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

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Effects of Region of Interest Size on Heart Rate Assessment through Video Magnification 兴趣区大小对视频放大心率评估的影响
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478596
L. Kassab, Andrew J. Law, Bruce Wallace, J. Larivière-Chartier, R. Goubran, F. Knoefel
The ability to quickly screen people for symptoms of infectious disease is important to reduce disease transmission in long term care facilities and crowded public spaces. To achieve this goal, one option could be non-contact sensor arrays that measure vital signs. In this work, we present initial results for the assessment of heart rate through video magnification techniques applied to visible light Red/Green/Blue (RGB) video recordings of the face. The work specifically explores the effect of region of interest size on the accuracy of heart rate measurements. The visible skin on a person’s face can be obscured by hair or face masks, leading to a need for algorithms and methods that can compensate for these effects. The results show the potential for the combination of many small regions as an alternative to a single large region. The best performance for small regions is a mean absolute error of 9.9% while larger regions performed better with the best error performance of <3%. The work also shows that for larger regions covering most/all of the face, body motion reduces the performance more than the use of a face mask that obscures a portion of the face. This work provides the foundation for further development of robust non-contact health screening solutions.
快速筛查人们的传染病症状的能力对于减少疾病在长期护理机构和拥挤的公共场所的传播非常重要。为了实现这一目标,一种选择可能是测量生命体征的非接触式传感器阵列。在这项工作中,我们介绍了通过应用于可见光红/绿/蓝(RGB)视频记录的视频放大技术来评估心率的初步结果。这项工作特别探讨了感兴趣区域大小对心率测量准确性的影响。人们脸上可见的皮肤可能会被头发或口罩遮挡,因此需要能够补偿这些影响的算法和方法。结果表明,许多小区域的组合可以替代单一的大区域。小区域的最佳性能是平均绝对误差为9.9%,而较大区域的最佳误差性能<3%。研究还表明,对于覆盖大部分/全部面部的较大区域,身体运动比使用遮挡部分面部的面罩更能降低性能。这项工作为进一步开发可靠的非接触式健康筛查解决方案奠定了基础。
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引用次数: 7
Aptamer based Lateral Flow Assays for Rapid and Sensitive Detection of CKD marker Cystatin C 基于适体的横向流动快速灵敏检测CKD标志物胱抑素C
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478684
Satheesh Natarajan, M. DeRosa, J. Joseph, M. Shah, S. Karthik
A novel aptamer-antibody pair-based lateral flow assay was designed to rapidly quantify Cystatin C (CysC). CysC is a small protein that can be expressed by all nucleated cells. It is rarely influenced by factors other than Glomerular filtration rate (GFR), an indicator of renal function chronic kidney diseases (CKD). That makes it a reliable biomarker for the measurement of the GFR. Aptamers bind specifically to the target molecules, it is less expensive, more stable, and lack immunogenicity. The aptamers became a valuable tool in clinical diagnosis and made them a great alternative to antibodies. In this study, we designed and developed an aptamer- antibody pair-based quantitative lateral flow assay for the CysC quantification in the human sample. A highly sensitive and specific CysC sensor was achieved by conjugating CysC selective aptamers to the organic dye Alexafluor-647. When CysC molecules are present in the sample, they form a complex with the designed aptamers to bind, especially with the CysC antibody immobilized on the lateral flow assay strip's test zone. Important parameters that influence the sensitivity in lateral flow assay, such as the concentration of aptamers in the conjugation pad, were evaluated to give the optimum assay performance. The assay was precise and has a limit of detection of 0.013 µg/µl was shown better than the antibody-based kit. In summary, the resulting LFA aptamers-based sensor provides a rapid, sensitive, cost-effective point of care sensor for CysC detection in human samples.
设计了一种新的基于适配体抗体对的横向流动测定方法,以快速定量Cystatin C (CysC)。CysC是一种小蛋白,可在所有有核细胞中表达。它很少受到肾小球滤过率(GFR)以外的因素的影响,肾小球滤过率是肾功能慢性肾病(CKD)的指标。这使得它成为测量GFR的可靠生物标志物。适配体与靶分子特异性结合,成本更低,更稳定,但缺乏免疫原性。适体在临床诊断中成为一种有价值的工具,并使它们成为抗体的一个很好的替代品。在这项研究中,我们设计并开发了一种基于适体抗体对的定量侧流法,用于人样品中CysC的定量。通过将CysC选择性适配体偶联到有机染料Alexafluor-647上,获得了高灵敏度和特异性的CysC传感器。当样品中存在CysC分子时,它们与设计的适配体形成络合物结合,特别是与固定在侧流测定条测试区的CysC抗体结合。影响横向流动测定灵敏度的重要参数,如偶联垫中适配体的浓度,被评估以提供最佳的测定性能。该试剂盒检测精度高,检出限为0.013µg/µl,优于基于抗体的试剂盒。综上所述,基于LFA适配体的传感器为人体样品中的CysC检测提供了快速、敏感、经济高效的护理点传感器。
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引用次数: 3
Psychometric scales in clinical psychopharmacology trials: mathematical and statistical evaluations 临床精神药理学试验中的心理测量量表:数学和统计评价
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478699
E. Nicotra, D. Lecca, G. Marchese
The informativity and sensitivity of psychometric scales may play a relevant role in interpreting the results of clinical trials. In an attempt to investigate the possibility to improve the suitability of psychometric tools in psychopharmacology, an analysis of the available mathematical and statistical strategies has been carried out. The results suggested that both inter-item correlations and probabilistic analyses should be regarded as valid approaches for evaluating and improving the informativity and sensitivity of a psychometric scale to be used in clinical trials. Symptom profiles analyses and repeated parceling procedures appeared to be helpful for a proper alignment between the theoretical and empirical variability which can be identified by a psychometric scale among individuals enrolled in clinical psychopharmacological trails.
心理测量量表的信息性和敏感性可能在解释临床试验结果中发挥相关作用。为了探讨提高心理测量工具在精神药理学中的适用性的可能性,对可用的数学和统计策略进行了分析。结果表明,项目间相关性和概率分析都应被视为评估和提高临床试验中使用的心理测量量表的信息性和敏感性的有效方法。症状概况分析和重复包装程序似乎有助于理论和经验变异性之间的适当校准,可以通过心理测量量表在临床心理药理学试验中登记的个体中识别。
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引用次数: 0
Using Zigbee Sensors for Ambient Measurement of Human Gait – Analytical Considerations 使用Zigbee传感器进行人体步态的环境测量-分析考虑
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478695
Ashi Agarwal, Bruce Wallace, L. Ault, J. Larivière-Chartier, F. Knoefel, R. Goubran, J. Kaye, Z. Beattie, N. Thomas
With the aging of the population in Canada and elsewhere, applications of Smart Homes for well-being sensing are increasingly being considered in health care. Many of these smart home networks rely on the Zigbee wireless protocol to connect sensors used to measure various health outcomes. This paper provides preliminary results of gait estimation performed on 3 different residences over 11 months using Zigbee connected motion sensors, with a focus on understanding accuracy limitations induced by the Zigbee communication protocol. The accuracy limitations were also observed in the results from a controlled experiment done with 2 different sets of Zigbee motion sensors. This paper provides an in-depth analysis on root cause of variance in gait estimation at the same time laying out conservative variance estimations caused by different scenarios. The accuracy considerations highlighted by the paper are also applicable for all other time sensitive measures. Results of this paper necessitate further analysis of the use of Zigbee operated sensor networks in the evaluation of time sensitive measures.
随着加拿大和其他地方的人口老龄化,越来越多的人在医疗保健中考虑使用智能家居来感知福祉。许多智能家庭网络依赖Zigbee无线协议连接用于测量各种健康结果的传感器。本文提供了使用Zigbee连接的运动传感器在11个月内对3个不同住宅进行步态估计的初步结果,重点是了解Zigbee通信协议引起的准确性限制。在使用两组不同的Zigbee运动传感器进行的对照实验结果中也观察到精度限制。本文深入分析了步态估计中方差的根本原因,同时给出了不同场景下的保守方差估计。本文强调的准确性考虑也适用于所有其他时间敏感的测量。本文的结果需要进一步分析Zigbee操作的传感器网络在时间敏感措施评估中的应用。
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引用次数: 4
Identifying High Risk of Atherosclerosis Using Deep Learning and Ensemble Learning 利用深度学习和集成学习识别动脉粥样硬化的高风险
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478741
Hedieh Hashem Olhosseiny, Mohammadsalar Mirzaloo, M. Bolic, H. Dajani, V. Groza, Masayoshi Yoshida
Atherosclerosis refers to the buildup of plaque on the artery walls. As the disease advances in its further stages, its burden could lead to stroke or heart attack. Atherosclerosis develops gradually, and mild stages of the condition are usually symptomless. Diagnosing patients in their early stages of the disease can facilitate timely clinical interventions enhancing patient’s quality of life by altering the course of the disease. The work presented in this paper is focused on classifying patients who are at high risk of Atherosclerosis using simple diagnosis tools available in every clinic. The final system is a prescreening tool providing the medical practitioners with recommendations regarding the disease. High risk patients can be referred to a cardiologist for further assessments. A dataset of 44 patients was collected including 17 low-risk and 27 high-risk patients. Two different approaches were taken, 1. using deep learning and time series data (ECG signals) 2. using traditional machine learning algorithms and tabular data. In the first approach, a Conv-GRU model was trained using ECG signals collected from patients. This method resulted in an average accuracy of 77% which was computed over 4 folds using cross validation. In the second approach, Stacking, an ensemble learning technique in which the final prediction is obtained by combining the prediction of different machine learning models trained on several attributes readily collected in the clinic, was used. An average accuracy of 81% was achieved using this method.
动脉粥样硬化是指动脉壁上斑块的积聚。随着病情进一步发展,其负担可能导致中风或心脏病发作。动脉粥样硬化是逐渐发展的,病情的轻度阶段通常没有症状。在疾病的早期阶段诊断患者可以通过改变疾病的进程,促进及时的临床干预,提高患者的生活质量。本文提出的工作重点是使用每个诊所可用的简单诊断工具对动脉粥样硬化高风险患者进行分类。最后一个系统是一个预筛选工具,为医生提供有关疾病的建议。高危患者可转诊给心脏病专家作进一步评估。收集了44例患者的数据集,其中低危患者17例,高危患者27例。采取了两种不同的方法:1。使用深度学习和时间序列数据(心电信号)使用传统的机器学习算法和表格数据。在第一种方法中,使用从患者身上收集的心电信号训练卷积神经网络模型。该方法的平均准确度为77%,使用交叉验证计算了4倍以上。在第二种方法中,使用了堆叠(Stacking),这是一种集成学习技术,通过结合在临床中容易收集的几个属性上训练的不同机器学习模型的预测来获得最终预测。该方法的平均准确度为81%。
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引用次数: 1
Gait Analysis using Wearable E-Textile Sock: an Experimental Study of Test-Retest Reliability 穿戴式电子纺织袜步态分析:重测信度实验研究
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478702
F. Amitrano, A. Coccia, L. Donisi, G. Pagano, G. Cesarelli, G. D'Addio
Sock is a wearable e-textile sock for gait analysis. It is based on the acquisition and digital processing of the angular velocities of the lower limbs. In this paper we focus on the study of test-retest reliability of this system in measuring spatio-temporal gait parameters. The analysis was simultaneously conducted on data acquired by a multicamera system for gait analysis (SMART-DX 700 by BTS), in order to have reference values. A group of healthy subjects, equipped with both systems, performed four repeated walking tests along an 11 m walkway, consecutively and under constant conditions. The four tests were repeated at preferred, slow and fast self- selected walking speed. The Intraclass Correlation Coefficient (ICC) and Minimum Detectable Change (MDC) were evaluated to assess the repeatability of the measures. ICC values range from moderate to excellent for all gait parameters assessed by smart socks. The novel system presents test-retest reliability values comparable to, if not higher than, those shown by the gold standard. Finally, the results of gait reliability as a function of walking speed show excellent ICCs and very low MDCs for all parameters evaluated on trials at fast velocity, supporting the referenced hypothesis that faster movement is more consistent.
Sock是一种可穿戴的电子纺织品袜子,用于步态分析。它是基于下肢角速度的采集和数字处理。本文重点研究了该系统在测量时空步态参数时的重测信度。同时对多摄像头步态分析系统(BTS的SMART-DX 700)采集的数据进行分析,以便有参考价值。一组健康受试者配备了这两种系统,在恒定条件下连续沿着11米的人行道进行了四次重复行走测试。四项试验分别以自我选择的首选、慢速和快速进行。评估类内相关系数(ICC)和最小可检测变化(MDC)以评估测量的可重复性。智能袜子评估的所有步态参数的ICC值范围从中等到优异。新系统呈现的重测信度值与金标准显示的信度值相当,如果不高于的话。最后,步态可靠性作为步行速度函数的结果显示,在快速度试验中评估的所有参数的ICCs都很好,MDCs很低,支持了更快的运动更一致的参考假设。
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引用次数: 6
Electric field distribution analysis for the design of an electrode system in a 3D neuromuscular junction microfluidic device 三维神经肌肉连接处微流控装置电极系统设计的电场分布分析
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478775
Flavia Forconi, L. Apa, L. D’Alvia, Marianna Cosentino, E. Rizzuto, Z. Prete
Electrical stimulation (ES) highly influences the cellular microenvironment, affecting cell migration, proliferation and differentiation. It also plays a crucial role in tissue engineering to improve the biomechanical properties of the constructs and regenerate the damaged tissues. However, the effects of the ES on the neuromuscular junction (NMJ) are still not fully analyzed. In this context, the development of a specialized microfluidic device combined with an ad-hoc electrical stimulation can allow a better investigation of the NMJ functionality. To this aim, we performed an analysis of the electric field distribution in a 3D neuromuscular junction microfluidic device for the design of several electrode systems. At first, we designed and modeled the 3D microfluidic device in order to promote the formation of the NMJ between neuronal cells and the muscle engineered tissue. Subsequently, with the aim of identifying the optimal electrode configuration able to properly stimulate the neurites, thus enhancing the formation of the NMJ, we performed different simulation tests of the electric field distribution, by varying the electrode type, size, position and applied voltage. Our results revealed that all the tested configurations did not induce an electric field dangerous for the cell vitality. Among these configurations, the one with cylindrical pin of 0.3 mm of radius, placed in the internal position of the neuronal chambers, allowed to obtain the highest electrical field in the zone comprising the neurites.
电刺激对细胞微环境的影响很大,影响细胞的迁移、增殖和分化。它在组织工程中也起着至关重要的作用,以提高生物力学性能的构建和再生受损组织。然而,ES对神经肌肉接点(NMJ)的影响尚未得到充分的分析。在这种情况下,开发一种专门的微流体装置,结合特殊的电刺激,可以更好地研究NMJ的功能。为此,我们对三维神经肌肉连接微流控装置中的电场分布进行了分析,用于设计几种电极系统。首先,为了促进神经细胞与肌肉工程组织之间NMJ的形成,我们设计了三维微流控装置并进行了建模。随后,为了确定能够适当刺激神经突的最佳电极配置,从而促进NMJ的形成,我们通过改变电极类型、尺寸、位置和施加电压对电场分布进行了不同的模拟测试。我们的结果显示,所有测试的配置都不会产生对细胞活力有害的电场。在这些配置中,半径为0.3 mm的圆柱形针放置在神经元室的内部位置,可以在包含神经突的区域获得最高的电场。
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引用次数: 0
Wirelessly Powered Device for Optical Measurement of Respiration Rate 呼吸速率光学测量无线供电装置
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478773
Yu-Chieh Chen, J. Tsan, Wen-Yen Lin
The accurate measurement of respiration rate in sleeping patients requires the patients to be in a comfortable state. Current measurement systems usually require patients to wear tights because the sensors must be close to the body to enable the acquisition of high-quality measurements. However, tights are uncomfortable when worn for a long period, especially during sleep. Moreover, current systems are marred by poor battery life, which is a major problem for overnight monitoring processes; existing battery designs cannot be integrated into smart clothing, which must be waterproof to protect electronic components during laundry.To solve these problems, this study developed a wireless power– supplied optical respiratory measurement module (wireless-ORM), which can be integrated with cotton clothing for the optical, noncontact measurement of respiratory rate. This module is powered wirelessly, which eliminates the need for a battery and allows for an indefinite power supply. The wireless-ORM can also be easily covered with a waterproof membrane for waterproofing. We fabricated and tested a prototype of the wireless-ORM measuring 197 × 20 × 3 mm3 in volume and 2.8 g in weight. The sensor was determined to function at distances up to 40 mm from the body, meaning that respiration rate could be measured even with thick winter clothes. The wireless-ORM could also receive power wirelessly up to 70 cm from a base station. Due to its small size, the wireless-ORM can be wrapped in plastic for waterproofing to enable its use in smart clothing.
睡眠患者呼吸频率的准确测量需要患者处于舒适的状态。目前的测量系统通常需要患者穿紧身衣,因为传感器必须靠近身体才能获得高质量的测量结果。然而,长时间穿紧身衣很不舒服,尤其是在睡觉的时候。此外,目前的系统受到电池寿命短的影响,这是夜间监测过程的主要问题;现有的电池设计不能集成到智能服装中,智能服装必须是防水的,以便在洗衣时保护电子元件。为了解决这些问题,本研究开发了一种无线供电光学呼吸测量模块(wireless- orm),该模块可与棉质服装集成,实现呼吸速率的光学非接触式测量。该模块是无线供电的,因此不需要电池,并允许无限供电。无线orm也可以很容易地覆盖一层防水膜。我们制作并测试了一个无线orm的原型,体积为197 × 20 × 3毫米,重量为2.8克。该传感器被确定在距离身体40毫米的距离内工作,这意味着即使穿着厚厚的冬衣也可以测量呼吸速率。这种无线orm还可以在距离基站70厘米的地方无线接收电力。由于其体积小,无线orm可以用塑料包裹防水,使其能够用于智能服装。
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引用次数: 0
Statistical correlation analysis between kinematic features and clinical indexes and scales for obese patients 肥胖患者运动特征与临床指标及量表的统计相关分析
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478776
G. Cesarelli, L. Donisi, G. Caprio, M. Scioli, A. Biancardi, G. D'Addio
The study of posture and gait abnormalities has revealed over years potential information to improve the rehabilitation outcome of several classes of ill patients; nevertheless, this results still an area of research almost completely unexplored in the case of obese patients. Consequently, this study was designed as a preliminary investigation to determine potential statistical correlations between kinematic features and “gold standard” methodologies in the field, e.g., the Western Ontario and Mc Master University scale and the Barthel index. To this aim, physicians prepared bioelectrical impedance analyses and clinical assessments to evaluate patients' clinical scores, while biomedical engineers have organized Instrumented Stand and Walking tests to quantify several kinematic features using a microelectromechanical system equipped by a series of inertial measurement units. Finally, a statistical correlation analysis has allowed to reveal several features – related to patients’ anticipatory postural adjustments movements and gait – demonstrated a mild and moderate correlation with some clinical indices. In conclusion, this paper presents a novel view to address and design innovative rehabilitation strategies for obese patients.
多年来,姿势和步态异常的研究揭示了改善几类患者康复结果的潜在信息;然而,在肥胖患者的研究中,这一结果仍然是一个几乎完全未被探索的研究领域。因此,本研究被设计为初步调查,以确定运动学特征与该领域的“黄金标准”方法之间的潜在统计相关性,例如,西安大略和麦克马斯特大学量表和Barthel指数。为此,医生准备了生物电阻抗分析和临床评估来评估患者的临床评分,而生物医学工程师组织了仪器站立和行走测试,使用由一系列惯性测量单元配备的微机电系统来量化几个运动学特征。最后,统计相关性分析揭示了几个特征——与患者预期的姿势调整运动和步态相关——与一些临床指标表现出轻度和中度的相关性。综上所述,本文提出了一种新颖的观点来解决和设计肥胖患者的创新康复策略。
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引用次数: 1
A Wearable SSVEP BCI for AR-based, Real-time Monitoring Applications 基于ar的实时监控应用的可穿戴SSVEP BCI
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478593
P. Arpaia, E. D. Benedetto, N. Donato, Luigi Duraccio, N. Moccaldi
A real-time monitoring system based on Augmented Reality (AR) and highly wearable Brain-Computer Interface (BCI) for hands-free visualization of patient’s health in Operating Room (OR) is proposed. The system is designed to allow the anesthetist to monitor hands-free and in real-time the patient’s vital signs collected from the electromedical equipment available in OR. After the analysis of the requirements in a typical Health 4.0 scenario, the conceptual design, implementation and experimental validation of the proposed system are described in detail. The effectiveness of the proposed AR-BCI-based real-time monitoring system was demonstrated through an experimental activity was carried out at the University Hospital Federico II (Naples, Italy), using operating room equipment.
提出了一种基于增强现实(AR)和高可穿戴脑机接口(BCI)的手术室患者健康可视化实时监控系统。该系统的设计目的是让麻醉师能够实时监控从手术室中可用的电子医疗设备收集的患者生命体征。在分析了典型健康4.0场景的需求后,详细描述了所提出系统的概念设计、实现和实验验证。在费德里科二世大学医院(意大利那不勒斯)使用手术室设备进行的实验活动证明了所提出的基于ar - bci的实时监测系统的有效性。
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引用次数: 6
期刊
2021 IEEE International Symposium on Medical Measurements and Applications (MeMeA)
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