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2021 IEEE International Symposium on Medical Measurements and Applications (MeMeA)最新文献

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Gait events detection from heel and toe trajectories: comparison of methods using multiple datasets 从脚跟和脚趾轨迹检测步态事件:使用多个数据集的方法比较
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478606
V. Guimarães, I. Sousa, M. Correia
Reliable detection of gait events is important to ensure accurate assessment of gait. While it is usually performed resorting to force platforms, methods based uniquely on kinematic analysis have also been proposed. These methods place no restrictions on the number of steps that can be analysed, simplifying setup and complexity of assessments. They also replace the need of annotating events manually when force platforms are not available. Although few methods have been proposed in literature, validation studies are relatively scarce. In this study we present multiple methods for the detection of heel strike (HS) and toe off (TO) in normal walking, and validate the detection against annotated events using three different datasets. The best performing candidates are based on the evaluation of heel vertical velocity (for HS) and toe vertical acceleration (for TO), resulting in relative errors of -12.4 ± 32.9 ms for HS and of -15.5 ± 24.9 ms for TO. The method is compatible with barefoot and shod walking, constituting a convenient, fast and reliable alternative to automatic gait event detection using kinematic data.
步态事件的可靠检测对于确保步态的准确评估至关重要。虽然通常是借助力平台进行的,但也提出了基于运动学分析的独特方法。这些方法对可以分析的步骤数量没有限制,简化了评估的设置和复杂性。当强制平台不可用时,它们还取代了手动注释事件的需要。虽然文献中提出的方法很少,但验证性研究相对较少。在这项研究中,我们提出了多种检测正常行走中脚跟撞击(HS)和脚趾脱落(TO)的方法,并使用三个不同的数据集验证了针对注释事件的检测。最佳候选鞋是基于对鞋跟垂直速度(HS)和脚趾垂直加速度(TO)的评估,HS和TO的相对误差分别为-12.4±32.9 ms和-15.5±24.9 ms。该方法兼容赤脚和穿鞋行走,是利用运动学数据自动检测步态事件的一种方便、快速、可靠的替代方法。
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引用次数: 3
Optimization of Blood Microfluidic Co-Flow Devices for Dual Measurement 双测量血液微流控共流装置的优化
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478718
Amit Nayak, C. Armstrong, C. Mavriplis, M. Fenech
Microfluidics is a prominent field used to analyze small amounts of biological fluids. Co-Flow microfluidic devices can be used to study red blood cell aggregation in blood samples under a controlled shear rate. The purpose of this paper is to optimize the parameters of a co-flow device in order to produce a linear velocity profile in blood samples which would provide a constant shear rate. This is desired as the eventual goal is to use an ultrasonic measurement sensor with the co-flow microfluidic device to analyze red blood cell aggregates. Computational fluid dynamic simulations were performed to model a microfluidic device. The simulation results were verified by µPIV of the experimental microfluidic device. Modifications were made to the geometry and flow rate ratio of the microfluidic device to produce a more linear velocity profile. By using a flow rate ratio of 50:1 of shearing fluid to sheared fluid, we were able to achieve a velocity profile in the blood layer that is approximately linear.
微流体学是用于分析少量生物流体的一个重要领域。共流微流控装置可用于研究受控剪切速率下血液样品中的红细胞聚集。本文的目的是优化共流装置的参数,以便在血液样品中产生线性速度剖面,从而提供恒定的剪切速率。这是理想的,因为最终的目标是使用超声测量传感器与共流微流体装置来分析红细胞聚集体。对微流控装置进行了计算流体动力学模拟。通过实验微流控装置的µPIV对仿真结果进行了验证。对微流控装置的几何形状和流量比进行了修改,以产生更线性的速度分布。通过使用50:1的剪切流体与剪切流体的流速比,我们能够在血液层中获得近似线性的速度分布。
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引用次数: 0
Effect of Deep Brain Stimulation Frequency on Gait Symmetry, Smoothness and Variability using IMU 脑深部电刺激频率对IMU步态对称性、平稳性和变异性的影响
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478602
E. Panero, E. Digo, U. Dimanico, C. Artusi, M. Zibetti, L. Gastaldi
Deep brain stimulation (DBS) implant represents an appropriate treatment for motor symptoms typical of Parkinson’s Disease (PD). However, little attention has been given to the effects of different DBS stimulation frequencies on gait outcomes. Accordingly, the aim of this pilot study was to evaluate the effects of two different DBS stimulation frequencies (60 and 130 Hz) on gait spatio-temporal parameters, symmetry, smoothness, and variability in PD patients. The analysis concentrated on acceleration signals acquired by a magnetic inertial measurement unit placed on the trunk of participants. Sessions of gait were registered for three PD patients, three young and three elderly healthy subjects. Gait outcomes revealed a connection with both age and pathology. Values of the Harmonic Ratio (HR) estimated for the three-axis acceleration signals showed subjective effects provoked by DBS stimulation frequencies. Consequently, HR turned out to be suitable for depicting gait characteristics, but also as a monitoring parameter for the subjective adaptation of DBS stimulation frequency. Concerning the Poincaré analysis of vertical acceleration signal, PD patients showed a greater dispersion of data compared to healthy subjects, but with negligible differences between the two stimulation frequencies. Overall, the presented analysis represented a starting point for the objective evaluation of gait performance and characteristics in PD patients with a DBS implant.
脑深部刺激(DBS)植入物是治疗帕金森病(PD)典型运动症状的合适方法。然而,很少有人关注不同DBS刺激频率对步态结果的影响。因此,本初步研究的目的是评估两种不同DBS刺激频率(60和130 Hz)对PD患者步态时空参数、对称性、平滑性和变异性的影响。分析集中在由放置在参与者躯干上的磁惯性测量单元获得的加速度信号上。对3名PD患者、3名年轻健康受试者和3名老年健康受试者进行步态记录。步态结果显示与年龄和病理有关。三轴加速度信号的谐波比(HR)值显示了DBS刺激频率引起的主观效应。因此,HR不仅适合描述步态特征,而且可以作为DBS刺激频率主观适应的监测参数。在poincar垂直加速信号分析中,PD患者与健康受试者相比,数据的分散性更大,但两种刺激频率之间的差异可以忽略不计。总的来说,所提出的分析为客观评估植入DBS的PD患者的步态表现和特征提供了一个起点。
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引用次数: 6
Metrological characterization and signal processing of a wearable sensor for the measurement of heart rate variability 用于测量心率变异性的可穿戴传感器的计量特性和信号处理
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478713
N. Morresi, S. Casaccia, G. M. Revel
This paper presents a methodology for the processing of the Photoplethysmography (PPG) signal measured using a smartwatch during motion tests. For statistical validation, signals from 15 healthy subjects have been collected while the subjects are walking on a treadmill. The motion artifacts (MAs) of the PPG signal have been removed demonstrating that the 37% of the signals are affected by MAs. Then, the experimental performance assessment of the PPG signal, from which the heart rate variability (HRV) has been extracted, by measuring the RR intervals, is compared to the RR intervals extracted from ECG signals measured using a multi-parametric chest belt that is considered as a reference sensor. The uncertainty of the PPG sensor in the measurement of the RR intervals is ± 169 ms, (with a coverage factor k = 2) if compared to the reference method, which in percentage is 30%.
本文提出了一种处理在运动测试中使用智能手表测量的光电体积脉搏波(PPG)信号的方法。为了统计验证,收集了15名健康受试者在跑步机上行走时的信号。PPG信号的运动伪影(MAs)被去除,表明37%的信号受到MAs的影响。然后,通过测量RR区间对提取心率变异性(HRV)的PPG信号进行实验性能评估,并将其与使用多参数胸带作为参考传感器从心电信号中提取的RR区间进行比较。与参考方法(占30%)相比,PPG传感器测量RR区间的不确定度为±169 ms(覆盖系数k = 2)。
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引用次数: 5
Contactless Continuous Monitoring Of Respiration 呼吸的非接触连续监测
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478693
L. Scalise, M. Ali, L. Antognoli
Breathing is an important aspect of life. Monitoring of breathing signal plays an important role in clinical practice in order to determine the progression of illness. In this study the contactless modality to detect the breathing signal is assessed. For this purpose, the Laser Doppler Vibrometer (LDV) is used to detect the breathing signal. The test was performed on ten healthy volunteers and one simulator. An automatic algorithm is designed that can determine the efficiency of the contactless modality. The individuals were asked to simulate the conditions of apnea, tachypnea and bradypnea. The simulator was programmed with different respiratory rates in order to assess the functionality of the algorithm. The acquired signals were initially analyzed using manual setting of parameters and then using a standardised algorithm for every individual. The results were compared to determine the functionality. A user-friendly application was designed that allows user to set the ranges of high and low respiration rate along with the percentile value. The applications displays the pre-acquired breathing signal in real time scenarios along with the breathing tachograph and mean breathing rate. The difference between instantaneous respiration rates was found to be ±12.5% (mean value) in the case of signals acquired from human while in case of signal acquired from phantom simulator the same quantity was found to be ±1.6%.
呼吸是生命的一个重要方面。监测呼吸信号在临床实践中起着重要的作用,以确定疾病的进展。本研究对呼吸信号的非接触式检测方式进行了评估。为此,使用激光多普勒振动仪(LDV)来检测呼吸信号。该测试在10名健康志愿者和一个模拟器上进行。设计了一种自动算法来确定非接触式模式的效率。这些人被要求模拟呼吸暂停、呼吸急促和呼吸缓慢的情况。为了评估算法的功能,对模拟器进行了不同呼吸频率的编程。采集的信号首先通过手动设置参数进行分析,然后对每个个体使用标准化算法。将结果进行比较以确定其功能。设计了一个用户友好的应用程序,允许用户设置高和低呼吸速率的范围以及百分位数值。该应用程序在实时场景中显示预先获取的呼吸信号,以及呼吸记录仪和平均呼吸速率。实验结果表明,人体呼吸信号的瞬时呼吸速率差值为±12.5%(平均值),而模拟体呼吸信号的瞬时呼吸速率差值为±1.6%。
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引用次数: 2
Comparison of different similarity measures in hierarchical clustering 层次聚类中不同相似性度量的比较
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478746
M. Vagni, N. Giordano, G. Balestra, S. Rosati
The management of datasets containing heterogeneous types of data is a crucial point in the context of precision medicine, where genetic, environmental, and life-style information of each individual has to be analyzed simultaneously. Clustering represents a powerful method, used in data mining, for extracting new useful knowledge from unlabeled datasets. Clustering methods are essentially distance-based, since they measure the similarity (or the distance) between two elements or one element and the cluster centroid. However, the selection of the distance metric is not a trivial task: it could influence the clustering results and, thus, the extracted information. In this study we analyze the impact of four similarity measures (Manhattan or L1 distance, Euclidean or L2 distance, Chebyshev or L∞ distance and Gower distance) on the clustering results obtained for datasets containing different types of variables. We applied hierarchical clustering combined with an automatic cut point selection method to six datasets publicly available on the UCI Repository. Four different clusterizations were obtained for every dataset (one for each distance) and were analyzed in terms of number of clusters, number of elements in each cluster, and cluster centroids. Our results showed that changing the distance metric produces substantial modifications in the obtained clusters. This behavior is particularly evident for datasets containing heterogeneous variables. Thus, the choice of the distance measure should not be done a-priori but evaluated according to the set of data to be analyzed and the task to be accomplished.
包含异构类型数据的数据集的管理是精准医学背景下的一个关键点,在精准医学背景下,每个人的遗传、环境和生活方式信息必须同时分析。聚类是一种强大的数据挖掘方法,用于从未标记的数据集中提取新的有用知识。聚类方法本质上是基于距离的,因为它们测量两个元素或一个元素与聚类质心之间的相似性(或距离)。然而,距离度量的选择并不是一项微不足道的任务:它可能会影响聚类结果,从而影响提取的信息。在本研究中,我们分析了四种相似性度量(曼哈顿或L1距离、欧几里得或L2距离、切比舍夫或L∞距离和高尔距离)对包含不同类型变量的数据集的聚类结果的影响。我们将分层聚类结合自动切点选择方法应用于UCI Repository上公开的六个数据集。对每个数据集进行了四种不同的聚类(每个距离一个),并从聚类数量、每个聚类中的元素数量和聚类质心三个方面进行了分析。我们的结果表明,改变距离度量会对获得的簇产生实质性的修改。这种行为对于包含异构变量的数据集尤其明显。因此,距离度量的选择不应是先验的,而应根据待分析的数据集和待完成的任务进行评估。
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引用次数: 2
Efficient Compressive Sensing of Biomedical Signals Using A Permuted Kronecker-based Sparse Measurement Matrix 基于排列kronecker稀疏测量矩阵的生物医学信号有效压缩感知
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478680
P. Firoozi, S. Rajan, I. Lambadaris
Compressive sensing (CS) is an innovative approach to simultaneously measure and compress signals such as biomedical signals that are sparse or compressible. A major effort in CS is to design a measurement matrix that can be used to encode and compress such signals. The measurement matrix structure has a direct impact on the computational and storage costs as well as the recovered signal quality. Sparse measurement matrices (i.e. with few non-zero elements) may drastically reduce these costs. We propose a permuted Kronecker-based sparse measurement matrix for sensing and data recovery in CS applications. In our study, we use three classes of sub-matrices (normalized Gaussian, Bernoulli, and BCH-based matrices) to create the proposed measurement matrix. Using ECG signals from the MIT-BIH Arrhythmia database, we show that the reconstructed signal quality is comparable to the ones achieved using well known CS methods. Our methodology results in an overall reduction in storage and computations, both during the sensing and recovery process. This approach can be generalized to other classes of eligible measurement matrices in CS.
压缩感知(CS)是一种同时测量和压缩稀疏或可压缩的生物医学信号的创新方法。CS的主要工作是设计一个测量矩阵,可以用来对这些信号进行编码和压缩。测量矩阵的结构直接影响到计算和存储成本以及恢复的信号质量。稀疏测量矩阵(即只有很少的非零元素)可以大大降低这些成本。我们提出了一种基于kronecker的稀疏测量矩阵,用于CS应用中的传感和数据恢复。在我们的研究中,我们使用三类子矩阵(归一化高斯矩阵、伯努利矩阵和基于bch的矩阵)来创建提议的测量矩阵。使用来自MIT-BIH心律失常数据库的心电信号,我们表明重建的信号质量与使用已知的CS方法获得的信号质量相当。在传感和恢复过程中,我们的方法总体上减少了存储和计算。这种方法可以推广到CS中其他类型的测量矩阵。
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引用次数: 0
Unobtrusively Detecting Apnea and Hypopnea Events via a Hydraulic Bed Sensor 通过液压床传感器不显眼地检测呼吸暂停和呼吸不足事件
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478677
D. Heise, Ruhan Yi, Laurel A. Despins
Disordered breathing during sleep impacts sleep quality and the perceived amount of rest obtained while also serving as a potential indicator of other health conditions or risks. Apneas and hypopneas are leading indicators of disordered breathing, often quantified by an apnea-hypopnea index (AHI). Polysomnography is the gold standard for detecting apnea and hypopnea events (and thus calculating a subject’s AHI), but despite the inconvenience of sleeping in a strange place with numerous instruments attached, polysomnography delivers only a snapshot in time and is not practical for long-term monitoring. In this work, we describe a method of detecting apnea and hypopnea events during sleep using a hydraulic bed sensor, which has proven valuable for other dimensions of long-term monitoring and early detection of illness. We compare our results to those produced by a polysomnography lab, including calculation of respiratory disturbance indices. We successfully detect 73.6% of apneas with 77.2% precision, and our calculations for apnea index (AI) and respiratory disturbance index (RDI) are precise enough to indicate the appropriate severity of sleep apnea-hypopnea syndrome (SAHS) for each of our subjects.
睡眠时呼吸紊乱会影响睡眠质量和获得的休息时间,同时也是其他健康状况或风险的潜在指标。呼吸暂停和呼吸不足是呼吸障碍的主要指标,通常用呼吸暂停-呼吸不足指数(AHI)来量化。多导睡眠图是检测呼吸暂停和呼吸不足事件(从而计算受试者的AHI)的金标准,但尽管在一个陌生的地方睡觉会带来许多仪器的不便,但多导睡眠图只能及时提供快照,对于长期监测并不实用。在这项工作中,我们描述了一种使用液压床传感器检测睡眠期间呼吸暂停和呼吸不足事件的方法,该方法已被证明对长期监测和早期发现疾病的其他方面有价值。我们将结果与多导睡眠描记实验室产生的结果进行比较,包括呼吸障碍指数的计算。我们成功检测了73.6%的呼吸暂停,准确率为77.2%,我们对呼吸暂停指数(AI)和呼吸障碍指数(RDI)的计算足够精确,足以表明每个受试者的睡眠呼吸暂停低通气综合征(SAHS)的适当严重程度。
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引用次数: 4
Classification-based screening of Parkinson’s disease patients through voice signal 基于语音信号的帕金森病患者分类筛查
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478683
Fulvio Cordella, A. Paffi, A. Pallotti
In this paper a classification algorithm for Parkinson’s Disease screening is proposed. Code executes the processing of specific voice signals recorded by healthy and ill subjects. In the direction of a future implementation and validation in a home telemonitoring system, the algorithm has been built with the objective to serve as a screening tool for the precocious directing of subjects with high risk of neurological diseases to instrumental exams. In fact, in several neurological disorders, such as Parkinson’s disease, motor impairments of vocal apparatus arise earlier than postural and ambulatory symptoms. In a home telemonitoring system, in which hardware would consist in a voice recorder (that could be a simple smartphone) and a server for the web platform, data would be acquired and instantly stored on a platform for their processing through machine learning algorithms and to be viewed by specialists. For this purpose, a fully automatic process is needed. Therefore, in this work, audio-preprocessing and features computation are completely performed automatically, using Matlab. Final models have been trained in Matlab environments from Weka’s libraries. The family of developed models are trained with different type of phonations, from simple vowels to complex sounds, for a wider and more efficient analysis of vocal apparatus motor impairments. Moreover, dataset was 612 observation large, that is significantly above the mean size of similar works using simple phonations only. For a deeper analysis, different groups of parameters have been tested and cepstral features have been found to be optimal for classification and made up the big part of final algorithm. Developed models are part of the K-Nearest Neighbor family, thus, available for implementation in web platform. Finally, obtained models have shown high accuracies on the whole dataset, reaching values comparable with the literature but with more stability (standard deviation less than 1%). These results have been confirmed in the last validation session in which models have been exported and validated with 25% of data, reaching a best performance with a true positive rate of 98% and a true negative rate of 87%.
本文提出了一种用于帕金森病筛查的分类算法。代码执行对健康和患病受试者记录的特定语音信号的处理。为了在未来的家庭远程监控系统中实现和验证,该算法的目标是作为一种筛选工具,用于过早指导具有神经系统疾病高风险的受试者进行仪器检查。事实上,在一些神经系统疾病中,如帕金森氏病,发声器官的运动损伤比姿势和运动症状出现得更早。在家庭远程监控系统中,硬件将由录音机(可以是一个简单的智能手机)和网络平台的服务器组成,数据将被获取并立即存储在平台上,以便通过机器学习算法进行处理,并供专家查看。为此,需要一个全自动的过程。因此,在本工作中,音频预处理和特征计算完全是自动完成的,使用Matlab。最终的模型已经在来自Weka库的Matlab环境中进行了训练。该系列开发的模型使用不同类型的发音进行训练,从简单的元音到复杂的声音,以便更广泛、更有效地分析发声器官运动障碍。此外,数据集的大小为612个观测值,明显高于仅使用简单发音的同类作品的平均大小。为了进行更深入的分析,我们测试了不同的参数组,发现倒谱特征是最适合分类的,并构成了最终算法的大部分。开发的模型是k近邻系列的一部分,因此可以在web平台上实现。最后,获得的模型在整个数据集上显示出很高的精度,达到与文献相当的值,但具有更高的稳定性(标准差小于1%)。这些结果在最后一次验证会话中得到了证实,其中导出模型并使用25%的数据进行验证,达到了真阳性率为98%和真阴性率为87%的最佳性能。
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引用次数: 6
An Efficient Near-lossless Compression Algorithm for Multichannel EEG signals 一种高效的多通道脑电信号近无损压缩算法
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478756
G. Campobello, Angelica Quercia, G. Gugliandolo, Antonino Segreto, E. Tatti, M. Ghilardi, G. Crupi, A. Quartarone, N. Donato
In many biomedical measurement procedures, it is important to record a huge amount of data, to monitor the state of health of a subject. In such a context, electroencephalograph (EEG) data are one of the most demanding in terms of size and signal behavior. In this paper, we propose a near-lossless compression algorithm for EEG signals able to achieve a compression ratio in the order of 10 with a root-mean-square distortion less than 0.01%. The proposed algorithm exploits the fact that Principal Component Analysis is usually performed on EEG signals for denoising and removing unwanted artifacts. In this particular context, we can consider this algorithm as a good tool to ensure the best information of the signal beside an efficient compression ratio, reducing the amount of memory necessary to record data.
在许多生物医学测量程序中,记录大量数据以监测受试者的健康状况是很重要的。在这种情况下,脑电图(EEG)数据在大小和信号行为方面是最苛刻的。在本文中,我们提出了一种脑电图信号的近无损压缩算法,能够实现10数量级的压缩比,均方根失真小于0.01%。该算法利用了通常对脑电信号进行主成分分析的事实来去噪和去除不需要的伪影。在这种特殊情况下,我们可以认为该算法是一个很好的工具,可以确保信号的最佳信息,以及有效的压缩比,减少记录数据所需的内存量。
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引用次数: 4
期刊
2021 IEEE International Symposium on Medical Measurements and Applications (MeMeA)
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