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Review of Artificial Intelligence in Lung Nodule Risk Assessment 人工智能在肺结节风险评估中的研究进展。
IF 12 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-15 DOI: 10.1109/RBME.2025.3528946
Ying Wei;Qing Zhou;Jiaojiao Wu;Xiaoxian Xu;Yaozong Gao;Lei Chen;Yiqiang Zhan;Xiang Sean Zhou;Chengdi Wang;Feng Shi;Dinggang Shen
Lung cancer is the leading cause of cancer-related mortality worldwide. In addition to localizing and segmenting lung nodules, a non-invasive risk assessment system can also help clinicians tailor treatment decisions in a timely manner, ultimately improving patient outcomes. Artificial intelligence (AI) technologies are increasingly being used in medical imaging to assess the risk of lung nodules, especially for malignancy classification. However, little research has been conducted on the assessment of other related risks. This work comprehensively reviews AI applications in lung nodule risk assessment, including malignancy diagnosis, pathological subtype assessment, metastasis risk evaluation, specific receptor expression identification, and disease progression tracking. It details common public databases used and state-of-the-art AI techniques, along with their benefits and challenges like data scarcity, generalizability, and interpretability. We anticipate that future research will tackle these issues, thereby increasing the improved interpretability and generalizability of AI methods in clinical workflows.
肺癌是全球癌症相关死亡的主要原因。除了定位和分割肺结节外,非侵入性风险评估系统还可以帮助临床医生及时制定治疗决策,最终改善患者的预后。人工智能(AI)技术越来越多地用于医学成像,以评估肺结节的风险,特别是恶性肿瘤分类。然而,对其他相关风险的评估研究却很少。本文综述了人工智能在肺结节风险评估中的应用,包括恶性诊断、病理亚型评估、转移风险评估、特异性受体表达鉴定和疾病进展跟踪。它详细介绍了常用的公共数据库和最先进的人工智能技术,以及它们的优点和挑战,如数据稀缺性、概括性和可解释性。我们预计未来的研究将解决这些问题,从而提高人工智能方法在临床工作流程中的可解释性和通用性。
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引用次数: 0
Advancing Cardiac Organoid Engineering Through Application of Biophysical Forces 应用生物物理力推进心脏类器官工程
IF 17.2 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-09 DOI: 10.1109/RBME.2024.3514378
Adriana Blazeski;Guillermo García-Cardeña;Roger D. Kamm
Cardiac organoids represent an important bioengineering opportunity in the development of models to study human heart pathophysiology. By incorporating multiple cardiac cell types in three-dimensional culture and developmentally-guided biochemical signaling, cardiac organoids recapitulate numerous features of heart tissue. However, cardiac tissue also experiences a variety of mechanical forces as the heart develops and over the course of each contraction cycle. It is now clear that these forces impact cellular specification, phenotype, and function, and should be incorporated into the engineering of cardiac organoids in order to generate better models. In this review, we discuss strategies for engineering cardiac organoids and report the effects of organoid design on the function of cardiac cells. We then discuss the mechanical environment of the heart, including forces arising from tissue elasticity, contraction, blood flow, and stretch, and report on efforts to mimic these biophysical cues in cardiac organoids. Finally, we review emerging areas of cardiac organoid research, for the study of cardiac development, the formation of multi-organ models, and the simulation of the effects of spaceflight on cardiac tissue, and consider how these investigations might benefit from the inclusion of mechanical cues.
心脏类器官是研究人类心脏病理生理模型的重要生物工程机会。通过在三维培养中结合多种心脏细胞类型和发育引导的生化信号,心脏类器官概括了心脏组织的许多特征。然而,随着心脏的发育和在每个收缩周期的过程中,心脏组织也会受到各种机械力的影响。现在很清楚,这些力量影响细胞规格,表型和功能,并应纳入心脏类器官的工程,以产生更好的模型。在这篇综述中,我们讨论了心脏类器官的工程策略,并报道了类器官设计对心脏细胞功能的影响。然后,我们讨论了心脏的机械环境,包括由组织弹性、收缩、血流和拉伸引起的力,并报告了在心脏类器官中模仿这些生物物理线索的努力。最后,我们回顾了心脏类器官研究的新兴领域,包括心脏发育研究、多器官模型的形成以及航天对心脏组织影响的模拟,并考虑了这些研究如何从包含机械线索中受益。
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引用次数: 0
Earable Multimodal Sensing and Stimulation: A Prospective Toward Unobtrusive Closed-Loop Biofeedback 可听的多模态传感和刺激:对不显眼的闭环生物反馈的展望
IF 17.2 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-29 DOI: 10.1109/RBME.2024.3508713
Yuchen Xu;Abhinav Uppal;Min Suk Lee;Kuldeep Mahato;Brian L. Wuerstle;Muyang Lin;Omeed Djassemi;Tao Chen;Rui Lin;Akshay Paul;Soumil Jain;Florian Chapotot;Esra Tasali;Patrick Mercier;Sheng Xu;Joseph Wang;Gert Cauwenberghs
The human ear has emerged as a bidirectional gateway to the brain's and body's signals. Recent advances in around-the-ear and in-ear sensors have enabled the assessment of biomarkers and physiomarkers derived from brain and cardiac activity using ear-electroencephalography (ear-EEG), photoplethysmography (ear-PPG), and chemical sensing of analytes from the ear, with ear-EEG having been taken beyond-the-lab to outer space. Parallel advances in non-invasive and minimally invasive brain stimulation techniques have leveraged the ear's access to two cranial nerves to modulate brain and body activity. The vestibulocochlear nerve stimulates the auditory cortex and limbic system with sound, while the auricular branch of the vagus nerve indirectly but significantly couples to the autonomic nervous system and cardiac output. Acoustic and current mode stimuli delivered using discreet and unobtrusive earables are an active area of research, aiming to make biofeedback and bioelectronic medicine deliverable outside of the clinic, with remote and continuous monitoring of therapeutic responsivity and long-term adaptation. Leveraging recent advances in ear-EEG, transcutaneous auricular vagus nerve stimulation (taVNS), and unobtrusive acoustic stimulation, we review accumulating evidence that combines their potential into an integrated earable platform for closed-loop multimodal sensing and neuromodulation, towards personalized and holistic therapies that are near, in- and around-the-ear.
人的耳朵已经成为大脑和身体信号的双向通道。耳戴式和耳内式传感器的最新进展使得利用耳脑电图(ear- eeg)、光体积脉搏描记术(ear- ppg)和耳分析物的化学传感来评估来自大脑和心脏活动的生物标志物和生理标志物成为可能,耳脑电图已被带出实验室,进入外太空。在非侵入性和微创性脑刺激技术的平行发展中,利用耳朵对两个脑神经的访问来调节大脑和身体的活动。前庭耳蜗神经以声音刺激听觉皮层和边缘系统,迷走神经耳支间接但显著地耦合自主神经系统和心输出量。声学和电流模式刺激使用谨慎和不显眼的可穿戴设备是一个活跃的研究领域,旨在使生物反馈和生物电子医学在诊所之外交付,远程和连续监测治疗反应性和长期适应。利用耳脑电图、经皮耳迷走神经刺激(taVNS)和不引人注目的声刺激的最新进展,我们回顾了积累的证据,这些证据将它们的潜力结合到一个集成的可耳平台上,用于闭环多模态传感和神经调节,朝着个性化和整体治疗的方向发展,这些治疗是在耳内、耳内和耳周围进行的。
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引用次数: 0
Immunomechanobiology: Engineering the Activation and Function of Immune Cells With the Mechanical Signal of Fluid Shear Stress 免疫机械生物学:利用流体剪切应力的机械信号来设计免疫细胞的激活和功能
IF 17.2 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-22 DOI: 10.1109/RBME.2024.3505073
N. S. Sarna;N. M. Curry;E. Aalaei;B. G. Kaufman;M. R. King
Immunomechanobiology, the study of how physical forces influence the behavior and function of immune cells, is a rapidly growing area of research. It is becoming increasingly recognized that mechanical stimuli, such as fluid shear forces, are a critical determinant of immune cell regulation. In this review, we discuss the principles and significance of various mechanical forces present within the human body, with a focus on fluid shear flow and its impact on immune cell activation and function. Moreover, we discuss engineering approaches used to study immune cell mechanobiology, and their implications in health and diseases such as cancer, autoimmune disorders, and infectious disease.
免疫力学是研究物理力量如何影响免疫细胞的行为和功能的学科,是一个快速发展的研究领域。人们越来越认识到,机械刺激,如流体剪切力,是免疫细胞调节的关键决定因素。在这篇综述中,我们讨论了存在于人体内的各种机械力的原理和意义,重点是流体剪切流动及其对免疫细胞激活和功能的影响。此外,我们还讨论了用于研究免疫细胞机械生物学的工程方法,以及它们在健康和疾病(如癌症、自身免疫性疾病和传染病)中的意义。
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引用次数: 0
Utilizing Neurons to Interrogate Cancer: Integrative Analysis of Cancer Omics Data With Deep Learning Models 利用神经元来询问癌症:癌症组学数据与深度学习模型的综合分析
IF 17.2 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-21 DOI: 10.1109/RBME.2024.3503761
Raid Halawani;Michael Buchert;Yi-Ping Phoebe Chen
Genomics plays an essential role in the early detection, classification, and targeted cancer therapy based on the analysis of precise alterations at the molecular level. Using the most reliable approach is essential for the exact interrogation and cross-examination of complex and multi-high-dimensional “Multi-omics” cancer genomics data. In recent years, deep learning has been successfully utilized to deal with large cancer genomics data and has the potential to transform predictive biology. This review aims to explore the recent advancements in the application of deep learning models in basic cancer omics research, including different methodologies for the interrogation of bulk cancer omics data and the importance of cross-platform data integration. The paper provides insights into advantages, limitations, potential for improvement, research gaps, future direction, and an in-depth comparison of the models currently used in the field of cancer genomics, highlighting the crucial need for collaboration and interdisciplinary research in the field.
基因组学在早期检测、分类和基于分子水平精确变化分析的靶向癌症治疗中起着至关重要的作用。使用最可靠的方法对于复杂和多高维“多组学”癌症基因组学数据的精确询问和交叉检查至关重要。近年来,深度学习已被成功地用于处理大量癌症基因组数据,并有可能改变预测生物学。本文旨在探讨深度学习模型在基础癌症组学研究中应用的最新进展,包括大量癌症组学数据查询的不同方法以及跨平台数据集成的重要性。本文阐述了癌症基因组学的优势、局限性、改进潜力、研究差距和未来方向,并对目前在癌症基因组学领域使用的模型进行了深入的比较,强调了该领域对合作和跨学科研究的迫切需求。
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引用次数: 0
Foundation Model for Advancing Healthcare: Challenges, Opportunities and Future Directions 推进医疗保健的基金会模式:挑战、机遇和未来方向。
IF 17.2 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-12 DOI: 10.1109/RBME.2024.3496744
Yuting He;Fuxiang Huang;Xinrui Jiang;Yuxiang Nie;Minghao Wang;Jiguang Wang;Hao Chen
Foundation model, trained on a diverse range of data and adaptable to a myriad of tasks, is advancing healthcare. It fosters the development of healthcare artificial intelligence (AI) models tailored to the intricacies of the medical field, bridging the gap between limited AI models and the varied nature of healthcare practices. The advancement of a healthcare foundation model (HFM) brings forth tremendous potential to augment intelligent healthcare services across a broad spectrum of scenarios. However, despite the imminent widespread deployment of HFMs, there is currently a lack of clear understanding regarding their operation in the healthcare field, their existing challenges, and their future trajectory. To answer these critical inquiries, we present a comprehensive and in-depth examination that delves into the landscape of HFMs. It begins with a comprehensive overview of HFMs, encompassing their methods, data, and applications, to provide a quick understanding of the current progress. Subsequently, it delves into a thorough exploration of the challenges associated with data, algorithms, and computing infrastructures in constructing and widely applying foundation models in healthcare. Furthermore, this survey identifies promising directions for future development in this field. We believe that this survey will enhance the community's understanding of the current progress of HFMs and serve as a valuable source of guidance for future advancements in this domain.
基金会模型在各种数据基础上进行训练,可适应无数任务,正在推动医疗保健事业的发展。它促进了医疗人工智能(AI)模型的发展,使其适合医疗领域的复杂性,弥补了有限的 AI 模型与医疗实践的多样性之间的差距。医疗保健基础模型(HFM)的发展为在各种场景中增强智能医疗保健服务带来了巨大潜力。然而,尽管 HFM 的广泛部署迫在眉睫,但目前人们对其在医疗保健领域的运作、现有挑战及其未来发展轨迹还缺乏清晰的认识。为了回答这些关键问题,我们对高频医疗设备的发展前景进行了全面深入的研究。首先,我们将全面概述高频市场,包括其方法、数据和应用,以便快速了解当前的进展情况。随后,它深入探讨了在医疗保健领域构建和广泛应用基础模型时与数据、算法和计算基础设施相关的挑战。此外,本调查还为该领域的未来发展指明了前景广阔的方向。我们相信,这份调查报告将增进社区对 HFM 当前进展的了解,并为该领域的未来发展提供宝贵的指导。如需了解最新的 HFM 论文和相关资源,请访问我们的网站。
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引用次数: 0
A Manual for Genome and Transcriptome Engineering 基因组和转录组工程手册》。
IF 17.2 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-08 DOI: 10.1109/RBME.2024.3494715
Yesh Doctor;Milan Sanghvi;Prashant Mali
Genome and transcriptome engineering have emerged as powerful tools in modern biotechnology, driving advancements in precision medicine and novel therapeutics. In this review, we provide a comprehensive overview of the current methodologies, applications, and future directions in genome and transcriptome engineering. Through this, we aim to provide a guide for tool selection, critically analyzing the strengths, weaknesses, and best use cases of these tools to provide context on their suitability for various applications. We explore standard and recent developments in genome engineering, such as base editors and prime editing, and provide insight into tool selection for change of function (knockout, deletion, insertion, substitution) and change of expression (repression, activation) contexts. Advancements in transcriptome engineering are also explored, focusing on established technologies like antisense oligonucleotides (ASOs) and RNA interference (RNAi), as well as recent developments such as CRISPR-Cas13 and adenosine deaminases acting on RNA (ADAR). This review offers a comparison of different approaches to achieve similar biological goals, and consideration of high-throughput applications that enable the probing of a variety of targets. This review elucidates the transformative impact of genome and transcriptome engineering on biological research and clinical applications that will pave the way for future innovations in the field.
基因组和转录组工程已成为现代生物技术的有力工具,推动着精准医学和新型疗法的进步。在这篇综述中,我们全面概述了基因组和转录组工程的当前方法、应用和未来方向。借此,我们旨在为工具选择提供指导,批判性地分析这些工具的优势、劣势和最佳使用案例,为它们在各种应用中的适用性提供背景资料。我们探讨了基因组工程的标准和最新进展,如碱基编辑和质粒编辑,并深入分析了功能改变(敲除、缺失、插入、替换)和表达改变(抑制、激活)情况下的工具选择。此外,还探讨了转录组工程的进展,重点关注反义寡核苷酸(ASO)和 RNA 干扰(RNAi)等成熟技术,以及 CRISPR-Cas13 和作用于 RNA 的腺苷脱氨酶(ADAR)等最新发展。这篇综述对实现类似生物学目标的不同方法进行了比较,并考虑了能够探测各种靶标的高通量应用。本综述阐明了基因组和转录组工程对生物研究和临床应用的变革性影响,这将为该领域未来的创新铺平道路。
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引用次数: 0
Artificial General Intelligence for Medical Imaging Analysis 用于医学影像分析的人工通用智能。
IF 17.2 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-07 DOI: 10.1109/RBME.2024.3493775
Xiang Li;Lin Zhao;Lu Zhang;Zihao Wu;Zhengliang Liu;Hanqi Jiang;Chao Cao;Shaochen Xu;Yiwei Li;Haixing Dai;Yixuan Yuan;Jun Liu;Gang Li;Dajiang Zhu;Pingkun Yan;Quanzheng Li;Wei Liu;Tianming Liu;Dinggang Shen
Large-scale Artificial General Intelligence (AGI) models, including Large Language Models (LLMs) such as ChatGPT/GPT-4, have achieved unprecedented success in a variety of general domain tasks. Yet, when applied directly to specialized domains like medical imaging, which require in-depth expertise, these models face notable challenges arising from the medical field's inherent complexities and unique characteristics. In this review, we delve into the potential applications of AGI models in medical imaging and healthcare, with a primary focus on LLMs, Large Vision Models, and Large Multimodal Models. We provide a thorough overview of the key features and enabling techniques of LLMs and AGI, and further examine the roadmaps guiding the evolution and implementation of AGI models in the medical sector, summarizing their present applications, potentialities, and associated challenges. In addition, we highlight potential future research directions, offering a holistic view on upcoming ventures. This comprehensive review aims to offer insights into the future implications of AGI in medical imaging, healthcare, and beyond.
大规模人工通用智能(AGI)模型,包括 ChatGPT/GPT-4 等大型语言模型(LLM),在各种通用领域任务中取得了前所未有的成功。然而,当这些模型直接应用于像医学影像这样需要深入专业知识的专业领域时,却面临着医学领域固有的复杂性和独特性所带来的显著挑战。在本综述中,我们将深入探讨 AGI 模型在医学影像和医疗保健领域的潜在应用,主要关注 LLM、大型视觉模型和大型多模态模型。我们全面概述了 LLMs 和 AGI 的主要特征和使能技术,并进一步研究了指导 AGI 模型在医疗领域发展和实施的路线图,总结了它们目前的应用、潜力和相关挑战。此外,我们还强调了未来潜在的研究方向,为即将到来的风险投资提供了一个全面的视角。本综述旨在深入探讨 AGI 在医学成像、医疗保健等领域的未来影响。
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引用次数: 0
The Physiome Project and Digital Twins 生理组计划和数字双胞胎。
IF 17.2 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-06 DOI: 10.1109/RBME.2024.3490455
P. Hunter;B. de Bono;D. Brooks;R. Christie;J. Hussan;M. Lin;D. Nickerson
Interest in the concept of a virtual human model that can encompass human physiology and anatomy on a biophysical (mechanistic) basis, and can assist with the clinical diagnosis and treatment of disease, appears to be growing rapidly around the globe. When such models are personalised and coupled with continual diagnostic measurements, they are called ‘digital twins’. We argue here that the most useful form of virtual human model will be one that is constrained by the laws of physics, contains a comprehensive knowledge graph of all human physiology and anatomy, is multiscale in the sense of linking systems physiology down to protein function, and can to some extent be personalized and linked directly with clinical records. We discuss current progress from the IUPS Physiome Project and the requirements for a framework to achieve such a model.
虚拟人体模型可以在生物物理(机理)的基础上涵盖人体生理和解剖,并能帮助临床诊断和治疗疾病,这一概念在全球范围内似乎正在迅速发展。当这种模型被个性化并与持续诊断测量相结合时,它们就被称为 "数字双胞胎"。我们在此认为,最有用的虚拟人体模型将是一种受物理定律约束的模型,它包含所有人体生理和解剖学的综合知识图谱,是多尺度的,可以将系统生理学与蛋白质功能联系起来,并能在一定程度上实现个性化,与临床记录直接联系起来。我们将讨论国际大学物理学会生理组项目目前取得的进展,以及建立这样一个模型的框架所需的条件。
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引用次数: 0
A Survey of Few-Shot Learning for Biomedical Time Series 生物医学时间序列少点学习调查。
IF 17.2 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-06 DOI: 10.1109/RBME.2024.3492381
Chenqi Li;Timothy Denison;Tingting Zhu
Advancements in wearable sensor technologies and the digitization of medical records have contributed to the unprecedented ubiquity of biomedical time series data. Data-driven models have tremendous potential to assist clinical diagnosis and improve patient care by improving long-term monitoring capabilities, facilitating early disease detection and intervention, as well as promoting personalized healthcare delivery. However, accessing extensively labeled datasets to train data-hungry deep learning models encounters many barriers, such as long-tail distribution of rare diseases, cost of annotation, privacy and security concerns, data-sharing regulations, and ethical considerations. An emerging approach to overcome the scarcity of labeled data is to augment AI methods with human-like capabilities to leverage past experiences to learn new tasks with limited examples, called few-shot learning. This survey provides a comprehensive review and comparison of few-shot learning methods for biomedical time series applications. The clinical benefits and limitations of such methods are discussed in relation to traditional data-driven approaches. This paper aims to provide insights into the current landscape of few-shot learning for biomedical time series and its implications for future research and applications.
可穿戴传感器技术的进步和医疗记录的数字化促使生物医学时间序列数据空前普及。数据驱动的模型具有巨大的潜力,可以通过提高长期监测能力、促进早期疾病检测和干预以及促进个性化医疗服务来协助临床诊断和改善患者护理。然而,要获取广泛标注的数据集来训练对数据要求极高的深度学习模型,会遇到许多障碍,如罕见疾病的长尾分布、标注成本、隐私和安全问题、数据共享法规和伦理考虑等。克服标注数据稀缺问题的一种新兴方法是增强人工智能方法,使其具备类似人类的能力,利用过去的经验,在有限的示例中学习新任务,这就是所谓的 "少量学习"(few-shot learning)。本调查全面回顾和比较了生物医学时间序列应用中的少量学习方法。结合传统的数据驱动方法,讨论了这些方法的临床优势和局限性。本文旨在深入探讨生物医学时间序列少次学习的现状及其对未来研究和应用的影响。
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引用次数: 0
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IEEE Reviews in Biomedical Engineering
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