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A computer-based method for the automatic identification of the dimensional features of human cervical vertebrae 一种基于计算机的人体颈椎尺寸特征自动识别方法
Pub Date : 2025-01-01 DOI: 10.1016/j.cmpbup.2024.100175
Nicola Cappetti , Luca Di Angelo , Carlotta Fontana , Antonio Marzola

Background and objective

Accurately measuring cervical vertebrae dimensions is crucial for diagnosing conditions, planning surgeries, and studying morphological variations related to gender, age, and ethnicity. However, traditional manual measurement methods, due to their labour-intensive nature, time-consuming process, and susceptibility to operator variability, often fall short in providing the objectivity required for reliable measurements. This study addresses these limitations by introducing a novel computer-based method for automatically identifying the dimensional features of human cervical vertebrae, leveraging 3D geometric models obtained from CT or 3D scanning.

Methods

The proposed approach involves defining a local coordinate system and establishing a set of rules and parameters to evaluate the typical dimensional features of the vertebral body, foramen, and spinous process in the sagittal and coronal planes of the high-density point cloud of the cervical vertebra model. This system provides a consistent measurement reference frame, improving the method's reliability and objectivity. Based on this reference system, the method automates the traditional standard protocol, typically performed manually by radiologists, through an algorithmic approach.

Results

The performance of the computer-based method was compared with the traditional manual approach using a dataset of nine complete cervical tracts. Manual measurements were conducted following a defined protocol. The manual method demonstrated poor repeatability and reproducibility, with substantial differences between the minimum and maximum values for the measured features in intra- and inter-operator evaluations. In contrast, the measurements obtained with the proposed computer-based method were consistent and repeatable.

Conclusions

The proposed computer-based method provides a more reliable and objective approach for measuring the dimensional features of cervical vertebrae. It establishes a procedural standard for deducing the morphological characteristics of cervical vertebrae, with significant implications for clinical applications, such as surgical planning and diagnosis, as well as for forensic anthropology and spinal anatomy research. Further refinement and validation of the algorithmic rules and investigations into the influence of morphological abnormalities are necessary to improve the method's accuracy.
背景和目的准确测量颈椎尺寸对于诊断疾病、计划手术以及研究与性别、年龄和种族相关的形态变化至关重要。然而,传统的人工测量方法,由于其劳动密集型的性质,耗时的过程,易受操作者的变化,往往不能提供可靠测量所需的客观性。本研究通过引入一种新的基于计算机的方法,利用CT或3D扫描获得的三维几何模型,自动识别人类颈椎的尺寸特征,从而解决了这些局限性。方法定义局部坐标系,建立一套规则和参数,评价颈椎模型高密度点云矢状面和冠状面椎体、椎孔和棘突的典型尺寸特征。该系统提供了一致的测量参考框架,提高了方法的可靠性和客观性。基于该参考系统,该方法通过算法方法使传统的标准方案(通常由放射科医生手动执行)自动化。结果利用9个完整宫颈束的数据集,比较了基于计算机的方法与传统手工方法的性能。人工测量按照规定的方案进行。手工方法的重复性和再现性较差,在操作者内部和操作者之间的评估中,测量特征的最小值和最大值之间存在很大差异。相比之下,采用基于计算机的方法获得的测量结果是一致的和可重复的。结论基于计算机的方法为测量颈椎的尺寸特征提供了一种更加可靠和客观的方法。它建立了一个推断颈椎形态特征的程序标准,对临床应用,如手术计划和诊断,以及法医人类学和脊柱解剖学研究具有重要意义。为了提高算法的准确性,有必要进一步改进和验证算法规则,并研究形态学异常的影响。
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引用次数: 0
Mathematical modeling of the impact of HPV vaccine uptake in reducing cervical cancer using a graph-theoretic approach via Caputo fractional-order derivatives 通过卡普托分数阶导数使用图论方法建立HPV疫苗摄取对减少宫颈癌影响的数学模型
Pub Date : 2025-01-01 DOI: 10.1016/j.cmpbup.2025.100216
Sylas Oswald , Eunice Mureithi , Berge Tsanou , Michael Chapwanya , Crispin Kahesa , Kijakazi Mashoto
Human papillomavirus (HPV) is a highly prevalent sexually transmitted infection and the primary cause of cervical cancer, which remains a leading cause of cancer-related mortality among women globally. Despite ongoing vaccination efforts, challenges such as latency, persistent infections, and imperfect vaccine coverage complicate disease control. In this study, we develop a novel fractional-order compartmental model using Caputo derivatives to capture the memory and non-local transmission effects inherent in HPV dynamics. We analyze the model’s epidemiological properties by proving positivity, boundedness, and deriving the effective reproduction number (Re) via a Graph Theoretic approach. Stability of disease-free and endemic equilibria is established through Lyapunov theory, complemented by Hyers–Ulam stability to ensure robustness. Parameter estimation is performed using Markov Chain Monte Carlo (MCMC), and sensitivity analysis utilizes Partial Rank Correlation Coefficients (PRCC) to identify key drivers of transmission. Our results indicate that achieving 56% vaccination coverage with 45.5% efficacy can reduce Re below one, supporting herd immunity. Numerical simulations demonstrate that vaccination coverage, timely treatment, and vaccine efficacy critically reduce infection prevalence and disease burden. Furthermore, higher fractional orders accelerate convergence to equilibrium without changing equilibrium values. This work lies in integrating fractional calculus with time-dependent vaccination and treatment controls to realistically model HPV progression and intervention impact. This approach provides a more accurate representation of HPV transmission dynamics, especially the long-term memory effects, thereby offering valuable insights for optimizing public health strategies.
人乳头瘤病毒(HPV)是一种非常普遍的性传播感染,也是导致宫颈癌的主要原因,而宫颈癌仍然是全球妇女癌症相关死亡的主要原因。尽管正在进行疫苗接种工作,但诸如潜伏期、持续性感染和疫苗覆盖率不完善等挑战使疾病控制复杂化。在这项研究中,我们开发了一种新的分数阶室室模型,使用卡普托衍生物来捕捉HPV动力学中固有的记忆和非局部传播效应。我们通过图论方法证明了模型的正性、有界性,并推导了有效复制数(Re),从而分析了模型的流行病学性质。通过Lyapunov理论建立了无病和地方性平衡的稳定性,并辅以Hyers-Ulam稳定性以确保鲁棒性。参数估计使用马尔可夫链蒙特卡罗(MCMC)进行,灵敏度分析使用偏秩相关系数(PRCC)来识别传输的关键驱动因素。我们的结果表明,达到56%的疫苗接种率和45.5%的效力,可将Re降至1以下,支持群体免疫。数值模拟表明,疫苗接种覆盖率、及时治疗和疫苗效力大大降低了感染流行率和疾病负担。此外,较高的分数阶在不改变平衡值的情况下加速收敛到平衡。这项工作在于将分数微积分与时间依赖的疫苗接种和治疗控制相结合,以现实地模拟HPV进展和干预影响。这种方法提供了HPV传播动态的更准确的表示,特别是长期记忆效应,从而为优化公共卫生策略提供了有价值的见解。
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引用次数: 0
SincVAE: A new semi-supervised approach to improve anomaly detection on EEG data using SincNet and variational autoencoder SincVAE:一种利用SincNet和变分自编码器改进EEG数据异常检测的半监督方法
Pub Date : 2025-01-01 DOI: 10.1016/j.cmpbup.2025.100213
Andrea Pollastro, Francesco Isgrò, Roberto Prevete
Over the past few decades, electroencephalography monitoring has become a pivotal tool for diagnosing neurological disorders, particularly for detecting seizures. Epilepsy, one of the most prevalent neurological diseases worldwide, affects approximately 1 % of the population. These patients face significant risks, underscoring the need for reliable, continuous seizure monitoring in daily life. Most of the techniques discussed in the literature rely on supervised machine learning methods. However, the challenge of accurately labeling variations in epileptic electroencephalography waveforms complicates the use of these approaches. Additionally, the rarity of ictal events introduces a high imbalance within the data, which could lead to poor prediction performance in supervised learning approaches. Instead, a semi-supervised approach allows training the model only on data that does not contain seizures, thus avoiding the issues related to the data imbalance. This work introduces a semi-supervised approach for detecting epileptic seizures from electroencephalography data based on a novel deep learning-based method called SincVAE. This method integrates SincNet, designed to learn an ad-hoc array of bandpass filters, as the first layer of a variational autoencoder, potentially eliminating the preprocessing stage where informative frequency bands are identified and isolated. Experimental evaluations on the Bonn and CHB-MIT datasets indicate that SincVAE improves seizure detection in electroencephalography data, with the capability to identify early seizures during the preictal stage and monitor patients throughout the postictal stage.
在过去的几十年里,脑电图监测已经成为诊断神经系统疾病,特别是检测癫痫发作的关键工具。癫痫是世界上最普遍的神经系统疾病之一,影响约1%的人口。这些患者面临重大风险,强调在日常生活中需要可靠、持续的癫痫监测。文献中讨论的大多数技术都依赖于监督机器学习方法。然而,准确标记癫痫脑电图波形变化的挑战使这些方法的使用复杂化。此外,关键事件的稀有性引入了数据内部的高度不平衡,这可能导致监督学习方法的预测性能较差。相反,半监督方法允许只在不包含癫痫发作的数据上训练模型,从而避免与数据不平衡相关的问题。这项工作介绍了一种半监督的方法,用于从脑电图数据中检测癫痫发作,该方法基于一种名为SincVAE的新型深度学习方法。该方法集成了SincNet,旨在学习特设的带通滤波器阵列,作为变分自编码器的第一层,潜在地消除了识别和隔离信息频带的预处理阶段。波恩和CHB-MIT数据集的实验评估表明,SincVAE提高了脑电图数据中的癫痫检测,能够识别出孕前阶段的早期癫痫发作,并在整个产后阶段监测患者。
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引用次数: 0
Sensitivity of patient-specific physiological and pathological aortic hemodynamics to the choice of outlet boundary condition in numerical models 数值模型中患者特异性生理和病理主动脉血流动力学对出口边界条件选择的敏感性
Pub Date : 2025-01-01 DOI: 10.1016/j.cmpbup.2025.100194
Tianai Wang , Christine Quast , Florian Bönner , Tobias Zeus , Malte Kelm , Teresa Lemainque , Ulrich Steinseifer , Michael Neidlin

Purpose

Outlet boundary conditions (OBC) play a pivotal role in all simulations of vascular flow. However, previous investigations of OBC impact on numerical aortic flow simulations were not yet comprehensive for the entirety of hemodynamic characteristics. They mainly investigated near-wall properties and velocity in physiological flow. Therefore, the aim of this work was to expand the sensitivity assessment to hemodynamic markers in the bulk flow to the choice of OBC for a physiological and pathological aortic flow field.

Material and methods

Image-based computational models of subject-specific aortic geometries were created. Temporally and spatially resolved inlet velocity profiles derived from 4D Flow MRI were implemented. Three types of OBCs were compared: zero pressure, loss coefficients and three-element Windkessel. Their influence on velocity, near-wall properties and bulk flow quantities were analyzed.

Results

Velocity and near-wall parameters in the ascending aorta are largely insensitive to the OBC choice. However, bulk flow parameters, in particular the helicity field, are highly sensitive throughout the entire aortic domain with differences of up to 600 % between models. The relative sensitivity to OBC drops for pathological flows, as the influence of more complex inlet profiles increases.

Conclusion

While the sensitivity of velocity and near-wall parameters to OBC choice is insignificant when only the ascending aorta is assessed, our study proposes a more thorough discernment once bulk flow parameters are of interest. Different degrees of boundary condition complexity are required to determine the hemodynamic properties of interest accurately. A support tool is presented to determine the case-dependent minimum requirement for inlet and outlet boundary conditions.
目的出口边界条件(OBC)在所有血管流动模拟中起着关键作用。然而,先前关于腹主动脉动脉粥样斑块对主动脉血流数值模拟影响的研究尚未全面反映整个血流动力学特征。他们主要研究了生理流动的近壁特性和速度。因此,这项工作的目的是扩大对大流量血流动力学标志物的敏感性评估,以选择生理和病理主动脉流场的OBC。材料和方法建立基于图像的受试者主动脉几何形状计算模型。从4D Flow MRI中提取的进口速度曲线进行了时间和空间分辨。比较了三种OBCs:零压、损失系数和三元风筒。分析了它们对速度、近壁特性和总体流量的影响。结果升主动脉流速和近壁参数对OBC的选择基本不敏感。然而,整体流量参数,特别是螺旋场,在整个主动脉区域是高度敏感的,模型之间的差异高达600%。随着更复杂的进口剖面的影响增加,病理流动对OBC的相对敏感性下降。结论当仅评估升主动脉时,流速和近壁参数对OBC选择的敏感性不显著,但我们的研究表明,一旦对容积流量参数感兴趣,就可以更彻底地识别OBC。不同程度的边界条件复杂性需要准确地确定感兴趣的血流动力学性质。提出了一种辅助工具来确定与情况有关的进出口边界条件的最小要求。
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引用次数: 0
Picture: A web application for decision support in glioma surgery 图:神经胶质瘤手术决策支持的web应用程序
Pub Date : 2025-01-01 DOI: 10.1016/j.cmpbup.2025.100199
Maisa N.G. van Genderen , Raymond M. Martens , Frederik Barkhof , Philip C. de Witt Hamer , Roelant S. Eijgelaar

Background and Objective

Patients with glioma, the most common primary malignant brain tumor, often undergo surgery, aiming to remove as much tumor as possible while maintaining functional integrity. However, there is large variation in surgical decisions. This study aims to provide a data-driven approach to surgery planning and evaluation, estimating personalized potential extent of resection, based on a large multicenter MRI database.

Methods

We developed an interactive web-application (PICTURE tool), that uses segmented MRI scans from prior surgeries to create resection probability maps. The maps depict the chance of tumor tissue resection based on decisions in prior surgeries.

Results

The PICTURE tool enables uploading scans of a new patient and comparing these with the resection probability map of previous patients. This map can then be filtered for clinical characteristics to compare with similar patients and can be interactively explored to determine which parts of the tumor are more or less likely to be resected in a particular patient. Additionally, tumor characteristics and expected extent of resection are reported.

Conclusions

The PICTURE tool can enable data-driven glioma surgery planning through interactive generation of resection probability maps.
背景与目的神经胶质瘤是最常见的原发性恶性脑肿瘤,其患者经常接受手术治疗,目的是在保持功能完整的同时尽可能多地切除肿瘤。然而,在手术决定上有很大的差异。本研究旨在基于大型多中心MRI数据库,为手术计划和评估提供数据驱动的方法,估计个性化切除的潜在程度。方法我们开发了一个交互式web应用程序(PICTURE工具),该应用程序使用先前手术的分割MRI扫描来创建切除概率图。这些图描述了基于先前手术决定的肿瘤组织切除的机会。结果PICTURE工具可以上传新患者的扫描,并将其与以前患者的切除概率图进行比较。然后,这张图可以过滤临床特征,与类似的患者进行比较,并可以交互式地探索,以确定特定患者肿瘤的哪些部分更有可能被切除。此外,还报道了肿瘤的特征和预期的切除范围。结论通过交互式生成切除概率图,PICTURE工具可以实现数据驱动的胶质瘤手术计划。
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引用次数: 0
Privacy-preserving brain tumor detection using FPGA-accelerated deep learning on Kria KV260 for smart healthcare 在Kria KV260上使用fpga加速深度学习进行智能医疗的隐私保护脑肿瘤检测
Pub Date : 2025-01-01 DOI: 10.1016/j.cmpbup.2025.100205
Kusum Lata , Prashant Singh , Sandeep Saini , Linga Reddy Cenkeramaddi
Technological advancements in high-performance electronics have fueled the development of cutting-edge medical applications, leading to exponential growth in effective treatment and diagnostic solutions for various medical problems. Incorporating deep learning-based systems with medical imaging technologies has revolutionized the field of disease detection. Ensuring the security and privacy of patient’s health records is crucial to developing sophisticated medical imaging diagnostic applications. This paper presents a privacy-focused, vision-based approach for effective brain tumor detection using deep learning algorithms such as ResNet-18, ResNet-50, and InceptionV3, deployed on the KV260 board, which is based on Xilinx® Kria™ K26 System on Module (SOM) platform, a Zynq® UltraScale+ MPSoC. We have integrated the AES-128 cryptographic algorithm with the Password-Based Key Derivation Function 2 (PBKDF2) hashing algorithm to maintain patients' privacy in MRI scans. This ensures the protection of patient data on the server and data movement to and from external servers. The designed system is evaluated for performance by examining its technical metric parameters- accuracy, precision, F1 score, and Recall. Security parameters such as entropy, energy, contrast, and correlation are used to evaluate the security strength of the proposed system. Microsoft operating systems compatible web application is also developed while integrating the above-proposed system on the KV 260 FPGA board. This application can be used remotely to upload the MRI scans and get the prediction results quickly and accurately. Performance assessment shows that ResNet18 outperforms testing-related metric parameters and execution time on the KV260 FPGA board while keeping patient data confidential, making it an ideal edge-device implementation for real-time clinical use.
高性能电子技术的进步推动了尖端医疗应用的发展,导致各种医疗问题的有效治疗和诊断解决方案呈指数级增长。将基于深度学习的系统与医学成像技术相结合,已经彻底改变了疾病检测领域。确保患者健康记录的安全性和隐私性对于开发复杂的医学成像诊断应用程序至关重要。本文介绍了一种以隐私为中心、基于视觉的有效脑肿瘤检测方法,该方法使用深度学习算法(如ResNet-18、ResNet-50和InceptionV3)部署在KV260板上,KV260板基于Xilinx®Kria™K26 System on Module (SOM)平台、Zynq®UltraScale+ MPSoC。我们将AES-128加密算法与基于密码的密钥派生函数2 (PBKDF2)散列算法集成在一起,以维护MRI扫描中患者的隐私。这确保了对服务器上的患者数据的保护以及与外部服务器之间的数据移动。通过检查其技术度量参数-准确性,精密度,F1分数和召回率来评估设计的系统的性能。安全参数如熵、能量、对比度和相关性被用来评估所提议系统的安全强度。将该系统集成在kv260 FPGA板上,开发了兼容微软操作系统的web应用程序。该应用程序可以远程上传MRI扫描,并快速准确地获得预测结果。性能评估表明,ResNet18在KV260 FPGA板上的性能优于测试相关指标参数和执行时间,同时保持患者数据的机密性,使其成为实时临床使用的理想边缘设备实现。
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引用次数: 0
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引用次数: 0
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引用次数: 0
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":72670,"journal":{"name":"Computer methods and programs in biomedicine update","volume":"8 ","pages":"Article 100199"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147181427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dynamics and optimal control of fractional-order monkeypox epidemic model with social distancing habits and public awareness 具有社会距离习惯和公众意识的分数阶猴痘流行模型动力学及最优控制
Pub Date : 2025-01-01 DOI: 10.1016/j.cmpbup.2025.100187
Raqqasyi Rahmatullah Musafir, Agus Suryanto, Isnani Darti, Trisilowati
In this article, we propose a fractional-order monkeypox epidemic model incorporating social distancing habits and public awareness. The model includes the addition of a protected compartment and a saturated transmission rate. We implement a power rescaling for the parameters of the proposed model to ensure dimensional consistency. We have investigated the existence, uniqueness, nonnegativity, and boundedness of the solution. The model features monkeypox-free, human-endemic, and endemic equilibrium points, which depend on the order of derivative. The existence and stability of each equilibrium point have been analyzed locally and globally, depending on the basic reproduction number. Moreover, the basic reproduction number of the model also depends on the order of derivative. We carried out a case study using real data showing that the fractional-order model performs better than the first-order model in calibration and forecasting. Numerical simulations confirm the stability properties of each equilibrium point with respect to the specified parameter values. Numerical simulations also demonstrate that the social distancing habits can reduce monkeypox cases in the early stages, but do not significantly alter the basic reproduction number. Meanwhile, public awareness can substantially modify the basic reproduction number, shifting the endemic condition towards a disease-free state, although its impact on case reduction in the early period is not significant. We also implemented optimal control strategies for vector culling and vaccination in the proposed model. We have solved the optimal control problem, and the simulation results show that the combination of both controls yields the minimum cost with better effectiveness compared to the controls implemented separately.
在本文中,我们提出了一个包含社会距离习惯和公众意识的分数阶猴痘流行模型。该模型包括增加一个保护隔间和饱和传输速率。我们对所提出的模型的参数进行幂次缩放以确保维度的一致性。我们研究了解的存在性、唯一性、非负性和有界性。该模型具有无猴痘、人类地方病和地方病的平衡点,这些平衡点取决于导数的阶数。根据基本复制数,分析了各平衡点的局部和全局存在性和稳定性。此外,模型的基本再现数还取决于导数的阶数。用实际数据进行了实例研究,结果表明分数阶模型在校正和预测方面优于一阶模型。数值模拟证实了各平衡点相对于指定参数值的稳定性。数值模拟还表明,保持社交距离的习惯可以在早期减少猴痘病例,但不会显著改变基本繁殖数量。同时,公众意识可以大大改变基本繁殖数,将地方病状况转变为无病状态,尽管其对早期病例减少的影响并不显著。我们还在该模型中实现了媒介扑杀和疫苗接种的最优控制策略。我们解决了最优控制问题,仿真结果表明,与单独实现控制相比,两种控制组合产生的成本最小且效果更好。
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引用次数: 0
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Computer methods and programs in biomedicine update
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