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Bioprinting: A Strategy to Build Informative Models of Exposure and Disease 生物打印:建立暴露和疾病信息模型的策略
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-27 DOI: 10.1109/RBME.2022.3146293
Jose Caceres-Alban;Midori Sanchez;Fanny L. Casado
Novel additive manufacturing techniques are revolutionizing fields of industry providing more dimensions to control and the versatility of fabricating multi-material products. Medical applications hold great promise to manufacture constructs of mixed biologically compatible materials together with functional cells and tissues. We reviewed technologies and promising developments nurturing innovation of physiologically relevant models to study safety of chemicals that are hard to reproduce in current models, or diseases for which there are no models available. Extrusion-, inkjet- and laser-assisted bioprinting are the most used techniques. Hydrogels as constituents of bioinks and biomaterial inks are the most versatile materials to recreate physiological and pathophysiological microenvironments. The highlighted bioprinted models were chosen because they guarantee post-printing cellular viability while maintaining desirable mechanical properties of their constitutive bioinks or biomaterial inks to ensure their printability. Bioprinting is being readily adopted to overcome ethical concerns of in vivo models and improve the automation, reproducibility, geometry stability of traditional in vitro models. The challenges for advancing the technological level readiness of bioprinting require overcoming heterogeneity, microstructural complexity, dynamism and integration with other models, to generate multi-organ platforms that can inform about biological responses to chemical exposure, disease development and efficacy of novel therapies.
新型增材制造技术正在改变工业领域,提供了更多的控制尺寸和制造多种材料产品的多功能性。医疗应用在制造混合生物相容性材料与功能细胞和组织的构建体方面具有巨大的前景。我们回顾了促进生理相关模型创新的技术和有前景的发展,以研究在当前模型中难以复制的化学品或没有可用模型的疾病的安全性。挤压、喷墨和激光辅助生物打印是最常用的技术。水凝胶作为生物墨水和生物材料墨水的成分,是重建生理和病理生理微环境的最通用的材料。之所以选择突出显示的生物打印模型,是因为它们保证了打印后的细胞活力,同时保持了其组成型生物墨水或生物材料墨水的理想机械性能,以确保其可打印性。生物打印正被广泛采用,以克服体内模型的伦理问题,并提高传统体外模型的自动化、再现性和几何稳定性。提高生物打印技术水平准备度的挑战需要克服异质性、微观结构复杂性、动态性和与其他模型的集成,以生成多器官平台,从而了解对化学暴露的生物反应、疾病发展和新疗法的疗效。
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引用次数: 0
Editorial: A Message From the Outgoing Editor-in-Chief 社论:即将离任的主编寄语
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-20 DOI: 10.1109/RBME.2021.3130485
Yuan-Ting Zhang
Presents the editorial for this issue of the publication.
介绍本期出版物的社论。
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引用次数: 0
IEEE Engineering in Medicine and Biology Society IEEE医学与生物工程学会
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-20 DOI: 10.1109/RBME.2021.3130508
Provides a listing of current staff, committee members and society officers.
提供现有工作人员、委员会成员和社会官员的名单。
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引用次数: 0
Frontcover 封面
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-20 DOI: 10.1109/RBME.2021.3130482
Presents the front cover for this issue of the publication.
呈现本期出版物的封面。
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引用次数: 0
IEEE Reviews in Biomedical Engineering (R-BME) IEEE生物医学工程评论(R-BME)
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-20 DOI: 10.1109/RBME.2021.3130484
Provides a listing of current committee members and society officers.
提供现任委员会成员和协会官员的名单。
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引用次数: 0
Hemodynamic Modeling, Medical Imaging, and Machine Learning and Their Applications to Cardiovascular Interventions 血液动力学建模、医学成像和机器学习及其在心血管干预中的应用
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-11 DOI: 10.1109/RBME.2022.3142058
Mason Kadem;Louis Garber;Mohamed Abdelkhalek;Baraa K. Al-Khazraji;Zahra Keshavarz-Motamed
Cardiovascular disease is a deadly global health crisis that carries a substantial financial burden. Innovative treatment and management of cardiovascular disease straddles medicine, personalized hemodynamic modeling, machine learning, and modern imaging to help improve patient outcomes and reduce the economic impact. Hemodynamic modeling offers a non-invasive method to provide clinicians with new pre- and post- procedural metrics and aid in the selection of treatment options. Medical imaging is an integral part in clinical workflows for understanding and managing cardiac disease and interventions. Coupling machine learning with modeling, and cardiovascular imaging, provides faster modeling, improved data fidelity, and an enhanced understanding and earlier detection of cardiovascular anomalies, leading to the development of patient-specific diagnostic and predictive tools for characterizing and assessing cardiovascular outcomes. Herein, we provide a scoping review of translational hemodynamic modeling, medical imaging, and machine learning and their applications to cardiovascular interventions. We particularly focus on providing an intuitive understanding of each of these approaches and their ability to support decision making during important clinical milestones.
心血管疾病是一场致命的全球健康危机,带来了巨大的经济负担。心血管疾病的创新治疗和管理横跨医学、个性化血液动力学建模、机器学习和现代成像,有助于改善患者预后并减少经济影响。血液动力学建模提供了一种非侵入性方法,为临床医生提供了新的术前和术后指标,并有助于选择治疗方案。医学成像是了解和管理心脏病和干预措施的临床工作流程中不可或缺的一部分。将机器学习与建模和心血管成像相结合,可以更快地建模,提高数据保真度,增强对心血管异常的理解和早期检测,从而开发出用于表征和评估心血管结果的患者特异性诊断和预测工具。在此,我们对转化血液动力学建模、医学成像和机器学习及其在心血管干预中的应用进行了范围综述。我们特别专注于提供对每种方法的直观理解,以及它们在重要临床里程碑期间支持决策的能力。
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引用次数: 13
Advances in Non-Invasive Blood Pressure Measurement Techniques 无创血压测量技术研究进展
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-11 DOI: 10.1109/RBME.2022.3141877
Tuukka Panula;Jukka-Pekka Sirkiä;David Wong;Matti Kaisti
Hypertension, or elevated blood pressure (BP), is a marker for many cardiovascular diseases and can lead to life threatening conditions such as heart failure, coronary artery disease and stroke. Several techniques have recently been proposed and investigated for non-invasive BP monitoring. The increasing desire for telemonitoring solutions that allow patients to manage their own conditions from home has accelerated the development of new BP monitoring techniques. In this review, we present the recent progress in non-invasive blood pressure monitoring solutions emphasizing clinical validation and trade-offs between available techniques. We introduce the current BP measurement techniques with their underlying operating principles. New promising proof-of-concept studies are presented and recent modeling and machine learning approaches for improved BP estimation are summarized. This aids discussions on how new BP monitors should evaluated in order to bring forth new home monitoring solutions in wearable form factor. Finally, we discuss on unresolved challenges in making convenient, reliable and validated BP monitoring solutions.
高血压或血压升高是许多心血管疾病的标志,可导致心力衰竭、冠状动脉疾病和中风等危及生命的疾病。最近提出并研究了几种用于无创血压监测的技术。人们越来越希望远程监测解决方案能让患者在家管理自己的病情,这加速了新的血压监测技术的发展。在这篇综述中,我们介绍了无创血压监测解决方案的最新进展,强调了临床验证和现有技术之间的权衡。我们介绍了当前的BP测量技术及其基本工作原理。提出了新的有前景的概念验证研究,并总结了最近用于改进BP估计的建模和机器学习方法。这有助于讨论如何评估新的BP监测仪,以推出可穿戴形式的新家庭监测仪解决方案。最后,我们讨论了在制定方便、可靠和经过验证的BP监测解决方案方面尚未解决的挑战。
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引用次数: 13
Electrophysiology-Based Closed Loop Optogenetic Brain Stimulation Devices: Recent Developments and Future Prospects 基于电生理的闭环光遗传学脑刺激装置的研究进展与展望
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-07 DOI: 10.1109/RBME.2022.3141369
Lekshmy Sudha Kumari;Abbas Z. Kouzani
With its potential of single cell specificity, optogenetics has made the investigation into the brain circuits more controllable. Closed loop optogenetic brain stimulation enhances the efficacy of the stimulation by adjusting the stimulation parameters based on direct feedback from the target area of the brain. It combines the principles of genetics, physiology, electrical engineering, optics, signal processing and control theory to create an efficient brain stimulation system. To read the underlying neuronal condition from the electrical activity of neurons, a sensor, sensor interface circuit, and signal conditioning are needed. Also, efficient feature extraction, classification, and control algorithms should be in place to interpret and use the sensed data for closing the feedback loop. Finally, a stimulation circuitry is required to effectively control a light source to deliver light based stimulation according to the feedback signal. Thus, the backbone to a functioning closed loop optogenetic brain stimulation device is a well-built electronic circuitry for sensing and processing of brain signals, running efficient signal processing and control algorithm, and delivering timed light stimulations. This paper presents a review of electronic and software concepts and components used in recent closed-loop optogenetic devices based on neuro-electrophysiological reading and an outlook on the future design possibilities with the aim of providing a compact and easy reference for developing closed loop optogenetic brain stimulation devices.
由于其单细胞特异性的潜力,光遗传学使对大脑回路的研究变得更加可控。闭环光遗传学大脑刺激通过基于来自大脑目标区域的直接反馈调整刺激参数来增强刺激的功效。它结合了遗传学、生理学、电气工程、光学、信号处理和控制理论的原理,创造了一个高效的大脑刺激系统。为了从神经元的电活动中读取潜在的神经元状况,需要传感器、传感器接口电路和信号调节。此外,应该有有效的特征提取、分类和控制算法来解释和使用感测数据来闭合反馈回路。最后,需要刺激电路来有效地控制光源以根据反馈信号递送基于光的刺激。因此,功能性闭环光遗传学脑刺激设备的主干是构建良好的电子电路,用于感测和处理脑信号,运行高效的信号处理和控制算法,并提供定时光刺激。本文综述了近年来基于神经电生理读数的闭环光遗传学装置中使用的电子和软件概念和组件,并展望了未来的设计可能性,旨在为开发闭环光遗传学脑刺激装置提供一个紧凑而简单的参考。
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引用次数: 3
A Survey on Shape-Constraint Deep Learning for Medical Image Segmentation 形状约束深度学习在医学图像分割中的应用综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-12-17 DOI: 10.1109/RBME.2021.3136343
Simon Bohlender;Ilkay Oksuz;Anirban Mukhopadhyay
Since the advent of U-Net, fully convolutional deep neural networks and its many variants have completely changed the modern landscape of deep-learning based medical image segmentation. However, the over-dependence of these methods on pixel-level classification and regression has been identified early on as a problem. Especially when trained on medical databases with sparse available annotation, these methods are prone to generate segmentation artifacts such as fragmented structures, topological inconsistencies and islands of pixel. These artifacts are especially problematic in medical imaging since segmentation is almost always a pre-processing step for some downstream evaluations like surgical planning, visualization, prognosis, or treatment planning. However, one common thread across all these downstream tasks is the demand of anatomical consistency. To ensure the segmentation result is anatomically consistent, approaches based on Markov/ Conditional Random Fields, Statistical Shape Models, Active Contours are becoming increasingly popular over the past 5 years. In this review paper, a broad overview of recent literature on bringing explicit anatomical constraints for medical image segmentation is given, the shortcomings and opportunities are discussed and the potential shift towards implicit shape modelling is elaborated. We review the most relevant papers published until the submission date and provide a tabulated view with method details for quick access.
自U-Net出现以来,全卷积深度神经网络及其许多变体彻底改变了基于深度学习的医学图像分割的现代格局。然而,这些方法对像素级分类和回归的过度依赖在早期就被认为是一个问题。特别是当在具有稀疏可用注释的医学数据库上进行训练时,这些方法容易产生分割伪像,如碎片结构、拓扑不一致和像素岛。这些伪影在医学成像中尤其有问题,因为分割几乎总是一些下游评估的预处理步骤,如手术计划、可视化、预后或治疗计划。然而,贯穿所有这些下游任务的一个共同主线是解剖一致性的要求。为了确保分割结果在解剖学上一致,基于马尔可夫/条件随机场、统计形状模型和主动轮廓的方法在过去5年中越来越流行。在这篇综述文章中,对最近关于为医学图像分割引入显式解剖约束的文献进行了广泛的综述,讨论了缺点和机会,并阐述了向隐式形状建模的潜在转变。我们审查了截至提交日期发表的最相关的论文,并提供了一个包含方法详细信息的表格视图,以便快速访问。
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引用次数: 12
Exploring the Potential of Stem Cell-Based Therapy for Aesthetic and Plastic Surgery 探索以干细胞为基础的美容整形治疗潜力
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-12-14 DOI: 10.1109/RBME.2021.3134994
Dang-Khoa Tran;Thuy Nguyen Thi Phuong;Nhat-Le Bui;Vijai Singh;Qi Hao Looi;Benson Koh;Ungku Mohd Shahrin B Mohd Zaman;Jhi Biau Foo;Chia-Ching Wu;Pau Loke Show;Dinh-Toi Chu
Over the last decade, stem cell-associated therapies are widely used because of their potential in self-renewable and multipotent differentiation ability. Stem cells have become more attractive for aesthetic uses and plastic surgery, including scar reduction, breast augmentation, facial contouring, hand rejuvenation, and anti-aging. The current preclinical and clinical studies of stem cells on aesthetic uses also showed promising outcomes. Adipose-derived stem cells are commonly used for fat grafting that demonstrated scar improvement, anti-aging, skin rejuvenation properties, etc. While stem cell-based products have yet to receive approval from the FDA for aesthetic medicine and plastic surgery. Moving forward, the review on the efficacy and potential of stem cell-based therapy for aesthetic and plastic surgery is limited. In the present review, we discuss the current status and recent advances of using stem cells for aesthetic and plastic surgery. The potential of cell-free therapy and tissue engineering in this field is also highlighted. The clinical applications, advantages, and limitations are also discussed. This review also provides further works that need to be investigated to widely apply stem cells in the clinic, especially in aesthetic and plastic contexts.
在过去的十年里,干细胞相关疗法因其具有自我再生和多能分化能力的潜力而被广泛使用。干细胞在美容和整形手术方面变得更有吸引力,包括减少疤痕、隆胸、面部轮廓、手部年轻化和抗衰老。目前对干细胞美容用途的临床前和临床研究也显示出了有希望的结果。脂肪来源的干细胞通常用于脂肪移植,具有改善疤痕、抗衰老、皮肤再生等特性。而基于干细胞的产品尚未获得美国食品药品监督管理局的美容医学和整形外科批准。展望未来,对基于干细胞的美容整形治疗的疗效和潜力的综述是有限的。在这篇综述中,我们讨论了利用干细胞进行美容和整形手术的现状和最新进展。无细胞治疗和组织工程在该领域的潜力也得到了强调。还讨论了其临床应用、优点和局限性。这篇综述还提供了需要研究的进一步工作,以在临床上广泛应用干细胞,特别是在美容和整形方面。
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引用次数: 6
期刊
IEEE Reviews in Biomedical Engineering
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