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Building consensus on clinical outcome assessments for BCI devices. A summary of the 10th BCI society meeting 2023 workshop. 就 BCI 设备的临床结果评估达成共识。第10届BCI学会2023年会议研讨会摘要。
IF 4 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-17 DOI: 10.1088/1741-2552/ad7bec
Abbey Sawyer,Nikole Chetty,David P McMullen,Heather Dean,Jacek Eisler,Melanie Fried-Oken,Leigh R Hochberg,Chris Gibbons,Elizabeth Waite,Tom Oxley,Adam Fry,Douglas J Weber,David Putrino
The 10th International Brain Computer Interface (BCI) Society Meeting, 'Balancing Innovation and Translation', was held from the 6th to 9th of June 2023 in Brussels, Belgium. This report provides a summary of the workshop 'Building Consensus on Clinical Outcome Assessments (COAs) for BCI Devices'. This workshop was intended to give participants an overview of the current state of BCI, future opportunities, and how different countries and regions provide regulatory oversight to support the BCI community to develop safe and effective devices for patients. Five presentations and a panel discussion including representatives from regulators, industry, and clinical research stakeholders focused on how various stakeholders and the BCI community might best work together to ensure studies provide data that is useful for evaluating safety and effectiveness, including reaching consensus on clinical outcome assessments (COAs) that represent clinically meaningful benefits and support regulatory and payor requirements. This report focuses on the regulatory and reimbursement requirements for medical devices and how to best measure safety and effectiveness and summarizes the presentations from five experts and the discussion between the panel and the audience. Consensus was reached on the following items specifically related to BCI: (i) the importance of and need for a new generation of COAs, (ii) the challenges facing the development of appropriate clinical outcome assessments, and (iii) that improvements in COAs should demonstrate obvious and clinically meaningful benefit(s). There was discussion on: (i) clinical trial design for BCIs and (ii) considerations for payor reimbursement and other funding. Whilst the importance of building community consensus on COAs was apparent, further collaboration will be required to reach consensus on which specific current and/or novel COAs could be used for the BCI field to evolve from research to market.
第十届国际脑计算机接口(BCI)学会会议 "平衡创新与转化 "于 2023 年 6 月 6 日至 9 日在比利时布鲁塞尔举行。本报告提供了 "就 BCI 设备的临床结果评估 (COA) 建立共识 "研讨会的摘要。本次研讨会旨在向与会者概述生物介入的现状、未来机遇以及不同国家和地区如何提供监管监督,以支持生物介入界为患者开发安全有效的设备。来自监管机构、行业和临床研究利益相关者的五位代表进行了发言和小组讨论,重点讨论了各利益相关者和生物介入界如何开展最佳合作,以确保研究提供有助于评估安全性和有效性的数据,包括就临床结果评估(COA)达成共识,以体现有临床意义的益处并支持监管和支付方的要求。本报告的重点是医疗器械的监管和报销要求,以及如何最好地衡量安全性和有效性,并总结了五位专家的发言以及专家小组与听众之间的讨论。与 BCI 特别相关的以下项目已达成共识:(i) 新一代 COA 的重要性和必要性,(ii) 开发适当的临床结果评估所面临的挑战,以及 (iii) COA 的改进应显示出明显且有临床意义的益处。会议讨论了(i) BCIs 的临床试验设计;(ii) 付款人报销和其他资金的考虑因素。虽然就主要器官功能障碍达成社区共识的重要性显而易见,但还需要进一步合作,才能就哪些具体的现有和/或新型主要器官功能障碍可用于将生物介入领域从研究推向市场达成共识。
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引用次数: 0
o-CLEAN: a novel multi-stage algorithm for the ocular artifacts' correction from EEG data in out-of-the-lab applications. o-CLEAN:一种用于校正实验室外脑电图数据中眼球伪影的新型多阶段算法。
IF 4 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-16 DOI: 10.1088/1741-2552/ad7b78
Vincenzo Ronca,Gianluca Di Flumeri,Andrea Giorgi,Alessia Vozzi,Rossella Capotorto,Daniele Germano,Nicolina Sciaraffa,Gianluca Borghini,Fabio Babiloni,Pietro Aricò
In the context of Electroencephalographic (EEG) signal processing, artifacts generated by ocular movements, such as blinks, are significant confounding factors. These artifacts overwhelm informative EEG features and may occur too frequently to simply remove affected epochs without losing valuable data. Correcting these artifacts remains a challenge, particularly in out-of-lab and online applications using wearable EEG systems (i.e. with low number of EEG channels, without any additional channels to track EOG).OBJECTIVEthe main objective of the present work consisted in validating a novel ocular blinks artefacts correction method, named o-CLEAN (multi-stage OCuLar artEfActs deNoising algorithm), suitable for online processing with minimal EEG channels.APPROACHthe research was conducted considering one EEG dataset collected in highly controlled environment, and a second one collected in real environment. The analysis was performed by comparing the o-CLEAN method with previously validated state-of-art techniques, and by evaluating its performance along two dimensions: a) the ocular artefacts correction performance (IN-Blink), and b) the EEG signal preservation when the method was applied without any ocular artefacts occurrence (OUT-Blink).MAIN RESULTSresults highlighted that i) o-CLEAN algorithm resulted to be, at least, significantly reliable as the most validated approaches identified in scientific literature in terms of ocular blink artifacts correction, ii) o-CLEAN showed the best performances in terms of EEG signal preservation especially with a low number of EEG channels.SIGNIFICANCEthe testing and validation of the o-CLEAN addresses a relevant open issue in bioengineering EEG processing, especially within out-of-the-lab application. In fact, the method offers an effective solution for correcting ocular artifacts in EEG signals with a low number of available channels, for online processing, and without any specific template of the EOG. It was demonstrated to be particularly effective for EEG data gathered in real environments using wearable systems, a rapidly expanding area within applied neuroscience.
在脑电图(EEG)信号处理中,眼球运动(如眨眼)产生的伪影是重要的干扰因素。这些伪像压倒了信息丰富的脑电图特征,而且发生频率过高,无法在不丢失有价值数据的情况下简单移除受影响的历时。校正这些伪影仍然是一项挑战,尤其是在实验室外和使用可穿戴脑电图系统的在线应用中(即脑电图通道数量较少,没有任何额外通道跟踪 EOG)。本研究的主要目的是验证一种新颖的眼部眨眼伪影校正方法,即 o-CLEAN(多级眼部眨眼去噪算法),该方法适用于使用最少脑电通道的在线处理。分析方法是将 o-CLEAN 方法与之前经过验证的先进技术进行比较,并从两个方面对其性能进行评估:a) 眼部伪影校正性能(IN-Blink);b) 在不发生任何眼部伪影的情况下应用该方法时的脑电信号保存情况(OUT-Blink)。主要结果表明:i)o-CLEAN 算法在眼部眨眼伪影校正方面至少与科学文献中确定的最有效方法一样可靠;ii)o-CLEAN 在脑电信号保存方面表现最佳,尤其是在脑电图通道数量较少的情况下。事实上,该方法提供了一种有效的解决方案,可纠正可用通道数量较少的脑电信号中的眼球伪影,用于在线处理,且无需任何特定的眼动图模板。事实证明,该方法对使用可穿戴系统在真实环境中收集的脑电图数据尤为有效,而这正是应用神经科学中一个迅速扩展的领域。
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引用次数: 0
PDMS/CNT electrodes with bioamplifier for practical in-the-ear and conventional biosignal recordings. 带有生物放大器的 PDMS/CNT 电极,用于实用耳内和传统生物信号记录。
IF 4 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-10 DOI: 10.1088/1741-2552/ad7905
Jongsook Sanguantrakul,Apit Hemakom,Tharapong Soonrach,Pasin Israsena
Potential usage of dry electrodes in emerging applications such as wearable devices, flexible tattoo circuits, and stretchable displays requires that, to become practical solutions, issues such as easy fabrication, strong durability, and low-cost materials must be addressed. The objective of this study was to propose soft and dry electrodes developed from polydimethylsiloxane (PDMS) and carbon nanotube (CNT) composites. Connected with both conventional and in-house NTAmp biosignal instruments for comparative studies, performances of the proposed dry electrodes were evaluated through electromyogram (EMG), electrocardiogram (ECG), and electroencephalogram (EEG) measurements. Results demonstrated that the capability of the PDMS/CNT electrodes to receive biosignals was on par with that of commercial electrodes (adhesive and gold-cup electrodes). Depending on the type of stimuli, a signal-to-noise ratio (SNR) of 5-10 dB range was achieved. The results of the study show that the performance of the proposed dry electrode is comparable to that of commercial electrodes, offering possibilities for diverse applications. These applications may include the physical examination of vital medical signs, the control of intelligent devices and robots, and the transmission of signals through flexible materials.
干电极在可穿戴设备、柔性纹身电路和可拉伸显示器等新兴应用中的潜在用途要求,要成为实用的解决方案,必须解决易于制造、耐用性强和材料成本低等问题。本研究的目的是提出利用聚二甲基硅氧烷(PDMS)和碳纳米管(CNT)复合材料开发的干式软电极。为进行比较研究,将传统和内部 NTAmp 生物信号仪器连接起来,通过肌电图(EMG)、心电图(ECG)和脑电图(EEG)测量来评估所提出的干电极的性能。结果表明,PDMS/CNT 电极接收生物信号的能力与商用电极(粘合剂和金杯电极)相当。根据刺激类型的不同,信噪比(SNR)可达到 5-10 dB 的范围。研究结果表明,所提议的干电极的性能与商用电极相当,为各种应用提供了可能性。这些应用可能包括重要医疗体征的物理检查、智能设备和机器人的控制,以及通过柔性材料传输信号。
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引用次数: 0
DOCTer: a novel EEG-based diagnosis framework for disorders of consciousness. DOCTer:基于脑电图的新型意识障碍诊断框架。
IF 4 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-10 DOI: 10.1088/1741-2552/ad7904
Sha Zhao,Yue Cao,Wei Yang,Jie Yu,Chuan Xu,Wei Dai,Shijian Li,Gang Pan,Benyan Luo
OBJECTIVEAccurately diagnosing patients with disorders of consciousness (DOC) is challenging and prone to errors. Recent studies have demonstrated that EEG (electroencephalography), a non-invasive technique of recording the spontaneous electrical activity of brains, offers valuable insights for DOC diagnosis. However, some challenges remain: 1) the EEG signals have not been fully used; and 2) the data scale in most existing studies is limited. In this study, our goal is to differentiate between minimally conscious state (MCS) and unresponsive wakefulness syndrome (UWS) using resting-state EEG signals, by proposing a new deep learning framework.APPROACHWe propose DOCTer, an end-to-end framework for DOC diagnosis based on EEG. It extracts multiple pertinent features from the raw EEG signals, including time-frequency features and microstates. Meanwhile, it takes clinical characteristics of patients into account, and then combines all the features together for the diagnosis. To evaluate its effectiveness, we collect a large-scale dataset containing 409 resting-state EEG recordings from 128 UWS and 187 MCS cases.MAIN RESULTSEvaluated on our dataset, DOCTer achieves the state-of-the-art performance, compared to other methods. The temporal/spectral features contributes the most to the diagnosis task. The cerebral integrity is important for detecting the consciousness level. Meanwhile, we investigate the influence of different EEG collection duration and number of channels, in order to help make the appropriate choices for clinics.SIGNIFICANCEThe DOCTer framework significantly improves the accuracy of DOC diagnosis, helpful for developing appropriate treatment programs. Findings derived from the large-scale dataset provide valuable insights for clinics.
目的准确诊断意识障碍(DOC)患者具有挑战性且容易出错。最近的研究表明,脑电图(EEG)是一种记录大脑自发电活动的非侵入性技术,可为意识障碍诊断提供有价值的见解。然而,一些挑战依然存在:1)脑电信号尚未得到充分利用;2)大多数现有研究的数据规模有限。在本研究中,我们的目标是通过提出一种新的深度学习框架,利用静息态脑电信号区分微意识状态(MCS)和无反应清醒综合征(UWS)。它能从原始脑电信号中提取多种相关特征,包括时频特征和微状态。同时,它还考虑了患者的临床特征,然后将所有特征结合在一起进行诊断。为了评估其有效性,我们收集了一个大型数据集,其中包含来自 128 个 UWS 和 187 个 MCS 病例的 409 个静息态脑电记录。时间/光谱特征对诊断任务的贡献最大。大脑的完整性对检测意识水平非常重要。同时,我们还研究了不同脑电图采集时间和通道数的影响,以帮助临床做出适当的选择。 意义DOCTer 框架显著提高了 DOC 诊断的准确性,有助于制定适当的治疗方案。大规模数据集的研究结果为临床提供了宝贵的见解。
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引用次数: 0
I see artifacts: ICA-based EEG artifact removal does not improve deep network decoding across three BCI tasks. 我看到了伪影基于 ICA 的脑电图伪影去除并不能改善三种 BCI 任务的深度网络解码。
IF 4 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-09 DOI: 10.1088/1741-2552/ad788e
Taeho Kang,Yiyu Chen,Christian Wallraven
textit{Objective.} In this paper, we conduct a detailed investigation on the effect of IC-based noise rejection methods in neural network classifier-based decoding of electroencephalography (EEG) data in different task datasets. textit{Approach.} We apply a pipeline matrix of two popular different Independent Component (IC) decomposition methods (Infomax, AMICA) with three different component rejection strategies (none, ICLabel, and MARA) on three different EEG datasets (Motor imagery, long-term memory formation, and visual memory). We cross-validate processed data from each pipeline with three architectures commonly used for EEG classification (two convolutional neural networks (CNN) and one long short term memory (LSTM) based model. We compare decoding performances on within-participant and within-dataset levels. textit{Main Results.} Our results show that the benefit from using IC-based noise rejection for decoding analyses is at best minor, as component-rejected data did not show consistently better performance than data without rejections---especially given the significant computational resources required for ICA computations. textit{Significance.} With ever growing emphasis on transparency and reproducibility, as well as the obvious benefits arising from streamlined processing of large-scale datasets, there has been an increased interest in automated methods for pre-processing EEG data. One prominent part of such pre-processing pipelines consists of identifying and potentially removing artifacts arising from extraneous sources. This is typically done via Independent Component (IC) based correction for which numerous methods have been proposed, differing not only in the decomposition of the raw data into ICs, but also in how they reject the computed ICs. While the benefits of these methods are well established in univariate statistical analyses, it is unclear whether they help in multivariate scenarios, and specifically in neural network based decoding studies. As computational costs for pre-processing large-scale datasets are considerable, it is important to consider whether the tradeoff between model performance and available resources is worth the effort.
textit{Objective.} In this paper, we conduct a detailed investigation on the effect of IC-based noise rejection methods in neural network classifier-based decoding of electroencephalography (EEG) data in different task datasets. textit{Approach.} 我们在三个不同的脑电图数据集(运动图像、长期记忆形成和视觉记忆)上应用了由两种流行的不同独立分量(IC)分解方法(Infomax、AMICA)和三种不同的分量剔除策略(无、ICLabel 和 MARA)组成的流水矩阵。我们用三种常用于脑电图分类的架构(两个卷积神经网络(CNN)和一个基于长短期记忆(LSTM)的模型)对每个管道处理过的数据进行交叉验证。我们比较了参与者内部和数据集内部的解码性能。我们的结果表明,在解码分析中使用基于集成电路的噪声剔除技术最多只能带来微不足道的好处,因为剔除成分的数据并没有显示出比没有剔除成分的数据持续更好的性能--特别是考虑到 ICA 计算所需的大量计算资源。 textit{Significance.} 随着对透明度和可重复性的日益重视,以及简化处理大规模数据集带来的明显好处,人们对自动预处理脑电图数据的方法越来越感兴趣。此类预处理管道的一个重要部分是识别并可能去除外来来源产生的假象。这通常是通过基于独立分量(IC)的校正来实现的,为此已经提出了许多方法,这些方法不仅在将原始数据分解成 IC 方面存在差异,而且在如何剔除计算出的 IC 方面也存在差异。虽然这些方法的优点在单变量统计分析中已得到充分证实,但在多变量情况下,特别是在基于神经网络的解码研究中,这些方法是否有帮助还不清楚。由于预处理大规模数据集的计算成本相当高,因此必须考虑在模型性能和可用资源之间的权衡是否值得。
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In this paper, we conduct a detailed investigation on the effect of IC-based noise rejection methods in neural network classifier-based decoding of electroencephalography (EEG) data in different task datasets.
textit{Approach.}
We apply a pipeline matrix of two popular different Independent Component (IC) decomposition methods (Infomax, AMICA) with three different component rejection strategies (none, ICLabel, and MARA) on three different EEG datasets (Motor imagery, long-term memory formation, and visual memory). We cross-validate processed data from each pipeline with three architectures commonly used for EEG classification (two convolutional neural networks (CNN) and one long short term memory (LSTM) based model. We compare decoding performances on within-participant and within-dataset levels. 
textit{Main Results.}
Our results show that the benefit from using IC-based noise rejection for decoding analyses is at best minor, as component-rejected data did not show consistently better performance than data without rejections---especially given the significant computational resources required for ICA computations.
textit{Significance.}
With ever growing emphasis on transparency and reproducibility, as well as the obvious benefits arising from streamlined processing of large-scale datasets, there has been an increased interest in automated methods for pre-processing EEG data. One prominent part of such pre-processing pipelines consists of identifying and potentially removing artifacts arising from extraneous sources. This is typically done via Independent Component (IC) based correction for which numerous methods have been proposed, differing not only in the decomposition of the raw data into ICs, but also in how they reject the computed ICs. While the benefits of these methods are well established in univariate statistical analyses, it is unclear whether they help in multivariate scenarios, and specifically in neural network based decoding studies. As computational costs for pre-processing large-scale datasets are considerable, it is important to consider whether the tradeoff between model performance and available resources is worth the effort.","PeriodicalId":16753,"journal":{"name":"Journal of neural engineering","volume":"06 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Integrating spatial and temporal features for enhanced artifact removal in multi-channel EEG recordings. 整合空间和时间特征,增强多通道脑电图记录中的伪影去除。
IF 4 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-09 DOI: 10.1088/1741-2552/ad788d
Jin Yin,Aiping Liu,LanLan Wang,Ruobing Qian,Xun Chen
OBJECTIVEVarious artifacts in electroencephalography (EEG) are a big hurdle to prevent brain-computer interfaces from real-life usage. Recently, deep learning-based EEG denoising methods have shown excellent performance. However, existing deep network designs inadequately leverage inter-channel relationships in processing multichannel EEG signals. Typically, most methods process multi-channel signals in a channel-by-channel way. Considering the correlations among EEG channels during the same brain activity, this paper proposes utilizing channel relationships to enhance denoising performance.APPROACHWe explicitly model the inter-channel relationships using the self attention mechanism, hypothesizing that these correlations can support and improve the denoising process. Specifically, we introduce a novel denoising network, named Spatial-Temporal Fusion Network (STFNet), which integrates stacked multi-dimension feature extractor to explicitly capture both temporal dependencies and spatial relationships.MAIN RESULTSThe proposed network exhibits superior denoising performance, with a 24.27% reduction in relative root mean squared error compared to other methods on a public benchmark. STFNet proves effective in cross-dataset denoising and downstream classification tasks, improving accuracy by 1.40%, while also offering fast processing on CPU.SIGNIFICANCEThe experimental results demonstrate the importance of integrating spatial and temporal characteristics. The computational efficiency of STFNet makes it suitable for real-time applications and a potential tool for deployment in realistic environments.
目标脑电图(EEG)中的各种伪影是阻碍脑机接口在现实生活中使用的一大障碍。最近,基于深度学习的脑电图去噪方法表现出了卓越的性能。然而,现有的深度网络设计在处理多通道 EEG 信号时未能充分利用通道间的关系。通常情况下,大多数方法都是以逐个通道的方式处理多通道信号。考虑到同一大脑活动中 EEG 通道间的相关性,本文提出利用通道间关系来提高去噪性能。方法我们利用自我注意机制对通道间关系进行明确建模,假设这些相关性可以支持和改善去噪过程。具体来说,我们引入了一种名为 "时空融合网络(STFNet)"的新型去噪网络,该网络集成了堆叠式多维特征提取器,可明确捕捉时间依赖性和空间关系。主要结果所提出的网络具有卓越的去噪性能,在公共基准测试中,与其他方法相比,相对均方根误差降低了 24.27%。STFNet 在跨数据集去噪和下游分类任务中证明是有效的,准确率提高了 1.40%,同时还能在 CPU 上快速处理。STFNet 的计算效率使其适用于实时应用,并成为在现实环境中部署的潜在工具。
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引用次数: 0
PD-ARnet: a deep learning approach for Parkinson's disease diagnosis from resting-state fMRI. PD-ARnet:从静息态 fMRI 诊断帕金森病的深度学习方法。
IF 4 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-09 DOI: 10.1088/1741-2552/ad788b
Guangyao Li,Yalin Song,Mingyang Liang,Junyang Yu,Rui Zhai
The clinical diagnosis of Parkinson's disease (PD) relying on medical history, clinical symptoms, and signs is subjective and lacks sensitivity. Resting-state fMRI (rs-fMRI) has been demonstrated to be an effective biomarker for diagnosing Parkinson's disease. Approach: This study proposes a deep learning approach for the automatic diagnosis of PD using rs-fMRI, named PD-ARnet. Specifically, PD-ARnet utilizes Amplitude of Low Frequency Fluctuations (ALFF) and Regional Homogeneity (ReHo) extracted from rs-fMRI as inputs. The inputs are then processed through a developed dual-branch 3D feature extractor to perform advanced feature extraction. During this process, a Correlation-Driven weighting module is applied to capture complementary information from both features. Subsequently, the Attention-Enhanced fusion module is developed to effectively merge two types of features, and the fused features are input into a fully connected layer for automatic diagnosis classification. Main results: Using 145 samples from the PPMI dataset to evaluate the detection performance of PD-ARnet, the results indicated an average classification accuracy of 91.6% (95% confidence interval [CI]: 90.9%, 92.4%), precision of 94.7% (95% CI: 94.2%, 95.1%), recall of 86.2% (95% CI: 84.9%, 87.4%), F1 score of 90.2% (95% CI: 89.3%, 91.1%), and AUC of 92.8% (95% CI: 91.1%, 95.0%). Significance: The proposed method has the potential to become a clinical auxiliary diagnostic tool for Parkinson's disease, reducing subjectivity in the diagnostic process, and enhancing diagnostic efficiency and consistency. .
帕金森病(Parkinson's disease,PD)的临床诊断主要依靠病史、临床症状和体征,主观性强,缺乏敏感性。静息态 fMRI(rs-fMRI)已被证明是诊断帕金森病的有效生物标志物:本研究提出了一种利用rs-fMRI自动诊断帕金森病的深度学习方法,命名为PD-ARnet。具体来说,PD-ARnet 利用从 rs-fMRI 提取的低频波动幅度(ALFF)和区域同质性(ReHo)作为输入。然后通过开发的双分支三维特征提取器对输入进行处理,以执行高级特征提取。在此过程中,将应用相关性驱动加权模块,从两个特征中获取互补信息。随后,开发了注意力增强融合模块,以有效融合两种特征,并将融合后的特征输入全连接层,进行自动诊断分类:结果表明,PD-ARnet 的平均分类准确率为 91.6%(95% 置信区间 [CI]:90.9%,92.4%),精确度为 94.7%(95% 置信区间 [CI]:94.2%,95.1%),召回率为 86.2%(95% 置信区间 [CI]:84.9%,87.4%),F1 分数为 90.2%(95% 置信区间 [CI]:89.3%,91.1%),AUC 为 92.8%(95% 置信区间 [CI]:91.1%,95.0%):该方法有望成为帕金森病的临床辅助诊断工具,减少诊断过程中的主观性,提高诊断效率和一致性。
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Approach: This study proposes a deep learning approach for the automatic diagnosis of PD using rs-fMRI, named PD-ARnet. Specifically, PD-ARnet utilizes Amplitude of Low Frequency Fluctuations (ALFF) and Regional Homogeneity (ReHo) extracted from rs-fMRI as inputs. The inputs are then processed through a developed dual-branch 3D feature extractor to perform advanced feature extraction. During this process, a Correlation-Driven weighting module is applied to capture complementary information from both features. Subsequently, the Attention-Enhanced fusion module is developed to effectively merge two types of features, and the fused features are input into a fully connected layer for automatic diagnosis classification. 
Main results: Using 145 samples from the PPMI dataset to evaluate the detection performance of PD-ARnet, the results indicated an average classification accuracy of 91.6% (95% confidence interval [CI]: 90.9%, 92.4%), precision of 94.7% (95% CI: 94.2%, 95.1%), recall of 86.2% (95% CI: 84.9%, 87.4%), F1 score of 90.2% (95% CI: 89.3%, 91.1%), and AUC of 92.8% (95% CI: 91.1%, 95.0%).
Significance: The proposed method has the potential to become a clinical auxiliary diagnostic tool for Parkinson's disease, reducing subjectivity in the diagnostic process, and enhancing diagnostic efficiency and consistency.&#xD.","PeriodicalId":16753,"journal":{"name":"Journal of neural engineering","volume":"142 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
OxcarNet: Sinc convolutional network with temporal and channel attention for prediction of Oxcarbazepine monotherapy responses in patients with newly diagnosed epilepsy. OxcarNet:具有时间和通道注意力的 Sinc 卷积网络,用于预测新诊断癫痫患者对奥卡西平单药治疗的反应。
IF 4 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-09 DOI: 10.1088/1741-2552/ad788c
Runkai Zhang,Rong Rong,Yun Xu,Haixian Wang,Xiaoyun Wang
Monotherapy with antiepileptic drugs (AEDs) is the preferred strategy for the initial treatment of epilepsy. However, an inadequate response to the initially prescribed AED is a significant indicator of a poor long-term prognosis, emphasizing the importance of precise prediction of treatment outcomes with the initial AED regimen in patients with epilepsy. Approach: We introduce OxcarNet, an end-to-end neural network framework developed to predict treatment outcomes in patients undergoing oxcarbazepine monotherapy. The proposed predictive model adopts a Sinc Module in its initial layers for adaptive identification of discriminative frequency bands. The derived feature maps are then processed through a Spatial Module, which characterizes the scalp distribution patterns of the electroencephalography (EEG) signals. Subsequently, these features are fed into an attention-enhanced Temporal Module to capture temporal dynamics and discrepancies. A Channel Module with an attention mechanism is employed to reveal inter-channel dependencies within the output of the temporal module, ultimately achieving response prediction. OxcarNet was rigorously evaluated using a proprietary dataset of retrospectively collected EEG data from newly diagnosed epilepsy patients at Nanjing Drum Tower Hospital. This dataset included patients who underwent long-term EEG monitoring in a clinical inpatient setting. Main results: OxcarNet demonstrated exceptional accuracy in predicting treatment outcomes for patients undergoing Oxcarbazepine monotherapy. In the ten-fold cross-validation, the model achieved an accuracy of 97.27%, and in the validation involving unseen patient data, it maintained an accuracy of 89.17%, outperforming six conventional machine learning methods and three generic neural decoding networks. These findings underscore the model's effectiveness in accurately predicting the treatment responses in patients with newly diagnosed epilepsy. The analysis of features extracted by the Sinc filters revealed a predominant concentration of predictive frequencies in the high-frequency range of the gamma band. Significance: The findings of our study offer substantial support and new insights into tailoring early AED selection, enhancing the prediction accuracy for the responses of AEDs. .
抗癫痫药物(AED)单药治疗是癫痫初始治疗的首选策略。然而,对最初处方的 AED 反应不充分是长期预后不良的一个重要指标,这就强调了精确预测癫痫患者最初 AED 方案治疗结果的重要性:我们介绍了 OxcarNet,这是一个端到端神经网络框架,用于预测接受奥卡西平单药治疗的患者的治疗效果。该预测模型的初始层采用了 Sinc 模块,用于自适应识别辨别频带。得出的特征图随后通过空间模块进行处理,该模块用于描述脑电图(EEG)信号的头皮分布模式。随后,这些特征被送入注意力增强的时间模块,以捕捉时间动态和差异。具有注意力机制的通道模块用于揭示时间模块输出中的通道间依赖关系,最终实现反应预测。OxcarNet 使用南京鼓楼医院新诊断的癫痫患者回顾性收集的脑电图数据集进行了严格评估。该数据集包括在临床住院环境中长期接受脑电图监测的患者:OxcarNet在预测接受奥卡西平单药治疗的患者的治疗结果方面表现出了极高的准确性。在十倍交叉验证中,该模型的准确率达到了 97.27%;在涉及未见患者数据的验证中,该模型的准确率保持在 89.17%,优于六种传统机器学习方法和三种通用神经解码网络。这些结果表明,该模型能有效准确地预测新诊断癫痫患者的治疗反应。对 Sinc 滤波器提取的特征进行分析后发现,预测频率主要集中在伽马频段的高频范围:我们的研究结果为定制早期 AED 选择、提高 AED 反应预测准确性提供了大量支持和新见解。
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Approach: We introduce OxcarNet, an end-to-end neural network framework developed to predict treatment outcomes in patients undergoing oxcarbazepine monotherapy. The proposed predictive model adopts a Sinc Module in its initial layers for adaptive identification of discriminative frequency bands. The derived feature maps are then processed through a Spatial Module, which characterizes the scalp distribution patterns of the electroencephalography (EEG) signals. Subsequently, these features are fed into an attention-enhanced Temporal Module to capture temporal dynamics and discrepancies. A Channel Module with an attention mechanism is employed to reveal inter-channel dependencies within the output of the temporal module, ultimately achieving response prediction. OxcarNet was rigorously evaluated using a proprietary dataset of retrospectively collected EEG data from newly diagnosed epilepsy patients at Nanjing Drum Tower Hospital. This dataset included patients who underwent long-term EEG monitoring in a clinical inpatient setting.
Main results: OxcarNet demonstrated exceptional accuracy in predicting treatment outcomes for patients undergoing Oxcarbazepine monotherapy. In the ten-fold cross-validation, the model achieved an accuracy of 97.27%, and in the validation involving unseen patient data, it maintained an accuracy of 89.17%, outperforming six conventional machine learning methods and three generic neural decoding networks. These findings underscore the model's effectiveness in accurately predicting the treatment responses in patients with newly diagnosed epilepsy. The analysis of features extracted by the Sinc filters revealed a predominant concentration of predictive frequencies in the high-frequency range of the gamma band.
Significance: The findings of our study offer substantial support and new insights into tailoring early AED selection, enhancing the prediction accuracy for the responses of AEDs.

&#xD.","PeriodicalId":16753,"journal":{"name":"Journal of neural engineering","volume":"55 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Beyond alpha band: prestimulus local oscillation and interregional synchrony of the beta band shape the temporal perception of the audiovisual beep-flash stimulus. 超越α波段:β波段的刺激前局部振荡和区域间同步性决定了对视听哔哔声-闪光刺激的时间感知。
IF 3.7 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-06-13 DOI: 10.1088/1741-2552/ace551
Zeliang Jiang, Xingwei An, Shuang Liu, Erwei Yin, Ye Yan, Dong Ming

Objective.Multisensory integration is more likely to occur if the multimodal inputs are within a narrow temporal window called temporal binding window (TBW). Prestimulus local neural oscillations and interregional synchrony within sensory areas can modulate cross-modal integration. Previous work has examined the role of ongoing neural oscillations in audiovisual temporal integration, but there is no unified conclusion. This study aimed to explore whether local ongoing neural oscillations and interregional audiovisual synchrony modulate audiovisual temporal integration.Approach.The human participants performed a simultaneity judgment (SJ) task with the beep-flash stimuli while recording electroencephalography. We focused on two stimulus onset asynchrony (SOA) conditions where subjects report ∼50% proportion of synchronous responses in auditory- and visual-leading SOA (A50V and V50A).Main results.We found that the alpha band power is larger in synchronous response in the central-right posterior and posterior sensors in A50V and V50A conditions, respectively. The results suggested that the alpha band power reflects neuronal excitability in the auditory or visual cortex, which can modulate audiovisual temporal perception depending on the leading sense. Additionally, the SJs were modulated by the opposite phases of alpha (5-10 Hz) and low beta (14-20 Hz) bands in the A50V condition while the low beta band (14-18 Hz) in the V50A condition. One cycle of alpha or two cycles of beta oscillations matched an auditory-leading TBW of ∼86 ms, while two cycles of beta oscillations matched a visual-leading TBW of ∼105 ms. This result indicated the opposite phases in the alpha and beta bands reflect opposite cortical excitability, which modulated the audiovisual SJs. Finally, we found stronger high beta (21-28 Hz) audiovisual phase synchronization for synchronous response in the A50V condition. The phase synchrony of the beta band might be related to maintaining information flow between visual and auditory regions in a top-down manner.Significance.These results clarified whether and how the prestimulus brain state, including local neural oscillations and functional connectivity between brain regions, affects audiovisual temporal integration.

目的:如果多模态输入在一个狭窄的时间窗口(称为时间结合窗口(TBW))内,多模态整合就更有可能发生。刺激前的局部神经振荡和感觉区域内的区域间同步可以调节跨模态整合。之前的研究已经探讨了持续神经振荡在视听时间整合中的作用,但目前还没有统一的结论。本研究旨在探讨局部持续神经振荡和区域间视听同步是否会调节视听时空整合。主要结果.我们发现,在 A50V 和 V50A 条件下,同步反应中右后方中央和后方传感器的阿尔法波段功率分别较大。结果表明,α波段功率反映了听觉或视觉皮层中神经元的兴奋性,它可根据主导感官调节视听时间感知。此外,在 A50V 条件下,SJ 受α(5-10 Hz)和低β(14-20 Hz)波段相反相位的调制,而在 V50A 条件下,SJ 受低β波段(14-18 Hz)的调制。一个周期的α振荡或两个周期的β振荡与听觉领先的TBW(86毫秒)相匹配,而两个周期的β振荡与视觉领先的TBW(105毫秒)相匹配。这一结果表明,α和β波段的相反相位反映了大脑皮层相反的兴奋性,从而调节了视听 SJ。最后,我们发现在 A50V 条件下,同步反应的高贝塔(21-28 Hz)视听相位同步性更强。这些结果阐明了包括局部神经振荡和脑区之间功能连接在内的预刺激大脑状态是否以及如何影响视听时间整合。
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引用次数: 0
BRAND: a platform for closed-loop experiments with deep network models BRAND:深度网络模型闭环实验平台
IF 4 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-04-17 DOI: 10.1088/1741-2552/ad3b3a
Yahia H Ali, Kevin Bodkin, Mattia Rigotti-Thompson, Kushant Patel, Nicholas S Card, Bareesh Bhaduri, Samuel R Nason-Tomaszewski, Domenick M Mifsud, Xianda Hou, Claire Nicolas, Shane Allcroft, Leigh R Hochberg, Nicholas Au Yong, Sergey D Stavisky, Lee E Miller, David M Brandman, Chethan Pandarinath
Objective. Artificial neural networks (ANNs) are state-of-the-art tools for modeling and decoding neural activity, but deploying them in closed-loop experiments with tight timing constraints is challenging due to their limited support in existing real-time frameworks. Researchers need a platform that fully supports high-level languages for running ANNs (e.g. Python and Julia) while maintaining support for languages that are critical for low-latency data acquisition and processing (e.g. C and C++). Approach. To address these needs, we introduce the Backend for Realtime Asynchronous Neural Decoding (BRAND). BRAND comprises Linux processes, termed nodes, which communicate with each other in a graph via streams of data. Its asynchronous design allows for acquisition, control, and analysis to be executed in parallel on streams of data that may operate at different timescales. BRAND uses Redis, an in-memory database, to send data between nodes, which enables fast inter-process communication and supports 54 different programming languages. Thus, developers can easily deploy existing ANN models in BRAND with minimal implementation changes. Main results. In our tests, BRAND achieved <600 microsecond latency between processes when sending large quantities of data (1024 channels of 30 kHz neural data in 1 ms chunks). BRAND runs a brain-computer interface with a recurrent neural network (RNN) decoder with less than 8 ms of latency from neural data input to decoder prediction. In a real-world demonstration of the system, participant T11 in the BrainGate2 clinical trial (ClinicalTrials.gov Identifier: NCT00912041) performed a standard cursor control task, in which 30 kHz signal processing, RNN decoding, task control, and graphics were all executed in BRAND. This system also supports real-time inference with complex latent variable models like Latent Factor Analysis via Dynamical Systems. Significance. By providing a framework that is fast, modular, and language-agnostic, BRAND lowers the barriers to integrating the latest tools in neuroscience and machine learning into closed-loop experiments.
目的。人工神经网络(ANN)是对神经活动进行建模和解码的最先进工具,但由于现有实时框架对其支持有限,在具有严格时间限制的闭环实验中部署人工神经网络极具挑战性。研究人员需要一个完全支持高级语言的平台来运行 ANNs(如 Python 和 Julia),同时保持对低延迟数据采集和处理关键语言(如 C 和 C++)的支持。方法。为了满足这些需求,我们引入了实时异步神经解码后端(BRAND)。BRAND 由 Linux 进程(称为节点)组成,节点通过数据流在图中相互通信。它的异步设计允许在不同时间尺度的数据流上并行执行采集、控制和分析。BRAND 使用内存数据库 Redis 在节点之间发送数据,从而实现了快速的进程间通信,并支持 54 种不同的编程语言。因此,开发人员只需对 BRAND 的实现进行最小的改动,就能在 BRAND 中轻松部署现有的 ANN 模型。主要结果在我们的测试中,BRAND 在发送大量数据(1024 个通道的 30 kHz 神经数据,每块 1 毫秒)时,进程间的延迟时间为 600 微秒。BRAND 通过递归神经网络 (RNN) 解码器运行脑机接口,从神经数据输入到解码器预测的延迟时间不到 8 毫秒。在该系统的实际演示中,BrainGate2 临床试验(ClinicalTrials.gov Identifier:NCT00912041)的参与者 T11 执行了一项标准光标控制任务,其中 30 kHz 信号处理、RNN 解码、任务控制和图形都在 BRAND 中执行。该系统还支持复杂潜变量模型的实时推理,如通过动态系统进行潜因素分析。意义重大。通过提供快速、模块化和语言无关的框架,BRAND 降低了将神经科学和机器学习的最新工具集成到闭环实验中的门槛。
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引用次数: 0
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Journal of neural engineering
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