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Biomechanical assessment in virtual surgical planning for mandibular reconstruction
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 DOI: 10.1016/j.compbiomed.2025.109843
Boyang Wan , Emma Charters , Masako Dunn , Timothy Manzie , Yee Mon Aung , Masoud Mohseni-Dargah , Jonathan R. Clark , Qing Li
The fibula free flap has been widely used for reconstructing large segmental bone defects in the maxillofacial region. While mandibular reconstruction requires a high degree of precision, the impact of surgical deviations on clinical outcomes remains poorly understood. This study addressed geometric inaccuracies during surgery and examined the effects of loading patterns on the biomechanical behavior of reconstructed mandibles. Patient-specific finite element (FE) models were developed using CT data from three representative cases - two with Brown Class II defects and one with a Class III defect - reconstructed with single, double, and triple fibula segments. The computational analysis results revealed that minimizing the gap between native and grafted bones reduces stress on the reconstruction plate by approximately 30%. When gaps are unavoidable, anterior placement results in the least biomechanical impact, increasing stress by only 6%. To optimize the outcome, alternating ipsilateral and contralateral posterior loading is recommended to ensure adequate contact pressure at the osteotomy site while minimizing the stress on the plate. In addition, incisor loading should be limited to patients with multiple grafted segments to prevent stress concentration on the plate. These in-silico findings provide critical biomechanical insights to refine surgical techniques and develop patient-specific occlusal loading guidelines, ultimately improving long-term outcomes in mandibular reconstruction.
{"title":"Biomechanical assessment in virtual surgical planning for mandibular reconstruction","authors":"Boyang Wan ,&nbsp;Emma Charters ,&nbsp;Masako Dunn ,&nbsp;Timothy Manzie ,&nbsp;Yee Mon Aung ,&nbsp;Masoud Mohseni-Dargah ,&nbsp;Jonathan R. Clark ,&nbsp;Qing Li","doi":"10.1016/j.compbiomed.2025.109843","DOIUrl":"10.1016/j.compbiomed.2025.109843","url":null,"abstract":"<div><div>The fibula free flap has been widely used for reconstructing large segmental bone defects in the maxillofacial region. While mandibular reconstruction requires a high degree of precision, the impact of surgical deviations on clinical outcomes remains poorly understood. This study addressed geometric inaccuracies during surgery and examined the effects of loading patterns on the biomechanical behavior of reconstructed mandibles. Patient-specific finite element (FE) models were developed using CT data from three representative cases - two with Brown Class II defects and one with a Class III defect - reconstructed with single, double, and triple fibula segments. The computational analysis results revealed that minimizing the gap between native and grafted bones reduces stress on the reconstruction plate by approximately 30%. When gaps are unavoidable, anterior placement results in the least biomechanical impact, increasing stress by only 6%. To optimize the outcome, alternating ipsilateral and contralateral posterior loading is recommended to ensure adequate contact pressure at the osteotomy site while minimizing the stress on the plate. In addition, incisor loading should be limited to patients with multiple grafted segments to prevent stress concentration on the plate. These in-silico findings provide critical biomechanical insights to refine surgical techniques and develop patient-specific occlusal loading guidelines, ultimately improving long-term outcomes in mandibular reconstruction.</div></div>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"189 ","pages":"Article 109843"},"PeriodicalIF":7.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ManiNeg: Manifestation-guided multimodal pretraining for mammography screening.
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-26 DOI: 10.1016/j.compbiomed.2024.109628
Xujun Li, Xin Wei, Jing Jiang, Danxiang Chen, Wei Zhang, Jinpeng Li

Breast cancer poses a significant health threat worldwide. Contrastive learning has emerged as an effective method to extract critical lesion features from mammograms, thereby offering a potent tool for breast cancer screening and analysis. A crucial aspect of contrastive learning is negative sampling, where the selection of hard negative samples is essential for driving representations to retain detailed lesion information. In large-scale contrastive learning applied to natural images, it is often assumed that extracted features can sufficiently capture semantic content, and that each mini-batch inherently includes ideal hard negative samples. However, the unique characteristics of breast lumps challenge these assumptions when dealing with mammographic data. In response, we introduce ManiNeg, a novel approach that leverages manifestations as proxies to select hard negative samples. As a condensed representation of a physician's domain knowledge, manifestations represent observable symptoms or signs of a disease and can provide a robust basis for choosing hard negative samples. This approach benefits from its invariance to model optimization, facilitating efficient sampling. We tested ManiNeg on the task of distinguishing between benign and malignant breast lumps. Our results demonstrate that ManiNeg not only improves representation in both unimodal and multimodal contexts but also offers benefits that extend to datasets beyond the initial pretraining phase. To support ManiNeg and future research endeavors, we have developed the MVKL mammographic dataset. This dataset includes multi-view mammograms, corresponding reports, meticulously annotated manifestations, and pathologically confirmed benign-malignant outcomes for each case. The MVKL dataset and our codes are publicly available at https://github.com/wxwxwwxxx/ManiNeg to foster further research within the community.

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引用次数: 0
Predicting the effectiveness of chemotherapy treatment in lung cancer utilizing artificial intelligence-supported serum N-glycome analysis.
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-27 DOI: 10.1016/j.compbiomed.2025.109681
Rebeka Torok, Brigitta Meszaros, Veronika Gombas, Agnes Vathy-Fogarassy, Miklos Szabo, Eszter Csanky, Gabor Jarvas, Andras Guttman

An efficient novel approach is introduced to predict the effectiveness of chemotherapy treatment in lung cancer by monitoring the serum N-glycome of patients combined with artificial intelligence-based data analysis. The study involved thirty-three lung cancer patients undergoing chemotherapy treatments. Serum samples were taken before and after the treatment. The N-linked oligosaccharides were enzymatically released, fluorophore-labeled, and analyzed by capillary electrophoresis with laser-induced fluorescence detection. The resulting electropherograms were thoroughly processed and evaluated by artificial intelligence-based classifiers, i.e., utilizing a machine learning algorithm to categorize the data into two (binary) classes. The classifier analysis method revealed a strong association between the structural changes in the N-glycans and the outcomes of the chemotherapy treatments (ROC >0.9). This novel combination of bioanalytical and AI methods provided a precise and rapid tool for predicting the effectiveness of chemotherapy.

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引用次数: 0
Generative AI for synthetic data across multiple medical modalities: A systematic review of recent developments and challenges
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 DOI: 10.1016/j.compbiomed.2025.109834
Mahmoud Ibrahim , Yasmina Al Khalil , Sina Amirrajab , Chang Sun , Marcel Breeuwer , Josien Pluim , Bart Elen , Gökhan Ertaylan , Michel Dumontier
This paper presents a comprehensive systematic review of generative models (GANs, VAEs, DMs, and LLMs) used to synthesize various medical data types, including imaging (dermoscopic, mammographic, ultrasound, CT, MRI, and X-ray), text, time-series, and tabular data (EHR). Unlike previous narrowly focused reviews, our study encompasses a broad array of medical data modalities and explores various generative models. Our aim is to offer insights into their current and future applications in medical research, particularly in the context of synthesis applications, generation techniques, and evaluation methods, as well as providing a GitHub repository as a dynamic resource for ongoing collaboration and innovation.
Our search strategy queries databases such as Scopus, PubMed, and ArXiv, focusing on recent works from January 2021 to November 2023, excluding reviews and perspectives. This period emphasizes recent advancements beyond GANs, which have been extensively covered in previous reviews. The survey also emphasizes the aspect of conditional generation, which is not focused on in similar work.
Key contributions include a broad, multi-modality scope that identifies cross-modality insights and opportunities unavailable in single-modality surveys. While core generative techniques are transferable, we find that synthesis methods often lack sufficient integration of patient-specific context, clinical knowledge, and modality-specific requirements tailored to the unique characteristics of medical data. Conditional models leveraging textual conditioning and multimodal synthesis remain underexplored but offer promising directions for innovation.
Our findings are structured around three themes: (1) Synthesis applications, highlighting clinically valid synthesis applications and significant gaps in using synthetic data beyond augmentation, such as for validation and evaluation; (2) Generation techniques, identifying gaps in personalization and cross-modality innovation; and (3) Evaluation methods, revealing the absence of standardized benchmarks, the need for large-scale validation, and the importance of privacy-aware, clinically relevant evaluation frameworks. These findings emphasize the need for benchmarking and comparative studies to promote openness and collaboration.
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引用次数: 0
A deep architecture based on attention mechanisms for effective end-to-end detection of early and mature malaria parasites in a realistic scenario.
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-26 DOI: 10.1016/j.compbiomed.2025.109704
Luca Zedda, Andrea Loddo, Cecilia Di Ruberto

Background: Malaria is a critical and potentially fatal disease caused by the Plasmodium parasite and is responsible for more than 600,000 deaths globally. Early and accurate detection of malaria parasites is crucial for effective treatment, yet conventional microscopy faces limitations in variability and efficiency.

Methods: We propose a novel computer-aided detection framework based on deep learning and attention mechanisms, extending the YOLO-SPAM and YOLO-PAM models. Our approach facilitates the detection and classification of malaria parasites across all infection stages and supports multi-species identification.

Results: The framework was evaluated on three publicly available datasets, demonstrating high accuracy in detecting four distinct malaria species and their life stages. Comparative analysis against state-of-the-art methodologies indicates significant improvements in both detection rates and diagnostic utility.

Conclusion: This study presents a robust solution for automated malaria detection, offering valuable support for pathologists and enhancing diagnostic practices in real-world scenarios.

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引用次数: 0
Musculoskeletal model predictions sensitivity to upper body mass scaling during gait.
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-27 DOI: 10.1016/j.compbiomed.2025.109739
Abdul Aziz Vaqar Hulleck, Muhammad Abdullah, AbdelSalam Tareq Alkhalaileh, Tao Liu, Dhanya Menoth Mohan, Rateb Katmah, Kinda Khalaf, Marwan El-Rich

Musculoskeletal modeling based on inverse dynamics provides a cost-effective non-invasive means for calculating intersegmental joint reaction forces and moments, solely relying on kinematic data, easily obtained from smart wearables. On the other hand, the accuracy and precision of such models strongly hinge upon the selected scaling methodology tailored to subject-specific data. This study investigates the impact of upper body mass distribution on internal and external kinetics computed using a comprehensive musculoskeletal model during level walking in both normal weight and obese individuals. Human motion data was collected using seventeen body worn inertial measuring units for nineteen (19) healthy subjects. The results indicate that variations in segmental masses and centers of mass, resulting from diverse mass scaling techniques, significantly affect ground reaction force estimations in obese subjects, particularly in the vertical component, with a root mean square error (RMSE) of 54.7 ± 23.8 %BW; followed by 12.3 ± 8.0 %BW (medio-lateral); and 6.2 ± 3.2 %BW (antero-posterior). The vertical component of hip, knee, and ankle joint reaction forces also exhibit sensitivity to personalized mass distribution variations. Importantly, the degree of deviation in model predictions increases with body mass index. Statistical analysis using single sample Wilcoxon-Signed Rank test for non-normal data and t-test for normal data, revealed significant differences (p < 0.05) in the computed errors in kinetic parameters between the two scaling approaches. The body shape-based scaling approach significantly impacts musculoskeletal modeling in clinical applications where the upper body mass distribution is crucial, such as in spinal deformities, obesity, and low back pain. This approach accounts for the body shape inherent variability within the same BMI category and enhances the predicted joint kinetics.

{"title":"Musculoskeletal model predictions sensitivity to upper body mass scaling during gait.","authors":"Abdul Aziz Vaqar Hulleck, Muhammad Abdullah, AbdelSalam Tareq Alkhalaileh, Tao Liu, Dhanya Menoth Mohan, Rateb Katmah, Kinda Khalaf, Marwan El-Rich","doi":"10.1016/j.compbiomed.2025.109739","DOIUrl":"10.1016/j.compbiomed.2025.109739","url":null,"abstract":"<p><p>Musculoskeletal modeling based on inverse dynamics provides a cost-effective non-invasive means for calculating intersegmental joint reaction forces and moments, solely relying on kinematic data, easily obtained from smart wearables. On the other hand, the accuracy and precision of such models strongly hinge upon the selected scaling methodology tailored to subject-specific data. This study investigates the impact of upper body mass distribution on internal and external kinetics computed using a comprehensive musculoskeletal model during level walking in both normal weight and obese individuals. Human motion data was collected using seventeen body worn inertial measuring units for nineteen (19) healthy subjects. The results indicate that variations in segmental masses and centers of mass, resulting from diverse mass scaling techniques, significantly affect ground reaction force estimations in obese subjects, particularly in the vertical component, with a root mean square error (RMSE) of 54.7 ± 23.8 %BW; followed by 12.3 ± 8.0 %BW (medio-lateral); and 6.2 ± 3.2 %BW (antero-posterior). The vertical component of hip, knee, and ankle joint reaction forces also exhibit sensitivity to personalized mass distribution variations. Importantly, the degree of deviation in model predictions increases with body mass index. Statistical analysis using single sample Wilcoxon-Signed Rank test for non-normal data and t-test for normal data, revealed significant differences (p < 0.05) in the computed errors in kinetic parameters between the two scaling approaches. The body shape-based scaling approach significantly impacts musculoskeletal modeling in clinical applications where the upper body mass distribution is crucial, such as in spinal deformities, obesity, and low back pain. This approach accounts for the body shape inherent variability within the same BMI category and enhances the predicted joint kinetics.</p>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"186 ","pages":"109739"},"PeriodicalIF":7.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comprehensive scoping review on machine learning-based fetal echocardiography analysis. 基于机器学习的胎儿超声心动图分析综述。
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-15 DOI: 10.1016/j.compbiomed.2025.109666
Netzahualcoyotl Hernandez-Cruz, Olga Patey, Clare Teng, Aris T Papageorghiou, J Alison Noble

Fetal echocardiography (ultrasound of the fetal heart) plays a vital role in identifying heart defects, allowing clinicians to establish prenatal and postnatal management plans. Machine learning-based methods are emerging to support the automation of fetal echocardiographic analysis; this review presents the findings from a literature review in this area. Searches were queried at leading indexing platforms ACM, IEEE Xplore, PubMed, Scopus, and Web of Science, including papers published until July 2023. In total, 343 papers were found, where 48 papers were selected to compose the detailed review. The reviewed literature presents research on neural network-based methods to identify fetal heart anatomy in classification and segmentation modelling. The reviewed literature uses five categorical technical analysis terms: attention and saliency, coarse to fine, dilated convolution, generative adversarial networks, and spatio-temporal. This review offers a technical overview for those already working in the field and an introduction to those new to the topic.

胎儿超声心动图(胎儿心脏超声)在识别心脏缺陷方面起着至关重要的作用,使临床医生能够制定产前和产后管理计划。基于机器学习的方法正在出现,以支持胎儿超声心动图分析的自动化;本文综述了这一领域的文献综述。在领先的索引平台ACM、IEEE Xplore、PubMed、Scopus和Web of Science上查询了搜索结果,包括2023年7月之前发表的论文。共发现343篇论文,其中48篇论文被选择撰写详细综述。综述了基于神经网络的方法在分类和分割建模中识别胎儿心脏解剖的研究。回顾文献使用五种分类技术分析术语:注意和显著性,粗到细,扩展卷积,生成对抗网络和时空。这篇综述为那些已经在该领域工作的人提供了技术概述,并为那些新的主题提供了介绍。
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引用次数: 0
Adaptive sequence alignment for metagenomic data analysis.
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-26 DOI: 10.1016/j.compbiomed.2025.109743
Sami Pietilä, Tomi Suomi, Niklas Paulin, Asta Laiho, Yannes S Sclivagnotis, Laura L Elo

With advances in sequencing technologies, the use of high-throughput sequencing to characterize microbial communities is becoming increasingly feasible. However, metagenomic assembly poses computational challenges in reconstructing genes and organisms from complex samples. To address this issue, we introduce a new concept called Adaptive Sequence Alignment (ASA) for analyzing metagenomic DNA sequence data. By iteratively adapting a set of partial alignments of reference sequences to match the sample data, the approach can be applied in multiple scenarios, from taxonomic identification to assembly of target regions of interest. To demonstrate the benefits of ASA, we present two application scenarios and compare the results with state-of-the-art methods conventionally used for the same tasks. In the first, ASA accurately detected microorganisms from a sequenced metagenomic sample with a known composition. The second illustrated the utility of ASA in assembling target genetic regions of the microorganisms. An example implementation of the ASA concept is available at https://github.com/elolab/ASA.

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引用次数: 0
Disclosing neonatal pain in real-time: AI-derived pain sign from continuous assessment of facial expressions
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 DOI: 10.1016/j.compbiomed.2025.109908
Leonardo Antunes Ferreira , Lucas Pereira Carlini , Gabriel de Almeida Sá Coutrin , Tatiany Marcondes Heiderich , Rita de Cássia Xavier Balda , Marina Carvalho de Moraes Barros , Ruth Guinsburg , Carlos Eduardo Thomaz
This study introduces an AI-derived pain sign for continuous neonatal pain assessment, addressing the limitations of existing pain scales and computational approaches. Traditional pain scales, though widely used, are hindered by inter-rater variability, discontinuity, and subjectivity. While AI, particularly Deep-Learning, has shown promise, prior research has largely prioritized model performance over clinical applicability, often delivering static, binary predictions that lack interpretability in clinical practice. To bridge this gap, we developed a real-time pain sign tracking tool using facial expression analysis, a primary and non-invasive pain indicator in neonates. Leveraging benchmark datasets (iCOPE, iCOPEvid, and UNIFESP) and Deep-Learning frameworks (VGG-Face, N-CNN, and ViT-B/16), the models analyze video frames to generate a continuous visual representation of pain probability. Our results reveal the limitations of single-label predictions for time intervals, emphasizing the utility of a continuous monitoring visualization tool. The proposed pain sign effectively tracks dynamic changes in neonatal facial expressions, providing actionable and interpretable insights for healthcare professionals. We categorized these insights into a novel classification scheme, such as stable, irregular, unstable, and indeterminate pain signs. By integrating this pain sign into clinical workflows as a potential vital sign, this approach enables personalized pain management and continuous monitoring of both current and historical pain states in neonates, enhancing neonatal care and improving outcomes for these vulnerable patients.
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引用次数: 0
Detection, identification and removing of artifacts from sEMG signals: Current studies and future challenges. 从表面肌电信号中检测、识别和去除伪影:当前研究和未来挑战。
IF 7 2区 医学 Q1 BIOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI: 10.1016/j.compbiomed.2025.109651
Mohamed Ait Yous, Said Agounad, Siham Elbaz

Surface electromyography (sEMG), a non-invasive technique, offers the ability to identify insights into the activities of muscles in the form of electrical pulses. During the process of recording, the sEMG signals frequently become contaminated by a multitude of different artifacts, the origin of which may be attributed to numerous sources. These artifacts affect the reliability and accuracy of the pure sEMG activity, and subsequently reduce the quality of analysis and interpretation. This can lead to a misinterpretation of sEMG signals, incorrect diagnostic, or a false decision in the case of human-machine interfaces (HMI), etc. Currently, several approaches have been developed to remove or reduce the effect of artifacts on the sEMG activity. In this paper, a comprehensive review of the current studies dealing with identification, detection, and removal of artifacts from sEMG signals is proposed. In addition, this study presents different features used to characterize the artifacts from that of the clean sEMG recordings. Finally, in order to improve the quality of denoising methods, the associated challenges of detection and artifact removal approaches are discussed to be addressed carefully in the future works.

表面肌电图(sEMG)是一种非侵入性技术,提供了以电脉冲形式识别肌肉活动的能力。在记录过程中,表面肌电信号经常被许多不同的伪影污染,这些伪影的来源可能有很多。这些工件会影响纯表面肌电信号活动的可靠性和准确性,并随后降低分析和解释的质量。这可能导致对表面肌电信号的误解,错误的诊断,或者在人机界面(HMI)的情况下做出错误的决定,等等。目前,已经开发了几种方法来消除或减少工件对表面肌电信号活动的影响。在本文中,全面回顾了目前的研究处理识别,检测,并从表面肌电信号去除伪影。此外,本研究提出了不同的特征,用于表征从干净的表面肌电信号记录的工件。最后,为了提高去噪方法的质量,讨论了检测和去除伪影方法的相关挑战,并在未来的工作中仔细解决。
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引用次数: 0
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Computers in biology and medicine
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