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OligoPrime: An Information System for Oligonucleotide Management. 寡核苷酸管理信息系统。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2021-09-08 eCollection Date: 2021-01-01 DOI: 10.1177/11795972211041983
Šimen Ravnik, Ines Žabkar, Uršula Prosenc Zmrzljak, Ivana Jovčevska, Neja Šamec, Miha Moškon, Alja Videtič Paska

With the increasing number of molecular biology techniques, large numbers of oligonucleotides are frequently involved in individual research projects. Thus, a dedicated electronic oligonucleotide management system is expected to provide several benefits such as increased oligonucleotide traceability, facilitated sharing of oligonucleotides between laboratories, and simplified (bulk) ordering of oligonucleotides. Herein, we describe OligoPrime, an information system for oligonucleotide management, which presents a computational support for all steps in an oligonucleotide lifecycle, namely, from its ordering and storage to its application, and disposal. OligoPrime is easy to use since it is accessible via a web browser and does not require any installation from the end user's perspective. It allows filtering and search of oligonucleotides by various parameters, which include the exact location of an oligonucleotide, its sequence, and availability. The oligonucleotide database behind the system is shared among the researchers working in the same laboratory or research group. Users might have different roles which define the access permissions and range from students to researchers and primary investigators. Furthermore, OligoPrime is easy to manage and install and is based on open-source software solutions. Its code is freely available at https://github.com/OligoPrime. Moreover, an implementation of OligoPrime, which can be used for testing is available at http://oligoprime.xyz/. To our knowledge, OligoPrime is the only software solution dedicated specifically to oligonucleotide management. We strongly believe that it has a large potential to enhance the transparency of use and to simplify the management of oligonucleotides in academic laboratories and research groups.

随着分子生物学技术的不断增加,大量的寡核苷酸经常被涉及到个人的研究项目中。因此,一个专用的电子寡核苷酸管理系统有望提供一些好处,如增加寡核苷酸可追溯性,促进实验室之间的寡核苷酸共享,简化(批量)寡核苷酸订购。在本文中,我们描述了一个寡核苷酸管理信息系统oligprime,它为寡核苷酸生命周期的所有步骤提供了计算支持,即从排序和存储到应用和处置。oligprime易于使用,因为它可以通过web浏览器访问,并且从最终用户的角度来看不需要任何安装。它允许通过各种参数过滤和搜索寡核苷酸,这些参数包括寡核苷酸的确切位置、序列和可用性。该系统背后的寡核苷酸数据库在同一实验室或研究小组的研究人员之间共享。用户可能具有不同的角色,这些角色定义了访问权限,范围从学生到研究人员和主要调查人员。此外,oligprime易于管理和安装,并且基于开源软件解决方案。其代码可在https://github.com/OligoPrime免费获得。此外,可以在http://oligoprime.xyz/上获得用于测试的oligprime的实现。据我们所知,oligprime是唯一专门用于寡核苷酸管理的软件解决方案。我们坚信,它在提高使用透明度和简化学术实验室和研究小组对寡核苷酸的管理方面具有很大的潜力。
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引用次数: 0
Graphene, an Interesting Nanocarbon Allotrope for Biosensing Applications: Advances, Insights, and Prospects. 石墨烯,一种有趣的纳米碳同素异形体用于生物传感应用:进展、见解和前景。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2021-02-24 eCollection Date: 2021-01-01 DOI: 10.1177/1179597220983821
Farid Menaa, Yazdian Fatemeh, Sandeep K Vashist, Haroon Iqbal, Olga N Sharts, Bouzid Menaa

Graphene, a relatively new two-dimensional (2D) nanomaterial, possesses unique structure (e.g. lighter, harder, and more flexible than steel) and tunable physicochemical (e.g. electronical, optical) properties with potentially wide eco-friendly and cost-effective usage in biosensing. Furthermore, graphene-related nanomaterials (e.g. graphene oxide, doped graphene, carbon nanotubes) have inculcated tremendous interest among scientists and industrials for the development of innovative biosensing platforms, such as arrays, sequencers and other nanooptical/biophotonic sensing systems (e.g. FET, FRET, CRET, GERS). Indeed, combinatorial functionalization approaches are constantly improving the overall properties of graphene, such as its sensitivity, stability, specificity, selectivity, and response for potential bioanalytical applications. These include real-time multiplex detection, tracking, qualitative, and quantitative characterization of molecules (i.e. analytes [H2O2, urea, nitrite, ATP or NADH]; ions [Hg2+, Pb2+, or Cu2+]; biomolecules (DNA, iRNA, peptides, proteins, vitamins or glucose; disease biomarkers such as genetic alterations in BRCA1, p53) and cells (cancer cells, stem cells, bacteria, or viruses). However, there is still a paucity of comparative reports that critically evaluate the relative toxicity of carbon nanoallotropes in humans. This manuscript comprehensively reviews the biosensing applications of graphene and its derivatives (i.e. GO and rGO). Prospects and challenges are also introduced.

石墨烯是一种相对较新的二维(2D)纳米材料,具有独特的结构(如比钢更轻、更硬、更柔韧)和可调的物理化学(如电子、光学)特性,在生物传感领域具有广泛的生态友好和成本效益。此外,石墨烯相关的纳米材料(如氧化石墨烯、掺杂石墨烯、碳纳米管)引起了科学家和工业界对开发创新生物传感平台的极大兴趣,如阵列、测序仪和其他纳米光学/生物光子传感系统(如FET、FRET、CRET、GERS)。事实上,组合功能化方法正在不断提高石墨烯的整体性能,如其敏感性、稳定性、特异性、选择性和对潜在生物分析应用的响应。这些包括分子的实时多重检测、跟踪、定性和定量表征(即分析物[H2O2、尿素、亚硝酸盐、ATP或NADH];离子[Hg2+, Pb2+,或Cu2+];生物分子(DNA、iRNA、多肽、蛋白质、维生素或葡萄糖;疾病生物标志物,如BRCA1、p53的遗传改变)和细胞(癌细胞、干细胞、细菌或病毒)。然而,仍然缺乏批判性地评估碳纳米同素异形体对人类的相对毒性的比较报告。本文全面回顾了石墨烯及其衍生物(即氧化石墨烯和还原氧化石墨烯)的生物传感应用。展望和面临的挑战。
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引用次数: 9
Tissue Phantoms for Biomedical Applications in Raman Spectroscopy: A Review. 组织幻影在拉曼光谱中的生物医学应用综述。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2020-08-19 eCollection Date: 2020-01-01 DOI: 10.1177/1179597220948100
Martha Z Vardaki, Nikolaos Kourkoumelis

Raman spectroscopy is a group of analytical techniques, currently applied in several research fields, including clinical diagnostics. Tissue-mimicking optical phantoms have been established as an essential intermediate stage for medical applications with their employment from spectroscopic techniques to be constantly growing. This review outlines the types of tissue phantoms currently employed in different biomedical applications of Raman spectroscopy, focusing on their composition and optical properties. It is therefore an attempt to present an informed range of options for potential use to the researchers.

拉曼光谱是一组分析技术,目前应用于包括临床诊断在内的多个研究领域。随着光谱学技术的不断发展,组织模拟光学幻影已成为医学应用的重要中间阶段。本文综述了目前拉曼光谱在不同生物医学应用中的组织幻影类型,重点介绍了它们的组成和光学性质。因此,这是一种尝试,为研究人员提供一个知情的选择范围,以供潜在使用。
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引用次数: 19
ZnO Nanowire-Anchored Microfluidic Device With Herringbone Structure Fabricated by Maskless Photolithography. 无掩膜光刻技术制备人字结构ZnO纳米线锚定微流控器件。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2020-07-13 eCollection Date: 2020-01-01 DOI: 10.1177/1179597220941431
Dilshan Sooriyaarachchi, Shahrima Maharubin, George Z Tan

The integration of nanomaterials in microfluidic devices has emerged as a new research paradigm. Microfluidic devices composed of ZnO nanowires have been developed for the collection of urine extracellular vesicles (EVs) at high efficiency and in situ extraction of various microRNAs (miRNAs). The devices can be used for diagnosing various diseases, including kidney diseases and cancers. A major research need for developing micro total analysis systems is to enhance extraction efficiency. This article presents a novel fabrication method for a herringbone-patterned microfluidic device anchored with ZnO nanowire arrays. The substrates with herringbone patterns were created by maskless photolithography. The ZnO nanowire arrays were grown on the substrates by chemical bathing. The patterned design was to introduce turbulent flows as opposed to laminar flow in traditional devices to increase the mixing and contact of the urine sample with ZnO nanowires. The device showed reduced flow rates compared with conventional planar microfluidic channels and successfully extracted urine EV-encapsulated miRNAs.

纳米材料在微流控器件中的集成已成为一种新的研究范式。采用ZnO纳米线组成的微流控装置用于高效收集尿液细胞外囊泡(ev)和原位提取各种microrna (mirna)。该设备可用于诊断各种疾病,包括肾脏疾病和癌症。提高萃取效率是开发微总量分析系统的主要研究需求。本文提出了一种新型的以ZnO纳米线阵列为锚定结构的人字纹微流控器件的制备方法。采用无掩模光刻技术制备了人字形衬底。采用化学浴法在衬底上生长ZnO纳米线阵列。图案设计是为了引入湍流,而不是传统装置中的层流,以增加尿液样品与ZnO纳米线的混合和接触。与传统的平面微流体通道相比,该装置的流速降低,并成功提取了尿液ev封装的miRNAs。
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引用次数: 7
Integrated Optical Fiber Force Myography Sensor as Pervasive Predictor of Hand Postures. 集成光纤肌力传感器作为手部姿势的普遍预测器。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2020-03-24 eCollection Date: 2020-01-01 DOI: 10.1177/1179597220912825
Yu Tzu Wu, Matheus K Gomes, Willian Ha da Silva, Pedro M Lazari, Eric Fujiwara

Force myography (FMG) is an appealing alternative to traditional electromyography in biomedical applications, mainly due to its simpler signal pattern and immunity to electrical interference. Most FMG sensors, however, send data to a computer for further processing, which reduces the user mobility and, thus, the chances for practical application. In this sense, this work proposes to remodel a typical optical fiber FMG sensor with smaller portable components. Moreover, all data acquisition and processing routines were migrated to a Raspberry Pi 3 Model B microprocessor, ensuring the comfort of use and portability. The sensor was successfully demonstrated for 2 input channels and 9 postures classification with an average precision and accuracy of ~99.5% and ~99.8%, respectively, using a feedforward artificial neural network of 2 hidden layers and a competitive output layer.

力肌图(FMG)在生物医学应用中是传统肌电图的一个有吸引力的替代方案,主要是由于其更简单的信号模式和对电干扰的免疫。然而,大多数FMG传感器将数据发送到计算机进行进一步处理,这降低了用户的移动性,从而降低了实际应用的机会。在这个意义上,本工作提出用更小的便携式组件改造典型的光纤FMG传感器。此外,所有数据采集和处理例程都迁移到Raspberry Pi 3 Model B微处理器上,确保了使用的舒适性和可移植性。该传感器采用2个隐层和1个竞争输出层的前馈人工神经网络,成功实现了2个输入通道和9个姿态分类,平均精度和准确度分别为~99.5%和~99.8%。
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引用次数: 10
Extending Classification Algorithms to Case-Control Studies. 将分类算法扩展到案例对照研究。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2019-07-15 eCollection Date: 2019-01-01 DOI: 10.1177/1179597219858954
Bryan Stanfill, Sarah Reehl, Lisa Bramer, Ernesto S Nakayasu, Stephen S Rich, Thomas O Metz, Marian Rewers, Bobbie-Jo Webb-Robertson

Classification is a common technique applied to 'omics data to build predictive models and identify potential markers of biomedical outcomes. Despite the prevalence of case-control studies, the number of classification methods available to analyze data generated by such studies is extremely limited. Conditional logistic regression is the most commonly used technique, but the associated modeling assumptions limit its ability to identify a large class of sufficiently complicated 'omic signatures. We propose a data preprocessing step which generalizes and makes any linear or nonlinear classification algorithm, even those typically not appropriate for matched design data, available to be used to model case-control data and identify relevant biomarkers in these study designs. We demonstrate on simulated case-control data that both the classification and variable selection accuracy of each method is improved after applying this processing step and that the proposed methods are comparable to or outperform existing variable selection methods. Finally, we demonstrate the impact of conditional classification algorithms on a large cohort study of children with islet autoimmunity.

分类是一种常用的技术,用于组学数据,以建立预测模型并识别生物医学结果的潜在标志物。尽管病例对照研究很普遍,但可用于分析此类研究产生的数据的分类方法数量极为有限。条件逻辑回归是最常用的技术,但相关的建模假设限制了其识别一大类足够复杂的经济特征的能力。我们提出了一个数据预处理步骤,该步骤概括并使任何线性或非线性分类算法,即使是那些通常不适合匹配设计数据的算法,都可用于对病例对照数据进行建模,并在这些研究设计中识别相关的生物标志物。我们在模拟病例对照数据中证明,在应用这一处理步骤后,每种方法的分类和变量选择准确性都得到了提高,并且所提出的方法与现有的变量选择方法相当或优于现有的方法。最后,我们展示了条件分类算法对患有胰岛自身免疫的儿童的大型队列研究的影响。
{"title":"Extending Classification Algorithms to Case-Control Studies.","authors":"Bryan Stanfill, Sarah Reehl, Lisa Bramer, Ernesto S Nakayasu, Stephen S Rich, Thomas O Metz, Marian Rewers, Bobbie-Jo Webb-Robertson","doi":"10.1177/1179597219858954","DOIUrl":"10.1177/1179597219858954","url":null,"abstract":"<p><p>Classification is a common technique applied to 'omics data to build predictive models and identify potential markers of biomedical outcomes. Despite the prevalence of case-control studies, the number of classification methods available to analyze data generated by such studies is extremely limited. Conditional logistic regression is the most commonly used technique, but the associated modeling assumptions limit its ability to identify a large class of sufficiently complicated 'omic signatures. We propose a data preprocessing step which generalizes and makes any linear or nonlinear classification algorithm, even those typically not appropriate for matched design data, available to be used to model case-control data and identify relevant biomarkers in these study designs. We demonstrate on simulated case-control data that both the classification and variable selection accuracy of each method is improved after applying this processing step and that the proposed methods are comparable to or outperform existing variable selection methods. Finally, we demonstrate the impact of conditional classification algorithms on a large cohort study of children with islet autoimmunity.</p>","PeriodicalId":42484,"journal":{"name":"Biomedical Engineering and Computational Biology","volume":"10 ","pages":"1179597219858954"},"PeriodicalIF":2.8,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/6d/10.1177_1179597219858954.PMC6630079.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multifidelity Analysis for Predicting Rare Events in Stochastic Computational Models of Complex Biological Systems. 复杂生物系统随机计算模型中罕见事件预测的多保真度分析。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2018-08-03 eCollection Date: 2018-01-01 DOI: 10.1177/1179597218790253
Elsje Pienaar

Rare events such as genetic mutations or cell-cell interactions are important contributors to dynamics in complex biological systems, eg, in drug-resistant infections. Computational approaches can help analyze rare events that are difficult to study experimentally. However, analyzing the frequency and dynamics of rare events in computational models can also be challenging due to high computational resource demands, especially for high-fidelity stochastic computational models. To facilitate analysis of rare events in complex biological systems, we present a multifidelity analysis approach that uses medium-fidelity analysis (Monte Carlo simulations) and/or low-fidelity analysis (Markov chain models) to analyze high-fidelity stochastic model results. Medium-fidelity analysis can produce large numbers of possible rare event trajectories for a single high-fidelity model simulation. This allows prediction of both rare event dynamics and probability distributions at much lower frequencies than high-fidelity models. Low-fidelity analysis can calculate probability distributions for rare events over time for any frequency by updating the probabilities of the rare event state space after each discrete event of the high-fidelity model. To validate the approach, we apply multifidelity analysis to a high-fidelity model of tuberculosis disease. We validate the method against high-fidelity model results and illustrate the application of multifidelity analysis in predicting rare event trajectories, performing sensitivity analyses and extrapolating predictions to very low frequencies in complex systems. We believe that our approach will complement ongoing efforts to enable accurate prediction of rare event dynamics in high-fidelity computational models.

基因突变或细胞-细胞相互作用等罕见事件是复杂生物系统(如耐药感染)动力学的重要贡献者。计算方法可以帮助分析难以通过实验研究的罕见事件。然而,分析计算模型中罕见事件的频率和动态也可能具有挑战性,因为对计算资源的需求很高,特别是对于高保真度的随机计算模型。为了便于分析复杂生物系统中的罕见事件,我们提出了一种多保真度分析方法,该方法使用中保真度分析(蒙特卡罗模拟)和/或低保真度分析(马尔可夫链模型)来分析高保真度随机模型结果。中等保真度分析可以为单个高保真度模型模拟产生大量可能的罕见事件轨迹。这允许在比高保真模型低得多的频率下预测罕见事件动态和概率分布。低保真度分析可以通过在高保真度模型的每个离散事件之后更新罕见事件状态空间的概率来计算任意频率下罕见事件随时间的概率分布。为了验证该方法,我们将多保真度分析应用于结核病的高保真度模型。我们根据高保真度模型结果验证了该方法,并说明了多保真度分析在预测罕见事件轨迹,执行灵敏度分析和外推预测到复杂系统中非常低频率方面的应用。我们相信,我们的方法将补充正在进行的努力,使高保真计算模型中罕见事件动力学的准确预测成为可能。
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引用次数: 0
Granular Cell Tumor Imaging Using Optical Coherence Tomography. 利用光学相干断层扫描进行颗粒细胞肿瘤成像。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2018-08-02 eCollection Date: 2018-01-01 DOI: 10.1177/1179597218790250
David Tes, Ahmed Aber, Mohsin Zafar, Luke Horton, Audrey Fotouhi, Qiuyun Xu, Ali Moiin, Andrew D Thompson, Tatiana Cristina Moraes Pinto Blumetti, Steven Daveluy, Wei Chen, Mohammadreza Nasiriavanaki

Background: Granular cell tumor (GCT) is a relatively uncommon tumor that may affect the skin. The tumor can develop anywhere on the body, although it is predominately seen in oral cavities and in the head and neck regions. Here, we present the results of optical coherence tomography (OCT) imaging of a large GCT located on the abdomen of a patient. We also present an analytical method to differentiate between healthy tissue and GCT tissues.

Materials and methods: A multibeam, Fourier domain, swept source OCT was used for imaging. The OCT had a central wavelength of 1305 ± 15 nm and lateral and axial resolutions of 7.5 and 10 µm, respectively. Qualitative and quantitative analyses of the tumor and healthy skin are reported.

Results: Abrupt changes in architectures of the dermal and epidermal layers in the GCT lesion were observed. These architectural changes were not observed in healthy skin.

Discussion: To quantitatively differentiate healthy skin from tumor regions, an optical attenuation coefficient analysis based on single-scattering formulation was performed. The methodology introduced here could have the capability to delineate boundaries of a tumor prior to surgical excision.

背景:颗粒细胞瘤(GCT)是一种比较少见的肿瘤,可影响皮肤。这种肿瘤可发生在身体的任何部位,但主要见于口腔和头颈部。在此,我们展示了一名患者腹部巨大 GCT 的光学相干断层扫描(OCT)成像结果。我们还介绍了一种区分健康组织和 GCT 组织的分析方法:使用多波束、傅立叶域、扫频源 OCT 进行成像。OCT 的中心波长为 1305 ± 15 纳米,横向和轴向分辨率分别为 7.5 微米和 10 微米。报告对肿瘤和健康皮肤进行了定性和定量分析:结果:在 GCT 病变中,真皮层和表皮层的结构发生了突变。讨论:讨论:为了定量区分健康皮肤和肿瘤区域,我们基于单散射公式进行了光学衰减系数分析。本文介绍的方法可在手术切除前划定肿瘤的边界。
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引用次数: 0
Development and Optimization of a Fluorescent Imaging System to Detect Amyloid-β Proteins: Phantom Study. 淀粉样蛋白-β荧光成像系统的开发与优化:幻影研究。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2018-06-18 eCollection Date: 2018-01-01 DOI: 10.1177/1179597218781081
David Tes, Karl Kratkiewicz, Ahmed Aber, Luke Horton, Mohsin Zafar, Nour Arafat, Afreen Fatima, Mohammad Rn Avanaki

Alzheimer disease is the most common form of dementia, affecting more than 5 million people in the United States. During the progression of Alzheimer disease, a particular protein begins to accumulate in the brain and also in extensions of the brain, ie, the retina. This protein, amyloid-β (Aβ), exhibits fluorescent properties. The purpose of this research article is to explore the implications of designing a fluorescent imaging system able to detect Aβ proteins in the retina. We designed and implemented a fluorescent imaging system with a range of applications that can be reconfigured on a fluorophore to fluorophore basis and tested its feasibility and capabilities using Cy5 and CRANAD-2 imaging probes. The results indicate a promising potential for the imaging system to be used to study the Aβ biomarker. A performance evaluation involving ex vivo and in vivo experiments is planned for future study.

阿尔茨海默病是最常见的痴呆症,在美国有超过500万人受到影响。在阿尔茨海默病的发展过程中,一种特殊的蛋白质开始在大脑中积累,也在大脑的延伸部分,即视网膜中积累。这种蛋白,淀粉样蛋白-β (Aβ),具有荧光特性。本研究的目的是探讨设计一种能够检测视网膜中a β蛋白的荧光成像系统的意义。我们设计并实现了一个具有一系列应用的荧光成像系统,该系统可以在荧光团的基础上重新配置,并使用Cy5和CRANAD-2成像探针测试了其可行性和能力。结果表明,该成像系统具有用于研究a β生物标志物的良好潜力。在未来的研究中,计划进行包括体外和体内实验在内的性能评估。
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引用次数: 0
Application of a Causal Discovery Algorithm to the Analysis of Arthroplasty Registry Data. 应用因果发现算法分析关节成形术登记数据。
IF 2.8 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2018-02-22 eCollection Date: 2018-01-01 DOI: 10.1177/1179597218756896
Camden Cheek, Huiyong Zheng, Brian R Hallstrom, Richard E Hughes

Improving the quality of care for hip arthroplasty (replacement) patients requires the systematic evaluation of clinical performance of implants and the identification of "outlier" devices that have an especially high risk of reoperation ("revision"). Postmarket surveillance of arthroplasty implants, which rests on the analysis of large patient registries, has been effective in identifying outlier implants such as the ASR metal-on-metal hip resurfacing device that was recalled. Although identifying an implant as an outlier implies a causal relationship between the implant and revision risk, traditional signal detection methods use classical biostatistical methods. The field of probabilistic graphical modeling of causal relationships has developed tools for rigorous analysis of causal relationships in observational data. The purpose of this study was to evaluate one causal discovery algorithm (PC) to determine its suitability for hip arthroplasty implant signal detection. Simulated data were generated using distributions of patient and implant characteristics, and causal discovery was performed using the TETRAD software package. Two sizes of registries were simulated: (1) a statewide registry in Michigan and (2) a nationwide registry in the United Kingdom. The results showed that the algorithm performed better for the simulation of a large national registry. The conclusion is that the causal discovery algorithm used in this study may be a useful tool for implant signal detection for large arthroplasty registries; regional registries may only be able to only detect implants that perform especially poorly.

要提高髋关节置换术(置换)患者的治疗质量,就必须对植入物的临床表现进行系统评估,并找出再次手术("翻修")风险特别高的 "异常 "植入物。对关节置换术植入物的市场后监测主要依靠对大型患者登记资料的分析,这种方法能有效识别出异常植入物,如被召回的 ASR 金属髋关节置换植入物。虽然将植入物识别为异常点意味着植入物与翻修风险之间存在因果关系,但传统的信号检测方法使用的是经典的生物统计方法。因果关系概率图形建模领域已开发出用于严格分析观察数据中因果关系的工具。本研究旨在评估一种因果关系发现算法(PC),以确定其是否适用于髋关节置换术植入信号检测。使用患者和植入物特征的分布生成模拟数据,并使用 TETRAD 软件包进行因果发现。模拟了两种规模的登记处:(1) 密歇根州的全州登记处;(2) 英国的全国登记处。结果显示,该算法在模拟大型全国性登记处时表现更好。结论是本研究中使用的因果发现算法可能是大型关节成形术登记处检测植入物信号的有用工具;地区登记处可能只能检测到表现特别差的植入物。
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引用次数: 0
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