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A feedback loop study of brain-heart interaction based on HEP and HRV 基于HEP和HRV的脑心相互作用反馈回路研究
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-02-28 DOI: 10.1016/j.bbe.2025.02.005
Shanshan Wang , Xiaoni Wang , Yuxin Zhao, Lin Xie, Jianbao Zhang
Although growing evidences suggest heartbeat evoked potential (HEP) as a biomarker of interoception, little is known about how HEP is related to cardiovascular function. In the article, mental arithmetic and meditation tasks that respectively activate sympathetic and parasympathetic activities were designed, and electroencephalogram and cardiovascular parameters were recorded in healthy young males. Our findings revealed a decrease in HEP during mental arithmetic and an increase during meditation. A correlation between HEP and blood pressure was also observed, indicating that baroreceptor stretch may contribute to HEP generation. Furthermore, HEP showed a positive correlation with parasympathetic activity and a negative correlation with sympathetic activity. Collectively, these results suggest the presence of a potential negative feedback loop between the brain and heart, mediated by HEP.
尽管越来越多的证据表明心跳诱发电位(HEP)是内感受的生物标志物,但HEP与心血管功能的关系尚不清楚。本文设计了心算和冥想任务,分别激活交感神经和副交感神经活动,并记录了健康青年男性的脑电图和心血管参数。我们的研究结果表明,在心算过程中HEP会下降,而在冥想过程中则会增加。HEP和血压之间的相关性也被观察到,表明压力感受器拉伸可能有助于HEP的产生。此外,HEP与副交感神经活动呈正相关,与交感神经活动负相关。总的来说,这些结果表明,在HEP介导的大脑和心脏之间存在潜在的负反馈循环。
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引用次数: 0
A multidomain 0D model for continuous positive airway pressure ventilation circuit design: Validation and applications 持续气道正压通气回路设计的多域0D模型:验证与应用
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-02-27 DOI: 10.1016/j.bbe.2025.02.004
Andrea Formaggio , Margherita De Luca , Simone Borrelli , Giovanni Putame , Nello De Vita , Fabio Minelli , Francesco Della Corte , Rosanna Vaschetto , Alberto L. Audenino , Carlo Olivieri , Mara Terzini
This study focuses on optimizing a non-invasive ventilation (NIV) circuit for the treatment of hypoxemic respiratory failure using continuous positive airway pressure (CPAP). A multidomain 0D in silico approach was employed, creating a lumped circuit model of an innovative NIV-CPAP system in Mathworks® Simulink. The model relies on in vitro tests on commercial components characterizing pneumatic resistive behavior, and it exploits an extended resistance-inductance-capacitance model for the patient’s respiratory system, recurring to sigmoidal pressure–volume behavior characteristic of pathological conditions. The NIV-CPAP system was assembled in vitro and connected to a lung simulator to validate the model under healthy and pathological conditions (acute respiratory distress syndrome and chronic obstructive pulmonary disease). The study explored the impact of key features on the ventilation circuit, such as interface leakage, air volume within the circuit, and resistance induced by circuit components.
Validation of the 0D model through in vitro tests showed correlation coefficients between 0.9 and 1. Interface leakage caused reductions of up to 6% in delivered static pressure. Changes in air volume (mask or helmet interface, reservoirs adding) resulted in a maximum 8% decrease in pressure oscillations. Increased resistances from the starting ventilation circuit produced a tidal volume reduction of less than 1%. An optimized configuration that balanced resistances between limbs improved intrinsic positive end-expiratory pressure generation.
The proposed 0D model proved to be effective in guiding the design of the innovative device, providing computational efficiency and flexibility; it demonstrated its reliability as a tool to support the optimization of non-invasive ventilation circuits.
本研究的重点是优化使用持续气道正压通气(CPAP)治疗低氧性呼吸衰竭的无创通气(NIV)回路。采用多域0 - d芯片方法,在Mathworks®Simulink中创建了创新NIV-CPAP系统的集总电路模型。该模型依赖于表征气动电阻行为的商业组件的体外测试,并利用患者呼吸系统的扩展电阻-电感-电容模型,重现病理条件下的s型压力-体积行为特征。体外组装NIV-CPAP系统并连接到肺模拟器,在健康和病理条件下(急性呼吸窘迫综合征和慢性阻塞性肺疾病)验证模型。该研究探讨了关键特征对通风回路的影响,如界面泄漏、回路内的风量以及回路元件引起的阻力。通过体外实验验证0D模型,相关系数在0.9 ~ 1之间。界面泄漏导致输送静压降低高达6%。空气量的变化(面罩或头盔界面,增加储层)导致压力振荡最大减少8%。启动通风回路的阻力增加导致潮气量减少不到1%。平衡四肢阻力的优化配置改善了固有的呼气末正压产生。所提出的0D模型能够有效地指导创新器件的设计,具有较高的计算效率和灵活性;它证明了其作为支持无创通气回路优化的工具的可靠性。
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引用次数: 0
Electroencephalograph (EEG) based classification of mental arithmetic using explainable machine learning 基于脑电图(EEG)的心算分类,使用可解释的机器学习
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-02-26 DOI: 10.1016/j.bbe.2025.02.002
Murtaza Aslam , Fozia Rajbdad , Shoaib Azmat , Kausar Perveen , Morteza Naraghi-Pour , Jian Xu
Mental arithmetic can be helpful for the evaluation of neurodevelopmental disorders arising from atypical development of the brain. We propose a novel explainable machine learning method for classifying mental arithmetic calculation tasks from resting brain states and good from bad calculations using Electroencephalography. Empirical mode decomposition features are extracted from intrinsic mode functions of the average signals of all trials. Most relevant features to the mental arithmetic tasks are ranked by a random forest-based recursive feature elimination method. These features identify the changes in frequency bands of the brain rhythms, such as delta, theta, and alpha, during mental tasks for the first time in literature. These unique explainable features are also used to identify brain areas such as frontal, temporal, and occipital lobes involved in mental arithmetic tasks. Moreover, our approach describes the memory regions and that bad calculations excite the brain areas, mostly related to emotions such as frustration and anxiety due to stressful mental arithmetic. Using a random forest classifier, beating the state-of-the-art, this method achieved classification accuracies of 99.30 % and 98.33 % for resting vs calculation and good vs bad calculation brain tasks, respectively. Also, our method outperformed the state of art in handling the inter-subject variability and achieved 98.17 ± 0.47 % and 97.19 ± 0.95 % classification accuracies for resting vs calculation and good vs bad calculation tasks, respectively.
心算可以帮助评估由大脑非典型发育引起的神经发育障碍。我们提出了一种新的可解释的机器学习方法,用于将心算计算任务从静息大脑状态和好的计算从坏的计算中分类。从所有试验的平均信号的固有模态函数中提取经验模态分解特征。采用基于随机森林的递归特征消除方法对与心算任务相关的特征进行排序。这些特征首次在文献中识别出大脑节奏的频带变化,如delta, theta和alpha,在脑力任务中。这些独特的可解释的特征也被用来识别与心算任务有关的大脑区域,如额叶、颞叶和枕叶。此外,我们的方法描述了记忆区域,糟糕的计算会刺激大脑区域,这些区域主要与由于紧张的心算而导致的沮丧和焦虑等情绪有关。使用随机森林分类器,该方法在静态与计算、好与坏计算脑任务的分类准确率分别达到99.30%和98.33%。此外,我们的方法在处理学科间变异性方面也优于目前的技术水平,在静息与计算、好与坏计算任务的分类准确率分别达到98.17±0.47%和97.19±0.95%。
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引用次数: 0
Contact Pressure, sliding distance and wear rate analysis at trunnion of hip implant for daily Activities: A finite element approach 髋关节耳轴日常活动接触压力、滑动距离及磨损率分析:有限元方法
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-02-24 DOI: 10.1016/j.bbe.2025.02.001
Md Mohiuddin Soliman , Mohammad Tariqul Islam , Phumin Kirawanich , Muhammad E.H. Chowdhury , Touhidul Alam , Ayed M. Alrashdi , Norbahiah Misran , Mohamed S. Soliman
This research analyses contact pressure, sliding distance, and wear rate at the trunnion interface of hip implants during various activities to understand post-hip replacement outcomes. The study uses a numerical model and ISO-7206–6:2013 constraints with an AML hip implant. Greater Fx, Fy, and Fz forces broaden contact pressure distribution. The highest pressure occurs on the proximal superolateral surface, with the lowest on the anterior and posterior surfaces. The HIGH100 (individuals weighing above 100 kg) weight category demonstrates 2 times higher maximum and average contact pressure compared to AVG75 (individuals weighing 75 kg) for sit-down and knee bend activities. Force components and the duration of a full gait cycle influence sliding distance. Stance activities show the highest sliding distance due to rapid changes in force load during the gait cycle. For sit-down and knee bend activities, the total sliding distance is 2.5 times higher in the HIGH100 weight category compared to AVG75. Sliding distance primarily occurs at the proximal superolateral-inferomedial-anterior-posterior contact surface, decreasing distally. Based on contact pressure, sliding distance, and wear volume rate, jogging and stance activities pose the highest risk for hip replacement patients, while cycling is the safest. The HIGH100 weight group exhibits 5- and 4-times greater wear volume rates than AVG75 in sit-down and knee bend activities, respectively. The research findings align with wear degradation observed in retrieved hip implants, validating the study. These insights can assist patients in making informed decisions about performing activities after surgery while enabling physicians to provide accurate guidelines.
本研究分析了各种活动中髋关节植入体耳轴界面的接触压力、滑动距离和磨损率,以了解髋关节置换术后的结果。该研究使用数值模型和ISO-7206-6:2013对AML髋关节植入物的约束。较大的Fx, Fy和Fz力扩大接触压力分布。最大的压力发生在近外侧表面,最小的压力发生在前、后表面。与AVG75(体重75公斤)相比,HIGH100(体重超过100公斤的人)的最大接触压力和平均接触压力高出2倍。力的组成和一个完整的步态周期的持续时间影响滑动距离。由于在步态周期中力负荷的快速变化,站立活动显示出最高的滑动距离。对于坐下和屈膝活动,HIGH100重量类别的总滑动距离是AVG75的2.5倍。滑动距离主要发生在近侧上外侧-内侧内侧-前后接触面,远端逐渐减少。基于接触压力、滑动距离和磨损量率,慢跑和站立活动对髋关节置换术患者的风险最高,而骑自行车最安全。HIGH100重量组在坐下和膝盖弯曲活动中分别表现出比AVG75高5倍和4倍的磨损体积率。研究结果与回收髋关节植入物观察到的磨损退化一致,验证了研究结果。这些见解可以帮助患者在手术后进行活动时做出明智的决定,同时使医生能够提供准确的指导。
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引用次数: 0
Volumetric medical image segmentation via fully 3D adaptation of Segment Anything Model 通过完全三维适应分割任何模型的体积医学图像分割
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01 DOI: 10.1016/j.bbe.2024.11.001
Haoneng Lin , Jing Zou , Sen Deng , Ka Po Wong , Angelica I. Aviles-Rivero , Yiting Fan , Alex Pui-Wai Lee , Xiaowei Hu , Jing Qin
The Segment Anything Model (SAM) exhibits exceptional generalization capabilities in diverse domains, owing to its interactive learning mechanism designed for precise image segmentation. However, applying SAM to out-of-distribution domains, especially in 3D medical image segmentation, poses challenges. Existing methods for adapting 2D segmentation models to 3D medical data treat 3D volumes as a mere stack of 2D slices. The essential inter-slice information, which is pivotal to faithful 3D medical image segmentation tasks, is unfortunately neglected. In this work, we present the 3D Medical SAM-Adapter (3DMedSAM), a pioneer cross-dimensional adaptation, leveraging SAM’s pre-trained knowledge while accommodating the unique characteristics of 3D medical data. Firstly, to bridge the dimensional gap from 2D to 3D, we design a novel module to replace SAM’s patch embedding, ensuring a seamless transition into 3D image processing and recognition. Besides, we incorporate a 3D Adapter while maintaining the majority of pre-training parameters frozen, enriching deep features with abundant 3D spatial information and achieving efficient fine-tuning. Given the diverse scales of anomalies present in medical images, we also devised a multi-scale 3D mask decoder to elevate the network’s proficiency in medical image segmentation. Through various experiments, we showcase the effectiveness of 3DMedSAM in achieving accurate and robust 3D segmentation on both single-target segmentation and multi-organ segmentation tasks, surpassing the limitations of current methods.
基于交互式学习机制的任意分割模型(SAM)在不同领域表现出卓越的泛化能力。然而,将SAM应用于非分布域,特别是在三维医学图像分割中,面临着挑战。现有的将二维分割模型用于三维医疗数据的方法将三维体仅仅视为二维切片的堆栈。重要的切片间信息,这是关键的忠实的三维医学图像分割任务,不幸的是被忽略了。在这项工作中,我们提出了3D医疗SAM适配器(3DMedSAM),这是一种跨维度适应的先驱,利用SAM的预训练知识,同时适应3D医疗数据的独特特征。首先,为了弥补从2D到3D的尺寸差距,我们设计了一个新的模块来取代SAM的补丁嵌入,确保无缝过渡到3D图像处理和识别。此外,我们在保持大部分预训练参数冻结的同时,加入了一个3D适配器,以丰富的3D空间信息丰富深度特征,实现了高效的微调。鉴于医学图像中存在不同尺度的异常,我们还设计了一个多尺度的3D掩模解码器,以提高网络对医学图像分割的熟练程度。通过各种实验,我们证明了3DMedSAM在单目标分割和多器官分割任务上实现准确和鲁棒的3D分割的有效性,超越了现有方法的局限性。
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引用次数: 0
Impact of aging on anterior segment morphology and aqueous humor dynamics in human Eyes: Advanced imaging and computational techniques 老化对人眼前段形态学和房水动力学的影响:先进的成像和计算技术
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01 DOI: 10.1016/j.bbe.2025.01.004
Alireza Karimi , Marie Darche , Ansel Stanik , Reza Razaghi , Iman Mirafzal , Kamran Hassani , Mojtaba Hassani , Elizabeth White , Ivana Gantar , Stéphane Pagès , Laura Batti , Ted S. Acott , Michel Paques

Objective

Aging results in significant structural and functional changes in the anterior segment of the eye, influencing intraocular pressure (IOP) and overall ocular health. Although aging is a well-established risk factor for primary open-angle glaucoma, a leading cause of irreversible blindness, the specific mechanisms through which aging drives morphological changes in anterior segment tissues and affects aqueous humor dynamics remain incompletely understood.

Methods

In this study, we employed cutting-edge light sheet fluorescence microscopy (LSFM) to capture high-resolution, volumetric images of cleared human donor eyes’ anterior segment tissues. This advanced imaging enabled a comprehensive morphological analysis of key parameters, including central and peripheral corneal thickness (CCT and PCT), iris thickness, anterior chamber area (ACA), and ciliary body area (CBA). By integrating these morphological parameters with computational fluid dynamics (CFD) models, we analyzed aqueous humor dynamics across n = 6 female human donor eyes, spanning a wide age range of 5 to 94 years (all of Caucasian descent).

Results

The CCT and PCT demonstrated thinning with age, accompanied by a reduction in ACA. In contrast, the CBA remained relatively stable across all age groups. Computational fluid dynamics analysis showed a decline in aqueous humor velocity and wall shear stress, with younger eyes exhibiting higher velocities and shear stress, compared to older eyes.

Conclusion

These findings emphasize the value of integrating LSFM and CFD approaches to provide a detailed understanding of how aging impacts the anterior segment and its fluid dynamics. This study contributes to the understanding of age-related ocular changes, highlighting the importance of considering these changes in the diagnosis and management of age-related eye diseases.
目的衰老导致眼前段结构和功能发生显著变化,影响眼内压(IOP)和整体眼部健康。虽然衰老是原发性开角型青光眼(不可逆失明的主要原因)的一个公认的危险因素,但衰老驱动前节组织形态变化和影响房水动力学的具体机制仍不完全清楚。方法在本研究中,我们采用先进的光片荧光显微镜(LSFM)捕获清除后的人供眼前段组织的高分辨率、体积图像。这种先进的成像技术能够对关键参数进行全面的形态学分析,包括角膜中央和周围厚度(CCT和PCT)、虹膜厚度、前房面积(ACA)和睫状体面积(CBA)。通过将这些形态学参数与计算流体动力学(CFD)模型相结合,我们分析了n = 6个女性人类供体眼睛的房水动力学,这些眼睛的年龄范围从5岁到94岁不等(全部为高加索血统)。结果CCT和PCT随年龄的增长而变薄,并伴有ACA的减少。相比之下,CBA在所有年龄段都保持相对稳定。计算流体动力学分析显示,房水流速和壁面剪应力下降,年轻的眼睛比年长的眼睛表现出更高的速度和剪应力。结论这些发现强调了LSFM和CFD方法相结合的价值,可以详细了解衰老如何影响前段及其流体动力学。这项研究有助于理解与年龄相关的眼部变化,强调了在诊断和治疗与年龄相关的眼病时考虑这些变化的重要性。
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引用次数: 0
Imaging of retinal ganglion cells and photoreceptors using Spatio-Temporal Optical Coherence Tomography (STOC-T) without hardware-based adaptive optics 无硬件自适应光学的时空光学相干断层成像(stock - t)视网膜神经节细胞和光感受器成像
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01 DOI: 10.1016/j.bbe.2025.01.001
Marta Mikuła-Zdańkowska , Dawid Borycki , Piotr Węgrzyn , Karolis Adomavičius , Egidijus Auksorius , Maciej Wojtkowski
We demonstrate an experimental Spatio-Temporal Optical Coherence Tomography (STOC-T) system featuring optimized illumination and an increased lateral resolution of approximately 3  µm. The integration of high-speed phase randomization with a numerical averaging process facilitates a noticeable improvement in the signal-to-noise ratio. The effectiveness of this enhancement is demonstrated through volumetric imaging of a scattering object, and it enables in vivo imaging of the human retina at the cellular level. Additionally, the experiment is supported by computational aberration-correction techniques to achieve high-resolution in vivo imaging of the human retina. The visualization of retinal cone mosaics, and ganglion cell somas was achieved through contrast enhancement during the averaging process.
我们展示了一个实验性的时空光学相干断层扫描(stock - t)系统,该系统具有优化的照明和增加的横向分辨率约为3µm。将高速相位随机化与数值平均相结合,可显著提高信噪比。这种增强的有效性是通过散射物体的体积成像来证明的,它可以在细胞水平上对人体视网膜进行体内成像。此外,该实验得到了计算像差校正技术的支持,以实现人类视网膜的高分辨率体内成像。在平均过程中通过对比度增强实现视网膜锥体嵌合体和神经节细胞体的可视化。
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引用次数: 0
Spatio-temporal matched filter adjustment for enhanced accuracy in brain responses classification 提高脑反应分类准确性的时空匹配滤波调整
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01 DOI: 10.1016/j.bbe.2024.12.003
Michal Piela, Marian P. Kotas
In this paper, we apply modified spatio-temporal matched filtering (MSTMF) to enhance electroencephalographic (EEG) signals in evoked potentials (EP) based brain–computer interfaces (BCI). Our focus is on the effective treatment of noise in the system under consideration.
The applied MSTMF is a spatio-temporal extension of generalized matched filtering, which allows for optimal enhancement of weak, repeatable signals embedded in colored Gaussian noise. However, since spontaneous EEG signals are often corrupted by high-energy super-Gaussian artifacts, which deviate from this distribution, we propose rejecting these artifacts before applying MSTMF. Particularly effective have been algorithms based on independent component analysis (ICA) and empirical mode decomposition (EMD). After artifacts rejection, performed locally within time segments they occupy, without disturbing other parts of the signal, the classification of brain responses becomes more accurate. Nevertheless, the nonstationarity of the EEG signal remains a challenge that must be addressed.
Therefore, we propose adjusting the MSTMF to the current noise properties to improve its performance in this demanding environment. This can be achieved by properly calculating the noise covariance matrix, which is necessary to determine the filter coefficients, using both the learning and currently processed signal segments.
As a result, we have developed an enhanced method based on MSTMF for improved discrimination of evoked potentials and verified its performance on two publicly available reference databases: BCIAUT-P300 (for IFMBE Scientific Challenge) and Speller (for the BCI Competition III Challenge 2004). For these databases, we have achieved overall accuracies of 92.67% and 99.5%, surpassing the reference methods presented in the literature.
本文采用改进的时空匹配滤波(MSTMF)增强基于诱发电位(EP)的脑机接口(BCI)中的脑电图(EEG)信号。我们的重点是如何有效地处理系统中的噪音。所应用的MSTMF是广义匹配滤波的时空扩展,它允许嵌入在彩色高斯噪声中的弱、可重复信号的最佳增强。然而,由于自发脑电信号经常被偏离这种分布的高能超高斯伪影破坏,我们建议在应用MSTMF之前拒绝这些伪影。特别有效的是基于独立成分分析(ICA)和经验模式分解(EMD)的算法。在排除伪影后,在不干扰信号的其他部分的情况下,在它们占据的时间段内局部执行,大脑反应的分类变得更加准确。然而,脑电信号的非平稳性仍然是一个必须解决的挑战。因此,我们建议调整MSTMF以适应当前的噪声特性,以改善其在这种苛刻环境中的性能。这可以通过适当地计算噪声协方差矩阵来实现,这是确定滤波器系数所必需的,同时使用学习和当前处理的信号段。因此,我们开发了一种基于MSTMF的增强方法来改进诱发电位的区分,并在两个公开可用的参考数据库上验证了其性能:BCIAUT-P300(用于IFMBE科学挑战赛)和Speller(用于2004年BCI竞赛III挑战赛)。对于这些数据库,我们达到了92.67%和99.5%的总体准确率,超过了文献中提出的参考方法。
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引用次数: 0
Advancing eye disease detection: A comprehensive study on computer-aided diagnosis with vision transformers and SHAP explainability techniques 推进眼病检测:视觉变形和SHAP可解释性技术在计算机辅助诊断中的综合研究
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01 DOI: 10.1016/j.bbe.2024.11.005
Hossam Magdy Balaha , Asmaa El-Sayed Hassan , Rawan Ayman Ahmed , Magdy Hassan Balaha
Eye diseases such as age-related macular degeneration (AMD) and diabetic retinopathy are common worldwide and affect millions of people. These conditions can cause severe vision problems and even lead to blindness if not treated promptly. Therefore, accurate and timely diagnosis is crucial to manage these diseases effectively and prevent irreversible vision loss. This study introduces a computer-aided diagnosis (CAD) framework for automatically detecting various eye diseases via advanced methodologies and datasets. The main focus is on classifying fundus images, which is essential for precise diagnosis and prognosis. By incorporating cutting-edge techniques such as Vision Transformers (ViTs), this study aims to improve the performance and interpretability of traditional Convolutional Neural Networks (CNNs). ViTs can capture complex patterns and long-range dependencies in fundus images, helping distinguish between different eye diseases and healthy conditions. Furthermore, the study integrates SHapley additive exPlanations (SHAP) explainability techniques to provide insights into the model’s decision-making process, enhancing trust and understanding of its predictions. The results demonstrate significant performance enhancements compared with the baseline models, with an overall accuracy of 95%. This method outperforms previous state-of-the-art methods by a considerable margin. Additionally, metrics such as precision, recall, intersection over union (IoU), and the Matthews correlation coefficient (MCC) show superior performance across various eye diseases, such as diabetic retinopathy, glaucoma, and age-related macular degeneration. These findings underscore the effectiveness and reliability of the proposed approach in automated eye disease detection, indicating its potential for clinical integration and widespread adoption in healthcare settings.
诸如年龄相关性黄斑变性(AMD)和糖尿病性视网膜病变等眼病在世界范围内很常见,影响着数百万人。如果不及时治疗,这些情况会导致严重的视力问题,甚至导致失明。因此,准确、及时的诊断对于有效地控制这些疾病,防止不可逆的视力丧失至关重要。本研究介绍一种电脑辅助诊断(CAD)架构,透过先进的方法及资料,自动侦测各种眼疾。重点是对眼底图像进行分类,这对准确诊断和预后至关重要。通过结合视觉变换(ViTs)等前沿技术,本研究旨在提高传统卷积神经网络(cnn)的性能和可解释性。ViTs可以捕获眼底图像中的复杂模式和长期依赖关系,有助于区分不同的眼病和健康状况。此外,该研究整合了SHapley加性解释(SHAP)可解释性技术,以提供对模型决策过程的见解,增强对其预测的信任和理解。与基线模型相比,结果显示了显著的性能增强,总体准确率为95%。这种方法比以前最先进的方法要好得多。此外,精度、查全率、交叉超过联合(IoU)和马修斯相关系数(MCC)等指标在各种眼病(如糖尿病视网膜病变、青光眼和年龄相关性黄斑变性)中表现优异。这些发现强调了所提出的方法在自动眼病检测中的有效性和可靠性,表明其在临床整合和医疗保健机构中广泛采用的潜力。
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引用次数: 0
Multi-scale neural networks classification of mild cognitive impairment using functional near-infrared spectroscopy 基于功能近红外光谱的轻度认知障碍多尺度神经网络分类
IF 5.3 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-01 DOI: 10.1016/j.bbe.2024.12.001
Min-Kyoung Kang , Keum-Shik Hong , Dalin Yang , Ho Kyung Kim
Mild cognitive impairment (MCI) is recognized as an early stage preceding Alzheimer’s disease. Functional near-infrared spectroscopy (fNIRS) has recently been used to differentiate MCI patients from healthy controls (HCs) by analyzing their hemodynamic responses. This paper proposes a new method that uses the entire time series data from all fNIRS channels, skipping the feature extraction step. It involves a multi-scale convolutional neural network (CNN) integrated with long short-term memory (LSTM) layers to extract spatial and temporal features simultaneously. The study involves 64 participants (37 MCI patients and 27 HCs) performing three mental tasks: N-back, Stroop, and verbal fluency tests (VFT). The algorithm’s performance was assessed using 10-fold cross-validation across oxyhemoglobin (HbO), deoxyhemoglobin (HbR), and total hemoglobin (HbT). The highest classification accuracies were achieved with HbT, reaching 93.22 % for the N-back task, 91.14 % for the Stroop task, and 89.58 % for the VFT. It was found that using all types of hemodynamic signals from all channels provides better results than analyzing the region of interest data, eliminating the need for data segmentation and feature extraction procedures. Additionally, HbR (or HbT) gives better classification accuracy than HbO. The developed method can be implemented online for clinical applications and real-time monitoring of cognitive disorders.
轻度认知障碍(MCI)被认为是阿尔茨海默病的早期阶段。功能近红外光谱(fNIRS)最近被用于通过分析MCI患者的血流动力学反应来区分他们与健康对照(hc)。本文提出了一种利用所有fNIRS通道的整个时间序列数据,跳过特征提取步骤的新方法。该方法采用多尺度卷积神经网络(CNN)和长短期记忆(LSTM)层相结合的方法同时提取时空特征。这项研究涉及64名参与者(37名轻度认知障碍患者和27名hcc患者),他们执行三项心理任务:N-back、Stroop和语言流畅性测试(VFT)。该算法的性能通过氧合血红蛋白(HbO)、脱氧血红蛋白(HbR)和总血红蛋白(HbT)的10倍交叉验证进行评估。HbT的分类准确率最高,N-back任务为93.22%,Stroop任务为91.14%,VFT为89.58%。研究发现,使用来自所有通道的所有类型的血流动力学信号比分析感兴趣区域的数据提供了更好的结果,消除了对数据分割和特征提取过程的需要。此外,HbR(或HbT)提供比HbO更好的分类精度。所开发的方法可以在线实施,用于临床应用和实时监测认知障碍。
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Biocybernetics and Biomedical Engineering
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