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Interpreting Deep Machine Learning Models: An Easy Guide for Oncologists 解读深度机器学习模型:肿瘤学家的简单指南
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-11-30 DOI: 10.1109/RBME.2021.3131358
José P. Amorim;Pedro H. Abreu;Alberto Fernández;Mauricio Reyes;João Santos;Miguel H. Abreu
Healthcare agents, in particular in the oncology field, are currently collecting vast amounts of diverse patient data. In this context, some decision-support systems, mostly based on deep learning techniques, have already been approved for clinical purposes. Despite all the efforts in introducing artificial intelligence methods in the workflow of clinicians, its lack of interpretability - understand how the methods make decisions - still inhibits their dissemination in clinical practice. The aim of this article is to present an easy guide for oncologists explaining how these methods make decisions and illustrating the strategies to explain them. Theoretical concepts were illustrated based on oncological examples and a literature review of research works was performed from PubMed between January 2014 to September 2020, using “deep learning techniques,” “interpretability” and “oncology” as keywords. Overall, more than 60% are related to breast, skin or brain cancers and the majority focused on explaining the importance of tumor characteristics (e.g. dimension, shape) in the predictions. The most used computational methods are multilayer perceptrons and convolutional neural networks. Nevertheless, despite being successfully applied in different cancers scenarios, endowing deep learning techniques with interpretability, while maintaining their performance, continues to be one of the greatest challenges of artificial intelligence.
医疗保健代理人,特别是肿瘤学领域的代理人,目前正在收集大量不同的患者数据。在这种情况下,一些主要基于深度学习技术的决策支持系统已经被批准用于临床目的。尽管在临床医生的工作流程中引入了人工智能方法,但其缺乏可解释性——理解这些方法是如何做出决策的——仍然阻碍了它们在临床实践中的传播。本文的目的是为肿瘤学家提供一个简单的指南,解释这些方法是如何做出决定的,并说明解释它们的策略。理论概念是基于肿瘤学的例子进行说明的,2014年1月至2020年9月,PubMed以“深度学习技术”、“可解释性”和“肿瘤学”为关键词对研究工作进行了文献综述。总体而言,超过60%与乳腺癌、皮肤癌或脑癌有关,大多数人专注于解释肿瘤特征(如尺寸、形状)在预测中的重要性。最常用的计算方法是多层感知器和卷积神经网络。尽管如此,尽管深度学习技术已成功应用于不同的癌症场景,但在保持其性能的同时,赋予其可解释性仍然是人工智能的最大挑战之一。
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引用次数: 8
Graph Signal Processing, Graph Neural Network and Graph Learning on Biological Data: A Systematic Review 生物数据的图形信号处理、图形神经网络和图形学习:系统综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-10-26 DOI: 10.1109/RBME.2021.3122522
Rui Li;Xin Yuan;Mohsen Radfar;Peter Marendy;Wei Ni;Terrence J. O’Brien;Pablo M. Casillas-Espinosa
Graph networks can model data observed across different levels of biological systems that span from population graphs (with patients as network nodes) to molecular graphs that involve omics data. Graph-based approaches have shed light on decoding biological processes modulated by complex interactions. This paper systematically reviews graph-based analysis methods of Graph Signal Processing (GSP), Graph Neural Networks (GNNs) and graph topology inference, and their applications to biological data. This work focuses on the algorithms of graph-based approaches and the constructions of graph-based frameworks that are adapted to a broad range of biological data. We cover the Graph Fourier Transform and the graph filter developed in GSP, which provides tools to investigate biological signals in the graph domain that can potentially benefit from the underlying graph structures. We also review the node, graph, and interaction oriented applications of GNNs with inductive and transductive learning manners for various biological targets. As a key component of graph analysis, we provide a review of graph topology inference methods that incorporate assumptions for specific biological objectives. Finally, we discuss the biological application of graph analysis methods within this exhaustive literature collection, potentially providing insights for future research in biological sciences.
图网络可以对在不同级别的生物系统中观察到的数据进行建模,从群体图(以患者为网络节点)到涉及组学数据的分子图。基于图的方法揭示了解码由复杂相互作用调节的生物过程。本文系统地综述了图信号处理(GSP)、图神经网络(GNN)和图拓扑推断的基于图的分析方法及其在生物数据中的应用。这项工作的重点是基于图的方法的算法和适用于广泛生物数据的基于图的框架的构建。我们介绍了图傅立叶变换和GSP中开发的图滤波器,它提供了研究图域中的生物信号的工具,这些信号可能受益于底层的图结构。我们还回顾了GNN在各种生物目标的归纳和转导学习方式下面向节点、图和交互的应用。作为图分析的一个关键组成部分,我们对图拓扑推理方法进行了综述,这些方法结合了对特定生物学目标的假设。最后,我们在这本详尽的文献集中讨论了图分析方法的生物学应用,可能为生物科学的未来研究提供见解。
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引用次数: 19
Wearable Printed Temperature Sensors: Short Review on Latest Advances for Biomedical Applications 可穿戴印刷温度传感器:生物医学应用最新进展综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-10-20 DOI: 10.1109/RBME.2021.3121480
Saleem Khan;Shaukat Ali;Arshad Khan;Amine Bermak
The rapid growth in wearable biosensing devices is driven by the strong desire to monitor the human health data and to predict the symptoms of chronic diseases at an early stage. Different sensors are developed for continuous monitoring of various biomarkers through wearable and implantable sensing patches. Temperature sensor has proved to be an important physiological parameter amongst the various wearable biosensing patches. This paper highlights the recent progresses made in printing of functional nanomaterials for developing wearable temperature sensors on polymeric substrates. A special focus is given to the advanced functional nanomaterials as well as their deposition through printing technologies. The geometric resolutions, shape, physical and electrical characteristics as well as sensing properties using different materials are compared and summarized. Wearability is the main concern of these newly developed sensors, which is summarized by discussing representative examples. Finally, the challenges concerning the stability, repeatability, reliability, sensitivity, linearity, ageing, and large-scale manufacturing are discussed with future outlook of the wearable systems.
可穿戴生物传感设备的快速增长是由监测人类健康数据和在早期预测慢性病症状的强烈愿望推动的。开发了不同的传感器,用于通过可穿戴和植入式传感贴片连续监测各种生物标志物。温度传感器已被证明是各种可穿戴生物传感贴片中的一个重要生理参数。本文重点介绍了在聚合物基底上印刷用于开发可穿戴温度传感器的功能性纳米材料的最新进展。特别关注先进的功能纳米材料及其通过印刷技术的沉积。对不同材料的几何分辨率、形状、物理和电学特性以及传感性能进行了比较和总结。可穿戴性是这些新开发的传感器的主要关注点,通过讨论具有代表性的例子进行了总结。最后,讨论了可穿戴系统在稳定性、可重复性、可靠性、灵敏度、线性、老化和大规模制造方面的挑战,并对可穿戴系统的未来前景进行了展望。
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引用次数: 7
A Review of Wearable Multi-Wavelength Photoplethysmography 可佩戴多波长光体积描记术综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-10-20 DOI: 10.1109/RBME.2021.3121476
Daniel Ray;Tim Collins;Sandra I. Woolley;Prasad V. S. Ponnapalli
Optical pulse detection ‘photoplethysmography’ (PPG) provides a means of low cost and unobtrusive physiological monitoring that is popular in many wearable devices. However, the accuracy, robustness and generalizability of single-wavelength PPG sensing are sensitive to biological characteristics as well as sensor configuration and placement; this is significant given the increasing adoption of single-wavelength wrist-worn PPG devices in clinical studies and healthcare. Since different wavelengths interact with the skin to varying degrees, researchers have explored the use of multi-wavelength PPG to improve sensing accuracy, robustness and generalizability. This paper contributes a novel and comprehensive state-of-the-art review of wearable multi-wavelength PPG sensing, encompassing motion artifact reduction and estimation of physiological parameters. The paper also encompasses theoretical details about multi-wavelength PPG sensing and the effects of biological characteristics. The review findings highlight the promising developments in motion artifact reduction using multi-wavelength approaches, the effects of skin temperature on PPG sensing, the need for improved diversity in PPG sensing studies and the lack of studies that investigate the combined effects of factors. Recommendations are made for the standardization and completeness of reporting in terms of study design, sensing technology and participant characteristics.
光脉冲检测“光体积描记术”(PPG)提供了一种低成本、不引人注目的生理监测手段,在许多可穿戴设备中很受欢迎。然而,单波长PPG传感的准确性、稳健性和可推广性对生物特性以及传感器配置和位置敏感;考虑到临床研究和医疗保健中越来越多地采用单波长腕戴PPG设备,这一点意义重大。由于不同波长的PPG在不同程度上与皮肤相互作用,研究人员探索了使用多波长PPG来提高传感精度、稳健性和可推广性。本文对可穿戴多波长PPG传感技术进行了新的、全面的综述,包括运动伪影的减少和生理参数的估计。该论文还包括关于多波长PPG传感和生物特性影响的理论细节。综述结果强调了使用多波长方法减少运动伪影的有前景的发展,皮肤温度对PPG传感的影响,需要提高PPG传感研究的多样性,以及缺乏研究因素综合影响的研究。在研究设计、传感技术和参与者特征方面,对报告的标准化和完整性提出了建议。
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引用次数: 29
Texture Analysis and Its Applications in Biomedical Imaging: A Survey 纹理分析及其在生物医学成像中的应用综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-09-27 DOI: 10.1109/RBME.2021.3115703
Maryam Khaksar Ghalati;Ana Nunes;Hugo Ferreira;Pedro Serranho;Rui Bernardes
Texture analysis describes a variety of image analysis techniques that quantify the variation in intensity and pattern. This paper provides an overview of several texture analysis approaches addressing the rationale supporting them, their advantages, drawbacks, and applications. This survey’s emphasis is in collecting and categorising over five decades of active research on texture analysis. Brief descriptions of different approaches are presented along with application examples. From a broad range of texture analysis applications, this survey’s final focus is on biomedical image analysis. An up-to-date list of biological tissues and organs in which disorders produce texture changes that may be used to spot disease onset and progression is provided. Finally, the role of texture analysis methods as biomarkers of disease is summarised.
纹理分析描述了量化强度和图案变化的各种图像分析技术。本文概述了几种纹理分析方法,阐述了支持它们的基本原理、优点、缺点和应用。这项调查“;其重点是收集和分类50多年来对纹理分析的积极研究。文中简要介绍了不同的方法,并给出了应用实例。从广泛的纹理分析应用来看;最后的重点是生物医学图像分析。提供了一份最新的生物组织和器官列表,其中疾病会产生纹理变化,可用于发现疾病的发作和进展。最后,总结了纹理分析方法作为疾病生物标志物的作用。
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引用次数: 11
Follow-The-Leader Mechanisms in Medical Devices: A Review on Scientific and Patent Literature 医疗器械的跟风机制:科学和专利文献综述。
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-09-20 DOI: 10.1109/RBME.2021.3113395
Costanza Culmone;Fatih S. Yikilmaz;Fabian Trauzettel;Paul Breedveld
Conventional medical instruments are not capable of passing through tortuous anatomy as required for natural orifice transluminal endoscopic surgery due to their rigid shaft designs. Nevertheless, developments in minimally invasive surgery are pushing medical devices to become more dexterous. Amongst devices with controllable flexibility, so-called Follow-The-Leader (FTL) devices possess motion capabilities to pass through confined spaces without interacting with anatomical structures. The goal of this literature study is to provide a comprehensive overview of medical devices with FTL motion. A scientific and patent literature search was performed in five databases (Scopus, PubMed, Web of Science, IEEExplore, Espacenet). Keywords were used to isolate FTL behavior in devices with medical applications. Ultimately, 35 unique devices were reviewed and categorized. Devices were allocated according to their design strategies to obtain the three fundamental sub-functions of FTL motion: steering, (controlling the leader/end-effector orientation), propagation, (advancing the device along a specific path), and conservation (memorizing the shape of the path taken by the device). A comparative analysis of the devices was carried out, showing the commonly used design choices for each sub-function and the different combinations. The advantages and disadvantages of the design aspects and an overview of their performance were provided. Devices that were initially assessed as ineligible were considered in a possible medical context or presented with FTL potential, broadening the classification. This review could aid in the development of a new generation of FTL devices by providing a comprehensive overview of the current solutions and stimulating the search for new ones.
传统的医疗器械由于其刚性轴设计而不能像自然孔腔内内窥镜手术所需的那样穿过弯曲的解剖结构。尽管如此,微创手术的发展正在推动医疗设备变得更加灵巧。在具有可控灵活性的设备中,所谓的跟随领导者(FTL)设备具有通过受限空间而不与解剖结构相互作用的运动能力。本文献研究的目的是全面概述具有FTL运动的医疗器械。在五个数据库(Scopus、PubMed、Web of Science、IEEExplore、Espacnet)中进行了科学和专利文献检索。关键词用于隔离具有医疗应用的设备中的FTL行为。最终,对35种独特的设备进行了审查和分类。根据其设计策略对设备进行分配,以获得FTL运动的三个基本子功能:转向(控制引导器/末端执行器定向)、传播(沿特定路径推进设备)和守恒(记忆设备所走路径的形状)。对这些设备进行了比较分析,显示了每个子功能和不同组合的常用设计选择。提供了设计方面的优点和缺点以及它们的性能概述。最初被评估为不合格的器械在可能的医学背景下被考虑或具有FTL潜力,从而扩大了分类范围。这篇综述可以通过对当前解决方案进行全面概述并促进对新一代FTL设备的搜索,从而有助于开发新一代的FTL设备。
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引用次数: 2
Challenges to the Development of the Next Generation of Self-Reporting Cardiovascular Implantable Medical Devices 下一代自我报告心血管植入式医疗器械开发面临的挑战
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-09-14 DOI: 10.1109/RBME.2021.3110084
Antonia Molloy;Kirsten Beaumont;Ali Alyami;Mahmut Kirimi;Daniel Hoare;Nosrat Mirzai;Hadi Heidari;Srinjoy Mitra;Steve L. Neale;John R. Mercer
Cardiovascular disease (CVD) is a group of heart and vasculature conditions which are the leading form of mortality worldwide. Blood vessels can become narrowed, restricting blood flow, and drive the majority of hearts attacks and strokes. Reactive surgical interventions are frequently required; including percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG). Despite successful opening of vessels and restoration of blood flow, often in-stent restenosis (ISR) and graft failure can still occur, resulting in subsequent patient morbidity and mortality. A new generation of cardiovascular implants that have sensors and real-time monitoring capabilities are being developed to combat ISR and graft failure. Self-reporting stent/graft technology could enable precision medicine-based and predictive healthcare by detecting the earliest features of disease, even before symptoms occur. Bringing an implantable medical device with wireless electronic sensing capabilities to market is complex and often obstructive undertaking. This critical review analyses the obstacles that need to be overcome for self-reporting stents/grafts to be developed and provide a precision-medicine based healthcare for cardiovascular patients. Here we assess the latest research and technological advancement in the field, the current devices; including smart cardiovascular implantable biosensors and associated wireless data and power transfer solutions. We include an evaluation of devices that have reached clinical trials and the market potential for their end-user implementation.
心血管疾病(CVD)是一组心脏和血管系统疾病,是全球死亡的主要形式。血管会变窄,限制血液流动,并导致大多数心脏病发作和中风。经常需要反应性手术干预;包括经皮冠状动脉介入治疗(PCI)和冠状动脉搭桥术(CABG)。尽管成功地打开了血管并恢复了血流,但支架内再狭窄(ISR)和移植物衰竭仍可能发生,导致随后的患者发病率和死亡率。正在开发具有传感器和实时监测功能的新一代心血管植入物,以对抗ISR和移植物衰竭。自我报告支架/移植物技术可以通过检测疾病的最早特征,甚至在症状出现之前,实现基于精确医学的预测性医疗保健。将具有无线电子传感功能的植入式医疗设备推向市场是一项复杂且经常阻碍的工作。这篇重要的综述分析了开发自我报告支架/移植物需要克服的障碍,并为心血管患者提供精确的基于医学的医疗保健。在这里,我们评估了该领域的最新研究和技术进步,即当前的设备;包括智能心血管植入式生物传感器和相关的无线数据和功率传输解决方案。我们包括对已进入临床试验的设备及其最终用户实施的市场潜力的评估。
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引用次数: 11
Phenocopying Glioblastoma: A Review 表型胶质母细胞瘤:综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-09-10 DOI: 10.1109/RBME.2021.3111744
Mariam-Eleni Oraiopoulou;Eleftheria Tzamali;Joseph Papamatheakis;Vangelis Sakkalis
The main reason why therapeutic schemes fail in Glioblastoma lies on its own peculiarities as a cancer and on our failure to fully decipher them. Fast tumor evolution, invasiveness and incomplete surgical resection contribute to disease recurrence, therapy resistance and high mortality. More faithful models must be developed to address Glioblastoma biology and better clinical guidance. Research studies are discussed in this review that: i) improve understanding and assessment of the growth mechanisms of Glioblastoma and ii) develop preclinical models (in vitro-in vivo-in silico) that mimic patient's tumor (phenocopying) in order to provide better prediction of response to therapies.
胶质母细胞瘤治疗方案失败的主要原因在于其作为癌症的独特性,以及我们未能完全解读它们。肿瘤的快速演变、侵袭性和不完全的手术切除会导致疾病复发、治疗耐药性和高死亡率。必须开发更可靠的模型来解决胶质母细胞瘤的生物学问题和更好的临床指导。本综述讨论了以下研究:i)提高对胶质母细胞瘤生长机制的理解和评估,ii)开发模拟患者肿瘤的临床前模型(体外-体内-计算机模拟)(表型复制),以便更好地预测对治疗的反应。
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引用次数: 3
Retinal OCT Image Registration: Methods and Applications 视网膜OCT图像配准方法及应用
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-09-08 DOI: 10.1109/RBME.2021.3110958
Lingjiao Pan;Xinjian Chen
Retinal image registration is a critical task in the diagnosis and treatment of various eye diseases. And as a relatively new imaging method, optical coherence tomography (OCT) has been widely used in the diagnosis of retinal diseases. This paper is devoted to retinal OCT image registration methods and their clinical applications. Registration methods including volumetric transformation-based registration methods and image features-based registration methods are systematically reviewed. Furthermore, to better understanding these methods, their applications in correcting scanning artifacts, reducing speckle noise, fusing and splicing images and evaluating longitudinal disease progression are studied as well. At the end of this paper, registration of retina with serious pathology and registration with deep learning technique are also discussed.
视网膜图像配准是诊断和治疗各种眼病的关键任务。光学相干断层扫描(OCT)作为一种相对较新的成像方法,已被广泛应用于视网膜疾病的诊断。本文主要研究视网膜OCT图像配准方法及其临床应用。系统地综述了基于体积变换的配准方法和基于图像特征的配准方法。此外,为了更好地理解这些方法,还研究了它们在校正扫描伪影、减少斑点噪声、融合和拼接图像以及评估纵向疾病进展方面的应用。本文最后还讨论了严重病变视网膜的配准和深度学习技术的配准。
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引用次数: 9
Noninvasive Continuous Blood Pressure Estimation From Pulse Transit Time: A Review of the Calibration Models 基于脉冲传输时间的无创连续血压估计:校准模型综述
IF 17.6 1区 工程技术 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2021-09-06 DOI: 10.1109/RBME.2021.3109643
Daniel Barvik;Martin Cerny;Marek Penhaker;Norbert Noury
Noninvasive continuous blood pressure estimation is a promising alternative to minimally invasive blood pressure measurement using cuff and invasive catheter measurement, because it opens the way to both long-term and continuous blood pressure monitoring in ecological situation. The most current estimation algorithm is based on pulse transit time measurement where at least two measured signals need to be acquired. From the pulse transit time values, it is possible to estimate the continuous blood pressure for each cardiac cycle. This measurement highly depends on arterial properties which are not easily accessible with common measurement techniques; but these properties are needed as input for the estimation algorithm. With every change of input arterial properties, the error in the blood pressure estimation rises, thus a periodic calibration procedure is needed for error minimization. Recent research is focused on simplified constant arterial properties which are not constant over time and uses only linear model based on initial measurement. The elaboration of continuous calibration procedures, independent of recalibration measurement, is the key to improving the accuracy and robustness of noninvasive continuous blood pressure estimation. However, most models in literature are based on linear approximation and we discuss here the need for more complete calibration models.
无创连续血压估计是使用袖带和有创导管测量的微创血压测量的一种很有前途的替代方法,因为它为生态环境下的长期和连续血压监测开辟了道路。最新的估计算法基于脉冲渡越时间测量,其中需要获取至少两个测量信号。根据脉冲传输时间值,可以估计每个心动周期的连续血压。这种测量高度依赖于动脉特性,而这些特性用普通的测量技术是不容易获得的;但是需要这些特性作为估计算法的输入。随着输入动脉特性的每次变化,血压估计中的误差都会上升,因此需要定期校准程序来最小化误差。最近的研究集中在简化的恒定动脉特性上,这些特性不是随时间恒定的,并且仅使用基于初始测量的线性模型。制定独立于重新校准测量的连续校准程序是提高无创连续血压估计准确性和稳健性的关键。然而,文献中的大多数模型都是基于线性近似的,我们在这里讨论了对更完整校准模型的需求。
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引用次数: 30
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IEEE Reviews in Biomedical Engineering
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