Growing evidence highlights the importance of body composition (BC), including bone, muscle, and adipose tissue (AT), as a critical biomarker for cardiometabolic risk stratification. However, conventional methods for quantifying BC components using medical images are hindered by labor-intensive workflows and limited anatomical coverage. This study developed BioCompNet-an end-to-end deep learning workflow that integrates dual-parametric magnetic resonance imaging (MRI) sequences (water/fat) with a hierarchical U-Net architecture to enable fully automated quantification of 15 biomechanically critical BC components. BioCompNet targets 10 abdominal compartments (vertebral bone, psoas muscles, core muscles, subcutaneous AT [SAT], superficial SAT, deep SAT, intraperitoneal AT, retroperitoneal AT, visceral AT, and intermuscular AT [IMAT]) and 5 thigh compartments (femur, muscle, SAT, IMAT, and vessels). The workflow was developed on 8,048 MRI slices from a community-based cohort (n = 503) and independently validated on 240 MRI slices from a tertiary hospital (n = 30). The model's performance was benchmarked against expert annotations. On internal and external validation datasets, BioCompNet achieved average Dice similarity coefficients of 0.944 and 0.938 for abdominal compartments and 0.961 and 0.936 for thigh compartments, respectively. Excellent interreader reliability was observed (intraclass correlation coefficient ≥ 0.881) across all quantified features, and IMAT quantification showed a strong linear trend (Ptrend < 0.001) compared to physician-rated assessments. The workflow substantially reduced processing time from 128.8 ± 5.6 to 0.12 ± 0.001 min per case. By enabling rapid, accurate, and comprehensive volumetric analysis of BC components, BioCompNet establishes a scalable framework for precision cardiometabolic risk assessment and clinical decision support.
{"title":"BioCompNet: A Deep Learning Workflow Enabling Automated Body Composition Analysis toward Precision Management of Cardiometabolic Disorders.","authors":"Jianyong Wei, Hongli Chen, Lijun Yao, Xuhong Hou, Rong Zhang, Liang Shi, Jianqing Sun, Cheng Hu, Xiaoer Wei, Weiping Jia","doi":"10.34133/cbsystems.0381","DOIUrl":"10.34133/cbsystems.0381","url":null,"abstract":"<p><p>Growing evidence highlights the importance of body composition (BC), including bone, muscle, and adipose tissue (AT), as a critical biomarker for cardiometabolic risk stratification. However, conventional methods for quantifying BC components using medical images are hindered by labor-intensive workflows and limited anatomical coverage. This study developed BioCompNet-an end-to-end deep learning workflow that integrates dual-parametric magnetic resonance imaging (MRI) sequences (water/fat) with a hierarchical U-Net architecture to enable fully automated quantification of 15 biomechanically critical BC components. BioCompNet targets 10 abdominal compartments (vertebral bone, psoas muscles, core muscles, subcutaneous AT [SAT], superficial SAT, deep SAT, intraperitoneal AT, retroperitoneal AT, visceral AT, and intermuscular AT [IMAT]) and 5 thigh compartments (femur, muscle, SAT, IMAT, and vessels). The workflow was developed on 8,048 MRI slices from a community-based cohort (<i>n</i> = 503) and independently validated on 240 MRI slices from a tertiary hospital (<i>n</i> = 30). The model's performance was benchmarked against expert annotations. On internal and external validation datasets, BioCompNet achieved average Dice similarity coefficients of 0.944 and 0.938 for abdominal compartments and 0.961 and 0.936 for thigh compartments, respectively. Excellent interreader reliability was observed (intraclass correlation coefficient ≥ 0.881) across all quantified features, and IMAT quantification showed a strong linear trend (<i>P</i> <sub>trend</sub> < 0.001) compared to physician-rated assessments. The workflow substantially reduced processing time from 128.8 ± 5.6 to 0.12 ± 0.001 min per case. By enabling rapid, accurate, and comprehensive volumetric analysis of BC components, BioCompNet establishes a scalable framework for precision cardiometabolic risk assessment and clinical decision support.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0381"},"PeriodicalIF":18.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-19eCollection Date: 2025-01-01DOI: 10.34133/cbsystems.0367
Yue Li, Lu Yang, Qianbo Yu, Yi Du, Ning Wu, Wentao Xu
C-tactile afferents are low-threshold mechanoreceptors that innervate the hairy skin of mammals, essential for emotional interactions. Replication of such a mechanism could facilitate emotional interactions between humans and embodied intelligence robotic systems. Herein, we demonstrate a monolithic synaptic device that replicates and integrates tactile sensing and neuromorphic processing functions for in-sensor computing. The device is operable by both mechanical and electrical inputs, with the mechanoelectrical operation mechanism stemming from the synergistic effect of dynamic ionic migration and injection. As a proof of concept, the device effectively converts spatiotemporal tactile stimuli into distinct electrical signals, which are subsequently encoded to enable the microcomputer to classify multiple discrete emotional states, such as happiness, calmness, and excitement. This monolithic integrated device, which converges mild tactile perception with neuromorphic processing, with high tactile sensitivity and low-energy consumption, establishes an approach for emotional interaction between intelligent robots and human beings.
c -触觉传入神经是一种低阈值的机械感受器,支配哺乳动物多毛的皮肤,对情感互动至关重要。这种机制的复制可以促进人类和具身智能机器人系统之间的情感互动。在这里,我们展示了一个单片突触装置,它复制并集成了触觉传感和神经形态处理功能,用于传感器内计算。该装置采用机械和电气两种输入方式进行操作,其机电操作机制源于动态离子迁移和注入的协同作用。作为概念验证,该装置有效地将时空触觉刺激转换为不同的电信号,随后对其进行编码,使微机能够对多种离散的情绪状态进行分类,如快乐、平静和兴奋。该单片集成装置将轻度触觉感知与神经形态加工融合在一起,具有高触觉灵敏度和低能耗,为智能机器人与人之间的情感互动开辟了一条途径。
{"title":"An Integrated Monolithic Synaptic Device for C-Tactile Afferent Perception and Robot Emotional Interaction.","authors":"Yue Li, Lu Yang, Qianbo Yu, Yi Du, Ning Wu, Wentao Xu","doi":"10.34133/cbsystems.0367","DOIUrl":"10.34133/cbsystems.0367","url":null,"abstract":"<p><p>C-tactile afferents are low-threshold mechanoreceptors that innervate the hairy skin of mammals, essential for emotional interactions. Replication of such a mechanism could facilitate emotional interactions between humans and embodied intelligence robotic systems. Herein, we demonstrate a monolithic synaptic device that replicates and integrates tactile sensing and neuromorphic processing functions for in-sensor computing. The device is operable by both mechanical and electrical inputs, with the mechanoelectrical operation mechanism stemming from the synergistic effect of dynamic ionic migration and injection. As a proof of concept, the device effectively converts spatiotemporal tactile stimuli into distinct electrical signals, which are subsequently encoded to enable the microcomputer to classify multiple discrete emotional states, such as happiness, calmness, and excitement. This monolithic integrated device, which converges mild tactile perception with neuromorphic processing, with high tactile sensitivity and low-energy consumption, establishes an approach for emotional interaction between intelligent robots and human beings.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0367"},"PeriodicalIF":18.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12364544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Motivated by the agility of animal and human locomotion, highly dynamic bionic legged robots have been extensively applied across various domains. Legged robotics represents a multidisciplinary field that integrates manufacturing, materials science, electronics, and biology, and other disciplines. Among its core subsystems, the lower limbs are particularly critical, necessitating the integration of structural optimization, advanced modeling techniques, and sophisticated control strategies to fully exploit robots' dynamic performance potential. This paper presents a comprehensive review of recent developments in the structural design of single-legged robots and systematically summarizes prevailing modeling approaches and control strategies. Key challenges and potential future directions are also discussed, serving as a reference for the future application of state-of-the-art manufacturing and control methodologies in legged robotic systems.
{"title":"Bridging the Gap to Bionic Motion: Challenges in Legged Robot Limb Unit Design, Modeling, and Control.","authors":"Junhui Zhang, Jinyuan Liu, Huaizhi Zong, Pengyuan Ji, Lizhou Fang, Yong Li, Huayong Yang, Bing Xu","doi":"10.34133/cbsystems.0365","DOIUrl":"10.34133/cbsystems.0365","url":null,"abstract":"<p><p>Motivated by the agility of animal and human locomotion, highly dynamic bionic legged robots have been extensively applied across various domains. Legged robotics represents a multidisciplinary field that integrates manufacturing, materials science, electronics, and biology, and other disciplines. Among its core subsystems, the lower limbs are particularly critical, necessitating the integration of structural optimization, advanced modeling techniques, and sophisticated control strategies to fully exploit robots' dynamic performance potential. This paper presents a comprehensive review of recent developments in the structural design of single-legged robots and systematically summarizes prevailing modeling approaches and control strategies. Key challenges and potential future directions are also discussed, serving as a reference for the future application of state-of-the-art manufacturing and control methodologies in legged robotic systems.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0365"},"PeriodicalIF":18.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12364437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-07eCollection Date: 2025-01-01DOI: 10.34133/cbsystems.0339
Yujia Zhai, Jihao Xu, Hangjie Mo, Chunqi Zhang, Dong Sun
Flexible continuum robots exhibit excellent adaptability to a wide range of tasks and environments. However, accurate and efficient modeling and control remain challenging due to their inherent nonlinearities. In this article, a hybrid model-based and online data-driven control method is proposed for a tendon-driven continuum robot, which requires no prior dataset collection or training. The method incorporates the Jacobian derived from the piecewise constant curvature model with online Jacobian error compensation using a Kalman filter. Consecutive Jacobian estimates are constrained to reduce fluctuations and improve stability in real-time estimation. Experimental results validate the effectiveness of the proposed hybrid approach in enhancing tracking accuracy and demonstrate its robustness against external disturbances.
{"title":"Model-Based Control of a Continuum Manipulator with Online Jacobian Error Compensation Using Kalman Filtering.","authors":"Yujia Zhai, Jihao Xu, Hangjie Mo, Chunqi Zhang, Dong Sun","doi":"10.34133/cbsystems.0339","DOIUrl":"10.34133/cbsystems.0339","url":null,"abstract":"<p><p>Flexible continuum robots exhibit excellent adaptability to a wide range of tasks and environments. However, accurate and efficient modeling and control remain challenging due to their inherent nonlinearities. In this article, a hybrid model-based and online data-driven control method is proposed for a tendon-driven continuum robot, which requires no prior dataset collection or training. The method incorporates the Jacobian derived from the piecewise constant curvature model with online Jacobian error compensation using a Kalman filter. Consecutive Jacobian estimates are constrained to reduce fluctuations and improve stability in real-time estimation. Experimental results validate the effectiveness of the proposed hybrid approach in enhancing tracking accuracy and demonstrate its robustness against external disturbances.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0339"},"PeriodicalIF":18.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-05eCollection Date: 2025-01-01DOI: 10.34133/cbsystems.0337
Marc Josep Montagut Marques, Takayuki Masuji, Mohamed Adel, Ahmed M R Fath El-Bab, Kayo Hirose, Kanji Uchida, Hisashi Sugime, Shinjiro Umezu
Advancements in health wearable technology hold the potential to prevent critical health issues such as hyponatremia and other hydration-related conditions often triggered by intense physical activities. Approaches to address this issue include the development of thin-film wearable sensors incorporating carbon nanotubes (CNTs), which offer scalability, lightweight design, and exceptional electrical properties. CNT paper serves as an ideal substrate for electrochemical sensors like ion-selective membranes (ISMs), enabling effective on-skin electrolyte monitoring. However, current on-skin devices often face limitations in maintaining performance during human motion. This study introduces a bioinspired surface texturing technique that mimics the microstructures of rose petals to enhance wettability, self-cleaning, and ISM sensitivity. By replicating the mechanical properties of the surface texture found on rose petals, the newly developed ISM achieves accurate measurements across a 2-mm air gap, offering an improved interfacing solution that promotes better sweat recirculation and comfort. This advancement overcomes the constraints of traditional sensors, paving the way for more reliable and effective noninvasive health monitoring in real-world conditions.
{"title":"Bioinspired Microtexturing for Enhanced Sweat Adhesion in Ion-Selective Membranes.","authors":"Marc Josep Montagut Marques, Takayuki Masuji, Mohamed Adel, Ahmed M R Fath El-Bab, Kayo Hirose, Kanji Uchida, Hisashi Sugime, Shinjiro Umezu","doi":"10.34133/cbsystems.0337","DOIUrl":"10.34133/cbsystems.0337","url":null,"abstract":"<p><p>Advancements in health wearable technology hold the potential to prevent critical health issues such as hyponatremia and other hydration-related conditions often triggered by intense physical activities. Approaches to address this issue include the development of thin-film wearable sensors incorporating carbon nanotubes (CNTs), which offer scalability, lightweight design, and exceptional electrical properties. CNT paper serves as an ideal substrate for electrochemical sensors like ion-selective membranes (ISMs), enabling effective on-skin electrolyte monitoring. However, current on-skin devices often face limitations in maintaining performance during human motion. This study introduces a bioinspired surface texturing technique that mimics the microstructures of rose petals to enhance wettability, self-cleaning, and ISM sensitivity. By replicating the mechanical properties of the surface texture found on rose petals, the newly developed ISM achieves accurate measurements across a 2-mm air gap, offering an improved interfacing solution that promotes better sweat recirculation and comfort. This advancement overcomes the constraints of traditional sensors, paving the way for more reliable and effective noninvasive health monitoring in real-world conditions.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0337"},"PeriodicalIF":18.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this study, we investigate the complex network dynamics of in vitro neural systems using DishBrain, which integrates live neural cultures with high-density multi-electrode arrays in real-time, closed-loop game environments. By embedding spiking activity into lower-dimensional spaces, we distinguish between spontaneous activity (Rest) and Gameplay conditions, revealing underlying patterns crucial for real-time monitoring and manipulation. Our analysis highlights dynamic changes in connectivity during Gameplay, underscoring the highly sample efficient plasticity of these networks in response to stimuli. To explore whether this was meaningful in a broader context, we compared the learning efficiency of these biological systems with state-of-the-art deep reinforcement learning (RL) algorithms (Deep Q Network, Advantage Actor-Critic, and Proximal Policy Optimization) in a simplified Pong simulation. Through this, we introduce a meaningful comparison between biological neural systems and deep RL. We find that when samples are limited to a real-world time course, even these very simple biological cultures outperformed deep RL algorithms across various game performance characteristics, implying a higher sample efficiency.
{"title":"Dynamic Network Plasticity and Sample Efficiency in Biological Neural Cultures: A Comparative Study with Deep Reinforcement Learning.","authors":"Moein Khajehnejad, Forough Habibollahi, Alon Loeffler, Aswin Paul, Adeel Razi, Brett J Kagan","doi":"10.34133/cbsystems.0336","DOIUrl":"10.34133/cbsystems.0336","url":null,"abstract":"<p><p>In this study, we investigate the complex network dynamics of in vitro neural systems using DishBrain, which integrates live neural cultures with high-density multi-electrode arrays in real-time, closed-loop game environments. By embedding spiking activity into lower-dimensional spaces, we distinguish between spontaneous activity (Rest) and Gameplay conditions, revealing underlying patterns crucial for real-time monitoring and manipulation. Our analysis highlights dynamic changes in connectivity during Gameplay, underscoring the highly sample efficient plasticity of these networks in response to stimuli. To explore whether this was meaningful in a broader context, we compared the learning efficiency of these biological systems with state-of-the-art deep reinforcement learning (RL) algorithms (Deep Q Network, Advantage Actor-Critic, and Proximal Policy Optimization) in a simplified Pong simulation. Through this, we introduce a meaningful comparison between biological neural systems and deep RL. We find that when samples are limited to a real-world time course, even these very simple biological cultures outperformed deep RL algorithms across various game performance characteristics, implying a higher sample efficiency.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0336"},"PeriodicalIF":18.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12320521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144786080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-22eCollection Date: 2025-01-01DOI: 10.34133/cbsystems.0340
Yu Gao, Jing Li, Jie Deng, Shijing Zhang, Yingxiang Liu
Centimeter-scale robots have unique advances such as small size, light weight, and flexible motions, which exhibit great application potential in many fields. Notably, high integration and robustness are 2 key factors determining the locomotion characteristics and practical applications. Here, we propose a novel centimeter-scale quadruped piezo robot. The robot's locomotion is generated by multi-dimensional vibration trajectories at the feet, which are produced through a novel built-in actuation method. The robot achieves high locomotion speed (47.38 body length per second), high carrying capability (28.96 times self-weight), and high-resolution motion (minimum step size of 0.33 μm). Benefiting from the built-in integration method, the robot realizes the built-in integration of actuation, control, communication, and power supply, enabling untethered movement and strong robustness. It has a low startup voltage (10 V0-p) and an endurance time of 32 min. Furthermore, after enduring 3 consecutive drops, 2 kicks, and being stepped on by an adult (over 3,500 times its own weight), the system remains functional and continues to move afterward. The robot utilizes modular expansion to achieve image sensing applications, including multi-object image capture and object detection. This work provides inspiration for the balance between high-integration design and robustness in centimeter-scale robots.
厘米级机器人具有体积小、重量轻、运动灵活等独特的优点,在许多领域显示出巨大的应用潜力。值得注意的是,高集成度和鲁棒性是决定运动特性和实际应用的两个关键因素。在这里,我们提出了一种新型的厘米级四足压电机器人。机器人的运动是由脚部的多维振动轨迹产生的,该轨迹是通过一种新颖的内置驱动方法产生的。该机器人具有高运动速度(47.38体长/秒)、高承载能力(28.96倍自重)、高分辨率运动(最小步长0.33 μm)等特点。机器人采用内置集成的方式,实现了驱动、控制、通信、供电的内置集成,实现了不受束缚的运动,具有较强的鲁棒性。它的启动电压低(10 V 0-p),续航时间为32分钟。此外,在经历了连续3次跌落、2次踢腿和成年人(超过自身重量3500倍)的踩踏之后,系统仍然保持功能并继续移动。该机器人利用模块化扩展来实现图像传感应用,包括多目标图像捕获和目标检测。这项工作为厘米级机器人的高集成度设计和鲁棒性之间的平衡提供了灵感。
{"title":"A Centimeter-Scale Quadruped Piezoelectric Robot with High Integration and Strong Robustness.","authors":"Yu Gao, Jing Li, Jie Deng, Shijing Zhang, Yingxiang Liu","doi":"10.34133/cbsystems.0340","DOIUrl":"10.34133/cbsystems.0340","url":null,"abstract":"<p><p>Centimeter-scale robots have unique advances such as small size, light weight, and flexible motions, which exhibit great application potential in many fields. Notably, high integration and robustness are 2 key factors determining the locomotion characteristics and practical applications. Here, we propose a novel centimeter-scale quadruped piezo robot. The robot's locomotion is generated by multi-dimensional vibration trajectories at the feet, which are produced through a novel built-in actuation method. The robot achieves high locomotion speed (47.38 body length per second), high carrying capability (28.96 times self-weight), and high-resolution motion (minimum step size of 0.33 μm). Benefiting from the built-in integration method, the robot realizes the built-in integration of actuation, control, communication, and power supply, enabling untethered movement and strong robustness. It has a low startup voltage (10 <i>V</i> <sub>0-p</sub>) and an endurance time of 32 min. Furthermore, after enduring 3 consecutive drops, 2 kicks, and being stepped on by an adult (over 3,500 times its own weight), the system remains functional and continues to move afterward. The robot utilizes modular expansion to achieve image sensing applications, including multi-object image capture and object detection. This work provides inspiration for the balance between high-integration design and robustness in centimeter-scale robots.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0340"},"PeriodicalIF":10.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epidural electrical stimulation (EES) has emerged as a promising treatment for spinal cord injury (SCI). However, the therapeutic potential of EES in functional recovery following incomplete SCI remains limited, with few studies of a large sample size. This study included 11 patients who received EES combined with physical therapy (PT) and 10 who received only PT. Follow-ups were conducted pre-surgery, post-surgery, and at 19 to 25 months postoperatively. After the surgery, patients in the EES + PT group showed significant improvements in sensory function (P < 0.001) and muscle spasticity (P < 0.001). Long-term follow-up indicated that the EES + PT group had significant improvements in sensory function (P < 0.001), muscle spasticity (P < 0.01), and urinary function (P < 0.05). Among them, all 11 patients had improvements in sensory function and muscle spasticity, and 6 of 11 reported an improvement in urinary function. Moreover, of the 5 patients with neuropathic pain, 4 exhibited reduced pain scores. Compared with the PT-only group, the EES + PT group had significantly better recovery in sensory function (P < 0.01), muscle spasticity (P < 0.0001), muscle strength (P < 0.01), and bowel function (P < 0.01). Further analysis suggested that patients with less severe SCIs in the EES + PT group tend to achieve better functional recovery. With a relatively large sample size compared to those in previous studies, this study confirms the promising therapeutic effects of EES in SCI. EES combined with PT provides a potential approach for functional recovery in patients with incomplete SCI.
{"title":"Epidural Electrical Stimulation for Functional Recovery in Incomplete Spinal Cord Injury.","authors":"Yihang Ren, Lifen Mo, Junlin Lu, Ping Zhu, Ming Yin, Wenqing Jia, Fengyan Liang, Xiaodi Han, Jizong Zhao","doi":"10.34133/cbsystems.0314","DOIUrl":"10.34133/cbsystems.0314","url":null,"abstract":"<p><p>Epidural electrical stimulation (EES) has emerged as a promising treatment for spinal cord injury (SCI). However, the therapeutic potential of EES in functional recovery following incomplete SCI remains limited, with few studies of a large sample size. This study included 11 patients who received EES combined with physical therapy (PT) and 10 who received only PT. Follow-ups were conducted pre-surgery, post-surgery, and at 19 to 25 months postoperatively. After the surgery, patients in the EES + PT group showed significant improvements in sensory function (<i>P</i> < 0.001) and muscle spasticity (<i>P</i> < 0.001). Long-term follow-up indicated that the EES + PT group had significant improvements in sensory function (<i>P</i> < 0.001), muscle spasticity (<i>P</i> < 0.01), and urinary function (<i>P</i> < 0.05). Among them, all 11 patients had improvements in sensory function and muscle spasticity, and 6 of 11 reported an improvement in urinary function. Moreover, of the 5 patients with neuropathic pain, 4 exhibited reduced pain scores. Compared with the PT-only group, the EES + PT group had significantly better recovery in sensory function (<i>P</i> < 0.01), muscle spasticity (<i>P</i> < 0.0001), muscle strength (<i>P</i> < 0.01), and bowel function (<i>P</i> < 0.01). Further analysis suggested that patients with less severe SCIs in the EES + PT group tend to achieve better functional recovery. With a relatively large sample size compared to those in previous studies, this study confirms the promising therapeutic effects of EES in SCI. EES combined with PT provides a potential approach for functional recovery in patients with incomplete SCI.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0314"},"PeriodicalIF":10.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-17eCollection Date: 2025-01-01DOI: 10.34133/cbsystems.0319
Jessica F Liu, Jianping Xia, Joseph Rich, Shuaiguo Zhao, Kaichun Yang, Brandon Lu, Ying Chen, Tiffany Wen Ye, Tony Jun Huang
Small extracellular vesicles (sEVs) have emerged as powerful vectors for liquid biopsy, offering a noninvasive window into the dynamic physiological and pathological states of the body. However, to fully leverage the clinical potential of sEV biomarkers, it is imperative to develop robust and efficient technologies for their isolation and analysis. In this study, we introduce a novel sharp-edge acoustofluidic platform designed for rapid and effective sample preparation, coupled with sensitive detection of specific sEV populations based on their surface markers. Our approach utilizes acoustically activated sharp-edge microstructures to concentrate bead-bound sEVs within the microfluidic device, facilitating immediate visualization by fluorescence microscopy. As a proof of principle, we demonstrate the capability of this portable acoustofluidic chip to selectively isolate and detect epidermal growth factor receptor (EGFR)-expressing vesicles, achieving nearly a 6-fold signal enhancement in EGFR-positive sEVs compared to EGFR-negative populations from sample volumes as small as 50 μl. This advancement not only underscores the potential of our platform for high-sensitivity biomarker detection but also paves the way for its application in isolating organ-specific sEVs. Such capability could be transformative for real-time monitoring of organ function and the simultaneous detection of multiple sEV markers, thereby broadening the scope of diagnostic precision and therapeutic decision-making in clinical practice.
{"title":"An Acoustofluidic Device for Sample Preparation and Detection of Small Extracellular Vesicles.","authors":"Jessica F Liu, Jianping Xia, Joseph Rich, Shuaiguo Zhao, Kaichun Yang, Brandon Lu, Ying Chen, Tiffany Wen Ye, Tony Jun Huang","doi":"10.34133/cbsystems.0319","DOIUrl":"10.34133/cbsystems.0319","url":null,"abstract":"<p><p>Small extracellular vesicles (sEVs) have emerged as powerful vectors for liquid biopsy, offering a noninvasive window into the dynamic physiological and pathological states of the body. However, to fully leverage the clinical potential of sEV biomarkers, it is imperative to develop robust and efficient technologies for their isolation and analysis. In this study, we introduce a novel sharp-edge acoustofluidic platform designed for rapid and effective sample preparation, coupled with sensitive detection of specific sEV populations based on their surface markers. Our approach utilizes acoustically activated sharp-edge microstructures to concentrate bead-bound sEVs within the microfluidic device, facilitating immediate visualization by fluorescence microscopy. As a proof of principle, we demonstrate the capability of this portable acoustofluidic chip to selectively isolate and detect epidermal growth factor receptor (EGFR)-expressing vesicles, achieving nearly a 6-fold signal enhancement in EGFR-positive sEVs compared to EGFR-negative populations from sample volumes as small as 50 μl. This advancement not only underscores the potential of our platform for high-sensitivity biomarker detection but also paves the way for its application in isolating organ-specific sEVs. Such capability could be transformative for real-time monitoring of organ function and the simultaneous detection of multiple sEV markers, thereby broadening the scope of diagnostic precision and therapeutic decision-making in clinical practice.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0319"},"PeriodicalIF":10.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-02eCollection Date: 2025-01-01DOI: 10.34133/cbsystems.0305
Mengshi Zhang, Yufan Zhang, Sihui Guo, Xiaoguang Li, Li Zhuo, Yuxue Ren, Wei Chen, Yili Feng, Ruowei Tang, Han Lv, Pengfei Zhao, Zhenchang Wang, Hongxia Yin
Abnormalities in the ossicular chain, a key middle-ear component that is crucial for sound transmission, can lead to conductive hearing loss; reconstruction offers an effective treatment. Accurate preoperative ossicular-chain measurements are essential for creating prostheses; however, current methods rely on cadaver studies or manual measurements from 2-dimensional images, which are time-intensive and laborious and depend heavily on radiologist expertise. To improve efficiency, we aimed to develop a systematic approach for automated ossicular-chain segmentation and measurement using ultra-high-resolution computed tomography (U-HRCT). One hundred forty patients (226 ears) with normal ear anatomy underwent U-HRCT. Twelve parameters were defined to measure ossicular-chain components. Automated measurements based on automated segmentation of 226 ear images were verified through manual measurements. We analyzed variations by ear side, sex, and age group. Stapes analysis was limited by segmentation accuracy. Complete segmentation of the malleus, incus, and stapes was achieved in 47 ears. Automated measurements of 8 parameters showed no significant differences compared to manual measurements in 47 cases. Significant sex-based differences emerged in all parameters except stapes footplate length, incudostapedial joint angle, and stapes volume (P = 0.205, P = 0.560, and P = 0.170, respectively). Notable side-specific differences were observed in female incus height and male malleus volume (P = 0.017 and P = 0.037, respectively). No statistically significant differences were found in other parameters across different age groups, except for malleus and incus volumes (P = 0.015 and P = 0.031). The proposed algorithm effectively automated ossicular-chain segmentation and measurement, establishing a normative range for ossicular parameters and providing a valuable reference for detecting abnormalities.
{"title":"Exploration of Automated Measurement for Ossicular Chains Based on 3-Dimensional Geometric Information.","authors":"Mengshi Zhang, Yufan Zhang, Sihui Guo, Xiaoguang Li, Li Zhuo, Yuxue Ren, Wei Chen, Yili Feng, Ruowei Tang, Han Lv, Pengfei Zhao, Zhenchang Wang, Hongxia Yin","doi":"10.34133/cbsystems.0305","DOIUrl":"10.34133/cbsystems.0305","url":null,"abstract":"<p><p>Abnormalities in the ossicular chain, a key middle-ear component that is crucial for sound transmission, can lead to conductive hearing loss; reconstruction offers an effective treatment. Accurate preoperative ossicular-chain measurements are essential for creating prostheses; however, current methods rely on cadaver studies or manual measurements from 2-dimensional images, which are time-intensive and laborious and depend heavily on radiologist expertise. To improve efficiency, we aimed to develop a systematic approach for automated ossicular-chain segmentation and measurement using ultra-high-resolution computed tomography (U-HRCT). One hundred forty patients (226 ears) with normal ear anatomy underwent U-HRCT. Twelve parameters were defined to measure ossicular-chain components. Automated measurements based on automated segmentation of 226 ear images were verified through manual measurements. We analyzed variations by ear side, sex, and age group. Stapes analysis was limited by segmentation accuracy. Complete segmentation of the malleus, incus, and stapes was achieved in 47 ears. Automated measurements of 8 parameters showed no significant differences compared to manual measurements in 47 cases. Significant sex-based differences emerged in all parameters except stapes footplate length, incudostapedial joint angle, and stapes volume (<i>P</i> = 0.205, <i>P</i> = 0.560, and <i>P</i> = 0.170, respectively). Notable side-specific differences were observed in female incus height and male malleus volume (<i>P</i> = 0.017 and <i>P</i> = 0.037, respectively). No statistically significant differences were found in other parameters across different age groups, except for malleus and incus volumes (<i>P</i> = 0.015 and <i>P</i> = 0.031). The proposed algorithm effectively automated ossicular-chain segmentation and measurement, establishing a normative range for ossicular parameters and providing a valuable reference for detecting abnormalities.</p>","PeriodicalId":72764,"journal":{"name":"Cyborg and bionic systems (Washington, D.C.)","volume":"6 ","pages":"0305"},"PeriodicalIF":10.5,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}