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Real-time classification of movement patterns of tremor patients 震颤患者运动模式的实时分类
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-02-24 DOI: 10.1515/bmt-2021-0140
Patricia Piepjohn, C. Bald, G. Kuhlenbäumer, J. Becktepe, G. Deuschl, Gerhard Schmidt
Abstract The process of diagnosing tremor patients often leads to misdiagnoses. Therefore, existing technical methods for analysing tremor are needed to more effectively distinguish between different diseases. For this purpose, a system has been developed that classifies measured tremor signals in real time. To achieve this, the hand tremor of 561 subjects has been measured in different hand positions. Acceleration and surface electromyography are recorded during the examination. For this study, data from subjects with Parkinson’s Disease, Essential Tremor, and physiological tremor are considered. In a first signal analysis feature extraction is performed, and the resulting features are examined for their discriminative value. In a second step, three classification models based on different pattern recognition techniques are developed to classify the subjects with respect to their tremor type. With a trained decision tree, the three tremor types can be classified with a relative diagnostic accuracy of 83.14%. A neural network achieves 84.24% and the combination of both classifiers yields a relative diagnostic accuracy of 85.76%. The approach is promising and involving more features of the recorded time series will improve the discriminative value.
摘要在对震颤患者的诊断过程中,经常出现误诊。因此,需要现有的分析震颤的技术方法来更有效地区分不同的疾病。为此,开发了一种系统,可以实时对测量到的震颤信号进行分类。为了实现这一目标,561名受试者在不同的手位下进行了手部震颤测量。在检查过程中记录加速和表面肌电图。本研究考虑了帕金森病、原发性震颤和生理性震颤患者的数据。在第一个信号分析中,进行特征提取,并检查结果特征的判别值。第二步,开发了基于不同模式识别技术的三种分类模型,根据受试者的震颤类型对其进行分类。用训练好的决策树对三种震颤类型进行分类,相对诊断准确率为83.14%。神经网络达到了84.24%,两种分类器的组合产生了85.76%的相对诊断准确率。该方法是一种很有前途的方法,它涉及了更多的记录时间序列特征,提高了判别值。
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引用次数: 0
A machine learning approach to identify hand actions from single-channel sEMG signals. 从单通道表面肌电信号中识别手部动作的机器学习方法。
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-02-22 Print Date: 2022-04-26 DOI: 10.1515/bmt-2021-0072
Chanda Nagarajan Savithri, Ebenezer Priya, Kevin Rajasekar

Surface Electromyographic (sEMG) signal is a prime source of information to activate prosthetic hand such that it is able to restore a few basic hand actions of amputee, making it suitable for rehabilitation. In this work, a non-invasive single channel sEMG amplifier is developed that captures sEMG signal for three typical hand actions from the lower elbow muscles of able bodied subjects and amputees. The recorded sEMG signal detrends and has frequencies other than active frequencies. The Empirical Mode Decomposition Detrending Fluctuation Analysis (EMD-DFA) is attempted to de-noise the sEMG signal. A feature vector is formed by extracting eight features in time domain, seven features each in spectral and wavelet domain. Prominent features are selected by Fuzzy Entropy Measure (FEM) to ease the computational complexity and reduce the recognition time of classification. Classification of different hand actions is attempted based on multi-class approach namely Partial Least Squares Discriminant Analysis (PLS-DA) to control the prosthetic hand. It is inferred that an accuracy of 89.72% & 84% is observed for the pointing action whereas the accuracy for closed fist is 81.2% & 79.54% while for spherical grasp it is 80.6% & 76% respectively for normal subjects and amputees. The performance of the classifier is compared with Linear Discriminant Analysis (LDA) and an improvement of 5% in mean accuracy is observed for both normal subjects and amputees. The mean accuracy for all the three different hand actions is significantly high (83.84% & 80.18%) when compared with LDA. The proposed work frame provides a fair mean accuracy in classifying the hand actions of amputees. This methodology thus appears to be useful in actuating the prosthetic hand.

表面肌电图(sEMG)信号是激活假手的主要信息来源,使其能够恢复截肢者的一些基本手部动作,使其适合于康复。在这项工作中,开发了一种非侵入性单通道表面肌电信号放大器,可以从健全人和截肢者的下肘部肌肉中捕获三种典型手部动作的表面肌电信号。记录的表面肌电信号有趋势,并具有频率以外的活动频率。利用经验模态分解去趋势涨跌分析(EMD-DFA)对表面肌电信号进行去噪。在时域提取8个特征,在谱域和小波域各提取7个特征,形成一个特征向量。采用模糊熵测度(FEM)方法选择突出特征,降低了计算复杂度,缩短了分类识别时间。尝试基于偏最小二乘判别分析(PLS-DA)的多类方法对不同手部动作进行分类,以控制假手。结果表明,正常受试者和截肢者的指指动作准确率分别为89.72%和84%,握拳动作准确率分别为81.2%和79.54%,球形抓握动作准确率分别为80.6%和76%。将分类器的性能与线性判别分析(LDA)进行比较,发现正常受试者和截肢者的平均准确率提高了5%。与LDA相比,三种不同手部动作的平均准确率显著提高(83.84% & 80.18%)。所提出的工作框架在对截肢者的手部动作进行分类时提供了相当平均的准确性。因此,这种方法在驱动假手时似乎是有用的。
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引用次数: 3
Automated detection of clinical depression based on convolution neural network model. 基于卷积神经网络模型的临床抑郁症自动检测。
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-02-10 Print Date: 2022-04-26 DOI: 10.1515/bmt-2021-0232
Dan-Dan Yan, Lu-Lu Zhao, Xin-Wang Song, Xiao-Han Zang, Li-Cai Yang

As a common mental disorder, depression is placing an increasing burden on families and society. However, the current methods of depression detection have some limitations, and it is essential to find an objective and efficient method. With the development of automation and artificial intelligence, computer-aided diagnosis has attracted more and more attention. Therefore, exploring the use of deep learning (DL) to detect depression has valuable potential. In this paper, convolutional neural network (CNN) is applied to build a diagnostic model for depression based on electroencephalogram (EEG). EEG recordings are analyzed by three different CNN structures, namely EEGNet, DeepConvNet and ShallowConvNet, to dichotomize depression patients and healthy controls. EEG data were collected in the resting state from three electrodes (Fp1, Fz, Fp2) among 80 subjects (40 depressive patients and 40 normal subjects). After the preprocessing step, the DL structures are employed to classify the data, and their recognition performance is evaluated by comparing the classification results. The classification performance shows that depression was effectively detected using EEGNet with 93.74% accuracy, 94.85% sensitivity and 92.61% specificity. In the process of optimizing the parameters of EEGNet structure, the highest accuracy can reach 94.27%. Compared with traditional diagnostic methods, EEGNet is highly worthy for the future depression detection and valuable in terms of accuracy and speed.

作为一种常见的精神障碍,抑郁症正在给家庭和社会带来越来越大的负担。然而,现有的抑郁症检测方法存在一定的局限性,寻找一种客观、高效的方法至关重要。随着自动化和人工智能的发展,计算机辅助诊断越来越受到人们的重视。因此,探索使用深度学习(DL)来检测抑郁症具有宝贵的潜力。本文应用卷积神经网络(CNN)建立了基于脑电图(EEG)的抑郁症诊断模型。采用EEGNet、DeepConvNet和ShallowConvNet三种不同的CNN结构对脑电记录进行分析,将抑郁症患者和健康对照组进行二分类。在静息状态下采集80例受试者(40例抑郁症患者和40例正常人)Fp1、Fz、Fp2三个电极的脑电图数据。预处理后,使用深度学习结构对数据进行分类,并通过比较分类结果来评价其识别性能。分类结果表明,EEGNet对抑郁症的检测准确率为93.74%,灵敏度为94.85%,特异性为92.61%。在优化EEGNet结构参数的过程中,最高精度可达94.27%。与传统的诊断方法相比,EEGNet在准确性和速度方面具有很高的应用价值。
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引用次数: 2
Frontmatter
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-02-01 DOI: 10.1515/bmt-2022-frontmatter1
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引用次数: 0
Biomechanical influence of thread form on stress distribution over short implants (≤6 mm) using finite element analysis. 螺纹形式对短种植体(≤6mm)应力分布的生物力学影响的有限元分析
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-20 Print Date: 2022-02-23 DOI: 10.1515/bmt-2020-0215
Fan Liu, Zhi-Hong Mao, Wujie Peng, Sheng Wen

The macro and micro design is essential to the biomechanical performance of a short implant. In this study, the implant thread parameters of short implants used in edentulous maxillae will be discussed. The aim of the study is to analyse biomechanical distinctions in different thread parameters over short implants by applying the vertical or oblique load of 130 N on dental prosthesis. A 6*5 mm implant will be used in posterior maxillae arch, where the molar region locates. The CAD model has been assembled by three parts, a crown, an implant system and a jaw. By applying the vertical or oblique load to the crown, the Von-Mises stresses of cortical bone and trabecular bone will be evaluated in pairs along the lines v1-v2 & a1-a2. The results showed that the reverse buttress thread would induce more stresses in cancellous bone whereas the buttress did the opposite. The trapezoidal thread (V-thread) is more favourable than the reverse buttress thread in accordance to the FEA result. The rectangle threads will induce more uneven stresses in cancellous bones.

宏观和微观设计对短段种植体的生物力学性能至关重要。在本研究中,将讨论用于无牙上颌的短种植体的种植螺纹参数。本研究的目的是通过在短种植体上施加130牛的垂直或斜向载荷来分析不同螺纹参数在短种植体上的生物力学差异。在磨牙区所在的后上颌弓处使用6* 5mm种植体。CAD模型由三部分组成:牙冠、种植体系统和下颌。通过对冠施加垂直或斜向载荷,沿v1-v2和a1-a2线成对评估皮质骨和小梁骨的Von-Mises应力。结果表明,反向支撑线对松质骨产生的应力更大,而支撑线对松质骨产生的应力相反。根据有限元分析结果,梯形螺纹(v型螺纹)比反向支撑螺纹更有利。矩形螺纹将在松质骨中引起更多的不均匀应力。
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引用次数: 1
Comparative study of platinum electroplating to improve micro gold electrode arrays with LCP laminate. 镀铂改善LCP层压板微金电极阵列的对比研究。
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-11 Print Date: 2022-02-23 DOI: 10.1515/bmt-2021-0020
Michael Schweigmann, Frank Kirchhoff, Klaus P Koch

Decoding the cellular network interaction of neurons and glial cells are important in the development of new therapies for diseases of the central nervous system (CNS). Electrophysiological in vivo studies in mice will help to understand the highly complex network. In this paper, the optimization of epidural liquid crystal polymer (LCP) electrodes for different platinum electroplating parameters are presented and compared. Constant current and pulsed current electroplating varied in strength and duration was used to decrease the electrode impedance and to increase the charge storage capacity (CSCC). In best cases, both methods generated similar results with an impedance reduction of about 99%. However, electroplating with pulsed currents was less parameter-dependent than the electroplating with constant current. The use of ultrasound was essential to generate platinum coatings without plating defects. Electrode model parameters extracted from the electrode impedance reflected the increase in surface porosity due to the electroplating processes.

解码神经元和神经胶质细胞之间的细胞网络相互作用对中枢神经系统(CNS)疾病的新疗法的发展至关重要。在小鼠体内进行电生理研究将有助于理解这个高度复杂的网络。本文提出并比较了硬膜外液晶聚合物(LCP)电极在不同镀铂参数下的优化设计。采用恒电流和脉冲电流电镀不同的强度和时间,降低了电极阻抗,提高了电荷存储容量。在最好的情况下,这两种方法产生了相似的结果,阻抗降低了约99%。然而,与恒流电镀相比,脉冲电流电镀对参数的依赖性较小。利用超声波生成无镀层缺陷的铂镀层是必不可少的。从电极阻抗中提取的电极模型参数反映了电镀过程中表面孔隙率的增加。
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引用次数: 0
Stresses and deformations of an osteosynthesis plate in a lateral tibia plateau fracture. 胫骨外侧平台骨折中植骨钢板的应力和变形。
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-01-10 Print Date: 2022-02-23 DOI: 10.1515/bmt-2021-0166
Matthias Münch, Tobias Barth, Annika Studt, Julius Dehoust, Klaus Seide, Maximilian Hartel, Karl-Heinz Frosch

This study has the aim to investigate the strain and stress in an anterolateral locking plate applied for the fixation of a lateral split fracture. To simulate a complex fracture situation, three segments were separated. With a FEM analysis, representative places for strain and stress measurement were determined. A locked osteosynthesis plate was instrumented with strain gauges and tested on a fractured and a non-fractured Saw Bone model. To simulate different loading situations, four different points of force application, from the center of the condyles to a 15 mm posterior position, were used with a medial-lateral load distribution of 60:40. The simulations as well as the biomechanical tests demonstrated that two deformations dominate the load on the plate: a bending into posterior direction and a bulging of the plate head. Shifting the point of application to the posterior direction resulted in increasing maximum stress, from 1.16 to 6.32 MPa (FEM analysis) and from 3.04 to 7.00 MPa (biomechanical study), respectively. Furthermore, the comparison of the non-fractured and fractured models showed an increase in maximum stress by the factor 2.06-2.2 (biomechanical investigation) and 1.5-3.3 (FEM analysis), respectively.

本研究的目的是研究应用前外侧锁定钢板固定侧裂骨折时的应变和应力。为了模拟复杂的断裂情况,将三段分开。通过有限元分析,确定了具有代表性的应变和应力测量点。用应变计固定固定钢板,并在骨折和非骨折锯骨模型上进行测试。为了模拟不同的载荷情况,采用四个不同的受力点,从髁突中心到后侧15mm位置,内侧-外侧载荷分布为60:40。模拟和生物力学试验表明,两种变形主导了钢板上的载荷:向后方向弯曲和钢板头部凸起。将应用点移至后向导致最大应力增加,分别从1.16到6.32 MPa(有限元分析)和3.04到7.00 MPa(生物力学研究)。此外,非骨折模型和骨折模型的比较显示,最大应力分别增加了2.06-2.2倍(生物力学研究)和1.5-3.3倍(有限元分析)。
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引用次数: 2
Analysis of objective quality metrics in computed tomography images affected by metal artifacts. 受金属伪影影响的计算机断层成像客观质量指标分析。
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-12-28 Print Date: 2022-02-23 DOI: 10.1515/bmt-2020-0244
Yakdiel Rodriguez-Gallo, Ruben Orozco-Morales, Marlen Perez-Diaz

Image quality (IQ) assessment plays an important role in the medical world. New methods to evaluate image quality have been developed, but their application in the context of computer tomography is yet limited. In this paper the performance of fifteen well-known full reference (FR) IQ metrics is compared with human judgment using images affected by metal artifacts and processed with metal artifact reduction methods from a phantom. Five region of interest with different sizes were selected. IQ was evaluated by seven experienced radiologists completely blinded to the information. To measure the correlation between FR-IQ, and the score assigned by radiologists non-parametric Spearman rank-order correlation coefficient and Kendall's Rank-order Correlation coefficient were used; so as root mean square error and the mean absolute error to measure the prediction accuracy. Cohen's kappa was employed with the purpose of assessing inter-observer agreement. The metrics GMSD, IWMSE, IWPSNR, WSNR and OSS-PSNR were the best ranked. Inter-observer agreement was between 0.596 and 0.954, with p<0.001 in all study. The objective scores predicted by these methods correlate consistently with the subjective evaluations. The application of this metrics will make possible a better evaluation of metal artifact reduction algorithms in future works.

图像质量(IQ)评估在医学领域发挥着重要作用。评估图像质量的新方法已经开发出来,但它们在计算机断层扫描中的应用仍然有限。本文利用受金属伪影影响的图像,并采用伪影还原方法对其进行处理,比较了15种著名的全参考(FR) IQ指标与人类判断的性能。选取了5个不同大小的感兴趣区域。智商由7位经验丰富的放射科医生评估,他们完全不知道这些信息。采用非参数Spearman秩序相关系数和Kendall秩序相关系数来衡量FR-IQ与放射科医师评分的相关性;所以用均方根误差和平均绝对误差来衡量预测的精度。Cohen的kappa被用来评估观察员间的一致性。其中GMSD、IWMSE、IWPSNR、WSNR和OSS-PSNR排名最高。观察者间一致性在0.596 ~ 0.954之间,p
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引用次数: 1
A fuzzy sensitivity analysis approach to estimate brain effective connectivity and its application to epileptic seizure detection. 脑有效连通性模糊敏感性分析方法及其在癫痫发作检测中的应用。
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-12-20 Print Date: 2022-02-23 DOI: 10.1515/bmt-2021-0058
Nader Moharamzadeh, Ali Motie Nasrabadi

The brain is considered to be the most complicated organ in human body. Inferring and quantification of effective (causal) connectivity among regions of the brain is an important step in characterization of its complicated functions. The proposed method is comprised of modeling multivariate time series with Adaptive Neurofuzzy Inference System (ANFIS) and carrying out a sensitivity analysis using Fuzzy network parameters as a new approach to introduce a connectivity measure for detecting causal interactions between interactive input time series. The results of simulations indicate that this method is successful in detecting causal connectivity. After validating the performance of the proposed method on synthetic linear and nonlinear interconnected time series, it is applied to epileptic intracranial Electroencephalography (EEG) signals. The result of applying the proposed method on Freiburg epileptic intracranial EEG data recorded during seizure shows that the proposed method is capable of discriminating between the seizure and non-seizure states of the brain.

大脑被认为是人体最复杂的器官。推断和量化大脑区域之间的有效(因果)连接是表征其复杂功能的重要步骤。该方法采用自适应神经模糊推理系统(ANFIS)对多变量时间序列进行建模,并采用模糊网络参数进行灵敏度分析,作为一种新的方法,引入连接度量来检测交互输入时间序列之间的因果相互作用。仿真结果表明,该方法能够成功地检测出因果连通性。在验证了该方法在合成线性和非线性互连时间序列上的性能后,将其应用于癫痫病患者的颅内脑电图信号。将该方法应用于Freiburg癫痫发作期间记录的颅内脑电图数据,结果表明该方法能够区分大脑的发作状态和非发作状态。
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引用次数: 2
Endoscopic confocal laser-microscopy for the intraoperative nerve recognition: is it feasible? 内镜共聚焦激光显微术中神经识别是否可行?
IF 1.7 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2021-12-17 Print Date: 2022-02-23 DOI: 10.1515/bmt-2021-0171
David Benjamin Ellebrecht, Sönke von Weihe

Surgeons lose most of their tactile tissue information during minimal invasive surgery and need an additional tool of intraoperative tissue recognition. Confocal laser microscopy (CLM) is a well-established method of tissue investigation. The objective of this study was to analyze the feasibility and diagnostic accuracy of CLM nervous tissue recognition. Images taken with an endoscopic CLM system of sympathetic ganglions, nerve fibers and pleural tissue were characterized in terms of specific signal-patterns ex-vivo. No fluorescent dye was used. Diagnostic accuracy of tissue classification was evaluated by newly trained observers (sensitivity, specificity, PPV, NPV and interobserver variability). Although CLM images showed low CLM image contrast, assessment of nerve tissue was feasible without any fluorescent dye. Sensitivity and specificity ranged between 0.73 and 0.9 and 0.55-1.0, respectively. PPVs were 0.71-1.0 and the NPV range was between 0.58 and 0.86. The overall interobserver variability was 0.36. The eCLM enables to evaluate nervous tissue and to distinguish between nerve fibers, ganglions and pleural tissue based on backscattered light. However, the low image contrast and the heterogeneity in correct tissue diagnosis and a fair interobserver variability indicate the limit of CLM imaging without any fluorescent dye.

在微创手术中,外科医生失去了大部分的触觉组织信息,需要一种额外的术中组织识别工具。激光共聚焦显微镜(CLM)是一种成熟的组织研究方法。本研究的目的是分析CLM神经组织识别的可行性和诊断准确性。用内窥镜CLM系统拍摄的交感神经节、神经纤维和胸膜组织的图像在离体时具有特定的信号模式。未使用荧光染料。组织分类的诊断准确性由新训练的观测者评估(敏感性、特异性、PPV、NPV和观测者间变异性)。虽然CLM图像显示较低的CLM图像对比度,但不使用任何荧光染料对神经组织进行评估是可行的。敏感性和特异性分别在0.73 - 0.9和0.55-1.0之间。ppv范围为0.71 ~ 1.0,NPV范围为0.58 ~ 0.86。总体观察者间变异率为0.36。eCLM能够评估神经组织,并根据背向散射光区分神经纤维、神经节和胸膜组织。然而,低图像对比度和正确组织诊断的异质性以及公平的观察者之间的可变性表明没有任何荧光染料的CLM成像的局限性。
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引用次数: 0
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Biomedical Engineering / Biomedizinische Technik
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