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The Impact of View- Angle Tilting and Slice Encoding for Metal Artifact Correction Methods on the Metal Artifact Reduction in Magnetic Resonance Imaging of the Knee Prosthesis 视角倾斜和片编码金属伪影校正方法对膝关节假体磁共振成像金属伪影降低的影响
Q3 Health Professions Pub Date : 2022-08-30 DOI: 10.18502/fbt.v9i4.10419
Parisa Shahbazi, B. Yasrebi, Cyrus Afshar, S. Haghipour, R. Abedi-Firouzjah
Purpose: At Magnetic Resonance Imaging (MRI), artifacts arising from metal implants are an obstacle to obtaining optimal images. This study aimed to evaluate the impact of View-Angle Tilting (VAT) and Slice Encoding for Metal Artifact Correction (SEMAC) techniques for the artifact reduction of patients during knee MRI with metal implants. Materials and Methods: The MR images without any intervention of the knee from 20 patients with knee prostheses were used. The VAT and SEMAC metal artifact reduction techniques were applied to all the MR images. Volume and mass of the metal prosthesis were quantified using the MATLAB program and compared with the real measurements using nonparametric Wilcoxon tests in SPSS software. The qualitative analysis was performed by two blinded observers regarding the score of artifact size, distortions, image quality, and visualization of bone marrow and soft tissues adjacent to metal implants. In addition, Cohen’s kappa values were used for inter-observer agreement. Results: The average volume of the platinum based on the conventional, VAT, and SEMAC methods was estimated at 14.22 ± 0.43, 14.05 ± 0.4, and 13.3 ± 0.45 cm3, respectively. The statistical analysis showed no significant difference (P > 0.05) between the mean value of the platinum volume for the SEMAC method and the real measurement (13.6 ± 0.33 cm3). Furthermore, regarding the conventional, VAT, and SEMAC sequences, the mean mass of the platinum was obtained at 305.02 ± 9.22, 301.37 ± 8.58, and 285.28 ± 9.65 g, respectively, with the P-Value of 0.005, 0.009, and 0.268, compared to the real measurements (286.81±8.75 g). Notably, the blinded readers demonstrated that the SEMAC method was remarkably superior quality compared with VAT and conventional acquisitions (P-Value< 0.05). Conclusion: The knee prosthesis metal artifact was reduced using the VAT and SEMAC techniques, in a way that, the reduction was significant by the SEMAC method. In addition, concerning the qualitative observer analysis, the application of the SEMAC technique provides improved visualization of tissue structures adjacent to metal implants.
目的:在磁共振成像(MRI)中,金属植入物产生的伪影是获得最佳图像的障碍。本研究旨在评估视角倾斜(VAT)和片编码金属伪影校正(SEMAC)技术对金属植入膝关节MRI患者伪影减少的影响。材料与方法:对20例膝关节假体患者进行无干预的MR图像分析。所有MR图像均采用VAT和SEMAC金属伪影还原技术。使用MATLAB程序对金属假体的体积和质量进行量化,并在SPSS软件中使用非参数Wilcoxon检验与实际测量结果进行比较。定性分析由两名盲法观察人员进行,内容涉及伪影大小、畸变、图像质量、骨髓和金属植入物附近软组织的可视化评分。此外,Cohen的kappa值被用于观察者间的一致性。结果:常规、VAT和SEMAC方法的平均铂体积分别为14.22±0.43、14.05±0.4和13.3±0.45 cm3。统计分析显示,SEMAC法测得的铂体积平均值(13.6±0.33 cm3)与实际测量值(13.6±0.33 cm3)差异无统计学意义(P > 0.05)。此外,对于常规、VAT和SEMAC序列,获得的铂的平均质量分别为305.02±9.22、301.37±8.58和285.28±9.65 g,与实际测量值(286.81±8.75 g)相比,p值分别为0.005、0.009和0.268。值得注意的是,盲法读者表明,SEMAC方法的质量明显优于VAT和传统获取方法(p值< 0.05)。结论:采用VAT技术和SEMAC技术对膝关节假体金属假体进行复位,SEMAC方法复位效果显著。此外,在定性观察者分析方面,SEMAC技术的应用改善了金属植入物附近组织结构的可视化。
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引用次数: 0
A SIMIND Monte Carlo Simulation Study on CdTe and NaI (Tl) Thickness as Detectors of a Small Animal SPECT System CdTe和NaI (Tl)厚度作为小动物SPECT系统检测器的SIMIND Monte Carlo模拟研究
Q3 Health Professions Pub Date : 2022-08-30 DOI: 10.18502/fbt.v9i4.10424
S. Abbaspour, B. Mahmoudian, S. Zakavi, Jalil Pirayesh Islamian
Purpose: Micro Single Photon Emission Computed Tomography (Micro-SPECT) system has recently been introduced on nuclear medicine in the preclinical and research in which NaI (Tl) and Cadmium Telluride (CdTe) are used as the gamma-ray detectors with more generally use of NaI (Tl). The present study aimed to evaluate different thicknesses of the NaI (Tl) and (CdTe) detectors on functional parameters of a micro-SPECT system. Materials and Methods: A Micro-SPECT system with CdTe semiconductor detector and a hexagonal parallel hole collimator with a hole diameter of 0.11 mm, high of 24.05 mm, and septal thickness of 0.016 mm was simulated by Simulating Medical Imaging Nuclear Detectors (SIMIND) Monte Carlo program. The system performance was assessed by comparing the functional parameters, including system efficiency, sensitivity, energy and spatial resolution with the NaI (Tl) detector. The simulated scans of a 99mTc point source, a digital micro-Jacszack phantom, and a voxelized MOBY mouse phantom with the system were prepared to evaluate image quality. Results: The functional parameters; sensitivity, efficiency, planar spatial resolution, and image contrast of CdTe detector were determined 1.4, 1.2, 1.7, and 1.8 times higher than those of NaI (Tl), respectively. Moreover, the calculated energy resolution of CdTe and NaI (Tl) detectors was obtained 6.2% and 10.2% at 141 KeV, respectively. In the filtered back projection (FBP) reconstructed images of the micro-Jacszack phantom, minimum detectable size of the cold rods with CdTe and NaI (Tl) detectors were obtained 0.79 mm and 0.95 mm, respectively. Conclusion: The imaging system with a 5.5 mm thickness CdTe detector provided better image quality and showed considerable efficiency.
目的:微单光子发射计算机断层扫描(Micro- spect)系统最近被引入核医学的临床前和研究中,其中NaI (Tl)和碲化镉(CdTe)作为伽马射线探测器,更广泛地使用NaI (Tl)。本研究旨在评估不同厚度的NaI (Tl)和(CdTe)探测器对微spect系统功能参数的影响。材料与方法:采用模拟医学成像核探测器(simmind)蒙特卡罗程序模拟了CdTe半导体探测器和孔径为0.11 mm、高24.05 mm、间隔厚度0.016 mm的六角形平行孔准直器的微spect系统。通过与NaI (Tl)探测器比较系统效率、灵敏度、能量和空间分辨率等功能参数来评估系统性能。利用该系统对99mTc点光源、数字微型杰克扎克幻影和体素化MOBY小鼠幻影进行了模拟扫描,以评估图像质量。结果:功能参数;CdTe探测器的灵敏度、效率、平面空间分辨率和图像对比度分别是NaI (Tl)的1.4倍、1.2倍、1.7倍和1.8倍。此外,CdTe和NaI (Tl)探测器在141 KeV下的计算能量分辨率分别为6.2%和10.2%。在微jackszack幻影的滤波后投影(FBP)重建图像中,CdTe和NaI (Tl)探测器可检测到的冷棒最小尺寸分别为0.79 mm和0.95 mm。结论:采用厚度为5.5 mm的CdTe探测器的成像系统具有较好的成像质量和较高的成像效率。
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引用次数: 1
Differential Diagnosis among Alzheimer's Disease, Mild Cognitive Impairment, and Normal Subjects Using Resting-State fMRI Data Extracted from Multi-Subject Dictionary Learning Atlas: A Deep Learning-Based Study 利用从多主题词典学习图谱中提取的静息状态fMRI数据鉴别诊断阿尔茨海默病、轻度认知障碍和正常受试者:一项基于深度学习的研究
Q3 Health Professions Pub Date : 2022-08-30 DOI: 10.18502/fbt.v9i4.10423
Farzad Alizadeh, Hassan Homayoun, S. A. Batouli, M. Noroozian, Forough Sodaie, Hanieh Mobarak Salari, Anahita Fathi Kazerooini, H. Saligheh Rad
Purpose: A powerful imaging method for evaluating brain patches is resting-state functional Magnetic Resonance (rs-fMRI) Imaging, in which the subject is at rest. Artificial Neural Networks (ANN) are one of the several Alzheimer's Disease (AD) analysis and diagnosis methods used in this study. We investigate ANNs' ability to diagnose AD using rs-fMRI data. Materials and Methods: The acquisition of functional and structural magnetic resonance imaging was applied for 15 AD, 17 mild cognitive impairment, and ten normal healthy participants. Time series of blood oxygen level-dependent were extracted from the multi-subject dictionary learning brain atlas after pre-processing. This study develops a one-dimensional Convolutional Neural Network (CNN) using extracted signals of the functional atlas for differential diagnosis of AD. Results: Applying the proposed method to rs-fMRI signals for classifying three classes of Alzheimer’s patients resulted in overall accuracy, F1-score, and precision of 0.685, 0.663, and 0.681, respectively. Using 39 regions in the brain and proposing a quite simple network than most of the available deep learning-based methods are the main advantages of this model. Conclusion: rs-fMRI signal recognition based on a functional atlas with the application of a deep neural network has a pattern recognition capability that can make a differential diagnosis with an acceptable level of accuracy and precision. Therefore, deep neural networks can be considered as a tool for the early diagnosis of AD.
目的:静息状态功能磁共振(rs-fMRI)成像是评估脑贴片的一种强大的成像方法,其中受试者处于静止状态。人工神经网络(ANN)是本研究中使用的几种阿尔茨海默病(AD)分析和诊断方法之一。我们利用rs-fMRI数据研究人工神经网络诊断AD的能力。材料与方法:对AD患者15例,轻度认知障碍患者17例,正常健康者10例进行功能磁共振成像和结构磁共振成像采集。对多学科词典学习脑图谱进行预处理,提取血氧依赖时间序列。本研究利用提取的功能图谱信号开发了一维卷积神经网络(CNN)用于AD的鉴别诊断。结果:将该方法应用于rs-fMRI信号对三类阿尔茨海默病患者进行分类,总体准确率为0.685,f1评分为0.663,精密度为0.681。使用大脑中的39个区域,并提出一个比大多数可用的基于深度学习的方法更简单的网络,这是该模型的主要优点。结论:基于功能图谱并应用深度神经网络的rs-fMRI信号识别具有模式识别能力,能够以可接受的准确度和精密度进行鉴别诊断。因此,深度神经网络可以作为AD早期诊断的工具。
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引用次数: 0
The Evaluation of Contrast-to-Noise Ratio in CT Images Using Different Parameters of Gold Nanoparticles versus Omnipaque 不同参数对金纳米颗粒与Omnipaque CT图像噪比的评价
Q3 Health Professions Pub Date : 2022-08-30 DOI: 10.18502/fbt.v9i4.10420
S. Khademi, H. Azimian, H. Ghadiri
Purpose: Gold Nanoparticles (GNPs) with high density and an atomic number have lately been proposed as an alternative contrast agent for Computed Tomography (CT). Materials and Methods: In the present study, the Contrast-to-Noise Ratio (CNR) of GNPs from various shapes, sizes, concentrations, and surface chemistry was compared with an iodine contrast agent using CT at different X-ray tube voltages and concentrations. Results: Our findings showed that GNPs in various concentrations, shapes, sizes, and X-ray tube energies from 80 to 140 kVp revealed greater image CNR than iodinated contrast media (Omnipaque). Smaller spherical GNPs (13 nm) had greater CNR than larger ones (60 nm) and Gold Nanorods )GNRs( with a larger Aspect Ratio (AR) represented excellent effect on CNR. In addition, Polyethylene Glycol (PEG) covering on GNRs decreased CNR. We observed image CNR was increased using increasing in kVp and concentration. Conclusion: Smaller spherical GNPs can be proposed as a potential candidate as a future contrast agent alternative to iodinated contrast media.
目的:具有高密度和原子序数的金纳米颗粒(GNPs)最近被提议作为计算机断层扫描(CT)的替代造影剂。材料与方法:在本研究中,利用CT在不同x射线管电压和浓度下,比较了不同形状、大小、浓度和表面化学性质的GNPs与碘造影剂的对比噪声比(CNR)。结果:我们的研究结果表明,GNPs在不同浓度、形状、大小和x射灯管能量80至140 kVp范围内显示出比碘造影剂(Omnipaque)更高的图像CNR。较小的球形GNPs(13 nm)比较大的球形GNPs(60 nm)具有更大的CNR,而具有较大宽高比(AR)的金纳米棒GNPs对CNR的影响更佳。此外,聚乙二醇(PEG)覆盖在gnr上降低了CNR。我们观察到图像CNR随着kVp和浓度的增加而增加。结论:较小的球形GNPs可作为碘化造影剂的潜在候选造影剂。
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引用次数: 0
Toward Applicable EEG-Based Drowsiness Detection Systems: A Review 面向适用的基于脑电图的困倦检测系统:综述
Q3 Health Professions Pub Date : 2022-08-30 DOI: 10.18502/fbt.v9i4.10426
Nasrin Sheibani Asl, G. Baghdadi, Serajeddin Ebrahimian, S. J. Haghighi
Purpose: Drowsy driving accounts for many accidents and has attracted substantial research attention in recent years. Electroencephalography (EEG) signals are shown to be a reliable measure for the early detection of drowsiness. Unfortunately, there is no comprehensive study showing the applicability of drowsiness detection systems with EEG signals. In this research, we targeted the studies under the category of drowsiness detection, which adopted an EEG-based approach, to inspect the applicability of these systems from different aspects. Materials and Methods: We included documented studies that utilized clinical devices and consumer-grade EEG headsets for detection of drowsiness and investigated the selected studies from different aspects such as the number of EEG channels, sampling frequency, extracted features, type of classifiers, and accuracy of detection. Among available headsets, we focused on the most popular ones, namely Muse, NeuroSky, and EMOTIV brands. Results: Considerable number of studies have used EEG headsets, and their reports showed that the highest average accuracy belongs to EMOTIV, and the highest maximum detection accuracy, 98.8%, was achieved by the Muse headset. Spectral features extracted from short periods of 1, 2, or 10 secs are the most popular features, and the support vector machine is the most commonly used classifier in drowsiness detection systems. Therefore, implementing a reliable detection system does not necessarily include complicated features and classifiers. Conclusion: It is shown that, despite their few electrodes, commercial headsets have gained decent detection accuracy. This study sheds light on the current status of drowsiness detection systems and paves the way for future industrial designs of such systems.
目的:疲劳驾驶是许多交通事故的原因之一,近年来引起了大量的研究关注。脑电图(EEG)信号被证明是早期发现困倦的可靠措施。不幸的是,目前还没有全面的研究表明用脑电图信号检测困倦系统的适用性。在本研究中,我们针对睡意检测类别下的研究,采用基于脑电图的方法,从不同的角度考察这些系统的适用性。材料和方法:我们纳入了使用临床设备和消费级脑电图耳机检测困倦的文献研究,并从脑电图通道数量、采样频率、提取特征、分类器类型和检测准确性等不同方面对所选研究进行了调查。在现有的耳机中,我们专注于最受欢迎的耳机,即Muse, NeuroSky和EMOTIV品牌。结果:相当多的研究使用了EEG耳机,他们的报告显示EMOTIV的平均准确率最高,Muse耳机的最大检测准确率最高,达到98.8%。从1秒、2秒或10秒的短周期中提取的光谱特征是最常用的特征,支持向量机是困倦检测系统中最常用的分类器。因此,实现一个可靠的检测系统并不一定包括复杂的特征和分类器。结论:尽管他们的电极很少,商业耳机已经获得了不错的检测精度。这项研究揭示了困倦检测系统的现状,为未来此类系统的工业设计铺平了道路。
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引用次数: 1
Body-Mass Index-Based Effective Dose Determination in Commonly Performed Computed Tomography Examinations in Adults 基于身体质量指数的有效剂量测定在成人常用计算机断层扫描检查中的应用
Q3 Health Professions Pub Date : 2022-08-30 DOI: 10.18502/fbt.v9i4.10425
M. Deevband, Seyyed Mohammad Bagher Hosseini Nasab, H. Mohammadi, Y. Salimi, A. Mostaar, N. Deravi, M. Fathi, K. Vakili, Shirin Yaghoobpoor, M. Ghorbani
Purpose: With the widespread application of ionizing radiation in medical practice, concerns have been increased regarding the hazardous effects of radiation. Studies have demonstrated that some variables such as body dimensions affect the absorbed radiation dose. In this study, the association between Body Mass Index (BMI) and absorbed dose in Computed Tomography (CT) is investigated. Materials and Methods: A total of 550 adult patients (age ≥ 15 years) were included in the study. The height and weight of the patients were recorded for BMI calculation. Dosimetry data were acquired from digital imaging and communications in medicine dose reports. The patients were categorized into five groups according to their BMI, the categorized information was then imported into ImPACT Dose software for calculation of Size-Specific Dose Estimate (SSDE) and organ and effective doses. The relationship between patient BMI and the effective dose was also determined. Results: A higher BMI contributed to increased radiation dose and SSDE in patients who had undergone chest or abdomen-pelvis CT examination (p < 0.05).   Conclusion: The radiation dose is related to a patient’s BMI and rises with an increase in BMI. Accordingly, it is suggested that BMI and other variables, such as the type of scan and other body dimensions, which affect the radiation dose, can be used to estimate the radiation dose before performing CT. This estimation can be considered for the justification and optimization of CT examinations.
目的:随着电离辐射在医疗实践中的广泛应用,人们越来越关注辐射的有害影响。研究表明,一些变量,如身体尺寸影响吸收的辐射剂量。在本研究中,研究了身体质量指数(BMI)与计算机断层扫描(CT)吸收剂量之间的关系。材料与方法:共纳入550例年龄≥15岁的成人患者。记录患者的身高和体重,计算BMI。剂量学数据来自医学剂量报告中的数字成像和通信。根据BMI指数将患者分为5组,将分类信息输入ImPACT Dose软件,计算大小特异性剂量估算(SSDE)和器官有效剂量。确定了患者BMI与有效剂量之间的关系。结果:接受胸部或腹部骨盆CT检查的患者,BMI越高,放射剂量和SSDE越高(p < 0.05)。结论:放射剂量与患者的BMI有关,并随BMI的升高而升高。因此,建议在进行CT前,可以利用BMI和其他影响辐射剂量的变量,如扫描类型和其他身体尺寸,来估算辐射剂量。这一估计可作为CT检查的依据和优化。
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引用次数: 0
Improving the Classification of Real-World SSVEP Data in Brain-Computer Interface Speller Systems Using Deep Convolutional Neural Networks 利用深度卷积神经网络改进脑机接口拼写系统中真实SSVEP数据的分类
Q3 Health Professions Pub Date : 2022-08-28 DOI: 10.18502/fbt.v9i4.10382
E. Rostami, F. Ghassemi, Z. Tabanfar
Purpose: Brain-Computer Interface (BCI) Speller systems help people with mobility impairments improve their cognitive and physical abilities. Steady-State Visual Evoked Potential (SSVEP) signals have been used to build high-speed BCI speller systems. SSVEP signals are a subtype of Visual Evoked Potential (VEP), a form of co-frequency, and the harmonics response elicited by a specific frequency stimulus. Noise and artifacts are critical issues for target detection in SSVEP-based BCI systems. Materials and Methods: Thus, it is essential to provide target detection techniques that operate well in the presence of noises. One solution for overcoming the noise impact is to employ approaches that automatically extract the appropriate features for target detection from the training data. Deep Convolutional Neural Network (DCNN) was utilized in this study to automatically extract features from SSVEP data in noisy conditions. Moreover, the BETA database, which contains SSVEP data from 70 individuals collected outside of the electromagnetic shielding room, was used. In this regard, a suitable DCNN structure for target stimulus frequency identification was first designed. The network was pre-trained with part of the data from the BETA database. Finally, at the single-subject level, this pre-trained network was retrained and evaluated. Results: The results showed that after retraining, the accuracy and Information Transfer Rate (ITR) increased (p-value < 0.01) for all participants. Conclusion:.The enhancement in accuracy and ITR are 25.72% and 43.10 bpm, respectively.
目的:脑机接口(BCI)拼写系统帮助有行动障碍的人提高他们的认知和身体能力。稳态视觉诱发电位(SSVEP)信号已被用于构建高速脑机接口拼写系统。SSVEP信号是视觉诱发电位(VEP)的一种亚型,是由特定频率刺激引起的共频和谐波反应的一种形式。在基于ssvep的BCI系统中,噪声和伪影是影响目标检测的关键问题。材料和方法:因此,提供在噪声存在下也能正常工作的目标检测技术是至关重要的。克服噪声影响的一种解决方案是从训练数据中自动提取目标检测的适当特征。本研究利用深度卷积神经网络(Deep Convolutional Neural Network, DCNN)对噪声条件下的SSVEP数据进行特征自动提取。此外,还使用了BETA数据库,其中包含从电磁屏蔽室外收集的70个人的SSVEP数据。为此,首先设计了一种适合目标刺激频率识别的DCNN结构。该网络使用来自BETA数据库的部分数据进行预训练。最后,在单受试者水平,这个预训练的网络被重新训练和评估。结果:再训练后,所有被试的准确率和信息传递率均有显著提高(p值< 0.01)。结论:。准确度和ITR分别提高25.72%和43.10 bpm。
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引用次数: 1
The Effectiveness of Repetitive Transcranial Magnetic Stimulation and Theta Burst Stimulation on Selective Attention, Working Memory and Response Time in Suicide 重复经颅磁刺激和θ波脉冲刺激对自杀患者选择性注意、工作记忆和反应时间的影响
Q3 Health Professions Pub Date : 2022-08-28 DOI: 10.18502/fbt.v9i4.10384
Mahjoubeh Rahimi, M. Zarindast, M. Nasehi, M. Talebi, peyman Hassani Abharian
Purpose: Cognitive dysfunction is common in individuals with depression and these cognitive deficits may be associated with a risk of suicide. Therefore, the identification of the cognitive functions of depressed patients and the introduction of effective interventions on these factors are highly important. This study aimed to compare the effectiveness of repetitive Transcranial Magnetic Stimulation (rTMS) and Theta Burst Stimulation (TBS) to improve selective attention, working memory, and response time of depressed individuals with and without a history of suicide. Materials and Methods: This applied quasi-experimental study was conducted based on a pretest-posttest design. The population included 40 depressed patients referring to the clinics of Mashhad, Iran, in 2020. The samples were divided into four groups, namely individuals with a history of suicide subjected to treatment with rTMS, without a history of suicide receiving treatment with rTMS, with a history of suicide undergoing treatment with TBS, and without a history of suicide administered with TBS (n = 10 each). The data were collected using the Stroop Color and Word Test, Corsi block test, and reaction time tests and statistically analyzed using multivariate analysis of covariance. Results: The results confirmed the effectiveness of the intervention on the congruent reaction time, incongruent reaction time, working memory, simple reaction time, and selective reaction time in all four study groups (P < 0.05). The results of multivariate analysis of covariance showed that the group had a significant effect on the variables of congruent reaction time, simple reaction time, and selective reaction time (P < 0.05); however, it had no significant effect on the variables of incongruent reaction time and working memory (P > 0.05). Conclusion: Compared to the rTMS method, the TBS had a greater effect on the variables of congruent reaction time, simple reaction time, and selective reaction time.
目的:认知功能障碍在抑郁症患者中很常见,这些认知缺陷可能与自杀风险有关。因此,识别抑郁症患者的认知功能并对这些因素进行有效的干预是非常重要的。本研究旨在比较重复经颅磁刺激(rTMS)和θ波脉冲刺激(TBS)对有和无自杀史抑郁症患者选择性注意力、工作记忆和反应时间的改善效果。材料与方法:采用前测后测设计进行准实验应用研究。其中包括40名到伊朗马什哈德诊所就诊的抑郁症患者。将样本分为四组,分别为有自杀史接受rTMS治疗的个体、无自杀史接受rTMS治疗的个体、有自杀史接受TBS治疗的个体和无自杀史接受TBS治疗的个体(n = 10)。采用Stroop Color and Word Test、Corsi block Test和反应时间Test收集数据,采用多变量协方差分析进行统计分析。结果:结果证实了四个研究组在一致反应时间、不一致反应时间、工作记忆、简单反应时间和选择反应时间上的干预效果(P < 0.05)。多变量协方差分析结果显示,实验组对一致反应时间、简单反应时间、选择性反应时间等变量有显著影响(P < 0.05);对不一致反应时间、工作记忆等变量无显著影响(P > 0.05)。结论:与rTMS法相比,TBS法对一致反应时间、简单反应时间和选择反应时间的影响更大。
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引用次数: 0
A Low-Power and Wide Dynamic Range Digital Pixel Sensor for Intrinsic Optical Imaging in Image-Guided Neurosurgery and Neocortical Epilepsy 用于图像引导神经外科和新皮质癫痫的内禀光学成像的低功耗和宽动态范围数字像素传感器
Q3 Health Professions Pub Date : 2022-08-28 DOI: 10.18502/fbt.v9i4.10383
Yasin Salehifar, A. Ayatollahi, Mohammad Azim Karami, Mahzad Pirghayesh Ghurshagh
Purpose: Determining the borders of brain tumors, seizure foci, and their elimination in patients with brain tumors is very important in preventing cancer recurrence. Multispectral Optical Intrinsic Signal Imaging (MS-OISI) image-guided neurosurgery using visible-Near-Infrared (NIR) wavelengths have shown great potential for image-guided neurosurgery. One of the main challenges is the need for low-power consumption, high-speed and above 100dB dynamic range to capture both visible and NIR photons. The overarching goal of this work is to create a Digital Pixel Sensor (DPS) as a Complementary Metal-Oxide-Semiconductor (CMOS) camera for MS-OISI of the brain in image-guided neurosurgery that has a wide dynamic range, low power consumption, and high speed. Materials and Methods: The general view of neurosurgical system, DPS, and circuit operation of conventional Pulsed Frequency Modulation (PFM) DPS are given first. The proposed PFM DPS and circuit implementation are shown, as well as simulation results obtained using a circuit simulator. Finally, a comparison with other similar works is given. Results: The proposed pixel simulation results show that the performance parameters such as dynamic range and power consumption has improved in comparison to similar works. However, due to its complicated circuitry, it has a low spatial resolution, which can be compensated. Conclusion: The image sensor is post-layout simulated in 0.18μm CMOS technology with a 1.3V supply voltage, resulting in 140dB dynamic range and 7.69μW power dissipation with a 11% fill factor. The key novelty for the proposed PFM DPS is: in-pixel Analog-to-Digital Conversion (ADC), using a low voltage and high-speed dynamic comparator. Furthermore, this work uses a self-reset mechanism, which eliminates the need for an external pulse source, as well as variable reference voltage, which eliminates the necessity for a global constant reference voltage. All of these features demonstrate the excellent potential of the proposed pixel for MS-OISI image-guided neurosurgery.
目的:确定脑肿瘤患者的肿瘤边界、癫痫病灶及其消除对预防肿瘤复发具有重要意义。利用可见-近红外(NIR)波长的多光谱光学固有信号成像(MS-OISI)图像引导神经外科在图像引导神经外科中显示出巨大的潜力。主要挑战之一是需要低功耗,高速和100dB以上的动态范围来捕获可见光和近红外光子。这项工作的总体目标是创建一个数字像素传感器(DPS)作为互补金属氧化物半导体(CMOS)相机,用于图像引导神经外科中大脑的MS-OISI,具有宽动态范围,低功耗和高速度。材料与方法:首先介绍了神经外科系统、脉冲频率调制(PFM) DPS的概况,以及常规脉冲频率调制DPS的电路操作。给出了所提出的PFM DPS和电路实现,并利用电路模拟器获得了仿真结果。最后,与其他同类作品进行了比较。结果:所提出的像素仿真结果表明,动态范围和功耗等性能参数与同类作品相比有所提高。但由于其电路复杂,空间分辨率较低,可以进行补偿。结论:该图像传感器采用0.18μm CMOS工艺,在1.3V电源电压下进行后置仿真,动态范围为140dB,功耗为7.69μW,填充系数为11%。提出的PFM DPS的关键新颖之处在于:像素内模数转换(ADC),使用低电压和高速动态比较器。此外,这项工作使用了自复位机制,从而消除了对外部脉冲源的需求,以及可变参考电压,从而消除了对全局恒定参考电压的需求。所有这些特征都证明了所提出的像素在MS-OISI图像引导神经外科手术中的良好潜力。
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引用次数: 0
Is the Electronic Exchange of Patient Information among Iranian Healthcare Organizations a Distant Dream? 伊朗医疗机构之间患者信息的电子交换是一个遥远的梦想吗?
Q3 Health Professions Pub Date : 2022-08-28 DOI: 10.18502/fbt.v9i4.10381
Negisa Seyyedi
The Article Abstract is not available.  
文章摘要不可用。
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引用次数: 0
期刊
Frontiers in Biomedical Technologies
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