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[A motor imagery decoding study integrating differential attention with a multi-scale adaptive temporal convolutional network]. 基于多尺度自适应时间卷积网络的运动图像解码研究。
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202507012
Zheng Dong, Xueliang Bao, Yabing Yang, Jiao Wu

Motor imagery electroencephalogram (MI-EEG) decoding algorithms face multiple challenges. These include incomplete feature extraction, susceptibility of attention mechanisms to distraction under low signal-to-noise ratios, and limited capture of long-range temporal dependencies. To address these issues, this paper proposes a multi-branch differential attention temporal network (MDAT-Net). First, the method constructed a multi-branch feature fusion module to extract and fuse diverse spatio-temporal features from different scales. Next, to suppress noise and stabilize attention, a novel multi-head differential attention mechanism was introduced to enhance key signal dynamics by calculating the difference between attention maps. Finally, an adaptive residual separable temporal convolutional network was designed to efficiently capture long-range dependencies within the feature sequence for precise classification. Experimental results showed that the proposed method achieved average classification accuracies of 85.73%, 90.04%, and 96.30% on the public datasets BCI-IV-2a, BCI-IV-2b, and HGD, respectively, significantly outperforming several baseline models. This research provides an effective new solution for developing high-precision motor imagery brain-computer interface systems.

运动图像脑电图(MI-EEG)解码算法面临诸多挑战。这些问题包括不完整的特征提取,低信噪比下注意机制对分心的敏感性,以及对长期时间依赖性的有限捕获。为了解决这些问题,本文提出了一个多分支差分注意时间网络(MDAT-Net)。该方法首先构建多分支特征融合模块,对不同尺度的多种时空特征进行提取和融合;其次,为了抑制噪声和稳定注意力,引入了一种新的多头差分注意机制,通过计算注意图之间的差异来增强关键信号动力学。最后,设计了一种自适应残差可分时态卷积网络,有效捕获特征序列中的远程依赖关系,实现精确分类。实验结果表明,该方法在公共数据集BCI-IV-2a、BCI-IV-2b和HGD上的平均分类准确率分别为85.73%、90.04%和96.30%,显著优于几种基线模型。该研究为开发高精度运动图像脑机接口系统提供了一种有效的解决方案。
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引用次数: 0
[Development and electrophysiological validation of a temporal interference transcranial magnetic stimulation system for mice]. [小鼠颞干扰经颅磁刺激系统的开发与电生理验证]。
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202507008
Chao Cui, Tingyu Wang, Yanqing Zhang, Weiran Zheng, Guizhi Xu

Although transcranial magnetic stimulation (TMS) is widely used in neuromodulation, conventional TMS struggles to achieve both depth and focal specificity. Temporal interference TMS (TI-TMS) offers a promising approach to enhance stimulation depth while reducing the focal area; however, current research remains largely simulation-based, with limited studies on system implementation and experimental validation in rodent deep brain regions. To address this, we developed a TI-TMS system based on a realistic mouse head model using finite element simulation. Electrophysiological recordings of local field potentials (LFPs) in the ventral hippocampal (vHPC) formation were performed to evaluate changes in θ rhythm power spectral density (PSD) and θ-γ phase-amplitude coupling (PAC) following stimulation. The results demonstrated that TI-TMS enhanced θ rhythm power and strengthened θ-γ PAC, indicating effective modulation of deep brain regions. This study establishes a functional TI-TMS system capable of effectively stimulating deep vHPC, providing an experimental basis for its application in precise neuromodulation of subcortical brain areas.

虽然经颅磁刺激(TMS)广泛应用于神经调节,但传统的TMS难以达到深度和局灶特异性。时间干扰TMS (TI-TMS)是一种很有前途的方法,可以在增加刺激深度的同时减少病灶面积;然而,目前的研究主要是基于模拟,对啮齿动物脑深部区域的系统实现和实验验证的研究有限。为了解决这个问题,我们开发了一个基于现实的鼠标头部模型的TI-TMS系统,使用有限元模拟。电生理记录海马腹侧区(vHPC)局部场电位(LFPs),以评估刺激后θ节律功率谱密度(PSD)和θ-γ相幅耦合(PAC)的变化。结果表明,TI-TMS增强了θ节律功率,增强了θ-γ PAC,表明有效调节了脑深部区。本研究建立了一个能够有效刺激深部vHPC的功能性TI-TMS系统,为其在皮层下脑区精确神经调节中的应用提供了实验基础。
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引用次数: 0
[Effects of 40 Hz light flicker stimulation on hippocampal-prefrontal neural activity characteristics during working memory tasks in Alzheimer's disease model rats]. [40 Hz闪烁刺激对阿尔茨海默病模型大鼠工作记忆任务海马-前额叶神经活动特征的影响]。
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202503009
Suhong Liu, Longlong Wang, Shuangyan Li, Guizhi Xu

40 Hz light flicker stimulation is deemed to hold considerable promise in the treatment of Alzheimer's disease (AD). However, whether its long-term effect can improve working memory and its related mechanisms remains to be further explored. In this study, 21 adult Wistar rats were randomly divided into the AD light-stimulation group, the AD group and the control group. AD models were established in the first two of these groups, with the light-stimulation group receiving long-term 40 Hz light flicker stimulation. Working memory performance across groups was subsequently evaluated using the T-maze task. To investigate the potential neural mechanisms underlying the effects of 40 Hz light stimulation on working memory, we examined changes in neuronal excitability within the hippocampus (HPC) and medial prefrontal cortex (mPFC), as well as alterations in inter-regional synchronization of neural activity. The findings demonstrated that prolonged 40 Hz light stimulation significantly improved working memory performance in AD model rats. Furthermore, the intervention enhanced the synchronization of neural activity between the hippocampus (HPC) and medial prefrontal cortex (mPFC), as well as the efficiency of information transfer, primarily mediated by theta and low-frequency gamma oscillations. This study provides theoretical support for exploring the mechanisms of 40 Hz light flicker stimulation and its further clinical application in the prevention and treatment of Alzheimer's disease.

40赫兹的光闪烁刺激被认为在治疗阿尔茨海默病(AD)方面具有相当大的前景。然而,其长期效果是否能改善工作记忆,其相关机制还有待进一步探讨。本研究将21只成年Wistar大鼠随机分为AD光刺激组、AD组和对照组。在前两组中建立AD模型,光刺激组接受长期40 Hz的光闪烁刺激。随后使用t形迷宫任务评估各组的工作记忆表现。为了研究40hz光刺激对工作记忆影响的潜在神经机制,我们研究了海马(HPC)和内侧前额叶皮层(mPFC)神经元兴奋性的变化,以及神经活动区域间同步的变化。结果表明,长时间40 Hz光刺激可显著改善AD模型大鼠的工作记忆表现。此外,干预增强了海马(HPC)和内侧前额叶皮层(mPFC)之间神经活动的同步性,以及主要由θ波和低频伽马波介导的信息传递效率。本研究为探索40hz闪烁刺激的作用机制及其在阿尔茨海默病防治中的进一步临床应用提供了理论支持。
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引用次数: 0
[Application and research progress of metal-organic framework materials in skin repair]. 金属-有机骨架材料在皮肤修复中的应用与研究进展
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202411036
Shanshan Ma, Wenting Wu, Hao Liu, Ming Liu, Fei Xing

The incidence of wounds or skin defects caused by trauma, infection, diabetes, and other factors has been increasing year by year, imposing a substantial burden on global healthcare systems. Metal-organic frameworks (MOFs) are nanomaterials formed by metal ions or metal clusters and organic ligands through coordination bonds, featuring high porosity, large specific surface area, tunable structure, and excellent biocompatibility. MOFs can regulate cellular behaviors and kill bacteria by releasing metal ions during degradation. Additionally, MOFs can act as carriers for delivering bioactive components to exert anti-inflammatory, antioxidant, and cell proliferation-promoting effects. By systematically reviewing relevant domestic and international literature, this paper summarized the synthesis methods, classification, and application strategies of various MOFs in the field of skin repair. On this basis, it also concluded the current challenges in this field and provided an outlook on its future development trends.

由创伤、感染、糖尿病和其他因素引起的伤口或皮肤缺陷的发生率逐年增加,给全球卫生保健系统带来了沉重的负担。金属有机骨架(mof)是金属离子或金属簇与有机配体通过配位键形成的纳米材料,具有孔隙率高、比表面积大、结构可调、生物相容性好等特点。mof可以调节细胞行为,并在降解过程中释放金属离子杀死细菌。此外,mof还可以作为传递生物活性成分的载体,发挥抗炎、抗氧化和促进细胞增殖的作用。本文通过系统查阅国内外相关文献,综述了各种MOFs在皮肤修复领域的合成方法、分类及应用策略。在此基础上,总结了该领域目前面临的挑战,并对其未来发展趋势进行了展望。
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引用次数: 0
[Application of an interpretable neural network framework based on the LASSO-proj algorithm for warfarin dose prediction]. [基于LASSO-proj算法的可解释神经网络框架在华法林剂量预测中的应用]。
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202501064
Chenlu Zhong, Ye Zhu, Xiang Gu

Warfarin, a classic oral anticoagulant, is characterized by a narrow therapeutic window and considerable interindividual variability in dosing requirements. This makes precise dose adjustment challenging in clinical practice and increases the risk of bleeding or thrombosis. To improve dose prediction, this study developed a streamlined multilayer perceptron (MLP) model using real-world data from the International Warfarin Pharmacogenomics Consortium (IWPC) database. The LASSO-proj algorithm was applied for high-precision feature selection prior to model construction. The resulting model demonstrated strong predictive performance on the test set, achieving a coefficient of determination ( R 2) of 0.456, a mean absolute error (MAE) of 8.92 mg/week, and 48.522% of its predictions falling within ±20% of the actual stable therapeutic dose. Through SHAP-based interpretation using DeepExplainer, key features influencing warfarin dosing were identified, including the VKORC1 genotype, body weight, age, and ethnicity. The interpretable MLP framework incorporating LASSO-proj not only maintains high predictive accuracy, but also significantly enhances model transparency, providing a valuable tool for guiding warfarin therapy.

华法林是一种经典的口服抗凝剂,其特点是治疗窗口窄,剂量要求有很大的个体差异。这使得精确的剂量调整在临床实践中具有挑战性,并增加出血或血栓形成的风险。为了改进剂量预测,本研究利用来自国际华法林药物基因组学联盟(IWPC)数据库的真实数据开发了一个流线型多层感知器(MLP)模型。在模型构建之前,采用LASSO-proj算法进行高精度特征选择。该模型在测试集上表现出较强的预测性能,决定系数(r2)为0.456,平均绝对误差(MAE)为8.92 mg/周,48.522%的预测落在实际稳定治疗剂量的±20%以内。通过使用DeepExplainer基于shap的解释,确定了影响华法林剂量的关键特征,包括VKORC1基因型、体重、年龄和种族。结合LASSO-proj的可解释MLP框架不仅保持了较高的预测精度,而且显著提高了模型的透明度,为指导华法林治疗提供了有价值的工具。
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引用次数: 0
[Automatic detection and visualization of myocardial infarction in electrocardiograms based on an interpretable deep learning model]. [基于可解释深度学习模型的心电图心肌梗死自动检测与可视化]。
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202503016
Yue Zhang, Yifei Zhang, Baojie Xie, Dakun Lai

Automated detection of myocardial infarction (MI) is crucial for preventing sudden cardiac death and enabling early intervention in cardiovascular diseases. This paper proposes a deep learning framework based on a lightweight convolutional neural network (CNN) combined with one-dimensional gradient-weighted class activation mapping (1D Grad-CAM) for the automated detection of MI and the visualization of key waveform features in single-lead electrocardiograms (ECGs). The proposed method was evaluated using a total of 432 records from the Physikalisch-Technische Bundesanstalt Diagnostic ECG Database (PTBDB) and the Normal Sinus Rhythm Database (NSRDB), comprising 334 MI and 98 normal ECGs. Experimental results demonstrated that the model achieved an accuracy, sensitivity, and specificity of 95.75%, 96.03%, and 95.47%, respectively, in MI detection. Furthermore, the visualization results indicated that the model's decision-making process aligned closely with clinically critical features, including pathological Q waves, ST-segment elevation, and T-wave inversion. This study confirms that the proposed deep learning algorithm combined with explainable technology performs effectively in the intelligent diagnosis of MI and the visualization of critical ECG waveforms, demonstrating its potential as a useful tool for early MI risk assessment and computer-aided diagnosis.

心肌梗死(MI)的自动检测对于预防心源性猝死和实现心血管疾病的早期干预至关重要。本文提出了一种基于轻量级卷积神经网络(CNN)结合一维梯度加权类激活映射(1D Grad-CAM)的深度学习框架,用于心肌梗死的自动检测和单导联心电图(ecg)关键波形特征的可视化。采用来自Physikalisch-Technische Bundesanstalt诊断心电图数据库(PTBDB)和正常窦性心律数据库(NSRDB)的432条记录对所提出的方法进行了评估,其中包括334例心肌梗死和98例正常心电图。实验结果表明,该模型对心肌梗死的检测准确率为95.75%,灵敏度为96.03%,特异性为95.47%。此外,可视化结果表明,模型的决策过程与临床关键特征密切相关,包括病理性Q波、st段抬高和t波反转。本研究证实,所提出的深度学习算法与可解释技术相结合,在心肌梗死的智能诊断和关键心电波形的可视化中表现有效,显示了其作为早期心肌梗死风险评估和计算机辅助诊断的有用工具的潜力。
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引用次数: 0
[Detection of neurofibroma combining radiomics and ensemble learning]. [放射组学与集成学习相结合的神经纤维瘤检测]。
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202502037
Yunpeng Liu, Dangzhi Wencheng, Ying Wang, Yipeng Wang, Yuzan Yan, Kaifeng Gan, Tiejun Pan

This study proposes an automated neurofibroma detection method for whole-body magnetic resonance imaging (WBMRI) based on radiomics and ensemble learning. A dynamic weighted box fusion mechanism integrating two dimensional (2D) object detection and three dimensional (3D) segmentation is developed, where the fusion weights are dynamically adjusted according to the respective performance of the models in different tasks. The 3D segmentation model leverages spatial structural information to effectively compensate for the limited boundary perception capability of 2D methods. In addition, a radiomics-based false positive reduction strategy is introduced to improve the robustness of the detection system. The proposed method is evaluated on 158 clinical WBMRI cases with a total of 1,380 annotated tumor samples, using five-fold cross-validation. Experimental results show that, compared with the best-performing single model, the proposed approach achieves notable improvements in average precision, sensitivity, and overall performance metrics, while reducing the average number of false positives by 17.68. These findings demonstrate that the proposed method achieves high detection accuracy with enhanced false positive suppression and strong generalization potential.

本研究提出一种基于放射组学和集成学习的全身磁共振成像(WBMRI)神经纤维瘤自动检测方法。提出了一种集二维目标检测和三维分割为一体的动态加权盒融合机制,根据模型在不同任务中的表现动态调整融合权值。三维分割模型利用空间结构信息,有效弥补了二维方法有限的边界感知能力。此外,还引入了基于放射组学的假阳性减少策略,以提高检测系统的鲁棒性。该方法在158例临床WBMRI病例中进行了评估,共1,380例注释肿瘤样本,使用五倍交叉验证。实验结果表明,与性能最好的单一模型相比,该方法在平均精度、灵敏度和整体性能指标上都有显著提高,同时平均误报次数减少了17.68次。结果表明,该方法具有较高的检测精度和较强的误报抑制能力,具有较强的推广潜力。
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引用次数: 0
[Establishment and comparative analysis of femoral biomechanical equivalent model]. [股骨生物力学等效模型的建立及对比分析]。
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202506052
Hongxing Shi, Xiaogang Zhang, Tongyu Wu, Gambill Sherri, Yali Zhang, Zhongmin Jin

The human femur is in a relatively complex mechanical environment, subject to the combined effects of multiple factors such as mechanical loads from movement and weight-bearing, as well as changes in the body fluid environment in daily life. In in vitro testing cases of the femur (e.g., testing of distal femoral fractures), changes in load conditions usually significantly affect the mechanical properties of the overall structure. However, there is currently no systematic evaluation standard for in vitro mechanical performance testing of the femur. Therefore, this paper established four human femur models (model A~model D) constructed based on computed tomography (CT) under different load environments, as well as two artificially synthesized femur models (the finite-element model and the experimental model) under the same load environment. Among them, for the human femur models, model A was configured to apply hip joint contact forces together with all muscle forces to approximate the real in vivo mechanical environment, model B was applied with hip joint contact force and abductor muscle force, model C was only applied with hip joint contact force, and model D was subjected to an equivalent resultant force. For the artificially synthesized femur models, both the finite-element model and the experimental model were applied with the same equivalent resultant force as model D. Comparative analyses revealed that model D exhibited femoral head displacement and stress-strain distributions similar to Model A, indicating its suitability as an equivalent in vitro test model. Further comparison between the finite-element and experimental synthetic femur models yielded consistent mechanical responses, thereby validating the equivalent model. In summary, it is hoped that the findings of this study will provide a reference for establishing a systematic, tiered preclinical evaluation system for hip prostheses/implants in the future.

人体股骨处于一个相对复杂的机械环境中,受到运动、负重等机械负荷以及日常生活中体液环境变化等多种因素的综合作用。在股骨的体外测试案例中(如股骨远端骨折测试),载荷条件的变化通常会显著影响整体结构的力学性能。然而,对于股骨的体外力学性能测试,目前尚无系统的评价标准。因此,本文建立了不同载荷环境下基于CT (computer tomography, CT)构建的四种人体股骨模型(模型A~模型D),以及相同载荷环境下人工合成的两种股骨模型(有限元模型和实验模型)。其中,对于人体股骨模型,A模型被配置为髋关节接触力与所有肌肉力一起施加,以接近真实的体内机械环境,B模型被配置为髋关节接触力和外展肌力,C模型只施加髋关节接触力,D模型被配置为等效合力。对于人工合成的股骨模型,有限元模型和实验模型的等效合力均与D模型相同。对比分析表明,D模型股骨头位移和应力应变分布与A模型相似,适合作为等效的体外试验模型。进一步比较有限元模型和实验合成股骨模型得到一致的力学响应,从而验证等效模型。综上所述,希望本研究结果能为今后建立系统的、分层的髋关节假体/植入物临床前评价体系提供参考。
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引用次数: 0
[Research progress on quantitative magnetic susceptibility imaging reconstruction method based on improved U-network model]. [基于改进u网络模型的定量磁化率成像重建方法研究进展]。
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202412074
Wenyang Yang, Ruijie Zhang, Steven Keung

Quantitative magnetic susceptibility imaging (QSM) is an imaging method based on magnetic resonance imaging (MRI) phase signal processing and inversion to obtain tissue magnetic susceptibility distribution, which can generate images reflecting the magnetic characteristics of tissues. QSM reconstruction process is complex, in which dipole inversion stage is the most challenging and decisive link, and traditional methods are easily affected by pathological conditions at this stage, resulting in artifacts and deviations. With the development of deep learning and machine vision technology, using U-network (U-Net) model to improve dipole inversion process can effectively avoid the shortcomings of traditional algorithms. In this paper, the application of the improved model based on U-Net architecture in dipole inversion from 2020 to now is summarized. Firstly, the theoretical concept of QSM is introduced. Secondly, the existing improved models based on U-Net architecture are divided into three categories: improved U-Net based on structural optimization, improved U-Net based on physical constraints and improved U-Net based on improving generalization ability, and their main characteristics and design starting points are sorted out. Finally, the development trend of the future model is prospected and summarized. To sum up, it is expected that the difficulties and challenges of dipole inversion will be solved, the accuracy of QSM images will be improved, and support for disease-aided diagnosis will be provided by summarizing and comparing different improved U-Net models in this paper.

定量磁化率成像(QSM)是一种基于磁共振成像(MRI)相位信号处理和反演获得组织磁化率分布的成像方法,可以生成反映组织磁性特征的图像。QSM重建过程复杂,其中偶极子反转阶段是最具挑战性和决定性的环节,传统方法容易受到该阶段病理条件的影响,产生伪影和偏差。随着深度学习和机器视觉技术的发展,利用u -网络(U-Net)模型改进偶极子反演过程可以有效避免传统算法的缺点。本文总结了2020年至今基于U-Net结构的改进模型在偶极子反演中的应用。首先,介绍了QSM的理论概念。其次,将现有基于U-Net架构的改进模型分为基于结构优化的改进U-Net、基于物理约束的改进U-Net和基于提高泛化能力的改进U-Net三类,并对其主要特点和设计出发点进行了梳理。最后,对未来模型的发展趋势进行了展望和总结。综上所述,期望通过对本文不同改进U-Net模型的总结和比较,解决偶极子反演的难点和挑战,提高QSM图像的精度,为疾病辅助诊断提供支持。
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引用次数: 0
[Research progress on flexible wearable sensors for health monitoring]. [用于健康监测的柔性可穿戴传感器研究进展]。
Q4 Medicine Pub Date : 2025-12-25 DOI: 10.7507/1001-5515.202412022
Xue Chen, Guizhi Xu

With the intensification of global aging trends and the continuous rise in the incidence of chronic diseases, the demand for health monitoring and early intervention has become increasingly urgent. Owing to their non-invasive nature, portability, and comfort, flexible wearable sensors have emerged as a key technology driving the development of personalized healthcare. Starting from specific application scenarios in health monitoring, this article systematically reviews recent research advances in flexible sensors within the healthcare field. Firstly, it outlines the design fundamentals of flexible sensors. This is followed by a focused analysis of their specific applications in monitoring vital signs, biochemical markers, as well as motion and neural activities, along with an in-depth exploration of the clinical significance, technical challenges, and targeted solutions in different scenarios. Finally, the current technical bottlenecks and clinical challenges are summarized, and an outlook on the future development of health monitoring systems is provided. This review aims to provide a systematic reference for the deep integration of flexible electronics technology and medicine.

随着全球老龄化趋势的加剧和慢性病发病率的不断上升,对健康监测和早期干预的需求日益迫切。由于其非侵入性、便携性和舒适性,柔性可穿戴传感器已成为推动个性化医疗保健发展的关键技术。本文从健康监测中的具体应用场景出发,系统综述了柔性传感器在医疗保健领域的最新研究进展。首先概述了柔性传感器的设计原理。随后重点分析了它们在监测生命体征、生化指标以及运动和神经活动方面的具体应用,并深入探讨了它们的临床意义、技术挑战以及在不同情况下的针对性解决方案。最后总结了目前存在的技术瓶颈和临床挑战,并对健康监测系统的未来发展进行了展望。本文旨在为柔性电子技术与医学的深度融合提供系统的参考。
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引用次数: 0
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