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[Brain magnetic resonance image registration based on parallel lightweight convolution and multi-scale fusion]. [基于并行轻量级卷积和多尺度融合的脑磁共振图像配准]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202309014
Yu Shen, Yuan Yan, Jing Song, Guanghui Liu, Jiawen Xu, Ziyi Wei

Medical image registration plays an important role in medical diagnosis and treatment planning. However, the current registration methods based on deep learning still face some challenges, such as insufficient ability to extract global information, large number of network model parameters, slow reasoning speed and so on. Therefore, this paper proposed a new model LCU-Net, which used parallel lightweight convolution to improve the ability of global information extraction. The problem of large number of network parameters and slow inference speed was solved by multi-scale fusion. The experimental results showed that the Dice coefficient of LCU-Net reached 0.823, the Hausdorff distance was 1.258, and the number of network parameters was reduced by about one quarter compared with that before multi-scale fusion. The proposed algorithm shows remarkable advantages in medical image registration tasks, and it not only surpasses the existing comparison algorithms in performance, but also has excellent generalization performance and wide application prospects.

医学图像配准在医疗诊断和治疗规划中发挥着重要作用。然而,目前基于深度学习的配准方法仍面临一些挑战,如提取全局信息的能力不足、网络模型参数较多、推理速度较慢等。因此,本文提出了一种新模型 LCU-Net,利用并行轻量级卷积来提高全局信息提取能力。通过多尺度融合解决了网络参数数量多、推理速度慢的问题。实验结果表明,LCU-Net 的 Dice 系数达到了 0.823,Hausdorff 距离为 1.258,网络参数数量比多尺度融合前减少了约四分之一。所提出的算法在医学图像配准任务中表现出了显著的优势,不仅在性能上超越了现有的对比算法,而且具有优异的泛化性能和广泛的应用前景。
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引用次数: 0
[Design and support performance evaluation of medical multi-position auxiliary support exoskeleton mechanism]. [医用多位置辅助支撑外骨骼机构的设计与支撑性能评估]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202210040
Kaicheng Qi, Zhiyang Yin, Jianjun Zhang, Jingke Song, Gaokun Qiao

Aiming at the status of muscle and joint damage caused on surgeons keeping surgical posture for a long time, this paper designs a medical multi-position auxiliary support exoskeleton with multi-joint mechanism by analyzing the surgical postures and conducting conformational studies on different joints respectively. Then by establishing a human-machine static model, this study obtains the joint torque and joint force before and after the human body wears the exoskeleton, and calibrates the strength of the exoskeleton with finite element analysis software. The results show that the maximum stress of the exoskeleton is less than the material strength requirements, the overall deformation is small, and the structural strength of the exoskeleton meets the use requirements. Finally, in this study, subjects were selected to participate in the plantar pressure test and biomechanical simulation with the man-machine static model, and the results were analyzed in terms of plantar pressure, joint torque and joint force, muscle force and overall muscle metabolism to assess the exoskeleton support performance. The results show that the exoskeleton has better support for the whole body and can reduce the musculoskeletal burden. The exoskeleton mechanism in this study better matches the actual working needs of surgeons and provides a new paradigm for the design of medical support exoskeleton mechanism.

针对外科医生长期保持手术姿势对肌肉和关节造成损伤的现状,本文通过分析手术姿势,分别对不同关节进行构型研究,设计出一种具有多关节机构的医用多体位辅助支撑外骨骼。然后通过建立人机静态模型,得出人体穿戴外骨骼前后的关节扭矩和关节力,并利用有限元分析软件对外骨骼的强度进行校核。结果表明,外骨骼的最大应力小于材料强度要求,整体变形小,外骨骼的结构强度满足使用要求。最后,本研究选取受试者参与足底压力测试,并利用人机静态模型进行生物力学模拟,从足底压力、关节扭矩和关节力、肌肉力和整体肌肉代谢等方面对结果进行分析,以评估外骨骼的支撑性能。结果表明,外骨骼对全身具有更好的支撑作用,可以减轻肌肉骨骼负担。本研究中的外骨骼机构更符合外科医生的实际工作需求,为医疗支撑外骨骼机构的设计提供了新的范式。
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引用次数: 0
[A study of cognitive impairment quantitative assessment method based on gait characteristics]. [基于步态特征的认知障碍定量评估方法研究]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202305019
Shuai Tao, Hongbin Hu, Liwen Kong, Zeping Lyu, Zumin Wang, Jie Zhao, Shuang Liu

Alzheimer's disease (AD) is a common and serious form of elderly dementia, but early detection and treatment of mild cognitive impairment can help slow down the progression of dementia. Recent studies have shown that there is a relationship between overall cognitive function and motor function and gait abnormalities. We recruited 302 cases from the Rehabilitation Hospital Affiliated to National Rehabilitation Aids Research Center and included 193 of them according to the screening criteria, including 137 patients with MCI and 56 healthy controls (HC). The gait parameters of the participants were collected during performing single-task (free walking) and dual-task (counting backwards from 100) using a wearable device. By taking gait parameters such as gait cycle, kinematics parameters, time-space parameters as the focus of the study, using recursive feature elimination (RFE) to select important features, and taking the subject's MoCA score as the response variable, a machine learning model based on quantitative evaluation of cognitive level of gait features was established. The results showed that temporal and spatial parameters of toe-off and heel strike had important clinical significance as markers to evaluate cognitive level, indicating important clinical application value in preventing or delaying the occurrence of AD in the future.

阿尔茨海默病(AD)是一种常见且严重的老年痴呆症,但早期发现和治疗轻度认知功能障碍有助于延缓痴呆症的发展。最近的研究表明,整体认知功能与运动功能和步态异常之间存在关系。我们从国家康复辅具研究中心附属康复医院招募了302例病例,根据筛选标准纳入其中193例,包括137例MCI患者和56例健康对照(HC)。使用可穿戴设备收集了参与者在执行单任务(自由行走)和双任务(从 100 开始倒数)时的步态参数。以步态周期、运动学参数、时空参数等步态参数为研究重点,采用递归特征消除法(RFE)选择重要特征,以受试者的MoCA评分为响应变量,建立了基于步态特征认知水平定量评估的机器学习模型。结果表明,脚尖离开和脚跟着地的时空参数作为评价认知水平的标志物具有重要的临床意义,对预防或延缓未来AD的发生具有重要的临床应用价值。
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引用次数: 0
[A review on electroencephalogram based channel selection]. [基于脑电图的通道选择综述]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202308034
Xiangzhe Li, Dan Wang, Baiwen Zhang, Chaojie Fan, Jiaming Chen, Meng Xu, Yuanfang Chen

The electroencephalogram (EEG) signal is the key signal carrier of the brain-computer interface (BCI) system. The EEG data collected by the whole-brain electrode arrangement is conducive to obtaining higher information representation. Personalized electrode layout, while ensuring the accuracy of EEG signal decoding, can also shorten the calibration time of BCI and has become an important research direction. This paper reviews the EEG signal channel selection methods in recent years, conducts a comparative analysis of the combined effects of different channel selection methods and different classification algorithms, obtains the commonly used channel combinations in motor imagery, P300 and other paradigms in BCI, and explains the application scenarios of the channel selection method in different paradigms are discussed, in order to provide stronger support for a more accurate and portable BCI system.

脑电图(EEG)信号是脑机接口(BCI)系统的关键信号载体。全脑电极布局采集的脑电数据有利于获得更高的信息表征。个性化的电极布置在保证脑电信号解码准确性的同时,还能缩短 BCI 的校准时间,已成为一个重要的研究方向。本文回顾了近年来的脑电信号通道选择方法,对不同通道选择方法和不同分类算法的综合效果进行了对比分析,得出了运动意象、P300等范式在BCI中常用的通道组合,并阐述了通道选择方法在不同范式中的应用场景,以期为更准确、更便携的BCI系统提供更有力的支持。
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引用次数: 0
[Identifying spatial domains from spatial transcriptome by graph attention network]. [通过图注意网络从空间转录组识别空间域]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202304030
Hanwen Wu, Jie Gao

Due to the high dimensionality and complexity of the data, the analysis of spatial transcriptome data has been a challenging problem. Meanwhile, cluster analysis is the core issue of the analysis of spatial transcriptome data. In this article, a deep learning approach is proposed based on graph attention networks for clustering analysis of spatial transcriptome data. Our method first enhances the spatial transcriptome data, then uses graph attention networks to extract features from nodes, and finally uses the Leiden algorithm for clustering analysis. Compared with the traditional non-spatial and spatial clustering methods, our method has better performance in data analysis through the clustering evaluation index. The experimental results show that the proposed method can effectively cluster spatial transcriptome data and identify different spatial domains, which provides a new tool for studying spatial transcriptome data.

由于数据的高维性和复杂性,空间转录组数据的分析一直是一个具有挑战性的问题。同时,聚类分析是空间转录组数据分析的核心问题。本文提出了一种基于图注意网络的深度学习方法,用于空间转录组数据的聚类分析。我们的方法首先增强空间转录组数据,然后使用图注意力网络提取节点特征,最后使用莱顿算法进行聚类分析。与传统的非空间聚类方法和空间聚类方法相比,通过聚类评价指标,我们的方法在数据分析方面具有更好的性能。实验结果表明,所提出的方法能有效地对空间转录组数据进行聚类,并识别出不同的空间域,为研究空间转录组数据提供了一种新的工具。
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引用次数: 0
[Reconstruction of elasticity modulus distribution base on semi-supervised neural network]. [基于半监督神经网络的弹性模量分布重构]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202306008
Xiao Zhang, Bo Peng, Rui Wang, Xingyue Wei, Jianwen Luo

Accurate reconstruction of tissue elasticity modulus distribution has always been an important challenge in ultrasound elastography. Considering that existing deep learning-based supervised reconstruction methods only use simulated displacement data with random noise in training, which cannot fully provide the complexity and diversity brought by in-vivo ultrasound data, this study introduces the use of displacement data obtained by tracking in-vivo ultrasound radio frequency signals (i.e., real displacement data) during training, employing a semi-supervised approach to enhance the prediction accuracy of the model. Experimental results indicate that in phantom experiments, the semi-supervised model augmented with real displacement data provides more accurate predictions, with mean absolute errors and mean relative errors both around 3%, while the corresponding data for the fully supervised model are around 5%. When processing real displacement data, the area of prediction error of semi-supervised model was less than that of fully supervised model. The findings of this study confirm the effectiveness and practicality of the proposed approach, providing new insights for the application of deep learning methods in the reconstruction of elastic distribution from in-vivo ultrasound data.

准确重建组织弹性模量分布一直是超声弹性成像的重要挑战。考虑到现有的基于深度学习的监督重建方法在训练中仅使用带有随机噪声的模拟位移数据,不能完全提供体内超声数据所带来的复杂性和多样性,本研究引入了在训练中使用跟踪体内超声射频信号获得的位移数据(即真实位移数据),采用半监督的方法来提高模型的预测精度。实验结果表明,在幻影实验中,使用真实位移数据增强的半监督模型能提供更准确的预测,平均绝对误差和平均相对误差都在 3% 左右,而完全监督模型的相应数据则在 5% 左右。在处理真实位移数据时,半监督模型的预测误差范围小于全监督模型。本研究的结果证实了所提出方法的有效性和实用性,为深度学习方法在体内超声数据弹性分布重建中的应用提供了新的启示。
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引用次数: 0
[Microwave Heartprint: A novel non-contact human identification technology based on cardiac micro-motion detection using ultra wideband bio-radar]. [微波心脏指纹:基于超宽带生物雷达心脏微动探测的新型非接触式人体识别技术]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202309068
Wei Huang, Wei Ren, Kehan Wang, Zhao Li, Jianqi Wang, Guohua Lu, Fugui Qi

The existing one-time identity authentication technology cannot continuously guarantee the legitimacy of user identity during the whole human-computer interaction session, and often requires active cooperation of users, which seriously limits the availability. This study proposes a new non-contact identity recognition technology based on cardiac micro-motion detection using ultra wideband (UWB) bio-radar. After the multi-point micro-motion echoes in the range dimension of the human heart surface area were continuously detected by ultra wideband bio-radar, the two-dimensional principal component analysis (2D-PCA) was exploited to extract the compressed features of the two-dimensional image matrix, namely the distance channel-heart beat sampling point (DC-HBP) matrix, in each accurate segmented heart beat cycle for identity recognition. In the practical measurement experiment, based on the proposed multi-range-bin & 2D-PCA feature scheme along with two conventional reference feature schemes, three typical classifiers were selected as representatives to conduct the heart beat identification under two states of normal breathing and breath holding. The results showed that the multi-range-bin & 2D-PCA feature scheme proposed in this paper showed the best recognition effect. Compared with the optimal range-bin & overall heart beat feature scheme, our proposed scheme held an overall average recognition accuracy of 6.16% higher (normal respiration: 6.84%; breath holding: 5.48%). Compared with the multi-distance unit & whole heart beat feature scheme, the overall average accuracy increase was 27.42% (normal respiration: 28.63%; breath holding: 26.21%) for our proposed scheme. This study is expected to provide a new method of undisturbed, all-weather, non-contact and continuous identification for authentication.

现有的一次性身份验证技术无法在整个人机交互过程中持续保证用户身份的合法性,往往需要用户的主动配合,这严重限制了其可用性。本研究提出了一种基于超宽带(UWB)生物雷达心脏微动检测的新型非接触式身份识别技术。超宽带生物雷达连续检测到人体心脏表面区域范围维度的多点微动回波后,利用二维主成分分析(2D-PCA)提取每个精确分割的心跳周期中二维图像矩阵的压缩特征,即距离信道-心跳采样点(DC-HBP)矩阵,用于身份识别。在实际测量实验中,基于所提出的多范围-分层和二维-PCA 特征方案以及两种传统的参考特征方案,选取了三个典型的分类器作为代表,在正常呼吸和屏气两种状态下进行心跳识别。结果表明,本文提出的多范围-bin 和 2D-PCA 特征方案的识别效果最好。与最佳范围分区和整体心跳特征方案相比,我们提出的方案的整体平均识别准确率提高了 6.16%(正常呼吸:6.84%;憋气:5.48%)。与多距离单位和整体心跳特征方案相比,我们提出的方案的总体平均准确率提高了 27.42%(正常呼吸:28.63%;屏气:26.21%)。这项研究有望提供一种不受干扰、全天候、非接触和连续的身份验证新方法。
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引用次数: 0
[A survey on the application of convolutional neural networks in the diagnosis of occupational pneumoconiosis]. [卷积神经网络在职业性尘肺病诊断中的应用调查]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202309079
Yu Wang, Jiang Wu, Dongsheng Wu

Pneumoconiosis ranks first among the newly-emerged occupational diseases reported annually in China, and imaging diagnosis is still one of the main clinical diagnostic methods. However, manual reading of films requires high level of doctors, and it is difficult to discriminate the staged diagnosis of pneumoconiosis imaging, and due to the influence of uneven distribution of medical resources and other factors, it is easy to lead to misdiagnosis and omission of diagnosis in primary healthcare institutions. Computer-aided diagnosis system can realize rapid screening of pneumoconiosis in order to assist clinicians in identification and diagnosis, and improve diagnostic efficacy. As an important branch of deep learning, convolutional neural network (CNN) is good at dealing with various visual tasks such as image segmentation, image classification, target detection and so on because of its characteristics of local association and weight sharing, and has been widely used in the field of computer-aided diagnosis of pneumoconiosis in recent years. This paper was categorized into three parts according to the main applications of CNNs (VGG, U-Net, ResNet, DenseNet, CheXNet, Inception-V3, and ShuffleNet) in the imaging diagnosis of pneumoconiosis, including CNNs in pneumoconiosis screening diagnosis, CNNs in staging diagnosis of pneumoconiosis, and CNNs in segmentation of pneumoconiosis foci to conduct a literature review. It aims to summarize the methods, advantages and disadvantages, and optimization ideas of CNN applied to the images of pneumoconiosis, and to provide a reference for the research direction of further development of computer-aided diagnosis of pneumoconiosis.

尘肺病在我国每年报告的新发职业病中居首位,影像学诊断仍是临床主要诊断方法之一。然而,人工阅片对医生水平要求较高,尘肺病影像学分期诊断辨别困难,且受医疗资源分布不均等因素影响,容易导致基层医疗机构误诊、漏诊。计算机辅助诊断系统可以实现尘肺病的快速筛查,以辅助临床医生进行鉴别诊断,提高诊断疗效。卷积神经网络(CNN)作为深度学习的一个重要分支,因其局部关联、权重共享等特点,擅长处理图像分割、图像分类、目标检测等各种视觉任务,近年来在尘肺病计算机辅助诊断领域得到了广泛应用。本文根据 CNN(VGG、U-Net、ResNet、DenseNet、CheXNet、Inception-V3 和 ShuffleNet)在尘肺病影像诊断中的主要应用分为三个部分进行文献综述,包括 CNN 在尘肺病筛查诊断中的应用、CNN 在尘肺病分期诊断中的应用以及 CNN 在尘肺病灶分割中的应用。旨在总结CNN应用于尘肺病图像的方法、优缺点和优化思路,为尘肺病计算机辅助诊断的进一步发展研究方向提供参考。
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引用次数: 0
[Medical image segmentation data augmentation method based on channel weight and data-efficient features]. [基于通道权重和数据高效特征的医学图像分割数据增强方法]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202302024
Xing Wu, Chenjie Tao, Zhi Li, Jian Zhang, Qun Sun, Xianhua Han, Yanwei Chen

In computer-aided medical diagnosis, obtaining labeled medical image data is expensive, while there is a high demand for model interpretability. However, most deep learning models currently require a large amount of data and lack interpretability. To address these challenges, this paper proposes a novel data augmentation method for medical image segmentation. The uniqueness and advantages of this method lie in the utilization of gradient-weighted class activation mapping to extract data efficient features, which are then fused with the original image. Subsequently, a new channel weight feature extractor is constructed to learn the weights between different channels. This approach achieves non-destructive data augmentation effects, enhancing the model's performance, data efficiency, and interpretability. Applying the method of this paper to the Hyper-Kvasir dataset, the intersection over union (IoU) and Dice of the U-net were improved, respectively; and on the ISIC-Archive dataset, the IoU and Dice of the DeepLabV3+ were also improved respectively. Furthermore, even when the training data is reduced to 70 %, the proposed method can still achieve performance that is 95 % of that achieved with the entire dataset, indicating its good data efficiency. Moreover, the data-efficient features used in the method have interpretable information built-in, which enhances the interpretability of the model. The method has excellent universality, is plug-and-play, applicable to various segmentation methods, and does not require modification of the network structure, thus it is easy to integrate into existing medical image segmentation method, enhancing the convenience of future research and applications.

在计算机辅助医疗诊断中,获取标注医学图像数据的成本很高,同时对模型的可解释性也有很高的要求。然而,目前大多数深度学习模型都需要大量数据,并且缺乏可解释性。为了应对这些挑战,本文提出了一种用于医学图像分割的新型数据增强方法。该方法的独特之处和优势在于利用梯度加权类激活映射来提取数据高效特征,然后将其与原始图像融合。随后,构建一个新的通道权重特征提取器来学习不同通道之间的权重。这种方法实现了非破坏性的数据增强效果,提高了模型的性能、数据效率和可解释性。将本文的方法应用于 Hyper-Kvasir 数据集,U-net 的 intersection over union (IoU) 和 Dice 分别得到了改善;在 ISIC-Archive 数据集上,DeepLabV3+ 的 IoU 和 Dice 也分别得到了改善。此外,即使在训练数据减少到 70% 的情况下,所提出的方法仍能达到整个数据集 95% 的性能,表明其具有良好的数据效率。此外,该方法中使用的数据高效特征内置了可解释信息,增强了模型的可解释性。该方法具有很好的通用性,即插即用,适用于各种分割方法,且不需要修改网络结构,因此很容易集成到现有的医学图像分割方法中,为今后的研究和应用提供了更多便利。
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引用次数: 0
[Research advances of biomedical polymeric microneedles for non-transdermal local drug delivery]. [用于非透皮局部给药的生物医学聚合物微针的研究进展]。
Q4 Medicine Pub Date : 2024-04-25 DOI: 10.7507/1001-5515.202307038
Haiyan Li, Hongjuan Han, Lu Wang, Jingzhi Yao, Wenqian Xiao, Bo Li

Microneedles have emerged as the new class of local drug delivery system that has broad potential for development. Considering that the microneedles can penetrate tissue barriers quickly, and provide localized and targeted drug delivery, their applications have gradually expanded to non-transdermal drug delivery recently, which are capable of providing rapid and effective treatment for injuries and diseases of organs or tissues. However, a literature search revealed that there is a lack of summaries of the latest developments in non-transdermal drug delivery research by using biomedical polymeric microneedles. The review first described the materials and fabrication methods for the polymeric microneedles, and then reviewed a representative application of microneedles for non-transdermal drug delivery, with the primary focus being on treating and repairing the tissues or organs such as oral cavity, ocular tissues, blood vessels and heart. At the end of the article, the opportunities and challenges associated with microneedles for non-transdermal drug delivery were discussed, along with its future development, in order to provide reference for researchers in the relevant field.

微针是一种新型的局部给药系统,具有广泛的发展潜力。考虑到微针可以快速穿透组织屏障,提供局部和靶向给药,其应用近年来逐渐扩展到非透皮给药领域,能够快速有效地治疗器官或组织的损伤和疾病。然而,通过文献检索发现,利用生物医用聚合物微针进行非透皮给药研究的最新进展缺乏总结。这篇综述首先介绍了聚合物微针的材料和制造方法,然后评述了微针在非透皮给药方面的代表性应用,主要侧重于治疗和修复口腔、眼部组织、血管和心脏等组织或器官。文章最后讨论了微针在非透皮给药方面的机遇和挑战,以及其未来的发展,以期为相关领域的研究人员提供参考。
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引用次数: 0
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