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Fluid-Structure Interaction Within Models of Patient-Specific Arteries: Computational Simulations and Experimental Validations 特定患者动脉模型内的流体与结构相互作用:计算模拟与实验验证。
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-10-19 DOI: 10.1109/RBME.2022.3215678
Sabrina Schoenborn;Selene Pirola;Maria A. Woodruff;Mark C. Allenby
Cardiovascular disease (CVD) is the leading cause of mortality worldwide and its incidence is rising due to an aging population. The development and progression of CVD is directly linked to adverse vascular hemodynamics and biomechanics, whose in-vivo measurement remains challenging but can be simulated numerically and experimentally. The ability to evaluate these parameters in patient-specific CVD cases is crucial to better predict future disease progression, risk of adverse events, and treatment efficacy. While significant progress has been made toward patient-specific hemodynamic simulations, blood vessels are often assumed to be rigid, which does not consider the compliant mechanical properties of vessels whose malfunction is implicated in disease. In an effort to simulate the biomechanics of flexible vessels, fluid-structure interaction (FSI) simulations have emerged as promising tools for the characterization of hemodynamics within patient-specific cardiovascular anatomies. Since FSI simulations combine the blood's fluid domain with the arterial structural domain, they pose novel challenges for their experimental validation. This paper reviews the scientific work related to FSI simulations for patient-specific arterial geometries and the current standard of FSI model validation including the use of compliant arterial phantoms, which offer novel potential for the experimental validation of FSI results.
心血管疾病(CVD)是全球死亡的主要原因,由于人口老龄化,其发病率正在上升。心血管疾病的发生和发展与不利的血管血液动力学和生物力学直接相关,其体内测量仍然具有挑战性,但可以通过数值和实验进行模拟。在特定心血管疾病患者病例中评估这些参数的能力对于更好地预测未来疾病进展、不良事件风险和治疗效果至关重要。虽然在患者特异性血液动力学模拟方面取得了重大进展,但血管通常被假定为刚性的,这并没有考虑到血管的顺应性机械特性,而血管的故障与疾病有关。为了模拟柔性血管的生物力学,流固耦合(FSI)模拟已成为描述特定患者心血管解剖结构中血液动力学特性的理想工具。由于 FSI 模拟结合了血液流体域和动脉结构域,因此对其实验验证提出了新的挑战。本文回顾了针对患者特异性动脉几何结构进行 FSI 模拟的相关科研工作,以及当前 FSI 模型验证的标准,包括使用顺应性动脉模型,这为 FSI 结果的实验验证提供了新的潜力。
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引用次数: 2
Analysis of Spectral Estimation Algorithms for Accurate Heart Rate and Respiration Rate Estimation Using an Ultra-Wideband Radar Sensor 使用超宽带雷达传感器准确估算心率和呼吸率的频谱估算算法分析。
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-10-10 DOI: 10.1109/RBME.2022.3212695
Kareeb Hasan;Malikeh P. Ebrahim;Hongqiang Xu;Mehmet R. Yuce
Non-contact vital sign monitoring has been an important research topic recently due to the ability to monitor patients for an extended period especially during sleep without requiring uncomfortable attachments. Radar is a popular sensor for vital sign monitoring research. Various algorithms have been proposed for estimating respiration rate and heart rate from the radar data. But many algorithms rely on Fast Fourier Transform (FFT) to convert time domain signal to the frequency domain and estimate vital signs, despite FFT having limitation of frequency resolution being inverse of the time interval of data sample. However, there are other spectral estimation algorithms, which have not been much researched into the suitability of vital sign estimation using radar signals. In this paper, we compared eight different types of spectral estimation algorithms, including FFT, for respiration rate and heart rate estimation of stationary subjects in a controlled environment. The evaluation is based on extensive data consisting of different stationary subject positions. Considering the results, the eligibility of algorithms other than FFT for respiration rate and heart rate estimation is demonstrated. Using this work, researchers can get an overview on which algorithm is suitable for their work without the need to review individual algorithms separately.
非接触式生命体征监测是最近的一个重要研究课题,因为它能够对病人进行长时间监测,尤其是在睡眠期间,而不需要不舒服的附件。雷达是生命体征监测研究中常用的传感器。人们提出了各种算法,用于从雷达数据中估算呼吸频率和心率。但是,尽管快速傅立叶变换(FFT)具有频率分辨率为数据采样时间间隔倒数的限制,许多算法仍依赖于快速傅立叶变换(FFT)将时域信号转换为频域信号并估算生命体征。不过,还有其他一些频谱估计算法,但对其是否适用于利用雷达信号估计生命体征的研究还不多。在本文中,我们比较了包括 FFT 在内的八种不同类型的频谱估计算法,用于在受控环境中估计静止受试者的呼吸频率和心率。评估基于由不同静止主体位置组成的大量数据。评估结果表明,除 FFT 外,其他算法也适用于呼吸频率和心率估算。通过这项工作,研究人员可以大致了解哪种算法适合他们的工作,而无需单独审查各个算法。
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引用次数: 0
Recent Advances in Biosensors for Detection of COVID-19 and Other Viruses 用于检测新冠肺炎等病毒的生物传感器的最新进展
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-10-05 DOI: 10.1109/RBME.2022.3212038
Shobhit K. Patel;Jaymit Surve;Juveriya Parmar;Kawsar Ahmed;Francis M. Bui;Fahad Ahmed Al-Zahrani
This century has introduced very deadly, dangerous, and infectious diseases to humankind such as the influenza virus, Ebola virus, Zika virus, and the most infectious SARS-CoV-2 commonly known as COVID-19 and have caused epidemics and pandemics across the globe. For some of these diseases, proper medications, and vaccinations are missing and the early detection of these viruses will be critical to saving the patients. And even the vaccines are available for COVID-19, the new variants of COVID-19 such as Delta, and Omicron are spreading at large. The available virus detection techniques take a long time, are costly, and complex and some of them generates false negative or false positive that might cost patients their lives. The biosensor technique is one of the best qualified to address this difficult challenge. In this systematic review, we have summarized recent advancements in biosensor-based detection of these pandemic viruses including COVID-19. Biosensors are emerging as efficient and economical analytical diagnostic instruments for early-stage illness detection. They are highly suitable for applications related to healthcare, wearable electronics, safety, environment, military, and agriculture. We strongly believe that these insights will aid in the study and development of a new generation of adaptable virus biosensors for fellow researchers.
本世纪给人类带来了非常致命、危险和传染性的疾病,如流感病毒、埃博拉病毒、寨卡病毒和传染性最强的SARS-CoV-2(通常称为新冠肺炎),并在全球范围内造成流行病和大流行。对于其中一些疾病,缺乏适当的药物和疫苗接种,早期发现这些病毒对挽救患者至关重要。即使是新冠肺炎疫苗,新冠肺炎的新变种如德尔塔和奥密克戎也在大规模传播。现有的病毒检测技术耗时长、成本高且复杂,其中一些技术会产生假阴性或假阳性,可能会让患者付出生命代价。生物传感器技术是应对这一难题的最佳技术之一。在这篇系统综述中,我们总结了基于生物传感器检测包括新冠肺炎在内的这些大流行病毒的最新进展。生物传感器正在成为用于早期疾病检测的高效且经济的分析诊断仪器。它们非常适合与医疗保健、可穿戴电子、安全、环境、军事和农业相关的应用。我们坚信,这些见解将有助于为其他研究人员研究和开发新一代适应性病毒生物传感器。
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引用次数: 18
Electrical Stimulation for Wound Healing: Opportunities for E-Textiles 电刺激促进伤口愈合:电子纺织品的机遇。
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-09-29 DOI: 10.1109/RBME.2022.3210598
Tom Greig;Russel Torah;Kai Yang
Ulcers and chronic wounds are a large and expensive problem, costing billions of pounds a year and affecting millions of people. Electrical stimulation has been known to have a positive effect on wound healing since the 1960s and this has been confirmed in numerous studies, reducing the time to heal, and the incidence of adverse events such as infections. However, because each study used different parameters for the treatment, inclusion criteria and metrics for quantifying the success, it is currently hard to combine them statistically and gain a true picture of its efficacy. As such, electrical stimulation has not been universally adopted as a recommended treatment for various types of wound. This paper summarises the biological basis for electrical simulation treatment and reviews the clinical evidence for its effectiveness. Notable is the lack of research focused on the electrodes used to deliver electrostimulation treatment. However, a significant amount of work has been conducted on electrodes for other medical applications in the field of e-textiles. This e-textile work is reviewed with a focus on its potential in electrostimulation and proposals are made for future developments to improve future studies and applications for wound healing via electrical stimulation.
溃疡和慢性伤口是一个巨大而昂贵的问题,每年花费数十亿英镑,影响数百万人。自 20 世纪 60 年代以来,人们就知道电刺激对伤口愈合有积极作用,这一点已被大量研究证实,它可以缩短愈合时间,降低感染等不良事件的发生率。然而,由于每项研究使用的治疗参数、纳入标准和量化成功的指标都不尽相同,因此目前很难将它们进行统计合并,从而获得其疗效的真实情况。因此,电刺激尚未被普遍采纳为治疗各类伤口的推荐方法。本文总结了电模拟治疗的生物学基础,并回顾了其有效性的临床证据。值得注意的是,缺乏对电刺激治疗所用电极的研究。不过,在电子纺织品领域,对用于其他医疗应用的电极进行了大量研究。本文对电子纺织品的研究工作进行了回顾,重点关注其在电刺激方面的潜力,并对未来的发展提出了建议,以改善未来通过电刺激进行伤口愈合的研究和应用。
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引用次数: 0
Natural Language Processing for Smart Healthcare 智能医疗的自然语言处理。
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-09-28 DOI: 10.1109/RBME.2022.3210270
Binggui Zhou;Guanghua Yang;Zheng Shi;Shaodan Ma
Smart healthcare has achieved significant progress in recent years. Emerging artificial intelligence (AI) technologies enable various smart applications across various healthcare scenarios. As an essential technology powered by AI, natural language processing (NLP) plays a key role in smart healthcare due to its capability of analysing and understanding human language. In this work, we review existing studies that concern NLP for smart healthcare from the perspectives of technique and application. We first elaborate on different NLP approaches and the NLP pipeline for smart healthcare from the technical point of view. Then, in the context of smart healthcare applications employing NLP techniques, we introduce representative smart healthcare scenarios, including clinical practice, hospital management, personal care, public health, and drug development. We further discuss two specific medical issues, i.e., the coronavirus disease 2019 (COVID-19) pandemic and mental health, in which NLP-driven smart healthcare plays an important role. Finally, we discuss the limitations of current works and identify the directions for future works.
近年来,智能医疗取得了重大进展。新兴的人工智能(AI)技术能够在各种医疗保健场景中实现各种智能应用。作为人工智能的一项重要技术,自然语言处理(NLP)凭借其分析和理解人类语言的能力,在智能医疗领域发挥着关键作用。在这项工作中,我们从技术和应用的角度回顾了与智能医疗 NLP 有关的现有研究。我们首先从技术角度阐述了不同的 NLP 方法和用于智能医疗的 NLP 管道。然后,在采用 NLP 技术的智能医疗应用背景下,我们介绍了具有代表性的智能医疗场景,包括临床实践、医院管理、个人护理、公共卫生和药物开发。我们进一步讨论了两个具体的医疗问题,即冠状病毒病 2019(COVID-19)大流行和心理健康,NLP 驱动的智能医疗在其中发挥了重要作用。最后,我们讨论了当前工作的局限性,并确定了未来工作的方向。
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引用次数: 26
Bioinspired Soft Robotics: How Do We Learn From Creatures? 生物启发软机器人技术:我们如何向生物学习?
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-09-27 DOI: 10.1109/RBME.2022.3210015
Yang Yang;Zhiguo He;Pengcheng Jiao;Hongliang Ren
Soft robotics has opened a unique path to flexibility and environmental adaptability, learning from nature and reproducing biological behaviors. Nature implies answers for how to apply robots to real life. To find out how we learn from creatures to design and apply soft robots, in this Review, we propose a classification method to summarize soft robots based on different functions of biological systems: self-growing, self-healing, self-responsive, and self-circulatory. The bio-function based classification logic is presented to explain why we learn from creatures. State-of-art technologies, characteristics, pros, cons, challenges, and potential applications of these categories are analyzed to illustrate what we learned from creatures. By intersecting these categories, the existing and potential bio-inspired applications are overviewed and outlooked to finally find the answer, that is, how we learn from creatures.
软机器人技术为实现灵活性和环境适应性、向自然学习和再现生物行为开辟了一条独特的道路。自然为如何将机器人应用于现实生活提供了答案。为了了解我们如何向生物学习来设计和应用软机器人,在这篇综述中,我们提出了一种分类方法,根据生物系统的不同功能对软机器人进行归纳:自生长、自愈合、自响应和自循环。基于生物功能的分类逻辑可以解释我们为什么要向生物学习。分析了这些类别的最新技术、特点、利弊、挑战和潜在应用,以说明我们从生物身上学到了什么。通过对这些类别的交叉分析,概述并展望了现有和潜在的生物启发应用,最终找到答案,即我们如何从生物身上学习。
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引用次数: 3
A Mapping Review of Real-Time Movement Sonification Systems for Movement Rehabilitation 用于运动康复的实时运动超声系统的映射综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-07-01 DOI: 10.1109/RBME.2022.3187840
Thomas H. Nown;Priti Upadhyay;Andrew Kerr;Ivan Andonovic;Christos Tachtatzis;Madeleine A. Grealy
Movement sonification is emerging as a useful tool for rehabilitation, with increasing evidence in support of its use. To create such a system requires component considerations outside of typical sonification design choices, such as the dimension of movement to sonify, section of anatomy to track, and methodology of motion capture. This review takes this emerging and highly diverse area of literature and keyword-code existing real-time movement sonification systems, to analyze and highlight current trends in these design choices, as such providing an overview of existing systems. A combination of snowballing through relevant existing reviews and a systematic search of multiple databases were utilized to obtain a list of projects for data extraction. The review categorizes systems into three sections: identifying the link between physical dimension to auditory dimension used in sonification, identifying the target anatomy tracked, identifying the movement tracking system used to monitor the target anatomy. The review proceeds to analyze the systematic mapping of the literature and provide results of the data analysis highlighting common and innovative design choices used, irrespective of application, before discussing the findings in the context of movement rehabilitation. A database containing the mapped keywords assigned to each project are submitted with this review.
随着越来越多的证据支持运动超声的使用,运动超声正成为一种有用的康复工具。创建这样的系统需要在典型的超声处理设计选择之外的组件考虑,例如要进行超声处理的运动的尺寸、要跟踪的解剖部分以及运动捕捉的方法。这篇综述利用这一新兴的、高度多样化的文献和关键词代码领域——现有的实时运动超声系统——来分析和强调这些设计选择的当前趋势,从而提供现有系统的概述。通过滚雪球式浏览相关现有审查和对多个数据库的系统搜索相结合,获得了用于数据提取的项目列表。该综述将系统分为三个部分:识别超声处理中使用的物理维度与听觉维度之间的联系,识别跟踪的目标解剖结构,识别用于监测目标解剖结构的运动跟踪系统。该综述继续分析文献的系统映射,并提供数据分析结果,强调所使用的常见和创新设计选择,无论应用如何,然后在运动康复的背景下讨论研究结果。一个包含分配给每个项目的映射关键字的数据库与此审查一起提交。
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引用次数: 5
Hypertension Diagnosis and Management in Africa Using Mobile Phones: A Scoping Review 非洲使用移动电话进行高血压诊断和管理:范围审查。
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-06-28 DOI: 10.1109/RBME.2022.3186828
Iyabosola B. Oronti;Ernesto Iadanza;Leandro Pecchia
Target 3.4 of the third Sustainable Development Goal (SDG) of the United Nations (UN) General Assembly proposes to reduce premature mortality from non-communicable diseases (NCDs) by one-third. Epidemiological data presented by the World Health Organization (WHO) in 2016 show that out of a total of 57 million deaths worldwide, approximately 41 million deaths occurred due to NCDs, with 78% of such deaths occurring in low-and-middle-income countries (LMICs). The majority of investigations on NCDs agree that the leading risk factor for mortality worldwide is hypertension. Over 75% of the world's mobile phone subscriptions reside in LMICs, hence making the mobile phone particularly relevant to mHealth deployment in Africa. This study is aimed at determining the scope of the literature available on hypertension diagnosis and management in Africa, with particular emphasis on determining the feasibility, acceptability and effectiveness of interventions based on the use of mobile phones. The bulk of the evidence considered overwhelmingly shows that SMS technology is yet the most used medium for executing interventions in Africa. Consequently, the need to define novel and superior ways of providing effective and low-cost monitoring, diagnosis, and management of hypertension-related NCDs delivered through artificial intelligence and machine learning techniques is clear.
联合国大会第三个可持续发展目标(SDG)的具体目标 3.4 提议将非传染性疾病(NCDs)导致的过早死亡率降低三分之一。世界卫生组织(WHO)2016年发布的流行病学数据显示,全球共有5700万人死亡,其中约4100万人死于非传染性疾病,78%的死亡发生在中低收入国家(LMICs)。大多数关于非传染性疾病的调查都认为,全球死亡的首要风险因素是高血压。全球 75% 以上的移动电话用户居住在中低收入国家,因此移动电话与非洲的移动医疗部署尤为相关。本研究旨在确定有关非洲高血压诊断和管理的现有文献范围,尤其侧重于确定基于手机使用的干预措施的可行性、可接受性和有效性。绝大多数证据表明,在非洲,短信技术是最常用的干预手段。因此,通过人工智能和机器学习技术对高血压相关非传染性疾病进行有效、低成本的监测、诊断和管理,显然需要确定新颖、卓越的方法。
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引用次数: 0
Image Segmentation for MR Brain Tumor Detection Using Machine Learning: A Review 基于机器学习的MR脑肿瘤图像分割研究综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-06-23 DOI: 10.1109/RBME.2022.3185292
Toufique A. Soomro;Lihong Zheng;Ahmed J. Afifi;Ahmed Ali;Shafiullah Soomro;Ming Yin;Junbin Gao
Magnetic Resonance Imaging (MRI) has commonly been used to detect and diagnose brain disease and monitor treatment as non-invasive imaging technology. MRI produces three-dimensional images that help neurologists to identify anomalies from brain images precisely. However, this is a time-consuming and labor-intensive process. The improvement in machine learning and efficient computation provides a computer-aid solution to analyze MRI images and identify the abnormality quickly and accurately. Image segmentation has become a hot and research-oriented area in the medical image analysis community. The computer-aid system for brain abnormalities identification provides the possibility for quickly classifying the disease for early treatment. This article presents a review of the research papers (from 1998 to 2020) on brain tumors segmentation from MRI images. We examined the core segmentation algorithms of each research paper in detail. This article provides readers with a complete overview of the topic and new dimensions of how numerous machine learning and image segmentation approaches are applied to identify brain tumors. By comparing the state-of-the-art and new cutting-edge methods, the deep learning methods are more effective for the segmentation of the tumor from MRI images of the brain.
磁共振成像(MRI)作为一种非侵入性成像技术,已被广泛用于检测和诊断脑部疾病以及监测治疗。MRI产生三维图像,帮助神经学家从大脑图像中准确识别异常。然而,这是一个耗时耗力的过程。机器学习和高效计算的改进为快速准确地分析MRI图像和识别异常提供了计算机辅助解决方案。图像分割已经成为医学图像分析界的一个热点和研究方向。用于大脑异常识别的计算机辅助系统为快速分类疾病以进行早期治疗提供了可能性。本文综述了1998年至2020年关于从MRI图像中分割脑肿瘤的研究论文。我们详细检查了每篇研究论文的核心分割算法。这篇文章为读者提供了一个完整的主题概述,以及许多机器学习和图像分割方法如何应用于识别脑肿瘤的新维度。通过比较最先进和最新的尖端方法,深度学习方法对于从大脑的MRI图像中分割肿瘤更有效。
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引用次数: 40
Explainable Artificial Intelligence Methods in Combating Pandemics: A Systematic Review 应对流行病的可解释人工智能方法:系统综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-06-23 DOI: 10.1109/RBME.2022.3185953
Felipe Giuste;Wenqi Shi;Yuanda Zhu;Tarun Naren;Monica Isgut;Ying Sha;Li Tong;Mitali Gupte;May D. Wang
Despite the myriad peer-reviewed papers demonstrating novel Artificial Intelligence (AI)-based solutions to COVID-19 challenges during the pandemic, few have made a significant clinical impact, especially in diagnosis and disease precision staging. One major cause for such low impact is the lack of model transparency, significantly limiting the AI adoption in real clinical practice. To solve this problem, AI models need to be explained to users. Thus, we have conducted a comprehensive study of Explainable Artificial Intelligence (XAI) using PRISMA technology. Our findings suggest that XAI can improve model performance, instill trust in the users, and assist users in decision-making. In this systematic review, we introduce common XAI techniques and their utility with specific examples of their application. We discuss the evaluation of XAI results because it is an important step for maximizing the value of AI-based clinical decision support systems. Additionally, we present the traditional, modern, and advanced XAI models to demonstrate the evolution of novel techniques. Finally, we provide a best practice guideline that developers can refer to during the model experimentation. We also offer potential solutions with specific examples for common challenges in AI model experimentation. This comprehensive review, hopefully, can promote AI adoption in biomedicine and healthcare.
尽管有无数同行评议的论文展示了基于人工智能(AI)的新型解决方案,以应对疫情期间新冠肺炎的挑战,但很少有论文产生重大临床影响,尤其是在诊断和疾病精确分期方面。影响如此之低的一个主要原因是缺乏模型透明度,这大大限制了人工智能在实际临床实践中的应用。为了解决这个问题,人工智能模型需要向用户解释。因此,我们使用PRISMA技术对可解释人工智能(XAI)进行了全面的研究。我们的研究结果表明,XAI可以提高模型性能,向用户灌输信任,并帮助用户做出决策。在这篇系统综述中,我们介绍了常见的XAI技术及其实用性,并举例说明了它们的应用。我们讨论XAI结果的评估,因为这是实现基于人工智能的临床决策支持系统价值最大化的重要一步。此外,我们还介绍了传统、现代和先进的XAI模型,以展示新技术的演变。最后,我们提供了一个最佳实践指南,开发人员可以在模型实验期间参考。我们还为人工智能模型实验中的常见挑战提供了潜在的解决方案和具体的例子。这篇全面的综述有望推动人工智能在生物医学和医疗保健领域的应用。
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引用次数: 30
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IEEE Reviews in Biomedical Engineering
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