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2022 IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI)最新文献

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Cognitive-emotional Stress and Risk Stratification of Situational Awareness in Immersive First Responder Training 沉浸式急救训练中情境意识的认知-情绪应激和风险分层
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926805
L. Paletta, M. Pszeida, M. Schneeberger, Amir Dini, Lilian Reim, W. Kallus
First responders engage in highly stressful situations at the emergency site. Maintaining cognitive control under these circumstances is a necessary condition to perform efficient decision making for the purpose of own health and to pursue mission objectives. We are aiming at developing biosensor-based decision support for risk stratification on cognitive readiness of first responders at the mission site. In a first development stage, an exploratory pilot study was performed to test a formalized reporting schema applying equivalent stress in real, non-immersive and fully immersive training environments. Wearable psychophysiological measurement technology was applied to estimate the cognitive-emotional stress level under both training conditions. In this work we particularly focus on the potential of predicting the risk level for failures in situation awareness from digital analysis of cognitive-emotional stress. The results provide statistically significant indications for risk stratification of cognitive readiness based on situation awareness theory.
第一响应者在紧急情况现场参与高度紧张的情况。在这种情况下保持认知控制是为了自身健康和追求任务目标而进行有效决策的必要条件。我们的目标是开发基于生物传感器的决策支持,以对任务现场第一响应者的认知准备情况进行风险分层。在第一个开发阶段,进行了一项探索性试点研究,以测试在真实、非沉浸式和完全沉浸式训练环境中应用等效压力的形式化报告模式。采用可穿戴式心理生理测量技术评估两种训练条件下的认知-情绪应激水平。在这项工作中,我们特别关注从认知-情绪压力的数字分析中预测情境意识失败风险水平的潜力。结果为基于情境感知理论的认知准备风险分层提供了具有统计学意义的指标。
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引用次数: 0
Integrative Bioinformatics Analysis of Transcriptomic Data Reveals Hub Genes as Diagnostic Biomarkers for Non-Muscle vs. Muscle Invasive Bladder Cancer 转录组学数据的综合生物信息学分析揭示枢纽基因作为非肌肉与肌肉浸润性膀胱癌的诊断生物标志物
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926824
Michail Sarafidis, G. Lambrou, G. Matsopoulos, D. Koutsouris
Bladder cancer (BCa) is one of the most prevalent cancers worldwide and accounts for high socioeconomic impact. BCa can manifest in the form of nonaggressive and usually non-muscle invasive (NMIBC) tumors that recur and require chronic invasive surveillance, or aggressive and muscle invasive (MIBC) tumors with high associated mortality. These two subtypes exhibit distinct prognosis and require different therapeutic approaches. In the present study, we conducted an integrative bioinformatics analysis, combining transcriptomic data from various microarray experiments, in order to reveal a common signature of differentially expressed genes (DEGs) between the two subtypes. Subsequently, we constructed the protein-protein interaction (PPI) network of the DEGs and defined the hub genes based on 11 topological analysis methods. Then, the most significant hub genes were identified using LASSO logistic regression algorithm. The selected genes were finally used as features in supervised classification algorithms, namely support vector machines and random forests, for BCa subtype discrimination. The models' evaluation showed area under the curve (AUC) values up to 96% as regards separating NMIBC from MIBC tumors. Genes driving the separation between tumor subtypes may prove to be important biomarkers for BCa development and progression, and eventually candidates for therapeutic targeting.
膀胱癌(BCa)是世界上最常见的癌症之一,具有很高的社会经济影响。BCa可以表现为复发的非侵袭性和通常非肌肉侵袭性(NMIBC)肿瘤,需要慢性侵袭性监测,或具有高死亡率的侵袭性和肌肉侵袭性(MIBC)肿瘤。这两种亚型表现出不同的预后,需要不同的治疗方法。在本研究中,我们进行了综合生物信息学分析,结合来自各种微阵列实验的转录组学数据,以揭示两种亚型之间差异表达基因(DEGs)的共同特征。随后,我们构建了DEGs的蛋白-蛋白相互作用(PPI)网络,并基于11种拓扑分析方法定义了枢纽基因。然后,利用LASSO逻辑回归算法鉴定出最显著的枢纽基因。最后将选择的基因作为特征在支持向量机和随机森林的监督分类算法中进行BCa亚型识别。模型评估显示,在分离NMIBC和MIBC肿瘤方面,曲线下面积(AUC)值高达96%。驱动肿瘤亚型之间分离的基因可能被证明是BCa发展和进展的重要生物标志物,并最终成为治疗靶向的候选物。
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引用次数: 0
Spectrogram Image-based Machine Learning Model for Carotid-to-Femoral Pulse Wave Velocity Estimation Using PPG Signal 基于频谱图图像的PPG信号颈-股脉波速度估计机器学习模型
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926941
Juan Manuel Vargas Garcia, M. Bahloul, T. Laleg‐Kirati
Carotid-to-femoral pulse wave velocity (cf-PWV) is a critical biomarker for evaluating arterial stiffness and cardiovascular risk. Monitoring cf-PWV is essential for cardiovascular disease diagnosis and prediction. However, the complexity during the measurement process of cf-PWV makes it prone to present errors and inaccuracies. For this reason, a learning-based non-invasive measurement of cf-PWV using peripheral signals could overcome some of the difficulties presented in the classical measurement process and improve the quality of the estimation. In this paper, a spectrogram-based machine learning model obtained from the photoplethysmogram (PPG) waveform is proposed for the estimation of the cf-PWV. For this purpose, two machine learning models have been developed using three different types of features. The first category is based on an adaptive signal processing method called Semi-Classical Signal Analysis (SCSA) that relies on the spectral problem of the Schrodinger operator; the second type proposed is energy texture-based, and the third is the statistical texture representation. Finally, the training and testing datasets were extracted from in-silico, publicly available pulse waves and hemodynamics data. The obtained results provide evidence for the feasibility and robustness of the spectrogram to transform the signals into an image and machine learning method as a tool for estimating the cf-PWV.
颈动脉至股动脉脉波速度(cf-PWV)是评估动脉僵硬度和心血管风险的重要生物标志物。监测cf-PWV对心血管疾病的诊断和预测至关重要。然而,cf-PWV测量过程的复杂性使其容易出现误差和不准确性。因此,利用外围信号进行基于学习的cf-PWV无创测量可以克服经典测量过程中存在的一些困难,提高估计质量。本文提出了一种基于谱图的机器学习模型,该模型由光容积脉搏波(PPG)波形获得,用于估计cf-PWV。为此,使用三种不同类型的特征开发了两个机器学习模型。第一类是基于一种自适应信号处理方法,称为半经典信号分析(SCSA),它依赖于薛定谔算子的频谱问题;第二种是基于能量纹理的纹理表示,第三种是统计纹理表示。最后,训练和测试数据集从计算机中提取,公开可用的脉搏波和血流动力学数据。所得结果证明了谱图将信号转化为图像的可行性和鲁棒性,以及机器学习方法作为估计cf-PWV的工具。
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引用次数: 0
Improve the trustwortiness of medical text interpretations 提高医学文本解读的可信度
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926894
Siyue Song, Tianhua Chen, G. Antoniou
Currently, how to make a concrete and correct disease prediction is a popular research trend. Researchers made more efforts to develop various models to provide interpretations of medical area, however, there is still lack of human understandable explanations provided due to the non-transparency structure of some machine learning and deep learning models. According to this work, there is one combined model application we would like to adopt. After comparison experiments of classification and interpretation, it is found the combination model can address the issues from the latest interpretation models, and try to improve the trustworthiness of medical text interpretations.
目前,如何进行具体而正确的疾病预测是一个流行的研究趋势。研究人员更加努力地开发各种模型来提供医学领域的解释,然而,由于一些机器学习和深度学习模型的不透明结构,仍然缺乏人类可以理解的解释。根据这项工作,我们希望采用一种组合模型应用。通过分类和解释的对比实验,发现该组合模型可以解决最新解释模型存在的问题,并尝试提高医学文本解释的可信度。
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引用次数: 0
HeartSpot: Privatized and Explainable Data Compression for Cardiomegaly Detection HeartSpot:心脏肥大检测的私有和可解释的数据压缩
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926777
Elvin Johnson, Shreshta Mohan, Alex Gaudio, A. Smailagic, C. Faloutsos, A. Campilho
Advances in data-driven deep learning for chest X-ray image analysis underscore the need for explainability, privacy, large datasets and significant computational resources. We frame privacy and explainability as a lossy single-image compression problem to reduce both computational and data requirements without training. For Cardiomegaly detection in chest X-ray images, we propose HeartSpot and four spatial bias priors. HeartSpot priors define how to sample pixels based on domain knowledge from medical literature and from machines. HeartSpot privatizes chest X-ray images by discarding up to 97% of pixels, such as those that reveal the shape of the thoracic cage, bones, small lesions and other sensitive features. HeartSpot priors are ante-hoc explainable and give a human-interpretable image of the preserved spatial features that clearly outlines the heart. HeartSpot offers strong compression, with up to 32x fewer pixels and 11 $x$ smaller filesize. Cardiomegaly detectors using HeartSpot are up to 9x faster to train or at least as accurate (up to +.01 AUC ROC) when compared to a baseline DenseNet121. HeartSpot is post-hoc explainable by re-using existing attribution methods without requiring access to the original non-privatized image. In summary, HeartSpot improves speed and accuracy, reduces image size, improves privacy and ensures explainability.
数据驱动的胸部x射线图像分析深度学习的进展强调了对可解释性、隐私性、大数据集和大量计算资源的需求。我们将隐私和可解释性框架为有损的单图像压缩问题,以减少无需训练的计算和数据需求。对于胸部x线图像中的心脏肥大检测,我们提出了HeartSpot和四个空间偏差先验。HeartSpot先验定义了如何基于医学文献和机器的领域知识对像素进行采样。HeartSpot通过丢弃高达97%的像素来私有化胸部x光图像,例如那些显示胸腔形状、骨骼、小病变和其他敏感特征的像素。心脏斑点先验是预先可解释的,并给出了人类可解释的保存的空间特征图像,清晰地勾勒出心脏的轮廓。HeartSpot提供了强大的压缩功能,像素减少了32倍,文件大小减少了11倍。使用HeartSpot的心脏扩张检测器的训练速度提高了9倍,或者至少同样准确(高达0.01)AUC ROC)与基线DenseNet121比较。HeartSpot可以通过重用现有的归因方法进行事后解释,而不需要访问原始的非私有图像。总之,HeartSpot提高了速度和准确性,减少了图像大小,提高了隐私性,并确保了可解释性。
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引用次数: 0
Development and Independent Validation of Energy Expenditure Models Using SmartStep 使用SmartStep开发和独立验证能量消耗模型
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926944
Nagaraj Hegde, T. Swibas, E. Melanson, E. Sazonov
In this work we developed and validated a method to capture the activities of daily living (ADL), transitions between ADL, and the associated Energy Expenditure (EE) using a novel insole based wearable system (SmartStep). A 15-participant study was conducted in a controlled laboratory environment while participants wore the SmartStep and performed various ADL. Machine learning models were developed using 4-branched and 8-branched steady-state activities to estimate the total energy expenditure (TEE) and physical activity energy expenditure (PAEE). Additional models accounting for transitions between activities were also developed. These models were validated in an independent study with 8-participants, performed in a whole room indirect calorimeter. In the controlled study, the 8-branched models had a lower root mean square error (RMSE, 0.58 vs. 0.67 kcal/min) and lower total error (−1.5% vs. 3%). In the validation study, the 8-branched models also had a lower RMSE (0.9 kcal/min vs. 1.2 kcal/min) and lower total error (−4.5% vs 11%). Accounting for activity transitions reduced the total error in the EE estimation to −1.3%. The results suggested that SmartStep can be used to accurately monitor the EE of the wearers in their daily living. The validation study results suggested that 8-branched models more accurately predict EE than 4-branched models and that accounting for activity transitions improves the estimation of EE in daily living.
在这项工作中,我们开发并验证了一种方法来捕捉日常生活活动(ADL), ADL之间的转换,以及相关的能量消耗(EE)使用一种新型的鞋垫可穿戴系统(SmartStep)。一项15名参与者的研究在受控的实验室环境中进行,参与者佩戴SmartStep并进行各种ADL。利用4支和8支稳态活动建立了机器学习模型,以估计总能量消耗(TEE)和身体活动能量消耗(PAEE)。另外还开发了考虑活动之间转换的其他模型。这些模型在一项有8名参与者的独立研究中得到了验证,该研究在整个房间的间接量热计中进行。在对照研究中,8支模型具有较低的均方根误差(RMSE, 0.58 vs. 0.67 kcal/min)和较低的总误差(- 1.5% vs. 3%)。在验证研究中,8支模型也具有较低的RMSE (0.9 kcal/min vs. 1.2 kcal/min)和较低的总误差(- 4.5% vs. 11%)。考虑活动转换将EE估计的总误差降低到- 1.3%。结果表明,SmartStep可以用来准确地监测佩戴者在日常生活中的情感表达。验证研究结果表明,8支模型比4支模型更准确地预测情感表达,并且考虑活动转换可以改善对日常生活中情感表达的估计。
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引用次数: 0
Machine Learning-based Detection of In-Utero Fetal Presentation from Non-Invasive Fetal ECG 基于机器学习的无创胎儿心电图宫内胎儿表现检测
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926804
Katharina M. Jaeger, Michael Nissen, R. Richer, Simone Rahm, Adriana Titzmann, P. Fasching, Bjoern M. Eskofier, Heike Leutheuser
Preterm births account for more than 10 % of all newborns. An adverse fetal presentation is a risk factor for intrapartum and neonatal mortality. To date, no technology enables a longitudinal, ubiquitous, and unobtrusive monitoring of fetal presentation. This study presents a first approach to fetal orientation detection based on non-invasive fetal electrocardiography (NI-fECG) using the non-invasive multi-modal foetal ECG-Doppler data set for antenatal cardiology research. The data set contains 60 recordings from 39 pregnant women (21–27 weeks), including NI-fECG and ultrasound position ground truth. We evaluated both handcrafted and generic features for five different classifiers (k-Nearest-Neighbor, Decision Tree Classifier, Support Vector Classification, AdaBoost Classifier, and Multilayer Perceptron) using cross-validation on subject splits on a cleaned subset. Best results for the distinction between vertex (head down) and breech (head up) were achieved using an AdaBoost classifier with a balanced accuracy of 86.5 ± 15.0 %. With this work, we take a first step towards longitudinal fetal presentation monitoring, which contributes to a better understanding of reduced fetal movements and extends the potential applications of NI-fECG in prenatal care. In future work, we will expand our classification system to detect more detailed fetal presentations using a newly created data set.
早产占所有新生儿的10%以上。不良胎儿呈现是产时和新生儿死亡的危险因素。到目前为止,还没有一种技术能够对胎儿的表现进行纵向的、无所不在的、不显眼的监测。本研究提出了一种基于无创胎儿心电图(NI-fECG)的胎儿取向检测方法,该方法使用无创多模态胎儿心电图多普勒数据集用于产前心脏病学研究。数据集包含39名孕妇(21-27周)的60条记录,包括NI-fECG和超声位置地面真实值。我们对五种不同分类器(k-Nearest-Neighbor, Decision Tree Classifier, Support Vector Classification, AdaBoost Classifier和Multilayer Perceptron)的手工特征和通用特征进行了评估,并对清理后的子集上的主题分割进行了交叉验证。使用AdaBoost分类器区分顶点(头部向下)和后臀(头部向上)的最佳结果,平衡精度为86.5±15.0%。通过这项工作,我们向纵向胎儿呈现监测迈出了第一步,这有助于更好地了解胎儿运动减少,并扩展NI-fECG在产前护理中的潜在应用。在未来的工作中,我们将扩展我们的分类系统,使用新创建的数据集来检测更详细的胎儿表现。
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引用次数: 0
Molecular Dynamics forecasting of transmembrane Regions in GPRCs by Recurrent Neural Networks 递归神经网络在GPRCs跨膜区分子动力学预测中的应用
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926945
J. López-Correa, Caroline König, A. Vellido
G protein-coupled receptors are a large super-family of cell membrane proteins that play an important physiological role as transmitters of extra-cellular signals. Signal transmission through the cell membrane depends on the conformational changes of the transmembrane region of the receptor and the investigation of the dynamics in these regions is therefore key. Molecular Dynamics (MD) simulations can provide information of the receptor conformational states at the atom level and machine learning (ML) methods can be useful for the analysis of these data. In this paper, Recurrent Neural Networks (RNNs) are used to evaluate whether the MD can be modeled focusing on the different regions of the receptor (intra-cellular, extra-cellular and each transmembrane regions (TM)). The best results, as measured by root-mean-square deviation (RMSD), are 0.1228 Å for TM4 of the 2rh1 (inactive state) and 0.1325 Å for TM4 of the 3p0g (active state), which are comparable to the state-of-the-art in non-dynamic 3-D predictions, showing the potential of the proposed approach.
G蛋白偶联受体是一个大的细胞膜蛋白超家族,作为细胞外信号的传递者起着重要的生理作用。通过细胞膜的信号传递取决于受体跨膜区域的构象变化,因此研究这些区域的动力学是关键。分子动力学(MD)模拟可以在原子水平上提供受体构象状态的信息,机器学习(ML)方法可以用于分析这些数据。本文使用递归神经网络(RNNs)来评估MD是否可以集中在受体的不同区域(细胞内,细胞外和每个跨膜区域(TM))进行建模。通过均方根偏差(RMSD)测量的最佳结果是,2rh1的TM4(非活动状态)为0.1228 Å, 3pg的TM4(活动状态)为0.1325 Å,这与非动态3-D预测中的最先进技术相当,显示了所提出方法的潜力。
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引用次数: 0
Classification of Video Capsule Endoscopy Images Using Visual Transformers 视频胶囊内窥镜图像的视觉变换分类
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926791
Daniel Lopes Soares Lima, A. Pessoa, A. C. D. Paiva, António Cunha, Geraldo Braz Júnior, J. Almeida
Cancers related to the gastrointestinal tract have a high incidence rate in the population, with a high mortality rate. Videos obtained through endoscopic capsules are essential for evaluating anomalies that can progress to cancer. However, due to their duration, which can reach 10 hours, they demand great attention from the medical specialist in their analysis. Machine learning techniques have been successfully applied in developing computer-aided diagnostic systems since the 1990s, where Convolutional Neural Networks (CNNs) have become very successful for pattern recognition in images. CNNs use convolutions to extract features from the analyzed data, operating in a fixed-size window and thus having problems capturing pixel-level relationships considering the spatial and temporal domains. Otherwise, transformers use attention mechanisms, where data is structured in a vector space that can aggregate information from adjacent data to determine meaning in a given context. This work proposes a computational method for analyzing images extracted from videos obtained by endoscopic capsules, using a transformer-based model that helps diagnose of gastrointestinal tract abnormalities. Preliminary results are promising. The classification task of 11 classes evaluated on the publicly available Kvasir-Capsule dataset yielded an average value of 99.70% of accuracy, 99.64% of precision, 99.86% of sensitivity, and 99.54% of f1-score.
胃肠道相关癌症在人群中发病率高,死亡率高。通过内窥镜胶囊获得的视频对于评估可能发展为癌症的异常是必不可少的。然而,由于其持续时间可达10个小时,因此需要医学专家在分析时给予高度关注。自20世纪90年代以来,机器学习技术已经成功地应用于开发计算机辅助诊断系统,其中卷积神经网络(cnn)在图像模式识别方面非常成功。cnn使用卷积从分析数据中提取特征,在固定大小的窗口中操作,因此考虑到空间和时间域,在捕获像素级关系方面存在问题。否则,转换器使用注意机制,其中数据在向量空间中结构化,可以聚合来自相邻数据的信息以确定给定上下文中的含义。这项工作提出了一种计算方法,用于分析从内窥镜胶囊获得的视频中提取的图像,使用基于变压器的模型来帮助诊断胃肠道异常。初步结果令人鼓舞。在公开可用的Kvasir-Capsule数据集上评估的11个类别的分类任务的平均准确度为99.70%,精密度为99.64%,灵敏度为99.86%,f1-score为99.54%。
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引用次数: 2
Towards acceptable emerging technologies for homemonitoring and care: a feasibility study with COVID-19 patients 迈向可接受的家庭监测和护理新兴技术:针对COVID-19患者的可行性研究
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926956
D. Petsani, E. Konstantinidis, Michalis Timoleon, Nicholaos Athanasopoulos, Georgios Nikolaos Tsakonas, S. Nifakos, Natalia Stathakarou, M. Doumas, P. Bamidis
Healthcare continuity and remote care are among the key components for tackling disease-related effects using technological solutions. People recovering from home need high-quality of care and timely monitoring, resembling hospital care. This study proposes the use of a new device for person - machine interaction for home monitoring. The system takes advantage of automatic interaction initiated by the device on detecting patients' symptoms and providing remote care in order to improve technology engagement features. The feasibility of the proposed system was tested in COVID-19 patients as a definitive case of stay-at-home care where the treatment depends on the current state of health and the severity of the symptoms. The study shows promising results in terms of usability. The vast majority of the answers are perceiving the system as useful (90.9%) and easy to use (95.5%) and the overall System Usability Score (SUS) of the system is 65.25. The system usage adherence was also promising for the quarantine period (on average 7.2 days) but dropped after that. However, the results from the clinical team interviews showed that there is a need for sufficient allocated time for clinicians to get acquainted with the system and for ED staff to explain the device to patients.
医疗保健连续性和远程护理是利用技术解决方案处理与疾病相关影响的关键组成部分。从家中康复的人需要高质量的护理和及时的监测,就像医院护理一样。本研究提出了一种用于家庭监控的新型人机交互设备。该系统利用设备启动的自动交互来检测患者症状并提供远程护理,以提高技术参与功能。该系统的可行性在COVID-19患者中进行了测试,作为居家护理的最终案例,根据目前的健康状况和症状的严重程度进行治疗。这项研究在可用性方面显示了令人鼓舞的结果。绝大多数回答认为该系统有用(90.9%)和易于使用(95.5%),该系统的整体系统可用性得分(SUS)为65.25。在隔离期间(平均7.2天),系统使用依从性也很好,但在隔离之后就下降了。然而,临床团队访谈的结果表明,需要有足够的分配时间让临床医生熟悉该系统,并让急诊科工作人员向患者解释该设备。
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引用次数: 0
期刊
2022 IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI)
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