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Recognition of regions of stroke injury using multi-modal frequency features of electroencephalogram 利用脑电图的多模态频率特性识别中风损伤区域
Pub Date : 2024-06-10 DOI: 10.3389/fnins.2024.1404816
Yan Jin, Jing Li, Zhuyao Fan, Xian Hua, Ting Wang, Shunlan Du, Xugang Xi, Lihua Li
Nowadays, increasingly studies are attempting to analyze strokes in advance. The identification of brain damage areas is essential for stroke rehabilitation.We proposed Electroencephalogram (EEG) multi-modal frequency features to classify the regions of stroke injury. The EEG signals were obtained from stroke patients and healthy subjects, who were divided into right-sided brain injury group, left-sided brain injury group, bilateral brain injury group, and healthy controls. First, the wavelet packet transform was used to perform a time-frequency analysis of the EEG signal and extracted a set of features (denoted as WPT features). Then, to explore the nonlinear phase coupling information of the EEG signal, phase-locked values (PLV) and partial directed correlations (PDC) were extracted from the brain network, and the brain network produced a second set of features noted as functional connectivity (FC) features. Furthermore, we fused the extracted multiple features and used the resnet50 convolutional neural network to classify the fused multi-modal (WPT + FC) features.The classification accuracy of our proposed methods was up to 99.75%.The proposed multi-modal frequency features can be used as a potential indicator to distinguish regions of brain injury in stroke patients, and are potentially useful for the optimization of decoding algorithms for brain-computer interfaces.
如今,越来越多的研究试图提前分析脑卒中。我们提出了脑电图(EEG)多模态频率特性来对脑卒中损伤区域进行分类。我们提出了脑电图(EEG)多模态频率特征来对脑卒中损伤区域进行分类。脑电图信号来自脑卒中患者和健康受试者,他们被分为右侧脑损伤组、左侧脑损伤组、双侧脑损伤组和健康对照组。首先,利用小波包变换对脑电图信号进行时频分析,提取出一组特征(称为 WPT 特征)。然后,为了探索脑电信号的非线性相位耦合信息,我们从脑网络中提取了锁相值(PLV)和部分定向相关性(PDC),脑网络产生了第二组特征,称为功能连接(FC)特征。此外,我们还融合了提取的多种特征,并使用 resnet50 卷积神经网络对融合后的多模态(WPT + FC)特征进行分类。
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引用次数: 0
A clathrin mediated endocytosis scaffolding protein, Intersectin 1, changes in an isoform, brain region, and sex specific manner in Alzheimer’s disease 凝集素介导的内吞支架蛋白 Intersectin 1 在阿尔茨海默病中的同工型、脑区和性别特异性变化
Pub Date : 2024-06-10 DOI: 10.3389/fnins.2024.1426180
Sierra Jaye, U. Sandau, Trevor J. McFarland, Randy L. Woltjer, J. Saugstad
Alzheimer’s disease (AD) is the most common form of dementia and is characterized by the accumulation of amyloid-beta (Aβ) plaques and neurofibrillary Tau tangles in the brain. We previously identified a set of candidate AD microRNAs (miRNAs) in human cerebrospinal fluid (CSF) and used a target prediction pipeline to identify mRNAs and pathways that could potentially be regulated by the miRNAs. Of these pathways, clathrin mediated endocytosis (CME) was selected for further investigation. CME is altered in multiple brain cell types in AD and is implicated in early cellular phenotypes such as enlarged early endosomes and pathogenic processing of Aβ. However, a comprehensive evaluation of major CME hub proteins in humans with AD across multiple brain regions is lacking. Thus, we used immunoblots to evaluate human post-mortem AD and control (CTL) frontal cortex (FC; AD n = 22, CTL n = 23) and hippocampus (HP; AD n = 34, CTL n = 22) for changes in Intersectin 1 (ITSN1), Phosphatidylinositol Binding Clathrin Assembly Protein gene (PICALM), Clathrin Light Chain (CLT), FCH and Mu Domain Containing Endocytic Adaptor 1 (FCHO1), Adaptor Related Protein Complex 2 (AP2) Subunit Alpha 1 (AP2A1), and Dynamin 2 (DNM2). Of these, we found that in AD, ITSN1-long (ITSN1-L) was decreased in the FC of males and HP of females, while ITSN1-short was increased in the HP of both males and females. We further evaluated ITSN1-L levels in cortex (CTX) and HP of the 5xFAD mouse model of Aβ pathology at different timepoints during aging and disease progression by immunoblot (n = 5–8 per group). At 3 months, female 5xFAD exhibited an increase of ITSN1-L in CTX but a decrease at 6 and 9 months. Additionally, immunofluorescent staining of 5xFAD primary HP neurons showed an increase of ITSN1-L in matured 5xFAD neurons at 21 and 28 days in vitro. Together, our studies show that in AD, isoforms of ITSN1 change in a brain region-and sex-dependent manner. Further, changes in ITSN1-L are transient with levels increasing during early Aβ accumulation and decreasing during later progression. These findings suggest that ITSN1 expression, and consequently CME activity, may change depending on the stage of disease progression.
阿尔茨海默病(AD)是最常见的痴呆症,其特征是大脑中淀粉样β(Aβ)斑块和神经纤维Tau缠结的积累。我们先前在人类脑脊液(CSF)中发现了一组候选的AD microRNA(miRNA),并利用目标预测管道确定了可能受miRNA调控的mRNA和通路。在这些通路中,选择了凝集素介导的内吞(CME)进行进一步研究。CME在AD患者的多种脑细胞类型中发生改变,并与早期细胞表型有关,如早期内体增大和Aβ的致病处理。然而,目前还缺乏对AD患者多个脑区主要CME中枢蛋白的全面评估。因此,我们使用免疫印迹法评估了人类死后AD和对照组(CTL)的额叶皮层(FC;AD n = 22,CTL n = 23)和海马(HP;AD n = 34,CTL n = 22)中交联蛋白 1 (ITSN1)、磷脂酰肌醇结合鞘磷脂组装蛋白基因 (PICALM)、鞘磷脂轻链 (CLT)、FCH 和 Mu 域包含内吞适配体 1 (FCHO1)、适配体相关蛋白复合物 2 (AP2) 亚基 Alpha 1 (AP2A1) 和 Dynamin 2 (DNM2) 的变化。其中,我们发现在 AD 中,男性 FC 和女性 HP 中的 ITSN1-长(ITSN1-L)减少,而男性和女性 HP 中的 ITSN1-短增加。我们通过免疫印迹进一步评估了5xFAD小鼠Aβ病理模型在衰老和疾病进展过程中不同时间点皮层(CTX)和HP中的ITSN1-L水平(n = 5-8/组)。3 个月时,雌性 5xFAD CTX 中的 ITSN1-L 有所增加,但在 6 个月和 9 个月时有所减少。此外,对 5xFAD 初级 HP 神经元的免疫荧光染色显示,在体外 21 天和 28 天时,成熟的 5xFAD 神经元中的 ITSN1-L 有所增加。总之,我们的研究表明,在 AD 中,ITSN1 的同工型以脑区和性别依赖的方式发生变化。此外,ITSN1-L的变化是短暂的,其水平在早期Aβ积累时升高,而在后期发展时降低。这些研究结果表明,ITSN1的表达以及由此产生的CME活性可能会随着疾病的进展阶段而发生变化。
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引用次数: 0
Proteomics and lipidomic analysis reveal dysregulated pathways associated with loss of sacsin 蛋白质组学和脂质组学分析揭示了与囊素缺失相关的失调通路
Pub Date : 2024-06-07 DOI: 10.3389/fnins.2024.1375299
D. Galatolo, S. Rocchiccioli, N. Di Giorgi, Flavio Dal Canto, Giovanni Signore, Federica Morani, Elisa Ceccherini, S. Doccini, Filippo M. Santorelli
Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS) is a rare incurable neurodegenerative disease caused by mutations in the SACS gene, which codes for sacsin, a large protein involved in protein homeostasis, mitochondrial function, cytoskeletal dynamics, autophagy, cell adhesion and vesicle trafficking. However, the pathogenic mechanisms underlying sacsin dysfunction are still largely uncharacterized, and so attempts to develop therapies are still in the early stages.To achieve further understanding of how processes are altered by loss of sacsin, we used untargeted proteomics to compare protein profiles in ARSACS fibroblasts versus controls.Our analyses confirmed the involvement of known biological pathways and also implicated calcium and lipid homeostasis in ARSACS skin fibroblasts, a finding further verified in SH-SY5Y SACS–/– cells. Validation through mass spectrometry-based analysis and comparative quantification of lipids by LC-MS in fibroblasts revealed increased levels of ceramides coupled with a reduction of diacylglycerols.In addition to confirming aberrant Ca2+ homeostasis in ARSACS, this study described abnormal lipid levels associated with loss of sacsin.
常染色体隐性遗传的沙勒沃瓦-萨古奈痉挛性共济失调症(ARSACS)是一种罕见的无法治愈的神经退行性疾病,由SACS基因突变引起,SACS基因编码的sacsin是一种参与蛋白质平衡、线粒体功能、细胞骨架动力学、自噬、细胞粘附和囊泡贩运的大蛋白。为了进一步了解囊素缺失是如何改变这些过程的,我们使用非靶向蛋白质组学方法比较了ARSACS成纤维细胞和对照组的蛋白质谱。我们的分析证实了已知生物通路的参与,还牵涉到ARSACS皮肤成纤维细胞中的钙和脂质平衡,这一发现在SH-SY5Y SACS-/-细胞中得到了进一步验证。通过质谱分析和 LC-MS 对成纤维细胞中脂质的比较定量进行验证,发现神经酰胺水平升高,二酰甘油水平降低。
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引用次数: 0
Mapping intracellular NAD content in entire human brain using phosphorus-31 MR spectroscopic imaging at 7 Tesla 在 7 特斯拉下利用磷-31 MR 光谱成像绘制整个人脑中细胞内 NAD 的含量图
Pub Date : 2024-06-07 DOI: 10.3389/fnins.2024.1389111
Rong Guo, Shaolin Yang, H. Wiesner, Yudu Li, Yibo Zhao, Zhi-Pei Liang, Wei Chen, Xiao-Hong Zhu
Nicotinamide adenine dinucleotide (NAD) is a crucial molecule in cellular metabolism and signaling. Mapping intracellular NAD content of human brain has long been of interest. However, the sub-millimolar level of cerebral NAD concentration poses significant challenges for in vivo measurement and imaging.In this study, we demonstrated the feasibility of non-invasively mapping NAD contents in entire human brain by employing a phosphorus-31 magnetic resonance spectroscopic imaging (31P-MRSI)-based NAD assay at ultrahigh field (7 Tesla), in combination with a probabilistic subspace-based processing method.The processing method achieved about a 10-fold reduction in noise over raw measurements, resulting in remarkably reduced estimation errors of NAD. Quantified NAD levels, observed at approximately 0.4 mM, exhibited good reproducibility within repeated scans on the same subject and good consistency across subjects in group data (2.3 cc nominal resolution). One set of higher-resolution data (1.0 cc nominal resolution) unveiled potential for assessing tissue metabolic heterogeneity, showing similar NAD distributions in white and gray matter. Preliminary analysis of age dependence suggested that the NAD level decreases with age.These results illustrate favorable outcomes of our first attempt to use ultrahigh field 31P-MRSI and advanced processing techniques to generate a whole-brain map of low-concentration intracellular NAD content in the human brain.
烟酰胺腺嘌呤二核苷酸(NAD)是细胞新陈代谢和信号传导的关键分子。绘制人脑细胞内 NAD 含量图一直是人们关注的问题。在这项研究中,我们在超高场(7 特斯拉)下采用了基于磷-31 磁共振光谱成像(31P-MRSI)的 NAD 检测方法,并结合基于概率子空间的处理方法,证明了无创绘制整个人脑中 NAD 含量图的可行性。与原始测量相比,该处理方法可将噪声降低约 10 倍,从而显著减少了 NAD 的估计误差。量化的 NAD 含量约为 0.4 mM,在同一受试者的重复扫描中表现出良好的重现性,在不同受试者的组数据(2.3 毫升标称分辨率)中表现出良好的一致性。一组更高分辨率的数据(1.0 毫升标称分辨率)显示出评估组织代谢异质性的潜力,在白质和灰质中显示出相似的 NAD 分布。这些结果表明,我们首次尝试使用超高场 31P-MRSI 和先进的处理技术生成人脑低浓度细胞内 NAD 含量的全脑图谱,取得了良好的效果。
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引用次数: 0
Physical exercise regulates microglia in health and disease 体育锻炼能调节健康和疾病中的小胶质细胞
Pub Date : 2024-06-07 DOI: 10.3389/fnins.2024.1420322
Alexandra Strohm, A. Majewska
There is a well-established link between physical activity and brain health. As such, the effectiveness of physical exercise as a therapeutic strategy has been explored in a variety of neurological contexts. To determine the extent to which physical exercise could be most beneficial under different circumstances, studies are needed to uncover the underlying mechanisms behind the benefits of physical activity. Interest has grown in understanding how physical activity can regulate microglia, the resident immune cells of the central nervous system. Microglia are key mediators of neuroinflammatory processes and play a role in maintaining brain homeostasis in healthy and pathological settings. Here, we explore the evidence suggesting that physical activity has the potential to regulate microglia activity in various animal models. We emphasize key areas where future research could contribute to uncovering the therapeutic benefits of engaging in physical exercise.
体育锻炼与大脑健康之间存在着公认的联系。因此,体育锻炼作为一种治疗策略的有效性已在各种神经系统环境中进行了探索。为了确定在不同情况下体育锻炼能在多大程度上带来最大益处,需要进行研究以揭示体育锻炼益处背后的潜在机制。人们对了解体育锻炼如何调节小胶质细胞(中枢神经系统的常驻免疫细胞)的兴趣与日俱增。小胶质细胞是神经炎症过程的关键介质,在健康和病理情况下对维持大脑平衡起着重要作用。在此,我们探讨了表明体育锻炼有可能在各种动物模型中调节小胶质细胞活动的证据。我们强调了未来研究可能有助于揭示参与体育锻炼的治疗益处的关键领域。
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引用次数: 0
Characterization of antiseizure medications effects on the EEG neurodynamic by fractal dimension 用分形维度描述抗癫痫药物对脑电图神经动力的影响
Pub Date : 2024-06-07 DOI: 10.3389/fnins.2024.1401068
C. Porcaro, Dario Seppi, Giovanni Pellegrino, Filippo Dainese, B. Kassabian, Luciano Pellegrino, Gianluigi De Nardi, Alberto Grego, Maurizio Corbetta, Florinda Ferreri
An important challenge in epilepsy is to define biomarkers of response to treatment. Many electroencephalography (EEG) methods and indices have been developed mainly using linear methods, e.g., spectral power and individual alpha frequency peak (IAF). However, brain activity is complex and non-linear, hence there is a need to explore EEG neurodynamics using nonlinear approaches. Here, we use the Fractal Dimension (FD), a measure of whole brain signal complexity, to measure the response to anti-seizure therapy in patients with Focal Epilepsy (FE) and compare it with linear methods.Twenty-five drug-responder (DR) patients with focal epilepsy were studied before (t1, named DR-t1) and after (t2, named DR-t2) the introduction of the anti-seizure medications (ASMs). DR-t1 and DR-t2 EEG results were compared against 40 age-matched healthy controls (HC).EEG data were investigated from two different angles: frequency domain—spectral properties in δ, θ, α, β, and γ bands and the IAF peak, and time-domain—FD as a signature of the nonlinear complexity of the EEG signals. Those features were compared among the three groups.The δ power differed between DR patients pre and post-ASM and HC (DR-t1 vs. HC, p < 0.01 and DR-t2 vs. HC, p < 0.01). The θ power differed between DR-t1 and DR-t2 (p = 0.015) and between DR-t1 and HC (p = 0.01). The α power, similar to the δ, differed between DR patients pre and post-ASM and HC (DR-t1 vs. HC, p < 0.01 and DR-t2 vs. HC, p < 0.01). The IAF value was lower for DR-t1 than DR-t2 (p = 0.048) and HC (p = 0.042). The FD value was lower in DR-t1 than in DR-t2 (p = 0.015) and HC (p = 0.011). Finally, Bayes Factor analysis showed that FD was 195 times more likely to separate DR-t1 from DR-t2 than IAF and 231 times than θ.FD measured in baseline EEG signals is a non-linear brain measure of complexity more sensitive than EEG power or IAF in detecting a response to ASMs. This likely reflects the non-oscillatory nature of neural activity, which FD better describes.Our work suggests that FD is a promising measure to monitor the response to ASMs in FE.
癫痫的一个重要挑战是确定治疗反应的生物标志物。目前已开发出许多脑电图(EEG)方法和指数,主要采用线性方法,如频谱功率和单个阿尔法频率峰(IAF)。然而,大脑活动是复杂和非线性的,因此有必要使用非线性方法来探索脑电图神经动力学。在此,我们使用分形维度(FD)来测量局灶性癫痫(FE)患者对抗癫痫治疗的反应,并将其与线性方法进行比较。我们对 25 名局灶性癫痫的药物反应(DR)患者在使用抗癫痫药物(ASMs)之前(t1,称为 DR-t1)和之后(t2,称为 DR-t2)进行了研究。DR-t1 和 DR-t2 的脑电图结果与 40 名年龄匹配的健康对照组(HC)进行了比较。脑电图数据从两个不同的角度进行了研究:频域-δ、θ、α、β、γ 波段的频谱特性和 IAF 峰值,以及作为脑电信号非线性复杂性特征的时域-FD。对三组患者的这些特征进行了比较。DR 患者在 ASM 前后的 δ 功率与 HC 之间存在差异(DR-t1 vs. HC,p < 0.01;DR-t2 vs. HC,p < 0.01)。DR-t1 和 DR-t2 的 θ 功率不同(p = 0.015),DR-t1 和 HC 的 θ 功率不同(p = 0.01)。α功率与δ相似,在ASM前后的DR患者与HC之间存在差异(DR-t1 vs. HC,p < 0.01;DR-t2 vs. HC,p < 0.01)。DR-t1 的 IAF 值低于 DR-t2(p = 0.048)和 HC(p = 0.042)。DR-t1 的 FD 值低于 DR-t2 (p = 0.015) 和 HC (p = 0.011)。最后,贝叶斯因子分析显示,FD 将 DR-t1 与 DR-t2 区分开来的可能性是 IAF 的 195 倍,是 θ 的 231 倍。在检测对 ASM 的反应时,基线脑电信号中测量的 FD 是一种非线性大脑复杂性测量方法,比 EEG 功率或 IAF 更敏感。这可能反映了神经活动的非振荡性质,而 FD 更好地描述了这一性质。我们的工作表明,FD 是监测 FE 对 ASM 反应的一种有前途的测量方法。
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引用次数: 0
Novel human neurodevelopmental and neurodegenerative disease associated with IRF2BPL gene variants—mechanisms and therapeutic avenues 与 IRF2BPL 基因变异相关的新型人类神经发育和神经退行性疾病--机制和治疗途径
Pub Date : 2024-06-06 DOI: 10.3389/fnins.2024.1426177
Daniel Bauersachs, Louise Bomholtz, Sara del Rey Mateos, Ralf Kühn, Pawel Lisowski
Recently a broad range of phenotypic abnormalities related to the neurodevelopmental and neurodegenerative disorder NEDAMSS (Neurodevelopmental Disorder with Regression, Abnormal Movements, Loss of Speech, and Seizures) have been associated with rare single-nucleotide polymorphisms (SNPs) or insertion and deletion variants (Indel) in the intron-less gene IRF2BPL. Up to now, 34 patients have been identified through whole exome sequencing carrying different heterozygous pathogenic variants spanning the intron-less gene from the first polyglutamine tract at the N-terminus to the C3HC4 RING domain of the C-terminus of the protein. As a result, the phenotypic spectrum of the patients is highly heterogeneous and ranges from abnormal neurocognitive development to severe neurodegenerative courses with developmental and seizure-related encephalopathies. While the treatment of IRF2BPL-related disorders has focused on alleviating the patient’s symptoms by symptomatic multidisciplinary management, there has been no prospect of entirely relieving the symptoms of the individual patients. Yet, the recent advancement of CRISPR-Cas9-derived gene editing tools, leading to the generation of base editors (BEs) and prime editors (PEs), provide an encouraging new therapeutic avenue for treating NEDAMSS and other neurodevelopmental and neurodegenerative diseases, which contain SNPs or smaller Indels in post-mitotic cell populations of the central nervous system, due to its ability to generate site-specific DNA sequence modifications without creating double-stranded breaks, and recruiting the non-homologous DNA end joining repair mechanism.
最近,与神经发育和神经退行性疾病 NEDAMSS(神经发育障碍性疾病,伴有退行、异常运动、失语和癫痫发作)相关的一系列表型异常与无内含子基因 IRF2BPL 中的罕见单核苷酸多态性(SNP)或插入和缺失变异(Indel)有关。迄今为止,通过全外显子组测序,已发现 34 名患者携带不同的杂合致病变体,这些变体横跨无内含子基因,从蛋白 N 端第一个多聚谷氨酰胺束到 C 端 C3HC4 RING 结构域。因此,患者的表型谱具有高度异质性,从神经认知发育异常到严重的神经退行性病程,以及发育和癫痫相关性脑病不等。虽然 IRF2BPL 相关疾病的治疗侧重于通过多学科对症治疗来缓解患者的症状,但一直没有完全缓解患者症状的前景。然而,最近 CRISPR-Cas9 衍生基因编辑工具的发展,导致碱基编辑器(BE)和质粒编辑器(PE)的产生,为治疗 NEDAMSS 及其他神经发育性疾病和神经退行性疾病提供了令人鼓舞的新疗法途径,这些疾病在中枢神经系统的有丝分裂后细胞群中含有 SNP 或较小的 Indels,这是因为 CRISPR-Cas9 能够在不产生双链断裂的情况下产生位点特异性 DNA 序列修饰,并招募非同源 DNA 端接修复机制。
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引用次数: 0
Recognition of facial emotion based on SOAR model 基于 SOAR 模型的面部情绪识别
Pub Date : 2024-05-17 DOI: 10.3389/fnins.2024.1374112
Matin Ramzani Shahrestani, Sara Motamed, Mohammadreza Yamaghani
Expressing emotions play a special role in daily communication, and one of the most essential methods in detecting emotions is to detect facial emotional states. Therefore, one of the crucial aspects of the natural human–machine interaction is the recognition of facial expressions and the creation of feedback, according to the perceived emotion.To implement each part of this model, two main steps have been introduced. The first step is reading the video and converting it to images and preprocessing on them. The next step is to use the combination of 3D convolutional neural network (3DCNN) and learning automata (LA) to classify and detect the rate of facial emotional recognition. The reason for choosing 3DCNN in our model is that no dimension is removed from the images, and considering the temporal information in dynamic images leads to more efficient and better classification. In addition, the training of the 3DCNN network in calculating the backpropagation error is adjusted by LA so that both the efficiency of the proposed model is increased, and the working memory part of the SOAR model can be implemented.Due to the importance of the topic, this article presents an efficient method for recognizing emotional states from facial images based on a mixed deep learning and cognitive model called SOAR. Among the objectives of the proposed model, it is possible to mention providing a model for learning the time order of frames in the movie and providing a model for better display of visual features, increasing the recognition rate. The accuracy of recognition rate of facial emotional states in the proposed model is 85.3%. To compare the effectiveness of the proposed model with other models, this model has been compared with competing models. By examining the results, we found that the proposed model has a better performance than other models.
情绪表达在日常交流中扮演着特殊的角色,而检测情绪的最基本方法之一就是检测面部情绪状态。因此,自然人机交互的一个重要方面就是识别面部表情,并根据感知到的情绪做出反馈。第一步是读取视频,将其转换为图像并进行预处理。下一步是结合使用三维卷积神经网络(3DCNN)和学习自动机(LA),对面部情绪识别率进行分类和检测。在我们的模型中选择 3DCNN 的原因是,我们没有从图像中删除任何维度,而且考虑到动态图像中的时间信息,因此分类效率更高、效果更好。此外,在计算反向传播误差时,3DCNN 网络的训练是通过 LA 调整的,这样既提高了所提模型的效率,又能实现 SOAR 模型的工作记忆部分。由于该主题的重要性,本文基于一种名为 SOAR 的深度学习和认知混合模型,提出了一种从面部图像识别情绪状态的高效方法。在所提模型的目标中,可以提到提供一个学习电影帧时间顺序的模型,以及提供一个更好地显示视觉特征、提高识别率的模型。拟议模型对面部情绪状态的识别准确率为 85.3%。为了比较所提模型与其他模型的有效性,我们将该模型与竞争模型进行了比较。通过检查结果,我们发现所提出的模型比其他模型具有更好的性能。
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引用次数: 0
Case report: Virtual reality-based arm and leg cycling combined with transcutaneous electrical spinal cord stimulation for early treatment of a cervical spinal cord injured patient 病例报告:基于虚拟现实的手臂和腿部自行车运动与经皮脊髓电刺激相结合,用于一名颈椎脊髓损伤患者的早期治疗
Pub Date : 2024-05-17 DOI: 10.3389/fnins.2024.1380467
Xiaolei Chu, Shuaiyi Liu, Xiaoxuan Zhao, Tao Liu, Zheng Xing, Qingwen Li, Qi Li
Spinal cord injury is a condition affecting the central nervous system, causing different levels of dysfunction below the point of nerve damage. A 50-year-old woman suffered a neck injury as a result of a car accident. After undergoing posterior cervical C3–C6 internal fixation with titanium plates on one side and C7 lamina decompression, the patient, who had been diagnosed with C3–C7 cervical disk herniation and spinal stenosis causing persistent compression of the spinal cord, was transferred to the rehabilitation department. After implementing the combined therapy of Virtual Reality-based arm and leg cycling along with transcutaneous electrical stimulation of the spinal cord, the patients experienced a notable enhancement in both sensory and motor abilities as per the ASIA scores. The patient’s anxiety and depression were reduced as measured by the Hamilton Anxiety and Hamilton Depression Tests. As evaluated by the SCIM-III, the patient’s self-reliance and capacity to carry out everyday tasks showed ongoing enhancement, leading to the restoration of their functionality. Hence, the use of Virtual Reality-based arm and leg cycling along with transcutaneous electrical spinal cord stimulation has potential to positively impact function in patients with spinal cord injury. However, as this is a case report, the small number of patients and the fact that the intervention was initiated early after the injury, we were unable to separate the recovery due to the intervention from the natural recovery that is known to occur in the initial weeks and months after SCI. Therefore, further randomized controlled trials with a large sample size is necessary.
脊髓损伤是一种影响中枢神经系统的疾病,会造成神经损伤点以下不同程度的功能障碍。一名 50 岁的妇女因车祸导致颈部受伤。在接受一侧颈椎 C3-C6 后路钛板内固定术和 C7 椎板减压术后,患者被诊断为 C3-C7 颈椎间盘突出症和椎管狭窄症,导致脊髓持续受压。在对患者进行虚拟现实手臂和腿部骑行以及经皮脊髓电刺激的综合治疗后,根据 ASIA 评分,患者的感官和运动能力均有显著提高。根据汉密尔顿焦虑测试和汉密尔顿抑郁测试,患者的焦虑和抑郁程度均有所减轻。根据 SCIM-III 的评估,患者的自立能力和完成日常任务的能力不断增强,从而恢复了他们的功能。因此,使用基于虚拟现实技术的手臂和腿部骑行以及经皮脊髓电刺激有可能对脊髓损伤患者的功能产生积极影响。然而,由于这是一份病例报告,患者人数较少,而且干预是在伤后早期开始的,我们无法将干预带来的恢复与众所周知的脊髓损伤后最初几周和几个月的自然恢复区分开来。因此,有必要进一步开展大样本量的随机对照试验。
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引用次数: 0
How path integration abilities of blind people change in different exploration conditions 盲人的路径整合能力在不同探索条件下如何变化
Pub Date : 2024-05-17 DOI: 10.3389/fnins.2024.1375225
Shehzaib Shafique, Walter Setti, Claudio Campus, Silvia Zanchi, Alessio Del Bue, Monica Gori
For animals to locate resources and stay safe, navigation is an essential cognitive skill. Blind people use different navigational strategies to encode the environment. Path integration significantly influences spatial navigation, which is the ongoing update of position and orientation during self-motion. This study examines two separate things: (i) how guided and non-guided strategies affect blind individuals in encoding and mentally representing a trajectory and (ii) the sensory preferences for potential navigational aids through questionnaire-based research. This study first highlights the significant role that the absence of vision plays in understanding body centered and proprioceptive cues. Furthermore, it also underscores the urgent need to develop navigation-assistive technologies customized to meet the specific needs of users.
导航是动物寻找资源和保持安全的一项基本认知技能。盲人使用不同的导航策略对环境进行编码。路径整合在很大程度上影响着空间导航,即在自我运动过程中不断更新位置和方向。本研究分别探讨了两个问题:(i) 引导策略和非引导策略如何影响盲人对轨迹进行编码和心理表征;(ii) 通过问卷调查研究盲人对潜在导航辅助工具的感官偏好。这项研究首先强调了视觉缺失在理解身体中心和本体感觉线索方面的重要作用。此外,它还强调了开发满足用户特定需求的导航辅助技术的迫切性。
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Frontiers in Neuroscience
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