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A Comparative Study on the Influence of Probe Placement on Quality Assurance Measurements in B-mode Ultrasound by Means of Ultrasound Phantoms. 超声成像技术中探头放置对b超质量保证测量影响的比较研究
Q3 Medicine Pub Date : 2015-07-31 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010164
A Scorza, S Conforto, C D'Anna, S A Sciuto

To check or to prevent failures in ultrasound medical systems, some tests should be scheduled for both clinical suitability and technical functionality evaluation: among them, image quality assurance tests performed by technicians through ultrasound phantoms are widespread today and their results depend on issues related to scanner settings as well as phantom features and operator experience. In the present study variations on some features of the B-mode image were measured when the ultrasound probe is handled by the technician in a routine image quality test: ultrasound phantom images from two array transducers are processed to evaluate measurement dispersion in distance accuracy, high contrast spatial resolution and penetration depth when probe is handled by the operator. All measurements are done by means of an in-house image analysis software that minimizes errors due to operator's visual acuity and subjective judgment while influences of ultrasound transducer position on quality assurance test results are estimated as expanded uncertainties on parameters above (measurement reproducibility at 95 percent confidence level): depending on the probe model, they ranged from ±0.1 to ±1.9 mm in high contrast spatial resolution, from ±0.1 to ±5.5 percent in distance measurements error and from ±1 to ±10 mm in maximum depth of signal visualization. Although numerical results are limited to the two examined probes, they confirm some predictions based on general working principles of diagnostic ultrasound systems: (a) measurements strongly depend on settings as well on phantoms features, probes and parameters investigated; (b) relative uncertainty due to probe manipulation on spatial resolution can be very high, i.e. from 10 to more than 30 percent;

为了检查或防止超声医疗系统的故障,应该安排一些临床适用性和技术功能评估的测试:其中,技术人员通过超声幻象进行的图像质量保证测试在今天很普遍,其结果取决于与扫描仪设置以及幻象特征和操作员经验相关的问题。在本研究中,在常规图像质量测试中测量了技术人员处理超声探头时b模式图像某些特征的变化:对来自两个阵列换能器的超声虚像进行处理,以评估操作员处理探头时距离精度、高对比度空间分辨率和穿透深度的测量色散。所有测量都是通过内部图像分析软件完成的,该软件最大限度地减少了由于操作员的视力和主观判断造成的误差,同时超声波换能器位置对质量保证测试结果的影响被估计为上述参数的扩展不确定度(测量再现性在95%置信水平):根据探头型号的不同,它们的高对比度空间分辨率范围为±0.1至±1.9 mm,距离测量误差范围为±0.1至±5.5%,信号可视化最大深度范围为±1至±10 mm。虽然数值结果仅限于两个检查探头,但它们证实了基于诊断超声系统一般工作原理的一些预测:(a)测量结果强烈依赖于设置以及所调查的幽灵特征,探头和参数;(b)由于探测器操纵对空间分辨率造成的相对不确定性可能非常高,即从10%到30%以上;
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引用次数: 20
Imaging of Conductivity Changes of Excitable Tissues Based on Focused Passive Microwave. 基于聚焦被动微波的可激发组织电导率变化成像。
Q3 Medicine Pub Date : 2015-07-31 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010138
Irene Karanasiou

Aims: Modeling of ionic distribution fluctuations of excitable tissues based on data elicited using focused microwave radiometry.

Methodology: Focused Microwave Radiometry implemented to carry out measurements of in depth body temperature distributions, may provide the capability of sensing local electrical conductivity fluctuations during the cycle of actions potentials in the case of brain excitable cell clusters. An analog beamformer consisting of a conductive inner-surface ellipsoidal cavity is used to focus the chaotic-black body radiation emerging from human tissues by providing convergence of the electromagnetic energy from one focus area where the phantom or subject is placed, to the other where the antennas of sensitive radiometric receivers are positioned. During the past 10 years numerous phantom, animal and human volunteer experiments have been performed with the focused radiometry imaging system. The results show that the detected changes of the output radiometric voltage are attributed to temperature and/or conductivity changes that occur locally concentrated at the areas of interest under measurement. Theoretical and experimental studies are continuously carried out at various frequency bands in conjunction with the use of matching materials placed around the human head or phantom to improve focusing and detection depth. It seems that the manipulation of the focusing area in the tissue in terms of detection depth and spatial resolution is feasible depending on the suitable combination of operation frequencies and matching material. In this paper, theoretical analysis of ion charge diffusion during the cycle of action potentials, propagating along the axons in case of measurements of specific cortical regions is presented. The ion charge diffusion modeling is based on electromagnetic diffusion analogies in the effort to explain the observed experimental results obtained under various psychophysiological conditions in the case of human volunteer measurements.

Results: By implementing an analysis based on the continuity equations of ionic charges it is concluded that the microwave radiometry output voltage is not affected by the temporal and spatial average fluctuations of Na(+), K(+), and Cl(-) ions of neural cell axons.

Conclusion: The analysis of conductivity fluctuations in the central neural system in conjunction with the electromagnetic analysis of the system, leads to the interpretation of the previously acquired experimental data. The application of this technique with other brain functional mapping methods, may provide complementary knowledge to the understanding of the functional organization of psychophysiological processes.

目的:基于聚焦微波辐射测量的数据建立可激发组织的离子分布波动模型。方法:聚焦微波辐射测量法用于测量深度体温分布,可以在脑可兴奋细胞簇的情况下,在动作电位周期中提供感知局部电导率波动的能力。模拟波束形成器由导电的内表面椭球腔组成,通过提供电磁能量的汇聚,从放置幻影或对象的一个聚焦区域到放置敏感辐射接收器天线的另一个聚焦区域,用于聚焦来自人体组织的混沌黑体辐射。在过去的十年中,利用聚焦辐射成像系统进行了大量的幻影、动物和人类志愿者实验。结果表明,检测到的输出辐射电压的变化归因于温度和/或电导率的变化,这些变化局部集中在测量的感兴趣区域。理论和实验研究持续在不同的频带进行,并使用在人的头部或幻影周围放置的匹配材料,以提高聚焦和探测深度。通过操作频率和匹配材料的适当组合,在检测深度和空间分辨率方面对组织中的聚焦区域进行操作似乎是可行的。本文从理论上分析了在特定皮质区域测量时沿轴突传播的动作电位循环中离子电荷的扩散。离子电荷扩散模型是基于电磁扩散类比来解释在人类志愿者测量的情况下,在各种心理生理条件下获得的观察实验结果。结果:通过离子电荷连续性方程的分析,得出微波辐射测量输出电压不受神经细胞轴突Na(+)、K(+)和Cl(-)离子时空平均波动的影响。结论:对中枢神经系统电导率波动的分析与系统的电磁分析相结合,可以对先前获得的实验数据进行解释。该技术与其他脑功能映射方法的应用,可以为理解心理生理过程的功能组织提供补充知识。
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引用次数: 3
Accelerometer-based Physical Activity Monitoring in Patients with Knee Osteoarthritis: Objective and Ambulatory Assessment of Actual Physical Activity During Daily Life Circumstances. 膝关节骨性关节炎患者基于加速度计的身体活动监测:日常生活环境中实际身体活动的客观和动态评估。
Q3 Medicine Pub Date : 2015-07-23 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010157
L Verlaan, S A A N Bolink, S N Van Laarhoven, M Lipperts, I C Heyligers, B Grimm, R Senden

Background: It is important to assess physical activity objectively during daily life circumstances, to understand the association between physical activity and diseases and to determine the effectiveness of interventions. Accelerometer-based physical activity monitoring seems a promising method and could potentially capture all four FITT (i.e. Frequency, Intensity, Time, Type) components of physical activity considered by the World Health Organization (WHO).

Aim: To assess the four FITT components of physical activity with an accelerometer during daily life circumstances and compare with self-reported levels of physical activity in patients with knee osteoarthritis (OA) and a healthy control group.

Methods: Patients (n=30) with end-stage knee OA and age-matched healthy subjects (n=30) were measured. An ambulant tri-axial accelerometer was placed onto the lateral side of the upper leg. Physical activity was measured during four consecutive days. Using algorithm-based peak detection methods in Matlab, parameters covering the four FITT components were assessed. Self-reported physical activity was assessed using the Short questionnaire to assess health enhancing physical activity (SQUASH).

Results: Knee OA patients demonstrated fewer walking bouts (154 ±79 versus 215 ±65 resp.; p=0.002), step counts (4402 ±2960 steps/day versus 6943 ±2581 steps/day; p=0.001) and sit-to-stand (STS) transfers (37 ±14 versus 44 ±12; p=0.031) compared to controls. Knee OA patients demonstrated more time sitting (65 ±15% versus 57 ±10% resp.; p=0.029), less time walking (8 ±4% versus 11 ±4% resp.; p=0.014) and lower walking cadence (87 ±11steps/min versus 99 ± 8steps/min resp.; p<0.001). Accelerometer-based parameters of physical activity were moderately-strong (Pearsons's r= 0.28-0.49) correlated to self-reported SQUASH scores.

Conclusion: A single ambulant accelerometer-based physical activity monitor feasibly captures the four FITT components of physical activity and provides more insight into the actual physical activity behavior and limitations of knee OA patients in their daily life.

背景:在日常生活环境中客观地评估身体活动,了解身体活动与疾病之间的关系以及确定干预措施的有效性是很重要的。基于加速度计的身体活动监测似乎是一种很有前途的方法,有可能捕获世界卫生组织(世卫组织)认为的身体活动的所有四个FITT组成部分(即频率、强度、时间、类型)。目的:用加速度计评估日常生活中身体活动的四个FITT组成部分,并与膝关节骨关节炎(OA)患者和健康对照组的自我报告的身体活动水平进行比较。方法:对30例终末期膝关节OA患者和30例年龄匹配的健康受试者进行测量。将一个可移动的三轴加速度计放置在上肢外侧。连续四天测量身体活动。利用Matlab中基于算法的峰值检测方法,对覆盖四个FITT分量的参数进行了评估。自我报告的体力活动采用短问卷评估健康促进体力活动(SQUASH)。结果:膝关节OA患者行走次数较少(154±79次vs 215±65次);P =0.002),步数(4402±2960步/天vs 6943±2581步/天;p=0.001)和坐立转换(STS)(37±14 vs 44±12;P =0.031)。膝关节OA患者坐着的时间更长(65±15% vs 57±10%);P =0.029),步行时间减少(8±4%比11±4%;P =0.014)和较低的步行节奏(87±11步/分钟vs 99±8步/分钟);结论:单一的基于动态加速度计的身体活动监测仪可以捕获身体活动的四个FITT组成部分,并可以更深入地了解膝关节OA患者在日常生活中的实际身体活动行为和局限性。
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引用次数: 44
A Robustness Comparison of Two Algorithms Used for EEG Spike Detection. 两种脑电图峰值检测算法的鲁棒性比较。
Q3 Medicine Pub Date : 2015-07-23 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010151
Sahbi Chaibi, Tarek Lajnef, Abdelbacet Ghrob, Mounir Samet, Abdennaceur Kachouri

Spikes and sharp waves recorded on scalp EEG may play an important role in identifying the epileptogenic network as well as in understanding the central nervous system. Therefore, several automatic and semi-automatic methods have been implemented to detect these two neural transients. A consistent gold standard associated with a high degree of agreement among neuroscientists is required to measure relevant performance of different methods. In fact, scalp EEG data can often be corrupted by a set of artifacts and are not always served as data of gold standard. For this reason, the use of intracerebral EEG data mixed with gaussian noise seems to best resemble the output of scalp EEG brain and serves as a consistent gold standard. In the present framework, we test the robustness of two important methods that have been previously used for the automatic detection of epileptiform transients (spikes and sharp waves). These methods are based respectively on Discrete Wavelet Transform (DWT) and Continuous Wavelet Transform (CWT). Our purpose is to elaborate a comparative study in terms of sensitivity and selectivity changes via the decrease of Signal to Noise Ratio (SNR), which is ranged from 10 dB up to -10 dB. The results demonstrate that, DWT approach turns to be more stable in terms of sensitivity, and it successfully follows the detection of relevant spikes with the decrease of SNR. However, CWT-based approach remains more stable in terms of selectivity, so that, it performs well in terms of rejecting false spikes compared to DWT approach.

头皮脑电图记录的尖峰和尖波在识别癫痫发生网络和理解中枢神经系统方面具有重要作用。因此,已经实现了几种自动和半自动的方法来检测这两种神经瞬变。衡量不同方法的相关性能需要神经科学家之间高度一致的一致金标准。事实上,头皮EEG数据经常会被一组伪影破坏,并不总是作为金标准数据。因此,混合高斯噪声的脑内EEG数据的使用似乎最接近头皮EEG脑输出,可以作为一致的金标准。在目前的框架中,我们测试了两种重要方法的鲁棒性,这两种方法以前被用于癫痫样瞬态(尖峰和尖波)的自动检测。这些方法分别基于离散小波变换和连续小波变换。我们的目的是详细阐述通过降低信噪比(SNR)来改变灵敏度和选择性的比较研究,信噪比的范围从10 dB到-10 dB。结果表明,DWT方法在灵敏度方面变得更加稳定,并且随着信噪比的降低,它成功地跟踪了相关尖峰的检测。然而,基于cwt的方法在选择性方面仍然更加稳定,因此,与DWT方法相比,它在拒绝假尖峰方面表现良好。
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引用次数: 15
The Effect of Lightly Gripping a Cane on the Dynamic Balance Control. 轻握手杖对动态平衡控制的影响
Q3 Medicine Pub Date : 2015-07-23 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010146
Kazushige Oshita, Sumio Yano

The purpose of the current study was to investigate the effect of lightly gripping a cane on the Functional Reach Test (FRT) to evaluate dynamic balance. 21 healthy men (19±1 years) were asked to perform the FRT three times. The standard FRT was performed in the first and third trials. In the second trial, participants in a light-grip group (n = 11) were told to lightly grip (but to not apply force for mechanical support) the cane during the FRT. Participants in a depend-on-cane group (n = 10) were told to perform the FRT while supporting their weight with the cane. FRT is improved by not only supporting a person's own weight with a cane but also just lightly gripping the cane. These findings would be helpful in the development of a useful application to improve the human movement using a haptic sensory supplementation for activities of daily living.

本研究旨在调查轻握手杖对评估动态平衡的功能性前伸测试(FRT)的影响。21 名健康男性(19±1 岁)被要求进行三次 FRT。在第一和第三次试验中进行标准 FRT。在第二次试验中,轻握组的参与者(n = 11)被告知在 FRT 过程中要轻握手杖(但不要用力进行机械支撑)。依赖手杖组(n = 10)的参与者被告知在进行 FRT 时,要用手杖支撑自己的体重。不仅用手杖支撑自身重量,而且只需轻轻握住手杖,就能改善 FRT。这些发现将有助于开发一种有用的应用,利用触觉补充改善日常生活活动中的人体运动。
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引用次数: 0
Association Between KCNJ11 Gene E23K Polymorphism and Body Composition Together with its Response to Endurance Training. KCNJ11基因E23K多态性与身体组成及其对耐力训练的反应的关系
Q3 Medicine Pub Date : 2015-06-09 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010121
Zhou Duoqi, He Qing, Hu Yang, Li Yanchun, Xi Yi, Wen Li

Objective: To explore the Association between KCNJ11 gene E23K polymorphism of Chinese and body composition together with its response to endurance training.

Method: 102 biologically unrelated Han nationality male new recruits from northern China volunteered to execute a 5000-m running programme, and the intensity is 95-105% individual lactate threshold. The protocol was lasted for 18 weeks, three times per week. The body composition index, including body weight (WT)、lean body weight (LBW), body mass index (BMI) and body fat percentage (Fat%), was measured before and after training. PCR-RFLP was used to detect the KCNJ11 gene E23K polymorphism.

Results: Hardy-Weinberg equilibrium was observed for the frequency of genotypes in these subjects. Before training, WT, BMI and Fat% in KK group were significantly higher than those in EE and KK group (p<0.05 or p<0.01). There was no significant difference in LBW among groups (P>0.05). After training, the changes of all body composition index in KK group were bigger significantly greater than those in EE and EK groups (p<0.01).

Conclusion: KCNJ11 gene E23K polymorphism might contribute to individual body composition together with its response to endurance training. The body fat content at baseline in KK was more than those in EE and EK groups, and it may hinder that individual to eliminate their body fat during endurance training.

目的:探讨中国人KCNJ11基因E23K多态性与机体组成及耐力训练反应的关系。方法:102名无血缘关系的北方汉族男性新兵自愿进行5000米跑步训练,强度为95-105%个体乳酸门槛。该方案持续18周,每周3次。在训练前后测量体成分指数,包括体重(WT)、瘦体重(LBW)、体重指数(BMI)和体脂率(fat %)。采用PCR-RFLP方法检测KCNJ11基因E23K多态性。结果:这些受试者的基因型频率达到Hardy-Weinberg平衡。训练前,KK组WT、BMI、Fat%均显著高于EE和KK组(p0.05)。训练后,KK组各体成分指数的变化均大于EE组和EK组(p结论:KCNJ11基因E23K多态性可能影响个体体成分及其对耐力训练的反应。KK组的体脂含量高于EE组和EK组,这可能会阻碍个体在耐力训练中消除体脂。
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引用次数: 1
Anatomically Based Geometric Modelling Using Medical Image Data: Methods and Programs. 基于解剖的几何建模使用医学图像数据:方法和程序。
Q3 Medicine Pub Date : 2015-06-09 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010126
Monan Wang, Lei Sun, Yuming Liu

The human organs geometric modeling software which can achieve two-dimensional medical image browsing, pretreatment and three dimensional (3D) reconstruction in this paper is designed. This software implements medical image segmentation using the method combining the region growing and the interactive segmentation. Also, the MC surface reconstruction algorithm is utilized to achieve the three-dimensional reconstruction. Furthermore, the software is projected by Visual C++. And then, to legitimately express the structural information of skeleton and muscle, the software is employed to obtain the geometric model using the segmentation and three-dimensional reconstruction for data of skeleton and muscle medical images of the object of study.

设计了能够实现二维医学图像浏览、预处理和三维重建的人体器官几何建模软件。该软件采用区域增长和交互分割相结合的方法实现医学图像分割。同时,利用MC曲面重建算法实现三维重建。此外,该软件采用visualc++进行投影。然后,为了合理地表达骨骼和肌肉的结构信息,利用该软件对研究对象的骨骼和肌肉医学图像数据进行分割和三维重建,获得几何模型。
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引用次数: 0
Application and Analysis of Biological Electrospray in Tissue Engineering. 生物电喷雾技术在组织工程中的应用与分析。
Q3 Medicine Pub Date : 2015-05-29 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010133
Ma Yunmin, Liu Yuanyuan, Chen Haiping, Hu Qingxi

Nan-fiber scaffolds are suitable tools for tissue engineering. Electro spinning materials together with cells presents not adequate to obtain a high cellular zing tissue constructs as the shear force, tensile force, and other physical effects excited in the electro spinning process, which are harmful to cellular differentiation, development and function. However, this limitation has been overcome by a micro integration system of simultaneously bio-electro spraying human adipose stem cells (ASCs) and electro spinning Polyvinyl alcohol (PVA). Then it was compared to the single electro spinning nan-fiber scaffolds in relation to cell viability, which showed that the scaffolds by micro integration approach has a larger number of surviving cells and more suitable for cell growth and proliferation. In addition, the relationship between different parameters of biological electrospray (voltage, flow rate and distance of the needle from the collecting board) and droplet size of cell suspension was elucidated and the droplets with a near-mono distribution (<50um) could be generated to deposit a single living cell within a droplet. The association of bio-electro spraying with electro spinning (a scaffold preparation technique) has been demonstrated to be a promising and suitable tissue engineering approach in producing nan-fiber based three-dimensional (3-D) cell seeded scaffolds.

纳米纤维支架是组织工程的理想工具。电纺丝过程中所激发的剪切力、拉力等物理效应不利于细胞的分化、发育和功能,使得材料与细胞一起不足以获得较高的细胞活力。然而,这一限制已经被同时生物喷涂人类脂肪干细胞(ASCs)和电纺丝聚乙烯醇(PVA)的微集成系统所克服。并与单电纺丝纳米纤维支架的细胞存活率进行了比较,结果表明微集成支架的存活细胞数量更多,更适合细胞生长和增殖。此外,还研究了生物电喷雾不同参数(电压、流速、针距收集板距离)与细胞悬浮液液滴大小的关系,并对近单分布的液滴(
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引用次数: 12
Recent patents and designs on hip replacement prostheses. 髋关节置换术的最新专利和设计。
Q3 Medicine Pub Date : 2015-03-31 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010092
H Derar, M Shahinpoor

Hip replacement surgery has gone through tremendous evolution since the first procedure in 1840. In the past five decades the advances that have been made in technology, advanced and smart materials innovations, surgical techniques, robotic surgery and methods of fixations and sterilization, facilitated hip implants that undergo multiple design revolutions seeking the least problematic implants and a longer survivorship. Hip surgery has become a solution for many in need of hip joint remedy and replacement across the globe. Nevertheless, there are still long-term problems that are essential to search and resolve to find the optimum implant. This paper reviews several recent patents on hip replacement surgery. The patents present various designs of prostheses, different materials as well as methods of fixation. Each of the patents presents a new design as a solution to different issues ranging from the longevity of the hip prostheses to discomfort and inconvenience experienced by patients in the long-term.

自1840年第一次手术以来,髋关节置换术经历了巨大的发展。在过去的五十年里,技术的进步,先进和智能材料的创新,手术技术,机器人手术以及固定和消毒的方法,促进了髋关节植入物的多次设计革命,寻求最少的问题植入物和更长的生存期。髋关节手术已经成为全球许多需要髋关节治疗和置换的人的解决方案。然而,仍有一些长期的问题需要寻找和解决,以找到最佳的种植体。本文综述了近年来有关髋关节置换术的几项专利。这些专利提出了各种假体的设计、不同的材料以及固定方法。每一项专利都提出了一种新的设计,以解决不同的问题,从髋关节假体的寿命到患者长期的不适和不便。
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引用次数: 28
Recognition Method of Limb Motor Imagery EEG Signals Based on Integrated Back-propagation Neural Network. 基于集成反向传播神经网络的肢体运动图像脑电信号识别方法。
Q3 Medicine Pub Date : 2015-03-31 eCollection Date: 2015-01-01 DOI: 10.2174/1874120701509010083
Mingyang Li, Wanzhong Chen, Bingyi Cui, Yantao Tian

In this paper, in order to solve the existing problems of the low recognition rate and poor real-time performance in limb motor imagery, the integrated back-propagation neural network (IBPNN) was applied to the pattern recognition research of motor imagery EEG signals (imagining left-hand movement, imagining right-hand movement and imagining no movement). According to the motor imagery EEG data categories to be recognized, the IBPNN was designed to consist of 3 single three-layer back-propagation neural networks (BPNN), and every single neural network was dedicated to recognizing one kind of motor imagery. It simplified the complicated classification problems into three mutually independent two-class classifications by the IBPNN. The parallel computing characteristic of IBPNN not only improved the generation ability for network, but also shortened the operation time. The experimental results showed that, while comparing the single BPNN and Elman neural network, IBPNN was more competent in recognizing limb motor imagery EEG signals. Also among these three networks, IBPNN had the least number of iterations, the shortest operation time and the best consistency of actual output and expected output, and had lifted the success recognition rate above 97 percent while other single network is around 93 percent.

为了解决肢体运动图像识别率低、实时性差的问题,本文将综合反向传播神经网络(IBPNN)应用于运动图像脑电图信号(想象左手运动、想象右手运动和想象不运动)的模式识别研究。根据待识别的运动意象脑电数据类别,将IBPNN设计为由3个单层三层反向传播神经网络(BPNN)组成,每个神经网络分别用于识别一种运动意象。利用IBPNN将复杂的分类问题简化为三个相互独立的两类分类。IBPNN的并行计算特性不仅提高了网络的生成能力,而且缩短了运行时间。实验结果表明,与Elman神经网络相比,IBPNN对肢体运动图像脑电信号的识别能力更强。在这三种网络中,IBPNN的迭代次数最少,运行时间最短,实际输出和期望输出的一致性最好,识别率在97%以上,而其他单一网络的识别率在93%左右。
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引用次数: 1
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