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Noncontact Vital Sign Monitoring System with Dual Infrared Imaging for Discriminating Respiration Mode 非接触式双红外成像呼吸模式判别生命体征监测系统
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/ABE.10.80
K. Nakagawa, Y. Sankai
Oral respiration causes constriction of the upper airway in the retropalatal and retroglossal regions, thereby increasing the risk of sleep disorder. One of the best methods to detect early signs of obstructive sleep apnea syndrome (OSAS) is daily monitoring of the respiration rate and mode of respiration during sleep. The vital signs are measured by a noncontact method in order to avoid burdening the subject and to allow differentiation between the various respiratory modes. In this study, we developed a system to measure the respiration rate and mode using farand near-infrared cameras, and assessed the effectiveness of the proposed system and algorithm. A near-infrared camera detected the positions of the nostril and mouth, which are the pathways of expired and inspired air, respectively; while the far-infrared camera measured temperature changes in the nostril and mouth to derive the respiration rate and mode for detecting apnea. We enrolled 10 participants and measured their respiration rates using the aforementioned system under three states: nasal respiration, oral respiration, and apnea. The root-mean-square error for the respiration rate was 0.27 bpm, indicating that the system measured respiration without error in 92% of the trials. There was no error in discriminating between nasal and oral respiration. Additionally, this system detected apnea quite satisfactorily. The results of the experiment con rm that the system we developed effectively measures respiration in a noncontact manner.
口腔呼吸导致腭后和舌后区域的上呼吸道收缩,从而增加睡眠障碍的风险。检测阻塞性睡眠呼吸暂停综合征(OSAS)早期症状的最佳方法之一是每天监测睡眠期间的呼吸速率和呼吸方式。生命体征通过非接触方法测量,以避免受试者负担,并允许区分各种呼吸模式。在这项研究中,我们开发了一个系统来测量呼吸速率和模式使用远红外和近红外相机,并评估了所提出的系统和算法的有效性。近红外摄像机检测到鼻孔和嘴巴的位置,它们分别是呼气和吸气的通道;而远红外摄像机则通过测量鼻孔和口腔的温度变化,得出呼吸速率和模式,用于检测呼吸暂停。我们招募了10名参与者,并使用上述系统测量了他们在三种状态下的呼吸率:鼻呼吸、口腔呼吸和呼吸暂停。呼吸速率的均方根误差为0.27 bpm,表明系统在92%的试验中测量呼吸没有误差。在区分鼻呼吸和口呼吸方面没有错误。此外,该系统检测呼吸暂停相当令人满意。实验结果表明,我们开发的系统可以有效地以非接触的方式测量呼吸。
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引用次数: 1
Eye-tracker-based Evaluation of Saccadic Deficits in Young Children with Developmental Disorders 基于眼动仪的儿童发育障碍跳眼缺陷评估
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/ABE.10.70
Y. Ono, T. Niida, Yuma Shinomiya, Kenji Suzuki, N. Hara, Yasuhiko Azegami, Taeko Sato, Chigusa Mimori, H. Shimoizumi
Visually guided saccadic eye movement has been considered a promising screening tool for cognitive function because of its simple and objective nature. However, its application to young children, especially those with developmental disorders, is limited due to the lack of sustained attention required to complete the measurement using the traditional electrophysiological protocol. We have previously reported that saccades can be reliably evaluated in typically developing young children using an eye tracker, which allows non-contact measurement of eye movement with a suf ciently short preparation time. Using the eye tracker system combined with an in-house developed analysis software, we investigated the changes in saccadic behavior between typically developing children (n = 30) and children with developmental disorders (attention-de cit/hyperactivity disorder [ADHD] and autism spectrum disorder [ASD], n = 27) at ages ranging from 4.8 to13.2 years. Four saccade responses were measured, consisting of eye movement to the instantaneously shifted visual target either to the right or left (step condition), to the visual target that appeared 200 ms after turning off the xation point (gap condition), to the visual target while the xation point remained (overlap condition), and in the direction opposite to the visual target (anti-saccade condition). Statistically signi cant de cits were found in children with developmental disorders compared to typically developing children, with decreased number of correct saccades in the step condition in children with ASD and reduced peak saccadic velocity in the overlap condition in children with ADHD. Interestingly, when saccadic parameters were further evaluated with regard to the direction of eye movement (rightward and leftward), a signi cant decrease in peak velocity in children with developmental disorders compared to typically developing children was only con rmed in saccades to the right side in the overlap condition. In addition, right-lateralized de cits in peak velocity and initial accuracy were also found in the step, overlap, and anti-saccade conditions in children with developmental disorders. These lateralized oculomotor responses may represent the affected cortical function in children with developmental disorders, suggesting a possible role of non-contact saccadic examination as an assessment tool for visual cognitive function, especially in young children.
视觉引导跳眼运动因其简单客观的特点被认为是一种很有前途的认知功能筛查工具。然而,由于缺乏使用传统电生理方案完成测量所需的持续关注,它在幼儿,特别是那些有发育障碍的儿童中的应用受到限制。我们以前曾报道过,使用眼动仪可以可靠地评估正常发育的幼儿的扫视,这种设备允许在足够短的准备时间内非接触地测量眼球运动。使用眼动仪系统结合内部开发的分析软件,我们调查了正常发育儿童(n = 30)和发育障碍儿童(注意力缺失/多动障碍[ADHD]和自闭症谱系障碍[ASD], n = 27)在4.8至13.2岁之间跳眼行为的变化。实验测量了四种扫视反应,包括眼球对瞬时向左或向右移动的视觉目标的运动(步动条件)、对关闭注视点200 ms后出现的视觉目标的运动(间隙条件)、对注视点还在时出现的视觉目标的运动(重叠条件)以及对视觉目标相反方向的运动(反扫视条件)。与正常发育的儿童相比,发育障碍儿童的跳速下降有统计学意义,ASD儿童的步进条件下正确跳速次数减少,ADHD儿童的重叠条件下跳速峰值下降。有趣的是,当进一步评估眼动方向(向右和向左)的扫视参数时,与正常发育的儿童相比,发育障碍儿童的峰值速度在重叠条件下仅在向右侧扫视中得到了证实。此外,在发育障碍儿童的步进、重叠和反扫视条件下,也发现了峰值速度和初始准确性的右偏化。这些偏侧的动眼肌反应可能代表发育障碍儿童受影响的皮质功能,提示非接触性跳眼检查作为视觉认知功能评估工具的可能作用,特别是在幼儿中。
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引用次数: 0
Effect of Needle Geometry on Insertion Force of Different Hair Implanters 针形对不同植发器插入力的影响
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/ABE.10.90
Hyunhee Bang, Hoseob Song, Chul-woo Park, Ilhyung Park, M. Kim, S. Joung
Surgeons insert approximately 3000 hair implants in a single hair restoration surgery, and the needle shape critically affects surgical performance including surgical time, survival rate, and the surgeon ʼ s fatigue. There are several experimental studies on the relationship between needle shape and performance; however, there are no studies on hair implant needles, which are different from other medical needles as they have a com-paratively short bevel. This study compared several hair implant needles to determine the relationship between needle shape and insertion force. Eight hair implant needles with the same diameter were collected, and their geometrical data were visually measured. The insertion force and total work of each needle were measured using custom-made force measurement equipment; the results were statistically compared, and their correlation was analyzed. Moreover, a qualitative comparison was made. The needle insertion force ranged from 1.30 to 2.97 N, and the total work ranged from 8.15 to 10.97 mJ. The primary bevel and acute angles showed a moderate positive correlation with the total work. A longer point length, smaller primary bevel, and acute angle decrease the total work of hair implant needles. As per the results of the qualitative comparison, we found that the surgeons can identify the differences in needle insertion force among various hair implant needles, and their grading was consistent with the grading according to the total work of needle insertion.
外科医生在一次头发修复手术中植入大约3000根头发,针的形状严重影响手术效果,包括手术时间、存活率和外科医生的疲劳程度。关于针形与性能关系的实验研究较多;然而,植发针与其他医用针不同的是,植发针的斜角相对较短,目前还没有关于植发针的研究。本研究比较了几种植发针,以确定针的形状和插入力之间的关系。收集直径相同的植发针8根,目测其几何数据。采用特制的测力设备测量每根针的插入力和总功;对结果进行统计学比较,并分析其相关性。并进行了定性比较。针入力范围为1.30 ~ 2.97 N,总功范围为8.15 ~ 10.97 mJ。初级斜角和锐角与总功呈中等正相关。较长的针头长度,较小的初级斜角和锐角减少了植发针的总功。从定性比较的结果来看,我们发现外科医生能够识别出各种植发针的插针力的差异,他们的评分与根据插针总功的评分是一致的。
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引用次数: 0
Quantitative Evaluation Related to Disease Progression in Knee Osteoarthritis Patients During Gait 膝关节骨关节炎患者步态过程中疾病进展的定量评估
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/ABE.10.51
Kiyoshi Tsurumiya, Wataru Hayasaka, Akira Komatsu, Hiroaki Tsukamoto, Tomohiro Suda, T. Iwami, Y. Shimada
Knee osteoarthritis (KOA) is a common joint disease of the lower limbs. Its progression reduces the patients ʼ quality of life. Varus thrust (VT), one of the abnormal gait patterns of KOA patients, is considered as an effective index for assessing KOA. Hence, several studies have assessed VT using various measurement methods. Since VT is the momentary lateral knee motion that increases knee varus angle and moment, optical motion capture system is widely used. However, optical motion capture system has some disadvantages in clinical usage, such as high cost, requirement of technical skills, and time-consuming attachment process. Recent-ly, inertial measurement units (IMU) have emerged as a measurement system instead of optical motion capture systems. IMU-based method is regarded as more suitable than optical motion capture systems for VT assessment because of its simplicity. This study aimed to assess the gait of KOA patients using IMUs and to quantitatively evaluate VT based on disease progression. For this purpose, we recruited 7 healthy participants and 15 KOA patients. Subsequently, their knees were classified into 3 progression groups: 14 healthy (grade 0) knees, 9 grade 3 knees, and 14 grade 4 knees. As a gait test, all the participants wore IMUs positioned at the trunk, both thighs, and both shanks, and traversed a 10-m walkway. VT was considered as the first peak value of the mediolateral acceleration and the varus–valgus angular velocity data, which were collected via the IMUs at both shanks. Thereafter, these acquired data were compared and evaluated among the three progression groups. The results indicate that both peak values were significantly greater in the KOA patients than in the healthy subjects. Moreover, there was a significant positive correlation between the two peak values. Thus, this study is ex-pected to contribute toward early detection of KOA. knee osteoarthritis, biomechanics. Adv Biomed Eng. 10 : pp. 51–57, 2021.
膝骨关节炎(KOA)是一种常见的下肢关节疾病。病情恶化会降低患者的生活质量。内翻突(VT)是KOA患者异常步态之一,被认为是评估KOA的有效指标。因此,一些研究使用不同的测量方法来评估VT。由于VT是瞬间的膝关节侧向运动,增加了膝关节内翻角度和力矩,光学运动捕捉系统得到了广泛的应用。然而,光学动作捕捉系统在临床应用中存在成本高、技术技能要求高、附着过程耗时等缺点。近年来,惯性测量单元(IMU)作为一种测量系统取代了光学运动捕捉系统。基于imu的方法由于其简单性被认为比光学运动捕捉系统更适合于VT评估。本研究旨在利用imu评估KOA患者的步态,并根据疾病进展定量评估VT。为此,我们招募了7名健康参与者和15名KOA患者。随后,他们的膝关节被分为3个进展组:14个健康(0级)膝关节,9个3级膝关节,14个4级膝关节。作为一项步态测试,所有参与者在躯干、大腿和小腿上都佩戴了imu,并走过一条10米长的人行道。VT被认为是中外侧加速度和外翻角速度数据的第一个峰值,这些数据是通过两个小腿的imu收集的。之后,在三个进展组中比较和评估这些获得的数据。结果表明,KOA患者的两个峰值均显著高于健康人群。两个峰值之间存在显著的正相关关系。因此,本研究有望为KOA的早期发现做出贡献。膝关节骨关节炎,生物力学。中国生物医学工程学报,2016,34(1):391 - 391。
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引用次数: 3
Ten Years' Tracking and Data of Television Usage of an Older Female Living Alone 某独居老年女性10年电视使用追踪与数据分析
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/ABE.10.32
K. Nakajima
Watching television (TV) is a popular leisure activity for older people and its usage is almost constant in the rhythm of their daily life. A telemonitoring system of television-operating-state for older people living alone has been developed, and an older female living alone has been using this system for 10 years. On her working days, the average TV usage was 192 min per day in the first year, increasing year by year to 329 min per day 10 years later. TV usage temporarily increased when some TV programs took up a social topic of interest to her.
看电视是老年人的一项流行的休闲活动,它的使用几乎是他们日常生活节奏的一部分。开发了一种独居老人电视运行状态远程监控系统,一位独居老人已经使用该系统10年了。在她工作的日子里,第一年每天看电视的平均时间是192分钟,10年后,每天看电视的时间逐年增加,达到329分钟。当一些电视节目涉及到她感兴趣的社会话题时,电视的使用率暂时增加了。
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引用次数: 1
Efficient Detection of High-frequency Biomarker Signals of Epilepsy by a Transfer-learning-based Convolutional Neural Network 基于迁移学习的卷积神经网络高效检测癫痫高频生物标志物信号
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/abe.10.158
Yukinobu Takayanagi, Y. Takayama, K. Iijima, M. Iwasaki, Y. Ono
High-frequency oscillation (HFO) is an important electrophysiological biomarker for estimating the epileptogenic zone in patients with epilepsy, but its clinical use is limited due to the high false-positive detection rate associated with conventional auto-detection methods based on one-dimensional spectral energy features. The purpose of this study was to apply a convolutional neural network (CNN)-based classifier to the candidate signals detected using conventional methods, and to extract HFOs more accurately and automatically. We adopted an image-based CNN because HFOs exhibit a localized power distribution in both time and frequency, which is utilized for the visual inspection of HFOs. To reduce the number of training datasets required for one patient, we employed transfer learning of an existing natural image classifier or the CNN HFO-classifier of another patient. We applied the proposed methods to the electrocorticography data of two patients with focal epilepsy who underwent pre-surgical examination. When the natural image discriminator AlexNet was transfer-learned to the HFO classifier, an accuracy of 93.0 ± 0.997% was achieved using 3000 training datasets. The false discovery rate (FDR) of HFO was 78.0% at the completion of the conventional method, which was significantly improved to 19.0 ± 4.42% after applying the CNN-based HFO classifier. When the HFO classifier trained with one patient was further relearned using the training datasets of another patient, the accuracy of determining HFOs in the latter patient was consistently above 91.0% (maximum 93.3 ± 0.967%) with the incorporation of 200 or more training datasets. These results suggest that the proposed method may provide an accurate, automatic, and personalized HFO classifier while liberating neurologists from the time-consuming manual detection of HFO signals for diagnosis.
高频振荡(HFO)是一种重要的电生理生物标志物,用于估计癫痫患者的癫痫区,但由于传统的基于一维光谱能量特征的自动检测方法存在较高的假阳性检出率,其临床应用受到限制。本研究的目的是将基于卷积神经网络(CNN)的分类器应用于传统方法检测到的候选信号,更准确、自动地提取hfo。我们采用了基于图像的CNN,因为hfo在时间和频率上都表现出局域化的功率分布,可以用于hfo的目视检测。为了减少一名患者所需的训练数据集数量,我们采用了现有自然图像分类器的迁移学习或另一名患者的CNN hfo分类器。我们将所提出的方法应用于2例局灶性癫痫患者术前检查的皮质电图数据。将自然图像鉴别器AlexNet移植到HFO分类器中,使用3000个训练数据集,准确率达到93.0±0.997%。在常规方法完成时,HFO的错误发现率(FDR)为78.0%,应用基于cnn的HFO分类器后,FDR显著提高至19.0±4.42%。当用一个患者训练过的HFO分类器使用另一个患者的训练数据集进一步重新学习时,当纳入200个或更多的训练数据集时,后者的HFO识别准确率始终在91.0%以上(最高93.3±0.967%)。这些结果表明,所提出的方法可以提供准确、自动和个性化的HFO分类器,同时将神经科医生从耗时的人工检测HFO信号中解放出来。
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引用次数: 0
Determination of Hiesho among Young Japanese Females using Thermographic Technique 用热成像技术测定日本年轻女性的Hiesho
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/ABE.10.11
Tianyi Wang, Shima Okada, M. Endo, M. Makikawa, Y. Ohno
Hiesho is the condition of having a cold sensation in one’s hands or feet. This is a well-known health problem for young Asian females. However, the de nition of Hiesho is still controversial. In this study, we aimed to develop a quantitative and non-invasive approach to determine Hiesho. Sixty-three young females participated in this research. Temperature difference (ΔT) between the forehead and foot sole was utilized to de ne Hiesho or non-Hiesho condition, and the result was crosschecked with that of a self-reported questionnaire. Central systolic blood pressure and augmentation index were measured to evaluate subjects’ physiological indicators. The results of the questionnaire showed that 49% of young females (31 of 63 people) reported Hiesho. There was a signi cant difference in ΔT between non-Hiesho and Hiesho (1.85°C and 5.55°C, respectively, p < 0.01). After cross-checking with the self-reported questionnaire, ΔT of 3.64°C demonstrated acceptable reliability and accuracy for de ning Hiesho. Central systolic blood pressure and augmentation index were not different between Hiesho and non-Hiesho. In conclusion, young females with Hiesho had drastically different temperatures at the forehead and foot sole. The temperature difference between the forehead and foot could be used as a quantitative and objective parameter for de ning Hiesho.
Hiesho是指手或脚感到冷的状态。这是亚洲年轻女性的一个众所周知的健康问题。然而,对“昭”的定义仍有争议。在本研究中,我们旨在开发一种定量和无创的方法来确定Hiesho。63名年轻女性参与了这项研究。利用前额和脚底之间的温差(ΔT)来判断Hiesho或非Hiesho状态,并将结果与自我报告问卷的结果进行交叉核对。测量中心收缩压和增强指数,评价受试者的生理指标。调查结果显示,年轻女性中有49%(63人中有31人)报告了Hiesho。非Hiesho和Hiesho之间的ΔT差异有统计学意义(分别为1.85°C和5.55°C, p < 0.01)。与自述问卷交叉核对后,ΔT = 3.64°C为判定Hiesho的可接受信度和准确性。中心收缩压和增高指数在两组间无显著差异。综上所述,患有Hiesho的年轻女性在前额和脚底的温度有很大的不同。前额与足部之间的温差可作为判定Hiesho的定量、客观参数。
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引用次数: 4
Bumpy Patches: Analgesic Effects of Particle Pressure in Sports Injury Treatment 凹凸贴:颗粒压力在运动损伤治疗中的镇痛作用
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/abe.10.123
Norio Saito, G. Kaneko, K. Mito
Physical analgesia has been used for the treatment of sports injuries. We previously developed a special patch (bumpy patch, BP) that adds pressure to the pain area, demonstrating its analgesic effects in various sports injuries. In this study, we further veri ed acute and chronic analgesic effects of the BP in 28 subjects (14–44 years of age, 15 males and 13 females) with various pain sites and histories of pain (knee, shoulder, low back, elbow and other joints; 6 months to 3 days). First, the trigger area with muscle induration or tenderness was identi ed in each subject by palpation, and each subject evaluated the degree of pain using the numerical rating scale (NRS). Then the BPs were applied to completely cover the pain area. The BP treatment was repeated at 2 to 3-day interval until all subjects reported no pain (NRS = 0), and the differences between preand post-treatment NRS values were compared for each treatment as the measure of the analgesic effect. Signi cant analgesic effects were observed in the rst and second BP treatments (P = 0.000774 and 0.00149, respectively). The third BP treatment also reduced the pain intensity, but the difference was not statistically signi cant (P = 0.3734). Some subjects reported mobilization of the pain area after the BP treatment, which was discussed in relation to the potential analgesic mechanism of the BP. These results indicate that the BP has acute and chronic analgesic effects and can be used for the treatment of sports injuries.
物理镇痛已被用于运动损伤的治疗。我们之前开发了一种特殊的贴片(凹凸贴,BP),在疼痛区域增加压力,证明其在各种运动损伤中的镇痛作用。在这项研究中,我们进一步验证了28名受试者(14-44岁,男性15名,女性13名)的急性和慢性镇痛作用,这些受试者具有不同的疼痛部位和疼痛史(膝盖、肩膀、腰背、肘部和其他关节;6个月至3天)。首先,通过触诊确定每个受试者有肌肉硬化或压痛的触发区域,并使用数值评定量表(NRS)评估每个受试者的疼痛程度。然后应用bp完全覆盖疼痛区域。每隔2 ~ 3天重复BP治疗,直到所有受试者报告无疼痛(NRS = 0),并比较每次治疗前后NRS值的差异,作为镇痛效果的衡量标准。第1组和第2组镇痛效果显著(P值分别为0.000774和0.00149)。第三次BP治疗也减轻了疼痛强度,但差异无统计学意义(P = 0.3734)。一些受试者报告在BP治疗后疼痛区活动,这与BP潜在的镇痛机制有关。这些结果表明,BP具有急慢性镇痛作用,可用于运动损伤的治疗。
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引用次数: 0
Synchronized Detection of Evoked Potentials to Drive a High Information Transfer Rate Hybrid Brain-Computer Interface Application 诱发电位同步检测驱动高信息传输速率混合脑机接口的应用
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/ABE.10.58
Akshay Katyal, R. Singla
Brain-computer interfaces (BCIs) recently have been focusing on combining various BCI modalities to form different combinations of hybrid BCIs. These paradigms are designed to elicit more than one brain potential in the form of BCI features. This research is being carried out with the objective of increasing classification accuracy and information transfer rate (ITR) based on measurement of brain potentials. This study proposed a novel hybrid BCI elicitation and measurement technique combining steady-state visually evoked potential (SSVEP) and P300 potentials to increase the ITR. The hybrid BCI also increased the number of target options compared to SSVEP paradigm for a set number of presumed frequencies of flickering. One of the hybrid BCIs used distinct colours along with distinct flickering frequencies for targets, with an aim to increase the accuracy of classification and reduction of system uncertainty parameter known as false activation rate (FAR). The results of a study in 10 volunteers established that the novel SSVEP-P300 hybrid BCI with distinct colours for target frequencies had average parameters as follows: classification accuracy of 90.76%, ITR of 81.10 bits / min and FAR of 2.99%. A comparative study of the two novel paradigms with SSVEP and P300 paradigms in the same environment was conducted. The results of the comparative study concluded that the hybrid BCI with distinct colours for various target frequencies yielded the best results and hence can be considered as a viable paradigm option for the development of an assistive device.
近年来,脑机接口(BCI)研究的重点是将不同的脑机接口模式结合起来,形成不同的混合脑机接口组合。这些范例旨在以脑机接口特征的形式引出不止一种大脑潜能。本研究的目的是在脑电位测量的基础上提高分类准确率和信息传递率。本研究提出了一种结合稳态视觉诱发电位(SSVEP)和P300电位的新型混合脑机接口激发和测量技术,以提高ITR。与SSVEP模式相比,混合脑机接口在一定数量的假定闪烁频率下也增加了目标选项的数量。其中一种混合脑机接口使用不同的颜色和不同的闪烁频率作为目标,目的是提高分类的准确性和减少系统的不确定性参数,即误激活率(FAR)。对10名志愿者的研究结果表明,新型SSVEP-P300混合脑机接口具有不同颜色的目标频率,其平均参数如下:分类准确率为90.76%,ITR为81.10 bits / min, FAR为2.99%。将两种新范式与SSVEP和P300范式在同一环境下进行比较研究。对比研究的结果表明,不同目标频率的不同颜色的混合脑机接口产生了最好的结果,因此可以被认为是辅助装置开发的可行范例选择。
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引用次数: 1
Preliminary Study of an Objective Evaluation Method for Pulse Diagnosis using Radial Artery Pulse Measurement Device 桡动脉脉搏测量仪对脉搏诊断客观评价方法的初步研究
IF 1 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-01-01 DOI: 10.14326/abe.10.113
A. Yamada, Y. Inoue, Y. Shiraishi, T. Seki, T. Yambe
In traditional Chinese pulse diagnosis, the pulses of bilateral radial arteries are palpated by three fingers. In this study, a device that can objectively perform pulse diagnosis using multiple pressure sensors with a cuff was developed. The device has three pressure sensors in series and a cuff to apply external pressure load. Pulse waves were measured using the non-invasive pulse diagnostic device. The relationship of the data obtained from the proposed system with the diagnosis by the traditional method was examined. The study was conducted with the approval of the Ethics Committee in Tohoku University. Twelve adult male subjects were studied. Data of pulse waveforms recorded from the pulse diagnosis device, electrocardiogram, and continuous blood pressure measured at the fingertip were stored and analyzed. The pulse waves of the subjects were cate-gorized as middle pulse, floating pulse, or sunken pulse according to pulse diagnosis in traditional Chinese medicine. Pulse–waveform data were obtained to measure the pulse–pressure changes, which showed different patterns of the rise time at the three measurement sites. Envelope analysis of the pulse waveform from the middle sensor revealed that the peak value of the pulse pressure increased during calculation stress compared to the resting state. It was possible to measure the pulse waves even when a higher external pressure was applied. Objective pulse-wave measurement using a method similar to that in traditional pulse diagnosis was realized, and pulse waveforms were measured using the proposed pulse diagnosis system.
在中医脉诊中,用三指触诊双侧桡动脉脉。在本研究中,开发了一种可以使用多个压力传感器和袖带客观地进行脉搏诊断的设备。该设备有三个串联的压力传感器和一个用于施加外部压力负载的袖带。采用无创脉搏诊断仪测量脉搏波。分析了系统数据与传统诊断方法的关系。这项研究是在东北大学伦理委员会的批准下进行的。研究对象为12名成年男性。存储并分析脉搏诊断仪记录的脉搏波形、心电图和指尖连续测量的血压数据。根据中医脉象诊断,将受试者的脉象分为中脉、浮脉、沉脉。通过获取脉冲波形数据来测量脉冲压力的变化,三个测点的脉冲压力上升时间呈现出不同的模式。中间传感器脉冲波形包络分析表明,计算应力时脉冲压力峰值较静息状态增大。即使施加较高的外部压力,也可以测量脉冲波。采用与传统脉冲诊断方法相似的方法实现了脉冲波形的客观测量,并利用所提出的脉冲诊断系统实现了脉冲波形的测量。
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引用次数: 2
期刊
Advanced Biomedical Engineering
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