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Differential diagnosis between dilated cardiomyopathy and ischemic cardiomyopathy based on variational mode decomposition and high order spectra analysis. 基于变分模式分解和高阶谱分析的扩张型心肌病和缺血性心肌病的鉴别诊断。
IF 6 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-09-20 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00244-9
Yuduan Han, Yunyue Zhao, Zhuochen Lin, Zichao Liang, Siyang Chen, Jinxin Zhang

The clinical manifestations of ischemic cardiomyopathy (ICM) bear resemblance to dilated cardiomyopathy (DCM). The definitive diagnosis of DCM necessitates the identification of invasive, costly, and contraindicated coronary angiography. Many diagnostic studies of cardiovascular disease have tried modal decomposition based on electrocardiogram (ECG) signals. However, these studies ignored the connection between modes and other fields, thus limiting the interpretability of modes to ECG signals and the classification performance of models. This study proposes a classification algorithm based on variational mode decomposition (VMD) and high order spectra, which decomposes the preprocessed ECG signal and extracts its first five modes obtained through VMD. After that, these modes are estimated for their corresponding bispectrums, and the feature vector is composed of fifteen features including bispectral, frequency, and nonlinear features based on this. Finally, a dataset containing 75 subjects (38 DCM, 37 ICM) is classified and compared using random forest (RF), decision tree, support vector machine, and K-nearest neighbor. The results show that, in comparison to previous approaches, the technique proposed provides a better categorization for DCM and ICM of ECG signals, which delivers 98.21% classification accuracy, 98.22% sensitivity, and 98.19% specificity. And mode 3 always has the best performance among single mode. The proposed computerized framework significantly improves automatic diagnostic performance, which can help relieve the working pressure on doctors, possible economic burden and health threaten.

缺血性心肌病(ICM)的临床表现与扩张型心肌病(DCM)相似。DCM的明确诊断需要确定侵入性、昂贵和禁忌的冠状动脉造影。许多心血管疾病的诊断研究都尝试了基于心电图信号的模态分解。然而,这些研究忽略了模式与其他领域之间的联系,从而限制了模式对ECG信号的可解释性和模型的分类性能。本研究提出了一种基于变分模式分解(VMD)和高阶谱的分类算法,该算法对预处理后的心电信号进行分解,并提取通过VMD获得的前五种模式。然后,对这些模式的对应双谱进行估计,并在此基础上由15个特征组成特征向量,包括双谱、频率和非线性特征。最后,使用随机森林(RF)、决策树、支持向量机和K近邻对包含75个受试者(38个DCM,37个ICM)的数据集进行分类和比较。结果表明,与以前的方法相比,所提出的技术对ECG信号的DCM和ICM提供了更好的分类,其分类准确率为98.21%,灵敏度为98.22%,特异性为98.19%。并且模式3总是在单个模式中具有最好的性能。所提出的计算机化框架显著提高了自动诊断性能,有助于减轻医生的工作压力、可能的经济负担和健康威胁。
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引用次数: 0
LDS-CNN: a deep learning framework for drug-target interactions prediction based on large-scale drug screening. LDS-CN:一个基于大规模药物筛选的药物-靶标相互作用预测的深度学习框架。
IF 4.7 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-09-02 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00243-w
Yang Wang, Zuxian Zhang, Chenghong Piao, Ying Huang, Yihan Zhang, Chi Zhang, Yu-Jing Lu, Dongning Liu

Background: Drug-target interaction (DTI) is a vital drug design strategy that plays a significant role in many processes of complex diseases and cellular events. In the face of challenges such as extensive protein data and experimental costs, it is suggested to apply bioinformatics approaches to exploit potential interactions to design new targeted medications. Different data and interaction types bring difficulties to study involving incompatible and heterology formats. The analysis of drug-target interactions in a comprehensive and unified model is a significant challenge.

Method: Here, we propose a general method for predicting interactions between small-molecule drugs and protein targets, Large-scale Drug target Screening Convolutional Neural Network (LDS-CNN), which used unified encoding to achieve the calculation of the different data formats in an integrated model to realize feature abstraction and potential object prediction.

Result: On 898,412 interaction data involving 1683 small-molecule compounds and 14,350 human proteins from 8.8 billion records, the proposed method achieved an area under the curve (AUC) of 0.96, an area under the precision-recall curve (AUPRC) of 0.95, and an accuracy of 90.13%. The experimental results illustrated that the proposed method attained high accuracy on the test set, indicating its high predictive ability in drug-target interaction prediction. LDS-CNN is effective for the prediction of large-scale datasets and datasets composed of data with different formats.

Conclusion: In this study, we propose a DTI prediction method to solve the problems of unified encoding of large-scale data in multiple formats. It provides a feasible way to efficiently abstract the features among different types of drug-related data, thus reducing experimental costs and time consumption. The proposed method can be used to identify potential drug targets and candidates for the treatment of complex diseases. This work provides a reference for DTI to process large-scale data and different formats with deep learning methods and provides certain suggestions for future research.

背景:药物-靶标相互作用(DTI)是一种重要的药物设计策略,在复杂疾病和细胞事件的许多过程中发挥着重要作用。面对广泛的蛋白质数据和实验成本等挑战,建议应用生物信息学方法来利用潜在的相互作用来设计新的靶向药物。不同的数据和交互类型给涉及不兼容和异质格式的研究带来了困难。在一个全面统一的模型中分析药物-靶标相互作用是一个重大挑战。方法:在这里,我们提出了一种预测小分子药物和蛋白质靶标之间相互作用的通用方法,即大规模药物靶标筛选卷积神经网络(LDS-CNN),该网络使用统一编码来实现对集成模型中不同数据格式的计算,以实现特征提取和潜在靶标预测。结果:在88亿条记录中涉及1683个小分子化合物和14350个人类蛋白质的898142个相互作用数据上,该方法的曲线下面积(AUC)为0.96,精密度-召回曲线下面积为0.95,准确度为90.13%。实验结果表明,该方法在测试集上具有较高的准确度,表明其在药物-靶标相互作用预测方面具有较高的预测能力。LDS-NN对于大规模数据集和由不同格式的数据组成的数据集的预测是有效的。结论:在本研究中,我们提出了一种DTI预测方法来解决多格式大规模数据的统一编码问题。它提供了一种有效提取不同类型药物相关数据特征的可行方法,从而降低了实验成本和时间消耗。所提出的方法可用于确定治疗复杂疾病的潜在药物靶点和候选药物。这项工作为DTI用深度学习方法处理大规模数据和不同格式的数据提供了参考,并为未来的研究提供了一定的建议。
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引用次数: 0
Design and technical validation to generate a synthetic 12-lead electrocardiogram dataset to promote artificial intelligence research. 设计和技术验证生成合成12导联心电图数据集,以促进人工智能研究。
IF 6 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-08-30 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00241-y
Hakje Yoo, Jose Moon, Jong-Ho Kim, Hyung Joon Joo

Purpose: The purpose of this study is to construct a synthetic dataset of ECG signal that overcomes the sensitivity of personal information and the complexity of disclosure policies.

Methods: The public dataset was constructed by generating synthetic data based on the deep learning model using a convolution neural network (CNN) and bi-directional long short-term memory (Bi-LSTM), and the effectiveness of the dataset was verified by developing classification models for ECG diagnoses.

Results: The synthetic 12-lead ECG dataset generated consists of a total of 6000 ECGs, with normal and 5 abnormal groups. The synthetic ECG signal has a waveform pattern similar to the original ECG signal, the average RMSE between the two signals is 0.042 µV, and the average cosine similarity is 0.993. In addition, five classification models were developed to verify the effect of the synthetic dataset and showed performance similar to that of the model made with the actual dataset. In particular, even when the real dataset was applied as a test set to the classification model trained with the synthetic dataset, the classification performance of all models showed high accuracy (average accuracy 93.41%).

Conclusion: The synthetic 12-lead ECG dataset was confirmed to perform similarly to the real-world 12-lead ECG in the classification model. This implies that a synthetic dataset can perform similarly to a real dataset in clinical research using AI. The synthetic dataset generation process in this study provides a way to overcome the medical data disclosure challenges constrained by privacy rights, a way to encourage open data policies, and contribute significantly to promoting cardiovascular disease research.

目的:本研究的目的是构建一个心电图信号的合成数据集,以克服个人信息的敏感性和披露政策的复杂性。方法:使用卷积神经网络(CNN)和双向长短期记忆(bi-LSTM)在深度学习模型的基础上生成合成数据,构建公共数据集,并通过开发心电图诊断分类模型验证数据集的有效性。结果:生成的合成12导联心电图数据集由6000个心电图组成,包括正常组和5个异常组。合成的ECG信号具有与原始ECG信号相似的波形模式,两个信号之间的平均RMSE为0.042µV,平均余弦相似性为0.993。此外,还开发了五个分类模型来验证合成数据集的效果,并显示出与实际数据集模型相似的性能。特别是,即使将真实数据集作为测试集应用于用合成数据集训练的分类模型,所有模型的分类性能都显示出较高的准确性(平均准确率93.41%)。这意味着,在使用人工智能的临床研究中,合成数据集可以与真实数据集表现相似。本研究中的合成数据集生成过程提供了一种克服隐私权限制的医疗数据披露挑战的方法,一种鼓励开放数据政策的方法,并为促进心血管疾病研究做出了重大贡献。
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引用次数: 1
S-LSTM-ATT: a hybrid deep learning approach with optimized features for emotion recognition in electroencephalogram. S-LSTM-ATT:一种具有优化特征的混合深度学习方法,用于脑电图中的情绪识别。
IF 4.7 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-08-29 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00242-x
Abgeena Abgeena, Shruti Garg

Purpose: Human emotion recognition using electroencephalograms (EEG) is a critical area of research in human-machine interfaces. Furthermore, EEG data are convoluted and diverse; thus, acquiring consistent results from these signals remains challenging. As such, the authors felt compelled to investigate EEG signals to identify different emotions.

Methods: A novel deep learning (DL) model stacked long short-term memory with attention (S-LSTM-ATT) model is proposed for emotion recognition (ER) in EEG signals. Long Short-Term Memory (LSTM) and attention networks effectively handle time-series EEG data and recognise intrinsic connections and patterns. Therefore, the model combined the strengths of the LSTM model and incorporated an attention network to enhance its effectiveness. Optimal features were extracted from the metaheuristic-based firefly optimisation algorithm (FFOA) to identify different emotions efficiently.

Results: The proposed approach recognised emotions in two publicly available standard datasets: SEED and EEG Brainwave. An outstanding accuracy of 97.83% in the SEED and 98.36% in the EEG Brainwave datasets were obtained for three emotion indices: positive, neutral and negative. Aside from accuracy, a comprehensive comparison of the proposed model's precision, recall, F1 score and kappa score was performed to determine the model's applicability. When applied to the SEED and EEG Brainwave datasets, the proposed S-LSTM-ATT achieved superior results to baseline models such as Convolutional Neural Networks (CNN), Gated Recurrent Unit (GRU) and LSTM.

Conclusion: Combining an FFOA-based feature selection (FS) and an S-LSTM-ATT-based classification model demonstrated promising results with high accuracy. Other metrics like precision, recall, F1 score and kappa score proved the suitability of the proposed model for ER in EEG signals.

目的:利用脑电图(EEG)进行人类情绪识别是人机界面研究的一个关键领域。此外,脑电图数据是复杂多样的;因此,从这些信号中获得一致的结果仍然具有挑战性。因此,作者觉得有必要研究脑电图信号来识别不同的情绪。方法:针对脑电信号中的情绪识别,提出了一种新的深度学习(DL)模型——长短期记忆-注意力叠加(S-LSTM-ATT)模型。长短期记忆(LSTM)和注意力网络有效地处理时间序列EEG数据并识别内在联系和模式。因此,该模型结合了LSTM模型的优势,并加入了注意力网络以提高其有效性。从基于元启发式的萤火虫优化算法(FFOA)中提取最优特征,以有效识别不同的情绪。结果:所提出的方法在两个公开可用的标准数据集中识别情绪:SEED和EEG Brainwave。在SEED和EEG Brainwave数据集中,三种情绪指数(阳性、中性和阴性)的准确率分别为97.83%和98.36%。除了准确性之外,还对所提出的模型的精度、召回率、F1评分和kappa评分进行了全面比较,以确定该模型的适用性。当应用于SEED和EEG Brainwave数据集时,所提出的S-LSTM-ATT取得了优于卷积神经网络(CNN)、门控递归单元(GRU)和LSTM等基线模型的结果。精度、召回率、F1评分和kappa评分等其他指标证明了所提出的模型对脑电信号中ER的适用性。
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引用次数: 0
Video-based evaluation system for tic action in Tourette syndrome: modeling, detection, and evaluation. 抽动秽语综合征抽动动作的视频评估系统:建模、检测和评估。
IF 4.7 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-08-28 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00240-z
Junya Wu, Tianshu Zhou, Yufan Guo, Yu Tian, Yuting Lou, Jianhua Feng, Jingsong Li

Behavioral ratings based on clinical observations are still the gold standard for screening, diagnosing, and assessing outcomes in Tourette syndrome. Detecting tic symptoms plays an important role in patient treatment and evaluation; accurate tic identification is the key to clinical diagnosis and evaluation. In this study, we proposed a tic action detection method using face video feature recognition for tic and control groups. Through facial ROI extraction, a 3D convolutional neural network was used to learn video feature representations, and multi-instance learning anomaly detection strategy was integrated to construct the tic action analysis and discrimination framework. We applied this tic recognition framework in our video dataset. The model evaluation results achieved average tic detection accuracy of 91.02%, precision of 77.07% and recall of 78.78%. And the tic score curve with postprocessing provided information of how the patient's twitches change over time. The detection results at the individual level indicated that our method can effectively detect tic actions in videos of Tourette patients without the need for fine labeling, which is significant for the long-term evaluation of patients with Tourette syndrome.

基于临床观察的行为评分仍然是筛查、诊断和评估抽动秽语综合征结果的金标准。检测抽动症症状在患者治疗和评估中起着重要作用;准确的tic识别是临床诊断和评价的关键。在这项研究中,我们提出了一种基于人脸视频特征识别的抽动动作检测方法,用于抽动和对照组。通过人脸ROI提取,使用3D卷积神经网络学习视频特征表示,并集成多实例学习异常检测策略构建tic动作分析和判别框架。我们在视频数据集中应用了这个tic识别框架。模型评估结果的平均抽动检测准确率为91.02%,准确率为77.07%,召回率为78.78%。经过后处理的抽动评分曲线提供了患者抽搐随时间变化的信息。个体层面的检测结果表明,我们的方法可以有效地检测抽动秽语患者视频中的抽动动作,而无需精细标记,这对抽动秽语综合征患者的长期评估具有重要意义。
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引用次数: 0
Combining temporal and spatial attention for seizure prediction. 结合时间和空间注意力进行癫痫发作预测。
IF 4.7 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-08-23 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00239-6
Yao Wang, Yufei Shi, Zhipeng He, Ziyi Chen, Yi Zhou

Purpose: Approximately 1% of the world population is currently suffering from epilepsy. Successful seizure prediction is necessary for those patients. Influenced by neurons in their own and surrounding locations, the electroencephalogram (EEG) signals collected by scalp electrodes carry information of spatiotemporal interactions. Therefore, it is a great challenge to exploit the spatiotemporal information of EEG signals fully.

Methods: In this paper, a new seizure prediction model called Gatformer is proposed by fusing the graph attention network (GAT) and the Transformer. The temporal and spatial attention are combined to extract EEG information from the perspective of spatiotemporal interactions. The model aims to explore the temporal dependence of single-channel EEG signals and the spatial correlations among multi-channel EEG signals. It can automatically identify the most noteworthy interaction in brain regions and achieve accurate seizure prediction.

Results: Compared with the baseline models, the performance of our model is significantly improved. The false prediction rate (FPR) on the private dataset is 0.0064/h. The average accuracy, specificity and sensitivity are 98.25%, 99.36% and 97.65%.

Conclusion: The proposed model is comparable to the state of the arts. Experiments on different datasets show that it has good robustness and generalization performance. The high sensitivity and low FPR prove that this model has great potential to realize clinical assistance for diagnosis and treatment.

目的:目前约有1%的世界人口患有癫痫。成功预测癫痫发作对这些患者来说是必要的。头皮电极收集的脑电图(EEG)信号受自身和周围神经元的影响,携带时空相互作用的信息。因此,充分利用脑电信号的时空信息是一个巨大的挑战。方法:将图注意力网络(GAT)和Transformer融合,提出了一种新的癫痫发作预测模型Gatformer。从时空交互的角度出发,将时间注意力和空间注意力相结合来提取脑电信息。该模型旨在探索单通道脑电信号的时间相关性和多通道脑电之间的空间相关性。它可以自动识别大脑区域中最值得注意的相互作用,并实现准确的癫痫发作预测。结果:与基线模型相比,我们的模型的性能有了显著提高。在私人数据集上的错误预测率(FPR)为0.0064/h。平均准确率、特异性和敏感性分别为98.25%、99.36%和97.65%。结论:所提出的模型与现有技术相当。在不同数据集上的实验表明,该算法具有良好的鲁棒性和泛化性能。高灵敏度和低FPR证明该模型在实现临床辅助诊断和治疗方面具有巨大潜力。
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引用次数: 0
Gut microbiome biomarkers in adolescent obesity: a regional study. 青少年肥胖的肠道微生物组生物标志物:一项区域研究。
IF 4.7 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-08-17 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00236-9
Xue-Feng Gao, Bin-Bin Wu, Yong-Long Pan, Shao-Ming Zhou, Ming Zhang, Yue-Hua You, Yun-Peng Cai, Yan Liang

Purpose: This study aimed to characterize the gut microbiota in obese adolescents from Shenzhen (China), and evaluate influence of gender on BMI-related differences in the gut microbiome.

Methods: Evaluation of physical examination, blood pressure measurement, serological assay and body composition were conducted in 205 adolescent subjects at Shenzhen. Fecal microbiome composition was profiled via high-throughput sequencing of the V3-V4 regions of the 16S rRNA gene. A Random Forest (RF) classifier model was built to distinguish the BMI categories based on the gut bacterial composition.

Results: Fifty-six taxa consisting mainly of Firmicutes were identified that having significant associations with BMI; 2 OTUs belonging to Ruminococcaceae and 1 belonging to Lachnospiraceae had relatively strong positive correlations with body fate rate, waistline and most of serum biochemical properties. Based on the 56 BMI-associated OTUs, the RF model showed a robust classification accuracy (AUC 0.96) for predicting the obese phenotype. Gender-specific differences in the gut microbiome composition was obtained, and a lower relative abundance of Odoribacter genus was particularly found in obese boys. Functional analysis revealed a deficiency in bacterial gene contents related to peroxisome and PPAR signaling pathway in the obese subjects for both genders.

Conclusions: This study reveals unique features of gut microbiome in terms of microbial composition and metabolic functions in obese adolescents, and provides a baseline for reference and comparison studies.

Supplementary information: The online version contains supplementary material available at 10.1007/s13755-023-00236-9.

目的:本研究旨在描述深圳(中国)肥胖青少年的肠道微生物群,并评估性别对肠道微生物群BMI相关差异的影响。方法:对深圳市205名青少年进行体格检查、血压测定、血清学检测和身体成分评价。通过16S rRNA基因的V3-V4区域的高通量测序来分析粪便微生物组组成。建立了随机森林(RF)分类器模型,根据肠道细菌组成区分BMI类别。结果:共鉴定出56个主要由厚壁菌门组成的类群,它们与BMI有显著相关性;Ruminococceae科2个OTU和Lachnospiraceae科1个OTU与体命运率、腰围和大部分血清生化特性呈正相关。基于56个BMI相关OTU,RF模型在预测肥胖表型方面显示出强大的分类准确性(AUC 0.96)。获得了肠道微生物组组成的性别特异性差异,在肥胖男孩中尤其发现气味杆菌属的相对丰度较低。功能分析显示,在两种性别的肥胖受试者中,与过氧化物酶体和PPAR信号通路相关的细菌基因含量不足。结论:本研究揭示了肥胖青少年肠道微生物组在微生物组成和代谢功能方面的独特特征,为参考和比较研究提供了基线。补充信息:在线版本包含补充材料,可访问10.1007/s13755-023-00236-9。
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引用次数: 0
A new diagnostic autism spectrum disorder (DASD) strategy using ensemble diagnosis methodology based on blood tests. 一种新的诊断自闭症谱系障碍(DASD)策略,使用基于血液测试的综合诊断方法。
IF 6 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-08-14 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00234-x
Asmaa H Rabie, Ahmed I Saleh

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental disease that impacts a child's way of behavior and social communication. In early childhood, children with ASD typically exhibit symptoms such as difficulty in social interaction, limited interests, and repetitive behavior. Although there are symptoms of ASD disease, most people do not understand these symptoms and therefore do not have enough knowledge to determine whether or not a child has ASD. Thus, early detection of ASD children based on accurate diagnosis model based on Artificial Intelligence (AI) techniques is a critical process to reduce the spread of the disease and control it early. Through this paper, a new Diagnostic Autism Spectrum Disorder (DASD) strategy is presented to quickly and accurately detect ASD children. DASD contains two layers called Data Filter Layer (DFL) and Diagnostic Layer (DL). Feature selection and outlier rejection processes are performed in DFL to filter the ASD dataset from less important features and incorrect data before using the diagnostic or detection method in DL to accurately diagnose the patients. In DFL, Binary Gray Wolf Optimization (BGWO) technique is used to select the most significant set of features while Binary Genetic Algorithm (BGA) technique is used to eliminate invalid training data. Then, Ensemble Diagnosis Methodology (EDM) as a new diagnostic technique is used in DL to quickly and precisely diagnose ASD children. In this paper, the main contribution is EDM that consists of several diagnostic models including Enhanced K-Nearest Neighbors (EKNN) as one of them. EKNN represents a hybrid technique consisting of three methods called K-Nearest Neighbors (KNN), Naïve Bayes (NB), and Chimp Optimization Algorithm (COA). NB is used as a weighed method to convert data from feature space to weight space. Then, COA is used as a data generation method to reduce the size of training dataset. Finally, KNN is applied on the reduced data in weight space to quickly and accurately diagnose ASD children based on new training dataset with small size. ASD blood tests dataset is used to test the proposed DASD strategy against other recent strategies [1]. It is concluded that the DASD strategy is superior to other strategies based on many performance measures including accuracy, error, recall, precision, micro_average precision, macro_average precision, micro_average recall, macro_average recall, F1-measure, and implementation-time with values equal to 0.93, 0.07, 0.83, 0.82, 0.80, 0.83, 0.79, 0.81, 0.79, and 1.5 s respectively.

自闭症谱系障碍(ASD)是一种复杂的神经发育疾病,会影响儿童的行为和社交方式。在儿童早期,自闭症谱系障碍儿童通常表现出社交困难、兴趣有限和重复行为等症状。尽管有ASD疾病的症状,但大多数人不了解这些症状,因此没有足够的知识来确定孩子是否患有ASD。因此,基于人工智能(AI)技术的准确诊断模型对ASD儿童进行早期检测是减少疾病传播并尽早控制疾病的关键过程。通过本文,提出了一种新的自闭症谱系障碍诊断策略(DASD),以快速准确地检测ASD儿童。DASD包含两个层,称为数据过滤层(DFL)和诊断层(DL)。在使用DL中的诊断或检测方法准确诊断患者之前,在DFL中执行特征选择和异常排斥过程,以从不太重要的特征和不正确的数据中过滤ASD数据集。在DFL中,使用二进制灰狼优化(BGWO)技术来选择最重要的特征集,而使用二进制遗传算法(BGA)技术来消除无效的训练数据。然后,将集成诊断方法(EDM)作为一种新的诊断技术应用于DL,以快速准确地诊断ASD儿童。在本文中,主要贡献是EDM,它由几个诊断模型组成,其中包括增强的K-最近邻(EKNN)。EKNN表示一种由三种方法组成的混合技术,即K-最近邻(KNN)、朴素贝叶斯(NB)和Chimp优化算法(COA)。NB被用作将数据从特征空间转换为权重空间的加权方法。然后,使用COA作为数据生成方法来减少训练数据集的大小。最后,基于新的小尺寸训练数据集,将KNN应用于权重空间中的缩减数据,以快速准确地诊断ASD儿童。ASD血液测试数据集用于将所提出的DASD策略与最近的其他策略进行比较[1]。基于准确度、误差、召回率、精密度、微观平均精密度、宏观平均精密度,微观平均召回率、宏观平均召回率,F1测量和实施时间等性能指标,DASD策略优于其他策略,其值分别为0.93、0.07、0.83、0.82、0.80、0.83%、0.79、0.81、0.79和1.5s。
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引用次数: 1
A new mixed reality tool for training in minimally invasive robotic-assisted surgery. 一种用于微创机器人辅助手术训练的新型混合现实工具。
IF 6 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-08-02 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00238-7
Sergio Casas-Yrurzum, Jesús Gimeno, Pablo Casanova-Salas, Inma García-Pereira, Eva García Del Olmo, Antonio Salvador, Ricardo Guijarro, Cristóbal Zaragoza, Marcos Fernández

Robotic-assisted surgery (RAS) is developing an increasing role in surgical practice. Therefore, it is of the utmost importance to introduce this paradigm into surgical training programs. However, the steep learning curve of RAS remains a problem that hinders the development and widespread use of this surgical paradigm. For this reason, it is important to be able to train surgeons in the use of RAS procedures. RAS involves distinctive features that makes its learning different to other minimally invasive surgical procedures. One of these features is that the surgeons operate using a stereoscopic console. Therefore, it is necessary to perform RAS training stereoscopically. This article presents a mixed-reality (MR) tool for the stereoscopic visualization, annotation and collaborative display of RAS surgical procedures. The tool is an MR application because it can display real stereoscopic content and augment it with virtual elements (annotations) properly registered in 3D and tracked over time. This new tool allows the registration of surgical procedures, teachers (experts) and students (trainees), so that the teacher can share a set of videos with their students, annotate them with virtual information and use a shared virtual pointer with the students. The students can visualize the videos within a web environment using their personal mobile phones or a desktop stereo system. The use of the tool has been assessed by a group of 15 surgeons during a robotic-surgery master's course. The results show that surgeons consider that this tool can be very useful in RAS training.

机器人辅助手术(RAS)在外科实践中的作用越来越大。因此,将这种模式引入外科培训计划至关重要。然而,RAS的陡峭学习曲线仍然是一个阻碍这种外科模式发展和广泛使用的问题。因此,能够培训外科医生使用RAS程序是很重要的。RAS具有独特的特点,使其学习与其他微创外科手术不同。其中一个特点是外科医生使用立体控制台进行手术。因此,有必要立体地进行RAS训练。本文介绍了一种用于RAS手术过程的立体可视化、注释和协作显示的混合现实(MR)工具。该工具是MR应用程序,因为它可以显示真实的立体内容,并使用在3D中正确注册并随时间跟踪的虚拟元素(注释)来增强它。这一新工具允许注册外科手术、教师(专家)和学生(受训人员),因此教师可以与学生共享一组视频,用虚拟信息对其进行注释,并与学生使用共享的虚拟指针。学生可以使用个人手机或桌面立体声系统在网络环境中可视化视频。在机器人外科硕士课程中,由15名外科医生组成的小组对该工具的使用进行了评估。结果表明,外科医生认为该工具在RAS培训中非常有用。
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引用次数: 1
Effectiveness assessment of repetitive transcranial alternating current stimulation with concurrent EEG and fNIRS measurement. 同时进行EEG和fNIRS测量的重复经颅交流电刺激的有效性评估。
IF 4.7 3区 医学 Q1 MEDICAL INFORMATICS Pub Date : 2023-08-02 eCollection Date: 2023-12-01 DOI: 10.1007/s13755-023-00233-y
Dalin Yang, Usman Ghafoor, Adam Thomas Eggebrecht, Keum-Shik Hong

Transcranial alternating current stimulation (tACS) exhibits the capability to interact with endogenous brain oscillations using an external low-intensity sinusoidal current and influences cerebral function. Despite its potential benefits, the physiological mechanisms and effectiveness of tACS are currently a subject of debate and disagreement. The aims of our study are to (i) evaluate the neurological and behavioral impact of tACS by conducting repetitive sham-controlled experiments and (ii) propose criteria to evaluate effectiveness, which can serve as a benchmark to determine optimal individual-based tACS protocols. In this study, 15 healthy adults participated in the experiment over two visiting: sham and tACS (i.e., 5 Hz, 1 mA). During each visit, we used multimodal recordings of the participants' brain, including simultaneous electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS), along with a working memory (WM) score to quantify neurological effects and cognitive changes immediately after each repetitive sham/tACS session. Our results indicate increased WM scores, hemodynamic response strength, and EEG power in theta and delta bands both during and after the tACS period. Additionally, the observed effects do not increase with prolonged stimulation time, as the effects plateau towards the end of the experiment. In conclusion, our proposed closed-loop scheme offers a promising advance for evaluating the effectiveness of tACS during the stimulation session. Specifically, the assessment criteria use participant-specific brain-based signals along with a behavioral output. Moreover, we propose a feedback efficacy score that can aid in determining the optimal stimulation duration based on a participant-specific brain state, thereby preventing the risk of overstimulation.

经颅交流电流刺激(tACS)表现出利用外部低强度正弦电流与内源性大脑振荡相互作用的能力,并影响大脑功能。尽管tACS具有潜在的益处,但其生理机制和有效性目前仍存在争议和分歧。我们研究的目的是(i)通过进行重复的假对照实验来评估tACS的神经和行为影响,以及(ii)提出评估有效性的标准,该标准可以作为确定最佳基于个体的tACS协议的基准。在这项研究中,15名健康成年人在两次访问中参与了实验:sham和tACS(即5 Hz,1 mA)。在每次访问期间,我们使用参与者大脑的多模式记录,包括同时脑电图(EEG)和功能性近红外光谱(fNIRS),以及工作记忆(WM)评分,以量化每次重复的sham/tACS会话后的神经影响和认知变化。我们的结果表明,在tACS期间和之后,θ和δ波段的WM评分、血液动力学反应强度和EEG功率都有所增加。此外,观察到的效应不会随着刺激时间的延长而增加,因为效应在实验结束时趋于平稳。总之,我们提出的闭环方案为评估tACS在刺激过程中的有效性提供了一个有希望的进展。具体来说,评估标准使用参与者特定的基于大脑的信号以及行为输出。此外,我们提出了一种反馈功效评分,该评分可以帮助根据参与者特定的大脑状态确定最佳刺激持续时间,从而防止过度刺激的风险。
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引用次数: 0
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