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Sleep Apnea Events Recognition Based on Polysomnographic Recordings: A Large-Scale Multi-Channel Machine Learning approach 基于多导睡眠记录的睡眠呼吸暂停事件识别:一种大规模多通道机器学习方法
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-28 DOI: 10.1109/OJEMB.2024.3508477
Nicolò La Porta;Stefano Scafa;Michela Papandrea;Filippo Molinari;Alessandro Puiatti
Goal: The gold standard for detecting the presence of apneic events is a time and effort-consuming manual evaluation of type I polysomnographic recordings by experts, often not error-free. Such acquisition protocol requires dedicated facilities resulting in high costs and long waiting lists. The usage of artificial intelligence models assists the clinician's evaluation overcoming the aforementioned limitations and increasing healthcare quality. Methods: The present work proposes a machine learning-based approach for automatically recognizing apneic events in subjects affected by sleep apnea-hypopnea syndrome. It embraces a vast and diverse pool of subjects, the Wisconsin Sleep Cohort (WSC) database. Results: An overall accuracy of 87.2$pm$1.8% is reached for the event detection task, significantly higher than other works in literature performed over the same dataset. The distinction between different types of apnea was also studied, obtaining an overall accuracy of 62.9$pm$4.1%. Conclusions: The proposed approach for sleep apnea events recognition, validated over a wide pool of subjects, enlarges the landscape of possibilities for sleep apnea events recognition, identifying a subset of signals that improves State-of-the-art performance and guarantees simple interpretation.
目标:检测呼吸暂停事件存在的黄金标准是由专家对I型多导睡眠图记录进行耗时费力的人工评估,通常不是没有错误的。这种收购协议需要专用设施,导致成本高,等待名单长。人工智能模型的使用有助于临床医生的评估,克服上述局限性,提高医疗质量。方法:本工作提出了一种基于机器学习的方法来自动识别受睡眠呼吸暂停低通气综合征影响的受试者的呼吸暂停事件。它包含了一个庞大而多样的研究对象,威斯康星睡眠队列(WSC)数据库。结果:事件检测任务的总体准确率达到87.2$pm$1.8%,显著高于在相同数据集上进行的其他文献工作。对不同类型呼吸暂停的区分也进行了研究,总体准确率为62.9$pm$4.1%。结论:提出的睡眠呼吸暂停事件识别方法,在广泛的受试者中得到验证,扩大了睡眠呼吸暂停事件识别的可能性,识别了一个信号子集,提高了最先进的性能,并保证了简单的解释。
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引用次数: 0
Synthetic Data Generation via Generative Adversarial Networks in Healthcare: A Systematic Review of Image- and Signal-Based Studies 通过生成对抗网络在医疗保健中的合成数据生成:基于图像和信号的研究的系统回顾
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-28 DOI: 10.1109/OJEMB.2024.3508472
Muhammed Halil Akpinar;Abdulkadir Sengur;Massimo Salvi;Silvia Seoni;Oliver Faust;Hasan Mir;Filippo Molinari;U. Rajendra Acharya
Generative Adversarial Networks (GANs) have emerged as a powerful tool in artificial intelligence, particularly for unsupervised learning. This systematic review analyzes GAN applications in healthcare, focusing on image and signal-based studies across various clinical domains. Following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, we reviewed 72 relevant journal articles. Our findings reveal that magnetic resonance imaging (MRI) and electrocardiogram (ECG) signal acquisition techniques were most utilized, with brain studies (22%), cardiology (18%), cancer (15%), ophthalmology (12%), and lung studies (10%) being the most researched areas. We discuss key GAN architectures, including cGAN (31%) and CycleGAN (18%), along with datasets, evaluation metrics, and performance outcomes. The review highlights promising data augmentation, anonymization, and multi-task learning results. We identify current limitations, such as the lack of standardized metrics and direct comparisons, and propose future directions, including the development of no-reference metrics, immersive simulation scenarios, and enhanced interpretability.
生成对抗网络(GANs)已经成为人工智能领域的一个强大工具,特别是在无监督学习方面。这篇系统综述分析了GAN在医疗保健中的应用,重点是在不同临床领域的基于图像和信号的研究。根据系统评价和荟萃分析的首选报告项目(PRISMA)指南,我们回顾了72篇相关的期刊文章。我们的研究结果显示,磁共振成像(MRI)和心电图(ECG)信号采集技术被使用最多,而脑部研究(22%)、心脏病学(18%)、癌症(15%)、眼科(12%)和肺部研究(10%)是研究最多的领域。我们讨论了关键的GAN架构,包括cGAN(31%)和CycleGAN(18%),以及数据集、评估指标和性能结果。该综述强调了有前景的数据增强、匿名化和多任务学习结果。我们确定了当前的局限性,例如缺乏标准化指标和直接比较,并提出了未来的方向,包括无参考指标的发展,沉浸式模拟场景,以及增强的可解释性。
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引用次数: 0
Contactless Detection of Abnormal Breathing Using Orthogonal Frequency Division Multiplexing Signals and Deep Learning in Multi-Person Scenarios 基于正交频分复用信号和深度学习的非接触式呼吸异常检测
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-26 DOI: 10.1109/OJEMB.2024.3506914
Muneeb Ullah;Xiaodong Yang;Zhiya Zhang;Tong Wu;Nan Zhao;Lei Guan;Malik Muhammad Arslan;Akram Alomainy;Hafiza Maryum Ishfaq;Qammer H. Abbasi
Objective: Contactless detection and classification of abnormal respiratory patterns is challenging, especially in multi-person scenarios. While Software-Defined Radio (SDR) systems have shown promise in capturing subtle respiratory movements, the presence of multiple people introduces interference and complexity, making it difficult to distinguish individual breathing patterns, particularly when subjects are close together or have similar respiratory conditions. Results: This paper presents a contactless, non-invasive system for monitoring and classifying abnormal breathing patterns in both single and multi-person scenarios using orthogonal frequency division multiplexing (OFDM) signals and deep learning techniques. The system automatically detects various respiratory patterns, such as whooping cough, Acute Cough, eupnea, Bradypnea, tachypnea, Biot's, sighing, Cheyne-Stokes, Kussmaul, CSA, and OSA. Using SDR technology, the system leverages OFDM signals to detect subtle respiratory movements, allowing real-time classification in different environments. A hybrid deep learning model, VGG16-GRU, combining convolutional neural networks (CNNs) and gated recurrent units (GRUs), was developed to capture both spatial and temporal features of continuous respiratory data. The model successfully classified 11 distinct breathing patterns with high accuracy, achieving an overall accuracy of 99.07%, precision of 99.08%, recall of 99.09%, and an F1-score of 99.07%. The dataset, collected in an office environment, includes complex scenarios with multiple subjects, demonstrating the system's effectiveness in distinguishing individual breathing patterns, even in multi-person settings. Conclusions: This research advances contactless respiratory monitoring by offering a reliable, scalable solution for real-time detection and classification of respiratory conditions. It has significant implications for the development of automated diagnostic tools for respiratory disorders, offering potential benefits for clinical and healthcare applications. Future work will expand the dataset and refine the models to improve performance across diverse respiratory patterns and real-world data from a respiratory unit.
目的:异常呼吸模式的非接触式检测和分类具有挑战性,特别是在多人情况下。虽然软件定义无线电(SDR)系统在捕捉细微的呼吸运动方面表现出了希望,但多个人的存在会带来干扰和复杂性,使个体呼吸模式难以区分,特别是当受试者靠近或呼吸条件相似时。结果:本文提出了一种非接触式、非侵入式的系统,用于监测和分类单人和多人场景下的异常呼吸模式,该系统使用正交频分复用(OFDM)信号和深度学习技术。该系统自动检测各种呼吸模式,如百日咳、急性咳嗽、呼吸暂停、呼吸缓慢、呼吸急促、Biot、叹气、Cheyne-Stokes、Kussmaul、CSA和OSA。利用SDR技术,系统利用OFDM信号检测细微的呼吸运动,允许在不同环境下进行实时分类。结合卷积神经网络(cnn)和门控循环单元(gru),开发了一种混合深度学习模型VGG16-GRU,用于捕获连续呼吸数据的时空特征。该模型以较高的准确率成功分类了11种不同的呼吸模式,总体准确率为99.07%,准确率为99.08%,召回率为99.09%,f1得分为99.07%。该数据集是在办公环境中收集的,包括多个主体的复杂场景,证明了该系统在区分个体呼吸模式方面的有效性,即使在多人环境中也是如此。结论:该研究通过提供可靠的、可扩展的实时检测和呼吸条件分类解决方案,推进了非接触式呼吸监测。它对呼吸系统疾病的自动诊断工具的开发具有重要意义,为临床和医疗保健应用提供了潜在的好处。未来的工作将扩展数据集并改进模型,以提高不同呼吸模式和来自呼吸单元的真实世界数据的性能。
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引用次数: 0
Surface-Based Ultrasound Scans for the Screening of Prostate Cancer 基于表面的超声扫描筛查前列腺癌
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-20 DOI: 10.1109/OJEMB.2024.3503494
Rory Bennett;Tristan Barrett;Vincent J. Gnanapragasam;Zion Tse
Surface-based ultrasound (SUS) systems have undergone substantial improvement over the years in image quality, ease-of-use, and reduction in size. Their ability to image organs non-invasively makes them a prime technology for the diagnosis and monitoring of various diseases and conditions. An example is the screening/risk- stratification of prostate cancer (PCa) using prostate-specific antigen density (PSAD). Current literature predominantly focuses on prostate volume (PV) estimation techniques that make use of magnetic resonance imaging (MRI) or transrectal ultrasound (TRUS) imaging, while SUS techniques are largely overlooked. If a reliable SUS PCa screening method can be introduced, patients may be able to forgo unnecessary MRI or TRUS scans. Such a screening procedure could be introduced into standard primary care settings with point-of-care ultrasound systems available at a fraction of the cost of their larger hospital counterparts. This review analyses whether literature suggests it is possible to use SUS-derived PV in the calculation of PSAD.
多年来,基于表面的超声(SUS)系统在图像质量、易用性和尺寸减小方面都有了实质性的改进。它们对器官进行无创成像的能力使其成为诊断和监测各种疾病和状况的主要技术。一个例子是使用前列腺特异性抗原密度(PSAD)对前列腺癌(PCa)进行筛查/风险分层。目前的文献主要集中在利用磁共振成像(MRI)或经直肠超声(TRUS)成像的前列腺体积(PV)估计技术,而SUS技术在很大程度上被忽视。如果一种可靠的SUS前列腺癌筛查方法可以引入,患者可能能够放弃不必要的MRI或TRUS扫描。这样的筛查程序可以引入标准的初级保健机构,配备即时超声系统,费用仅为大型医院同类系统的一小部分。这篇综述分析了是否有文献表明可以使用sus衍生的PV来计算PSAD。
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引用次数: 0
Hybrid Deep Learning-Based Enhanced Occlusion Segmentation in PICU Patient Monitoring 基于混合深度学习的PICU患者监护中增强闭塞分割
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-20 DOI: 10.1109/OJEMB.2024.3503499
Mario Francisco Munoz;Hoang Vu Huy;Thanh-Dung Le;Philippe Jouvet;Rita Noumeir
Remote patient monitoring has emerged as a prominent non-invasive method, using digital technologies and computer vision (CV) to replace traditional invasive monitoring. While neonatal and pediatric departments embrace this approach, Pediatric Intensive Care Units (PICUs) face the challenge of occlusions hindering accurate image analysis and interpretation. Goal: In this study, we propose a hybrid approach to effectively segment common occlusions encountered in remote monitoring applications within PICUs. Our approach centers on creating a deep-learning pipeline for limited training data scenarios. Methods: First, a combination of the well-established Google DeepLabV3+ segmentation model with the transformer-based Segment Anything Model (SAM) is devised for occlusion segmentation mask proposal and refinement. We then train and validate this pipeline using a small dataset acquired from real-world PICU settings with a Microsoft Kinect camera, achieving an Intersection-over-Union (IoU) metric of 85%. Results: Both quantitative and qualitative analyses underscore the effectiveness of our proposed method. The proposed framework yields an overall classification performance with 92.5% accuracy, 93.8% recall, 90.3% precision, and 92.0% F1-score. Consequently, the proposed method consistently improves the predictions across all metrics, with an average of 2.75% gain in performance compared to the baseline CNN-based framework. Conclusions: Our proposed hybrid approach significantly enhances the segmentation of occlusions in remote patient monitoring within PICU settings. This advancement contributes to improving the quality of care for pediatric patients, addressing a critical need in clinical practice by ensuring more accurate and reliable remote monitoring.
远程患者监护已成为一种突出的非侵入性监护方法,利用数字技术和计算机视觉(CV)取代传统的侵入性监护。虽然新生儿和儿科科室采用这种方法,但儿科重症监护病房(picu)面临着闭塞阻碍准确图像分析和解释的挑战。目的:在本研究中,我们提出了一种混合方法来有效分割picu内远程监测应用中遇到的常见咬合。我们的方法集中于为有限的训练数据场景创建一个深度学习管道。方法:首先,将谷歌DeepLabV3+分割模型与基于变压器的分割模型SAM (Segment Anything model)相结合,提出并细化遮挡分割掩码;然后,我们使用微软Kinect摄像头从现实世界的PICU设置中获取的小数据集来训练和验证该管道,实现了85%的交叉-联盟(IoU)指标。结果:定量和定性分析都强调了我们提出的方法的有效性。提出的框架产生了92.5%的准确率、93.8%的召回率、90.3%的精度和92.0%的f1分数的总体分类性能。因此,所提出的方法持续提高了所有指标的预测,与基于cnn的基准框架相比,性能平均提高了2.75%。结论:我们提出的混合方法显著提高了PICU设置中远程患者监测闭塞的分割。这一进步有助于提高儿科患者的护理质量,通过确保更准确和可靠的远程监测来解决临床实践中的关键需求。
{"title":"Hybrid Deep Learning-Based Enhanced Occlusion Segmentation in PICU Patient Monitoring","authors":"Mario Francisco Munoz;Hoang Vu Huy;Thanh-Dung Le;Philippe Jouvet;Rita Noumeir","doi":"10.1109/OJEMB.2024.3503499","DOIUrl":"https://doi.org/10.1109/OJEMB.2024.3503499","url":null,"abstract":"Remote patient monitoring has emerged as a prominent non-invasive method, using digital technologies and computer vision (CV) to replace traditional invasive monitoring. While neonatal and pediatric departments embrace this approach, Pediatric Intensive Care Units (PICUs) face the challenge of occlusions hindering accurate image analysis and interpretation. \u0000<italic>Goal:</i>\u0000 In this study, we propose a hybrid approach to effectively segment common occlusions encountered in remote monitoring applications within PICUs. Our approach centers on creating a deep-learning pipeline for limited training data scenarios. \u0000<italic>Methods:</i>\u0000 First, a combination of the well-established Google DeepLabV3+ segmentation model with the transformer-based Segment Anything Model (SAM) is devised for occlusion segmentation mask proposal and refinement. We then train and validate this pipeline using a small dataset acquired from real-world PICU settings with a Microsoft Kinect camera, achieving an Intersection-over-Union (IoU) metric of 85%. \u0000<italic>Results:</i>\u0000 Both quantitative and qualitative analyses underscore the effectiveness of our proposed method. The proposed framework yields an overall classification performance with 92.5% accuracy, 93.8% recall, 90.3% precision, and 92.0% F1-score. Consequently, the proposed method consistently improves the predictions across all metrics, with an average of 2.75% gain in performance compared to the baseline CNN-based framework. \u0000<italic>Conclusions:</i>\u0000 Our proposed hybrid approach significantly enhances the segmentation of occlusions in remote patient monitoring within PICU settings. This advancement contributes to improving the quality of care for pediatric patients, addressing a critical need in clinical practice by ensuring more accurate and reliable remote monitoring.","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":"6 ","pages":"176-182"},"PeriodicalIF":2.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10758753","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142810705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrections to “Gastric Section Correlation Network for Gastric Precancerous Lesion Diagnosis” 用于胃癌前病变诊断的胃部切片相关网络 "的更正
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-11 DOI: 10.1109/OJEMB.2024.3452970
Jyun-Yao Jhang;Yu-Ching Tsai;Tzu-Chun Hsu;Chun-Rong Huang;Hsiu-Chi Cheng;Bor-Shyang Sheu
Presents corrections to the paper, Gastric Section Correlation Network for Gastric Precancerous Lesion Diagnosis.
介绍对论文《用于胃癌前病变诊断的胃部切片相关网络》的更正。
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引用次数: 0
IEEE Open Journal of Engineering in Medicine and Biology Author Instructions IEEE Open Journal of Engineering in Medicine and Biology 作者说明
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-08 DOI: 10.1109/OJEMB.2024.3387893
{"title":"IEEE Open Journal of Engineering in Medicine and Biology Author Instructions","authors":"","doi":"10.1109/OJEMB.2024.3387893","DOIUrl":"https://doi.org/10.1109/OJEMB.2024.3387893","url":null,"abstract":"","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":"5 ","pages":"C3-C3"},"PeriodicalIF":2.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10747777","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142595891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Design and Validation of a Tripping-Eliciting Platform Based on Compliant Random Obstacles 基于柔性随机障碍物的触发平台设计与验证
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-08 DOI: 10.1109/OJEMB.2024.3493619
Eugenio Anselmino;Lorenzo Pittoni;Tommaso Ciapetti;Michele Piazzini;Claudio Macchi;Alberto Mazzoni;Silvestro Micera;Arturo Forner-Cordero
Goal: The experimental study of the stumble phenomena is essential to develop novel technological solutions to limit harmful effects in at-risk populations. A versatile platform to deliver realistic and unanticipated tripping perturbations, controllable in their strength and timing, would be beneficial for this field of study. Methods: We built a modular tripping-eliciting system based on multiple compliant trip blocks that deliver unanticipated tripping perturbations. The system was validated with a study with 9 healthy subjects. Results: The system delivered 33 out of 34 perturbations (a minimum of 3 per subject) during the desired gait phase, and 31 effectively induced a tripping event. The recovery strategies adopted after the perturbations were qualitatively consistent with the literature. The analysis of the inertial motion unit signals and the questionnaires suggests a limited adaptation to the perturbation throughout experiments. Conclusions: The platform succeeded in providing realistic trip perturbations, concurrently limiting subjects’ adaptation. The presence of multiple compliant obstacles, tunable regarding position and perturbation strength, represents a novelty in the field, allowing the study of stumbling phenomena caused by obstacles with different levels of sturdiness. The overall system is modular and can be easily adapted for different applications.
目标:绊倒现象的实验研究对于开发新的技术解决方案以限制危险人群的有害影响至关重要。一个多功能平台可以提供真实的和意想不到的起下钻扰动,在强度和时间上都是可控的,这将有利于这一领域的研究。方法:我们建立了一个模块化的脱扣触发系统,该系统基于多个兼容的脱扣块,可以提供意想不到的脱扣扰动。该系统在9名健康受试者的研究中得到了验证。结果:该系统在期望的步态阶段提供了34个扰动中的33个(每个受试者至少3个),其中31个有效地诱导了绊倒事件。扰动后采用的恢复策略与文献定性一致。对惯性运动单元信号和问卷的分析表明,整个实验对扰动的适应是有限的。结论:该平台成功地提供了真实的旅行扰动,同时限制了受试者的适应。多个柔性障碍物的存在,可以根据位置和扰动强度进行调整,代表了该领域的一个新事物,允许研究由不同坚固程度的障碍物引起的绊脚石现象。整个系统是模块化的,可以很容易地适应不同的应用。
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引用次数: 0
IEEE Open Journal of Engineering in Medicine and Biology Editorial Board Information IEEE Open Journal of Engineering in Medicine and Biology 编辑委员会信息
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-08 DOI: 10.1109/OJEMB.2024.3387895
{"title":"IEEE Open Journal of Engineering in Medicine and Biology Editorial Board Information","authors":"","doi":"10.1109/OJEMB.2024.3387895","DOIUrl":"https://doi.org/10.1109/OJEMB.2024.3387895","url":null,"abstract":"","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":"5 ","pages":"C4-C4"},"PeriodicalIF":2.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10747779","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142595834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guest Editorial: Introduction to the Special Series on Advances in Cardiovascular and Respiratory Systems Engineering 特约编辑:心血管和呼吸系统工程进展特别丛书简介
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-07 DOI: 10.1109/OJEMB.2024.3486457
Riccardo Barbieri;Maximiliano Mollura
{"title":"Guest Editorial: Introduction to the Special Series on Advances in Cardiovascular and Respiratory Systems Engineering","authors":"Riccardo Barbieri;Maximiliano Mollura","doi":"10.1109/OJEMB.2024.3486457","DOIUrl":"https://doi.org/10.1109/OJEMB.2024.3486457","url":null,"abstract":"","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":"5 ","pages":"803-805"},"PeriodicalIF":2.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10746532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142595006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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