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2019 IEEE 32nd International Symposium on Computer-Based Medical Systems (CBMS)最新文献

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Volumetric Feature Learning for Query-by-Example in Medical Imaging Archives 医学影像档案中逐例查询的体积特征学习
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00038
Eduardo Pinho, J. F. Silva, C. Costa
The increasing challenges and requirements of medical image retrieval systems are leading the scientific community towards exploring modern representation methods as a means to improve clinical information retrieval as we know it. While current research tackles medical image retrieval through text-based, visual-based, or mixed approaches, representation learning can play an important role in improving retrieval capabilities by encoding medical image content into compact representations, addressing the problem of dimensionality. This paper introduces the potential of representation learning for the retrieval of high dimensionality imaging studies through automatically learned representations for regions of interest. Preliminary results are presented for feature learning through adversarial auto-encoding, based on the VISCERAL medical image retrieval benchmark.
医学图像检索系统面临的挑战和要求越来越高,这促使科学界探索现代表示方法,以改善我们所知道的临床信息检索。虽然目前的研究通过基于文本、基于视觉或混合的方法来处理医学图像检索,但表示学习可以通过将医学图像内容编码为紧凑的表示来解决维数问题,从而在提高检索能力方面发挥重要作用。本文介绍了表征学习的潜力,通过对感兴趣区域的自动学习表征来检索高维成像研究。提出了基于VISCERAL医学图像检索基准的对抗性自动编码特征学习的初步结果。
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引用次数: 3
Cluster Hidden Markov Models: An Application to Ecological Momentary Assessment of Schizophrenia 聚类隐马尔可夫模型在精神分裂症生态瞬时评估中的应用
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00030
W. Hulme, Charlotte Stockton-Powdrell, S. Lewis, G. Martin, S. Bucci, B. Parsia, A. Casson, I. Habli, Niels Peek
Ecological Momentary Assessment (EMA) tools are used to monitor the thoughts and feelings of people in their everyday lives over time. In this paper we examine the feasibility of multi-item, multi-subject Hidden Markov Models (HMMs) to identify response clusters in people with schizophrenia. Data comprise 49 participants from two randomised clinical trials using the mobile app ClinTouch, an EMA tool for daily monitoring of schizophrenia symptoms. The app was used for up to 12 weeks (median follow-up 83 days, 78% response rate). We find that a 3-cluster model with 3 states per cluster performs best amongst the configurations tested, and the feasibility of HMMs as applied to multi-item EMA data is demonstrated. However, there is substantial heterogeneity between participants within each hidden state for which sampling error due to short observation periods is a likely contributor. More data are needed to validate and refine the modelling approach taken here.
生态瞬间评估(EMA)工具用于监测人们在日常生活中随时间变化的思想和感受。本文研究了多项目、多主体隐马尔可夫模型(hmm)识别精神分裂症患者反应簇的可行性。数据包括49名参与者,来自两项随机临床试验,使用移动应用程序ClinTouch,这是一种用于日常监测精神分裂症症状的EMA工具。该应用程序的使用时间长达12周(中位随访83天,有效率78%)。我们发现,在测试的配置中,每个集群有3个状态的3簇模型表现最好,并且证明了hmm应用于多项目EMA数据的可行性。然而,在每个隐藏状态的参与者之间存在实质性的异质性,其中由于观察期短而导致的抽样误差可能是一个因素。需要更多的数据来验证和完善这里采用的建模方法。
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引用次数: 1
I Know How you Feel Now, and Here's why!: Demystifying Time-Continuous High Resolution Text-Based Affect Predictions in the Wild 我知道你现在的感受,原因如下!:在野外揭开时间连续高分辨率文本影响预测的神秘面纱
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00096
Vedhas Pandit, Maximilian Schmitt, N. Cummins, Björn Schuller
Affective computing 'in the wild' is of huge relevance to the healthcare field, like it is for many industries today. Applications of direct relevance are patient monitoring (e.g., emotional state, depression and pain monitoring), health information mining, diagnosis and opinion mining (e.g., from medical reports and drug reviews). The prevalence of the text modality in the medical field for various reasons – e.g., privacy laws, high costs and prohibitory memory requirements for audio and video data – has made the text modality the most popular. Deviating away from traditionally a classification task at a sample-level, the promising baseline results for the Audio/Visual Emotion Challenge (AVEC) 2017 make a strong case for the suitability of text data for a 'time-continuous' affect estimation. For the very first time, we present insights into the inner workings of deep learning, 'in the wild' affect-predicting, time-continuous regression model. We compute relevance of the sparse text-based bag-of-words features (BoTW) of the AVEC 2017 challenge in estimating the three affect labels, viz. arousal, valence and liking, by using a layerwise relevance propagation method(LRP). Interestingly, the trained models are found to rely more on adjectives and adverbs such as 'schlecht', 'gut', 'genau' with positive or negative connotations, and action descriptors such as and – quite analogous to the human perception of emotion expression.
“野外”的情感计算与医疗保健领域有着巨大的相关性,就像今天的许多行业一样。直接相关的应用包括患者监测(例如,情绪状态、抑郁和疼痛监测)、健康信息挖掘、诊断和意见挖掘(例如,来自医疗报告和药物审查)。由于各种原因,例如隐私法、高成本和对音频和视频数据的限制性内存要求,文本模式在医疗领域的流行使文本模式成为最受欢迎的模式。与传统的样本水平分类任务不同,2017年音频/视觉情感挑战(AVEC)的基线结果为文本数据对“时间连续”影响估计的适用性提供了强有力的证据。第一次,我们提出了深入了解深度学习的内部工作原理,“在野外”影响预测,时间连续回归模型。我们使用分层相关传播方法(LRP)计算AVEC 2017挑战中基于稀疏文本的词袋特征(BoTW)的相关性,以估计三个影响标签,即唤醒,价和喜欢。有趣的是,经过训练的模型被发现更多地依赖于带有积极或消极含义的形容词和副词,如“schlecht”、“gut”、“genau”,以及和等动作描述符,这与人类对情绪表达的感知非常相似。
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引用次数: 2
Design and Implementation of a Scalable Crowdsensing Platform for Geospatial Data of Tinnitus Patients 耳鸣患者地理空间数据可扩展众感平台的设计与实现
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00068
Robin Kraft, Ferdinand Birk, M. Reichert, A. Deshpande, W. Schlee, B. Langguth, H. Baumeister, T. Probst, M. Spiliopoulou, R. Pryss
Smart devices and low-powered sensors are becoming increasingly ubiquitous and nowadays almost all of these devices are connected, which is a promising foundation for crowdsensing of data related to various environmental phenomena. Resulting data is especially meaningful when it is related to time and location. Interestingly, many existing approaches built their solution on monolithic backends that process data on a per-request basis. However, for many scenarios, such technical setting is not suitable for managing data requests of a large crowd. For example, when dealing with millions of data points, still many challenges arise for modern smartphones if calculations or advanced visualization features must be accomplished directly on the smartphone. Therefore, the work at hand proposes an architectural design for managing geospatial data of tinnitus patients, which combines a cloudnative approach with Big Data concepts used in the Internet of Things. The presented architectural design shall serve as a generic foundation to implement (1) a scalable backend for a platform that covers the aforementioned crowdsensing requirements as well as to provide (2) a sophisticated stream processing concept to calculate and pre-aggregate incoming measurement data of tinnitus patients. Following this, this paper presents a visualization feature to provide users with a comprehensive overview of noise levels in their environment based on noise measurements. This shall help tinnitus or hearing-impaired patients to avoid locations with a burdensome sound level.
智能设备和低功耗传感器变得越来越普遍,如今几乎所有这些设备都连接在一起,这为各种环境现象相关数据的众感奠定了良好的基础。与时间和地点相关的结果数据尤其有意义。有趣的是,许多现有的方法将它们的解决方案构建在基于每个请求处理数据的单一后端上。但是,对于许多场景,这种技术设置不适合管理大量人群的数据请求。例如,当处理数百万个数据点时,如果计算或高级可视化功能必须直接在智能手机上完成,那么对于现代智能手机来说仍然存在许多挑战。因此,目前的工作提出了一种管理耳鸣患者地理空间数据的架构设计,将云原生方法与物联网中使用的大数据概念相结合。本文提出的架构设计将作为实现(1)覆盖上述众感需求的平台的可扩展后端以及提供(2)复杂的流处理概念来计算和预聚合耳鸣患者的传入测量数据的通用基础。在此之后,本文提出了一个可视化功能,为用户提供基于噪声测量的环境中噪声水平的全面概述。这将有助于耳鸣或听力受损的患者避免有负担的声音水平的地方。
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引用次数: 8
A Supervised Methodology for Analyzing Dysregulation in Splicing Machinery: An Application in Cancer Diagnosis 一种分析剪接机制失调的监督方法:在癌症诊断中的应用
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00035
O. R. Pupo, R. Luque, J. Castaño, S. Ventura
Deregulated splicing factors have shown to be associated with the development of several types of cancer and, therefore, the determination of such alterations can help the development of tumor-specific molecular targets for early prognosis and therapy. Determining the relevant splicing factors, however, is not a straightforward task mainly due to the heterogeneity of tumors and the variability across samples. In this work, a methodology based on supervised machine learning methods is proposed, allowing the determination of subsets of relevant factors that best discriminate samples. The methodology comprises three main phases: first, a ranking of splicing factors is determined by means of applying feature weighting algorithms; second, the best subset of factors that allows the induction of an accurate classifier is detected; then the confidence over the induced classifier is assessed by means of explaining the individual predictions. Finally, the utility and benefit of the proposed methodology are illustrated by means of analyzing a small dataset of neuroendocrine lung carcinoids, and the results showed that there exist small subsets of deregulated factors which can effectively distinguish between tumor samples and their respective adjacent non-tumor tissues.
不受控制的剪接因子已被证明与几种癌症的发展有关,因此,确定这种改变可以帮助开发肿瘤特异性分子靶点,用于早期预后和治疗。然而,确定相关的剪接因子并不是一项简单的任务,主要是由于肿瘤的异质性和样本的可变性。在这项工作中,提出了一种基于监督机器学习方法的方法,允许确定最能区分样本的相关因素子集。该方法包括三个主要阶段:首先,通过应用特征加权算法确定拼接因子的排序;其次,检测允许诱导准确分类器的因素的最佳子集;然后通过解释个体预测来评估对诱导分类器的置信度。最后,通过对一个小型神经内分泌类肺癌数据集的分析,说明了该方法的实用性和优势,结果表明,存在少量的去调控因子子集,可以有效地区分肿瘤样本及其邻近的非肿瘤组织。
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引用次数: 2
iASiS: Towards Heterogeneous Big Data Analysis for Personalized Medicine iASiS:面向个性化医疗的异构大数据分析
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00032
Anastasia Krithara, F. Aisopos, Vassiliki Rentoumi, A. Nentidis, K. Bougiatiotis, Maria-Esther Vidal, Ernestina Menasalvas Ruiz, A. R. González, E. Samaras, P. Garrard, M. Torrente, M. P. Pulla, Nikos Dimakopoulos, R. Mauricio, Jordi Rambla De Argila, G. Tartaglia, G. Paliouras
The vision of IASIS project is to turn the wave of big biomedical data heading our way into actionable knowledge for decision makers. This is achieved by integrating data from disparate sources, including genomics, electronic health records and bibliography, and applying advanced analytics methods to discover useful patterns. The goal is to turn large amounts of available data into actionable information to authorities for planning public health activities and policies. The integration and analysis of these heterogeneous sources of information will enable the best decisions to be made, allowing for diagnosis and treatment to be personalised to each individual. The project offers a common representation schema for the heterogeneous data sources. The iASiS infrastructure is able to convert clinical notes into usable data, combine them with genomic data, related bibliography, image data and more, and create a global knowledge base. This facilitates the use of intelligent methods in order to discover useful patterns across different resources. Using semantic integration of data gives the opportunity to generate information that is rich, auditable and reliable. This information can be used to provide better care, reduce errors and create more confidence in sharing data, thus providing more insights and opportunities. Data resources for two different disease categories are explored within the iASiS use cases, dementia and lung cancer.
IASIS项目的愿景是将生物医学大数据浪潮转化为决策者可操作的知识。这是通过集成来自不同来源的数据来实现的,包括基因组学、电子健康记录和参考书目,并应用高级分析方法来发现有用的模式。目标是将大量现有数据转化为可操作的信息,供当局规划公共卫生活动和政策。对这些不同来源的信息进行整合和分析,将有助于做出最佳决策,从而实现对每个人的个性化诊断和治疗。该项目为异构数据源提供了一个通用的表示模式。iASiS基础设施能够将临床记录转换为可用数据,将其与基因组数据、相关书目、图像数据等结合起来,并创建一个全球知识库。这促进了智能方法的使用,以便发现跨不同资源的有用模式。使用数据的语义集成为生成丰富、可审计和可靠的信息提供了机会。这些信息可用于提供更好的护理,减少错误,并在共享数据方面建立更大的信心,从而提供更多的见解和机会。在iASiS用例中探索了两种不同疾病类别的数据资源,即痴呆症和肺癌。
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引用次数: 11
ECG Feature Extraction and Ventricular Fibrillation (VF) Prediction using Data Mining Techniques 基于数据挖掘技术的心电特征提取和心室颤动(VF)预测
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00014
Allan Calderon, A. Pérez-Pérez, J. P. Valente
Chronic diseases require ongoing care to improve patients' quality of life. Large amounts of public and private investment are consumed in dealing with issues like employee absenteeism, early retirement and social spending. Nowadays, it is estimated that 12% of natural deaths occur suddenly of which 88% are of cardiac origin. Early heart beat anomalies detection plays a key role in preventing cardiac diseases. This paper proposes the use of time series data mining to extract relevant electrocardiogram (ECG) features to predict the probability of ventricular fibrillation (VF) events. Decision trees, k-nearest neighbors, support vector machines, logistic regression and neural networks have been applied to ECG data. Different feature sets have been proposed and evaluated combining different beat sequences lengths (1, 3, 6 or 9 beats), ECG data points (P, Q, R, S, T) and segments (PS, QT, ST, PR and RR). These data mining models could be implemented in computer-aided diagnosis (CAD) systems to evaluate long-term ECG data of a patient and identify VF events in advance.
慢性疾病需要持续护理以改善患者的生活质量。大量的公共和私人投资被用于处理员工缺勤、提前退休和社会支出等问题。如今,据估计,12%的自然死亡是突然发生的,其中88%是心脏原因。早期发现心跳异常对预防心脏疾病起着关键作用。本文提出利用时间序列数据挖掘提取相关心电图特征来预测心室颤动(VF)事件发生的概率。决策树、k近邻、支持向量机、逻辑回归和神经网络已被应用于心电数据。结合不同的心跳序列长度(1、3、6或9拍)、ECG数据点(P、Q、R、S、T)和段(PS、QT、ST、PR和RR),提出并评估了不同的特征集。这些数据挖掘模型可以在计算机辅助诊断(CAD)系统中实现,以评估患者的长期ECG数据并提前识别VF事件。
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引用次数: 5
Interpretable Patient Trajectories from Temporally Annotated Health Records 可解释的病人轨迹从时间注释健康记录
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00112
Martí Zamora, Ricard Gavaldà
By a trajectory, in the medical world, we mean the sequence of clinical events that occur to a patient in some time frame, as implicitly stored in patients' Electronical Health Records. A set of trajectories can be summarized in a trajectory graph, whose paths contain the most common trajectories followed by patients. The graph contains events on its nodes and the edges indicate the temporal relations. Previous works on building trajectory graphs only allow for one event at each node, and conversely for an event type to appear in only one node, thus losing information and potentially mixing different groups of patients. Here we develop a procedure to extract the trajectory graphs that goes beyond both limitations, thus more accurately reflecting the original dataset. In addition, it is close to a notion of patient state which clinicians use intuitively, facilitating interpretation. We evaluate the procedure on two real-world datasets, one related to diagnostics at hospital admissions, and the other on prescriptions in intensive care units, with reasonable and potentially useful results. The method is described here in the medical context only, but it is of general applicability for sequences of events.
在医学领域,我们所说的轨迹是指在某个时间框架内发生在患者身上的临床事件的序列,这些事件隐式地存储在患者的电子健康记录中。一组轨迹可以总结为一个轨迹图,其路径包含了患者最常见的轨迹。图的节点上包含事件,边缘表示时间关系。以前构建轨迹图的工作只允许在每个节点上出现一个事件,相反,一个事件类型只出现在一个节点上,从而丢失信息并可能混合不同的患者组。在这里,我们开发了一个程序来提取超越这两个限制的轨迹图,从而更准确地反映原始数据集。此外,它接近于临床医生直观使用的患者状态概念,便于解释。我们在两个真实世界的数据集上评估了该程序,一个与医院住院诊断有关,另一个与重症监护病房的处方有关,得出了合理且可能有用的结果。此方法仅在医学背景下描述,但它一般适用于事件序列。
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引用次数: 0
Obesity Entity Extraction from Real Outpatient Records: When Learning-Based Methods Meet Small Imbalanced Medical Data Sets 从真实门诊记录中提取肥胖实体:当基于学习的方法满足小型不平衡医疗数据集时
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00087
Yihan Deng, Peter Dolog, Jörn-Markus Gass, K. Denecke
The postoperative health status of an obesity patient indicates the outcome of the surgical treatment. By each postoperative revisit, physicians need to go through the previous patient records to recall the patient status and to evaluate the postoperative risk of readmission. In order to support in this process, we develop a method to extract indicators and to analyse weight changes, so that potential complications and risks of clinical readmission can be recognized timely. In this paper, we will compare two approaches that are based on traditional machine learning and neural networks. Relevant aspects referring to a health status change or treatment-relevant aspects are extracted from the outpatient medical records as they are generated for each postoperative revisit. The performance of traditional machine learning on the task of obesity-related entity extraction is compared with one variation of attentive recurrent neural networks. The ensemble classifier of binary attentive bi-LSTM with the data balancing using conditional generative adversarial networks (CGAN) has achieved F1 measure of 86.5% on the task of classification of eight classes of obesity-related entities. We conclude that for processing a small data set using neural networks, a data balancing method should firstly be applied to achieve an extended corpus and a general representation, which can apparently increase the differentiability of the input data. A fine-tuning in the networks can provide further enhancement of the performance.
肥胖患者的术后健康状况预示着手术治疗的结果。每次术后重访时,医生需要通过以往的患者记录来回顾患者的状态,并评估术后再入院的风险。为了支持这一过程,我们开发了一种提取指标和分析体重变化的方法,以便及时识别临床再入院的潜在并发症和风险。在本文中,我们将比较基于传统机器学习和神经网络的两种方法。相关方面指的是健康状况的变化或与治疗相关的方面,从门诊病历中提取,因为它们是为每次术后重访产生的。将传统机器学习在肥胖相关实体提取任务上的表现与关注递归神经网络的一种变体进行了比较。基于条件生成对抗网络(CGAN)的数据平衡二元关注双lstm集成分类器在8类肥胖相关实体分类任务上取得了86.5%的F1测度。我们得出结论,对于使用神经网络处理小数据集,首先应该采用数据平衡方法来实现扩展语料库和一般表示,这可以明显提高输入数据的可微性。对网络进行微调可以进一步提高性能。
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引用次数: 4
Towards an Analysis of Post-Transcriptional Gene Regulation in Psoriasis via microRNAs using Machine Learning Algorithms 利用机器学习算法通过microrna分析银屑病转录后基因调控
Pub Date : 2019-06-05 DOI: 10.1109/CBMS.2019.00125
Jordi Carrere-Molina, L. Subirats, Jordi Casas-Roma
Single Nucleotide Polymorphisms (SNPs) are the most common inter-individual variations in the human being. They gained popularity with the irruption of Next Generation Sequencing (NGS) as disease biomarkers for diagnosis and/or prognosis using Genome-Wide Association Study. They are along the genome but mostly in the non-coding regions. In these cases, SNPs may affect regulatory regions, such as promoters, enhancers or microRNA (miRNA) binding sites. miRNAs are short non-coding RNAs, that are estimated to regulate up to 60% of gene expression at the post-transcriptional level. It is well known they are implied in many diseases by misregulating the expression of genes. New computational technologies allow extracting more information from RNA-Seq data, being able not only to measure the gene expression but also mapping SNPs on the genome. To understand and model the effects of this type of RNAs in disease phenotype, machine learning algorithms will be trained using SNPs located in the 3'UTR (UnTranslated Region) of deregulated genes to find biomarkers and describe the mechanism of action.
单核苷酸多态性(snp)是人类最常见的个体间变异。它们随着下一代测序(NGS)作为疾病生物标志物的使用全基因组关联研究的诊断和/或预后而受到欢迎。它们沿着基因组分布,但大多在非编码区。在这些情况下,snp可能会影响调控区域,如启动子、增强子或microRNA (miRNA)结合位点。mirna是短的非编码rna,据估计在转录后水平上调节高达60%的基因表达。众所周知,在许多疾病中,它们都是通过基因表达的失调而隐含的。新的计算技术可以从RNA-Seq数据中提取更多信息,不仅可以测量基因表达,还可以绘制基因组上的snp。为了理解和模拟这种类型的rna在疾病表型中的作用,机器学习算法将使用位于非调控基因的3'UTR(非翻译区)的snp进行训练,以寻找生物标记物并描述作用机制。
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引用次数: 0
期刊
2019 IEEE 32nd International Symposium on Computer-Based Medical Systems (CBMS)
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