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EEG-Based Auditory Attention Decoding for Speaker Identification Under Mixed-Speech Hearing-Assistive Conditions. 混合语音助听条件下基于脑电图的说话人听觉注意解码。
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-22 DOI: 10.1109/TBME.2025.3647138
Yuting Ding, Lei Wang, Jing Lu, Zhibin Lin, Fei Chen

Speaker identification in auditory attention decoding (SI-AAD) aims to identify the attended speaker from electroencephalography (EEG) signals. However, its application for hearing-impaired individuals is limited since existing methods rarely consider altered auditory perception from hearing-assistive devices under mixed-speech conditions, compounded by the lack of relevant datasets and difficulties in learning robust EEG-speech correspondences due to weak cross-modal alignment and insufficient feature extraction. Therefore, we construct five mixed-speech AAD datasets (MS-AAD), serving as the first EEG benchmark to simulate typical device-induced acoustic alterations without spatial cues. To enhance modality alignment, we propose a timbre-enhanced latent alignment (TELA) framework that jointly models latent embeddings and perceptual speaker cues via contrastive learning and auxiliary timbre classification. To further improve EEG-based feature extraction, we design FCTNet, a frequency-channel-temporal attention-based EEG encoder that captures rich neural patterns across multiple domains. Experiments on MS-AAD demonstrate that TELA and FCTNet jointly achieve 89.5% SI-AAD accuracy across diverse hearing conditions, highlighting the critical role of device-simulated acoustic dataset design and perceptually guided representation learning with advanced EEG encoding in mixed-speech SI-AAD for hearing-assistive applications.

听觉注意解码中的说话人识别(SI-AAD)旨在从脑电图(EEG)信号中识别与会的说话人。然而,由于现有方法很少考虑混合语音条件下助听设备的听觉感知改变,再加上缺乏相关数据集,以及由于弱跨模态对齐和特征提取不足而难以学习稳健的脑电图-语音对应,因此其在听障人群中的应用受到限制。因此,我们构建了五个混合语音AAD数据集(MS-AAD),作为第一个EEG基准来模拟典型的设备引起的无空间提示的声学变化。为了增强模态对齐,我们提出了一个音色增强潜在对齐(TELA)框架,该框架通过对比学习和辅助音色分类联合建模潜在嵌入和感知说话人线索。为了进一步改进基于EEG的特征提取,我们设计了FCTNet,这是一种基于频率通道-时间注意力的EEG编码器,可以捕获跨多个域的丰富神经模式。在MS-AAD上的实验表明,TELA和FCTNet共同在不同听力条件下实现了89.5%的SI-AAD准确率,突出了设备模拟声学数据集设计和感知引导表征学习在助听混合语音SI-AAD中的关键作用。
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引用次数: 0
Generalized Single-Degree-of-Freedom Model to Study Viral Inactivation by Radiated Microwaves. 研究辐射微波对病毒失活作用的广义单自由度模型。
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-22 DOI: 10.1109/TBME.2025.3646706
Federica Caselli, Pietro Bia, Margherita Losardo, Antonio Manna, Paolo Bisegna

Objective: Recent outbreaks and pandemics have emphasized the need for safe and reliable viral inactivation methods. The purpose of this work is to develop a simple and effective modeling approach to investigate viral inactivation via microwave absorption mediated by dipolar coupling.

Methods: Leveraging established techniques from the dynamic analysis of structures, a generalized Single-Degree-Of-Freedom (SDOF) model is developed, which is fully consistent with the dipolar resonance mode.

Results: The model can reproduce the main features of dipolar coupling with minimal computational time. Moreover, it allows mimicking the broadening of the resonance range associated with heterogeneous virus size, via Monte Carlo simulations, as well as water induced damping.

Conclusion: The results support the potential role of dipolar coupling for viral inactivation by microwave irradiation in the GHz range. The model can be used to assist in the interpretation of the experimental results, leading to an optimization of the inactivation protocols.

Significance: The proposed approach is versatile and can be extended to describe more complex cases, such as non-spherical geometries and/or non-homogeneous material properties.

目的:最近的疫情和大流行强调需要安全可靠的病毒灭活方法。本工作的目的是开发一种简单有效的建模方法来研究由偶极耦合介导的微波吸收对病毒灭活的影响。方法:利用已有的结构动力分析技术,建立了与偶极共振模式完全一致的广义单自由度(SDOF)模型。结果:该模型能以最小的计算时间再现偶极耦合的主要特征。此外,它允许通过蒙特卡罗模拟模拟与异质病毒大小相关的共振范围的扩大,以及水诱导的阻尼。结论:研究结果支持了偶极偶联对微波辐射灭活病毒的潜在作用。该模型可用于协助解释实验结果,从而优化失活方案。意义:提出的方法是通用的,可以扩展到描述更复杂的情况,如非球面几何形状和/或非均匀材料性质。
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引用次数: 0
Fiber-Less, Large-Scale Opto-Electrophysiology Interface for Micro-Scale Interaction of Multiple Brain Regions. 多脑区微尺度相互作用的无纤维大尺度光电生理接口。
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-19 DOI: 10.1109/TBME.2025.3646326
Sungjin Oh, Jose Roberto Lopez Ruiz, Kanghwan Kim, Nathan Slager, Eunah Ko, Mihaly Voroslakos, Hyunsoo Song, Wangbo Chen, Sung-Yun Park, Euisik Yoon

Objective: Recent neuroscientific research craves for understanding sophisticated brain networks formed by neuron ensembles across multiple regions. An ideal way to unveil the complex connectome is bidirectionally interacting (simultaneous recording and stimulation) with neurons at high spatiotemporal resolutions. Existing CMOS recording probes cannot provide micro-scale interactions with limited stimulation capability. Although optogenetics can achieve neuron-specific stimulation, conventional methods using optic fibers illuminate a large volume of tissue, resulting in unspecific perturbations. While our previous studies demonstrated micro-LED (μLED)-based optoelectrode for localized stimulation and recording, this work advances them into a fully integrated headstage combining the optoelectrode, CMOS IC, and flexible interposer for miniaturized implementation. The proposed system enables micro-scale interactions with high spatiotemporal precision through densely packed 256-neuron-size recording and 128-soma-size fiber-less opto-stimulation across multiple brain regions.

Methods: Such high resolutions yet wide coverage is achieved by (1) advanced micromachining techniques integrating recording electrodes and μLEDs, (2) micro-second, independent 384-channel interaction via a low-power, area-efficient circuit, and (3) compact and reliable polyimide-cable-based hybrid assembly.

Results: A compact (23.8×28.8 mm2) and lightweight (3.5-gram) headstage achieved the highest reported channel density in area (0.56 channels/mm2) and weight (109.71 channels/gram). A single acute in vivo experiment on a transgenic mouse identified >160 isolated pyramidal neurons and narrow/wide interneurons in the dorsal hippocampus, with local and broad-range effects from focal optogenetic stimulation.

Conclusion and significance: We implemented the hybrid integrated, large-scale opto-electrophysiology interface prototype and verified its feasibility in vivo, representing the first fully integrated platform extending our μLED-based probes into a complete system.

目的:最近的神经科学研究渴望了解由多个区域的神经元集合形成的复杂大脑网络。揭示复杂连接体的理想方法是在高时空分辨率下与神经元进行双向交互(同时记录和刺激)。现有的CMOS记录探头不能提供微尺度的相互作用,刺激能力有限。虽然光遗传学可以实现神经元特异性刺激,但传统的方法使用光纤照亮大量的组织,导致非特异性扰动。虽然我们之前的研究展示了基于微led (μLED)的光电极用于局部刺激和记录,但这项工作将它们推进到一个完全集成的头级,结合了光电极、CMOS IC和柔性中间体,以实现小型化。该系统通过密集排列的256个神经元大小的记录和跨多个大脑区域的128个体细胞大小的无纤维光刺激,实现了具有高时空精度的微尺度相互作用。方法:如此高的分辨率和广泛的覆盖范围是通过以下方法实现的:(1)集成记录电极和μ led的先进微加工技术;(2)通过低功耗、面积高效的电路实现微秒、独立的384通道交互;(3)紧凑可靠的聚酰亚胺-电缆混合组件。结果:紧凑(23.8×28.8 mm2)和轻量级(3.5克)的头级在面积(0.56通道/mm2)和重量(109.71通道/克)上实现了最高的通道密度。在转基因小鼠的单急性体内实验中,发现bbb160分离的锥体神经元和海马背侧的窄/宽中间神经元,在局灶光遗传刺激下具有局部和广泛的作用。结论与意义:我们实现了混合集成的大规模光电生理接口原型,并在体内验证了其可行性,代表了第一个将μ led探针扩展到完整系统的完全集成平台。
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引用次数: 0
Wall Shear Stress Predicts Venous Tissue Growth in Endovascular Neural Interfaces. 管壁剪切应力预测血管内神经界面静脉组织生长。
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-17 DOI: 10.1109/TBME.2025.3645257
Weijie Qi, Matthew Hammink, Andrew Ooi, David B Grayden, Lindsea C Booth, Brooke L Farrugia, Sam E John

Traditionally, venous stents have been employed to maintain vessel patency in cases of venous obstruction. Recent advancements in stent-electrode technology have broadened their application to include endovascular neural interfaces for neurotechnological purposes within cerebral veins. However, the effects of neointimal hyperplasia on large venous sinuses, particularly the superior sagittal sinus and jugular vein, remain poorly understood. Additionally, concerns such as thrombosis, chronic inflammation, and tissue overgrowth pose challenges for their long-term use as neural interfaces.

Methods: To investigate the impact of venous stenting on blood flow and tissue growth, we utilized Computational Fluid Dynamics (CFD) modeling and animal experiments, assessing blood flow and tissue responses over 28 days.

Results: Our findings revealed a negative power law correlation, with low wall shear stress (WSS) identified as the primary driver of accelerated tissue growth. Unlike the focal narrowing typically observed in stented arteries, venous tissue growth exhibited greater variability. Additionally, the threshold for low WSS that triggered growth was smaller than previously reported in arteries.

Conclusion: This study provides new insights into venous neointimal hyperplasia, emphasizing the need to consider venous-specific responses in stent-electrode design and clinical applications. Nonetheless, potential risks such as thrombosis and inflammatory responses should be further investigated to fully understand the long-term viability of these devices.

Significance: Understanding the biomechanical environment of stents in cerebral veins can guide the development of next-generation neural interfaces and inform clinicians and device developers about potential impacts on long-term outcomes.

传统上,静脉支架被用来维持静脉阻塞的血管通畅。近年来,支架电极技术的发展扩大了其应用范围,包括脑静脉内用于神经技术目的的血管内神经接口。然而,新内膜增生对大静脉窦,特别是上矢状窦和颈静脉的影响仍然知之甚少。此外,血栓形成、慢性炎症和组织过度生长等问题对它们作为神经接口的长期使用提出了挑战。方法:采用计算流体动力学(CFD)模型和动物实验,观察静脉支架植入对血流和组织生长的影响。结果:我们的研究结果揭示了负幂律相关性,低壁剪切应力(WSS)被确定为加速组织生长的主要驱动因素。与支架动脉典型的局灶性狭窄不同,静脉组织生长表现出更大的变异性。此外,触发动脉生长的低WSS阈值比先前报道的要小。结论:本研究为静脉新生内膜增生提供了新的见解,强调了在支架电极设计和临床应用中考虑静脉特异性反应的必要性。然而,潜在的风险,如血栓和炎症反应,应进一步调查,以充分了解这些装置的长期可行性。意义:了解脑静脉支架的生物力学环境可以指导下一代神经接口的开发,并告知临床医生和设备开发人员对长期结果的潜在影响。
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引用次数: 0
A Sparse Constrained Optimization Method for Resolving Coincident Single-Cell Events in Microfluidic-Based Impedance Sensing. 基于微流控的阻抗传感中求解重合单细胞事件的稀疏约束优化方法
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-12 DOI: 10.1109/TBME.2025.3643493
Yucheng Xia, Jiahao Guo, Yifan Shi, Guojun Jiang, Zhen Gu, Huifeng Wang

Objective: Label-free electrical impedance-based single-cell detection has been widely applied in cell sorting, electrical phenotyping, and monitoring of cell growth status. However, when high-concentration cell suspensions pass through the sensing region simultaneously, coincident events frequently occur, which leads to inaccurate segmentation of cell events and distorted identification of single-cell waveforms. As a result, statistical errors in electrical phenotyping are introduced.

Methods: In this work, we propose a two-step sparse-constrained optimization algorithm based on $ell _{1}$-norm regularization, which addresses this challenge without requiring any structural modification to the microfluidic chip. The raw signal is processed using this two-step framework: first, a waveform detection dictionary is constructed to segment the signal; subsequently, a de-coincidence dictionary is applied to resolve coincident waveforms.

Results: Experimental validation on synthetic data streams demonstrates robust counting accuracy from 2×105 to 5×106 particles/ml (99.9%-98.4%), with only a 5.1% reduction under five levels of additive noise at 2×106 particles/ml. Analysis of polystyrene beads of two sizes and T cells at three concentrations demonstrates enhanced size discrimination, improved statistical accuracy, and consistent counting performance compared with conventional algorithms.

Conclusion: The proposed method effectively segments and decomposes coincident signals into individual cell events by employing sparse optimization techniques.

Significance: This algorithm is well suited for applications that demand accurate counting and classification of cell/particle suspensions across a wide concentration range.

目的:基于无标记电阻抗的单细胞检测在细胞分选、电表型分析和细胞生长状态监测等方面得到了广泛的应用。然而,当高浓度细胞悬浮液同时通过感应区域时,经常会发生重合事件,导致细胞事件分割不准确,单细胞波形识别失真。因此,引入了电表型的统计误差。方法:本文提出了一种基于$ well _{1}$范数正则化的两步稀疏约束优化算法,该算法无需对微流控芯片进行任何结构修改即可解决这一挑战。原始信号处理采用两步框架:首先,构建波形检测字典对信号进行分割;然后,使用去符合字典来解析符合波形。结果:合成数据流的实验验证表明,在2×105到5×106颗粒/ml(99.9%-98.4%)范围内,计数精度很高,在2×106颗粒/ml的5级加性噪声下,计数精度仅降低5.1%。与传统算法相比,两种尺寸的聚苯乙烯珠和三种浓度的T细胞的分析表明,与传统算法相比,尺寸识别增强,统计准确性提高,计数性能一致。结论:该方法利用稀疏优化技术,有效地将重合信号分割为单个细胞事件。意义:该算法非常适合需要在广泛浓度范围内对细胞/颗粒悬浮液进行准确计数和分类的应用。
{"title":"A Sparse Constrained Optimization Method for Resolving Coincident Single-Cell Events in Microfluidic-Based Impedance Sensing.","authors":"Yucheng Xia, Jiahao Guo, Yifan Shi, Guojun Jiang, Zhen Gu, Huifeng Wang","doi":"10.1109/TBME.2025.3643493","DOIUrl":"https://doi.org/10.1109/TBME.2025.3643493","url":null,"abstract":"<p><strong>Objective: </strong>Label-free electrical impedance-based single-cell detection has been widely applied in cell sorting, electrical phenotyping, and monitoring of cell growth status. However, when high-concentration cell suspensions pass through the sensing region simultaneously, coincident events frequently occur, which leads to inaccurate segmentation of cell events and distorted identification of single-cell waveforms. As a result, statistical errors in electrical phenotyping are introduced.</p><p><strong>Methods: </strong>In this work, we propose a two-step sparse-constrained optimization algorithm based on $ell _{1}$-norm regularization, which addresses this challenge without requiring any structural modification to the microfluidic chip. The raw signal is processed using this two-step framework: first, a waveform detection dictionary is constructed to segment the signal; subsequently, a de-coincidence dictionary is applied to resolve coincident waveforms.</p><p><strong>Results: </strong>Experimental validation on synthetic data streams demonstrates robust counting accuracy from 2×10<sup>5</sup> to 5×10<sup>6</sup> particles/ml (99.9%-98.4%), with only a 5.1% reduction under five levels of additive noise at 2×10<sup>6</sup> particles/ml. Analysis of polystyrene beads of two sizes and T cells at three concentrations demonstrates enhanced size discrimination, improved statistical accuracy, and consistent counting performance compared with conventional algorithms.</p><p><strong>Conclusion: </strong>The proposed method effectively segments and decomposes coincident signals into individual cell events by employing sparse optimization techniques.</p><p><strong>Significance: </strong>This algorithm is well suited for applications that demand accurate counting and classification of cell/particle suspensions across a wide concentration range.</p>","PeriodicalId":13245,"journal":{"name":"IEEE Transactions on Biomedical Engineering","volume":"PP ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145742420","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
Structured and sparse partial least squares coherence for multivariate cortico-muscular analysis. 结构和稀疏偏最小二乘相干多变量皮质-肌肉分析。
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-12 DOI: 10.1109/TBME.2025.3643890
Jingyao Sun, Qilu Zhang, Di Ma, Tianyu Jia, Shijie Jia, Xiaoxue Zhai, Ruimou Xie, Ping-Ju Lin, Zhibin Li, Yu Pan, Linhong Ji, Chong Li

Multivariate cortico-muscular analysis has recently emerged as a promising approach for evaluating the corticospinal neural pathway. However, current multivariate approaches encounter challenges such as high dimensionality and limited sample sizes, thus restricting their further applications. In this paper, we propose a structured and sparse partial least squares coherence algorithm (ssPLSC) to extract shared latent space representations related to cortico-muscular interactions. Our approach leverages an embedded optimization framework by integrating a partial least square (PLS)-based objective function with sparsity and connectivity-based structured constraints, addressing the generalizability, sparsity and spatial structure. To solve the optimization problem, we develop an efficient alternating iterative algorithm within a unified framework and prove its convergence experimentally. Extensive experimental results from one synthetic and several real-world datasets have demonstrated that ssPLSC can achieve competitive or better performance over some representative multivariate cortico-muscular fusion methods, particularly in scenarios characterized by limited sample sizes and high noise levels. This study provides a novel multivariate fusion method for cortico-muscular analysis, offering a potential tool for the evaluation of corticospinal pathway integrity in neurological disorders.

最近,多变量皮质-肌肉分析作为一种评估皮质-脊髓神经通路的有前途的方法而出现。然而,目前的多变量方法遇到了诸如高维度和有限的样本量等挑战,从而限制了它们的进一步应用。在本文中,我们提出了一种结构化和稀疏的偏最小二乘相干算法(ssPLSC)来提取与皮质-肌肉相互作用相关的共享潜在空间表示。我们的方法通过将基于偏最小二乘(PLS)的目标函数与基于稀疏性和连通性的结构化约束相结合,利用嵌入式优化框架,解决了泛化、稀疏性和空间结构问题。为了解决优化问题,我们在统一的框架内开发了一种高效的交替迭代算法,并通过实验证明了它的收敛性。来自一个合成数据集和几个真实世界数据集的大量实验结果表明,ssPLSC可以比一些具有代表性的多变量皮质-肌肉融合方法取得竞争性或更好的性能,特别是在样本量有限和高噪声水平的情况下。本研究为皮质-肌肉分析提供了一种新的多元融合方法,为神经系统疾病中皮质-脊髓通路的完整性评估提供了一种潜在的工具。
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引用次数: 0
Differentiable Forward and Back-Projector for Rigid Motion Estimation in X-ray Imaging. 用于x射线成像中刚性运动估计的可微前、后投影。
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-12 DOI: 10.1109/TBME.2025.3643742
Xiao Jiang, Xin Wang, Ali Uneri, Wojciech B Zbijewski, J Webster Stayman

Objective: In this work, we propose a framework for differentiable forward and back-projector that enables scalable, accurate, and memory-efficient gradient computation for rigid motion estimation tasks.

Methods: Unlike existing approaches that rely on auto-differentiation or that are restricted to specific projector types, our method is based on a general analytical gradient formulation for forward/backprojection in the continuous domain. A key insight is that the gradients of both forward and back-projection can be expressed directly in terms of the forward and back-projection operations themselves, providing a unified gradient computation scheme across different projector types. Leveraging this analytical formulation, we develop a discretized implementation with an acceleration strategy that balances computational speed and memory usage.

Results: Simulation studies illustrate the numerical accuracy and computational efficiency of the proposed algorithm. Experiments demonstrates the effectiveness of this approach for multiple X-ray imaging tasks we conducted. In 2D/3D registration, the proposed method achieves $sim$8× speedup over an existing differentiable forward projector while maintaining comparable accuracy. In motion-compensated analytical reconstruction and cone-beam CT geometry calibration, the proposed method enhances image sharpness and structural fidelity on real phantom data while showing significant efficiency advantages over existing gradient-free and gradient-based solutions.

Conclusion: The proposed differentiable projectors enable effective and efficient gradient-based solutions for X-ray imaging tasks requiring rigid motion estimation.

目的:在这项工作中,我们提出了一个可微分的前向和后向投影器框架,该框架能够为刚性运动估计任务提供可扩展、准确和记忆高效的梯度计算。方法:与现有的依赖于自分化或仅限于特定投影仪类型的方法不同,我们的方法是基于连续域中正向/反向投影的一般解析梯度公式。一个关键的见解是,正向和反向投影的梯度都可以直接表示为正向和反向投影操作本身,从而提供了跨不同投影类型的统一梯度计算方案。利用这个分析公式,我们开发了一个离散的实现,该实现具有平衡计算速度和内存使用的加速策略。结果:仿真研究证明了该算法的数值精度和计算效率。实验证明了该方法对多种x射线成像任务的有效性。在2D/3D配准中,所提出的方法在保持相当精度的同时,比现有的可微前向投影仪实现了8倍的加速。在运动补偿解析重建和锥束CT几何校正中,该方法提高了真实幻象数据的图像清晰度和结构保真度,同时比现有的无梯度和基于梯度的解决方案具有显著的效率优势。结论:提出的可微分投影仪为需要刚性运动估计的x射线成像任务提供了有效和高效的基于梯度的解决方案。
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引用次数: 0
T2AgeNet: A Text-Guided Framework with Tissue Features for Brain Age Estimation. T2AgeNet:一个具有组织特征的文本引导框架用于脑年龄估计。
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-12 DOI: 10.1109/TBME.2025.3643900
Shengxian Chen, Wenxuan Wu, Xin Zhang, Jiakun Xu, Tong Xiong, Chaoxiang Yang, Xiangmin Xu

Brain age estimation from structural MRI is an effective approach for detecting abnormal neurodevel opment and neurodegeneration. However, most existing methods produce global biomarkers that lack tissue-level specificity and fail to leverage medical prior knowledge. To address these limitations, we propose T2AgeNet, a dual-path image-text framework for tissue-level brain age estimation that integrates anatomical features with clinical semantics. The framework first segments brain MRI to generate tissue-specific masks, forming the basis for localized age prediction. To further incorporate medical prior knowledge, the model first aligns visual features with personalized clinical descriptions to guide semantic understanding of tissue-level variation. In parallel, it transforms handcrafted aging-related features into textual representations through an auxiliary branch using a large language model, enabling enriched interpretation and representation. We evaluate T2AgeNet on five datasets spanning fetal development, preterm infants, Alzheimer's disease, and autism spectrum disorder. Results demonstrate accurate age estimation across diverse populations. On the OASIS-3 and ABIDE-I datasets, the model further identifies tissue specific structural abnormalities consistent with known neurological patterns.

结构MRI脑年龄估计是检测神经发育异常和神经退行性变的有效方法。然而,大多数现有方法产生的全局生物标志物缺乏组织水平特异性,无法利用医学先验知识。为了解决这些限制,我们提出T2AgeNet,这是一个用于组织水平脑年龄估计的双路径图像-文本框架,将解剖学特征与临床语义相结合。该框架首先分割脑MRI以生成组织特异性掩模,形成局部年龄预测的基础。为了进一步整合医学先验知识,该模型首先将视觉特征与个性化临床描述对齐,以指导对组织水平变化的语义理解。同时,它通过使用大型语言模型的辅助分支将手工制作的与老龄化相关的特征转换为文本表示,从而实现丰富的解释和表示。我们在5个数据集上评估T2AgeNet,包括胎儿发育、早产儿、阿尔茨海默病和自闭症谱系障碍。结果证明了在不同人群中准确的年龄估计。在OASIS-3和abide - 1数据集上,该模型进一步识别出与已知神经模式一致的组织特异性结构异常。
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引用次数: 0
Keeping Medical AI Healthy and Trustworthy: A Review of Detection and Correction Methods for System Degradation. 保持医疗人工智能健康可靠:系统退化检测和纠正方法综述。
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-10 DOI: 10.1109/TBME.2025.3642706
Hao Guan, David Bates, Li Zhou

Artificial intelligence (AI) is increasingly integrated into modern healthcare, offering powerful support for clinical decision-making. However, in real-world settings, AI systems may experience performance degradation over time, due to factors such as shifting data distributions, changes in patient characteristics, evolving clinical protocols, and variations in data quality. These factors can compromise model reliability, posing safety concerns and increasing the likelihood of inaccurate predictions or adverse outcomes. This review presents a forward-looking perspective on monitoring and maintaining the "health" of AI systems in healthcare. We highlight the urgent need for continuous performance monitoring, early degradation detection, and effective self-correction mechanisms. The paper begins by reviewing common causes of performance degradation at both data and model levels. We then summarize key techniques for detecting data and model drift, followed by an in-depth look at root cause analysis. Correction strategies are further reviewed, ranging from model retraining to test-time adaptation. Our survey spans both traditional machine learning models and state-of-the-art large language models (LLMs), offering insights into their strengths and limitations. Finally, we discuss ongoing technical challenges and propose future research directions. This work aims to guide the development of reliable, robust medical AI systems capable of sustaining safe, long-term deployment in dynamic clinical settings.

人工智能(AI)越来越多地融入现代医疗保健,为临床决策提供有力支持。然而,在现实环境中,由于数据分布的变化、患者特征的变化、临床方案的发展以及数据质量的变化等因素,人工智能系统的性能可能会随着时间的推移而下降。这些因素可能会损害模型的可靠性,引发安全问题,并增加不准确预测或不良结果的可能性。这篇综述提出了一个前瞻性的角度来监测和维护医疗保健中的人工智能系统的“健康”。我们强调迫切需要持续的性能监测、早期退化检测和有效的自我纠正机制。本文首先回顾了数据和模型级别上性能下降的常见原因。然后,我们总结了检测数据和模型漂移的关键技术,然后深入研究了根本原因分析。进一步回顾了从模型再训练到测试时间适应的纠正策略。我们的调查涵盖了传统的机器学习模型和最先进的大型语言模型(llm),提供了对它们的优势和局限性的见解。最后,我们讨论了当前的技术挑战,并提出了未来的研究方向。这项工作旨在指导可靠、强大的医疗人工智能系统的开发,这些系统能够在动态的临床环境中维持安全、长期的部署。
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引用次数: 0
Interleaved Imaging and Actuation for Real-Time MRI during Active Control of a Magnetically-Actuated Robotic Catheter. 在磁驱动机器人导管主动控制期间,实时MRI的交错成像和驱动。
IF 4.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-10 DOI: 10.1109/TBME.2025.3642722
Ridaa Z Ali, Dominique Franson, Isabella Devai Camacho de Oliveira, Tobias Cowles, Daniel A Herzka, Mark A Griswold, M Cenk Cavusoglu

Objective: Magnetic Resonance Imaging (MRI)-guided robotic catheter interventions offer improved safety, visualization and control. Catheter actuation with current-carrying microcoils offers fast and responsive actuation without friction and backlash. However, actuation of this type of catheter leads to large void artifacts in MR images. We propose an interleaving method to reduce these artifacts without compromising the catheter's actuation capability.

Methods: Interleaving is accomplished by synchronizing and interleaving catheter actuation and MR image acquisition at a high switching frequency using a TTL trigger from the MR scanner that triggers an Interrupt Service Routine in the catheter firmware. Reduction in catheter duty cycle is compensated using effective currents.

Results: Image artifact analysis showed that there is not a statistically significant difference (at 0.05 significance level) between the artifacts associated with the catheter actuating with the proposed actuation-imaging interleaving and with the catheter at rest. Catheter trajectory tracking experiments showed that the error between pure actuation trajectories and interleaved actuation-imaging trajectories is generally within the error of the tracking algorithm. These results hold for both traditional MR imaging and accelerated imaging suitable for cardiac intervention.

Conclusion: The proposed interleaving scheme effectively removes the artifact generated by current-carrying actuation coils while preserving the actuation capability of the catheter. The method can be used with an accelerated imaging sequence that is relevant for interventional imaging.

Significance: The proposed scheme enables simultaneous/interleaved MR visualization and catheter actuation during intervention.

目的:磁共振成像(MRI)引导下的机器人导管介入治疗提高了安全性、可视性和可控性。导管驱动与载流微线圈提供快速和响应的驱动,没有摩擦和反弹。然而,这种类型的导管的驱动会导致MR图像中的大空洞伪影。我们提出了一种交错的方法来减少这些伪影,而不影响导管的驱动能力。方法:交错是通过同步和交错导管驱动和高开关频率的磁共振图像采集来完成的,使用来自磁共振扫描仪的TTL触发器触发导管固件中的中断服务程序。导管占空比的减小使用有效电流进行补偿。结果:图像伪影分析显示,与所建议的驱动成像交错的导管驱动相关的伪影与导管静止相关的伪影之间没有统计学上的显著差异(0.05显著性水平)。导管轨迹跟踪实验表明,单纯驱动轨迹与交错驱动成像轨迹之间的误差一般在跟踪算法的误差范围内。这些结果适用于传统的磁共振成像和适合心脏介入的加速成像。结论:所提出的交错方案有效地消除了载流驱动线圈产生的伪影,同时保留了导管的驱动能力。该方法可与介入成像相关的加速成像序列一起使用。意义:所提出的方案可以在介入期间实现同步/交错的MR可视化和导管驱动。
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IEEE Transactions on Biomedical Engineering
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