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Laugh and Crying Perception in Patients with Severe and Moderate TBI Using FFT Analysis 重型和中度脑外伤患者笑哭感知的FFT分析
Pub Date : 2017-06-01 DOI: 10.1109/CBMS.2017.11
G. Portnova, K. Gladun
Post-traumatic emotional disorder event is a major cause of slow rehabilitation worldwide. The present study investigates the effects of emotional sound stimulation at different groups of subjects with TBI. At the base of our research strategy, we had used a group with diffuse axonal injury (DAI). We collected three groups of patients: 45 healthy adults, 20 patients with severe TBI and 19 patients with moderate TBI. Neurophysiology trials aim was to determine the processes that accompany emotional changes within traumatic brain damage. We analysed emotional EEG response for crying and laughter in patients with severe TBI, patients with moderate TBI and healthy volunteers. We used FFT analyses to quantify highfrequency HRV and average heart rate. Our results showed that patient with TBI showed higher response to crying compared to laughter, accompanied by slow-wave activity in the right temporal area and higher heart rate variability.
创伤后情绪障碍事件是世界范围内康复缓慢的主要原因。本研究探讨了情绪声刺激对不同组脑外伤患者的影响。在我们研究策略的基础上,我们选择了弥漫性轴索损伤(DAI)组。我们收集了三组患者:45名健康成人,20名重度TBI患者和19名中度TBI患者。神经生理学试验的目的是确定创伤性脑损伤中伴随情绪变化的过程。我们分析了重度脑外伤患者、中度脑外伤患者和健康志愿者哭泣和大笑的情绪脑电图反应。我们使用FFT分析来量化高频HRV和平均心率。我们的研究结果表明,与大笑相比,TBI患者对哭泣表现出更高的反应,并伴有右颞区慢波活动和更高的心率变异性。
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引用次数: 2
Simulation of Spiral Waves and Point Sources in Atrial Fibrillation with Application to Rotor Localization. 心房颤动中螺旋波和点源的仿真及其在转子定位中的应用。
Pub Date : 2017-06-01 Epub Date: 2017-11-13 DOI: 10.1109/CBMS.2017.161
Prasanth Ganesan, Kristina E Shillieto, Behnaz Ghoraani

Cardiac simulations play an important role in studies involving understanding and investigating the mechanisms of cardiac arrhythmias. Today, studies of arrhythmogenesis and maintenance are largely being performed by creating simulations of a particular arrhythmia with high accuracy comparable to the results of clinical experiments. Atrial fibrillation (AF), the most common arrhythmia in the United States and many other parts of the world, is one of the major field where simulation and modeling is largely used. AF simulations not only assist in understanding its mechanisms but also help to develop, evaluate and improve the computer algorithms used in electrophysiology (EP) systems for ablation therapies. In this paper, we begin with a brief overeview of some common techniques used in simulations to simulate two major AF mechanisms - spiral waves (or rotors) and point (or focal) sources. We particularly focus on 2D simulations using Nygren et al.'s mathematical model of human atrial cell. Then, we elucidate an application of the developed AF simulation to an algorithm designed for localizing AF rotors for improving current AF ablation therapies. Our simulation methods and results, along with the other discussions presented in this paper is aimed to provide engineers and professionals with a working-knowledge of application-specific simulations of spirals and foci.

心脏模拟在理解和研究心律失常的机制方面起着重要的作用。今天,心律失常发生和维持的研究主要是通过模拟特定心律失常来进行的,其准确度与临床实验结果相当。心房颤动(AF)是美国和世界上许多其他地区最常见的心律失常,也是大量使用仿真和建模的主要领域之一。AF模拟不仅有助于理解其机制,而且有助于开发、评估和改进用于消融治疗的电生理(EP)系统的计算机算法。在本文中,我们首先简要概述了用于模拟两种主要AF机制-螺旋波(或转子)和点(或焦点)源的一些常用技术。我们特别关注使用Nygren等人的人类心房细胞数学模型的二维模拟。然后,我们阐明了开发的AF模拟在AF转子定位算法中的应用,以改进当前的AF消融治疗。我们的模拟方法和结果,以及本文中提出的其他讨论旨在为工程师和专业人员提供特定应用的螺旋和焦点模拟的工作知识。
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引用次数: 5
Application of Affinity Analysis Techniques on Diagnosis and Prescription Data 亲和分析技术在诊断和处方数据中的应用
Pub Date : 2017-06-01 DOI: 10.1109/CBMS.2017.114
S. Theodora, Varlamis Iraklis
This study performs an Affinity Analysis ondiagnosis and prescription data in order to discover cooccurrencerelationships among diagnosis and pharmaceuticalactive ingredients prescribed to different patient groups. Theanalysis data collected during consecutive visits of 4,473 patients in a 3 years period, focused on patients suffering byhypertension and/or hypercholesterolemia and appliedassociation rule and sequential rule mining techniques. Thefindings have been validated in the specific dataset usingstatistical analysis methods. Association rule mining shows an association between gastrooesophagealreflux and the medicines prescribed forhypertension and heart diseases, which agrees with findings inthe related literature. Another interesting finding, not yet beenreported in related studies is the association between heartdiseases, gastroesophageal reflux and insulin-dependentdiabetes mellitus for patients that have both hypertension andhypercholesterolemia. Apart from the medical findings, which must be subject offurther research we propose a methodology for the analysis ofdata collected from a continuous screening process of a groupof patients. With the use of data mining techniques we are ableto extract and formulate the potential research questions, which are then validated using statistical methods and can alsobe validated in larger population studies.
本研究对诊断和处方数据进行亲和分析,以发现不同患者群体的诊断和药物活性成分之间的共现关系。在3年的时间里,对4473例高血压和/或高胆固醇血症患者的连续就诊数据进行了分析,并应用了关联规则和顺序规则挖掘技术。研究结果已在特定数据集中使用统计分析方法进行验证。关联规则挖掘显示胃食管反流与高血压和心脏病处方药物之间存在关联,这与相关文献的研究结果一致。另一个尚未在相关研究中报道的有趣发现是,对于同时患有高血压和高胆固醇血症的患者,心脏病、胃食管反流和胰岛素依赖性糖尿病之间存在关联。除了需要进一步研究的医学发现之外,我们提出了一种方法,用于分析从一组患者的连续筛选过程中收集的数据。通过使用数据挖掘技术,我们能够提取和制定潜在的研究问题,然后使用统计方法进行验证,也可以在更大的人口研究中进行验证。
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引用次数: 2
A New Ontology-Based Method for Functional Composed Comparison of MicroRNAs 基于本体的microrna功能组成比较新方法
Pub Date : 2015-06-22 DOI: 10.1109/CBMS.2015.55
Mariana Yuri Sasazaki, J. C. Felipe
MicroRNAs (miRNAs) are small non-coding RNA molecules that negatively regulate gene expression, playing critical roles in many relevant biological processes. Since there are no terms of miRNAs annotation in Gene Ontology (GO) nor a database with miRNA functional annotation, the direct computation of functional similarity between miRNAs cannot be done under an established standardized approach. However, a miRNA can be annotated with a set of information, such as if it acts as oncogene or as tumour suppressor, the organism that it belongs, its association with diseases, target genes, proteins and pathological events. This way, the similarity between two miRNAs can be inferred based, for example, in the relative position of their respective target genes in GO. In this study, we propose and evaluate CFSim, a method that uses GO and the disease ontology MeSH to compute miRNAs composed similarity by combining different information related to them. We validated CFSim by examining functional similarity values inferred intra and inter miRNA families, and the results showed that our method is efficient in sense that the functional similarity between miRNAs in the same family was higher compared to other miRNAs from distinct families. Furthermore, in comparison with existing methods for functional similarity, CFSim is more effective in distinguishing miRNA families.
MicroRNAs (miRNAs)是一种非编码小分子RNA,可以负向调节基因表达,在许多相关的生物学过程中发挥关键作用。由于基因本体(Gene Ontology, GO)中没有miRNA注释的术语,也没有miRNA功能注释的数据库,因此无法在既定的标准化方法下直接计算miRNA之间的功能相似性。然而,miRNA可以用一系列信息进行注释,例如它是作为致癌基因还是肿瘤抑制基因,它所属的生物体,它与疾病的关联,靶基因,蛋白质和病理事件。通过这种方式,可以推断出两个mirna之间的相似性,例如,基于它们各自靶基因在氧化石墨烯中的相对位置。在本研究中,我们提出并评估了CFSim,这是一种使用GO和疾病本体MeSH通过组合与它们相关的不同信息来计算mirna组成相似度的方法。我们通过检查miRNA家族内部和家族间推断的功能相似性值来验证CFSim,结果表明我们的方法是有效的,因为同一家族的miRNA之间的功能相似性高于来自不同家族的其他miRNA。此外,与现有的功能相似性方法相比,CFSim在区分miRNA家族方面更有效。
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引用次数: 0
Developing an Educational Medical Game Using AgilePASSI Multi-agent Methodology 使用AgilePASSI多智能体方法开发教育医学游戏
Pub Date : 2015-06-22 DOI: 10.1109/CBMS.2015.81
Vitor Manuel Fragoso Ferreira, J. Carvalho, R. M. Costa, Vera Werneck
Games applied to health education have emerged as a motivational improvement in learning and clinical performance of students from the health care area. Currently, there are several agent oriented methodologies that support the multi-agent systems development. However none are specific to the domain of medical and health education. Agent-oriented development of medical educational games must have special features such working with a multidisciplinary team, have a high degree of user involvement and allow a mutuality of game requirements. Within this context, this paper presents the development of MEDEDUC, an educational systems technology applying agile development through the AGILE-PASSI methodology. This game, which has five levels of difficulty, allows the student to study pulmonology answering questions that explore multimedia presentations. The results of this study stressed the advantages of the agile development methodology game that combines medical theory and multi-agent.
应用于健康教育的游戏已经出现,作为一种动机改进学习和临床表现的学生来自卫生保健领域。目前,有几种面向代理的方法支持多代理系统的开发。但是,没有一个是专门针对医学和卫生教育领域的。面向代理的医学教育游戏开发必须具有特殊的功能,如与多学科团队合作,具有高度的用户参与度,并允许游戏需求的相互性。在此背景下,本文介绍了MEDEDUC的开发,这是一种通过agile - passi方法应用敏捷开发的教育系统技术。这个游戏有五个级别的难度,允许学生学习肺脏学,回答探索多媒体演示的问题。本研究的结果强调了结合医学理论和多agent的敏捷开发方法game的优势。
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引用次数: 3
Electronic Systems Interoperability Study: Based on the Interchange of Hospital Obstetrical Information 基于医院产科信息交换的电子系统互操作性研究
Pub Date : 2015-06-22 DOI: 10.1109/CBMS.2015.57
Z. Reis, J. Gaspar, A. C. Souza, M. S. Junior, Thais Abreu Maia, M. R. Santos
The Obstetric Inpatient Discharge Summary is a document considered essential in the complex care network for health care continuity. AIMS: The study proposes a model for the transmission of clinical information contained in the discharge summary with the aim of exchanging the information between electronic systems and defining standards, allowing the testing of obstetric records interoperability, referring, in particular, to births. METHODS: Information was modeled using the methodology for developing archetypes proposed in the International Standardization Organization 13606 standard. RESULTS: The electronic document was implemented in a university hospital, and the information was divided into two sections, one containing maternal data and the other neonate(s) information. An Electronic Health Record extract in eXtensible Markup Language, containing structured clinical data, will constitute the vector of transmission system from hospital information to primary care units. CONCLUSION: The model proposed is expected to subsidize information semantic persistence, contributing to health care quality.
产科住院病人出院摘要是一份文件,被认为是复杂的保健网络中必不可少的保健连续性。目的:该研究提出了一种传输出院摘要中包含的临床信息的模型,目的是在电子系统和定义标准之间交换信息,允许产科记录互操作性的测试,特别是指分娩。方法:使用国际标准化组织13606标准中提出的开发原型的方法对信息进行建模。结果:某高校医院实施了电子病历,病历信息分为两部分,一部分包含产妇信息,另一部分包含新生儿信息。以可扩展标记语言编写的包含结构化临床数据的电子病历摘录将构成从医院信息到初级保健单位的传输系统的载体。结论:该模型可增强信息语义持久性,提高医疗服务质量。
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引用次数: 4
Automated Detection of 3D Landmarks for the Elimination of Non-Biological Variation in Geometric Morphometric Analyses. 用于消除几何形态测量分析中非生物变异的3D地标自动检测。
Pub Date : 2015-06-01 DOI: 10.1109/CBMS.2015.86
D Aneja, S R Vora, E D Camci, L G Shapiro, T C Cox

Landmark-based morphometric analyses are used by anthropologists, developmental and evolutionary biologists to understand shape and size differences (eg. in the cranioskeleton) between groups of specimens. The standard, labor intensive approach is for researchers to manually place landmarks on 3D image datasets. As landmark recognition is subject to inaccuracies of human perception, digitization of landmark coordinates is typically repeated (often by more than one person) and the mean coordinates are used. In an attempt to improve efficiency and reproducibility between researchers, we have developed an algorithm to locate landmarks on CT mouse hemi-mandible data. The method is evaluated on 3D meshes of 28-day old mice, and results compared to landmarks manually identified by experts. Quantitative shape comparison between two inbred mouse strains demonstrate that data obtained using our algorithm also has enhanced statistical power when compared to data obtained by manual landmarking.

基于地标的形态计量学分析被人类学家、发育和进化生物学家用来理解形状和大小的差异。在颅骨中)在标本群之间。标准的劳动密集型方法是研究人员手动在3D图像数据集上放置地标。由于地标识别受制于人类感知的不准确性,地标坐标的数字化通常是重复的(通常不止一个人),并使用平均坐标。为了提高研究人员之间的效率和可重复性,我们开发了一种算法来定位CT小鼠半下颌骨数据上的地标。该方法在28天龄小鼠的三维网格上进行了评估,并将结果与专家手动识别的地标进行了比较。对两种近交系小鼠的形状进行定量比较,结果表明,与手工标记数据相比,本文算法获得的数据具有更强的统计能力。
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引用次数: 14
Lyria PACS: A Case Study Saves Ten Million Dollars in a Brazilian Hospital Lyria PACS:巴西一家医院的案例研究节省了一千万美元
Pub Date : 2015-01-01 DOI: 10.1109/CBMS.2015.87
D. F. Carvalho, J. A. Guerrero, P. M. A. Marques, Alessandra Alaniz Macedo
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引用次数: 0
A Multicriteria Method for Cervical Tumor Segmentation in Positron Emission Tomography 一种多准则的正电子发射断层扫描子宫颈肿瘤分割方法
Pub Date : 2014-05-27 DOI: 10.1109/CBMS.2014.52
Andre Luis Resende Monteiro, A. Machado, Marcelo Henrique Mamede Lewer
Accurate delineation of tumors is a fundamental requirement for proper planning and subsequent cancer treatment. In this paper, we propose to model the process of tumor segmentation as a multicriteria decision making problem, considering the information embedded in both Positron Emission Tomography (PET) and Computed tomography (CT) images. A set of images of cervical tumors were semi-automated segmented and the results compared with a manual delineation. The results show that using a multiple criteria approach in the segmentation process can improve sensitivity, and the utilization of both PET and CT images may be a factor for improving precision.
准确描述肿瘤是正确规划和后续癌症治疗的基本要求。在本文中,我们提出将肿瘤分割过程建模为一个多准则决策问题,同时考虑到正电子发射断层扫描(PET)和计算机断层扫描(CT)图像中嵌入的信息。对一组宫颈肿瘤图像进行了半自动分割,并与人工分割结果进行了比较。结果表明,在分割过程中采用多准则方法可以提高灵敏度,同时利用PET和CT图像可能是提高精度的一个因素。
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引用次数: 5
Classifying Craniosynostosis with a 3D Projection-Based Feature Extraction System. 利用基于三维投影的特征提取系统对颅畸形进行分类。
Pub Date : 2014-05-01 DOI: 10.1109/CBMS.2014.63
Irma Lam, Michael Cunningham, Matthew Speltz, Linda Shapiro

Craniosynostosis, a disorder in which one or more fibrous joints of the skull fuse prematurely, causes skull deformity and is associated with increased intracranial pressure and developmental delays. Although clinicians can easily diagnose craniosynostosis and can classify its type, being able to quantify the condition is an important problem in craniofacial research. While several papers have attempted this quantification through statistical models, the methods have not been intuitive to biomedical researchers and clinicians who want to use them. The goal of this work was to develop a general platform upon which new quantification measures could be developed and tested. The features reported in this paper were developed as basic shape measures, both single-valued and vector-valued, that are extracted from a single plane projection of the 3D skull. This technique allows us to process images that would otherwise be eliminated in previous systems due to poor resolution, noise or imperfections on their CT scans. We test our new features on classification tasks and also compare their performance to previous research. In spite of its simplicity, the classification accuracy of our new features is significantly higher than previous results on head CT scan data from the same research studies.

颅骨融合症是一种颅骨的一个或多个纤维关节过早融合的疾病,会导致颅骨畸形,并与颅内压增高和发育迟缓有关。虽然临床医生可以很容易地诊断出颅骨融合症并对其类型进行分类,但如何量化这种疾病是颅面研究中的一个重要问题。虽然已有多篇论文尝试通过统计模型进行量化,但这些方法对于想要使用它们的生物医学研究人员和临床医生来说并不直观。这项工作的目标是开发一个通用平台,在此基础上开发和测试新的量化方法。本文报告的特征是作为基本形状测量方法开发的,包括单值和向量值,均从三维头骨的单一平面投影中提取。这项技术使我们能够处理那些在以前的系统中由于分辨率低、噪声或 CT 扫描不完美而被剔除的图像。我们在分类任务中测试了我们的新特征,并将其性能与之前的研究进行了比较。尽管我们的新特征非常简单,但其分类准确率却明显高于之前在相同研究的头部 CT 扫描数据上的结果。
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引用次数: 0
期刊
Proceedings. IEEE International Symposium on Computer-Based Medical Systems
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