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In Silico Modeling and Validation of the Effect of Calcium-Activated Potassium Current on Ventricular Repolarization in Failing Myocytes. 钙激活钾电流对衰竭肌细胞心室复极化影响的硅学建模和验证
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-08 DOI: 10.1109/JBHI.2024.3495027
Marta Gomez, Jesus Carro, Esther Pueyo, Alba Perez, Aida Olivan, Violeta Monasterio

Objective: The pathophysiological role of the small conductance calcium-activated potassium (SK) channels in human ventricular myocytes remains unclear. Experimental studies have reported upregulation of in pathological states, potentially contributing to ventricular arrhythmias. In heart failure (HF) patients, the upregulation of SK channels could be an adaptive physiological response to shorten the action potential duration (APD) under conditions of reduced repolarization reserve. In this work, we aimed at uncovering the contribution of SK channels to ventricular repolarization in failing myocytes.

Methods: We extended an in silico electrophysiological model of human ventricular failing myocytes by including a representation of the SK channel activity. To calibrate the maximal SK current conductance (G SK), we simulated action potentials (APs) at different pacing frequencies and matched the changes in AP duration induced by SK channel inhibition or activation to available experimental data.

Results: The optimal value obtained for GSK was 4.288 μ S/ μF in mid-myocardial cells, and 6.4 μS/ μF for endocardial and epicardial cells. The simulated SK block-induced effects were consistent with experimental evidence. 1-D simulations of a transmural ventricular fiber indicated that SK channel block may prolong the QT interval and increase the transmural dispersion of repolarization, potentially increasing the risk of arrhythmia in HF.

Conclusion: Our results highlight the importance of considering the SK channels to improve the characterization of HF-induced ventricular remodeling. Simulations across various scenarios in 0-D and 1-D scales suggest that pharmacological SK channel inhibition could lead to adverse effects in failing ventricles.

目的:人类心室肌细胞中的小电导钙激活钾(SK)通道的病理生理作用仍不清楚。实验研究表明,SK 通道在病理状态下上调,可能导致室性心律失常。在心力衰竭(HF)患者中,SK 通道的上调可能是一种适应性生理反应,可在复极化储备减少的情况下缩短动作电位持续时间(APD)。在这项工作中,我们旨在揭示 SK 通道对衰竭心肌细胞心室复极化的贡献:方法:我们扩展了人类心室衰竭肌细胞的硅电生理模型,在其中加入了 SK 通道活动的表征。为了校准SK通道的最大电流电导(G SK),我们模拟了不同起搏频率下的动作电位(AP),并将SK通道抑制或激活引起的AP持续时间变化与现有实验数据进行了比对:在心肌中层细胞中,GSK 的最佳值为 4.288 μ S/ μF,在心内膜和心外膜细胞中,最佳值为 6.4 μ S/ μF。模拟的 SK 区块诱导效应与实验证据一致。对跨膜心室纤维的一维模拟表明,SK 通道阻滞可能会延长 QT 间期并增加复极化的跨膜弥散,从而可能增加高频心律失常的风险:我们的研究结果凸显了考虑 SK 通道对改善高频诱导的心室重塑特征的重要性。0-D和1-D尺度的各种模拟表明,药理SK通道抑制可能会对衰竭心室产生不良影响。
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引用次数: 0
M-NET: Transforming Single Nucleotide Variations into Patient Feature Images for the Prediction of Prostate Cancer Metastasis and Identification of Significant Pathways. M-NET:将单核苷酸变异转化为患者特征图像,以预测前列腺癌转移并识别重要途径。
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-07 DOI: 10.1109/JBHI.2024.3493618
Li Zhou, Jie Li, Weilong Tan

High-performance prediction of prostate cancer metastasis based on single nucleotide variations remains a challenge. Therefore, we developed a novel biologically informed deep learning framework, named M-NET, for the prediction of prostate cancer metastasis. Within the framework, we transformed single nucleotide variations into patient feature images that are optimal for fitting convolutional neural networks. Moreover, we identified significant pathways associated with the metastatic status. The experimental results showed that M-NET significantly outperformed other comparison methods based on single nucleotide variations, achieving improvements in accuracy, precision, recall, F1-score, area under the receiver operating characteristics curve, and area under the precision-recall curve by 6.3%, 8.4%, 5.1%, 0.070, 0.041, and 0.026, respectively. Furthermore, M-NET identified some important pathways associated with the metastatic status, such as signaling by the hedgehog pathway. In summary, compared with other comparative methods, M-NET exhibited a better performance in the prediction of prostate cancer metastasis.

基于单核苷酸变异对前列腺癌转移进行高性能预测仍是一项挑战。因此,我们开发了一种新颖的生物学深度学习框架,名为 M-NET,用于预测前列腺癌转移。在该框架内,我们将单核苷酸变异转化为患者特征图像,这些图像是拟合卷积神经网络的最佳图像。此外,我们还确定了与转移状态相关的重要通路。实验结果表明,M-NET明显优于其他基于单核苷酸变异的比较方法,在准确率、精确度、召回率、F1-分数、接收者操作特征曲线下面积和精确度-召回率曲线下面积方面分别提高了6.3%、8.4%、5.1%、0.070、0.041和0.026。此外,M-NET 还发现了一些与转移状态相关的重要通路,如刺猬通路信号转导。总之,与其他比较方法相比,M-NET 在预测前列腺癌转移方面表现出更好的性能。
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引用次数: 0
Incremental Classification for High-Dimensional EEG Manifold Representation Using Bidirectional Dimensionality Reduction and Prototype Learning. 利用双向降维和原型学习对高维脑电图图谱表示进行增量分类
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-07 DOI: 10.1109/JBHI.2024.3491096
Dongxu Liu, Qichuan Ding, Chenyu Tong, Jinshuo Ai, Fei Wang

In brain-computer interface (BCI) systems, symmetric positive definite (SPD) manifold within Riemannian space has been frequently utilized to extract spatial features from electroencephalogram (EEG) signals. However, the intrinsic high dimensionality of SPD matrices introduces too much computational burden to hinder the real-time applications of such BCI, especially in handling dynamic tasks, like incremental learning. Directly reducing the dimensionality of SPD matrices with conventional dimensionality reduction (DR) methods will alter the fundamental properties of SPD matrices. Moreover, current DR methods for incremental learning always necessitate retaining old data to update their representations under new mapping. To this end, a bidirectional two-dimensional principal component analysis for SPD manifold (B2DPCA-SPD) is proposed to reduce the dimensionality of SPD matrices, in such way that the reduced matrices remain on SPD manifold. Afterwards, the B2DPCA-SPD is extended to adapt to incremental learning tasks without saving old data. The incremental B2DPCA-SPD can be seamlessly integrated with the matrix-formed growing neural gas network (MF-GNG) to achieve an incremental EEG classification, where the new low-dimensional representations of the prototypes in old classifiers can be easily recalculated with the updated projection matrix. Extensive experiments are conducted on two public datasets to perform the EEG classification. The results demonstrate that our method significantly reduces computation time by 38.53% and 35.96%, and outperforms conventional methods in classification accuracy by 4.21% to 19.59%.

在脑机接口(BCI)系统中,经常利用黎曼空间中的对称正定(SPD)流形来提取脑电图(EEG)信号的空间特征。然而,SPD 矩阵固有的高维度带来了过多的计算负担,阻碍了此类生物识别(BCI)的实时应用,尤其是在处理增量学习等动态任务时。用传统的降维(DR)方法直接降低 SPD 矩阵的维度会改变 SPD 矩阵的基本属性。此外,目前用于增量学习的 DR 方法总是需要保留旧数据,以便在新映射下更新其表征。为此,我们提出了一种用于 SPD 流形的双向二维主成分分析法(B2DPCA-SPD)来降低 SPD 矩阵的维度,从而使降低后的矩阵保持在 SPD 流形上。之后,B2DPCA-SPD 被扩展到适应增量学习任务,而无需保存旧数据。增量 B2DPCA-SPD 可以与矩阵形成的增长神经气体网络(MF-GNG)无缝集成,实现增量脑电图分类,其中旧分类器中原型的新低维表示可以通过更新的投影矩阵轻松地重新计算。我们在两个公共数据集上进行了广泛的实验,以执行脑电图分类。结果表明,我们的方法大大缩短了计算时间,分别缩短了 38.53% 和 35.96%,分类准确率也比传统方法高出 4.21% 到 19.59%。
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引用次数: 0
Exploration of the Rashomon Set Assists Trustworthy Explanations for Medical Data 罗生门集探索有助于为医学数据提供可信解释
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-06 DOI: 10.1109/JBHI.2024.3443069
Katarzyna Kobylińska;Mateusz Krzyziński;Rafał Machowicz;Mariusz Adamek;Przemysław Biecek
The machine learning modeling process conventionally results in selecting a single model that maximizes a selected performance metric. However, this approach leads to abandoning a more profound analysis of slightly inferior models. Particularly in medical and healthcare studies, where the objective extends beyond predictions to generation of valuable insights, relying solely on a single model can result in misleading or incomplete conclusions. This problem is particularly pertinent when dealing with a set of models known as Rashomon set, with performance close to maximum one. Such a set can be numerous and may contain models describing the data in a different way, which calls for comprehensive analysis. This paper introduces a novel method to explore models in the Rashomon set, extending the conventional modeling approach. We propose the Rashomon_DETECT algorithm to detect models with different behavior. It is based on recent developments in the eXplainable Artificial Intelligence (XAI) field. To quantify differences in variable effects among models, we introduce the Profile Disparity Index (PDI) based on measures from functional data analysis. To illustrate the effectiveness of our approach, we showcase its application on real-world medical problem: predicting survival among hemophagocytic lymphohistiocytosis (HLH) patients – a foundational case study. Additionally, we benchmark our approach on other medical data sets, demonstrating its versatility and utility in various contexts. If differently behaving models are detected in the Rashomon set, their combined analysis leads to more trustworthy conclusions, which is of vital importance for high-stakes applications such as medical applications.
机器学习建模过程的传统结果是选择一个单一模型,使选定的性能指标最大化。然而,这种方法会导致放弃对略逊一筹的模型进行更深入的分析。特别是在医疗和保健研究中,目标不仅仅是预测,还包括产生有价值的见解,仅仅依靠单一模型可能会导致误导性或不完整的结论。在处理性能接近最大值的一组模型(即罗生门模型集)时,这一问题尤为突出。这样的模型集可能很多,而且可能包含以不同方式描述数据的模型,这就需要进行综合分析。本文介绍了一种探索罗生门集模型的新方法,扩展了传统的建模方法。我们提出了 Rashomon_DETECT 算法来检测具有不同行为的模型。该算法基于可解释人工智能(XAI)领域的最新发展。为了量化模型间变量效应的差异,我们引入了基于功能数据分析的特征差异指数(PDI)。为了说明我们的方法的有效性,我们展示了该方法在实际医疗问题中的应用:预测嗜血细胞淋巴组织细胞增多症(HLH)患者的存活率--这是一项基础案例研究。此外,我们还在其他医疗数据集上对我们的方法进行了基准测试,证明了它在各种情况下的通用性和实用性。如果在罗生门集中检测到行为不同的模型,对它们进行综合分析就能得出更可信的结论,这对医疗应用等高风险应用至关重要。
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引用次数: 0
IEEE Journal of Biomedical and Health Informatics Publication Information IEEE 生物医学与健康信息学杂志》出版信息
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-06 DOI: 10.1109/JBHI.2024.3472131
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引用次数: 0
Guest Editorial: Trustworthy Machine Learning for Health Informatics 特邀社论:健康信息学中值得信赖的机器学习
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-06 DOI: 10.1109/JBHI.2024.3472368
Luyang Luo;Daguang Xu;Jing Qin;Yueming Jin;Hao Chen
Machine learning (ML), the stem of today's artificial intelligence, has shown significant growth in the field of biomedical and health informatics. On the one hand, ML techniques are becoming more complex in order to deal with real-world data. On the other hand, ML is also more and more accessible to broader users. For example, automated machine learning products are enabling users to build their own ML models without writing code [1].
机器学习(ML)是当今人工智能的源头,在生物医学和健康信息学领域得到了长足发展。一方面,为了处理真实世界的数据,机器学习技术变得越来越复杂。另一方面,越来越多的用户也可以使用 ML。例如,自动化机器学习产品使用户无需编写代码就能建立自己的 ML 模型[1]。
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引用次数: 0
Hierarchical graph representation learning with multi-granularity features for anti-cancer drug response prediction. 利用多粒度特征进行分层图表示学习以预测抗癌药物反应
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-06 DOI: 10.1109/JBHI.2024.3492806
Wei Peng, Jiangzhen Lin, Wei Dai, Ning Yu, Jianxin Wang

Patients with the same type of cancer often respond differently to identical drug treatments due to unique genomic traits. Accurately predicting a patient's response to drug is crucial in guiding treatment decisions, alleviating patient suffering, and improving cancer prognosis. Current computational methods utilize deep learning models trained on extensive drug screening data to predict anti-cancer drug responses based on features of cell lines and drugs. However, the interaction between cell lines and drugs is a complex biological process involving interactions across various levels, from internal cellular and drug structures to the external interactions among different molecules.To address this complexity, we propose a novel Hierarchical graph representation Learning with Multi-Granularity features (HLMG) algorithm for predicting anti-cancer drug responses. The HLMG algorithm combines features at two granularities: the overall gene expression and pathway substructures of cell lines, and the overall molecular fingerprints and substructures of drugs. Subsequently, it constructs a heterogeneous graph including cell lines, drugs, known cell line-drug responses, and the associations between similar cell lines and similar drugs. Through a graph convolutional network model, the HLMG learns the final cell line and drug representations by aggregating features of their multi-level neighbor in the heterogeneous graph. The multi-level neighbors consist of the node self, directly related drugs/cell lines, and indirectly related similar drugs/cell lines. Finally, a linear correlation coefficient decoder is employed to reconstruct the cell line-drug correlation matrix to predict anti-cancer drug responses. Our model was tested on the Genomics of Drug Sensitivity in Cancer (GDSC) and the Cancer Cell Line Encyclopedia (CCLE) databases. Results indicate that HLMG outperforms other state-of-the-art methods in accurately predicting anti-cancer drug responses.

由于独特的基因组特征,同种癌症患者对相同药物治疗的反应往往不同。准确预测患者对药物的反应对于指导治疗决策、减轻患者痛苦和改善癌症预后至关重要。目前的计算方法利用在大量药物筛选数据基础上训练的深度学习模型,根据细胞系和药物的特征预测抗癌药物反应。然而,细胞系与药物之间的相互作用是一个复杂的生物学过程,涉及从细胞和药物内部结构到不同分子之间外部相互作用等各个层面。HLMG 算法结合了两种粒度的特征:细胞系的整体基因表达和通路子结构,以及药物的整体分子指纹和子结构。随后,它构建了一个异构图,其中包括细胞系、药物、已知的细胞系-药物反应,以及相似细胞系和相似药物之间的关联。通过图卷积网络模型,HLMG 通过聚合异构图中多层次邻居的特征来学习最终的细胞系和药物表征。多级邻居包括节点自身、直接相关的药物/细胞系和间接相关的类似药物/细胞系。最后,采用线性相关系数解码器重建细胞系-药物相关矩阵,预测抗癌药物反应。我们的模型在癌症药物敏感性基因组学(GDSC)和癌症细胞系百科全书(CCLE)数据库上进行了测试。结果表明,在准确预测抗癌药物反应方面,HLMG优于其他最先进的方法。
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引用次数: 0
IEEE Journal of Biomedical and Health Informatics Information for Authors IEEE 生物医学与健康信息学杂志》作者须知
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-06 DOI: 10.1109/JBHI.2024.3472135
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引用次数: 0
Guest Editorial: Metaverse for Healthcare Trends, Challenges, and Solutions 特邀社论:医疗保健领域的 Metaverse 趋势、挑战和解决方案
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-06 DOI: 10.1109/JBHI.2024.3472388
Weizheng Wang;Zhuotao Lian;Kapal Dev;Shan Jiang
The concept of the metaverse, first introduced in science fiction, is rapidly becoming a technological reality with profound implications for various sectors, including healthcare. By merging virtual reality (VR), augmented reality (AR), artificial intelligence (AI), and advanced communication technologies, the metaverse promises to create immersive, interactive environments that can transform medical practice, education, and patient care [1].
元宇宙(metaverse)的概念最早出现在科幻小说中,如今正迅速成为一种技术现实,并对包括医疗保健在内的各个领域产生深远影响。通过融合虚拟现实(VR)、增强现实(AR)、人工智能(AI)和先进的通信技术,元宇宙有望创造出身临其境的互动环境,从而改变医疗实践、教育和病人护理[1]。
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引用次数: 0
Uncertainty Global Contrastive Learning Framework for Semi-Supervised Medical Image Segmentation 用于半监督医学图像分割的不确定性全局对比学习框架
IF 6.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2024-11-06 DOI: 10.1109/JBHI.2024.3492540
Hengyang Liu;Pengcheng Ren;Yang Yuan;Chengyun Song;Fen Luo
In semi-supervised medical image segmentation, the issue of fuzzy boundaries for segmented objects arises. With limited labeled data and the interaction of boundaries from different segmented objects, classifying segmentation boundaries becomes challenging. To mitigate this issue, we propose an uncertainty global contrastive learning (UGCL) framework. Specifically, we propose a patch filtering method and a classification entropy filtering method to provide reliable pseudo-labels for unlabelled data, while separating fuzzy boundaries and high-entropy pixel points as unreliable points. Considering that unreliable regions contain rich complementary information, we introduce an uncertainty global contrast learning method to distinguish these challenging unreliable regions, enhancing intra-class compactness and inter-class separability at the global data level. Within our optimization framework, we also integrate consistency regularization techniques and select unreliable points as targets for consistency. As demonstrated, the contrastive learning and consistency regularization applied to uncertain points enable us to glean valuable semantic information from unreliable data, which enhances segmentation accuracy. We evaluate our method on two publicly available medical image datasets and compare it with other state-of-the-art semi-supervised medical image segmentation methods, and a series of experimental results show that our method has achieved substantial improvements.
在半监督医学图像分割中,出现了分割对象边界模糊的问题。由于标注数据有限,而且不同分割对象的边界相互影响,分割边界的分类变得极具挑战性。为了缓解这一问题,我们提出了不确定性全局对比学习(UGCL)框架。具体来说,我们提出了一种补丁过滤方法和一种分类熵过滤方法,为无标签数据提供可靠的伪标签,同时将模糊边界和高熵像素点分离为不可靠点。考虑到不可靠区域包含丰富的互补信息,我们引入了一种不确定性全局对比学习方法来区分这些具有挑战性的不可靠区域,从而在全局数据层面增强类内紧凑性和类间可分性。在优化框架内,我们还整合了一致性正则化技术,并选择不可靠点作为一致性目标。正如我们所展示的那样,应用于不确定点的对比学习和一致性正则化使我们能够从不可靠的数据中收集有价值的语义信息,从而提高分割的准确性。我们在两个公开的医学影像数据集上评估了我们的方法,并将其与其他最先进的半监督医学影像分割方法进行了比较,一系列实验结果表明,我们的方法取得了实质性的改进。
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引用次数: 0
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IEEE Journal of Biomedical and Health Informatics
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