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Fetal Health Prediction From Cardiotocography Recordings Using Kolmogorov–Arnold Networks 利用Kolmogorov-Arnold网络从心脏造影记录中预测胎儿健康
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-10 DOI: 10.1109/OJEMB.2025.3549594
W. K. Wong;Filbert H. Juwono;Catur Apriono;Ismi Rosyiana Fitri
Goal: Cardiotocograph (CTG) is a widely used device for monitoring fetal health during the labor phase. However, its interpretation remains challenging due to the complex and nonlinear nature of the data. Therefore, this paper aims to propose a reliable machine learning model for predicting fetal health. Methods: This paper introduces a state-of-the-art approach for predicting fetal health from CTG recordings (statistical features) using the Kolmogorov-Arnold Networks (KANs). KANs have recently been proposed asa powerful competitor to the conventional transfer function approach in feedforward neural networks. The proposed method leverages the powerful capabilities of KANs to model the intricate relationships within the CTG data, leading to improved classification accuracy. We validate our approach on a publicly available CTG dataset, which consists of statistical features of the acquired recordings and labeled fetal health conditions. Results: The results show that KANs outperform traditional machine learning models, achieving average classification accuracy values of 93.6% and 92.6% for two-class and three-class classification tasks, respectively. Conclusion: Our results indicate that the KAN model is particularly effective in handling the nonlinearity inherent in CTG recordings, making it a promising tool for enhancing automated fetal health assessment.
目的:心电监护仪(CTG)是一种广泛应用于产程胎儿健康监测的设备。然而,由于数据的复杂性和非线性性质,其解释仍然具有挑战性。因此,本文旨在提出一种可靠的预测胎儿健康的机器学习模型。方法:本文介绍了使用Kolmogorov-Arnold网络(KANs)从CTG记录(统计特征)预测胎儿健康的最先进方法。在前馈神经网络中,卷积神经网络被认为是传统传递函数方法的有力竞争者。该方法利用KANs强大的功能来建模CTG数据中复杂的关系,从而提高了分类精度。我们在一个公开可用的CTG数据集上验证了我们的方法,该数据集由获得的记录和标记的胎儿健康状况的统计特征组成。结果:结果表明,KANs优于传统的机器学习模型,两类和三类分类任务的平均分类准确率分别达到93.6%和92.6%。结论:我们的研究结果表明,KAN模型在处理CTG记录中固有的非线性方面特别有效,使其成为增强自动胎儿健康评估的有前途的工具。
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引用次数: 0
A User-Centered Service Model for Accelerating COVID-19 Diagnostic Innovation: The RADx-rad Dx Core Approach 以用户为中心的服务模式加速COVID-19诊断创新:RADx-rad Dx核心方法
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-08 DOI: 10.1109/OJEMB.2025.3568203
Melissa Ledgerwood-Lee;Alexandra Hubenko;Partha Ray;Yves Theriault;Howard Brickner;Lidia F. Vazquez;Robert Schooley;Aaron Carlin;Alex Clark;Aaron Garretson;Eliah Aronoff-Spencer
At The end of 2019, the novel SARS-CoV-2 virus emerged in humans, spreading rapidly and leading to the COVID-19 pandemic. The outbreak caused significant morbidity and mortality, prompting governments worldwide to implement lockdowns and masking measures, which resulted in substantial social and economic disruptions. One of the most critical challenges in controlling the virus initially was the lack of diagnostic tests [1], [2], [3]. Effective diagnostic testing is essential for detecting outbreaks and mitigating transmission by allowing for early identification and intervention [4], [5], [6], [7].
2019年底,新型SARS-CoV-2病毒在人类中出现,迅速传播并导致COVID-19大流行。疫情造成大量发病率和死亡率,促使世界各国政府实施封锁和掩蔽措施,导致严重的社会和经济混乱。最初控制病毒的最关键挑战之一是缺乏诊断测试[1]、[2]和[3]。有效的诊断检测对于发现疾病爆发和减轻传播至关重要,因为它允许早期识别和干预[4]、[5]、[6]、[7]。
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引用次数: 0
Assessing the Accuracy of Bed-Occupancy With a tina.care Bed Sensor in Hospital Wards and Home Care Settings: A Pilot Study 用tina评估床位入住率的准确性。医院病房和家庭护理环境中的护理床传感器:一项试点研究
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-07 DOI: 10.1109/OJEMB.2025.3548838
Tomáš Kulhánek;Kvetoslava Hošková;Jitka Feberová;Miroslav Malecha
Goal: This pilot study aims to assess accuracy in detecting patient presence or absence by using a bed sensor based on mmwave radar technology above the patient bed. Methods: Patients and healthy volunteers were observed during their presence or absence in a bed in hospital and home location. These observations were compared with data coming from bed sensor monitoring patient presence using tina.care bed sensor ASWA. Results: A total of 53 different observations were performed during the study period and the bed sensor reached accuracy of 94%, precision of 90%, sensitivity of 99% and specificity of 89% to detect presence or absence of patients in a bed. Conclusions: The sensor demonstrated strong performance in detecting patient presence in bed, with reasonable specificity and low false negatives. Further research should assess bed-exit and bed-entry events, system's accuracy in a larger cohort, its impact on patient care, and the precision of vital health parameters measured by the sensor in order to compare it with similar studies.
目的:本初步研究旨在评估使用基于毫米波雷达技术的床上传感器在患者床上检测患者存在或不存在的准确性。方法:观察患者和健康志愿者在医院和家中的床上或不在床上的情况。这些观察结果与使用tina的床上传感器监测患者在场的数据进行了比较。护理床传感器ASWA。结果:在研究期间共进行了53次不同的观察,床上传感器检测床上患者的准确度为94%,精密度为90%,灵敏度为99%,特异性为89%。结论:该传感器对床上病人的存在检测性能较好,特异性合理,假阴性率低。进一步的研究应该评估床位进出事件、系统在更大队列中的准确性、对患者护理的影响以及传感器测量的重要健康参数的精度,以便与类似研究进行比较。
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引用次数: 0
Editorial Bringing the American Economic Flywheel to a Screeching Halt 社论:让美国经济飞轮急刹车
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-07 DOI: 10.1109/OJEMB.2025.3549674
Donald E. Ingber
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引用次数: 0
NDL-Net: A Hybrid Deep Learning Framework for Diagnosing Neonatal Respiratory Distress Syndrome From Chest X-Rays NDL-Net:从胸部x光片诊断新生儿呼吸窘迫综合征的混合深度学习框架
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-05 DOI: 10.1109/OJEMB.2025.3548613
Malik Muhammad Arslan;Xiaodong Yang;Nan Zhao;Lei Guan;Tao Cui;Daniyal Haider
Objective: Neonatal Respiratory Distress Syndrome (NRDS) poses a significant threat to newborn health, necessitating timely and accurate diagnosis. This study introduces NDL-Net, an innovative hybrid deep learning framework designed to diagnose NRDS from chest X-rays (CXR). Results: The architecture combines MobileNetV3 Large for efficient image processing and ResNet50 for detecting complex patterns essential for NRDS identification. Additionally, a Long Short-Term Memory (LSTM) layer analyzes temporal variations in imaging data, enhancing predictive accuracy. Extensive evaluation on neonatal CXR datasets demonstrated NDL-Net's high diagnostic performance, achieving 98.09% accuracy, 97.45% precision, 98.73% sensitivity, 98.08% F1-score, and 98.73% specificity. The model's low false negative and false positive rates underscore its superior diagnostic capabilities. Conclusion: NDL-Net represents a significant advancement in medical diagnostics, improving neonatal care through early detection and management of NRDS.
目的:新生儿呼吸窘迫综合征(NRDS)严重威胁新生儿健康,需要及时准确的诊断。本研究介绍了NDL-Net,这是一种创新的混合深度学习框架,旨在从胸部x光片(CXR)诊断NRDS。结果:该体系结构结合了用于高效图像处理的MobileNetV3 Large和用于检测NRDS识别所需的复杂模式的ResNet50。此外,长短期记忆(LSTM)层分析成像数据的时间变化,提高预测准确性。对新生儿CXR数据集的广泛评估表明,NDL-Net具有较高的诊断性能,准确率为98.09%,精密度为97.45%,灵敏度为98.73%,f1评分为98.08%,特异性为98.73%。该模型的低假阴性和假阳性率强调了其优越的诊断能力。结论:NDL-Net代表了医学诊断的重大进步,通过NRDS的早期发现和管理改善了新生儿护理。
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引用次数: 0
MVBNSleepNet: A Multi-View Brain Network-Based Convolutional Neural Network for Neonatal Sleep Staging MVBNSleepNet:一种基于多视图脑网络的新生儿睡眠分期卷积神经网络
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-03-05 DOI: 10.1109/OJEMB.2025.3548002
Ligang Zhou;Minghui Liu;Xia Hu;Laishuan Wang;Yan Xu;Chen Chen;Wei Chen
Goal: To develop a high-performance and robust solution for neonatal sleep staging that incorporates spatial topological information and functional connectivity of the brain, which are often overlooked in existing approaches. Methods: We propose MVBNSleepNet, a multi-view brain network-based convolutional neural network. The framework integrates a multi-view brain network (MVBN) to characterize brain functional connectivity from linear temporal correlation, information-theoretic, and phase-dynamics perspectives, providing comprehensive spatial topological information. A masking mechanism is employed to enhance model robustness by simulating random dropout or low-quality signal conditions. Additionally, an attention mechanism focuses on key regions of the brain network and reveals structural brain connectivity during sleep, while a CNN module extracts spatial features from brain networks and classifies them into specific sleep stages. The model was validated on a clinical dataset of 64 neonatal EEG recordings using a leave-one-subject-out validation strategy. Results: MVBNSleepNet achieved an accuracy of 83.9% in the two-stage sleep task (sleep and wakefulness) and 76.4% in the three-stage task (active sleep, quiet sleep, and wakefulness), outperforming state-of-the-art methods. Conclusions: The proposed MVBNSleepNet provides a robust and accurate solution for neonatal sleep staging and offers valuable insights into the functional connectivity of the early neural system.
目标:为新生儿睡眠分期开发一种高性能和强大的解决方案,该解决方案结合了空间拓扑信息和大脑功能连接,这在现有方法中经常被忽视。方法:提出一种基于多视图脑网络的卷积神经网络MVBNSleepNet。该框架集成了多视图脑网络(MVBN),从线性时间相关性、信息论和相动力学角度表征脑功能连接,提供全面的空间拓扑信息。掩蔽机制通过模拟随机丢失或低质量信号条件来增强模型的鲁棒性。此外,注意机制关注大脑网络的关键区域,揭示睡眠时大脑的结构连接,而CNN模块从大脑网络中提取空间特征,并将其分类到特定的睡眠阶段。该模型在64个新生儿脑电图记录的临床数据集上使用留一个受试者验证策略进行了验证。结果:MVBNSleepNet在两阶段睡眠任务(睡眠和清醒)中的准确率为83.9%,在三阶段任务(活跃睡眠,安静睡眠和清醒)中的准确率为76.4%,优于最先进的方法。结论:提出的MVBNSleepNet为新生儿睡眠分期提供了一个强大而准确的解决方案,并为早期神经系统的功能连接提供了有价值的见解。
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引用次数: 0
Source-Detector Geometry Analysis of Reflective PPG by Measurements and Simulations 基于测量和仿真的反射式PPG源探测器几何分析
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-02-28 DOI: 10.1109/OJEMB.2025.3546771
M. Reiser;T. Mueller;A. Breidenassel;O. Amft
Goal: We investigate the effect of source-detector geometry, including distance and angle, on the reflective photoplethysmography (PPG) signal. Methods: A porcine skin phantom was used for laboratory measurements and replicated by Monte Carlo simulations. Variations in sensor geometry were analysed. Results: Laboratory measurements and Monte Carlo simulations showed agreement for various geometry settings. With decreasing negative sensor angle, the differential path length factor and the average maximum penetration depth increases. Conclusions: Our analyses highlight the influence of source-detector geometry on the PPG DC signal. Based on our analysis of penetration depth and optical path length, the geometry effects can be transferred to the PPG AC signal too. MC simulations provide an important tool to optimise PPG performance.
目标:我们研究了光源-探测器几何形状(包括距离和角度)对反射式光心动图(PPG)信号的影响。方法:使用猪皮肤模型进行实验室测量,并对测量结果进行蒙特卡洛计算:使用猪皮肤模型进行实验室测量,并通过蒙特卡罗模拟进行复制。分析了传感器几何形状的变化。结果实验室测量结果和蒙特卡洛模拟结果表明,在不同的几何设置下,测量结果是一致的。随着传感器负角度的减小,差分路径长度系数和平均最大穿透深度也随之增加。结论:我们的分析强调了光源-探测器几何形状对 PPG 直流信号的影响。根据我们对穿透深度和光路长度的分析,几何效应也可以转移到 PPG 交流信号上。MC 模拟为优化 PPG 性能提供了重要工具。
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引用次数: 0
Advances in Electroencephalography for Post-Traumatic Stress Disorder Identification: A Scoping Review 脑电诊断创伤后应激障碍的进展:范围综述
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-02-05 DOI: 10.1109/OJEMB.2025.3538498
José A. Salazar-Castro;Diego H. Peluffo-Ordóñez;Diego M. López
Background: Post-traumatic stress disorder (PTSD) is a psychophysiological condition caused by traumatic experiences. Its diagnosis typically relies on subjective tools like clinical interviews and self-reports. Objectives: This scoping review analyzes computational methods using EEG signal processing for PTSD diagnosis, differentiation, and therapy. It provides a comprehensive overview of the entire EEG analysis pipeline, from acquisition to statistical and machine learning techniques for PTSD diagnosis. Methods: Using the PRISMA-ScR protocol, studies published between 2013 and 2024 were reviewed from databases including Scopus, Web of Science, and PubMed. A total of 73 studies were analyzed: 52 on diagnosis, 8 on differentiation, and 15 on therapy. Results: EEG Bands and Event-Related Potentials (ERP) were the dominant techniques. The Alpha band demonstrated strong performance in diagnosis and therapy. LPP ERP was most effective for diagnosis, and P300 for differentiation. Supervised SVM models achieved the highest accuracy in diagnosis (ACC = 0.997), differentiation (ACC = 0.841), and psychotherapy (ACC = 0.78). Random Forest multimodal models integrating EEG with other modalities (e.g., ECG, GSR, Speech) achieved ACC = 0.993. Unsupervised approach is employed to cluster patients to identify PTSD subtypes or to differentiate PTSD from other mental disorders. Veterans and combatants were the primary study population, and only three studies reported open datasets. Conclusions: EEG-based methods hold promise as objective tools for PTSD diagnosis and therapy. The review identified limitations in the use of ERP, sleep characterization and full-band EEG. Broader datasets representing diverse populations are essential to mitigate bias and facilitate robust inter-model comparisons. Future research should focus on deep learning, adaptive signal decomposition, and multimodal approaches.
背景:创伤后应激障碍(PTSD)是由创伤经历引起的一种心理生理状况。其诊断通常依赖于临床访谈和自我报告等主观工具。目的:本综述分析了脑电图信号处理在PTSD诊断、鉴别和治疗中的计算方法。它提供了整个脑电图分析管道的全面概述,从采集到PTSD诊断的统计和机器学习技术。方法:采用PRISMA-ScR协议,从Scopus、Web of Science和PubMed等数据库中检索2013 - 2024年间发表的研究。共分析73项研究:诊断52项,鉴别8项,治疗15项。结果:脑电图带和事件相关电位(ERP)是主要技术。Alpha波段在诊断和治疗方面表现出较强的效能。LPP ERP对诊断最有效,P300对鉴别最有效。监督支持向量机模型在诊断(ACC = 0.997)、鉴别(ACC = 0.841)和心理治疗(ACC = 0.78)方面的准确率最高。结合EEG与其他模态(如ECG、GSR、Speech)的随机森林多模态模型的ACC = 0.993。采用无监督方法对患者进行聚类,以确定PTSD亚型或将PTSD与其他精神障碍区分开来。退伍军人和战斗人员是主要的研究人群,只有三个研究报告了开放的数据集。结论:基于脑电图的方法有望成为PTSD诊断和治疗的客观工具。该综述确定了ERP、睡眠表征和全波段脑电图的局限性。代表不同人群的更广泛的数据集对于减轻偏见和促进稳健的模型间比较至关重要。未来的研究应该集中在深度学习、自适应信号分解和多模态方法上。
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引用次数: 0
2024 Index IEEE Open Journal of Engineering in Medicine and Biology Vol. 5 IEEE开放医学与生物工程学报第5卷
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-02-04 DOI: 10.1109/OJEMB.2025.3538256
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引用次数: 0
BandFocusNet: A Lightweight Model for Motor Imagery Classification of a Supernumerary Thumb in Virtual Reality BandFocusNet:虚拟现实中多余拇指运动图像分类的轻量级模型
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-02-03 DOI: 10.1109/OJEMB.2025.3537760
Haneen Alsuradi;Joseph Hong;Alireza Sarmadi;Robert Volcic;Hanan Salam;S. Farokh Atashzar;Farshad Khorrami;Mohamad Eid
Objective: Human movement augmentation through supernumerary effectors is an emerging field of research. However, controlling these effectors remains challenging due to issues with agency, control, and synchronizing movements with natural limbs. A promising control strategy for supernumerary effectors involves utilizing electroencephalography (EEG) through motor imagery (MI) functions. In this work, we investigate whether MI activity associated with a supernumerary effector could be reliably differentiated from that of a natural one, thus addressing the concern of concurrency. Twenty subjects were recruited to participate in a two-fold experiment in which they observed movements of natural and supernumerary thumbs, then engaged in MI of the observed movements, conducted in a virtual reality setting. Results: A lightweight deep-learning model that accounts for the temporal, spatial and spectral nature of the EEG data is proposed and called BandFocusNet, achieving an average classification accuracy of 70.9% using the leave-one-subject-out cross validation method. The trustworthiness of the model is examined through explainability analysis, and influential regions-of-interests are cross-validated through event-related-spectral-perturbation (ERSPs) analysis. Explainability results showed the importance of the right and left frontal cortical regions, and ERSPs analysis showed an increase in the delta and theta powers in these regions during the MI of the natural thumb but not during the MI of the supernumerary thumb. Conclusion: Evidence in the literature indicates that such activation is observed during the MI of natural effectors, and its absence could be interpreted as a lack of embodiment of the supernumerary thumb.
目的:利用多余效应器增强人体运动是一个新兴的研究领域。然而,由于代理、控制和与自然肢体同步运动的问题,控制这些效应器仍然具有挑战性。一种很有前途的控制策略是利用脑电图(EEG)通过运动图像(MI)功能来控制多余的效应器。在这项工作中,我们研究了与额外效应相关的MI活动是否可以可靠地与自然效应相区分,从而解决了并发性的问题。20名受试者被招募来参加一个双重实验,在这个实验中,他们观察自然拇指和多余拇指的运动,然后在虚拟现实环境中对观察到的运动进行MI。结果:提出了一种轻量级的深度学习模型,该模型考虑了脑电数据的时间、空间和频谱性质,称为BandFocusNet,使用留一个受试者的交叉验证方法实现了70.9%的平均分类准确率。通过可解释性分析检验模型的可信度,并通过事件相关光谱摄动(ERSPs)分析交叉验证有影响的利益区域。可解释性结果显示了左右额叶皮层区域的重要性,ERSPs分析显示,这些区域的δ和θ功率在自然拇指的MI期间增加,而在多余拇指的MI期间没有增加。结论:文献证据表明,在自然效应器的心肌梗死过程中观察到这种激活,其缺失可以解释为多余拇指缺乏体现。
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引用次数: 0
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