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2022 IEEE-EMBS Conference on Biomedical Engineering and Sciences (IECBES)最新文献

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Age-Based Sensitivity Analysis on Cardiac Hemodynamics using Lumped-Parameter Modelling 使用集总参数建模的心脏血流动力学年龄敏感性分析
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079315
Siti Munirah Muhammad Ali, W. El-Bouri, M. Mokhtarudin
Age is a major risk for heart failure, which is associated with the reduction in ventricular compliance, increase in arterial stiffening, and increase in systemic vascular resistance. In this study, a lumped-parameter model is used to investigate the effect of aging on the possibility of heart failure occurrence. Model parameters including the systemic and pulmonary arterial compliance and resistance, and the left ventricular elastance are calculated for different ages using a ratio-based method. These parameters are then used in the lumped-parameter model. Our findings show that as age increases, there is a leftward and a rightward shift in the left ventricle and right ventricle pressure-volume loops, respectively. For the left ventricle, there is a decrease in stroke volume and an increase in ventricular pressure as the age increases. This correlates with the occurrence of arterial hypertension in the older population. Meanwhile, the right ventricular pressure is maintained as the population gets older, despite the increase in the stroke volume. This is possibly due to the shift in intraventricular septum that causes an enlargement of the right ventricle as the age increases. This study provides understanding on the effect of age on the occurrence of heart failure.This study demonstrates the relationship of aging with cardiac hemodynamics, which provides the potential risk of heart failure occurrence. Although there are many risk factors that can cause heart failure, aging has been strongly associated with its occurrence. Understanding how age affects heart failure can help to differentiate them from other effects such as dietary, gender, and early cardiovascular diseases including arrhythmia and myocardial infarction.
年龄是心力衰竭的主要危险因素,它与心室顺应性降低、动脉硬化增加和全身血管阻力增加有关。本研究采用集总参数模型探讨年龄对心力衰竭发生可能性的影响。模型参数包括全身和肺动脉顺应性和阻力,以及左心室弹性采用基于比率的方法计算不同年龄。然后将这些参数用于集总参数模型。我们的研究结果表明,随着年龄的增长,左心室和右心室压力-容量循环分别向左和向右移动。对于左心室,随着年龄的增长,卒中容量减少,心室压力增加。这与老年人群中动脉高血压的发生有关。同时,右心室压力随着人口年龄的增长而保持不变,尽管卒中量增加。这可能是由于随着年龄的增长,室间隔移位导致右心室增大。本研究提供了年龄对心力衰竭发生的影响的认识。本研究证明了衰老与心脏血流动力学的关系,这为心力衰竭的发生提供了潜在的风险。虽然有许多危险因素可导致心力衰竭,但年龄与心力衰竭的发生密切相关。了解年龄如何影响心力衰竭有助于将其与饮食、性别和早期心血管疾病(包括心律失常和心肌梗死)等其他影响因素区分开来。
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引用次数: 0
Hardware-Friendly Random Forest Classification of iEEG Signals for Implantable Seizure Detection 用于植入式癫痫检测的eeg信号的硬件友好随机森林分类
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079382
Keyvan Farhang Razi, Raquel Ramos Garcia, Alexandre Schmid
Early and accurate detection of epileptic seizures is an extremely important therapeutic goal due to the severity of complications it can prevent. To this end, a low-power machine learning-based seizure detection implemented on an FPGA is proposed in this paper. Feature extraction is performed using time domain features which exhibit low hardware implementation complexity as well as high classification performance. A comparison between a Random Forest and a linear Support Vector Machine classifier has been conducted leading to the superior performance of the Random Forest. In addition, the hyperparameters of the Random Forest classifier are optimized to reach the best classification performance as well as to maintain the hardware implementation complexity sufficiently low for medical devices implants. The proposed seizure detector is implemented on a Cyclone V FPGA of the ALTERA DE10-standard board and tested on iEEG signals of six patients from the Bern University Hospital. FPGA implementation results demonstrate 100% seizure detection sensitivity as well as better specificity and faster seizure detection compared to recently published works using random forest classification. The FPGA dynamic power consumption is 0.59 mW which is acceptable for low-power implantable devices.
早期和准确的检测癫痫发作是一个极其重要的治疗目标,因为它可以预防并发症的严重性。为此,本文提出了一种基于FPGA的低功耗机器学习的癫痫检测方法。使用时域特征进行特征提取,具有较低的硬件实现复杂度和较高的分类性能。将随机森林与线性支持向量机分类器进行了比较,结果表明随机森林的性能更优。此外,对随机森林分类器的超参数进行了优化,以达到最佳的分类性能,并使医疗器械植入物的硬件实现复杂性保持在足够低的水平。提出的癫痫检测器在ALTERA de10标准板的Cyclone V FPGA上实现,并在伯尔尼大学医院的6名患者的iEEG信号上进行了测试。与最近发表的使用随机森林分类的作品相比,FPGA实现结果显示了100%的癫痫检测灵敏度,以及更好的特异性和更快的癫痫检测。FPGA动态功耗为0.59 mW,对于低功耗可植入器件是可以接受的。
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引用次数: 0
A Deep Convolutional Neural Network For Early Diagnosis of Alzheimer’s Disease 用于阿尔茨海默病早期诊断的深度卷积神经网络
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079301
Maximus Liu, M. Shalaginov, Rory Liao, TingyingHelen Zeng
Alzheimer’s disease is a neurologic disorder that hinders many elderly people from being able to live fulfilling lives. There is no cure for this disease, but patients can get medication to improve cognitive function. In order for patients to get more effective treatment, they need to be accurately diagnosed with the disease before it gets worse. In this research, a deep convolutional neural network was developed to predict the severity of early-stage Alzheimer’s disease based on brain MRI images. We compared several of the most commonly used pre-trained convolutional neural network architectures, such as VGG16, VGG19, InceptionV3, ResNet50, Xception, and DenseNet201. Our new finding is that VGG16 can make predictions with the highest accuracy. The neural network has been fine-tuned by varying hyperparameters to maximize the performance of the model. By connecting the output of the VGG16 model to a batch normalization layer followed by four layers of 1000 neurons with a dropout rate of 0.6 between each layer, this model achieved an accuracy of 99.68% on the testing set. While other models can distinguish between no Alzheimer’s disease and severe Alzheimer’s disease, our model can differentiate the more subtle cases of no, very mild, and mild Alzheimer’s disease. Therefore, our approach may promptly and accurately diagnose the early stages of Alzheimer’s disease and help patients to get the necessary treatment before the noticeable symptoms appear.Clinical Relevance–The proposed neural network architecture, combined with the application of the MAGMA colormap to the brain MRI images, could be used to diagnose early-stage Alzheimer’s.
阿尔茨海默病是一种神经系统疾病,它使许多老年人无法过上充实的生活。这种疾病无法治愈,但患者可以通过药物治疗来改善认知功能。为了让患者得到更有效的治疗,他们需要在病情恶化之前得到准确的诊断。在这项研究中,基于大脑MRI图像,开发了一个深度卷积神经网络来预测早期阿尔茨海默病的严重程度。我们比较了几种最常用的预训练卷积神经网络架构,如VGG16、VGG19、InceptionV3、ResNet50、Xception和DenseNet201。我们的新发现是,VGG16可以做出最高精度的预测。通过改变超参数对神经网络进行微调,使模型的性能最大化。通过将VGG16模型的输出连接到一个批处理归一化层,然后是4层1000个神经元,每层之间的dropout率为0.6,该模型在测试集上的准确率达到了99.68%。虽然其他模型可以区分无阿尔茨海默病和严重阿尔茨海默病,但我们的模型可以区分更细微的情况,即无阿尔茨海默病、非常轻微的阿尔茨海默病和轻度阿尔茨海默病。因此,我们的方法可以及时准确地诊断出阿尔茨海默病的早期阶段,并帮助患者在明显症状出现之前得到必要的治疗。临床意义-所提出的神经网络架构,结合MAGMA颜色图对大脑MRI图像的应用,可用于诊断早期阿尔茨海默氏症。
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引用次数: 0
Mu Rhythm EEG Signals Analysis during Fingers Movements in Mirror Therapy 镜像疗法手指运动中的Mu节律脑电图信号分析
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079296
W. Mansor, N. Jaafar, D. P. Morawakage, F. H. Kamaru Zaman, A. Z. Che Daud, N. F. Ahmad Roslan, Z. Hassan
Mirror therapy is a well-known method that can improve motor function after a stroke. Monitoring post-stroke patients’ conditions during mirror therapy is critical for improving rehabilitation oucomes. Electroencephalogram (EEG) based mirror therapy can provide an upper extremity evaluation during treatment. There has been minimal research studying the mu rhythm EEG signals of chronic post-stroke patients. This paper reveals the changes in mu rhythm of chronic post-stroke patients and their comparisons with the normal subjects’ mu rhythm obtained from fingers movements with and without using a mirror. The power spectral density and absolute power are the parameters used to observe the mu rhythm characteristics. It was discovered that post-stroke patients have the greatest mu rhythm suppression, while normal subjects who performed fingers movements without a mirror have the least suppression.
镜像疗法是一种众所周知的方法,可以改善中风后的运动功能。在镜像治疗期间监测卒中后患者的病情对改善康复结果至关重要。基于脑电图(EEG)的镜像治疗可以在治疗期间提供上肢评估。对慢性脑卒中后患者的mu节律脑电图信号的研究很少。本文研究慢性脑卒中后患者的mu节律变化,并与正常人在有镜和无镜下手指运动的mu节律进行比较。功率谱密度和绝对功率是观察mu节律特性的参数。发现脑卒中后患者的mu节律抑制最大,而正常人无镜手指运动的mu节律抑制最小。
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引用次数: 0
Multi-Class Tumor Diseases Classification Using Discrete Wavelet Transform and Principal Component Analysis 基于离散小波变换和主成分分析的多类肿瘤疾病分类
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079290
A. Yousif, Z. Omar, Harith Hamoodat, Neibal Younis Al Morad
A brain tumor is an extreme danger to the patient in the current era, leading to confirmed death. Furthermore, the precise classification of brain tumor image is one of the significant issues in clinical analysis fields. Therefore, enhancing tumor classification is required in the medical area. Moreover, brain tumor classification using machine learning (ML) for Magnetic Resonance Imaging scan (MRI) plays a huge vital role in different treatments applications. However, unfortunately, the previous schemes have recorded insufficient accuracy in the classification of brain tumors. The introduced technique contains feature extraction, feature reduction, and classification-based machine learning. Firstly, the low-frequency features of images using Discrete wavelet Transformation (DWT) have been obtained. Secondly, the reduced features have been provided using Principal Component Analysis (PCA). Lastly, The Random Forest (RF) classifier has been used to classify seven tumor classes. RF has obtained classification with a success of accuracy-based-metric with 96.83%. This result explores that the introduced DWT-PCA is more effective than other recent schemes.Clinical Relevance–Tumor Diseases.
在当今时代,脑瘤对病人来说是一种极端的危险,会导致确诊的死亡。此外,脑肿瘤图像的精确分类是临床分析领域的重要问题之一。因此,在医学领域加强肿瘤分类是必要的。此外,使用机器学习(ML)进行磁共振成像扫描(MRI)的脑肿瘤分类在不同的治疗应用中起着至关重要的作用。然而,不幸的是,以前的方案在脑肿瘤分类中记录的准确性不足。介绍的技术包括特征提取、特征约简和基于分类的机器学习。首先,利用离散小波变换(DWT)获得图像的低频特征;其次,利用主成分分析(PCA)提供约简特征;最后,使用随机森林分类器对7种肿瘤进行分类。RF获得了基于准确率的分类成功率为96.83%。这一结果表明,引入的DWT-PCA比其他现有的方法更有效。临床相关性-肿瘤疾病。
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引用次数: 0
Force Sensing Performance of Hydrogel-based Magnetorheological Plastomers with Graphite 石墨水凝胶型磁流变体的力传感性能研究
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079597
N. F. Amlee, N. Nazmi, M. K. Shabdin, I. Bahiuddin, S. Mazlan, N. A. Nordin
The higher demand for sensors and actuators devices is a result of machines and robotic devices incorporating electronics devices in its system. Intelligent material like hydrogel-based magnetorheological plastomer (HMRP) can be considered for its potential to be used in such system, particularly in a low force sensing system. However, the studies on HMRP’s potential to be used in a low force detecting system has not been further explored. In this paper, HMRP with 0 wt. % to 15 wt.% of graphite were fabricated and their resistance was tested under applied force ranging from 0 N - 5 N. The resistance was also measured in the absence and presence of magnetic field. With 15 wt.% of graphite, the resistance in the HMRP samples could reach as low as ~3000 Ω while applying load up to 5 N resulted in resistance as low as ~600 Ω in the absence of magnetic field. In the presence of 0.141 mT of magnetic field, the resistance of HRMP sample with 15 wt.% of graphite could reach as low as ~2500 Ω. The establishment of this relationship indicates that HMRP has the potential to be used in a sensing system.Clinical Relevance– This research can be used as a base to help in improving methods for physiology or therapy.
对传感器和执行器设备的更高需求是机器和机器人设备在其系统中包含电子设备的结果。像水凝胶基磁流变体(HMRP)这样的智能材料可以考虑用于这种系统,特别是在低力传感系统中。然而,HMRP在低力检测系统中应用潜力的研究尚未得到进一步的探讨。本文制备了石墨含量为0.0wt .% ~ 15.wt .%的HMRP材料,并对其在0 N ~ 5 N的作用力下的电阻进行了测试,并对有无磁场条件下的电阻进行了测试。当石墨含量为15 wt.%时,HMRP样品的电阻可低至~3000 Ω,而在没有磁场的情况下,施加高达5 N的负载时,电阻可低至~600 Ω。在0.141 mT的磁场作用下,石墨含量为15 wt.%的HRMP样品的电阻可低至~2500 Ω。这种关系的建立表明HMRP具有在传感系统中应用的潜力。临床相关性-本研究可作为基础,以帮助改善生理学或治疗方法。
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引用次数: 0
A Neural Network Approach to Estimate Lower Extremity Muscle Activity during Walking 行走时下肢肌肉活动的神经网络估计方法
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079316
M. Khant, Daniel Ts Lee, D. Gouwanda, A. Gopalai, K. Lim, Chee Choong Foong
Gait analysis is the study of human locomotion. It plays an essential role in the diagnosis and rehabilitation of gait abnormalities, the study of physiological changes associated with ageing, and the treatment of injuries. Muscle activity is an important gait parameter that controls joint function during walking and provides valuable information about the gait quality. However, current techniques to measure muscle activity, such as electromyogram (EMG) and musculoskeletal modelling tools, have drawbacks. This study develops an artificial neural network (ANN) method to estimate eight lower extremity muscle activities using pelvis, hip, knee and ankle joint angles. It uses an online gait database that contains kinematic and kinetic gait parameters and lower limb EMG. Four training algorithms were explored and investigated. Despite the noticeable differences between the actual and the estimated muscle activities, e.g. gluteus maximus and bicep femoris, the results demonstrate the feasibility of the proposed method in determining the muscle behaviour during walking. The study also shows the potentials of machine learning to compensate for the lack of modality and to provide an insight on the dynamics of muscles in gait. Clinical Relevance- Gait analysis is important in clinical and rehabilitation settings. The proposed method has the potential in reducing the dependency on EMGs and can be an alternative to the musculoskeletal modelling tools in diagnosing, treating, and rehabilitating gait abnormalities.
步态分析是对人体运动的研究。它在步态异常的诊断和康复、与衰老相关的生理变化的研究以及损伤的治疗中起着至关重要的作用。肌肉活动是控制步行过程中关节功能的重要步态参数,为步态质量提供了有价值的信息。然而,目前测量肌肉活动的技术,如肌电图(EMG)和肌肉骨骼建模工具,都有缺点。本研究开发了一种人工神经网络(ANN)方法,利用骨盆、髋关节、膝关节和踝关节角度来估计下肢肌肉的八种活动。它使用在线步态数据库,该数据库包含运动学和动力学步态参数以及下肢肌电图。对四种训练算法进行了探索和研究。尽管实际和估计的肌肉活动之间存在显著差异,例如臀大肌和股二头肌,但结果表明,所提出的方法在确定步行过程中的肌肉行为方面是可行的。该研究还显示了机器学习的潜力,以弥补模态的缺乏,并提供了对步态中肌肉动态的洞察。临床相关性-步态分析在临床和康复设置中很重要。所提出的方法有可能减少对肌电图的依赖,并且可以作为诊断、治疗和恢复步态异常的肌肉骨骼建模工具的替代方法。
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引用次数: 0
Personalization of a Mobile EEG for Remote Monitoring 面向远程监测的移动脑电图个性化设计
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079507
T. R. Shivaraja, K. Chellappan, N. Kamal, R. Remli
Personalized remote monitoring healthcare devices have begun emerging in the industry over the years, slowly setting a new standard for long term monitoring services. In this study, the researchers are addressing epilepsy. This neurological disorder hinders mobility freedom and may affect humans of any age, often starting in childhood or people over 60 years old. Diagnosing epileptic patients still stands as a challenge due to similar symptoms shown by other medical conditions such as migraines, fainting and panic attacks, often unable to be ruled as epilepsy without detecting seizure. Electroencephalogram (EEG) has proven to be the most helpful procedure for diagnosis of epilepsy. Interictal epileptiform discharges (IED), detected in EEG aids in differentiating epileptic and other nonepileptic episodes. Currently, available EEG devices are often bulky and restricted to be in use of clinical environments, limiting treatment process among epilepsy patients. The aim of this research is to present a personalized mobile EEG device for epilepsy monitoring and management. A customizable dry electrode EEG headset with 16-channel was assembled and configured. A server and an Android based mobile application were also developed to aid in remote monitoring regardless of location and available network. The device was tested and validated for signal reliability by a neurologist at the Neurology Lab of Canselor Tuanku Muhriz Hospital. The proposed device has potential to be solution for numerous limitations in current epilepsy treatment decision and may even be vital in addressing the drawback of recent pandemic. The outcome of the study is expected to boost and improve neurological research and clinical diagnosis in patient monitoring.
多年来,个性化远程监控医疗设备已经开始在行业中出现,慢慢地为长期监控服务设定了新的标准。在这项研究中,研究人员正在研究癫痫。这种神经系统疾病妨碍行动自由,可影响任何年龄的人,通常始于儿童或60岁以上的人。诊断癫痫患者仍然是一个挑战,因为偏头痛、昏厥和惊恐发作等其他疾病也会出现类似症状,在没有检测到癫痫发作的情况下,往往无法将其诊断为癫痫。脑电图(EEG)已被证明是诊断癫痫最有效的方法。在脑电图中检测癫痫样间期放电(IED)有助于区分癫痫发作和其他非癫痫发作。目前,可用的脑电图设备往往体积庞大,限制在临床环境中使用,限制了癫痫患者的治疗过程。本研究的目的是提出一种用于癫痫监测和管理的个性化移动脑电图设备。组装并配置了可定制的16通道干电极脑电图耳机。他们还开发了一个服务器和一个基于Android的移动应用程序,以帮助进行远程监控,而不考虑位置和可用网络。Canselor Tuanku Muhriz医院神经病学实验室的神经学家对该设备的信号可靠性进行了测试和验证。该装置有可能解决当前癫痫治疗决策中的许多限制,甚至可能对解决最近大流行的缺点至关重要。这项研究的结果有望促进和改善神经学研究和患者监测的临床诊断。
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引用次数: 0
Information Driven Angular Sampling for Reliable and Efficient SPECT Imaging 可靠、高效的SPECT成像的信息驱动角度采样
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079482
Hitesh Khunti, B. Rao, S. Obrzut
Low radiopharmaceutical dose and reduced scan time for molecular medical tomographic imaging are pursued for wider and safer medical applications. Towards this goal we propose an analytical approach to optimally reduce scanning duration or radiopharmaceutical dose for Single Photon Emission Computed Tomographic (SPECT) techniques, while not compromising on reconstructed image accuracy and reconstruction stability. In addition, we provide statistical guarantees to ensure generalization. This is achieved by: (a) utilizing the observation model and Fisher information driven scan strategy, (b) coordinating scanning with point spread function and prior of the reconstruction algorithm, and (c) providing statistical guarantees on reconstructed image variance through the Cramer-Rao bound. Our approach distributes the given total scanning duration optimally across scan angles to minimize Mean Square Error for a given image reconstruction algorithm. It coordinates the duration at each scan angle to ensure optimal information flow to the chosen reconstruction algorithm. For maximum likelihood (ML) estimators we derive a globally optimal closed form equation for angular sampling, and for maximum a posteriori (MAP) estimators we show the optimization problem is a difference of convex functions which can be efficiently optimized. The efficacy of the proposed scanning strategy is quantified through Monte Carlo simulations using real SPECT images and synthetic phantoms. The proposed algorithm achieves more than 2 dB PSNR improvement over conventional uniform scanning approach for real SPECT images. This improvement could be traded in to achieve more than 50% reduction in scan duration.
低放射性药物剂量和缩短扫描时间的分子医学断层成像是追求更广泛和更安全的医疗应用。为了实现这一目标,我们提出了一种分析方法,以最佳地减少单光子发射计算机断层扫描(SPECT)技术的扫描时间或放射性药物剂量,同时不影响重建图像的准确性和重建的稳定性。此外,我们提供统计保证,以确保泛化。这是通过:(a)利用观测模型和Fisher信息驱动扫描策略,(b)与点扩散函数和重构算法的先验协调扫描,(c)通过Cramer-Rao界对重构图像方差提供统计保证来实现的。我们的方法将给定的总扫描时间最佳地分布在扫描角度上,以最小化给定图像重建算法的均方误差。它协调每个扫描角度的持续时间,以确保所选重建算法的最佳信息流。对于极大似然(ML)估计,我们导出了角采样的全局最优闭形式方程,对于极大后验(MAP)估计,我们证明了优化问题是凸函数的差分,可以有效地优化。利用真实SPECT图像和合成图像进行蒙特卡罗模拟,量化了所提出扫描策略的有效性。该算法对真实SPECT图像的PSNR比传统的均匀扫描方法提高了2 dB以上。这种改进可以用来减少50%以上的扫描持续时间。
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引用次数: 0
Fall Risk Assessment Using Pressure Insole Sensors and Convolutional Neural Networks 利用压力鞋垫传感器和卷积神经网络进行跌倒风险评估
Pub Date : 2022-12-07 DOI: 10.1109/IECBES54088.2022.10079580
Reem Brome, J. Nasreddine, F. Bonnardot, M. Mohamed el Badaoui, M. Diab
Falls prevention among the elderly community is regarded as one of the most critical public health topics in today’s aging society. Identifying the risk of falling in elderly individuals is considered the first step in prevention. In this study we present an alternative method of representing signal cyclostationarity as heat-map images and using convolutional neural network (CNN) with the ADAM optimization method to predict the risk of falling in 411 subjects over the age of 65. The study involved three different modes of walking: normal straight walking (MS), walking straight while calling out names of animals (MF), and walking straight while de-counting from the number 50 (MD). Data from the elderly participants were collected from wearable insole pressure sensors. Results obtained in this study showed improved prediction capability (increased accuracy by 6.8%) compared to traditional machine learning methods. In addition, the proposed method achieved improved results with reduced time in data collection as it requires the subject to perform one type of walking mode (MD) instead of three.
预防老年人跌倒被认为是当今老龄化社会中最重要的公共卫生问题之一。识别老年人跌倒的风险被认为是预防的第一步。在这项研究中,我们提出了一种替代方法,将信号循环平稳性表示为热图图像,并使用卷积神经网络(CNN)和ADAM优化方法来预测411名65岁以上受试者的跌倒风险。这项研究涉及三种不同的行走模式:正常直走(MS),直走一边喊动物的名字(MF),直走一边从数字50开始倒数(MD)。老年参与者的数据是通过可穿戴鞋垫压力传感器收集的。本研究结果表明,与传统的机器学习方法相比,预测能力得到了提高(准确率提高了6.8%)。此外,由于该方法只需要受试者执行一种行走模式(MD)而不是三种,因此在减少数据收集时间的情况下取得了改进的结果。
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引用次数: 0
期刊
2022 IEEE-EMBS Conference on Biomedical Engineering and Sciences (IECBES)
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