4) to minimize the Euclidian

distance between the complex solutions of each pair of equations (Equations [14a-b], [15a-b], and [16a-b], respectively) thereby also providing these longitudinal propagation angles.

[00031] Complex elastic coefficients C11 - C66 (FIG. 3) can be used to compute the corresponding velocity (V) and attenuation (α) along the specific directions through the following relationships:



where j=1,6. More general relationships for anisotropic wave velocities are possible.

[00032] Redundancies in the coefficients of the orthotropic elastic tensor can expose lower order anisotropic (or isotropic) models as being valid or representative of the medium. For example, while the orthotropic elastic tensor includes nine independent elastic coefficients, redundancies in the solution for these coefficients indicated that the corticospinal tracts (CSTs) could be well represented by a hexagonal (transversely isotropic) model comprised of five independent elastic coefficients. In this fashion, the method of the present embodiment can be adapted to an unknown medium being evaluated. The orthotropic elastic tensor, including nine elastic coefficients, is the highest order anisotropic model that can be used to solve for the individual coefficients separately of one another avoiding ill conditionedeness in the inversion procedure. Few materials in nature have a higher degree of anisotropy than orthotropy. Thus, with the model described above, there is a reasonable approximation of the degree of anisotropy either characteristic of, or exceeding that of human tissue.

[00033] Continuing to refer to FIG. 4, a local reference frame can be calculated based on a plane perpendicular to the elastic wave pathways. The evaluation of a consistent local right handed coordinate system ╌ a local reference frame╌ is essential to interpret the inversion results in anisotropic media as they curve and twist. The vectors n1, n2, and n3 can rotate, so a stable formulation must be included to evaluate them and

provide the dot-product projection of the filtered displacements (u) with these rotating coordinate vectors. If n3 is the local tangent vector along the principal fiber pathway, n1 and n2 can be evaluated as follows.

[00034] The point normal representation of a plane with normal
can be expressed as.

For a solution for which lies in this plane and is perpendicular to · Then,



n2y = y - y0 , and therefore y = n2y + y0 = n3z + y0. Now,

n2y = n3z , and n2x = n3y. Thus,


Solving for n2z , we have

n3z≠ 0. Since
ues in me plane provided by
,


which also lies in the plane. More general representations may be easily developed.

[00035] Referring now to FIG. 5, the results of a practical application of the system and method of the present embodiment using two FDA-approved clinical measurement modalities, MRE and DTI, using a standard 1.5 Tesla MRI scanner is shown. Graphs 41-47 portray typical stiffness profiles for the shear and longitudinal coefficients C44 and C33, respectively, along the right and left CSTs for five healthy volunteers.

[00036] Referring now to FIG. 6, twenty-eight volunteers (14 who were diagnosed with ALS and 14 healthy, age-matched controls) were scanned using MRE and DTI, and the results were processed using the system and method of the present embodiment. Study data were initially blinded. Patients clustered into four distinct groups with ALS patients 39 clustered together correctly.

[00037] Referring now to FIG. 7, system 100 for diagnosing a brain condition can include, but is not limited to including, measuring apparatus 103 measuring a physical position 135 in space relative to a global coordinate system of fiber pathways 121 within an anisotropic medium, System 100 can also include displacement processor 109 measuring dynamic elastic displacements 123 within a volume surrounding fiber pathways 121 at locations of measured physical position 135, and filter processor 105 applying a spatial-spectral filter to measured displacements 123 to obtain elastic wave components traveling at angles 119 to and along fiber pathways 121, filter processor 105 applying a Helmholtz decomposition to the filtered displacements to determine longitudinal and transverse components 129. System 100 can still further include Laplacian processor 107 computing Laplacians 118 by differentiating longitudinal and transverse components 129 twice with respect to arc length along angles 119 and along fiber pathways 121, stiffness processor 111 evaluating elastic coefficients 122 by dividing the acceleration of longitudinal and transverse components 129 by

Laplacians 118 corresponding to longitudinal and transverse components 129, and diagnosis processor 115 diagnosing the brain condition 131 based on elastic coefficients 122 identified along the pathways 121.

[00038] Filter processor 105 can optionally include applying a global band-limited filter before applying the spatial-spectral filter, and applying a sliding window band-limited filter based on the longitudinal and transverse components. Laplacian processor 107 can optionally include calculating a local reference frame based on the global coordinate system and on a plane perpendicular to the pathways, and extending the pathways using automated tractography. The inversion can optionally be, but aren't limited to being, an orthotropic inversion, a monoclinic inversion, a triclinic inversion, a cubic inversion, a hexagonal inversion, a trigonal inversion, an isotropic inversion, or a tetragonal inversion.

[00039] Embodiments of the present teachings are directed to computer systems such as system 100

(FIG. 7) for accomplishing the methods such as method 150 (FIG. 1) discussed in the description herein, and to computer readable media containing programs for accomplishing these methods. The raw data and results can be stored for future retrieval and processing, printed, displayed, transferred to another computer, and/or transferred elsewhere. Communications links such as electronic communications 124 (FIG. 7) can be wired or wireless, for example, using cellular communication systems, military communications systems, and satellite communications systems. In an exemplary embodiment, the software for the system is written in FORTRAN, C, or MATLAB®. The system can operate on a computer having a variable number of CPUs. Other alternative computer platforms can be used. The operating system can be, for example, but is not limited to, LINUX®.

[00040] The present embodiment is also directed to software for accomplishing the methods discussed herein, and computer readable media storing software for accomplishing these methods. The various modules described herein can be accomplished on the same CPU, or can be accomplished on different computers. In compliance with the statute, the present embodiment has been described in language more or less specific as to structural and methodical features. It is to be understood, however, that the present embodiment is not limited to the specific features shown and described, since the means herein disclosed comprise preferred forms of putting the present embodiment into effect.

[00041] Methods such as method 150 (FIG. 1) of the present embodiment can be, in whole or in part, implemented electronically. Signals representing actions taken by elements of the system and other disclosed embodiments can travel over at least one live communications network 124 (FIG. 7). Control and data information can be electronically executed and stored on at least one computer-readable medium. System 100 (FIG. 7) can be implemented to execute on at least one computer node in at least one live communications network 124 (FIG. 7). Common forms of at least one computer-readable medium can include, for example, but not be limited to, a floppy disk, a flexible disk, a hard disk, magnetic tape, or any other magnetic medium, a compact disk read only memory or any other optical medium, punched cards, paper tape, or any other physical medium with patterns of holes, a random access memory, a programmable read only memory, and erasable programmable read only memory (EPROM), a Flash EPROM, or any other memory chip or cartridge, or any other medium from which a computer can read. Further, the at least one computer readable medium can contain graphs in any form including, but not limited to, Graphic Interchange Format (GIF), Joint Photographic Experts Group (JPEG), Portable Network Graphics (PNG), Scalable Vector Graphics (SVG), and Tagged Image File Format (TIFF).

[00042] Although the present teachings have been described with respect to various embodiments, it should be realized these teachings are also capable of a wide variety of further and other embodiments.

[00043] What is claimed is: