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Optimized Whole-Slide-Image H&E Stain Normalization: A Step Towards Big Data Integration in Digital Pathology 优化的全切片图像 H&e 染色归一化:迈向数字病理学大数据整合的一步
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-06 DOI: 10.1109/OJEMB.2024.3455011
Jose L. Agraz;Carlos Agraz;Andrew A. Chen;Charles Rice;Robert S. Pozos;Sven Aelterman;Amanda Tan;Angela N. Viaene;MacLean P. Nasrallah;Parth Sharma;Caleb M. Grenko;Tahsin Kurc;Joel Saltz;Michael D. Feldman;Hamed Akbari;Russell T. Shinohara;Spyridon Bakas;Parker Wilson
In the medical diagnostics domain, pathology and histology are pivotal for the precise identification of diseases. Digital histopathology, enhanced by automation, facilitates the efficient analysis of massive amount of biopsy images produced on a daily basis, streamlining the evaluation process. This study focuses in Stain Color Normalization (SCN) within a Whole-Slide Image (WSI) cohort, aiming to reduce batch biases. Building on published graphical method, this research demonstrates a mathematical population or data-driven method that optimizes the dependency on the number of reference WSIs and corresponding aggregate sums, thereby increasing SCN process efficiency. This method expedites the analysis of color convergence 50-fold by using stain vector Euclidean distance analysis, slashing the requirement for reference WSIs by more than half. The approach is validated through a tripartite methodology: 1) Stain vector euclidean distances analysis, 2) Distance computation timing, and 3) Qualitative and quantitative assessments of SCN across cancer tumors regions of interest. The results validate the performance of data-driven SCN method, thus potential to enhance the precision and reliability of computational pathology analyses. This advancement is poised to enhance diagnostic processes, therapeutic strategies, and patient prognosis.
在医疗诊断领域,病理学和组织学是精确鉴定疾病的关键。通过自动化增强的数字组织病理学有助于高效分析每天产生的大量活检图像,从而简化评估流程。本研究的重点是在全切片图像(WSI)群组中进行染色颜色归一化(SCN),旨在减少批次偏差。在已发表的图形方法基础上,本研究展示了一种数学群体或数据驱动方法,可优化对参考 WSI 数量和相应总和的依赖性,从而提高 SCN 流程的效率。该方法通过使用染色向量欧氏距离分析,将色彩收敛分析的速度提高了 50 倍,对参考 WSI 的要求降低了一半以上。该方法通过以下三方面的方法进行验证:1)染色矢量欧氏距离分析;2)距离计算计时;3)对癌症肿瘤相关区域的 SCN 进行定性和定量评估。结果验证了数据驱动 SCN 方法的性能,从而有望提高计算病理分析的精确度和可靠性。这一进步有望改善诊断过程、治疗策略和患者预后。
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引用次数: 0
Ocular Biomechanical Responses to Long-Duration Spaceflight 长时间太空飞行的眼部生物力学反应
IF 5.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-05 DOI: 10.1109/ojemb.2024.3453049
Marissé Masís Solano, Remy Dumas, Mark R Lesk, Santiago Costantino
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引用次数: 0
Synergy-Dependent Center-of-Mass Control Strategies During Sit-to-Stand Movements 从坐到站运动过程中依赖协同作用的质量中心控制策略
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-05 DOI: 10.1109/OJEMB.2024.3454970
Simone Ranaldi;Leonardo Gizzi;Giacomo Severini;Cristiano De Marchis
The characterization, through the concept of muscle synergies, of clinical functional tests is a valid tool that has been widely adopted in the research field. While this theory has been exploited for a description of the motor control strategies underlying the biomechanical task, the biomechanical correlate of the synergistic activity is yet to be fully described. In this paper, the relationship between the activity of different synergies and the center of mass kinematic patterns has been investigated; in particular, a group of healthy subjects has been recruited to perform simple sit-to-stand tasks, and the electromyographic data has been recorded for the extraction of muscle synergies. An optimal model selection criterion has been adopted for dividing the participants by the number of synergies characterizing their own control schema. Synergistic activity has then been mapped onto the phase-space description of the center of mass kinematics, investigating whether a different number of synergies implies the exploration of different region of the phase-space itself. Results show how using an additional motor module allow for a wider trajectory in the phase-space, paving the way for the use of kinematic feedback to stimulate the activity of different synergies, with the aim of defining synergy-based rehabilitation or training protocols.
通过肌肉协同作用的概念来描述临床功能测试是一种有效的工具,已被研究领域广泛采用。虽然这一理论已被用于描述生物力学任务背后的运动控制策略,但协同活动的生物力学相关性仍有待全面描述。本文研究了不同协同活动与质量中心运动模式之间的关系;特别是,招募了一组健康受试者执行简单的坐立任务,并记录了肌电图数据以提取肌肉协同活动。我们采用了一种最佳模型选择标准,根据参与者自身控制模式的协同作用数量对其进行划分。然后将协同活动映射到质心运动学的相空间描述上,研究不同数量的协同是否意味着对相空间本身不同区域的探索。研究结果表明,使用额外的运动模块可以在相空间中获得更宽的轨迹,从而为使用运动反馈来刺激不同协同作用的活动铺平道路,目的是定义基于协同作用的康复或训练方案。
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引用次数: 0
Breast Cancer Detection on Dual-View Sonography via Data-Centric Deep Learning 通过以数据为中心的深度学习在双视角超声波成像上检测乳腺癌
IF 5.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-05 DOI: 10.1109/ojemb.2024.3454958
Ting-Ruen Wei, Michele Hell, Aren Vierra, Ran Pang, Young Kang, Mahesh Patel, Yuling Yan
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引用次数: 0
Guided Conditional Diffusion Classifier (ConDiff) for Enhanced Prediction of Infection in Diabetic Foot Ulcers 用于增强糖尿病足溃疡感染预测的条件扩散分类器 (ConDiff)
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-02 DOI: 10.1109/OJEMB.2024.3453060
Palawat Busaranuvong;Emmanuel Agu;Deepak Kumar;Shefalika Gautam;Reza Saadati Fard;Bengisu Tulu;Diane Strong
Goal: To accurately detect infections in Diabetic Foot Ulcers (DFUs) using photographs taken at the Point of Care (POC). Achieving high performance is critical for preventing complications and amputations, as well as minimizing unnecessary emergency department visits and referrals. Methods: This paper proposes the Guided Conditional Diffusion Classifier (ConDiff). This novel deep-learning framework combines guided image synthesis with a denoising diffusion model and distance-based classification. The process involves (1) generating guided conditional synthetic images by injecting Gaussian noise to a guide (input) image, followed by denoising the noise-perturbed image through a reverse diffusion process, conditioned on infection status and (2) classifying infections based on the minimum Euclidean distance between synthesized images and the original guide image in embedding space. Results: ConDiff demonstrated superior performance with an average accuracy of 81% that outperformed state-of-the-art (SOTA) models by at least 3%. It also achieved the highest sensitivity of 85.4%, which is crucial in clinical domains while significantly improving specificity to 74.4%, surpassing the best SOTA model. Conclusions: ConDiff not only improves the diagnosis of DFU infections but also pioneers the use of generative discriminative models for detailed medical image analysis, offering a promising approach for improving patient outcomes.
目标:使用护理点 (POC) 拍摄的照片准确检测糖尿病足溃疡 (DFU) 感染。实现高性能对于预防并发症和截肢以及最大限度地减少不必要的急诊就诊和转诊至关重要。方法:本文提出了引导式条件扩散分类器(ConDiff)。这种新型深度学习框架将引导式图像合成与去噪扩散模型和基于距离的分类相结合。该过程包括:(1)通过向引导(输入)图像注入高斯噪声生成引导条件合成图像,然后通过反向扩散过程对噪声扰动图像进行去噪,以感染状态为条件;(2)根据合成图像与原始引导图像在嵌入空间中的最小欧氏距离对感染进行分类。结果显示ConDiff 表现出卓越的性能,平均准确率达到 81%,比最先进的(SOTA)模型至少高出 3%。它的灵敏度也达到了最高的 85.4%,这在临床领域至关重要,同时特异性也显著提高到 74.4%,超过了最佳的 SOTA 模型。结论ConDiff 不仅提高了 DFU 感染的诊断率,还开创了将生成性判别模型用于详细医学图像分析的先河,为改善患者预后提供了一种前景广阔的方法。
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引用次数: 0
Prediction of Survival in Patients With Esophageal Cancer After Immunotherapy Based on Small-Size Follow-Up Data 基于小规模随访数据预测食管癌患者接受免疫疗法后的生存期
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-02 DOI: 10.1109/OJEMB.2024.3452983
Yuhan Su;Chaofeng Huang;Chen Yang;Qin Lin;Zhong Chen
Esophageal cancer (EC) poses a significant health concern, particularly among the elderly, warranting effective treatment strategies. While immunotherapy holds promise in activating the immune response against tumors, its specific impact and associated reactions in EC patients remain uncertain. Precise prognosis prediction becomes crucial for guiding appropriate interventions. This study, based on data from the First Affiliated Hospital of Xiamen University (January 2017 to May 2021), focuses on 113 EC patients undergoing immunotherapy. The primary objectives are to elucidate the effectiveness of immunotherapy in EC treatment and to introduce a stacking ensemble learning method for predicting the survival of EC patients who have undergone immunotherapy, in the context of small sample sizes, addressing the imperative of supporting clinical decision-making for healthcare professionals. Our method incorporates five sub-learners and one meta-learner. Leveraging optimal features from the training dataset, this approach achieved compelling accuracy (89.13%) and AUC (88.83%) in predicting three-year survival status, surpassing conventional techniques. The model proves efficient in guiding clinical decisions, especially in scenarios with small-size follow-up data.
食管癌(EC)是一个严重的健康问题,尤其是在老年人中,需要采取有效的治疗策略。虽然免疫疗法有望激活针对肿瘤的免疫反应,但其对食管癌患者的具体影响和相关反应仍不确定。准确的预后预测对于指导适当的干预措施至关重要。本研究基于厦门大学附属第一医院的数据(2017年1月至2021年5月),重点研究了113例接受免疫治疗的EC患者。研究的主要目的是阐明免疫疗法在心肌梗死治疗中的有效性,并在样本量较小的情况下,介绍一种用于预测接受免疫疗法的心肌梗死患者生存率的堆叠集合学习方法,以解决为医护人员的临床决策提供支持的当务之急。我们的方法包含五个子学习器和一个元学习器。利用训练数据集的最佳特征,该方法在预测三年生存状况方面取得了令人信服的准确率(89.13%)和AUC(88.83%),超过了传统技术。事实证明,该模型能有效指导临床决策,尤其是在随访数据规模较小的情况下。
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引用次数: 0
Novel Metrics for High-Density sEMG Analysis in the Time–Space Domain During Sustained Isometric Contractions 持续等长收缩时时空域高密度 sEMG 分析的新指标
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-26 DOI: 10.1109/OJEMB.2024.3449548
Giovanni Corvini;Michail Arvanitidis;Deborah Falla;Silvia Conforto
Goal: This study introduces a novel approach to examine the temporal-spatial information derived from High-Density surface Electromyography (HD-sEMG). By integrating and adapting postural control parameters into a framework for the analysis of myoelectrical activity, new metrics to evaluate muscle fatigue progression were proposed, investigating their ability to predict endurance time. Methods: Nine subjects performed a fatiguing isometric contraction of the lumbar erector spinae. Topographical amplitude maps were generated from two HD-sEMG grids. Once identified the coordinates of the muscle activity, novel metrics for quantifying the muscle spatial distribution over time were calculated. Results: Spatial metrics showed significant differences from beginning to end of the contraction, highlighting their ability of characterizing the neuromuscular adaptations in presence of fatigue. Additionally, linear regression models revealed strong correlations between these spatial metrics and endurance time. Conclusions: These innovative metrics can characterize the spatial distribution of muscle activity and predict the time of task failure.
目标:本研究引入了一种新方法来研究从高密度表面肌电图(HD-sEMG)中获得的时空信息。通过将姿势控制参数整合和调整到肌电活动分析框架中,提出了评估肌肉疲劳进展的新指标,研究其预测耐力时间的能力。方法:九名受试者进行了一项疲劳性间歇运动:九名受试者对腰椎直立肌进行疲劳等长收缩。通过两个 HD-sEMG 网格生成地形振幅图。确定肌肉活动坐标后,计算出量化肌肉随时间空间分布的新指标。结果:空间指标显示出收缩开始和结束时的显著差异,突显了它们在疲劳情况下描述神经肌肉适应性的能力。此外,线性回归模型显示这些空间指标与耐力时间之间存在很强的相关性。结论:这些创新指标可以描述肌肉活动的空间分布,并预测任务失败的时间。
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引用次数: 0
Corrections to “Sparse Multichannel Decomposition of Electrodermal Activity With Physiological Priors” 对 "具有生理先验的稀疏多通道皮电活动分解 "的更正
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-26 DOI: 10.1109/OJEMB.2024.3444428
Samiul Alam;Md. Rafiul Amin;Rose T. Faghih
Presents corrections to the article “Sparse Multichannel Decomposition of Electrodermal Activity With Physiological Priors”.
提出对文章 "Sparse Multichannel Decomposition of Electrodermal Activity With Physiological Priors "的更正。
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引用次数: 0
Introduction to the Special Section on Computational Modeling and Digital Twin Technology in Biomedical Engineering 生物医学工程中的计算建模和数字孪生技术特别分会简介
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-15 DOI: 10.1109/OJEMB.2024.3428898
Marianna Laviola
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引用次数: 0
Cole–Cole Model for the Dielectric Characterization of Healthy Skin and Basal Cell Carcinoma at THz Frequencies 太赫兹频率下健康皮肤和基底细胞癌的介电特性科尔-科尔模型
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-05 DOI: 10.1109/OJEMB.2024.3438562
Enrico Mattana;Matteo Bruno Lodi;Marco Simone;Giuseppe Mazzarella;Alessandro Fanti
THz radiationeffectively probes biological tissue water content due to its high sensibility to polar molecules. Skin and basal cell carcinoma (BCC), both rich in water, have been extensively studied in the THz range. Typically, the Double Debye model is used to study their dielectric permittivity. This work focuses on the viability of the multipole Cole-Cole model as an alternative dielectric model. To determine the best fit parameters, we used a genetic algorithm-based approach, solving a least squares problem. Compared with the Double Debye model, a maximum reduction of the RMSE value up to more than 50% and maximum relative percentage errors of 2.8% have been measured for both second and third order Cole-Cole models. Since the errors of the second and third order Cole-Cole models are similar, a two-poles model is enough to describe the behaviour both tissues from 0.2 THz to 2 THz.
由于太赫兹辐射对极性分子具有高度敏感性,因此可有效探测生物组织的含水量。皮肤和基底细胞癌(BCC)都富含水分,在太赫兹范围内对它们进行了广泛的研究。通常使用双德拜模型来研究它们的介电常数。这项工作的重点是研究多极科尔-科尔模型作为替代介电模型的可行性。为了确定最佳拟合参数,我们采用了基于遗传算法的方法,求解最小二乘法问题。与双 Debye 模型相比,二阶和三阶 Cole-Cole 模型的均方根误差值最大降低了 50%以上,最大相对误差百分比为 2.8%。由于二阶和三阶 Cole-Cole 模型的误差相似,因此双极模型足以描述从 0.2 太赫兹到 2 太赫兹的两种组织行为。
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引用次数: 0
期刊
IEEE Open Journal of Engineering in Medicine and Biology
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