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2015 IEEE International Symposium on Medical Measurements and Applications (MeMeA) Proceedings最新文献

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A new ultrasound parameter for osteoporosis diagnosis: Clinical validation on normal- and under-weight women 一种新的骨质疏松诊断超声参数:正常和体重不足妇女的临床验证
S. Casciaro, F. Conversano, P. Pisani, A. Greco, A. Lay-Ekuakille, M. Muratore
Aim of this work was to evaluate the effectiveness of a recently introduced ultrasound (US) method for osteoporosis diagnosis, when extensively used in a clinical context to investigate adult women of variable age. A total of 384 female patients (46-65 years; body mass index <; 25 kg/m2) underwent a spinal dual X-ray absorptiometry (DXA) and an abdominal US scan of lumbar spine, acquiring both echographic images and unprocessed radiofrequency signals. US data were analyzed through a new fully automatic algorithm, which performed a series of spectral and statistical analyses to calculate the parameter called Osteoporosis Score (O.S.). Diagnostic effectiveness of O.S. was assessed through a direct comparison with DXA measurements (assumed as the gold standard reference), quantifying the agreement between the two methods through accuracy calculation, Cohen's kappa (k) and Pearson correlation coefficient (r). The overall accuracy of O.S.-based diagnoses resulted 84.6%, ranging from a minimum of 81.7% for the oldest patients (aged in 61-65 y) to a maximum of 87.2% for the youngest patients (aged in 46-50 y). Cohen's kappa showed an analogous trend, confirming a significant agreement between DXA and US-based diagnoses along the whole considered age interval (k=0.758, p<;0.0001). A good correlation was also found between O.S.-derived BMD values and corresponding DXA measurements (r=0.72, p<;0.001). These results demonstrated that US-measured O.S. is significantly correlated with spinal BMD in normal- and under-weight adult women belonging to a wide age interval. Therefore, the routine clinical application of this innovative approach to osteoporosis diagnosis can be envisioned.
这项工作的目的是评估最近引入的超声(US)方法对骨质疏松症诊断的有效性,当广泛用于临床背景下调查不同年龄的成年妇女时。共384例女性患者(46 ~ 65岁;体重指数<;25 kg/m2)接受脊柱双x线吸收仪(DXA)和腰椎腹部超声扫描,获得超声图像和未经处理的射频信号。美国的数据通过一种新的全自动算法进行分析,该算法进行了一系列光谱和统计分析,以计算骨质疏松症评分(O.S.)参数。通过与DXA测量(假设为金标准参考)的直接比较来评估O.S.的诊断有效性,通过准确性计算、Cohen’s kappa (k)和Pearson相关系数(r)来量化两种方法之间的一致性。基于O.S.的诊断总体准确性为84.6%。从年龄最大的患者(61-65岁)最小的81.7%到年龄最小的患者(46-50岁)最大的87.2%。Cohen的kappa显示了类似的趋势,证实了DXA和基于美国的诊断在整个考虑的年龄区间之间的显著一致性(k=0.758, p<;0.0001)。在os导出的BMD值与相应的DXA测量值之间也发现了良好的相关性(r=0.72, p<;0.001)。这些结果表明,在广泛的年龄范围内,体重正常和体重不足的成年女性中,美国测量的O.S.与脊柱骨密度显著相关。因此,可以设想这种创新方法在骨质疏松症诊断中的常规临床应用。
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引用次数: 1
Big data analytics to identify deceleration characteristics of an older driver 大数据分析,识别老司机的减速特征
R. B. Wallace, Akshay Puli, R. Goubran, F. Knoefel, S. Marshall, M. Porter, Andrew Smith
This paper presents the analysis of all driving by a single (female) older diver over a one year period from the Candrive project. Data analytics techniques have been applied to this unique big data set that includes 1 Hz sampled Global Positioning System (GPS) and Geographic Information System (GIS) data and includes the analysis of 1562 trips covering 13,425 km. The driver is known to have stable general, cognitive and physical health through clinical testing at the start and end of the 1 year period. The paper specifically explores the deceleration habits of the driver by locating all deceleration events over the period with a net velocity drop of 4km/hr or more resulting in 24,794 events being identified. The paper finds that the mean and minimum deceleration values for the events, both have two phases where the deceleration values increase with the size of the velocity drop (-0.252 and -0.0593 hr·m/km·s2 respectively) until the drop exceeds 27.5km/hr and then the second phase has a much lower slope (-0.027 and -0.0053 hr·m/km·s2 respectively). Subsets of the deceleration events such as posted speed limit on road and decelerations ending with a stopped vehicle exhibit the same two phase relationship. The two phases and their transition are attributes of the deceleration habits for the driver that may potentially be used to distinguish between drivers of a vehicle.
本文介绍了在Candrive项目的一年中,由一名单身(女性)老年潜水员驾驶的所有分析。数据分析技术已应用于这一独特的大数据集,其中包括1 Hz采样的全球定位系统(GPS)和地理信息系统(GIS)数据,包括对1562次旅行的分析,覆盖13425公里。在1年期间的开始和结束时,通过临床测试,驾驶员的一般、认知和身体健康状况稳定。本文通过定位净速度下降4公里/小时或以上的所有减速事件,从而确定了24,794个事件,专门探讨了驾驶员的减速习惯。研究发现,事件的平均减速值和最小减速值都有两个阶段,减速值随着速度下降的大小而增加(分别为-0.252和-0.0593 hr·m/km·s2),直到速度下降超过27.5km/hr,然后第二个阶段的斜率要小得多(分别为-0.027和-0.0053 hr·m/km·s2)。减速事件的子集,如道路限速和以停车结束的减速,表现出相同的两相关系。这两个阶段及其转换是驾驶员减速习惯的属性,可以潜在地用于区分车辆驾驶员。
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引用次数: 13
Non-contact assessment of muscle contraction: Laser Doppler Myography 非接触评估肌肉收缩:激光多普勒肌图
S. Casaccia, L. Scalise, L. Casacanditella, E. P. Tomasini, J. Rohrbaugh
Electromyography (EMG) is the gold-standard technique used for the evaluation of muscle activity and contraction. The EMG signal supports analysis of a number of important parameters including amplitude and duration, engagement of motor units, and functional characteristics associated with factors such a force production and fatigue. Recently, a novel measurement method (Laser Doppler Myography, LDM) for the non-contact assessment of muscle activity has been proposed to measure the vibro-mechanical behavior of the muscles that conventionally is referred to as the mechanomyogram (MMG). The fact that contracting skeletal muscles produce vibrations and sounds has been known for more than three centuries. The aim of this study is to report on the LDM technique and to evaluate its capacity to measure without contact some characteristics properties of skeletal muscle contractions. This is accomplished with the very high vibration sensitivity inherent in the Laser Doppler Vibrometry method (in comparison to commonly used devices such as microphones, piezo electric pressure sensors, and accelerometers). Data measured by LDM are compared with signals measured using standard surface EMG (sEMG) which requires the use of skin electrodes. sEMG and LDM signals are simultaneously acquired and processed. The LDM and sEMG signals are compared with respect to the critical features of muscle activation timing, signal amplitude and force production. LDM appears to be a reliable and promising technique that allows measurement without the need for contact with the patient skin. LDM has additional potential advantages in terms of sensor properties, insofar as there are no significant issues relating to bandwidth or sensor resonance, and no mass loading is applied to the skin.
肌电图(EMG)是用于评估肌肉活动和收缩的黄金标准技术。肌电图信号支持对许多重要参数的分析,包括振幅和持续时间,运动单元的接合,以及与力产生和疲劳等因素相关的功能特征。最近,一种新的测量方法(激光多普勒肌图,LDM)被提出用于非接触评估肌肉活动,以测量肌肉的振动力学行为,传统上被称为机械肌图(MMG)。骨骼肌收缩会产生振动和声音,这一事实在三个多世纪前就已为人所知。本研究的目的是报道LDM技术,并评估其无接触测量骨骼肌收缩的一些特征特性的能力。这是通过激光多普勒测振法固有的非常高的振动灵敏度来实现的(与常用的设备如麦克风、压电压力传感器和加速度计相比)。LDM测量的数据与需要使用皮肤电极的标准表面肌电信号(sEMG)测量的信号进行比较。同时采集和处理表面肌电信号和LDM信号。LDM和sEMG信号在肌肉激活时间、信号幅度和力产生等关键特征方面进行了比较。LDM似乎是一种可靠和有前途的技术,它允许测量而不需要与患者皮肤接触。LDM在传感器性能方面具有额外的潜在优势,因为没有与带宽或传感器谐振相关的重大问题,并且没有施加到皮肤上的质量负载。
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引用次数: 9
Power harvesting integrated in a knee implant for autonomous sensors implanted in human body 能量收集集成在膝关节植入物中,用于植入人体的自主传感器
D. Marioli, E. Sardini, M. Serpelloni
This paper describes an energy harvesting system (EHS) composed of an electromechanical generator (EMG) and a dedicated energy management circuit integrable in a human total knee prosthesis, in which the mechanical energy from the knee joint is converted into electrical energy. Since the energy supplied by the proposed EMG is discontinuous in time, a tailored energy management circuit is necessary to adapt the harvested energy to the load energy requirements. The electromechanical generator is composed by two series of NdFeB magnets positioned into each condyle and a coil, placed in the pin of the tibial insert, which collects the magnetic flux variations, generated by the knee movements. A total knee replacement (TKR) prototype has been developed and realized in order to reproduce the knee mechanics. Therefore, electrical performances have been evaluated, at the first, measuring the EMG open circuit voltage by means of a high impedance buffer amplifier, and, subsequently, connecting the EMG to the energy management circuit able to manage the produced energy and to power an implanted circuit for force measurement inside the human knee. The tests showed that the EHS is able to supply the measuring circuit guaranteeing a tension between 2.45 V and 2.15 V for 25 ms almost every 1.5 s with a walking velocity of 1 Hz. The tests successfully demonstrate the possibility to power a measurement circuit transmitting the measurement data outside the prosthesis every about one-step and half.
介绍了一种可集成于人体全膝关节假体中的能量收集系统,该系统由机电发电机和专用能量管理电路组成,将膝关节的机械能转化为电能。由于所提出的肌电图提供的能量在时间上是不连续的,因此需要一个定制的能量管理电路来调整所收集的能量以适应负载的能量需求。机电发电机由放置在每个髁上的两组钕铁硼磁铁和放置在胫骨插入物销上的线圈组成,该线圈收集膝关节运动产生的磁通量变化。为了再现膝关节的力学特性,研制并实现了全膝关节置换术的原型。因此,电学性能已被评估,首先,测量肌电信号开路电压通过一个高阻抗缓冲放大器,然后,将肌电信号连接到能量管理电路,能够管理产生的能量,并为植入电路供电,用于人体膝盖内的力测量。测试表明,EHS能够以1 Hz的行走速度,几乎每1.5 s提供25 ms的测量电路,保证2.45 V至2.15 V之间的张力。测试成功地证明了为测量电路供电的可能性,每隔一步半就可以在假肢外传输测量数据。
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引用次数: 5
Study on the use of AFM to make traceable measurements of lipoproteins size distribution 利用原子力显微镜可溯源测量脂蛋白大小分布的研究
A. Demichelis, C. Divieto, L. Mortati, M. Sassi, G. Sassi
Lipids and lipoproteins concentration in human plasma are directly correlated to the risk of C cardiovascular diseases. Enumeration of certain classes of lipoproteins by their size, e.g. mean and modal diameter, wants to be developed in alternative of the traditionally used method based of their density. Traceable size measurement of certified nanospheres were performed by AFM, obtaining resolution better than 1 nm; size measurement of spheres organized in line allowed to improve accuracy of the mean diameter measured, single entity measurement allowed to design the size distribution experiment. VLDL lipotroteins were imaged to perform size distribution measurement. A preliminary list of main uncsize distribution given.
人血浆中的脂质和脂蛋白浓度与心血管疾病的风险直接相关。通过它们的大小(例如平均直径和模态直径)来枚举某些类型的脂蛋白,希望取代传统上使用的基于它们密度的方法。采用原子力显微镜(AFM)对经认证的纳米球进行可追溯尺寸测量,获得了优于1 nm的分辨率;按直线排列的球体尺寸测量可以提高测量平均直径的精度,单实体测量可以设计尺寸分布实验。VLDL脂蛋白成像进行尺寸分布测量。给出了主要不均匀分布的初步列表。
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引用次数: 1
s-health as a driver towards better emergency response systems in urban environments S-health作为城市环境中更好的应急响应系统的驱动因素
C. Patsakis, Achilleas Papageorgiou, F. Falcone, A. Solanas
The unprecedented global shift towards cities is drastically changing the urban environment. With the aim to mitigate the problems that these changes may introduce , cities are gradually being transformed into the so-called “Smart Cities”. This transformation involves the deployment of numerous sensors and communication infrastructures that are used to provide better management and resource allocation. Recently, the concept of smart health (s-health) was proposed in order to bridge healthcare services with Smart Cities' infrastructures and offer novel services to the cities and their citizens. In this article we propose a new s-Health embodiment for emergency response systems in urban and sub-urban environments.
前所未有的全球向城市的转移正在彻底改变城市环境。为了缓解这些变化可能带来的问题,城市正在逐渐转变为所谓的“智能城市”。这种转变涉及部署大量传感器和通信基础设施,用于提供更好的管理和资源分配。最近,智能健康(s-health)的概念被提出,目的是将医疗保健服务与智慧城市的基础设施连接起来,为城市及其公民提供新颖的服务。在本文中,我们提出了一个新的s-Health体现在城市和城郊环境的应急响应系统。
{"title":"s-health as a driver towards better emergency response systems in urban environments","authors":"C. Patsakis, Achilleas Papageorgiou, F. Falcone, A. Solanas","doi":"10.1109/MeMeA.2015.7145201","DOIUrl":"https://doi.org/10.1109/MeMeA.2015.7145201","url":null,"abstract":"The unprecedented global shift towards cities is drastically changing the urban environment. With the aim to mitigate the problems that these changes may introduce , cities are gradually being transformed into the so-called “Smart Cities”. This transformation involves the deployment of numerous sensors and communication infrastructures that are used to provide better management and resource allocation. Recently, the concept of smart health (s-health) was proposed in order to bridge healthcare services with Smart Cities' infrastructures and offer novel services to the cities and their citizens. In this article we propose a new s-Health embodiment for emergency response systems in urban and sub-urban environments.","PeriodicalId":277757,"journal":{"name":"2015 IEEE International Symposium on Medical Measurements and Applications (MeMeA) Proceedings","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123882979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Impedance plethysmography system with inertial measurement units for motion artefact reduction: Application to continuous breath activity monitoring 用于减少运动伪影的带有惯性测量单元的阻抗容积描记系统:用于连续呼吸活动监测
E. Piuzzi, A. Capuano, S. Pisa, P. Cappa, F. Patané, S. Rossi, N. Giaquinto, G. M. D'Aucelli
This paper presents an impedance plethysmography system suitable to perform a continuous monitoring of human breath activity. The problem of motion artifact is mitigated through the use of a correction technique exploiting an additional inertial sensor able to detect movements of the arms of the subject under test. The correction algorithm is based on a simple correlation technique and only requires a very brief training at the beginning of the acquisition session, with the monitored subject performing random movements in apnea condition. Application of the proposed system to a healthy adult volunteer demonstrates the potentiality of the correction algorithm, which, thanks to its extreme simplicity and low computational cost, is a suitable candidate for implementation in a low-cost and portable monitoring system.
本文介绍了一种适合于对人体呼吸活动进行连续监测的阻抗脉搏波描记系统。运动伪像的问题是通过使用一种校正技术来减轻的,这种技术利用了一个额外的惯性传感器,能够检测被测对象手臂的运动。校正算法基于一种简单的相关技术,只需要在获取会话开始时进行非常简短的训练,被监测对象在呼吸暂停状态下进行随机运动。所提出的系统在健康成人志愿者身上的应用证明了校正算法的潜力,由于其极其简单和低计算成本,它是低成本和便携式监测系统中实现的合适人选。
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引用次数: 9
Gait rehabilitation assessment based on microwave Doppler radars embedded in walkers 基于嵌入式微波多普勒雷达的步态康复评估
O. Postolache, J. Pereira, V. Viegas, P. Girão
Human gait is a complex motion that implies the movement of different parts of the body such as arms, legs and feet, being the functional human movements' analysis indispensable for bio-mechanical diagnostic and treatment tool for clinics and rehabilitation services. During the rehabilitation process, walkers are frequently prescribed to improve the patient's stability but can also be transformed into instruments for quantitative evaluation of rehabilitation progress by embedding sensors to capture the motion characteristics. In this work, a practical approach concerning the possibilities to use microwave Doppler radars embedded in four wheels walkers for gait capture is presented. The signals acquired from the sensors are processed using time-frequency transform such as STFT. A set of gait characteristics, such as gait velocity and stride rate, are extracted based on wavelet signal processing, STFT spectrogram and moving average filtering. A set of spectrogram features is calculated to discriminate between normal and abnormal gait.
人的步态是一种复杂的运动,是指身体不同部位如手臂、腿和脚的运动,是临床和康复服务中不可缺少的生物力学诊断和治疗工具的功能性人体运动分析。在康复过程中,通常会使用助行器来提高患者的稳定性,但也可以通过嵌入传感器来捕捉运动特征,将助行器转化为定量评估康复进展的工具。在这项工作中,提出了一种实用的方法,涉及使用嵌入在四轮步行器中的微波多普勒雷达进行步态捕获的可能性。从传感器采集的信号采用时频变换(如STFT)进行处理。基于小波信号处理、STFT谱图和移动平均滤波,提取步态速度和步频等步态特征。计算一组谱图特征来区分正常和异常的步态。
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引用次数: 15
Acoustic characterization of ultrasound fields able to induce sonodynamic activity in an in vitro cancer model 超声场的声学特性能够在体外癌症模型中诱导声动力活动
G. Durando, C. Guglielmone, R. Canaparo, L. Serpe
The corner stone of cancer management is by far chemotherapy, unfortunately toxicity and undesired side-effects of these antineoplastic approach often limit its usefulness. Recently it has been found that certain dye compounds non cytopathogenic per sé, in particular porphyrins, can achieve a cytopathogenic effect when the neoplastic site is subjected to ultrasounds irradiation, this technique is referred to as sonodynamic therapy (SDT). Despite the promising results, the poor reproducibility of the treatment, due to the poor investigation between the ultrasounds field parameters and the SDT activity, hampered the development of robust treatment protocol. Therefore the aim of this work has been the characterization of high intensity ultrasound fields needed to reach the SDT activity. First, by an ultrasound generator system, an in vitro sonodynamic treatment has been performed on HT-29 cell line, previously pre-incubated with 50 μg/mL of aminilevulinic acid, therefore a complete characterization of the ultrasound field in measurement conditions has been carried out. An ONDA type AIMS III scanning tank system with needle hydrophone ONDA type has been used and the real energy that hit the cellular culture in the burette has been evaluated. During insonation process the energy supplied to the cells has been about 5 10-6 J introducing, for the first time in the sonodynamic field, a clear parameter of energy supplied to the cells.
到目前为止,癌症治疗的基石是化疗,不幸的是,这些抗肿瘤方法的毒性和不良副作用往往限制了它的有效性。近年来,人们发现某些非细胞致病性染料化合物,特别是卟啉,在肿瘤部位受到超声照射时可以达到细胞致病性作用,这种技术被称为声动力治疗(SDT)。尽管结果令人鼓舞,但由于超声场参数与SDT活性之间的研究不足,治疗的可重复性较差,阻碍了稳健治疗方案的制定。因此,这项工作的目的是表征达到SDT活性所需的高强度超声场。首先,利用超声发生器系统对HT-29细胞系进行体外声动力处理,用50 μg/mL的亚乙酰丙酸预孵育,完成了测量条件下超声场的完整表征。采用ONDA型针式水听器的ONDA型AIMS III型扫描槽系统,并对滴管中细胞培养物的实际能量进行了评估。在超声过程中,提供给细胞的能量约为5 10-6 J,首次在声动力场中引入了提供给细胞的能量的明确参数。
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引用次数: 2
Data-driven selection of motion correction techniques in breast DCE-MRI 数据驱动的乳腺DCE-MRI运动校正技术选择
Gabriele Piantadosi, S. Marrone, R. Fusco, A. Petrillo, M. Sansone, Carlo Sansone
It is well known that some sort of motion correction technique (MCT) should be performed before DCE-MRI data analysis in order to reduce movement artefacts. However, it is not clear if a single MCT can produce optimum results for every single examination, since for example different movements can occur. In this paper we investigated the possibility of choosing the best MCT per each specific patient, before performing further data analysis (e.g. tumour segmentation). In particular, our aim is the proposal of some physiological model-based quality indexes (QIs) for ranking different MCT on a patient basis. Moreover, for practical feasibility, we investigated the performance of our proposal when only a small fraction of the available data was used. We performed tests on a dataset of patients with breast tumour. Specifically, for each patient we compared the “reference ranking” of different MCT obtained by using the results of tumour segmentation with the rankings produced with each QI. Our results indicate that the ranking obtained by using the QI based on the Extended Tofts-Kermode model (with the Parker arterial input function) are in accordance with the “reference ranking”. Moreover, computational load can be significantly reduced without affecting the overall performance by using only 5% of the available data.
众所周知,在DCE-MRI数据分析之前应该进行某种运动校正技术(MCT),以减少运动伪影。然而,目前尚不清楚单一MCT是否可以为每次检查产生最佳结果,因为例如可能发生不同的运动。在本文中,我们研究了在进行进一步的数据分析(例如肿瘤分割)之前,为每个特定患者选择最佳MCT的可能性。特别是,我们的目标是提出一些基于生理模型的质量指标(QIs),以便根据患者对不同的MCT进行排名。此外,为了实际的可行性,我们研究了仅使用一小部分可用数据时我们的建议的性能。我们对乳腺肿瘤患者的数据集进行了测试。具体而言,对于每个患者,我们将使用肿瘤分割结果获得的不同MCT的“参考排名”与每个QI产生的排名进行了比较。我们的研究结果表明,基于扩展Tofts-Kermode模型(带有Parker动脉输入函数)的QI得到的排名符合“参考排名”。此外,只需使用5%的可用数据,就可以在不影响整体性能的情况下显著降低计算负载。
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引用次数: 10
期刊
2015 IEEE International Symposium on Medical Measurements and Applications (MeMeA) Proceedings
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