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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 2.7 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
Goal: This study aims to enhance AI-assisted breast cancer diagnosis through dual-view sonography using a data-centric approach. Methods: We customize a DenseNet-based model on our exclusive dual-view breast ultrasound dataset to enhance the model's ability to differentiate between malignant and benign masses. Various assembly strategies are designed to integrate the dual views into the model input, contrasting with the use of single views alone, with a goal to maximize performance. Subsequently, we compare the model against the radiologist and quantify the improvement in key performance metrics. We further assess how the radiologist's diagnostic accuracy is enhanced with the assistance of the model. Results: Our experiments consistently found that optimal outcomes were achieved by using a channel-wise stacking approach incorporating both views, with one duplicated as the third channel. This configuration resulted in remarkable model performance with an area underthe receiver operating characteristic curve (AUC) of 0.9754, specificity of 0.96, and sensitivity of 0.9263, outperforming the radiologist by 50% in specificity. With the model's guidance, the radiologist's performance improved across key metrics: accuracy by 17%, precision by 26%, and specificity by 29%. Conclusions: Our customized model, withan optimal configuration for dual-view image input, surpassed both radiologists and existing model results in the literature. Integrating the model as a standalone tool or assistive aid for radiologists can greatly enhance specificity, reduce false positives, thereby minimizing unnecessary biopsies and alleviating radiologists' workload.
目标:本研究旨在采用以数据为中心的方法,通过双视角超声波成像增强人工智能辅助乳腺癌诊断。方法我们在独家双视角乳腺超声数据集上定制了基于 DenseNet 的模型,以增强模型区分恶性和良性肿块的能力。我们设计了各种组装策略,将双视图整合到模型输入中,与单独使用单视图形成对比,目的是最大限度地提高性能。随后,我们将模型与放射科医生进行了比较,并量化了关键性能指标的改进情况。我们进一步评估了放射科医生如何在模型的帮助下提高诊断准确性。结果:我们的实验一致发现,使用通道式堆叠方法可获得最佳结果,该方法包含两个视图,其中一个视图作为第三通道重复显示。这种配置使模型表现出色,接收者操作特征曲线下面积(AUC)为 0.9754,特异性为 0.96,灵敏度为 0.9263,在特异性方面比放射科医生高出 50%。在该模型的指导下,放射科医生在各项关键指标上的表现都有所改善:准确性提高了 17%,精确性提高了 26%,特异性提高了 29%。结论:我们的定制模型采用了双视角图像输入的最佳配置,超越了放射科医生和现有文献中的模型结果。将该模型整合为独立工具或放射科医生的辅助工具,可以大大提高特异性,减少假阳性,从而最大限度地减少不必要的活检,减轻放射科医生的工作量。
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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
Developing a Vital Signal Detection Electrode for Fabric Substrate Using a High-Performance Conductive Carbon-Based Ink 使用高性能导电碳基墨水开发织物基底的生命信号检测电极
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-07-19 DOI: 10.1109/OJEMB.2024.3431030
K. Chansaengsri;B. Tunhoo;K. Onlaor;T. Thiwawong
Merging electrophysiology signal monitoring technology with wearable devices offers interesting future health care options. This study presented carbon-based screen-printing inks produced by mixing a graphite composite with a polymer emulsion to bind with flexible fabric substrates and tested with 10,000 bending cycles. The prepared carbon-based ink performed well for electrical conduction and vital signal response. Adding calcium carbonate resulted in a microstructure of graphite that decreased the electrical sheet resistance and resistance to 11.61 Ω/◻ and 0.127 Ω. The signal-to-noise ratio of the electrocardiogram (ECG) was 31.02 dB with built-in front-end powering noise filtration. Noninvasive blood pressure (NIBP) was achieved by bio-impedance measurement and showed outstanding systolic and diastolic pressure values with a correlation coefficient of 0.799, and exhibited a similar interval time to define the same precise heart rate. The ECG data from the prepared electrode were applied to the machine learning models. The Random Forest (RF) model exhibited the optimized prediction value, with an F1 score of 99.9%. Equipment made from carbon screen-printing inks showed potential for health care monitoring with no excessive pressure, dry processing, and repeatability as a flexible wearable bio-electronic device.
将电生理信号监测技术与可穿戴设备相结合,为未来的医疗保健提供了有趣的选择。该研究展示了碳基丝网印刷油墨,该油墨是通过混合石墨复合材料和聚合物乳液与柔性织物基材结合而制成的,并进行了10,000次弯曲循环测试。所制备的碳基油墨具有良好的导电性能和生命信号响应性能。碳酸钙的加入使得石墨的微观结构降低,电阻分别为11.61 Ω/钻和0.127 Ω。内置前端电源噪声滤波,心电图信噪比为31.02 dB。通过生物阻抗测量获得无创血压(NIBP),并显示出出色的收缩压和舒张压值,相关系数为0.799,并且具有相似的间隔时间来定义相同的精确心率。将所制备电极的心电数据应用于机器学习模型。随机森林(Random Forest, RF)模型显示出最优的预测结果,F1得分为99.9%。由碳丝网印刷油墨制成的设备作为一种灵活的可穿戴生物电子设备,具有无过度压力、干法加工和可重复性的医疗保健监测潜力。
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引用次数: 0
Reverse Correlation Characterizes More Complete Tinnitus Spectra in Patients 反向相关性描述了患者更完整的耳鸣频谱
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-07-18 DOI: 10.1109/OJEMB.2024.3427318
Nelson V. Barnett;Alec Hoyland;Divya A. Chari;Benjamin Parrell;Adam C. Lammert
Goal: We validate a recent reverse correlation approach to tinnitus characterization by applying it to individuals with clinically-diagnosed tinnitus. Methods: Two tinnitus patients assessed the subjective similarity of their non-tonal tinnitus percepts and random auditory stimuli. Regression of the responses onto the stimuli yielded reconstructions which were evaluated qualitatively by playing back resynthesized waveforms to the subjects and quantitatively by response prediction analysis. Results: Subject 1 preferred their resynthesis to white noise; subject 2 did not. Response prediction balanced accuracies were significantly higher than chance across subjects: subject 1: 0.5963, subject 2: 0.6922. Conclusion: Reverse correlation can provide the foundation for reconstructing accurate representations of complex, non-tonal tinnitus in clinically diagnosed subjects. Further refinements may yield highly similar waveforms to individualized tinnitus percepts.
目标:我们将最新的反向相关方法应用于临床确诊的耳鸣患者,从而验证该方法对耳鸣特征的描述。方法两名耳鸣患者评估了他们的非音调耳鸣感知与随机听觉刺激的主观相似性。将反应回归到刺激物上得出重建结果,通过向受试者回放重新合成的波形对其进行定性评估,并通过反应预测分析对其进行定量评估。结果:受试者 1 更喜欢将其重新合成为白噪声;受试者 2 则不喜欢。各受试者的反应预测平衡准确度均明显高于平均值:受试者 1:0.5963;受试者 2:0.6922。结论反向相关可以为临床诊断对象重建复杂、非音调性耳鸣的准确表征奠定基础。进一步的改进可能会产生与个性化耳鸣感知高度相似的波形。
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引用次数: 0
Complex Hemodynamic Responses to Trans-Vascular Electrical Stimulation of the Renal Nerve in Anesthetized Pigs 麻醉猪肾神经跨血管电刺激的复杂血流动力学反应
IF 2.7 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-07-17 DOI: 10.1109/OJEMB.2024.3429294
Filippo Agnesi;Lucia Carlucci;Gia Burjanadze;Fabio Bernini;Khatia Gabisonia;John W Osborn;Silvestro Micera;Fabio A. Recchia
The objective of this study was to characterize hemodynamic changes during trans-vascular stimulation of the renal nerve and their dependence on stimulation parameters. We employed a stimulation catheter inserted in the right renal artery under fluoroscopic guidance, in pigs. Systolic, diastolic and pulse blood pressure and heart rate were recorded during stimulations delivered at different intravascular sites along the renal artery or while varying stimulation parameters (amplitude, frequency, and pulse width). Blood pressure changes during stimulation displayed a pattern more complex than previously described in literature, with a series of negative and positive peaks over the first two minutes, followed by a steady state elevation during the remainder of the stimulation. Pulse pressure and heart rate only showed transient responses, then they returned to baseline values despite constant stimulation. The amplitude of the evoked hemodynamic response was roughly linearly correlated with stimulation amplitude, frequency, and pulse width.
本研究的目的是描述经血管刺激肾神经时的血流动力学变化及其与刺激参数的关系。我们在透视引导下在猪的右肾动脉中插入了一根刺激导管。在沿肾动脉的不同血管内部位进行刺激或改变刺激参数(振幅、频率和脉宽)时,记录了收缩压、舒张压、脉搏血压和心率。刺激过程中的血压变化显示出比以往文献中描述的更为复杂的模式,在最初的两分钟内会出现一系列负峰值和正峰值,随后在刺激的剩余时间内会出现稳态升高。脉压和心率仅表现出短暂的反应,随后尽管不断受到刺激,它们还是回到了基线值。诱发血流动力学反应的幅度与刺激幅度、频率和脉宽大致呈线性相关。
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引用次数: 0
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IEEE Open Journal of Engineering in Medicine and Biology
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