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Characterization of MSC Growth, Differentiation, and EV Production in CNF Hydrogels Under Static and Dynamic Cultures in Hypoxic and Normoxic Conditions. 低氧和常氧条件下静态和动态培养 CNF 水凝胶中间叶干细胞的生长、分化和 EV 生成特征。
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-21 DOI: 10.3390/bioengineering11101050
Ilias Nikolits, Farhad Chariyev-Prinz, Dominik Egger, Falk Liebner, Nicolas Mytzka, Cornelia Kasper

Mesenchymal stem cells (MSCs) hold immense therapeutic potential due to their regenerative and immunomodulatory properties. However, to utilize this potential, it is crucial to optimize their in vitro cultivation conditions. Three-dimensional (3D) culture methods using cell-laden hydrogels aim to mimic the physiological microenvironment in vitro, thus preserving MSC biological functionalities. Cellulosic hydrogels are particularly promising due to their biocompatibility, sustainability, and tunability in terms of chemical, morphological, and mechanical properties. This study investigated the impact of (1) two physical crosslinking scenarios for hydrogels derived from anionic cellulose nanofibers (to-CNF) used to encapsulate adipose-derived MSCs (adMSCs) and (2) physiological culture conditions on the in vitro proliferation, differentiation, and extracellular vesicle (EV) production of these adMSCs. The results revealed that additional Ca2+-mediated crosslinking, intended to complement the self-assembly and gelation of aqueous to-CNF in the adMSC cultivation medium, adversely affected both the mechanical properties of the hydrogel spheres and the growth of the encapsulated cells. However, cultivation under dynamic and hypoxic conditions significantly improved the proliferation and differentiation of the encapsulated adMSCs. Furthermore, it was demonstrated that the adMSCs in the CNF hydrogel spheres exhibited potential for scalable EV production with potent immunosuppressive capacities in a bioreactor system. These findings underscore the importance of physiological culture conditions and the suitability of cellulosic materials for enhancing the therapeutic potential of MSCs. Overall, this study provides valuable insights for optimizing the in vitro cultivation of MSCs for various applications, including tissue engineering, drug testing, and EV-based therapies.

间充质干细胞(MSCs)具有再生和免疫调节特性,具有巨大的治疗潜力。然而,要利用这一潜力,优化其体外培养条件至关重要。使用含有细胞的水凝胶的三维(3D)培养方法旨在模拟体外生理微环境,从而保留间充质干细胞的生物功能。纤维素水凝胶因其生物相容性、可持续性以及在化学、形态和机械性能方面的可调性而特别具有发展前景。本研究调查了(1)阴离子纤维素纳米纤维(to-CNF)衍生的水凝胶的两种物理交联方案对封装脂肪来源间充质干细胞(adMSCs)的影响;(2)生理培养条件对这些adMSCs的体外增殖、分化和细胞外囊泡(EV)生成的影响。结果发现,为了补充 adMSC 培养基中水性 to-CNF 的自组装和凝胶化,额外的 Ca2+ 介导的交联对水凝胶球的机械性能和包裹细胞的生长都有不利影响。然而,在动态和低氧条件下培养则能明显改善包裹的 adMSCs 的增殖和分化。此外,研究还表明,CNF 水凝胶球中的 adMSCs 具有在生物反应器系统中生产具有强效免疫抑制能力的可扩展 EV 的潜力。这些发现强调了生理培养条件的重要性以及纤维素材料对提高间充质干细胞治疗潜力的适用性。总之,这项研究为优化间充质干细胞的体外培养提供了宝贵的见解,可用于组织工程、药物测试和基于 EV 的疗法等各种应用。
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引用次数: 0
A Scoping Review of 'Smart' Dressings for Diagnosing Surgical Site Infection: A Focus on Arthroplasty. 用于诊断手术部位感染的 "智能 "敷料的范围研究:聚焦关节成形术。
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-21 DOI: 10.3390/bioengineering11101049
Samuel W King, Alexander Abouharb, Thomas Doggett, Mohamad Taufiqurrakhman, Jeya Palan, Bulut Freear, Hemant Pandit, Bernard H van Duren

Early diagnosis and treatment of surgical wound infection can be challenging. This is especially relevant in the management of periprosthetic joint infection: early detection is key to success and reducing morbidity, mortality and resource use. 'Smart' dressings have been developed to detect parameters suggestive of infection. This scoping review investigates the current status of the field, limited to devices tested in animal models and/or humans, with a focus on their application to arthroplasty. The literature was searched using MEDLINE/PubMed and Embase databases from 2000 to 2023. Original articles assessing external sensing methods for the detection of wound infection in animal models or human participants were included. Sixteen articles were eligible. The results were broadly divided by sensing method: colorimetric, electrochemical and fluorescence/photothermal responses. Six of the devices detected more than one parameter (multimodal), while the rest were unimodal. The most common parameters examined were temperature and pH. Most 'smart' dressings focused on diagnosing infection in chronic wounds, and none were tested in humans with wound infections. There is limited late-stage research into using dressing sensors to diagnose wound infection in post-surgical patients. Future research should explore this to enable inpatient and remote outpatient monitoring of post-operative wounds to detect wound infection.

手术伤口感染的早期诊断和治疗具有挑战性。这一点在假体周围关节感染的治疗中尤为重要:早期发现是成功的关键,也是降低发病率、死亡率和资源使用的关键。目前已开发出 "智能 "敷料来检测提示感染的参数。本范围综述调查了该领域的现状,仅限于在动物模型和/或人体中进行过测试的设备,重点关注其在关节成形术中的应用。我们使用 MEDLINE/PubMed 和 Embase 数据库对 2000 年至 2023 年的文献进行了检索。纳入了评估用于检测动物模型或人体参与者伤口感染的外部传感方法的原创文章。符合条件的文章有 16 篇。结果按传感方法大致分为:比色法、电化学法和荧光/光热反应法。其中六种设备可检测到一种以上的参数(多模态),而其他设备则为单模态。最常见的检测参数是温度和 pH 值。大多数 "智能 "敷料主要用于诊断慢性伤口感染,没有一种敷料在人类伤口感染中进行过测试。使用敷料传感器诊断手术后患者伤口感染的后期研究还很有限。未来的研究应对此进行探索,以便对住院病人和远程门诊病人的术后伤口进行监测,检测伤口感染情况。
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引用次数: 0
Wearable Online Freezing of Gait Detection and Cueing System. 可穿戴在线步态冻结检测和提示系统。
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-20 DOI: 10.3390/bioengineering11101048
Jan Slemenšek, Jelka Geršak, Božidar Bratina, Vesna Marija van Midden, Zvezdan Pirtošek, Riko Šafarič

This paper presents a real-time wearable system designed to assist Parkinson's disease patients experiencing freezing of gait episodes. The system utilizes advanced machine learning models, including convolutional and recurrent neural networks, enhanced with past sample data preprocessing to achieve high accuracy, efficiency, and robustness. By continuously monitoring gait patterns, the system provides timely interventions, improving mobility and reducing the impact of freezing episodes. This paper explores the implementation of a CNN+RNN+PS machine learning model on a microcontroller-based device. The device operates at a real-time processing rate of 40 Hz and is deployed in practical settings to provide 'on demand' vibratory stimulation to patients. This paper examines the system's ability to operate with minimal latency, achieving an average detection delay of just 261 milliseconds and a freezing of gait detection accuracy of 95.1%. While patients received on-demand stimulation, the system's effectiveness was assessed by decreasing the average duration of freezing of gait episodes by 45%. These preliminarily results underscore the potential of personalized, real-time feedback systems in enhancing the quality of life and rehabilitation outcomes for patients with movement disorders.

本文介绍了一种实时可穿戴系统,旨在为出现步态冻结的帕金森病患者提供帮助。该系统利用先进的机器学习模型,包括卷积和递归神经网络,并通过对过去样本数据的预处理进行增强,以实现高准确性、高效率和鲁棒性。通过持续监测步态模式,该系统可提供及时的干预措施,改善行动能力并减少冻结发作的影响。本文探讨了如何在基于微控制器的设备上实现 CNN+RNN+PS 机器学习模型。该设备以 40 Hz 的实时处理速率运行,可在实际环境中为患者提供 "按需 "振动刺激。本文研究了该系统以最小延迟运行的能力,其平均检测延迟仅为 261 毫秒,冻结步态检测准确率为 95.1%。在患者接受按需刺激的同时,该系统的有效性通过将冻结步态发作的平均持续时间缩短 45% 得到了评估。这些初步结果凸显了个性化实时反馈系统在提高运动障碍患者的生活质量和康复效果方面的潜力。
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引用次数: 0
Mamba- and ResNet-Based Dual-Branch Network for Ultrasound Thyroid Nodule Segmentation. 基于 Mamba 和 ResNet 的双分支网络用于超声甲状腺结节分类
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-20 DOI: 10.3390/bioengineering11101047
Min Hu, Yaorong Zhang, Huijun Xue, Hao Lv, Shipeng Han

Accurate segmentation of thyroid nodules in ultrasound images is crucial for the diagnosis of thyroid cancer and preoperative planning. However, the segmentation of thyroid nodules is challenging due to their irregular shape, blurred boundary, and uneven echo texture. To address these challenges, a novel Mamba- and ResNet-based dual-branch network (MRDB) is proposed. Specifically, the visual state space block (VSSB) from Mamba and ResNet-34 are utilized to construct a dual encoder for extracting global semantics and local details, and establishing multi-dimensional feature connections. Meanwhile, an upsampling-convolution strategy is employed in the left decoder focusing on image size and detail reconstruction. A convolution-upsampling strategy is used in the right decoder to emphasize gradual feature refinement and recovery. To facilitate the interaction between local details and global context within the encoder and decoder, cross-skip connection is introduced. Additionally, a novel hybrid loss function is proposed to improve the boundary segmentation performance of thyroid nodules. Experimental results show that MRDB outperforms the state-of-the-art approaches with DSC of 90.02% and 80.6% on two public thyroid nodule datasets, TN3K and TNUI-2021, respectively. Furthermore, experiments on a third external dataset, DDTI, demonstrate that our method improves the DSC by 10.8% compared to baseline and exhibits good generalization to clinical small-scale thyroid nodule datasets. The proposed MRDB can effectively improve thyroid nodule segmentation accuracy and has great potential for clinical applications.

准确分割超声图像中的甲状腺结节对于诊断甲状腺癌和制定术前计划至关重要。然而,由于甲状腺结节形状不规则、边界模糊、回声纹理不均匀,因此对其进行分割具有挑战性。为了应对这些挑战,我们提出了一种基于 Mamba 和 ResNet 的新型双分支网络 (MRDB)。具体来说,利用 Mamba 和 ResNet-34 的视觉状态空间块(VSSB)构建双编码器,以提取全局语义和局部细节,并建立多维特征连接。同时,左解码器采用了上采样-卷积策略,重点关注图像大小和细节重建。右侧解码器采用卷积-上采样策略,强调逐步完善和恢复特征。为了促进编码器和解码器内局部细节与全局背景之间的互动,引入了交叉跳转连接。此外,还提出了一种新的混合损失函数,以提高甲状腺结节的边界分割性能。实验结果表明,在 TN3K 和 TNUI-2021 这两个公开甲状腺结节数据集上,MRDB 的 DSC 分别为 90.02% 和 80.6%,优于最先进的方法。此外,在第三个外部数据集 DDTI 上的实验表明,与基线相比,我们的方法将 DSC 提高了 10.8%,并在临床小规模甲状腺结节数据集上表现出良好的泛化能力。所提出的 MRDB 能有效提高甲状腺结节分割的准确性,在临床应用中具有很大的潜力。
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引用次数: 0
Exploring NRB Biofilm Adhesion and Biocorrosion in Oil/Water Recovery Operations Within Pipelines. 探索管道内油水回收作业中的 NRB 生物膜粘附和生物腐蚀。
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-20 DOI: 10.3390/bioengineering11101046
Hadjer Didouh, Hifsa Khurshid, Mohammed Hadj Meliani, Rami K Suleiman, Saviour A Umoren, Izzeddine Sameut Bouhaik

Microbially influenced corrosion represents a critical challenge to the integrity and durability of carbon steel infrastructure, particularly in environments conducive to biofilm formation by nitrate-reducing bacteria (NRB). This study investigated the impact of NRB biofilms on biocorrosion processes within oil/water recovery operations in Algerian pipelines. A comprehensive suite of experimental and analytical techniques, including microbial analysis, gravimetric methods, and surface characterization, were employed to elucidate the mechanisms of microbially influenced corrosion (MIC). Weight loss measurements revealed that carbon steel samples exposed to injection water exhibited a corrosion rate of 0.0125 mm/year, significantly higher than the 0.0042 mm/year observed in crude oil environments. The microbial analysis demonstrated that injection water harbored an average of (4.4 ± 0.56) × 106 cells/cm2 for sessile cells and (3.1 ± 0.25) × 105 CFU/mL for planktonic cells, in stark contrast to crude oil, which contained only (2.4 ± 0.34) × 103 cells/cm2 for sessile cells and (4.5 ± 0.12) × 102 CFU/mL for planktonic cells, thereby highlighting the predominant role of injection water in facilitating biofilm formation. Contact angle measurements of injection water on carbon showed 45° ± 2°, compared to 85° ± 4° for crude oil, suggesting an increased hydrophilicity associated with enhanced biofilm adhesion. Scanning electron microscopy further confirmed the presence of thick biofilm clusters and corrosion pits on carbon steel exposed to injection water, while minimal biofilm and corrosion were observed in the crude oil samples.

受微生物影响的腐蚀对碳钢基础设施的完整性和耐久性提出了严峻的挑战,尤其是在有利于硝酸盐还原菌(NRB)形成生物膜的环境中。本研究调查了 NRB 生物膜对阿尔及利亚管道油/水回收作业中生物腐蚀过程的影响。研究采用了一整套实验和分析技术,包括微生物分析、重量测量方法和表面表征,以阐明微生物影响腐蚀(MIC)的机理。失重测量显示,暴露在注入水中的碳钢样品的腐蚀速率为 0.0125 毫米/年,明显高于原油环境中观察到的 0.0042 毫米/年。微生物分析表明,注入水中无柄细胞的平均含量为 (4.4 ± 0.56) × 106 cells/cm2,浮游细胞的平均含量为 (3.1 ± 0.25) × 105 CFU/mL,而原油中无柄细胞的平均含量仅为 (2.4 ± 0.34) × 103 cells/cm2,浮游细胞的平均含量为 (4.5 ± 0.12) × 102 CFU/mL,两者形成鲜明对比,从而突出了注入水在促进生物膜形成方面的主要作用。注水在碳上的接触角测量结果为 45° ± 2°,而原油的接触角测量结果为 85° ± 4°,这表明亲水性的增加与生物膜粘附性的增强有关。扫描电子显微镜进一步证实,暴露在注入水中的碳钢上存在厚厚的生物膜团和腐蚀坑,而在原油样品中观察到的生物膜和腐蚀极少。
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引用次数: 0
Remote Monitoring of Sympathovagal Imbalance During Sleep and Its Implications in Cardiovascular Risk Assessment: A Systematic Review. 远程监测睡眠期间交感神经失衡及其对心血管风险评估的影响:系统回顾
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-19 DOI: 10.3390/bioengineering11101045
Valerie A A van Es, Ignace L J de Lathauwer, Hareld M C Kemps, Giacomo Handjaras, Monica Betta

Nocturnal sympathetic overdrive is an early indicator of cardiovascular (CV) disease, emphasizing the importance of reliable remote patient monitoring (RPM) for autonomic function during sleep. To be effective, RPM systems must be accurate, non-intrusive, and cost-effective. This review evaluates non-invasive technologies, metrics, and algorithms for tracking nocturnal autonomic nervous system (ANS) activity, assessing their CV relevance and feasibility for integration into RPM systems. A systematic search identified 18 relevant studies from an initial pool of 169 publications, with data extracted on study design, population characteristics, technology types, and CV implications. Modalities reviewed include electrodes (e.g., electroencephalography (EEG), electrocardiography (ECG), polysomnography (PSG)), optical sensors (e.g., photoplethysmography (PPG), peripheral arterial tone (PAT)), ballistocardiography (BCG), cameras, radars, and accelerometers. Heart rate variability (HRV) and blood pressure (BP) emerged as the most promising metrics for RPM, offering a comprehensive view of ANS function and vascular health during sleep. While electrodes provide precise HRV data, they remain intrusive, whereas optical sensors such as PPG demonstrate potential for multimodal monitoring, including HRV, SpO2, and estimates of arterial stiffness and BP. Non-intrusive methods like BCG and cameras are promising for heart and respiratory rate estimation, but less suitable for continuous HRV monitoring. In conclusion, HRV and BP are the most viable metrics for RPM, with PPG-based systems offering significant promise for non-intrusive, continuous monitoring of multiple modalities. Further research is needed to enhance accuracy, feasibility, and validation against direct measures of autonomic function, such as microneurography.

夜间交感神经功能亢进是心血管疾病的早期指标,这就强调了对睡眠期间自律神经功能进行可靠的远程患者监测(RPM)的重要性。要做到有效,RPM 系统必须准确、非侵入性和具有成本效益。本综述评估了用于跟踪夜间自律神经系统 (ANS) 活动的非侵入性技术、指标和算法,评估了它们与冠心病的相关性以及集成到 RPM 系统中的可行性。通过系统性检索,从最初的 169 篇出版物中发现了 18 项相关研究,并提取了有关研究设计、人群特征、技术类型和 CV 影响的数据。审查的方式包括电极(如脑电图 (EEG)、心电图 (ECG)、多导睡眠图 (PSG))、光学传感器(如光电血压计 (PPG)、外周动脉张力 (PAT))、球心电图 (BCG)、摄像头、雷达和加速计。心率变异性(HRV)和血压(BP)成为最有前途的 RPM 指标,可全面了解睡眠期间的自律神经系统功能和血管健康状况。虽然电极可提供精确的心率变异数据,但仍具有侵入性,而 PPG 等光学传感器则显示出多模态监测的潜力,包括心率变异、SpO2 以及动脉僵硬度和血压的估计值。BCG 和摄像头等非侵入式方法有望用于心率和呼吸频率估算,但不太适合连续心率变异监测。总之,心率变异和血压是最可行的 RPM 指标,基于 PPG 的系统在非侵入性、连续监测多种模式方面大有可为。还需要进一步研究,以提高准确性、可行性,并与自律神经功能的直接测量方法(如微神经电图)进行对比验证。
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引用次数: 0
Interdisciplinary Innovations and Applications of Bionics and Bioengineering in Kinesiology. 仿生学和生物工程在运动学中的跨学科创新和应用。
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-18 DOI: 10.3390/bioengineering11101042
Wei-Hsun Tai, Wenjian Wu, Haibin Yu, Rui Zhang

Kinesiology, as an interdisciplinary field, emphasizes the study of human physical activity, with a particular focus on biomechanics and sports science [...].

作为一个跨学科领域,运动学强调对人类体育活动的研究,尤其侧重于生物力学和体育科学 [...] 。
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引用次数: 0
Enhancing Bone Formation Through bFGF-Loaded Mesenchymal Stromal Cell Spheroids During Fracture Healing in Mice. 在小鼠骨折愈合过程中通过 bFGF/Loaded 间充质基质细胞球体促进骨形成
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-18 DOI: 10.3390/bioengineering11101041
Kugo Takeda, Hiroki Saito, Shintaro Shoji, Hiroyuki Sekiguchi, Mitsuyoshi Matsumoto, Masanobu Ujihira, Masayuki Miyagi, Gen Inoue, Masashi Takaso, Kentaro Uchida

This study aimed to evaluate the osteogenic potential of mesenchymal stromal cell (MSC) spheroids combined with the basic fibroblast growth factor (bFGF) in a mouse femur fracture model. To begin, MSC spheroids were generated, and the expression of key trophic factors (bFGF Bmp2, and Vegfa) was assessed using quantitative PCR (qPCR). A binding assay confirmed the interaction between the bFGF and the spheroids' extracellular matrix. The spheroid cultures significantly upregulated bFGF, Bmp2, and Vegfa expression compared to the monolayers (p < 0.001), and the binding assay demonstrated effective bFGF binding to the MSC spheroids. Following these in vitro assessments, the mice were divided into five groups for the in vivo study: (1) no treatment (control), (2) spheroids alone, (3) bFGF alone, (4) bFGF-loaded spheroids (bFGF-spheroids), and (5) non-viable (frozen) bFGF-loaded spheroids (bFGF-dSpheroids). Bone formation was analyzed by a micro-CT, measuring the bone volume (BV) and bone mineral content (BMC) of the mice four weeks post-fracture. A high dose of the bFGF (10 µg) significantly promoted bone formation regardless of the presence of spheroids, as evidenced by the increases in BV (bFGF, p = 0.010; bFGF-spheroids, p = 0.006; bFGF-dSpheroids, p = 0.032) and BMC (bFGF, p = 0.023; bFGF-spheroids, p = 0.004; bFGF-dSpheroids, p = 0.014), compared to the controls. In contrast, a low dose of the bFGF (1 µg) combined with the MSC spheroids significantly increased BV and BMC compared to the control (BV, p = 0.012; BMC, p = 0.015), bFGF alone (BV, p = 0.012; BMC, p = 0.008), and spheroid (BV, p < 0.001; BMC, p < 0.001) groups. A low dose of the bFGF alone did not significantly promote bone formation (p > 0.05). The non-viable (frozen) spheroids loaded with a low dose of the bFGF resulted in a higher BV and BMC compared to the spheroids alone (BV, p = 0.003; BMC, p = 0.017), though the effect was less pronounced than in the viable spheroids. These findings demonstrate the synergistic effect of the bFGF and MSC spheroids on bone regeneration. The increased expression of the BMP-2 and VEGF observed in the initial experiments, coupled with the enhanced bone formation in vivo, highlight the therapeutic potential of this combination. Future studies will aim to elucidate the underlying molecular mechanisms and assess the long-term outcomes for bone repair strategies.

本研究旨在评估间充质基质细胞(MSC)球形体结合碱性成纤维细胞生长因子(bFGF)在小鼠股骨骨折模型中的成骨潜力。首先,生成间充质干细胞球体,并使用定量 PCR(qPCR)评估关键营养因子(bFGF、Bmp2 和 Vegfa)的表达。结合试验证实了 bFGF 与球体细胞外基质之间的相互作用。与单层培养物相比,球形培养物的 bFGF、Bmp2 和 Vegfa 表达明显升高(p < 0.001),结合试验也证明了 bFGF 与间充质干细胞球体的有效结合。体外评估结束后,小鼠被分为五组进行体内研究:(1) 无处理(对照组),(2) 单用球形细胞,(3) 单用 bFGF,(4) bFGF 负载球形细胞(bFGF-spheroids),(5) 无活力(冷冻)bFGF 负载球形细胞(bFGF-dSpheroids)。通过显微 CT 分析骨形成情况,测量小鼠骨折后四周的骨量(BV)和骨矿物质含量(BMC)。高剂量的 bFGF(10 µg)能显著促进骨形成,无论是否存在球形体,BV 的增加就是证明(bFGF,p = 0.010; bFGF-spheroids, p = 0.006; bFGF-dSpheroids, p = 0.032)和 BMC(bFGF, p = 0.023; bFGF-spheroids, p = 0.004; bFGF-dSpheroids, p = 0.014)的增加。相反,与对照组(BV,p = 0.012;BMC,p = 0.015)、单用 bFGF 组(BV,p = 0.012;BMC,p = 0.008)和球形组(BV,p < 0.001;BMC,p < 0.001)相比,低剂量 bFGF(1 µg)与间充质干细胞球体结合可显著增加 BV 和 BMC。单用低剂量的 bFGF 并不能显著促进骨形成(p > 0.05)。与单独的球形体相比,加载了低剂量 bFGF 的非存活(冷冻)球形体具有更高的 BV 和 BMC(BV,p = 0.003;BMC,p = 0.017),但效果不如存活球形体明显。这些发现证明了 bFGF 和间充质干细胞球体对骨再生的协同作用。初步实验中观察到的 BMP-2 和血管内皮生长因子的表达增加,加上体内骨形成的增强,凸显了这种组合的治疗潜力。未来的研究将旨在阐明潜在的分子机制,并评估骨修复策略的长期效果。
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引用次数: 0
GPT-Driven Radiology Report Generation with Fine-Tuned Llama 3. 使用微调 Llama 3 生成 GPT 驱动的放射学报告。
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-18 DOI: 10.3390/bioengineering11101043
Ștefan-Vlad Voinea, Mădălin Mămuleanu, Rossy Vlăduț Teică, Lucian Mihai Florescu, Dan Selișteanu, Ioana Andreea Gheonea
<p><p>The integration of deep learning into radiology has the potential to enhance diagnostic processes, yet its acceptance in clinical practice remains limited due to various challenges. This study aimed to develop and evaluate a fine-tuned large language model (LLM), based on Llama 3-8B, to automate the generation of accurate and concise conclusions in magnetic resonance imaging (MRI) and computed tomography (CT) radiology reports, thereby assisting radiologists and improving reporting efficiency. A dataset comprising 15,000 radiology reports was collected from the University of Medicine and Pharmacy of Craiova's Imaging Center, covering a diverse range of MRI and CT examinations made by four experienced radiologists. The Llama 3-8B model was fine-tuned using transfer-learning techniques, incorporating parameter quantization to 4-bit precision and low-rank adaptation (LoRA) with a rank of 16 to optimize computational efficiency on consumer-grade GPUs. The model was trained over five epochs using an NVIDIA RTX 3090 GPU, with intermediary checkpoints saved for monitoring. Performance was evaluated quantitatively using Bidirectional Encoder Representations from Transformers Score (BERTScore), Recall-Oriented Understudy for Gisting Evaluation (ROUGE), Bilingual Evaluation Understudy (BLEU), and Metric for Evaluation of Translation with Explicit Ordering (METEOR) metrics on a held-out test set. Additionally, a qualitative assessment was conducted, involving 13 independent radiologists who participated in a Turing-like test and provided ratings for the AI-generated conclusions. The fine-tuned model demonstrated strong quantitative performance, achieving a BERTScore F1 of 0.8054, a ROUGE-1 F1 of 0.4998, a ROUGE-L F1 of 0.4628, and a METEOR score of 0.4282. In the human evaluation, the artificial intelligence (AI)-generated conclusions were preferred over human-written ones in approximately 21.8% of cases, indicating that the model's outputs were competitive with those of experienced radiologists. The average rating of the AI-generated conclusions was 3.65 out of 5, reflecting a generally favorable assessment. Notably, the model maintained its consistency across various types of reports and demonstrated the ability to generalize to unseen data. The fine-tuned Llama 3-8B model effectively generates accurate and coherent conclusions for MRI and CT radiology reports. By automating the conclusion-writing process, this approach can assist radiologists in reducing their workload and enhancing report consistency, potentially addressing some barriers to the adoption of deep learning in clinical practice. The positive evaluations from independent radiologists underscore the model's potential utility. While the model demonstrated strong performance, limitations such as dataset bias, limited sample diversity, a lack of clinical judgment, and the need for large computational resources require further refinement and real-world validation. Future work should explore
将深度学习融入放射学具有增强诊断过程的潜力,但由于各种挑战,其在临床实践中的接受程度仍然有限。本研究旨在开发和评估基于 Llama 3-8B 的微调大语言模型(LLM),以自动生成磁共振成像(MRI)和计算机断层扫描(CT)放射学报告中准确而简洁的结论,从而协助放射科医生并提高报告效率。我们从克拉约瓦医学和药学大学的影像中心收集了一个包含 15,000 份放射学报告的数据集,涵盖了四位经验丰富的放射科医生所做的各种核磁共振成像和 CT 检查。Llama 3-8B 模型采用迁移学习技术进行了微调,将参数量化为 4 位精度,并采用秩为 16 的低秩自适应性 (LoRA),以优化消费级 GPU 的计算效率。使用英伟达 RTX 3090 GPU 对模型进行了五次历时训练,并保存中间检查点进行监控。在保留的测试集上,使用来自变换器的双向编码器表示得分(BERTScore)、以召回为导向的词组评估研究(ROUGE)、双语评估研究(BLEU)和显式排序翻译评估指标(METEOR)对性能进行了定量评估。此外,还进行了定性评估,13 位独立的放射科医生参与了类似图灵的测试,并对人工智能生成的结论进行了评分。经过微调的模型在定量方面表现出色,BERTScore F1 为 0.8054,ROUGE-1 F1 为 0.4998,ROUGE-L F1 为 0.4628,METEOR 为 0.4282。在人工评估中,人工智能(AI)生成的结论比人工撰写的结论更受青睐的案例约占 21.8%,这表明该模型的输出结果与经验丰富的放射科医生的输出结果具有竞争力。人工智能生成结论的平均评分为 3.65 分(满分 5 分),反映了普遍良好的评价。值得注意的是,该模型在各种类型的报告中都保持了一致性,并展示了对未见过的数据进行归纳的能力。经过微调的 Llama 3-8B 模型能有效地为 MRI 和 CT 放射学报告生成准确、一致的结论。通过实现结论撰写过程的自动化,这种方法可以帮助放射科医生减少工作量并提高报告的一致性,从而有可能解决在临床实践中采用深度学习的一些障碍。独立放射科医生的积极评价强调了该模型的潜在用途。虽然该模型表现出很强的性能,但数据集偏差、样本多样性有限、缺乏临床判断以及需要大量计算资源等局限性还需要进一步完善和实际验证。未来的工作应探索将此类模型整合到临床工作流程中,解决伦理和法律方面的问题,并将这种方法扩展到生成完整的放射学报告。
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引用次数: 0
A Local Heating Profile to Manage Lower Back Pain in an Automotive Seat: A Pilot Study. 治疗汽车座椅下背部疼痛的局部加热曲线:一项试点研究。
IF 3.8 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-18 DOI: 10.3390/bioengineering11101040
Matt M Mallette, Nathaniel Gur-Arie, Nicola Gerrett

Lower back pain (LBP) is one of the most prevalent health losses in adults worldwide. Historically, heat has been successfully used for treating pain and relieving tight muscles. Given the effective contact with the occupant's back and proximity to the heat source, coupled with increasing commute times, automotive seats offer an opportunity to intervene. Fifteen adults (nine female) who experienced acute, subacute, and chronic lower back pain were recruited to examine the effectiveness of heat delivered to the lower back in providing temporary pain relief. Participants sat in a car seat for 38 min on two days, which included a 5-min baseline followed by a 33-min intervention; control, or localized. For the control condition, participants sat for 33 min without any thermal devices on, while the localized condition heated and maintained the seat surface temperature of the lower seat back area to ~45 °C. Over the 33-min control condition, the back skin temperature increased by ~1-2 °C and did not impact the subjective LBP. Heating the lower back for 33 min to ~39 °C reduced the subjective LBP by 10%. We demonstrated that lower back pain can be alleviated from an automotive seat providing heat to the lower back within normal commute times in those with lower back pain.

下背痛(LBP)是全球成年人最常见的健康问题之一。从历史上看,热疗已成功用于治疗疼痛和缓解肌肉紧绷。由于汽车座椅能有效接触乘员的背部并靠近热源,再加上通勤时间越来越长,因此汽车座椅提供了一个进行干预的机会。我们招募了 15 名经历过急性、亚急性和慢性下背部疼痛的成年人(9 名女性),以研究向下部背部提供热量对暂时缓解疼痛的效果。参与者在两天内坐在汽车座椅上 38 分钟,其中包括 5 分钟的基线时间和 33 分钟的干预时间;对照组或局部干预组。在对照组条件下,受试者在不佩戴任何热敏设备的情况下坐了 33 分钟;而在局部干预组条件下,受试者将座椅靠背下部的座椅表面温度加热并保持在约 45 °C。在 33 分钟的对照条件下,背部皮肤温度上升了约 1-2 °C,但对主观枸杞痛没有影响。将下背部加热 33 分钟至 ~39 °C,可使主观腰背痛减轻 10%。我们的研究表明,在正常通勤时间内,通过汽车座椅加热下背部可以缓解下背部疼痛。
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