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Detection of various lung diseases including COVID-19 using extreme learning machine algorithm based on the features extracted from a lightweight CNN architecture 基于从轻量级CNN架构中提取的特征,使用极端学习机算法检测包括新冠肺炎在内的各种肺部疾病
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-07-01 DOI: 10.1016/j.bbe.2023.06.003
Md. Nahiduzzaman , Md Omaer Faruq Goni , Md. Robiul Islam , Abu Sayeed , Md. Shamim Anower , Mominul Ahsan , Julfikar Haider , Marcin Kowalski

Around the world, several lung diseases such as pneumonia, cardiomegaly, and tuberculosis (TB) contribute to severe illness, hospitalization or even death, particularly for elderly and medically vulnerable patients. In the last few decades, several new types of lung-related diseases have taken the lives of millions of people, and COVID-19 has taken almost 6.27 million lives. To fight against lung diseases, timely and correct diagnosis with appropriate treatment is crucial in the current COVID-19 pandemic. In this study, an intelligent recognition system for seven lung diseases has been proposed based on machine learning (ML) techniques to aid the medical experts. Chest X-ray (CXR) images of lung diseases were collected from several publicly available databases. A lightweight convolutional neural network (CNN) has been used to extract characteristic features from the raw pixel values of the CXR images. The best feature subset has been identified using the Pearson Correlation Coefficient (PCC). Finally, the extreme learning machine (ELM) has been used to perform the classification task to assist faster learning and reduced computational complexity. The proposed CNN-PCC-ELM model achieved an accuracy of 96.22% with an Area Under Curve (AUC) of 99.48% for eight class classification. The outcomes from the proposed model demonstrated better performance than the existing state-of-the-art (SOTA) models in the case of COVID-19, pneumonia, and tuberculosis detection in both binary and multiclass classifications. For eight class classification, the proposed model achieved precision, recall and fi-score and ROC are 100%, 99%, 100% and 99.99% respectively for COVID-19 detection demonstrating its robustness. Therefore, the proposed model has overshadowed the existing pioneering models to accurately differentiate COVID-19 from the other lung diseases that can assist the medical physicians in treating the patient effectively.

在世界各地,肺炎、心脏肥大和结核病等几种肺部疾病会导致严重疾病、住院甚至死亡,特别是对老年人和身体脆弱的患者。在过去几十年里,几种新型肺部相关疾病夺走了数百万人的生命,COVID-19夺走了近627万人的生命。在当前的COVID-19大流行中,及时、正确的诊断和适当的治疗对于抗击肺部疾病至关重要。本研究提出了一种基于机器学习(ML)技术的七种肺部疾病智能识别系统,以辅助医学专家。肺部疾病的胸部x射线(CXR)图像是从几个公开的数据库中收集的。使用轻量级卷积神经网络(CNN)从CXR图像的原始像素值中提取特征特征。使用Pearson相关系数(PCC)确定了最佳特征子集。最后,使用极限学习机(ELM)来执行分类任务,以帮助更快的学习和降低计算复杂度。本文提出的CNN-PCC-ELM模型对8类分类的准确率为96.22%,曲线下面积(AUC)为99.48%。在COVID-19、肺炎和结核病的二分类和多分类检测中,该模型的结果比现有的最先进(SOTA)模型表现出更好的性能。在8类分类中,该模型对COVID-19检测的准确率为100%,召回率为99%,fi-score为100%,ROC为99.99%,具有较强的鲁棒性。因此,该模型掩盖了现有的开拓性模型,无法准确区分COVID-19与其他肺部疾病,从而帮助医生有效地治疗患者。
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引用次数: 0
MDCF_Net: A Multi-dimensional hybrid network for liver and tumor segmentation from CT MDCF_Net:一种用于肝脏和肿瘤CT分割的多维混合网络
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1016/j.bbe.2023.04.004
Jian Jiang , Yanjun Peng , Qingfan Hou , Jiao Wang

The segmentation of the liver and liver tumors is critical in the diagnosis of liver cancer, and the high mortality rate of liver cancer has made it one of the most popular areas for segmentation research. Some deep learning segmentation methods outperformed traditional methods in terms of segmentation results. However, they are unable to obtain satisfactory segmentation results due to blurred original image boundaries, the presence of noise, very small lesion sites, and other factors. In this paper, we propose MDCF_Net, which has dual encoding branches composed of CNN and CnnFormer and can fully utilize multi-dimensional image features. First, it extracts both intra-slice and inter-slice information and improves the accuracy of the network output by symmetrically using multi-dimensional fusion layers. In the meantime, we propose a novel feature map stacking approach that focuses on the correlation of adjacent channels of two feature maps, improving the network's ability to perceive 3D features. Furthermore, the two coding branches collaborate to obtain both texture and edge features, and the network segmentation performance is further improved. Extensive experiments were carried out on the public datasets LiTS to determine the optimal slice thickness for this task. The superiority of the segmentation performance of our proposed MDCF_Net was confirmed by comparison with other leading methods on two public datasets, the LiTS and the 3DIRCADb.

肝脏和肝脏肿瘤的分割是肝癌诊断的关键,肝癌的高死亡率使其成为分割研究的热门领域之一。一些深度学习分割方法在分割结果上优于传统方法。但由于原始图像边界模糊、存在噪声、病变部位很小等因素,无法获得满意的分割结果。本文提出MDCF_Net,它具有由CNN和CnnFormer组成的双编码分支,可以充分利用图像的多维特征。首先,它同时提取片内和片间信息,并通过对称地使用多维融合层来提高网络输出的准确性;同时,我们提出了一种新的特征图叠加方法,该方法关注两个特征图相邻通道的相关性,提高了网络对3D特征的感知能力。此外,两个编码分支协同获得纹理和边缘特征,进一步提高了网络分割性能。在公共数据集LiTS上进行了大量的实验,以确定该任务的最佳切片厚度。通过在LiTS和3DIRCADb两个公共数据集上与其他领先的分割方法进行比较,证实了我们所提出的MDCF_Net分割性能的优越性。
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引用次数: 0
Predicting muscle fatigue during dynamic contractions using wavelet analysis of surface electromyography signal 利用表面肌电信号的小波分析预测动态收缩过程中的肌肉疲劳
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1016/j.bbe.2023.04.002
MohammadJavad Shariatzadeh , Ehsan Hadizadeh Hafshejani , Cameron J.Mitchell , Mu Chiao , Dana Grecov

Muscle fatigue is defined as a reduction in the capability of muscle to exert force or power. Although surface electromyography (sEMG) signals during exercise have been used to assess muscle fatigue, analyzing the sEMG signal during dynamic contractions is difficult because of the many signal distorting factors such as electrode movements, and variations in muscle tissue conductivity. Besides the non-deterministic and non-stationary nature of sEMG in dynamic contractions, no fatigue indicator is available to predict the ability of a muscle to apply force based on the sEMG signal properties.

In this study, we designed and manufactured a novel wearable sensor system with both sEMG electrodes and motion tracking sensors to monitor the dynamic muscle movements of human subjects. We detected the state of muscle fatigue using a new wavelet analysis method to predict the maximum isometric force the subject can apply during dynamic contraction.

Our method of signal processing consists of four main steps. 1- Segmenting sEMG signals using motion tracking signals. 2- Determine the most suitable mother wavelet for discrete wavelet transformation (DWT) based on cross-correlation between wavelets and signals. 3- Deoinsing the sEMG using the DWT method. 4- Calculation of normalized energy in different decomposition levels to predict maximal voluntary isometric contraction force as an indicator of muscle fatigue.

The monitoring system was tested on healthy adults doing biceps curl exercises, and the results of the wavelet decomposition method were compared to well-known muscle fatigue indices in the literature.

肌肉疲劳被定义为肌肉施加力量或动力的能力下降。虽然运动过程中的表面肌电图(sEMG)信号已被用于评估肌肉疲劳,但由于电极运动和肌肉组织电导率变化等许多信号扭曲因素,分析动态收缩过程中的表面肌电图信号是困难的。除了动态收缩时表面肌电信号的不确定性和非平稳性外,没有疲劳指标可以根据表面肌电信号的特性来预测肌肉施加力的能力。在这项研究中,我们设计并制造了一种新型的可穿戴传感器系统,该系统具有肌电信号电极和运动跟踪传感器,用于监测人类受试者的动态肌肉运动。我们使用一种新的小波分析方法来检测肌肉疲劳状态,以预测受试者在动态收缩时可以施加的最大等长力。我们的信号处理方法包括四个主要步骤。1-使用运动跟踪信号分割肌电信号。2-根据小波和信号之间的相互关系,确定离散小波变换(DWT)最合适的母小波。3-使用DWT方法去除表面肌电信号。4-计算不同分解水平的归一化能量,以预测最大自主等长收缩力,作为肌肉疲劳的指标。对健康成人进行肱二头肌弯曲运动的监测系统进行了测试,并将小波分解方法的结果与文献中已知的肌肉疲劳指标进行了比较。
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引用次数: 0
Wavelet-Hilbert transform based bidirectional least squares grey transform and modified binary grey wolf optimization for the identification of epileptic EEGs 基于小波-希尔伯特变换的双向最小二乘灰色变换和改进的二元灰狼优化用于癫痫脑电图识别
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1016/j.bbe.2023.04.003
Chang Liu , Wanzhong Chen , Tao Zhang

Wavelet based seizure detection is an importance topic for epilepsy diagnosis via electroencephalogram (EEG), but its performance is closely related to the choice of wavelet bases. To overcome this issue, a fusion method of wavelet packet transformation (WPT), Hilbert transform based bidirectional least squares grey transform (HTBiLSGT), modified binary grey wolf optimization (MBGWO) and fuzzy K-Nearest Neighbor (FKNN) was proposed. The HTBiLSGT was first proposed to model the envelope change of a signal, then WPT based HTBiLSGT was developed for EEG feature extraction by performing HTBiLSGT for each subband of each wavelet level. To select discriminative features, MBGWO was further put forward and employed to conduct feature selection, and the selected features were finally fed into FKNN for classification. The Bonn and CHB-MIT EEG datasets were used to verify the effectiveness of the proposed technique. Experimental results indicate the proposed WPT based HTBiLSGT, MBGWO and FKNN can respectively lead to the highest accuracies of 100% and 98.60 ± 1.35% for the ternary and quinary classification cases of Bonn dataset, it also results in the overall accuracy of 99.48 ± 0.61 for the CHB-MIT dataset, and the proposal is proven to be insensitive to the choice of wavelet bases.

基于小波的癫痫发作检测是脑电图诊断的一个重要课题,但其性能与小波基的选择密切相关。为了克服这一问题,提出了小波包变换(WPT)、基于Hilbert变换的双向最小二乘灰变换(HTBiLSGT)、改进二值灰狼优化(MBGWO)和模糊k近邻(FKNN)的融合方法。首先提出了HTBiLSGT来模拟信号的包络变化,然后通过对每个小波水平的每个子带进行HTBiLSGT,开发了基于WPT的HTBiLSGT用于脑电信号特征提取。为了选择判别特征,我们进一步提出并利用MBGWO进行特征选择,最后将选择的特征输入FKNN进行分类。利用Bonn和CHB-MIT脑电数据集验证了所提出技术的有效性。实验结果表明,本文提出的基于WPT的HTBiLSGT、MBGWO和FKNN在Bonn数据集的三元和五元分类情况下的最高准确率分别为100%和98.60 ± 1.35%,CHB-MIT数据集的总体准确率为99.48 ± 0.61,并且该方法对小波基的选择不敏感。
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引用次数: 1
Combining homomorphic filtering and recurrent neural network in gait signal analysis for neurodegenerative diseases detection 结合同态滤波和递归神经网络在步态信号分析中的神经退行性疾病检测
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1016/j.bbe.2023.04.001
Masume Saljuqi , Peyvand Ghaderyan

Automatic, cost-effective, and reliable detection of neurodegenerative diseases (NDs) is one of the important issues in clinical practice. The main idea of the proposed method in this study is to utilize the advantages of gait time series that can provide low-cost and non-invasive measures, homomorphic filtering that can effectively separate muscle activity from body dynamic and recurrent neural network or cascade forward neural network that can learn sequential time-varying data. Experimental results on gait time series of 16 healthy control subjects, 13 patients with amyotrophic lateral sclerosis, 15 patients with Parkinson’s disease and 20 patients with Huntington’s disease have demonstrated high detection performance with an accuracy rate of 100 % using K-fold cross validation for all three types of NDs outperforming other existing methods. The results have also indicated that the use of real cepstral coefficients, oscillation components, or basic statistics feature set has improved the detection performance.

神经退行性疾病(NDs)的自动、经济、可靠检测是临床实践中的重要问题之一。本研究提出的方法的主要思想是利用步态时间序列可以提供低成本和非侵入性测量的优势,利用同态滤波可以有效地将肌肉活动与身体动态和递归神经网络分离,或者利用级联前向神经网络可以学习时序时变数据的优势。对16名健康对照者、13名肌萎缩性侧索硬化症患者、15名帕金森病患者和20名亨廷顿病患者的步态时间序列进行的实验结果表明,采用K-fold交叉验证对三种NDs的检测准确率均达到100%,优于其他现有方法。结果还表明,使用真实倒谱系数、振荡分量或基本统计特征集可以提高检测性能。
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引用次数: 0
Hybrid EEG-fNIRS brain-computer interface based on the non-linear features extraction and stacking ensemble learning 基于非线性特征提取和叠加集成学习的脑机脑电混合接口
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1016/j.bbe.2023.05.001
Asmaa Maher , Saeed Mian Qaisar , N. Salankar , Feng Jiang , Ryszard Tadeusiewicz , Paweł Pławiak , Ahmed A. Abd El-Latif , Mohamed Hammad

The Brain-computer interface (BCI) is used to enhance the human capabilities. The hybrid-BCI (hBCI) is a novel concept for subtly hybridizing multiple monitoring schemes to maximize the advantages of each while minimizing the drawbacks of individual methods. Recently, researchers have started focusing on the Electroencephalogram (EEG) and “Functional Near-Infrared Spectroscopy” (fNIRS) based hBCI. The main reason is due to the development of artificial intelligence (AI) algorithms such as machine learning approaches to better process the brain signals. An original EEG-fNIRS based hBCI system is devised by using the non-linear features mining and ensemble learning (EL) approach. We first diminish the noise and artifacts from the input EEG-fNIRS signals using digital filtering. After that, we use the signals for non-linear features mining. These features are “Fractal Dimension” (FD), “Higher Order Spectra” (HOS), “Recurrence Quantification Analysis” (RQA) features, and Entropy features. Onward, the Genetic Algorithm (GA) is employed for Features Selection (FS). Lastly, we employ a novel Machine Learning (ML) technique using several algorithms namely, the “Naïve Bayes” (NB), “Support Vector Machine” (SVM), “Random Forest” (RF), and “K-Nearest Neighbor” (KNN). These classifiers are combined as an ensemble for recognizing the intended brain activities. The applicability is tested by using a publicly available multi-subject and multiclass EEG-fNIRS dataset. Our method has reached the highest accuracy, F1-score, and sensitivity of 95.48%, 97.67% and 97.83% respectively.

脑机接口(BCI)是用来提高人的能力。混合bci (hBCI)是一种新颖的概念,它巧妙地混合了多种监测方案,以最大限度地发挥每种方法的优势,同时最大限度地减少每种方法的缺点。最近,研究人员开始关注基于脑电图(EEG)和“功能性近红外光谱”(fNIRS)的hBCI。主要原因是机器学习等人工智能(AI)算法的发展,以更好地处理大脑信号。采用非线性特征挖掘和集成学习(EL)方法,设计了一种新颖的基于EEG-fNIRS的hBCI系统。我们首先使用数字滤波来减小输入EEG-fNIRS信号中的噪声和伪影。然后,我们使用这些信号进行非线性特征挖掘。这些特征是“分形维数”(FD)、“高阶谱”(HOS)、“递归量化分析”(RQA)特征和熵特征。随后,遗传算法(GA)被用于特征选择(FS)。最后,我们采用了一种新的机器学习(ML)技术,使用了几种算法,即“Naïve贝叶斯”(NB)、“支持向量机”(SVM)、“随机森林”(RF)和“k -最近邻”(KNN)。这些分类器组合成一个整体来识别预期的大脑活动。通过使用公开的多主题和多类别EEG-fNIRS数据集来测试其适用性。该方法准确率最高,f1评分最高,灵敏度最高,分别为95.48%、97.67%和97.83%。
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引用次数: 4
PCcS-RAU-Net: Automated parcellated Corpus callosum segmentation from brain MRI images using modified residual attention U-Net PCcS-RAU-Net:利用改进的残余注意U-Net从脑MRI图像中自动分割胼胝体
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1016/j.bbe.2023.02.003
Anjali Chandra , Shrish Verma , A.S. Raghuvanshi , Narendra Kuber Bodhey

Background

The Corpus callosum (Cc) in the cerebral cortex is a bundle of neural fibers that facilitates inter-hemispheric communication. The Cc area and area of its sub-regions (also known as parcels) have been examined as a biomarker for cortical pathology and differential diagnosis in neurodegenerative diseases such as Autism, Alzheimer’s disease (AD), and more. Manual segmentation and parcellation of Cc are laborious and time-consuming. The present work proposes a novel work of automated parcellated Cc (PCc) segmentation that will serve as a potential biomarker to study and diagnose neurological disorders in brain MRI images.

Method

In this perspective, the present work aims to develop an automated PCc segmentation from mid-sagittal T1- weighted (w) 2D brain MRI images using a deep learning-based fully convolutional network, a modified residual attention U-Net, referred to as PCcS-RAU-Net. The model has been modified to use a multi-class segmentation configuration with five target classes (parcels): rostrum, genu, mid-body, isthmus and splenium.

Results

The experimental research uses two benchmark MRI datasets, ABIDE and OASIS. The proposed PCcS-RAU-Net outperformed existing methods on the ABIDE dataset with a DSC of 97.10% and MIoU of 94.43%. Furthermore, the model's performance is validated on the OASIS and Real clinical image (RCI) data and hence verifies the model’s generalization capability.

Conclusion

The proposed PCcS-RAU-Net model extracts essential characteristics such as the total area of the Cc (TCcA) to categorize MRI slices into healthy controls (HC) and disease groups. Also, sub-regional areas, Cc1A to Cc5A, help study atrophy progression for early diagnosis.

大脑皮层的胼胝体(Cc)是一束神经纤维,促进大脑半球间的交流。Cc区域及其子区域(也称为包裹)已被作为神经退行性疾病(如自闭症、阿尔茨海默病(AD)等)的皮质病理和鉴别诊断的生物标志物进行研究。手工分割和分割Cc是费力和耗时的。本研究提出了一种新的自动包裹Cc (PCc)分割方法,该方法将作为一种潜在的生物标志物,用于研究和诊断脑MRI图像中的神经系统疾病。从这个角度来看,本研究旨在利用基于深度学习的全卷积网络,即改进的剩余注意U-Net,开发一种从中矢状T1加权(w) 2D脑MRI图像中自动分割PCc的方法,简称pccs - rao - net。该模型已被修改为使用5个目标类别(包)的多类别分割配置:讲台,膝,中体,峡部和脾。结果实验研究使用了两个基准的MRI数据集,分别是ABIDE和OASIS。本文提出的PCcS-RAU-Net在ABIDE数据集上的DSC为97.10%,MIoU为94.43%,优于现有方法。在OASIS和Real clinical image (RCI)数据上验证了模型的性能,从而验证了模型的泛化能力。结论提出的PCcS-RAU-Net模型提取Cc总面积(TCcA)等基本特征,将MRI切片分为健康对照组(HC)和疾病组。此外,Cc1A至Cc5A的亚区域有助于研究萎缩的进展,以进行早期诊断。
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引用次数: 1
Computer aided diagnosis of diabetic macular edema in retinal fundus and OCT images: A review 糖尿病黄斑水肿的计算机辅助诊断及眼底OCT图像研究综述
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-01-01 DOI: 10.1016/j.bbe.2022.12.005
Pavithra K.C. , Preetham Kumar , Geetha M. , Sulatha V. Bhandary

Diabetic Macular Edema (DME) is a potentially blinding consequence of Diabetic Retinopathy (DR) as well as the leading cause of vision loss in diabetics. DME is characterized by a buildup of extracellular fluid inside the macula through hyperpermeable vessels. The presence of DME can be spotted at any level of DR with varying degrees of severity using prominent imaging modalities such as Color Fundus Photography (CFP) and Optical Coherence Tomography (OCT). Computerized approaches for screening eye disorders appear to be beneficial, as they provide doctors with detailed insights into abnormalities. Such a system for the evaluation of retinal images can function as a stand-alone disease monitoring system. This review reports the state-of-art automated DME detection methods with traditional Machine Learning (ML) and Deep Learning (DL) techniques employing retinal fundus or OCT images. The paper provides a list of public retinal OCT and fundus imaging datasets for DME detection. In addition, the paper describes the dynamics of advancements in presented methods adopted in the past along with their strengths and limitations to highlight the insufficiencies that could be addressed in future investigations.

糖尿病性黄斑水肿(DME)是糖尿病视网膜病变(DR)的潜在致盲后果,也是糖尿病患者视力丧失的主要原因。DME的特征是细胞外液通过高渗透性血管积聚在黄斑内。使用彩色眼底摄影(CFP)和光学相干断层扫描(OCT)等显像方式,可以在任何程度的严重程度不同的DR中发现DME的存在。计算机方法用于筛查眼部疾病似乎是有益的,因为它们为医生提供了对异常的详细见解。这种评估视网膜图像的系统可以作为一个独立的疾病监测系统。本文综述了采用传统机器学习(ML)和深度学习(DL)技术,利用视网膜眼底或OCT图像进行DME自动检测的最新方法。本文提供了一份用于DME检测的公开视网膜OCT和眼底成像数据集。此外,本文还描述了过去采用的方法的进步动态,以及它们的优势和局限性,以突出在未来调查中可以解决的不足之处。
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引用次数: 5
Internet service for wound area measurement using digital planimetry with adaptive calibration and image segmentation with deep convolutional neural networks 基于自适应校正和深度卷积神经网络图像分割的数字平面测量创面的互联网服务
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-01-01 DOI: 10.1016/j.bbe.2022.11.004
Piotr Foltynski, Piotr Ladyzynski

Uncontrolled diabetes leads to serious complications comparable to cancer. Infected foot ulcer causes a 5-year mortality of 50%. Proper treatment of foot wounds is essential, and wound area monitoring plays an important role in this area. In this article, we describe an automatic wound area measurement service that facilitates area measurement and the measurement result is based on adaptive calibration for larger accuracy at curved surfaces. Users need to take a digital picture of a wound and calibration markers and send them for analysis using an Internet page. The deep learning model based on convolutional neural networks (CNNs) was trained using 565 wound images and was used for image segmentation to identify the wound and calibration markers. The developed software calculates the wound area based on the number of pixels in the wound region and the calibration coefficient determined from distances between ticks at calibration markers. The result of the measurement is sent back to the user at the provided e-mail address. The median relative error of wound area measurement in the wound models was 1.21%. The efficacy of the CNN model was tested on 41 wounds and 73 wound models. The averaged values for the dice similarity coefficient, intersection over union, accuracy and specificity for wound identification were 90.9%, 83.9%, 99.3% and 99.6%, respectively. The service proved its high efficacy and can be used in wound area monitoring. The service may be used not only by health care specialists but also by patients. Thus, it is important tool for wound healing monitoring.

不受控制的糖尿病会导致与癌症相当的严重并发症。感染的足部溃疡导致5年死亡率为50%。足部伤口的正确治疗是必不可少的,而伤口区域监测在这方面起着重要的作用。在本文中,我们描述了一种自动伤口面积测量服务,该服务便于面积测量,测量结果基于自适应校准,可以在曲面上获得更高的精度。用户需要拍摄伤口和校准标记的数字照片,并通过互联网页面将其发送给分析机构。基于卷积神经网络(cnn)的深度学习模型使用565张伤口图像进行训练,并用于图像分割来识别伤口和校准标记。开发的软件根据伤口区域的像素数和校准标记处刻度之间的距离确定的校准系数计算伤口面积。测量结果通过提供的电子邮件地址发送回用户。创面模型创面面积测量的中位相对误差为1.21%。在41个创面和73个创面模型上测试了CNN模型的疗效。骰子相似系数、交集大于结合、准确率和特异性的平均值分别为90.9%、83.9%、99.3%和99.6%。该服务具有较高的疗效,可用于创面监测。这项服务不仅可供保健专家使用,也可供病人使用。因此,它是伤口愈合监测的重要工具。
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引用次数: 0
Biphasic monolithic osteochondral scaffolds obtained by diffusion-limited enzymatic mineralization of gellan gum hydrogel 胶兰胶水凝胶扩散限制酶矿化法制备双相整体性骨软骨支架
IF 6.4 2区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2023-01-01 DOI: 10.1016/j.bbe.2022.12.009
Krzysztof Pietryga , Katarzyna Reczyńska-Kolman , Janne E. Reseland , Håvard Haugen , Véronique Larreta-Garde , Elżbieta Pamuła

Biphasic monolithic materials for the treatment of osteochondral defects were produced from polysaccharide hydrogel, gellan gum (GG). GG was enzymatically mineralized by alkaline phosphatase (ALP) in the presence of calcium glycerophosphate (CaGP). The desired distribution of the calcium phosphate (CaP) mineral phase was achieved by limiting the availability of CaGP to specific parts of the GG sample. Therefore, mineralization of GG was facilitated by the diffusion of CaGP, causing the formation of the CaP gradient. The distribution of CaP was analyzed along the cross section of the GG. The formation of a CaP gradient was mainly affected by the mineralization time and the ALP concentration. The formation of CaP was confirmed by Fourier transform infrared spectroscopy (FTIR), Raman spectroscopy and mapping, as well as energy-dispersive X-ray spectroscopy (EDX) mapping of the interphase. The microstructure of mineralized and non-mineralized parts of the material was characterized by scanning electron microscopy (SEM) and atomic force microscopy (AFM) showing sub-micrometer CaP crystal formation, resulting in increased surface roughness. Compression tests and rheometric analyzes showed a 10-fold increase in stiffness of the GG mineralized part. Concomitantly, micromechanical tests performed by AFM showed an increase of Young's modulus from 17.8 to more than 200 kPa. In vitro evaluation of biphasic scaffolds was performed in contact with osteoblast-like MG-63 cells. The mineralized parts of GG were preferentially colonized by the cells over the non-mineralized parts. The results showed that osteochondral scaffolds of the desired structure and properties can be made from GG using a diffusion-limited enzymatic mineralization method.

以多糖水凝胶、结冷胶(GG)为原料制备了治疗骨软骨缺损的双相单片材料。GG在甘油磷酸钙(CaGP)存在下被碱性磷酸酶(ALP)酶矿化。磷酸钙(CaP)矿物相的理想分布是通过限制CaGP在GG样品的特定部分的可用性来实现的。因此,GG的矿化被CaGP的扩散所促进,从而形成了CaP梯度。结果表明,成矿时间和ALP浓度对CaP梯度的形成有重要影响。通过傅里叶变换红外光谱(FTIR)、拉曼光谱和作图以及能量色散x射线光谱(EDX)对界面进行作图,证实了CaP的形成。通过扫描电子显微镜(SEM)和原子力显微镜(AFM)对材料矿化和非矿化部分的微观结构进行了表征,发现亚微米级的CaP晶体形成,导致表面粗糙度增加。压缩试验和流变分析表明,GG矿化部分的刚度增加了10倍。同时,AFM进行的微力学试验表明,杨氏模量从17.8增加到200 kPa以上。双相支架与成骨细胞样MG-63细胞接触,进行体外评价。GG的矿化部分比非矿化部分更容易被细胞定植。结果表明,利用限制扩散的酶矿化方法,GG可以制备出具有理想结构和性能的骨软骨支架。
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Biocybernetics and Biomedical Engineering
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