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Assisted therapeutic system based on reinforcement learning for children with autism 基于强化学习的自闭症儿童辅助治疗系统
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-08-14 DOI: 10.1080/24699322.2019.1649072
Minjia Li, Xue Li, Lun Xie, Jing Liu, Feifei Wang, Zhiliang Wang
Abstract Assisted therapy is increasingly used in autism spectrum disorders (ASD) for improving social interaction and communication skills in recent years. A lot of studies have proven that the form of interactive games for therapy has a good effect on children with autism. Thus, our study provided an assisted therapeutic system based on Reinforcement Learning (RL) for children with ASD, which has five interactive subgames. As is well known, it is necessary to establish and maintain compelling interactions in therapeutic process. Therefore, we aim to adjust the interactive content according to the emotions of children with autism. However, due to the atypical and unusually differences in children with autism, most systems are based on off-line training of small samples of individuals and online recognition, so the existing assisted systems are limited in their ability to automatically update system parameters of new mappings. The integration of RL and Convolutional Neural Network (CNN)-Support Vector Regression (SVR) was used to deal with the updating online of prediction model’s weights. The normalized emotion labels were evaluated by the therapists. Eleven children with autism as subjects were invited in this experiment and captured facial video images. The experiment lasted for five weeks of intermittent assisted therapy, and the results were evaluated for the system and the therapy effect. Finally, we achieved a general reduction in the root mean square error of the model prediction results and labels. Although there is no significant difference in Social Responsiveness Scale (SRS) scores before and after assisted therapy (p value = 0.60), in individual subjects (Sub. 1, Sub. 2 and Sub.3), the SRS total score is significantly reduced (Average drop of 19 points). These results demonstrate the effectiveness of prediction model based on RL and show the feasibility of assisted therapeutic system in children with autism.
近年来,辅助治疗越来越多地用于自闭症谱系障碍(ASD),以改善其社交互动和沟通能力。许多研究证明,互动游戏的形式对自闭症儿童的治疗有很好的效果。因此,我们的研究为ASD儿童提供了一个基于强化学习(RL)的辅助治疗系统,该系统有五个互动子游戏。众所周知,在治疗过程中有必要建立和维持令人信服的相互作用。因此,我们的目标是根据自闭症儿童的情绪来调整互动内容。然而,由于自闭症儿童的非典型和异常差异,大多数辅助系统都是基于小样本个体的离线训练和在线识别,因此现有的辅助系统在自动更新新映射的系统参数方面受到限制。采用强化学习与卷积神经网络(CNN)-支持向量回归(SVR)相结合的方法在线更新预测模型的权重。标准化情绪标签由治疗师评估。实验邀请了11名自闭症儿童作为实验对象,并拍摄了面部视频图像。实验持续5周的间歇辅助治疗,并对系统及治疗效果进行评价。最后,我们实现了模型预测结果和标签的均方根误差的普遍降低。虽然在辅助治疗前后,社会反应量表(SRS)得分没有显著差异(p值= 0.60),但在个体(Sub. 1, Sub. 2和Sub.3)中,SRS总分显著降低(平均下降19分)。这些结果证明了基于RL的预测模型的有效性,也表明了辅助治疗系统在自闭症儿童中的可行性。
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引用次数: 5
Lung segmentation method with dilated convolution based on VGG-16 network 基于VGG-16网络的扩张卷积肺部分割方法
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-08-12 DOI: 10.1080/24699322.2019.1649071
Lei Geng, Siqi Zhang, Jun Tong, Zhitao Xiao
Abstract Lung cancer has become one of the life-threatening killers. Lung disease need to be assisted by CT images taken doctor's diagnosis, and the segmented CT image of the lung parenchyma is the first step to help doctor diagnosis. For the problem of accurately segmenting the lung parenchyma, this paper proposes a segmentation method based on the combination of VGG-16 and dilated convolution. First of all, we use the first three parts of VGG-16 network structure to convolution and pooling the input image. Secondly, using multiple sets of dilated convolutions make the network has a large enough receptive field. Finally, the multi-scale convolution features are fused, and each pixel is predicted using MLP to segment the parenchymal region. Experimental results were produced over state of the art on 137 images which key metrics Dice similarity coefficient (DSC) is 0.9867. Experimental results show that this method can effectively segment the lung parenchymal area, and compared to other conventional methods better.
肺癌已成为危及生命的杀手之一。肺部疾病需要借助医生拍摄的CT图像辅助诊断,而肺实质的CT分割图像是帮助医生诊断的第一步。针对肺实质的准确分割问题,本文提出了一种基于VGG-16和扩张卷积相结合的肺实质分割方法。首先,我们利用VGG-16网络结构的前三部分对输入图像进行卷积和池化。其次,使用多组扩展卷积使网络具有足够大的接受域。最后,融合多尺度卷积特征,利用MLP对每个像素点进行预测,分割出实质区域。对137幅关键指标Dice相似系数(DSC)为0.9867的图像进行了实验。实验结果表明,该方法可以有效地分割肺实质区域,与其他常规方法相比效果更好。
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引用次数: 50
Clustering-based undersampling with random over sampling examples and support vector machine for imbalanced classification of breast cancer diagnosis 基于聚类的随机过采样样本下采样和支持向量机的乳腺癌症诊断不平衡分类
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-08-12 DOI: 10.1080/24699322.2019.1649074
Jue Zhang, Li Chen
Abstract To overcome the two-class imbalanced classification problem existing in the diagnosis of breast cancer, a hybrid of Random Over Sampling Example, K-means and Support vector machine (RK-SVM) model is proposed which is based on sample selection. Random Over Sampling Example (ROSE) is utilized to balance the dataset and further improve the diagnosis accuracy by Support Vector Machine (SVM). As there is one different sample selection factor via clustering that encourages selecting the samples near the class boundary. The purpose of clustering here is to reduce the risk of removing useful samples and improve the efficiency of sample selection. To test the performance of the new hybrid classifier, it is implemented on breast cancer datasets and the other three datasets from the University of California Irvine (UCI) machine learning repository, which are commonly used datasets in class imbalanced learning. The extensive experimental results show that our proposed hybrid method outperforms most of the competitive algorithms in term of G-mean and accuracy indices. Additionally, experimental results show that this method also performs superiorly for binary problems.
摘要针对癌症诊断中存在的两类分类不平衡问题,提出了一种基于样本选择的随机过采样、K-means和支持向量机(RK-SVM)混合模型。利用随机过采样实例(ROSE)对数据集进行平衡,进一步提高支持向量机(SVM)的诊断精度。因为通过聚类有一个不同的样本选择因素,它鼓励选择类边界附近的样本。这里聚类的目的是降低去除有用样本的风险,提高样本选择的效率。为了测试新的混合分类器的性能,它在癌症数据集和加州大学欧文分校(UCI)机器学习库的其他三个数据集上实现,这些数据集是类不平衡学习中常用的数据集。大量的实验结果表明,我们提出的混合方法在G-均值和精度指标方面优于大多数竞争算法。此外,实验结果表明,该方法对二元问题也有很好的处理效果。
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引用次数: 47
Novel joint algorithm based on EEG in complex scenarios 复杂场景下基于脑电的新型联合算法
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-08-10 DOI: 10.1080/24699322.2019.1649078
Dong-Wei Chen, Wei-Qi Yang, Rui Miao, Lan Huang, Liu Zhang, Chunjian Deng, Na Han
Abstract At present, in the field of electroencephalogram (EEG) signal recognition, the classification and recognition in complex scenarios with more categories of EEG signals have gained more attention. Based on the joint fast Fourier transform (FFT) and support vector machine (SVM) methods, this study proposed a novel EEG signal-processing joint method for the complex scenarios with 10 classifications of EEG signals. Moreover, a comprehensive efficiency formula was put forward. The formula considered the accuracy and time consumption of the joint method. This new joint method could improve the accuracy and comprehensive efficiency of multiclass EEG signal recognition. The new joint approach used standardization for data preprocessing. Feature extraction was performed by combining FFT and principal component analysis methods. EEG signals were classified using the weighted k-nearest nenighbour method. In this study, experiments were conducted using public datasets of brainwave 0-9 digits classification. The result demonstrated that the accuracy and comprehensive efficiency of the novel joint method were 84% and 87%, respectively, which were better than those of the existing methods. The precision rate, recall rate, and F1 score of the novel joint method were 89%, 85%, and 0.85, respectively. In conclusion, the proposed joint method was effective in a complex scenario for multiclass EEG signal recognition.
摘要目前,在脑电信号识别领域,脑电信号类别较多的复杂场景下的分类和识别越来越受到关注。基于联合快速傅立叶变换(FFT)和支持向量机(SVM)方法,本研究提出了一种新的脑电信号处理联合方法,用于10种脑电信号的复杂场景。此外,还提出了一个综合效率公式。该公式考虑了联合方法的精度和时间消耗。这种新的联合方法可以提高多类别脑电信号识别的准确性和综合效率。新的联合方法使用了数据预处理的标准化。采用FFT和主成分分析相结合的方法进行特征提取。EEG信号采用加权k近邻方法进行分类。在本研究中,使用脑电波0-9数字分类的公共数据集进行了实验。结果表明,新的联合方法的准确率和综合效率分别为84%和87%,优于现有方法。新的联合方法的准确率、召回率和F1得分分别为89%、85%和0.85。总之,所提出的联合方法在多类别脑电信号识别的复杂场景中是有效的。
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引用次数: 5
Automatic segmentation of arterial tree from 3D computed tomographic pulmonary angiography (CTPA) scans 三维计算机断层肺血管造影(CTPA)扫描中动脉树的自动分割
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-08-10 DOI: 10.1080/24699322.2019.1649077
Chi Zhang, Mingxia Sun, Yinan Wei, Hao Zhang, S. Xie, Tongxi Liu
Abstract Pulmonary embolism (PE) and other pulmonary vascular diseases, have been found associated with the changes in arterial morphology. To detect arterial changes, we propose a novel, fully automatic method that can extract pulmonary arterial tree in computed tomographic pulmonary angiography (CTPA) images. The approach is based on the fuzzy connectedness framework, combined with 3D vessel enhancement and Harris Corner detection to achieve accurate segmentation. The effectiveness and robustness of the method is validated in clinical datasets consisting of 10 CT angiography scans (6 without PE and 4 with PE). The performance of our method is compared with manual classification and machine learning method based on random forest. Our method achieves a mean accuracy of 92% when compared to manual reference, which is higher than the 89% accuracy achieved by machine learning. This performance of the segmentation for pulmonary arteries may provide a basis for the CAD application of PE.
摘要肺栓塞(PE)和其他肺血管疾病,已被发现与动脉形态的变化有关。为了检测动脉变化,我们提出了一种新的、全自动的方法,可以在计算机断层肺血管造影(CTPA)图像中提取肺动脉树。该方法基于模糊连通性框架,结合三维血管增强和Harris Corner检测实现精确分割。该方法的有效性和稳健性在由10次CT血管造影术扫描组成的临床数据集中得到了验证(6次无PE,4次有PE)。将该方法的性能与基于随机森林的人工分类和机器学习方法进行了比较。与手动参考相比,我们的方法实现了92%的平均准确率,高于机器学习实现的89%的准确率。肺动脉分割的这种性能可以为PE的CAD应用提供基础。
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引用次数: 13
Patient-specific probabilistic atlas combining modified distance regularized level set for automatic liver segmentation in CT 结合改进距离正则化水平集的患者特异性概率图谱用于CT肝脏自动分割
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-08-10 DOI: 10.1080/24699322.2019.1649076
Jinke Wang, Hongliang Zu, Haoyan Guo, R. Bi, Yuanzhi Cheng, S. Tamura
Abstract Liver segmentation from CT is regarded as a prerequisite for computer-assisted clinical applications. However, automatic liver segmentation technology still faces challenges due to the variable shapes and low contrast. In this paper, a patient-specific probabilistic atlas (PA)-based method combing modified distance regularized level set for liver segmentation is proposed. Firstly, the similarities between training atlases and testing patient image are calculated, resulting in a series of weighted atlas, which are used to generate the patient-specific PA. Then, a most likely liver region (MLLR) can be determined based on the patient-specific PA. Finally, the refinement is performed by the modified distance regularized level set model, which takes advantage of both edge and region information as balloon force. We evaluated our proposed scheme based on 35 public datasets, and experimental result shows that the proposed method can be deployed for robust and precise liver segmentation, to replace the tedious and time-consuming manual method.
摘要CT肝脏分割是计算机辅助临床应用的前提。然而,由于形状多变和对比度低,自动肝脏分割技术仍然面临挑战。本文提出了一种结合改进的距离正则化水平集的基于患者特异性概率图谱(PA)的肝脏分割方法。首先,计算训练图谱和测试患者图像之间的相似性,得到一系列加权图谱,用于生成患者特异性PA。然后,可以基于患者特异性PA确定最可能的肝脏区域(MLLR)。最后,通过修改的距离正则化水平集模型进行细化,其利用边缘和区域信息作为气球力。我们基于35个公共数据集对我们提出的方案进行了评估,实验结果表明,该方法可以用于鲁棒和精确的肝脏分割,以取代繁琐和耗时的手动方法。
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引用次数: 5
Analysis of the time-velocity curve in phase-contrast magnetic resonance imaging: a phantom study 相位对比磁共振成像中时间-速度曲线的分析:体模研究
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-08-06 DOI: 10.1080/24699322.2019.1649066
Jieun Park, Junghun Kim, Yongmin Chang, S. Youn, Hui-Joong Lee, E. Kang, Ki-Nam Lee, V. Suchánek, S. Hyun, Jongmin Lee
Abstract The aim of this study was to analyze the characteristics of time-velocity curve acquired by phase-contrast magnetic resonance imaging (PC-MRI) using an in-vitro flow model as a reference for hemodynamic studies. The time- velocity curves of the PC-MRI were compared with Doppler ultrasonography (US) and also compared with those obtained in the electromagnetic flowmeter. The correlation between techniques was analyzed using an electromagnetic flowmeter as a reference standard; the maximum, minimum, and average velocities, full-width at half-maximum (FWHM), and ascending gradient (AG) were measured from time-velocity curves. The correlations between an electromagnetic flowmeter and the respective measurement technique for the PC-MRI and Doppler US were found to be high (mean R2 > 0.9, p < 0.05). These results indicate that these measurement techniques are useful for measuring blood flow information and reflect actual flow. The PC-MRI was the best fit for the minimum velocity and FWHM, and the maximum velocity and AG were the best fit for Doppler US. The PC-MRI showed lower maximum velocity value and higher minimum velocity value than Doppler US. Therefore, PC-MRI demonstrates more obtuse time-velocity curve than Doppler US. In addition, the time- velocity curve of PC-MRI could be calibrated by introducing formulae that can convert each measurement value to a reference standard value within a 10% error. The PC-MRI can be used to estimate the Doppler US using this formula.
摘要本研究的目的是分析相对比磁共振成像(PC-MRI)获得的时间-速度曲线特征,以体外血流模型为血液动力学研究的参考。将PC-MRI的时间-速度曲线与多普勒超声(US)以及电磁流量计的时间-速度曲线进行了比较。以电磁流量计为参考标准,分析了各技术间的相关性;时间-速度曲线测量了最大、最小和平均速度,半最大全宽度(FWHM)和上升梯度(AG)。发现电磁流量计与PC-MRI和多普勒US各自测量技术之间的相关性很高(平均R2 > 0.9, p < 0.05)。这些结果表明,这些测量技术是有用的测量血流信息和反映实际流量。PC-MRI最适合最小速度和FWHM,最大速度和AG最适合多普勒US。PC-MRI显示最大速度值低于多普勒超声,最小速度值高于多普勒超声。因此,PC-MRI表现出比多普勒US更钝的时间-速度曲线。此外,PC-MRI的时速度曲线可以通过引入公式进行校准,该公式可以在10%的误差范围内将每个测量值转换为参考标准值。PC-MRI可用此公式估计多普勒超声。
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引用次数: 3
A visible human body slice segmentation method framework based on OneCut and adjacent image geometric features 基于oneccut和相邻图像几何特征的可见人体切片分割方法框架
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-08-06 DOI: 10.1080/24699322.2019.1649068
B. Liu, Simei Li, Jingyi Zhang, Qian Wu, Liang Yang, Wen Qi, Sijie Guan, Shuo Zhang, Jianxin Zhang
Abstract As a recent research hot issue, obtaining the accurate 3 D organ models of Visible Human Project (VHP) has many significances. Therefore, how to extract the organ regions of interest (ROI) in the large-scale color slice image data set has become an urgent issue to be solved. In this paper, we propose a method framework based on OneCut algorithm and adjacent image geometric features to continuously extract the main organ regions is proposed. This framework mainly contains two parts: firstly, the OneCut algorithm is used to segment the ROI of target organ in the current image; secondly, the foreground image (obtained ROI) is corroded into several seed points and the background image (other region except for ROI) is refined into a skeleton. Then the obtained seed points and skeleton can be transmitted and mapped onto the next image as the input of OneCut algorithm. Thereby, the serialized slice images can be processed continuously without manual delineating. The experimental results show that the extracted VHP organs are satisfactory. This method framework may provide well technic foundation for other related application.
摘要作为近年来研究的热点问题,获得准确的3 可见人体计划(VHP)的D器官模型具有许多意义。因此,如何在大规模彩色切片图像数据集中提取感兴趣器官区域(ROI)成为亟待解决的问题。本文提出了一种基于OneCut算法和相邻图像几何特征的连续提取主要器官区域的方法框架。该框架主要包括两个部分:首先,OneCut算法用于分割当前图像中目标器官的ROI;其次,将前景图像(获得的ROI)腐蚀成几个种子点,将背景图像(除ROI外的其他区域)细化成骨架。然后,可以将获得的种子点和骨架传输并映射到下一个图像上,作为OneCut算法的输入。从而,可以在没有手动描绘的情况下连续处理序列化的切片图像。实验结果表明,提取的VHP器官是令人满意的。该方法框架可为其他相关应用提供良好的技术基础。
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引用次数: 1
Advances in computer-aided medical systems and clinical measurement 计算机辅助医疗系统与临床测量的进展
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-08-02 DOI: 10.1080/24699322.2019.1649079
Chengyu Liu, L. Pan
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引用次数: 0
Modeling of soft tissue thermal damage based on GPU acceleration 基于GPU加速的软组织热损伤建模
IF 2.1 4区 医学 Q3 SURGERY Pub Date : 2019-07-24 DOI: 10.1080/24699322.2018.1557891
Jinao Zhang, J. Hills, Y. Zhong, B. Shirinzadeh, Julian Smith, Chengfan Gu
Abstract Hyperthermia treatments require precise control of thermal energy to form the coagulation zones which sufficiently cover the tumor without affecting surrounding healthy tissues. This has led modeling of soft tissue thermal damage to become important in hyperthermia treatments to completely eradicate tumors without inducing tissue damage to surrounding healthy tissues. This paper presents a methodology based on GPU acceleration for modeling and analysis of bio-heat conduction and associated thermal-induced tissue damage for prediction of soft tissue damage in thermal ablation, which is a typical hyperthermia therapy. The proposed methodology combines the Arrhenius Burn integration with Pennes’ bio-heat transfer for prediction of temperature field and thermal damage in soft tissues. The problem domain is spatially discretized on 3-D linear tetrahedral meshes by the Galerkin finite element method and temporally discretized by the explicit forward finite difference method. To address the expensive computation load involved in the finite element method, GPU acceleration is implemented using the High-Level Shader Language and achieved via a sequential execution of compute shaders in the GPU rendering pipeline. Simulations on a cube-shape specimen and comparison analysis with standalone CPU execution were conducted, demonstrating the proposed GPU-accelerated finite element method can effectively predict the temperature distribution and associated thermal damage in real time. Results show that the peak temperature is achieved at the heat source point and the variation of temperature is mainly dominated in its direct neighbourhood. It is also found that by the continuous application of point-source heat energy, the tissue at the heat source point is quickly necrotized in a matter of seconds, while the entire neighbouring tissues are fully necrotized in several minutes. Further, the proposed GPU acceleration significantly improves the computational performance for soft tissue thermal damage prediction, leading to a maximum reduction of 55.3 times in computation time comparing to standalone CPU execution.
热疗治疗需要精确控制热能,形成足以覆盖肿瘤而不影响周围健康组织的凝血区。这使得软组织热损伤的建模在热疗治疗中变得重要,以完全根除肿瘤而不引起周围健康组织的组织损伤。本文提出了一种基于GPU加速的生物热传导及相关热致组织损伤建模与分析方法,用于热消融中软组织损伤的预测,这是一种典型的热疗治疗。该方法将Arrhenius Burn理论与Pennes的生物传热理论相结合,用于预测软组织的温度场和热损伤。用伽辽金有限元法在三维线性四面体网格上进行空间离散,用显式正演有限差分法在时间上进行离散。为了解决有限元方法中涉及的昂贵的计算负载,GPU加速使用高级着色器语言实现,并通过GPU渲染管道中计算着色器的顺序执行来实现。通过对一个立方体试件的仿真和与独立CPU运行的对比分析,验证了所提出的gpu加速有限元方法可以有效地实时预测温度分布和相关的热损伤。结果表明,温度峰值出现在热源点,温度变化主要集中在热源附近。还发现,通过持续施加点源热能,热源处的组织在几秒钟内迅速坏死,而整个邻近组织在几分钟内完全坏死。此外,所提出的GPU加速显著提高了软组织热损伤预测的计算性能,与独立CPU执行相比,计算时间最多减少了55.3倍。
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引用次数: 5
期刊
Computer Assisted Surgery
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