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Application of 3D printing imaging technology in the treatment of bronchopleural fistula with individual customized bronchial occluder 3D打印成像技术在个性化支气管封堵器治疗支气管胸膜瘘中的应用
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-08-27 DOI: 10.1016/j.slast.2025.100344
Zelin Xiao , Jianqi Gao , Hui Zhang , Linyao Wang

Background

Bronchopleural fistula (BPF) is a common and severe complication in thoracic surgery, characterized by its complex nature and high mortality rate. Bronchial occluder is one of the effective methods for the interventional treatment of BPF under bronchoscopy.

Objective

This work was to evaluate the adoption and efficacy of individualized bronchial occluder designed with the assistance of 3D printing technology in the treatment of BPF.

Material and Methods

This single-center, retrospective study included 60 patients (35 males and 25 females, aged 40–78 years, without severe dysfunction of major organs or history of mental disorders) diagnosed with BPF between January 2020 and December 2023, who received different treatment and were divided into the Control Group (CG, receiving thoracotomy treatment), Therapy group-I (TG-I, receiving septal occluder treatment), and Therapy group-II (TG-II, receiving treatment with 3D-printed individualized bronchial occluder). Serum levels of high-sensitivity C-reactive protein (hs-CRP) and procalcitonin (PCT) were measured by enzyme-linked immunosorbent assay preoperatively and at 1, 4, and 12 weeks postoperatively. Daytime cough scores were assessed according to guidelines, pain scores were evaluated using a visual analog scale, clinical efficacy was determined based on consensus criteria, and complications were recorded. Quantitative variables were compared using one-way ANOVA with Bonferroni correction, while categorical variables were analyzed by chi-square or Fisher’s exact test.

Results

the overall clinical efficacy was higher in TG-I and TG-II versus CG, with TG-II showing a greatly higher efficacy after twelve weeks of treatment (P < 0.05). Relative to CG, both TG-I and TG-II demonstrated lower serum levels of hs-CRP and PCT, markedly reduced cough and pain symptom scores, and markedly lower complication rates (P < 0.05). Additionally, TG-II resulted in notably lower serum inflammatory markers, cough and pain symptom scores, and complication rates versus TG-I (P < 0.05).

Conclusion

The 3D-printed personalized occluder (TG-II) significantly reduced postoperative inflammatory responses and alleviated cough-associated pain, demonstrating superior short-term efficacy and safety compared to conventional treatment (CG) and commercially available occluders (TG-I). This approach offers distinct advantages for the personalized precision treatment of BPF. However, further clinical studies are required to validate its potential as an alternative to surgical repair.
背景:支气管胸膜瘘(BPF)是胸外科手术中常见且严重的并发症,其性质复杂,死亡率高。支气管闭塞术是支气管镜下介入治疗BPF的有效方法之一。目的:评价3D打印技术辅助设计的个体化支气管封堵器在BPF治疗中的应用及疗效。材料和方法:本单中心回顾性研究纳入2020年1月至2023年12月诊断为BPF的患者60例(男35例,女25例,年龄40-78岁,无严重主要器官功能障碍或精神障碍史),接受不同治疗,分为对照组(CG,接受开胸治疗)、治疗组i (TG-I,接受间隔闭塞治疗)和治疗组ii (TG-II,接受3d打印个性化支气管封堵器治疗)。术前、术后1、4、12周采用酶联免疫吸附法测定血清高敏c反应蛋白(hs-CRP)和降钙素原(PCT)水平。根据指南评估日间咳嗽评分,使用视觉模拟量表评估疼痛评分,根据共识标准确定临床疗效,并记录并发症。定量变量比较采用Bonferroni校正的单因素方差分析,分类变量分析采用卡方或Fisher精确检验。结果:与CG相比,TG-I和TG-II的总体临床疗效更高,其中TG-II在治疗12周后的疗效明显更高(p结论:3d打印个性化封口器(TG-II)显著降低了术后炎症反应,缓解了咳嗽相关疼痛,与常规治疗(CG)和市售封口器(TG-I)相比,具有更优越的短期疗效和安全性。这种方法为BPF的个性化精确治疗提供了明显的优势。然而,需要进一步的临床研究来验证其作为手术修复替代方案的潜力。
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引用次数: 0
Construction of a nomogram prediction model for screening of serum markers for lower extremity vasculopathy secondary to type 2 diabetes mellitus 2型糖尿病继发下肢血管病变血清标志物Nomogram预测模型的建立
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI: 10.1016/j.slast.2025.100352
Jingjing Yang , Jinyan Chen , Lanying Shen

Objective

To screen serum markers for secondary lower extremity angiopathy (LEAD) in patients with type 2 diabetes mellitus (T2DM) and construct a nomogram prediction model accordingly.

Methods

The clinical data of 200 T2DM patients admitted to the hospital from December 2022 to October 2024 were retrospectively collected. It was also divided into modeling group (n = 160) and internal validation group (n = 40) in a 4:1 ratio by using the leave-out method. As the external validation group, clinical data from 100 T2DM patients who were admitted to other hospitals within the same time period were also gathered. Combined with previous reports of collecting serum marker data related to LEAD secondary to T2DM, key serum markers were screened using LASSO regression. Moreover, multifactorial analysis helped to clarify independent risk factors, and a nomogram prediction model was built and tested for accuracy.

Results

The incidence of LEAD in 200 T2DM patients in the hospital was 21.00 % (42/200). A total of 14 variables were screened by LASSO regression analysis. After multifactorial analysis, it was found that disease duration, history of alcohol consumption, mean platelet volume, fasting blood glucose, fibrinogen, high-sensitivity C-reactive protein, insulin-like growth factor 1, nucleotide binding oligomerization domain like receptor protein 3 were independent risk factors for LEAD secondary to T2DM.The results of model validation showed AUCs of 0.971, 0.900, and 0.959 for the modeling cohort, internal validation cohort, and external validation cohort, respectively. The Hosmer-Lemeshow test was χ2=6.607, 7.962, and 6.585 (p > 0.05). Positive net benefits were obtained by intervening with patients using a nomogram model within the high-risk threshold of 0 to 0.9.

Conclusion

In this study, eight risk factors associated with LEAD secondary to T2DM are screened by LASSO regression and multifactorial analysis, and a nomogram prediction model is constructed.
目的:筛选2型糖尿病(T2DM)患者继发性下肢血管病变(LEAD)的血清标志物,并建立相应的nomogram预测模型。方法:回顾性收集2022年12月至2024年10月我院收治的200例T2DM患者的临床资料。采用省略法将其按4:1的比例分为建模组(n=160)和内部验证组(n=40)。作为外部验证组,收集同期在其他医院住院的100例T2DM患者的临床资料。结合以往报告收集的与T2DM继发铅相关的血清标志物数据,使用LASSO回归筛选关键血清标志物。此外,多因素分析有助于明确独立的危险因素,并建立了一个nomogram预测模型,并对其准确性进行了检验。结果:该院200例T2DM患者中铅的发生率为21.00%(42/200)。LASSO回归分析共筛选了14个变量。经多因素分析,发现病程、饮酒史、平均血小板体积、空腹血糖、纤维蛋白原、高敏c反应蛋白、胰岛素样生长因子1、核苷酸结合寡聚化结构域样受体蛋白3是T2DM继发铅的独立危险因素。模型验证结果显示,建模队列、内部验证队列和外部验证队列的auc分别为0.971、0.900和0.959。Hosmer-Lemeshow检验的χ2分别为6.607、7.962、6.585 (p < 0.05)。使用nomogram模型在0 - 0.9的高风险阈值范围内对患者进行干预,获得了正的净收益。结论:本研究通过LASSO回归和多因素分析筛选出8个与2型糖尿病继发铅相关的危险因素,并构建了nomogram预测模型。
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引用次数: 0
Low code, high impact: Application of low-code platforms to enable and democratize the development of laboratory digitalization and automation applications 低代码,高影响:低代码平台的应用,使实验室数字化和自动化应用的发展民主化。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI: 10.1016/j.slast.2025.100353
Jonas Austerjost , Elias Knöchelmann , Thomas Kruse , Janina Kilian , Bastian Quaas , Michael W. Olszowy
Conventionally, the initialization of new prototypes and concepts in laboratory automation and life science software applications has required close collaboration between hardware and software experts, as well as lab personnel such as biologists, chemists, biotechnologists, or process engineers. This setup - still common today - often means that the ideas and requests of lab personnel must be translated into software applications by software developers, which frequently results in long development times. Low-Code Development Platforms (LCDPs) seek to address this challenge by providing a way to accelerate application development by reducing dependence on traditional software development methods, empowering lab personnel to build applications without writing extensive amount of code. By offering a visual, drag-and-drop interface, lab personnel can actively participate in the software development process. This helps democratize application creation and can lead to the quick setup of software solutions tailored to laboratory needs.
This study demonstrates the implementation of four different use cases in a bioprocessing laboratory environment using an open-source LCDP and commercially available upstream and downstream equipment. The LCDP facilitated the integration and control of different device types with varying communication protocols also enabling dashboarding, monitoring and data processing capabilities. This methodology highlights the suitability of LCDPs for rapidly prototyping and evaluating laboratory and bioprocess automation pipelines, potentially expediting the development of biotechnological production processes and products. All developed components are made available through a publicly accessible repository, facilitating reuse and further development by the scientific community.
通常,在实验室自动化和生命科学软件应用中,新原型和概念的初始化需要硬件和软件专家之间的密切合作,以及生物学家、化学家、生物技术专家或过程工程师等实验室人员。这种设置——今天仍然很常见——通常意味着实验室人员的想法和要求必须由软件开发人员转化为软件应用程序,这经常导致较长的开发时间。低代码开发平台(LCDPs)通过提供一种方法来减少对传统软件开发方法的依赖,从而加速应用程序开发,使实验室人员无需编写大量代码即可构建应用程序,从而寻求解决这一挑战。通过提供可视化的拖放界面,实验室人员可以积极地参与软件开发过程。这有助于实现应用程序创建的民主化,并可以快速设置适合实验室需求的软件解决方案。本研究演示了在生物处理实验室环境中使用开源LCDP和商用上游和下游设备的四种不同用例的实现。通过不同的通信协议,LCDP促进了不同设备类型的集成和控制,还实现了仪表板、监控和数据处理功能。该方法强调了LCDPs用于快速原型设计和评估实验室和生物过程自动化管道的适用性,潜在地加快了生物技术生产过程和产品的开发。所有开发的组件都可以通过一个公开访问的存储库获得,从而促进科学界的重用和进一步开发。
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引用次数: 0
AI-driven transcriptomic biomarker discovery for early identification of pediatric deterioration in Acute Care 人工智能驱动的转录组生物标志物发现用于儿科急性护理恶化的早期识别。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-09-29 DOI: 10.1016/j.slast.2025.100357
Qing Wang , Lina Sun , Wei Meng , Chen Chen
Early detection of juvenile clinical deterioration in acute care settings remains a significant problem in modern healthcare. This paper presents an AI-powered predictive analytics platform that combines transcriptome biomarker signals with structured vital signs, laboratory data, and unstructured clinical notes to improve early warning capabilities. The system uses ClinicalBERT to extract insights from clinical narratives, XGBoost to analyze tabular clinical information, and long short-term memory (LSTM) networks to simulate temporal dynamics. A meta-classifier combines multimodal data to produce real-time risk ratings for clinical deterioration. The performance evaluation utilizing five-fold cross-validation showed great accuracy, with an AUROC of 0.91, AUPRC of 0.83, and an average early warning lead time of 5.6 hours. Predictive markers included higher lactate levels, heart rate patterns, SpO₂ variability, and transcriptome signals indicating systemic inflammatory activation. Ablation investigations proved the importance of multimodal data fusion in increasing prediction robustness. The suggested strategy provides a scalable, interpretable, and high-performing hospital integration system that enables biomarker-informed, precision-based pediatric intervention options.
早期发现青少年临床恶化在急性护理设置仍然是现代医疗保健的一个重大问题。本文介绍了一种基于人工智能的预测分析平台,该平台将转录组生物标志物信号与结构化生命体征、实验室数据和非结构化临床记录相结合,以提高早期预警能力。该系统使用ClinicalBERT从临床叙述中提取见解,使用XGBoost分析表格临床信息,使用长短期记忆(LSTM)网络模拟时间动态。meta分类器结合多模态数据产生临床恶化的实时风险评级。使用五重交叉验证的性能评估显示出很高的准确性,AUROC为0.91,AUPRC为0.83,平均预警提前时间为5.6小时。预测指标包括较高的乳酸水平、心率模式、SpO₂可变性和指示全身炎症激活的转录组信号。消融研究证明了多模态数据融合在提高预测稳健性方面的重要性。建议的策略提供了一个可扩展的、可解释的、高性能的医院集成系统,使生物标志物知情、基于精确的儿科干预选择成为可能。
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引用次数: 0
Single-step purification and formulation of antibody-drug conjugates using a miniaturized tangential flow filtration system 使用小型切向流过滤系统的抗体-药物偶联物单步纯化和配方
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI: 10.1016/j.slast.2025.100351
Muhammad Sajed , Zahoor Khan , Muhammad Usman Ashraf , Hafsa Iftikhar , Talha Bin Rahat , Samia Falak , Salman Fozail , Quiterie Gue , Raul Pardo , Lance Ramsey , Muhammad Saqib Shahzad
Antibody-drug conjugates (ADCs) are a promising therapeutic modality that enables the delivery of cytotoxic drugs to the target cells that express the corresponding antigen. However, the purification of ADCs while ensuring product safety, homogeneity, and stability is a challenging task due to their complex and fragile structure. Size exclusion chromatography (SEC), the conventional method for ADC purification, is time-consuming as it requires multiple column washes and equilibration steps. Moreover, subsequent formulation of ADCs, typically using dead-end filtration (DEF), further complicates the production workflow. We compared SEC+DEF with the µPulse®, a miniaturized and automated tangential flow filtration system, for purification and formulation of ADCs. Quality analysis revealed that both approaches were equally gentle as comparable drug-to-antibody ratios (DARs) and monomer purities were observed in the purified samples. Most importantly, both methods exhibited equivalent cleanup efficiency with a 99.8% reduction in free linker-drug concentration. The endotoxin loads comprised 0.11 EU mg-1 for the µPulse and 0.07 EU mg-1 for SEC+DEF, ensuring validation of the safe application of purified ADCs in living systems. However, the µPulse performed purification and formulation of ADCs simultaneously as compared to SEC+DEF, which required multiple manual interventions. Our results indicate that the µPulse is a gentle, single-step, and walk-away approach for the purification of ADCs.
抗体-药物偶联物(adc)是一种很有前途的治疗方式,可以将细胞毒性药物传递到表达相应抗原的靶细胞。然而,由于adc结构复杂和脆弱,在保证产品安全性、均匀性和稳定性的同时进行纯化是一项具有挑战性的任务。粒径排除色谱法(SEC)是ADC的常规纯化方法,由于需要多次清洗柱和平衡步骤,因此非常耗时。此外,adc的后续配方通常使用终端过滤(DEF),这进一步复杂化了生产流程。我们将SEC+DEF与µPulse®进行了比较,µPulse®是一种小型化、自动化的切向流过滤系统,用于adc的纯化和配方。质量分析表明,这两种方法都同样温和,因为在纯化的样品中观察到类似的药物-抗体比率(dar)和单体纯度。最重要的是,两种方法的清除效率相当,游离连接剂浓度降低99.8%。µPulse的内毒素负荷为0.11 EU mg-1, SEC+DEF的内毒素负荷为0.07 EU mg-1,确保了纯化adc在生命系统中的安全应用。然而,与SEC+DEF相比,µPulse可以同时进行adc的纯化和配制,后者需要多次人工干预。我们的研究结果表明,µPulse是一种温和的、单步的、走开的adc纯化方法。
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引用次数: 0
The RoboSeed facilitates automated extraction of cereal mature embryos RoboSeed有助于谷物成熟胚胎的自动提取。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-09-22 DOI: 10.1016/j.slast.2025.100355
R. Berenstein , V. Bloch , A. Beery , M.R. Prusty , J. Awwad , O. Amir-Segev , S. Miterani , M. Barak , G. Lidor , E. Fridman
To overcome a critical bottleneck in plant biotechnology workflows, a semiautomated system RoboSeed was developed to extract mature embryos from cereal grains such as barley. In contrast to the commonly used manual extraction, the robot employs a precision-controlled pressing rod which applies mechanical force along an optimal trajectory and angle to detach intact embryos. A custom image-processing pipeline determines grain orientation and morphology, enabling precise rod alignment at the optimal force application point. Validation experiments using two barley cultivars (Noga and Golden Promise) and soaking duration of 10 and 20 h revealed optimal force application point relative location in the range 0.5–0.6, achieving maximum extraction success rates of 56.2 % (Noga) and 36 % (GP) after 20 h soaking. RoboSeed operated with a median cycle time of 20.9 s per extraction, translating to 37.2 s per successful embryo, compared to 27.9 s with expert manual extraction. While current throughput is lower than conventional methods, RoboSeed offers significant advantages in consistency, reduced reliance on operator skill, and potential for scaling. Future improvements include full automation of grain singulation, robotic arms for post-extraction handling, and expanded testing across additional genotypes. RoboSeed’s modular design provides a robust foundation for scalable, high-throughput embryo extraction, with potential to accelerate cereal transformation, gene mapping studies, and tissue culture-based research.
为了克服植物生物技术工作流程中的一个关键瓶颈,开发了一种半自动系统RoboSeed,用于从谷物(如大麦)中提取成熟胚胎。与常用的人工提取不同,该机器人采用精密控制的压杆,沿着最佳的轨迹和角度施加机械力来分离完整的胚胎。定制的图像处理管道确定晶粒方向和形态,从而在最佳施力点实现精确的杆对齐。以Noga和Golden Promise两种大麦品种为研究对象,浸泡时间分别为10和20 h,结果表明,最佳施力点相对位置在0.5 ~ 0.6范围内,浸泡20 h后提取成功率分别为56.2% (Noga)和36% (GP)。RoboSeed每次提取的平均周期时间为20.9秒,每个成功胚胎的平均周期时间为37.2秒,而专家人工提取的平均周期时间为27.9秒。虽然目前的吞吐量低于传统方法,但RoboSeed在一致性,减少对操作人员技能的依赖以及扩展潜力方面具有显着优势。未来的改进包括谷物模拟的全自动、提取后处理的机械臂,以及对其他基因型的扩展测试。RoboSeed的模块化设计为可扩展、高通量的胚胎提取提供了坚实的基础,具有加速谷物转化、基因定位研究和组织培养研究的潜力。
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引用次数: 0
Clinical study on drug balloon therapy for left main coronary bifurcation lesions based on thermal infrared imaging 基于热红外成像的药物球囊治疗左主干冠状动脉分叉病变的临床研究
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1016/j.slast.2025.100358
Ande Jiao , Xin Zhang , Lili Wang , Yan Wang , Gang Xu , Yanping Huo
Left main coronary artery bifurcation disease is a treatment challenge in the field of coronary heart disease, characterized by high risk, poor prognosis, poor long-term efficacy of drug therapy, and high mortality rate. Although traditional interventional treatment strategies such as single stent and double stent procedures are widely used, the high rate of restenosis of the left circumflex branch (LCX) opening after the placement of the main stent remains a major problem. Thermal infrared imaging can monitor tissue blood flow perfusion and metabolic status in real-time and non invasively, providing a new evaluation method for coronary intervention therapy. The aim of this study is to explore the application value of thermal infrared imaging in the treatment of left main coronary bifurcation lesions with drug balloon (DCB), evaluate its effectiveness and safety in optimizing treatment parameters, reducing restenosis rate, and minimizing adverse cardiac events, and compare it with traditional double stent strategy. All patients in this article underwent preoperative and postoperative thermal infrared imaging to monitor changes in vascular wall temperature and blood flow perfusion. Using a high-sensitivity infrared thermal imager, real-time imaging and postoperative follow-up imaging are used to analyze drug release, vascular response, and long-term efficacy. The main outcome measures include immediate postoperative angiography results, incidence of major adverse cardiac events (MACE) within 1 year after surgery, intravascular ultrasound (IVUS) parameters, and thermal infrared imaging features. The results showed that the drug balloon group was significantly better than the double stent group in reducing the rate of left circumflex branch restenosis, late lumen loss (LLL), and MACE (P < 0.05). Thermal infrared imaging shows that the temperature changes of the blood vessel wall during drug balloon dilation are related to good treatment response, and the blood flow perfusion and metabolic status of the drug balloon group are better during postoperative follow-up. The thermal infrared imaging features are significantly correlated with vascular angiography and IVUS results, and can effectively predict vascular restenosis and adverse events.
冠状动脉左主干分叉病是冠心病领域的治疗难题,具有危险性高、预后差、药物治疗远期疗效差、死亡率高的特点。虽然传统的介入治疗策略,如单支架和双支架手术被广泛使用,但主支架置入后左旋支(LCX)开口再狭窄的高发生率仍然是一个主要问题。热红外成像可以实时、无创地监测组织血流灌注和代谢状态,为冠状动脉介入治疗提供新的评价方法。本研究旨在探讨热红外成像在药物球囊(drug balloon, DCB)治疗左主干冠状动脉分叉病变中的应用价值,评价其在优化治疗参数、降低再狭窄率、减少心脏不良事件方面的有效性和安全性,并与传统双支架策略进行比较。本文中所有患者术前和术后均行热红外成像监测血管壁温度和血流灌注的变化。采用高灵敏度红外热成像仪,实时成像及术后随访成像,分析药物释放、血管反应及远期疗效。主要观察指标包括术后即刻血管造影结果、术后1年内主要心脏不良事件(MACE)发生率、血管内超声(IVUS)参数、热红外成像特征。结果显示,药物球囊组在降低左旋支再狭窄率、晚期管腔损失(late lumen loss, LLL)及MACE发生率方面均显著优于双支架组(P < 0.05)。热红外成像显示药物球囊扩张时血管壁温度变化与治疗反应良好有关,术后随访时药物球囊组血流灌注及代谢状况较好。热红外成像特征与血管造影及IVUS结果有显著相关性,可有效预测血管再狭窄及不良事件。
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引用次数: 0
Automated endpoint titer ELISAs for high-throughput immunogenicity evaluations using a BioMek i7 liquid handler 使用BioMek i7液体处理器进行高通量免疫原性评估的自动终点滴度elisa。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-11-19 DOI: 10.1016/j.slast.2025.100368
Barbara Theriot , Andrew N. Macintyre
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引用次数: 0
IoT-based approach for diabetes patient monitoring using machine learning 基于物联网的糖尿病患者机器学习监测方法
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-09-13 DOI: 10.1016/j.slast.2025.100348
Sarra Ayouni , Muhammad Hamza Khan , Muhammad Ibrahim , Mohamed Maddeh , Nadeem Sarwar , Nazik Alturki
This study presents an IoT-based framework for real-time diabetes monitoring and management, addressing key limitations identified in previous studies by integrating four datasets: BVH Dataset, PIMA Diabetes Dataset, Simulated Dataset, and an Integrated Dataset. The proposed approach ensures diverse demographic representation and a wide range of features including real-time vital signs (e.g., oxygen saturation, pulse rate, temperature) and subjective variables (e.g., skin color, moisture, consciousness level). Advanced preprocessing techniques, including Kalman Filtering for noise reduction, KNN imputation for addressing missing data, and SMOTE-ENN for improving data quality and class balance, were employed. These methods resulted in a 25 % improvement in Recall and a 20 % increase in the F1-score, demonstrating the model's effectiveness and robustness.
By applying PCA and SHAP for feature engineering, high-impact features were identified, enabling the tuning of models such as Random Forest, SVM, and Logistic Regression, which achieved an accuracy of 97 % and an F1-score of 0.98. A novel triage system, integrated with edge and cloud computing, classifies health status in real-time (Green, Yellow, Red, Black), reducing latency by 35 %. The proposed system sets a new benchmark for scalable, individualized diabetes care in IoT-based healthcare solutions, demonstrating significant improvements in accuracy, response time, and feature incorporation compared to prior works.
本研究提出了一个基于物联网的糖尿病实时监测和管理框架,通过整合四个数据集:BVH数据集、PIMA糖尿病数据集、模拟数据集和集成数据集,解决了先前研究中发现的关键局限性。所提出的方法确保了多样化的人口统计学表征和广泛的特征,包括实时生命体征(例如,氧饱和度、脉搏率、温度)和主观变量(例如,肤色、湿度、意识水平)。采用了先进的预处理技术,包括用于降噪的卡尔曼滤波,用于寻寻缺失数据的KNN输入,以及用于提高数据质量和类平衡的SMOTE-ENN。这些方法使召回率提高了25%,f1得分提高了20%,证明了模型的有效性和稳健性。通过应用PCA和SHAP进行特征工程,识别出高影响特征,实现随机森林、支持向量机和Logistic回归等模型的调优,准确率达到97%,f1得分为0.98。一种新型的分类系统,集成了边缘和云计算,实时分类健康状态(绿色、黄色、红色、黑色),减少了35%的延迟。该系统为基于物联网的医疗保健解决方案中可扩展的个性化糖尿病护理设定了新的基准,与之前的工作相比,在准确性、响应时间和功能整合方面有了显着改善。
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引用次数: 0
Applications of artificial intelligence in rehabilitation: technological innovation and transformation of clinical practice 人工智能在康复中的应用:技术创新与临床实践转化。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-12-01 Epub Date: 2025-10-27 DOI: 10.1016/j.slast.2025.100360
Haoyang Liu , Qiurong Xie
The integration of artificial intelligence (AI) into rehabilitation science is revolutionizing traditional therapeutic models, offering innovative solutions that enhance the precision, efficiency, and accessibility of rehabilitation services. This review explores the diverse applications of AI in rehabilitation, focusing on key technologies such as machine learning, deep learning, computer vision, natural language processing, and robotics. A key innovation is the proposed AI-empowered rehabilitation model, which transforms fragmented processes into an interactive, adaptive system with real-time assessment during interventions. AI-driven advancements in impairment assessment, intervention planning and delivery, post-discharge care, and patient education are driving a shift from experience-driven to data-model-driven rehabilitation systems. Notable AI-driven applications include AI-powered exoskeletons for motor rehabilitation (e.g., in stroke recovery), NLP-driven cognitive therapy, and tele-rehabilitation platforms that enable remote monitoring and adaptive interventions. Despite these advancements, challenges remain, including data limitations, ethical concerns, regulatory requirements, and clinical integration barriers. Addressing these challenges requires interdisciplinary collaboration to ensure AI's responsible and effective deployment in rehabilitation. This review highlights the transformative potential of AI in rehabilitation and emphasizes the need for continued research and validation to optimize patient outcomes and accessibility.
人工智能(AI)与康复科学的融合正在彻底改变传统的治疗模式,提供创新的解决方案,提高康复服务的准确性、效率和可及性。本文探讨了人工智能在康复中的各种应用,重点介绍了机器学习、深度学习、计算机视觉、自然语言处理和机器人技术等关键技术。一项关键创新是提出的人工智能支持的康复模型,该模型将分散的过程转化为一个交互式的自适应系统,并在干预期间进行实时评估。在损伤评估、干预计划和交付、出院后护理和患者教育方面,人工智能驱动的进步正在推动康复系统从经验驱动向数据模型驱动的转变。值得注意的人工智能驱动应用包括用于运动康复(例如中风康复)的人工智能驱动外骨骼,nlp驱动的认知治疗,以及实现远程监测和适应性干预的远程康复平台。尽管取得了这些进步,但挑战依然存在,包括数据限制、伦理问题、监管要求和临床整合障碍。应对这些挑战需要跨学科合作,以确保人工智能在康复领域的负责任和有效部署。这篇综述强调了人工智能在康复中的变革潜力,并强调需要继续研究和验证,以优化患者的结果和可及性。
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SLAS Technology
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