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Noise-Resilient Automatic Interpretation of Holter ECG Recordings 动态心电图记录的抗噪声自动解释
Pub Date : 2020-11-17 DOI: 10.5220/0010258302080214
K. Egorov, Elena Sokolova, Manvel Avetisian, A. Tuzhilin
Holter monitoring, a long-term ECG recording (24-hours and more), contains a large amount of valuable diagnostic information about the patient. Its interpretation becomes a difficult and time-consuming task for the doctor who analyzes them because every heartbeat needs to be classified, thus requiring highly accurate methods for automatic interpretation. In this paper, we present a three-stage process for analysing Holter recordings with robustness to noisy signal. First stage is a segmentation neural network (NN) with encoderdecoder architecture which detects positions of heartbeats. Second stage is a classification NN which will classify heartbeats as wide or narrow. Third stage in gradient boosting decision trees (GBDT) on top of NN features that incorporates patient-wise features and further increases performance of our approach. As a part of this work we acquired 5095 Holter recordings of patients annotated by an experienced cardiologist. A committee of three cardiologists served as a ground truth annotators for the 291 examples in the test set. We show that the proposed method outperforms the selected baselines, including two commercial-grade software packages and some methods previously published in the literature.
动态心电图监测是一种长期的心电图记录(24小时以上),包含了大量有价值的患者诊断信息。因为每一次心跳都需要分类,因此需要高度精确的自动解释方法,因此对分析它们的医生来说,它的解释是一项困难且耗时的任务。在本文中,我们提出了一个分析霍尔特记录的三阶段过程,具有对噪声信号的鲁棒性。第一步是采用编解码器结构的分割神经网络(NN)来检测心跳的位置。第二阶段是分类神经网络,它将心跳分为宽或窄。第三阶段是基于神经网络特征的梯度增强决策树(GBDT),它结合了患者特征,进一步提高了我们方法的性能。作为这项工作的一部分,我们获得了5095个病人的霍尔特记录,由一位经验丰富的心脏病专家注释。一个由三名心脏病专家组成的委员会为测试集中的291个例子提供了基本的真理注释器。我们表明,所提出的方法优于所选的基线,包括两个商业级软件包和先前在文献中发表的一些方法。
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引用次数: 1
Detecting Neonatal Seizures using Short Time Fourier Transform and Frechet Distance 短时傅里叶变换和Frechet距离检测新生儿癫痫发作
Pub Date : 2020-04-23 DOI: 10.5220/0009178703420347
A. Jeremic, D. Nikolić
Recently there has been an increase in the number of long-term cot-bed EEG systems being implemented in clinical practice in order to monitor neurological development of neonatal patients. Consequently a significant research effort has been made in the development of automatic EEG data analysis tools including but not limited to seizure detection as seizure frequency and/or intensity are one of the most important indicators of brain development. In this paper we propose to evaluate time dependent power spectral density using short time Fourier transform and using Frechet distance measure to detect presence and/or absence of seizures. We propose to use three different distance measures as they capture different properties of the corresponding PSD matrices. We evaluate the performance of the proposed algorithms using real data set obtained in the NICU of the McMaster University Hospital. In order to benchmark performance of our proposed techniques we trained and tested a support vector machine (SVM) classifier.
最近,为了监测新生儿患者的神经发育,在临床实践中实施的长期带床脑电图系统的数量有所增加。因此,在开发自动脑电图数据分析工具方面进行了重大的研究工作,包括但不限于癫痫发作检测,因为癫痫发作频率和/或强度是大脑发育最重要的指标之一。在本文中,我们提出评估时间依赖的功率谱密度使用短时傅里叶变换和使用Frechet距离测量来检测存在和/或不存在的癫痫发作。我们建议使用三种不同的距离度量,因为它们捕获了相应PSD矩阵的不同性质。我们使用麦克马斯特大学医院新生儿重症监护室获得的真实数据集评估所提出算法的性能。为了对我们提出的技术的性能进行基准测试,我们训练并测试了一个支持向量机(SVM)分类器。
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引用次数: 0
Prediction of the Impact of Physical Exercise on Knee Osteoarthritis Patients using Kinematic Signal Analysis and Decision Trees 利用运动信号分析和决策树预测运动对膝关节骨性关节炎患者的影响
Pub Date : 2020-04-12 DOI: 10.5220/0009191401150120
M. Mezghani, N. Hagemeister, M. Kouki, Y. Ouakrim, A. Fuentes, N. Mezghani
The evaluation of knee biomechanics provides valuable clinical information. This can be done by means of a knee kinesiography exam which measures the three-dimensional rotation angles during walking, thus providing objective knowledge about knee function (3D kinematics). 3D kinematic data is quantifiable information that provides opportunities to develop automatic and objective methods for personalized computer-aided treatment systems. The purpose of this study is to explore a decision tree based method for predicting the impact of physical exercise on a knee osteoarthritis population. The prediction is based on 3D kinematic data i.e., flexion/extension, abduction/adduction and internal/external rotation of the knee. Experiments were conducted on a dataset of 309 patients who have engaged in physical exercise for 6 months and have been grouped into two classes, Improved state (I) and not-Improved state (nI) based on their state before (t0) and after the exercise (t6). The method developed was able to predict I and nI patien with knee osteoarthritis using 3D kinematic data with an accuracy of 82%. Results show the effectiveness of 3D kinematic signal analysis and the decision tree technique for predicting the impact of physical exercise based on patient knee osteoarthritis pain level.
膝关节生物力学的评估提供了有价值的临床信息。这可以通过膝关节运动学检查来完成,该检查测量行走时的三维旋转角度,从而提供有关膝关节功能(3D运动学)的客观知识。三维运动学数据是可量化的信息,为个性化计算机辅助治疗系统开发自动和客观的方法提供了机会。本研究的目的是探索一种基于决策树的方法来预测体育锻炼对膝关节骨关节炎人群的影响。该预测基于三维运动学数据,即膝关节屈伸、外展/内收和内/外旋。实验以309例进行体育锻炼6个月的患者为数据集,根据运动前(10)和运动后(16)的状态分为改善状态(I)和未改善状态(nI)两类。所开发的方法能够使用3D运动学数据预测膝关节骨关节炎患者的I和nI,准确率为82%。结果表明,三维运动学信号分析和决策树技术在预测基于患者膝关节骨关节炎疼痛程度的体育锻炼影响方面是有效的。
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引用次数: 0
Detection of Abnormalities in Electrocardiogram (ECG) using Deep Learning 利用深度学习检测心电图异常
Pub Date : 2020-04-12 DOI: 10.5220/0008967302360243
J. Pestana, David Belo, H. Gamboa
The Electrocardiogram (ECG) cyclic behaviour gives insights on a subject’s emotional, behavioral and cardiovascular state, but often presents abnormal events. The noise made during the acquisition, and presence of symptomatic patterns are examples of anomalies. The proposed Deep Learning framework learns the normal ECG cycles and detects its deviation when the morphology changes. This technology is tested in two different settings having an autoencoder as base for learning features: detection of three different types of noise, and detection of six arrhythmia events. Two Convolutional Neural Network (CNN) algorithms were developed for noise detection achieving accuracies of 98.18% for a binary-class model and 70.74% for a multi-class model. The development of the arrhythmia detection algorithm also included a Gated Recurrent Unit (GRU) for grasping time-dependencies reaching an accuracy of 56.85% and an average sensitivity of 61.13%. The process of learning the abstraction of a ECG signal, currently sacrifices the accuracy for higher generalization, better discriminating the presence of abnormal events in ECG than detecting different types of events. Further improvement could represent a major contribution in symptomatic screening, active learning of unseen events and the study of pathologies to support physicians in the future.
心电图(ECG)的循环行为可以洞察受试者的情绪、行为和心血管状态,但经常出现异常事件。在采集过程中产生的噪音和症状模式的存在是异常的例子。提出的深度学习框架学习正常的心电周期,并在形态学变化时检测其偏差。该技术在两种不同的环境中进行了测试,其中自动编码器作为学习特征的基础:检测三种不同类型的噪声,检测六种心律失常事件。开发了两种卷积神经网络(CNN)算法用于噪声检测,二类模型的准确率为98.18%,多类模型的准确率为70.74%。心律失常检测算法的开发还包括一个门控循环单元(GRU),用于捕获时间依赖性,准确率为56.85%,平均灵敏度为61.13%。目前,学习心电信号抽象的过程牺牲了准确性,以获得更高的泛化,比检测不同类型的事件更好地区分心电异常事件的存在。进一步的改进可能会在症状筛查、对未见事件的主动学习和病理研究方面做出重大贡献,以支持未来的医生。
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引用次数: 4
Assessing Preferred Proximity Between Different Types of Embryonic Stem Cells 评估不同类型胚胎干细胞之间的优先接近性
Pub Date : 2020-04-12 DOI: 10.5220/0009368903770381
Minhong Wang, A. Tsanas, G. Blin, D. Robertson
Embryonic stem cells (ESCs) studies play an important role for understanding the molecular events that underlie cell lineage commitment and serve as models for the development of disease. However, the interactions between neighboring embryonic stem cells are not fully understood. Assessing proximity between different types of embryonic stem cells might provide more information about distinct behaviors of embryonic stem cells. In this study, we processed 186 cell colonies on disc constrained microdomains and 152 cell colonies on ellipse. We grouped cell colonies based on different observed patterns and grouped cells by their locations. By applying two measurements on embryonic stem cell colonies, minimum spanning tree and average distance to the five closest objects, we investigated the difference of proximity between different types of embryonic stem cells, the difference between grouped cell colonies and the difference between grouped cells. We found one type of ESC has a smaller average path based on minimum spanning tree and higher proximity than the other type. We report consistent results for different types of embryonic stem cells: these findings may be useful to set benchmarks for empirical models which replicate ESC behaviors.
胚胎干细胞(ESCs)的研究对于理解细胞谱系承诺的分子事件起着重要作用,并作为疾病发展的模型。然而,邻近的胚胎干细胞之间的相互作用还不完全清楚。评估不同类型的胚胎干细胞之间的接近性可能提供更多关于胚胎干细胞不同行为的信息。在本研究中,我们在圆盘约束微域上处理了186个细胞集落,在椭圆上处理了152个细胞集落。我们根据观察到的不同模式对细胞集落进行分组,并根据细胞的位置对细胞进行分组。通过对胚胎干细胞集落的最小生成树和到最近5个物体的平均距离的测量,研究了不同类型胚胎干细胞之间的接近度差异、分组细胞集落之间的差异以及分组细胞之间的差异。我们发现一种类型的ESC比另一种类型具有更小的基于最小生成树的平均路径和更高的接近度。我们报告了不同类型胚胎干细胞的一致结果:这些发现可能有助于为复制ESC行为的经验模型设定基准。
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引用次数: 0
Analysis of ECG and PCG Time Delay around Auscultation Sites 听诊部位周围ECG和PCG时间延迟分析
Pub Date : 2020-04-12 DOI: 10.5220/0008942602060213
X. Bao, Yansha Deng, N. Gall, E. Kamavuako
Phonocardiogram (PCG) and Electrocardiogram (ECG) are the two important signals for cardiac preliminary diagnosis. Using ECG as a reference for segmenting the PCG signal is a simple but reliable technique for the devices with integration capability of PCG and ECG recording. The aim of this work is to analyse the time delay between ECG and PCG at each auscultation site. To do so, we performed the experiments on 12 healthy subjects, where the ECG and PCG signals were collected simultaneously at two sites at each time. Our results reveal that 1) the inter-distance of the electrodes for ECG does not affect the occurrence time of the R-peak. 2) The delay between R-peak and onset of first heart sound (S1) depends on the auscultation site e.g. S1 onset occurs before the R-peak at auscultation site M. This study suggests that small integrated ECG-PCG devices can be made by reducing the distance between the ECG electrodes. In the meantime, distinguishing the auscultation location is necessary for performing more precise PCG segmentation using ECG as reference.
心音图(PCG)和心电图(ECG)是心脏初步诊断的两个重要信号。以心电为参考对心电信号进行分割是一种简单而可靠的技术,具有心电记录与心电记录的集成能力。本工作的目的是分析各听诊部位心电图和PCG之间的时间延迟。为此,我们对12名健康受试者进行了实验,每次在两个部位同时采集ECG和PCG信号。结果表明:1)心电图电极间距对r峰发生时间没有影响。2) r -峰值与第一心音(S1)发生的延迟取决于听诊部位,例如S1发生在听诊部位m的r -峰值之前。本研究建议通过缩短ECG电极之间的距离可以制造小型集成ECG- pcg设备。同时,识别听诊位置对于以心电为参考进行更精确的PCG分割是必要的。
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引用次数: 8
Source-based Multifractal Detrended Fluctuation Analysis for Discrimination of ADHD Children in a Time Reproduction Paradigm 时间复制范式下基于源的多重分形去趋势波动分析ADHD儿童的识别
Pub Date : 2020-04-12 DOI: 10.5220/0008876700380048
Shiva Khoshnoud, M. Nazari, M. Shamsi
Electroencephalography recordings have a scale-invariant structure and multifractal detrended fluctuation analysis (MF-DFA) could quantify the fluctuation dynamics of these recordings in different brain states. However, the channel-based electrical activity of the brain has low spatial resolution and considering the source-level activity patterns is a good answer for this restriction. In this work, the multifractal spectrum parameters of the channel-based EEG, as well as the corresponding source-based independent components in children with Attention Deficit Hyperactivity Disorder (ADHD) and the age-matched control group, has been investigated. Considering the perceptual timing deficit in children with ADHD, for the analysis of the multifractality, two brain states including the eyes-open rest and the time reproduction condition have been considered. The results obtained showed that switching from rest to the time reproduction condition increases the degree of multifractality and so the complexity and non-uniformity of the signal. While the channel-based multifractal properties could not significantly distinguish two groups, the results for the source-based multifractal analysis showed a significantly decreased degree of multifractality for children with ADHD in prefrontal, mid-frontal and right frontal source clusters suggesting reduced activation of these clusters in this group. Utilizing support vector machine (SVM) classifier it is found that, the sourcebased multifractal features provide a significantly higher accuracy rate of 86.67% in comparison to the channel-based measures.
脑电图记录具有标度不变结构,多重分形去趋势波动分析(MF-DFA)可以量化不同脑状态下脑电图记录的波动动态。然而,基于通道的脑电活动具有较低的空间分辨率,考虑源级活动模式是解决这一限制的一个很好的答案。本研究对注意缺陷多动障碍(ADHD)儿童和年龄匹配对照组的基于通道的EEG的多重分形谱参数及其相应的基于源的独立分量进行了研究。针对ADHD儿童的感知时间缺陷,在多重分形分析中,考虑了睁眼休息和时间复制两种大脑状态。结果表明,从静止状态切换到时间再现状态增加了信号的多重分形程度,从而增加了信号的复杂性和非均匀性。虽然基于通道的多重分形特征不能显著区分两组,但基于源的多重分形分析结果显示,ADHD儿童前额叶、中额叶和右额叶源簇的多重分形程度显著降低,表明该组儿童的这些簇的激活程度降低。利用支持向量机(SVM)分类器发现,基于源的多重分形特征与基于通道的方法相比,准确率达到了86.67%。
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引用次数: 2
An Autoregressive Multiple Model Probabilistic Framework for the Detection of SSVEPs in Brain-Computer Interfaces 脑机接口中ssvep检测的自回归多模型概率框架
Pub Date : 2020-04-12 DOI: 10.5220/0008924400680078
R. Zerafa, T. Camilleri, O. Falzon, K. Camilleri
This work investigates a novel autoregressive multiple model (AR-MM) probabilistic framework for the detection of steady-state visual evoked potentials (SSVEPs) in brain-computer interfaces (BCIs). The proposed method is compared to standard SSVEP detection techniques using a 12-class SSVEP dataset recorded from 10 subjects. The results, obtained from a single-channel analysis, reveal that the AR-MM probabilistic framework significantly improves the SSVEP detection performance compared to the standard single-channel power spectral density analysis (PSDA) method. Specifically, an average classification accuracy of 82.02 ± 16.21 % and an information transfer rate (ITR) of 48.22 ± 17.25 bpm are obtained with a 2 s period for SSVEP detection with the AR-MM probabilistic framework. These results are found to be on average only 2.29 % and 3.73 % lower in classification accuracy compared to the state-of-the-art multichannel SSVEP detection methods, specifically the canonical correlation analysis (CCA) and the filter bank canonical correlation analysis (FBCCA) methods, respectively. In terms of training, it is shown that the proposed approach requires only a few seconds of data to train each model. This study revealed the potential of using the AR-MM probabilistic approach to distinguish between different classes using single-channel SSVEP data. The proposed method is particularly appealing for practical use in real-world BCI applications where a minimal amount of channels and training data are desirable.
本文研究了一种新的自回归多模型(AR-MM)概率框架,用于检测脑机接口(bci)的稳态视觉诱发电位(ssvep)。使用来自10个受试者的12类SSVEP数据集,将所提出的方法与标准SSVEP检测技术进行了比较。单通道分析结果表明,与标准的单通道功率谱密度分析(PSDA)方法相比,AR-MM概率框架显著提高了SSVEP检测性能。其中,AR-MM概率框架对SSVEP在2 s周期内的平均分类准确率为82.02±16.21%,信息传递率(ITR)为48.22±17.25 bpm。这些结果发现,与最先进的多通道SSVEP检测方法,特别是典型相关分析(CCA)和滤波器组典型相关分析(FBCCA)方法相比,分类准确率平均仅降低2.29%和3.73%。在训练方面,该方法只需要几秒钟的数据来训练每个模型。这项研究揭示了使用AR-MM概率方法使用单通道SSVEP数据区分不同类别的潜力。所提出的方法特别适合实际使用的BCI应用,其中需要最少数量的通道和训练数据。
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引用次数: 0
Fractional Order Analysis of the Activator Model for Gene Regulation Process 基因调控过程激活因子模型的分数阶分析
Pub Date : 2020-04-12 DOI: 10.5220/0009149402960300
H. Hussein, S. Kandil, Khadeeja Amr
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引用次数: 0
Large-scale Clustering of People Diagnosed with Parkinson's Disease using Acoustic Analysis of Sustained Vowels: Findings in the Parkinson's Voice Initiative Study 使用持续元音的声学分析来诊断帕金森病患者的大规模聚类:帕金森语音倡议研究的发现
Pub Date : 2020-04-11 DOI: 10.5220/0009361203690376
A. Tsanas, S. Arora
: Progress in exploring speech and Parkinson’s Disease (PD) has been hindered due to the use of different protocols across research labs/countries, single-site studies with relatively small numbers, and no external validation. We had recently reported on the Parkinson’s Voice Initiative (PVI), a large study where we collected 19,000+ sustained vowel phonations (control and PD groups) across seven countries, under acoustically non-controlled conditions. In this study, we explored how well findings generalize in the three English-speaking PVI cohorts (data collected in Boston, Oxford, and Toronto). We acoustically characterized each sustained vowel /a/ phonation using 307 dysphonia measures which had previously been successfully employed in speech-PD applications. We used the previously identified feature subset from the Boston cohort and explored hierarchical clustering with Ward’s linkage combined with 2D-data projections using t-distributed stochastic neighbor embedding to facilitate visual exploration of PD subgroups. Furthermore, we computed feature weights using LOGO to assess feature selection consistency towards differentiating PD from controls. Overall, findings are very consistent across the three cohorts, strongly suggesting the presence of four main PD clusters, and consistent identification of key contributing features. Collectively, these findings support the generalization of sustained vowels and robustness of the presented methodology across the English-speaking PVI cohorts.
由于研究实验室/国家使用不同的方案,数量相对较少的单点研究,以及没有外部验证,研究言语和帕金森病(PD)的进展受到阻碍。我们最近报道了帕金森发声倡议(PVI),这是一项大型研究,我们在七个国家的声学非控制条件下收集了19,000多个持续元音发音(对照组和PD组)。在这项研究中,我们探讨了三个讲英语的PVI队列(数据收集于波士顿、牛津和多伦多)的研究结果的普遍性。我们使用307语音障碍测量方法对每个持续的元音/a/发声进行声学表征,这些测量方法先前已成功用于语音pd应用。我们使用了先前从波士顿队列中识别的特征子集,并探索了Ward链接的分层聚类,结合使用t分布随机邻居嵌入的2d数据投影,以促进PD子组的视觉探索。此外,我们使用LOGO计算特征权重,以评估区分PD与对照组的特征选择一致性。总的来说,三个队列的研究结果非常一致,强烈表明存在四种主要的PD集群,并一致确定了关键的贡献特征。总的来说,这些发现支持了持续元音的泛化和所提出的方法在英语PVI队列中的稳健性。
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引用次数: 4
期刊
International Conference on Bio-inspired Systems and Signal Processing
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