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Mechanical response of different frameworks for maxillary all-on-four implant-supported fixed dental prosthesis: 3D finite element analysis. 上颌全-四种植体固定义齿不同框架的力学响应:三维有限元分析。
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-08-17 Print Date: 2022-10-26 DOI: 10.1515/bmt-2022-0176
Zekiye Begüm Güçlü, Ayhan Gürbüz, Gonca Deste Gökay, Rukiye Durkan, Perihan Oyar

This study's purpose is to assess the stress distribution in the peri-implant bone, implants, and prosthetic framework using two different posterior implant angles. All-on-four maxillary prostheses fabricated from feldspathic-ceramic-veneered zirconia-reinforced lithium silicate (ZLS) and feldspathic-ceramic-veneered cobalt-chromium (CoCr) were designed with 17 or 30-degree-angled posterior implants. Posterior cantilever and frontal vertical loads were applied to all models. The distribution of maximum and minimum principal stresses (σmax and σmin) and von Mises stress (σVM) was evaluated. Under posterior cantilever load, with an increase in posterior implant angle, σmax decreased by 4 and 7 MPa in the cortical bone when ZLS and CoCr were used as a prosthetic framework, respectively. Regardless of the framework material, 17-degree-angled posterior implants showed the highest σVM (541.36 MPa under posterior cantilever load; 110.79 MPa under frontal vertical load) values. Regardless of the posterior implant angle, ZLS framework showed the highest σVM (91.59 MPa under posterior cantilever load; 218.99 MPa under frontal vertical load) values. Increasing implant angle from 17 to 30° caused a decrease in σmax values in the cortical bone. Designs with 30-degree posterior implant angles and ZLS framework material may be preferred in All-on-four implant-supported fixed complete dentures.

本研究的目的是评估应力分布在种植体周围骨,种植体和假体框架使用两种不同的后种植角度。采用长石-陶瓷贴面的氧化锆增强硅酸锂(ZLS)和长石-陶瓷贴面的钴铬(CoCr)制备的全对四种植体,分别采用17或30度角的后牙种植体。所有模型均施加后悬臂载荷和正面垂直载荷。评价了最大、最小主应力(σmax、σmin)和von Mises应力(σVM)的分布。在后向悬臂载荷作用下,采用ZLS和CoCr作为假体框架时,随着后向种植体角度的增加,皮质骨的σmax分别降低了4和7 MPa。无论何种框架材料,17度角后牙种植体在后端悬臂载荷下的σVM最高(541.36 MPa);110.79 MPa(正面垂直荷载)值。无论后牙种植角度如何,ZLS框架在后牙悬臂载荷下的σVM最高(91.59 MPa);218.99 MPa(正面垂直荷载)值。当种植体角度从17°增加到30°时,皮质骨的σmax值减小。在all -on- 4种植体支持的固定全口义齿中,种植体后牙角为30度的设计和ZLS框架材料是首选。
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引用次数: 1
Biomagnetic signals recorded during transcranial magnetic stimulation (TMS)-evoked peripheral muscular activity. 经颅磁刺激(TMS)诱发外周肌肉活动时记录的生物磁信号。
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-08-15 Print Date: 2022-10-26 DOI: 10.1515/bmt-2021-0019
Geoffrey Z Iwata, Yinan Hu, Arne Wickenbrock, Tilmann Sander, Muthuraman Muthuraman, Venkata Chaitanya Chirumamilla, Sergiu Groppa, Qishan Liu, Dmitry Budker

Transcranial magnetic stimulation (TMS) has widespread clinical applications from diagnosis to treatment. We combined TMS with non-contact magnetic detection of TMS-evoked muscle activity in peripheral limbs to explore a new diagnostic modality that enhances the utility of TMS as a clinical tool by leveraging technological advances in magnetometry. We recorded measurements in a regular hospital room using an array of optically pumped magnetometers (OPMs) inside a portable shield that encloses only the forearm and hand of the subject. We present magnetomyograms (MMG)s of TMS-evoked movement in a human hand, together with a simultaneous surface electromyograph (EMG) data. The biomagnetic signals recorded in the MMG provides detailed spatial and temporal information that is complementary to that of the electric signal channels. Moreover, we identify features in the magnetic recording beyond that of the EMG. This system demonstrates the value of biomagnetic signals in TMS-based clinical approaches and widens its availability and practical potential.

经颅磁刺激(TMS)具有广泛的临床应用,从诊断到治疗。我们将经颅磁刺激与经颅磁刺激诱发的外周肢体肌肉活动的非接触磁检测相结合,探索一种新的诊断方式,通过利用磁测技术的进步,增强经颅磁刺激作为临床工具的实用性。我们在一个普通的医院房间里使用一组光泵磁强计(opm)在一个便携式屏蔽内记录测量结果,该屏蔽只包裹受试者的前臂和手。我们展示了经颅磁刺激诱发的人手运动的磁肌图(MMG),以及同步的表面肌电图(EMG)数据。在MMG中记录的生物磁信号提供了详细的空间和时间信息,与电信号通道的信息互补。此外,我们在磁记录中发现了肌电图之外的特征。该系统展示了生物磁信号在基于tms的临床方法中的价值,并扩大了其可用性和实用潜力。
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引用次数: 9
A comparative study of the spectrogram, scalogram, melspectrogram and gammatonegram time-frequency representations for the classification of lung sounds using the ICBHI database based on CNNs. 基于cnn的ICBHI数据库肺音分类的谱图、尺度图、mel谱图和伽玛图时频表示的比较研究。
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-08-08 Print Date: 2022-10-26 DOI: 10.1515/bmt-2022-0180
Zakaria Neili, Kenneth Sundaraj

In lung sound classification using deep learning, many studies have considered the use of short-time Fourier transform (STFT) as the most commonly used 2D representation of the input data. Consequently, STFT has been widely used as an analytical tool, but other versions of the representation have also been developed. This study aims to evaluate and compare the performance of the spectrogram, scalogram, melspectrogram and gammatonegram representations, and provide comparative information to users regarding the suitability of these time-frequency (TF) techniques in lung sound classification. Lung sound signals used in this study were obtained from the ICBHI 2017 respiratory sound database. These lung sound recordings were converted into images of spectrogram, scalogram, melspectrogram and gammatonegram TF representations respectively. The four types of images were fed separately into the VGG16, ResNet-50 and AlexNet deep-learning architectures. Network performances were analyzed and compared based on accuracy, precision, recall and F1-score. The results of the analysis on the performance of the four representations using these three commonly used CNN deep-learning networks indicate that the generated gammatonegram and scalogram TF images coupled with ResNet-50 achieved maximum classification accuracies.

在使用深度学习的肺音分类中,许多研究认为使用短时傅里叶变换(STFT)作为输入数据最常用的二维表示。因此,STFT已被广泛用作分析工具,但也开发了其他版本的表示。本研究旨在评估和比较谱图、尺度图、混合谱图和伽玛图表示的性能,并为用户提供关于这些时频(TF)技术在肺音分类中的适用性的比较信息。本研究中使用的肺声信号来自ICBHI 2017呼吸声数据库。将这些肺录音分别转换成声谱图、尺度图、melogram和gamma - graph TF表示图像。这四种类型的图像分别被输入VGG16、ResNet-50和AlexNet深度学习架构。基于正确率、精密度、召回率和f1得分对网络性能进行了分析和比较。使用这三种常用的CNN深度学习网络对四种表示的性能分析结果表明,生成的伽玛图和尺度图TF图像与ResNet-50相结合获得了最大的分类精度。
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引用次数: 6
A method to detect sleep apnea using residual attention mechanism network from single-lead ECG signal. 利用单导联心电信号残余注意机制网络检测睡眠呼吸暂停的方法。
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-08-04 Print Date: 2022-10-26 DOI: 10.1515/bmt-2022-0067
Tao Wang, Changhua Lu, Yining Sun, Hengyang Fang, Weiwei Jiang, Chun Liu

Sleep apnea is a sleep disorder caused by weakened or suspended breathing during sleep, which seriously affects the work and health of patients. The traditional polysomnography (PSG) detection process is complicated and expensive, which has attracted researchers to explore a rapid detection method based on single-lead ECG signals. However, existing ECG-based sleep apnea detection methods have certain limitations and complexities, mainly relying on human-crafted features. To solve the problem, the paper develops a sleep apnea detection method based on a residual attention mechanism network. The method uses the RR interval signal and the R-peak signal derived from the ECG signal as input, realizes feature extraction through the residual network (ResNet), and adds the SENet attention mechanism to deepen the mining of channel features. Experimental results show that the per-segment accuracy of the proposed method can reach 86.2%. Compared with existing works, its accuracy has increased by 1.1-8.1%. These results show that the proposed residual attention network can effectively use ECG signals to quickly detect sleep apnea. Meanwhile, compared with existing works, the proposed method overcomes the limitations and complexity of human-crafted features in sleep apnea detection research.

睡眠呼吸暂停是由于睡眠过程中呼吸减弱或暂停引起的睡眠障碍,严重影响患者的工作和健康。传统的多导睡眠图(PSG)检测过程复杂且费用昂贵,因此研究人员开始探索一种基于单导心电信号的快速检测方法。然而,现有的基于脑电图的睡眠呼吸暂停检测方法存在一定的局限性和复杂性,主要依赖于人为特征。为了解决这一问题,本文提出了一种基于剩余注意机制网络的睡眠呼吸暂停检测方法。该方法以心电信号衍生出的RR区间信号和r峰信号作为输入,通过残差网络(ResNet)实现特征提取,并加入SENet关注机制,加深对信道特征的挖掘。实验结果表明,该方法的每段精度可达86.2%。与现有工作相比,其精度提高了1.1-8.1%。结果表明,残差注意网络可以有效地利用心电信号快速检测睡眠呼吸暂停。同时,与现有工作相比,该方法克服了人工特征在睡眠呼吸暂停检测研究中的局限性和复杂性。
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引用次数: 0
Abstracts of the 2022 Joint Annual Conference of the Austrian (ÖGBMT), German (VDE DGBMT) and Swiss (SSBE) Societies for Biomedical Engineering, including the 14th Vienna International Workshop on Functional Electrical Stimulation 奥地利(ÖGBMT)、德国(VDE DGBMT)和瑞士(SSBE)生物医学工程学会2022年联合年会摘要,包括第14届维也纳功能电刺激国际研讨会
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-08-01 DOI: 10.1515/bmt-2022-2001
D. Baumgarten
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引用次数: 0
Stratification of risk of atherosclerotic plaque using Hu's moment invariants of segmented ultrasonic images. 利用分段超声图像的Hu不变矩对动脉粥样硬化斑块风险进行分层。
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-07-15 Print Date: 2022-10-26 DOI: 10.1515/bmt-2021-0044
Smitha Balakrishnan, Paul K Joseph

Myocardial infarction is one of the major life-threatening diseases. The cause is atherosclerosis i.e. the occlusion of the coronary artery by deposition of plaque on its walls. The severity of plaque deposition in the artery depends on the characteristics of the plaque. Hence, the classification of the type of plaque is crucial for assessing the risk of atherosclerosis and predicting the chances of myocardial infarction. This paper proposes prediction of atherosclerotic risk by non-invasive ultrasound image segmentation and textural feature extraction. The intima-media complex is segmented using a snakes-based segmentation algorithm on the arterial wall in the ultrasound images. Then, the plaque is extracted from the segmented intima-media complex. The features of the plaque are obtained by computing Hu's moment invariants. Visual pattern recognition independent of position, size, orientation and parallel projection could be done using these moment invariants. For the classification of the features of the plaque, an SVM classifier is used. The performance shows improvement in accuracy using lesser number of features than previous works. The reduction in feature size is achieved by incorporating segmentation in the pre-processing stage. Tenfold cross-validation protocol is used for training and testing the classifier. An accuracy of 97.9% is obtained with only two features. This proposed technique could work as an adjunct tool in quick decision-making for cardiologists and radiologists. The segmentation step introduced in the preprocessing stage improved the feature extraction technique. An improvement in performance is achieved with much less number of features.

心肌梗塞是危及生命的主要疾病之一。病因是动脉粥样硬化,即冠状动脉壁上的斑块沉积阻塞了冠状动脉。斑块在动脉中沉积的严重程度取决于斑块的特征。因此,斑块类型的分类对于评估动脉粥样硬化的风险和预测心肌梗死的机会至关重要。本文提出了一种无创超声图像分割和纹理特征提取的动脉粥样硬化风险预测方法。在超声图像的动脉壁上,使用基于蛇形的分割算法对内膜-中膜复合体进行分割。然后,从分节的内膜-中膜复合体中提取斑块。通过计算Hu的矩不变量得到斑块的特征。利用这些矩不变量可以实现与位置、大小、方向和平行投影无关的视觉模式识别。对于斑块特征的分类,采用支持向量机分类器。与以前的工作相比,使用较少数量的特征可以提高精度。特征尺寸的减小是通过在预处理阶段加入分割来实现的。十倍交叉验证协议用于训练和测试分类器。仅用两个特征即可获得97.9%的准确率。这项提议的技术可以作为心脏病专家和放射科医生快速决策的辅助工具。预处理阶段引入的分割步骤对特征提取技术进行了改进。性能的提高是用更少的特性实现的。
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引用次数: 3
Automatic landmark identification for surgical 3d-navigation - A proposed method for marker-free dental surgical navigation systems. 用于外科手术3d导航的自动地标识别-一种用于无标记牙科手术导航系统的建议方法。
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-07-04 Print Date: 2022-10-26 DOI: 10.1515/bmt-2021-0307
Micha Bischofberger, Stephan Böhringer, Erik Schkommodau

This paper proposes a conceptual method to calculate the pose of a stereo-vision camera relative to an artificial mandible without additional markers. The general method for marker-free navigation has four steps: 1) parallel image acquisition by a stereo-vision camera, 2) automatic identification of 2d point pairs (landmark pairs) in a left and a right image, 3) calculation of related 3d points in the joint camera coordinate system and 4) matching of 3d points generated to a preoperative 3d model (i.e., CT data based). To identify and compare landmarks in the acquired stereo images, well-known algorithms for landmark detection, description and matching were compared within the developed approach. Finally, the BRISK algorithm (Leutenegger S, Chli M, Siegwart RY. BRISK: Binary Robust invariant scalable keypoints. Proceedings of the IEEE International Conference on Computer Vision; 2011: 2548-2555) was used. The proposed method was implemented in MATLAB® and validated in vitro with one artificial mandible. The accuracy evaluation of the camera positions calculated resulted in an average deviation error of 1.45 mm ± 0.76 mm to the real camera displacement. This value was calculated using only stereo images with over 100 reconstructed landmark pairs each. This provides the basis for marker-free navigation.

本文提出了一种不需要附加标记来计算立体视觉相机相对于人工下颌骨的姿态的概念方法。无标记导航的一般方法有四个步骤:1)由立体视觉相机获取平行图像,2)自动识别左右图像中的二维点对(地标对),3)在联合相机坐标系中计算相关的三维点,4)将生成的三维点与术前三维模型(即基于CT数据)进行匹配。为了识别和比较获得的立体图像中的地标,在开发的方法中比较了已知的地标检测,描述和匹配算法。Leutenegger S, Chli M, Siegwart RY. BRISK:二值鲁棒不变可伸缩关键点。IEEE计算机视觉国际会议论文集;2011: 2548-2555)。在MATLAB®中实现了该方法,并在一个人工下颌骨上进行了体外验证。计算得到的摄像机位置精度评价结果与摄像机实际位移的平均偏差为1.45 mm±0.76 mm。该值仅使用具有100多个重建地标对的立体图像来计算。这为无标记导航提供了基础。
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引用次数: 0
Analysis of pilots' EEG map in take-off and landing tasks. 起降任务中飞行员脑电图分析。
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-06-28 Print Date: 2022-10-26 DOI: 10.1515/bmt-2021-0418
Li Ji, Chen Zhang, Haiwei Li, Ningning Zhang, Peng Zheng, Changhao Guo, Yong Zhang, Xiaoyu Tang

The take-off and landing phases are considered the critical stages of aircraft flight. To ensure flight efficiency and safety in the critical stages, this research proposes a method for analyzing and monitoring pilot flight status by β-wave. The focus of the study is β potential changes on the EEG map. First, the proportion of β-wave in the electroencephalogram (EEG) of pilots during take-off and landing increases significantly. Second, the EEG map accurately and intuitively reflects the spatial distribution of potential changes in brain regions. Finally, correlation and machine learning are used for further research of β-wave. The conclusions show that the significant changes in the β-wave caused by take-off and landing can be seen in the EEG map to identify and adjust the pilot's state. Therefore, this research provides more accurate and effective reference information (like the EEG map, correlation and machine learning) for efficient and safe flight training in the critical stages.

起飞和降落阶段被认为是飞机飞行的关键阶段。为了保证关键阶段的飞行效率和安全,本研究提出了一种利用β波分析和监测飞行员飞行状态的方法。研究的重点是脑电图图上β电位的变化。首先,飞行员在起飞和降落时脑电图中β波的比例显著增加。其次,脑电图准确直观地反映了脑区电位变化的空间分布。最后,利用相关和机器学习对β波进行进一步研究。结论表明,在脑电图图中可以看到起飞和降落引起的β波的显著变化,从而识别和调整飞行员的状态。因此,本研究为关键阶段的高效安全飞行训练提供了更准确有效的参考信息(如EEG图、相关性、机器学习等)。
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引用次数: 0
Corrigendum to: Developing a novel resorptive hydroxyapatite-based bone substitute for over-critical size defect reconstruction: physicochemical and biological characterization and proof of concept in segmental rabbit's ulna reconstruction. 开发一种新的可吸收羟基磷灰石骨替代物用于过临界尺寸的缺损重建:物理化学和生物学特性以及节段性兔尺骨重建的概念证明。
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-06-28 DOI: 10.1515/bmt-2022-0188
Milutin Micic, Djordje Antonijevic, Sanja Milutinovic-Smiljanic, Dijana Trisic, Bozana Colovic, Dejana Kosanovic, Bogomir Prokic, Jugoslav Vasic, Slavoljub Zivkovic, Jelena Milasin, Vesna Danilovic, Marija Djuric, Vukoman Jokanovic
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引用次数: 0
Automatic sleep scoring with LSTM networks: impact of time granularity and input signals LSTM网络的自动睡眠评分:时间粒度和输入信号的影响
IF 1.7 4区 医学 Q3 Engineering Pub Date : 2022-06-06 DOI: 10.1515/bmt-2021-0408
Alexandra-Maria Tăuțan, A. C. Rossi, B. Ionescu
Abstract Supervised automatic sleep scoring algorithms are usually trained using sleep stage labels manually annotated on 30 s epochs of PSG data. In this study, we investigate the impact of using shorter epochs with various PSG input signals for training and testing a Long Short Term Memory (LSTM) neural network. An LSTM model is evaluated on the provided 30 s epoch sleep stage labels from a publicly available dataset, as well as on 10 s subdivisions. Additionally, three independent scorers re-labeled a subset of the dataset on shorter time windows. The automatic sleep scoring experiments were repeated on the re-annotated subset.The highest performance is achieved on features extracted from 30 s epochs of a single channel frontal EEG. The resulting accuracy, precision and recall were of 92.22%, 67.58% and 66.00% respectively. When using a shorter epoch as input, the performance decreased by approximately 20%. Re-annotating a subset of the dataset on shorter time epochs did not improve the results and further altered the sleep stage detection performance. Our results show that our feature-based LSTM classification algorithm performs better on 30 s PSG epochs when compared to 10 s epochs used as input. Future work could be oriented to determining whether varying the epoch size improves classification outcomes for different types of classification algorithms.
有监督的自动睡眠评分算法通常使用人工标注睡眠阶段标签的PSG数据进行训练。在这项研究中,我们研究了使用不同PSG输入信号的较短时间对长短期记忆(LSTM)神经网络的训练和测试的影响。LSTM模型在公共数据集提供的30秒epoch睡眠阶段标签以及10秒细分上进行评估。此外,三个独立的评分者在较短的时间窗口上重新标记数据集的子集。在重新标注的子集上重复自动睡眠评分实验。在单通道额叶脑电图的30 s epoch特征提取上,获得了最高的性能。准确度、精密度和召回率分别为92.22%、67.58%和66.00%。当使用较短的epoch作为输入时,性能下降了大约20%。在较短的时间点上重新标注数据集的子集并没有改善结果,反而进一步改变了睡眠阶段检测性能。结果表明,基于特征的LSTM分类算法在30秒的PSG epoch上的表现优于10秒的PSG epoch。未来的工作可能是确定不同epoch大小是否会改善不同类型分类算法的分类结果。
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引用次数: 1
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