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Quantifying task-relevant representational similarity using decision variable correlation. 使用决策变量相关性量化任务相关的表征相似性。
Pub Date : 2026-01-06
Yu, Qian, Wilson S Geisler, Xue-Xin Wei

Previous studies have compared neural activities in the visual cortex to representations in deep neural networks trained on image classification. Interestingly, while some suggest that their representations are highly similar, others argued the opposite. Here, we propose a new approach to characterize the similarity of the decision strategies of two observers (models or brains) using decision variable correlation (DVC). DVC quantifies the image-by-image correlation between the decoded decisions based on the internal neural representations in a classification task. Thus, it can capture task-relevant information rather than general representational alignment. We evaluate DVC using monkey V4/IT recordings and network models trained on image classification tasks. We find that model-model similarity is comparable to monkey-monkey similarity, whereas model-monkey similarity is consistently lower. Strikingly, DVC decreases with increasing network performance on ImageNet-1k. Adversarial training does not improve model-monkey similarity in task-relevant dimensions assessed using DVC, although it markedly increases the model-model similarity. Similarly, pre-training on larger datasets does not improve model-monkey similarity. These results suggest a divergence between the task-relevant representations in monkey V4/IT and those learned by models trained on image classification tasks.

先前的研究将视觉皮层的神经活动与经过图像分类训练的深度神经网络的表征进行了比较。有趣的是,虽然一些人认为他们的表现非常相似,但另一些人却持相反的观点。在这里,我们提出了一种新的方法来表征两个观察者(模型或大脑)的决策策略的相似性使用决策变量相关性(DVC)。在分类任务中,DVC基于内部神经表征量化解码决策之间的逐图像相关性。因此,它可以捕获与任务相关的信息,而不是一般的表示对齐。我们使用猴子V4/IT记录和经过图像分类任务训练的网络模型来评估DVC。我们发现模型-模型的相似性与猴子-猴子的相似性相当,而模型-猴子的相似性一直较低。引人注目的是,DVC随着ImageNet-1k网络性能的提高而降低。对抗训练并没有提高使用DVC评估的任务相关维度上模型-猴子的相似性,尽管它显著增加了模型-模型的相似性。同样,在更大的数据集上进行预训练并不能提高模型与猴子的相似性。这些结果表明,猴子V4/IT中与任务相关的表征与通过图像分类任务训练的模型学习到的表征之间存在差异。
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引用次数: 0
Predicting Early and Complete Drug Release from Long-Acting Injectables Using Explainable Machine Learning. 使用可解释的机器学习预测长效注射剂的早期和完全药物释放。
Pub Date : 2026-01-05
Karla N Robles, Manar D Samad

Polymer-based long-acting injectables (LAIs) have transformed the treatment of chronic diseases by enabling controlled drug delivery, thus reducing dosing frequency and extending therapeutic duration. Achieving controlled drug release from LAIs requires extensive optimization of the complex underlying physicochemical properties. Machine learning (ML) can accelerate LAI development by modeling the complex relationships between LAI properties and drug release. However, recent ML studies have provided limited information on key properties that modulate drug release, due to the lack of custom modeling and analysis tailored to LAI data. This paper presents a novel data transformation and explainable ML approach to synthesize actionable information from 321 LAI formulations by predicting early drug release at 24, 48, and 72 hours, classification of release profile types, and prediction of complete release profiles. These three experiments investigate the contribution and control of LAI material characteristics in early and complete drug release profiles. A strong correlation (>0.65) is observed between the true and predicted drug release in 72 hours, while a 0.87 F1-score is obtained in classifying release profile types. A time-independent ML framework predicts delayed biphasic and triphasic curves with better performance than current time-dependent approaches. Shapley additive explanations reveal the relative influence of material characteristics during early and for complete release which fill several gaps in previous in-vitro and ML-based studies. The novel approach and findings can provide a quantitative strategy and recommendations for scientists to optimize the drug-release dynamics of LAI. The source code for the model implementation is publicly available.

基于聚合物的长效注射剂(LAIs)通过控制给药,从而减少给药频率和延长治疗时间,改变了慢性病的治疗。要从LAIs中控制药物释放,需要对复杂的潜在物理化学性质进行广泛的优化。机器学习(ML)可以通过模拟LAI性质与药物释放之间的复杂关系来加速LAI的发展。然而,由于缺乏针对LAI数据的定制建模和分析,最近的ML研究提供了有限的关于调节药物释放的关键特性的信息。本文提出了一种新的数据转换和可解释的ML方法,通过预测药物在24、48和72小时的早期释放,对释放谱类型进行分类,并预测完整的释放谱,从321种LAI配方中合成可操作的信息。这三个实验探讨了LAI物质特性在早期和完整的药物释放谱中的贡献和控制。72小时内药物真实释放量与预测释放量呈强相关(>0.65),对药物释放谱类型的分类得分为f1 - 0.87。一个与时间无关的机器学习框架预测延迟的双相和三相曲线,比目前的时间相关方法具有更好的性能。Shapley添加剂解释揭示了早期和完全释放期间材料特性的相对影响,填补了先前体外和基于ml的研究中的几个空白。新方法和发现可为科学家优化LAI的药物释放动力学提供定量策略和建议。模型实现的源代码是公开的。
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引用次数: 0
Dynamical Mechanisms for Coordinating Long-term Working Memory Based on the Precision of Spike-timing in Cortical Neurons. 基于皮质神经元峰时精度的协调长时工作记忆的动力机制。
Pub Date : 2026-01-02
Terrence J Sejnowski

In the last century, most sensorimotor studies of cortical neurons relied on average firing rates. Rate coding is efficient for fast sensorimotor processing that occurs within a few seconds. Much less is known about long-term working memory with a time scale of hours (Ericsson and Kintsch, 1995). The discovery of millisecond-precision spike initiation in cortical neurons was unexpected (Mainen and Sejnowski, 1995). Even more striking was the precision of spiking in vivo, in response to rapidly fluctuating sensory inputs, suggesting that neural circuits could, in principle, preserve and manipulate sensory information through spike timing. High temporal resolution enables a broader range of neural codes. It could also support spike-timing-dependent plasticity (STDP), which is triggered by the relative timing of spikes between presynaptic and postsynaptic neurons in the millisecond range. What spike-timing mechanisms could regulate STDP in vivo? Cortical traveling waves have been observed across many frequency bands with high temporal precision. Traveling waves have wave fronts that could link spike timing to STDP. As a wave front passes through a cortical column, excitatory synapses on the dendrites of both pyramidal and basket cells are stimulated synchronously. Inhibitory basket cells form a calyx on pyramidal cell bodies, and inhibitory rebound following a strong transient hyperpolarization can trigger a backpropagating action potential, which arrives shortly after the excitatory inputs on pyramidal dendrites. STDP activated in this way could persist for hours, creating a second-tier network. This temporary network could support long-term working memory, a cognitive network riding above the long-term sensorimotor network. On their own, traveling waves and STDP have not yet yielded new insights into cortical function. Together, they could be responsible for how we think (Sejnowski, 2025).

在上个世纪,大多数皮层神经元的感觉运动研究依赖于平均放电率。速率编码对于发生在几秒钟内的快速感觉运动处理是有效的。对于以小时为时间尺度的长期工作记忆,我们所知甚少(Ericsson and Kintsch, 1995)。皮质神经元中尖峰起始的毫秒精度的发现是出乎意料的(Mainen和Sejnowski, 1995)。更令人惊讶的是,在体内对快速波动的感觉输入做出反应时,脉冲的准确性表明,神经回路原则上可以通过脉冲定时来保存和操纵感觉信息。它可以支持脉冲时间依赖的可塑性(STDP),这是由突触前和突触后神经元之间脉冲的相对时间在毫秒范围内触发的。在体内,什么尖峰定时机制可以调节STDP ?皮层行波已经在许多频带上被观测到,具有很高的时间精度。行波的波前可以将尖峰时序与STDP联系起来。当波前通过皮质柱时,锥体细胞和篮状细胞树突上的兴奋性突触同时受到刺激。抑制性篮细胞在锥体细胞体上形成花萼,抑制性回弹在强瞬态超极化后触发反向传播动作电位,该动作电位在锥体树突的兴奋输入后不久到达。以这种方式激活的STDP可以持续数小时,从而创建第二层网络。这个临时网络可以支持长期工作记忆,这是一个凌驾于长期感觉运动网络之上的认知网络。就其本身而言,行波和STDP尚未对皮层功能产生新的见解。总之,它们可以对我们的思维方式负责(Sejnowski, 2025)。
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引用次数: 0
Human-like AI-based Auto-Field-in-Field Whole-Brain Radiotherapy Treatment Planning With Conversation Large Language Model Feedback. 基于会话大语言模型反馈的类人ai自动场对场全脑放疗治疗计划。
Pub Date : 2026-01-02
Adnan Jafar, An Qin, Gavin Atkins, Xiaoyu Hu, Yin Gao, Xun Jia

Background: Whole-brain radiotherapy (WBRT) is a common treatment due to its simplicity and effectiveness. While automated Field-in-Field (Auto-FiF) functions assist WBRT planning in modern treatment planning systems, it still requires manual approaches for optimal plan generation including patient-specific hyperparameters definition and plan refinement based on quality feedback.

Purpose: This study introduces an automated WBRT planning pipeline that integrates a deep learning (DL) Hyperparameter Prediction model for patient-specific parameter generation and a large-language model (LLM)-based conversational interface for interactive plan refinement.

Methods: The Hyperparameter Prediction module was trained on 55 WBRT cases using geometric features of clinical target volume (CTV) and organs at risk (OARs) to determine optimal Auto-FiF settings in RayStation treatment planning system. Plans were generated under predicted hyperparameters. For cases in which the generated plan was suboptimal, quality feedback via voice input was captured by a Conversation module, transcribed using Whisper, and interpreted by GPT-4o to adjust planning settings. Plan quality was evaluated in 15 independent cases using clinical metrics and expert review, and model explainability was supported through analysis of feature importance.

Results: Fourteen of 15 DL-generated plans were clinically acceptable. Normalized to identical CTV D95% as the clinical plans, the DL-generated and clinical plans showed no statistically significant differences in doses to the eyes, lenses, or CTV dose metrics D1% and D99%. The DL-based planning required under 1 minute of computation and achieved total workflow execution in approximately 7 minutes with a single mouse click, compared to 15 minutes for manual planning. In cases requiring adjustment, the Conversational module successfully improved dose conformity and hotspot reduction.

Conclusions: The proposed system improves planning efficiency while maintaining clinically acceptable plan quality. It demonstrates the feasibility of combining DL-based hyperparameter prediction with LLM interaction for streamlined, high-quality WBRT planning.

全脑放疗(WBRT)因其简单有效而成为一种常用的治疗方法。虽然自动化现场(Auto-FiF)功能有助于现代治疗计划系统中的WBRT计划,但它仍然需要手动方法来生成最佳计划,包括针对患者的超参数定义和基于质量反馈的计划优化。本研究引入了一种自动化的WBRT规划管道,该管道集成了用于特定患者参数生成的深度学习(DL)超参数预测模型和用于交互式计划优化的基于大语言模型(LLM)的会话接口。利用临床靶体积(CTV)和危险器官(OARs)的几何特征对55例WBRT进行了超参数预测模块的训练,以确定RayStation治疗计划系统中最佳的Auto-FiF设置。计划在预测的超参数下生成。对于生成的计划不是最优的情况,通过语音输入的质量反馈由Conversation模块捕获,使用Whisper进行转录,并由gpt - 40进行解释,以调整计划设置。采用临床指标和专家评审对15例独立病例的计划质量进行评估,并通过分析特征重要性来支持模型的可解释性。15张dl生成图中有14张临床可接受。归一化为与临床计划相同的CTV D95%, dl生成和临床计划在眼睛,晶状体或CTV剂量指标D1%和D99%方面没有统计学上的显着差异。基于dl的规划需要不到1分钟的计算,并且通过一次鼠标点击在大约7分钟内实现了整个工作流的执行,而手动规划需要15分钟。在需要调整的情况下,会话模块成功地改善了剂量一致性和热点减少。
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引用次数: 0
Proton therapy range uncertainty reduction using vendor-agnostic tissue characterization on a virtual photon-counting CT head scan. 在虚拟光子计数CT头部扫描上使用供应商不可知的组织特征来减少质子治疗范围的不确定性。
Pub Date : 2026-01-02
S Vrbaški, G Stanić, S Molinelli, M Bhattarai, E Abadi, M Ciocca, E Samei

In this work, we proposed virtual imaging simulators as an alternative approach to experimental validation of beam range uncertainty in complex patient geometry using a computational model of a human head and a photon-counting CT scanner. We validate the accuracy of stopping power ratio (SPR) calculations using a conventional stoichiometric calibration approach and a prototype software, TissueXplorer. A validated CT simulator (DukeSim) was used to generate photon-counting CT projections of a computational head model, which were reconstructed with an open-source toolbox (ASTRA). The dose of 2 Gy was delivered through protons in a single fraction to target two different cases of nasal and brain tumors with a single lateral beam angle. Ground truth treatment plan was made directly on the computational head model using clinical treatment planning software (RayStation). This plan was then recalculated on the corresponding CT images for which SPR values were estimated using both the conventional method and the prototype software TissueXplorer. The mean percentage difference in estimating the stopping power ratio with TissueXplorer in all head tissues inside the scanned volume was 0.28%. Stopping power ratios obtained with this method showed smaller dose distribution differences from the ground truth plan than the conventional stoichiometric calibration method on the computational head model. Virtual imaging offers an alternative approach to validation of the SPR prediction from CT imaging, as well as its effect on the dose distribution and thus downstream clinical outcomes. According to this simulation study, software solutions that utilize spectral information, such as TissueXplorer, hold promise for more accurate prediction of the stopping power ratio than the conventional stoichiometric approach.

在这项工作中,我们提出了虚拟成像模拟器作为一种替代方法,使用人头计算模型和光子计数CT扫描仪对复杂患者几何结构中的光束范围不确定性进行实验验证。我们使用传统的化学计量校准方法和TissueXplorer原型软件验证了停止功率比(SPR)计算的准确性。使用经过验证的CT模拟器(DukeSim)生成计算头部模型的光子计数CT投影,并使用开源工具箱(ASTRA)进行重建。2 Gy的剂量是通过质子在一个单一的分数中以单一的侧束角度靶向两种不同的鼻肿瘤和脑肿瘤。使用临床治疗计划软件(RayStation)直接在计算头部模型上制定地面真相治疗方案。然后在相应的CT图像上重新计算该计划,并使用常规方法和原型软件TissueXplorer估计SPR值。使用TissueXplorer在扫描体积内的所有头部组织中估计停止功率比的平均百分比差异为0.28%。在计算头模型上,与传统的化学计量校准方法相比,该方法得到的停止功率比与地面真值图的剂量分布差异较小。虚拟成像提供了另一种方法来验证CT成像的SPR预测,以及它对剂量分布和下游临床结果的影响。根据这项模拟研究,利用光谱信息的软件解决方案,如TissueXplorer,有望比传统的化学计量方法更准确地预测停止功率比。
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引用次数: 0
Non-dilemmatic social dynamics promote cooperation in multilayer networks. 非两难社会动态促进多层网络中的合作。
Pub Date : 2026-01-01
Jnanajyoti Bhaumik, Naoki Masuda

Various theoretical and empirical studies have accounted for why humans cooperate in competitive environments. Although prior work has revealed that network structure and multiplex interactions can promote cooperation, most theory assumes that individuals play similar dilemma games in all social contexts. However, real-world agents may participate in a diversity of interactions, not all of which present dilemmas. We develop an evolutionary game model on multilayer networks in which one layer supports the prisoner's dilemma game, while the other follows constant-selection dynamics, representing biased but non-dilemmatic competition, akin to opinion or fad spreading. Our theoretical analysis reveals that coupling a social dilemma layer to a non-dilemmatic constant-selection layer robustly enhances cooperation in many cases, across different multilayer networks, updating rules, and payoff schemes. These findings suggest that embedding individuals within diverse networked settings-even those unrelated to direct social dilemmas-can be a principled approach to engineering cooperation in socio-ecological and organizational systems.

各种理论和实证研究都解释了为什么人类在竞争环境中合作。虽然先前的研究表明,网络结构和多重互动可以促进合作,但大多数理论都假设个体在所有社会环境中都玩类似的困境游戏。然而,现实世界的代理人可能参与各种各样的互动,并不是所有的互动都存在困境。我们在多层网络上开发了一个进化博弈模型,其中一层支持囚徒困境博弈,而另一层遵循恒定选择动力学,代表有偏见但非困境竞争,类似于观点或时尚传播。我们的理论分析表明,在许多情况下,跨不同的多层网络、更新规则和支付方案,将社会困境层与非困境常数选择层耦合可以增强合作。这些发现表明,将个人嵌入到不同的网络环境中——即使是那些与直接的社会困境无关的环境中——可能是一种在社会生态和组织系统中设计合作的原则性方法。
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引用次数: 0
MethConvTransformer: A Deep Learning Framework for Cross-Tissue Alzheimer's Disease Detection. MethConvTransformer:用于跨组织阿尔茨海默病检测的深度学习框架。
Pub Date : 2026-01-01
Gang Qu, Guanghao Li, Zhongming Zhao

Alzheimer's disease (AD) is a multifactorial neurodegenerative disorder characterized by progressive cognitive decline and widespread epigenetic dysregulation in the brain. DNA methylation, as a stable yet dynamic epigenetic modification, holds promise as a noninvasive biomarker for early AD detection. However, methylation signatures vary substantially across tissues and studies, limiting reproducibility and translational utility. To address these challenges, we develop MethConvTransformer, a transformer-based deep learning framework that integrates DNA methylation profiles from both brain and peripheral tissues to enable biomarker discovery. The model couples a CpG-wise linear projection with convolutional and self-attention layers to capture local and long-range dependencies among CpG sites, while incorporating subject-level covariates and tissue embeddings to disentangle shared and region-specific methylation effects. In experiments across six GEO datasets and an independent ADNI validation cohort, our model consistently outperforms conventional machine-learning baselines, achieving superior discrimination and generalization. Moreover, interpretability analyses using linear projection, SHAP, and Grad-CAM++ reveal biologically meaningful methylation patterns aligned with AD-associated pathways, including immune receptor signaling, glycosylation, lipid metabolism, and endomembrane (ER/Golgi) organization. Together, these results indicate that MethConvTransformer delivers robust, cross-tissue epigenetic biomarkers for AD while providing multi-resolution interpretability, thereby advancing reproducible methylation-based diagnostics and offering testable hypotheses on disease mechanisms.

阿尔茨海默病(AD)是一种多因素神经退行性疾病,其特征是进行性认知能力下降和大脑中广泛的表观遗传失调。DNA甲基化作为一种稳定而动态的表观遗传修饰,有望成为早期阿尔茨海默病的非侵入性生物标志物。然而,甲基化特征在不同组织和研究中差异很大,限制了可重复性和翻译效用。为了应对这些挑战,我们开发了MethConvTransformer,这是一个基于转换器的深度学习框架,集成了来自大脑和外周组织的DNA甲基化谱,以实现生物标志物的发现。该模型将CpG线性投影与卷积层和自关注层相结合,以捕获CpG位点之间的局部和长期依赖关系,同时结合受试者水平的协变量和组织嵌入来解开共享和区域特异性甲基化效应。在六个GEO数据集和一个独立的ADNI验证队列的实验中,我们的模型始终优于传统的机器学习基线,实现了卓越的识别和泛化。此外,使用线性投影、SHAP和Grad-CAM++的可解释性分析揭示了与ad相关途径一致的具有生物学意义的甲基化模式,包括免疫受体信号传导、糖基化、脂质代谢和内膜(ER/高尔基体)组织。总之,这些结果表明,MethConvTransformer为AD提供了强大的、跨组织的表观遗传生物标志物,同时提供了多分辨率的可解释性,从而推进了可重复的基于甲基化的诊断,并为疾病机制提供了可测试的假设。
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引用次数: 0
A Dual-Tuned Concentric Multimodal RF Coil for 7T 1H/31P MRSI: Concurrently Enhancing B1 Efficiency Over Single-Tuned References. 用于7t1h /31P核磁共振成像的双调谐同心多模态射频线圈:与单调谐参考文献相比,同时提高B1效率。
Pub Date : 2025-12-31
Yunkun Zhao, Xiaoliang Zhang

This study presents the design, simulation, and experimental validation of a dual-tuned concentric multimodal surface coil for 7T 1H/31P magnetic resonance spectroscopic imaging (MRSI), developed to significantly enhance 31P B1 efficiency while improving 1H performance. The coil architecture utilizes two interleaved sets of three concentric loop resonators. Intra-nucleus electromagnetic coupling within each three-loop set generates a spectrum of eigenmodes; the operational modes for 1H and 31P were specifically selected because their co-directed current distributions reinforce the magnetic field at the center, yielding B1 patterns that resemble those of conventional single-loop surface coils but with superior efficiency. Full-wave electromagnetic simulations and bench measurements on a fabricated prototype were conducted to characterize the multimodal resonance behavior, scattering parameters, B1 distribution, and 10-g local SAR, using size-matched conventional single-tuned loops as references. The results confirmed that the design reproducibly generated the predicted eigenmode ordering with sufficient spectral separation to prevent interference from parasitic or undesired modes. Notably, the multimodal design achieved an 83% boost in 31P B1 efficiency and a 21% boost in 1H B1 efficiency at the coil center compared to same-sized single-tuned references. Sufficient inter-nuclear decoupling was achieved to prevent signal leakage between channels, and simulations with a human head model confirmed that the peak 10-g local SAR remained comparable to conventional designs. These findings demonstrate that this multimodal concentric design offers a robust and highly efficient solution for multinuclear MRSI at ultrahigh fields, effectively mitigating the sensitivity limitations of X-nuclei without compromising proton-based imaging capabilities.

本研究介绍了用于7T 1H/31P磁共振光谱成像(MRSI)的双调谐同心多模态表面线圈的设计、仿真和实验验证,该线圈可显著提高31P B1效率,同时改善1H性能。线圈结构采用两组交错的三个同心环路谐振器。每个三环集内的核内电磁耦合产生本征模谱;1H和31P的工作模式被特别选择,因为它们的共向电流分布增强了中心的磁场,产生了类似于传统单回路表面线圈的B1模式,但效率更高。以尺寸匹配的传统单调谐回路为参考,在制造的样机上进行了全波电磁仿真和台架测量,以表征多模态共振行为、散射参数、B1分布和10g局部SAR。结果证实,该设计可重复地产生预测的特征模顺序,具有足够的光谱分离,以防止寄生或不希望的模式的干扰。值得注意的是,与相同尺寸的单调谐参考相比,多模态设计在线圈中心实现了83%的31P B1效率提升和21%的1H B1效率提升。实现了充分的核间解耦,以防止信道之间的信号泄漏,并且使用人头模型进行的模拟证实,峰值10g局部SAR仍然与传统设计相当。这些发现表明,这种多模态同心设计为超高场下的多核磁共振成像提供了一种强大而高效的解决方案,有效地减轻了x核的灵敏度限制,同时又不影响基于质子的成像能力。
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引用次数: 0
Computational Analysis of Disease Progression in Pediatric Pulmonary Arterial Hypertension. 儿童肺动脉高压疾病进展的计算分析。
Pub Date : 2025-12-31
Omar Said, Christopher Tossas-Betancourt, Mary K Olive, Jimmy C Lu, Adam Dorfman, C Alberto Figueroa

Pulmonary arterial hypertension (PAH) is a progressive cardiopulmonary disease that leads to increased pulmonary pressures, vascular remodeling, and eventual right ventricular (RV) failure. Pediatric PAH remains understudied due to limited data and the lack of targeted diagnostic and therapeutic strategies. In this study, we developed and calibrated multi-scale, patient-specific cardiovascular models for four pediatric PAH patients using longitudinal MRI and catheterization data collected approximately two years apart. Using the CRIMSON simulation framework, we coupled three-dimensional fluid-structure interaction (FSI) models of the pulmonary arteries with zero-dimensional (0D) lumped-parameter heart and Windkessel models to simulate patient hemodynamics. An automated Python-based optimizer was developed to calibrate boundary conditions by minimizing discrepancies between simulated and clinical metrics, reducing calibration time from weeks to days. Model-derived metrics such as arterial stiffness, pulse wave velocity, resistance, and compliance were found to align with clinical indicators of disease severity and progression. Our findings demonstrate that computational modeling can non-invasively capture patient-specific hemodynamic adaptation over time, offering a promising tool for monitoring pediatric PAH and informing future treatment strategies.

肺动脉高压(PAH)是一种进行性心肺疾病,可导致肺动脉压升高、血管重构和最终的右心室(RV)衰竭。由于数据有限和缺乏有针对性的诊断和治疗策略,儿童多环芳烃仍未得到充分研究。在这项研究中,我们开发并校准了四名儿童PAH患者的多尺度,患者特异性心血管模型,使用纵向MRI和相隔约两年的导管数据。利用CRIMSON仿真框架,我们将肺动脉三维流固相互作用(FSI)模型与零维(0D)集总参数心脏和Windkessel模型耦合,模拟患者血流动力学。开发了基于python的自动化优化器,通过最大限度地减少模拟和临床指标之间的差异,将校准时间从数周减少到数天,从而校准边界条件。模型衍生的指标,如动脉硬度、脉搏波速度、阻力和依从性,与疾病严重程度和进展的临床指标一致。我们的研究结果表明,随着时间的推移,计算模型可以无创地捕捉患者特异性的血流动力学适应,为监测儿童多环芳烃提供了一个有前途的工具,并为未来的治疗策略提供信息。
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引用次数: 0
Cuffless, calibration-free hemodynamic monitoring with physics-informed machine learning models. 无袖带,无校准的血液动力学监测与物理信息的机器学习模型。
Pub Date : 2025-12-31
Henry Crandall, Tyler Schuessler, Filip Bělík, Albert Fabregas, Barry M Stults, Alexandra Boyadzhiev, Huanan Zhang, Jim S Wu, Aylin R Rodan, Stephen P Juraschek, Ramakrishna Mukkamala, Alfred K Cheung, Stavros G Drakos, Christel Hohenegger, Braxton Osting, Benjamin Sanchez

Wearable technologies have the potential to transform ambulatory and at-home hemodynamic monitoring by providing continuous assessments of cardiovascular health metrics and guiding clinical management. However, existing cuffless wearable devices for blood pressure (BP) monitoring often rely on methods lacking theoretical foundations, such as pulse wave analysis or pulse arrival time, making them vulnerable to physiological and experimental confounders that undermine their accuracy and clinical utility. Here, we developed a smartwatch device with real-time electrical bioimpedance (BioZ) sensing for cuffless hemodynamic monitoring. We elucidate the biophysical relationship between BioZ and BP via a multiscale analytical and computational modeling framework, and identify physiological, anatomical, and experimental parameters that influence the pulsatile BioZ signal at the wrist. A signal-tagged physics-informed neural network incorporating fluid dynamics principles enables calibration-free estimation of BP and radial and axial blood velocity. We successfully tested our approach with healthy individuals at rest and after physical activity including physical and autonomic challenges, and with patients with hypertension and cardiovascular disease in outpatient and intensive care settings. Our findings demonstrate the feasibility of BioZ technology for cuffless BP and blood velocity monitoring, addressing critical limitations of existing cuffless technologies.

可穿戴技术通过提供心血管健康指标的持续评估和指导临床管理,有可能改变门诊和家庭血液动力学监测。然而,现有的用于血压监测的无袖带可穿戴设备通常依赖于缺乏理论基础的方法,例如脉搏波分析或脉搏到达时间,这使得它们容易受到生理和实验混淆因素的影响,从而降低了它们的准确性和临床实用性。在这里,我们开发了一种具有实时电生物阻抗(BioZ)传感的智能手表设备,用于无袖带血液动力学监测。我们通过多尺度分析和计算建模框架阐明了BioZ和BP之间的生物物理关系,并确定了影响腕部脉动BioZ信号的生理、解剖和实验参数。结合流体动力学原理的信号标记物理信息神经网络可以实现无需校准的血压、径向和轴向血流速度估计。我们成功地在休息和体力活动(包括身体和自主神经挑战)后的健康个体,以及门诊和重症监护环境中的高血压和心血管疾病患者身上测试了我们的方法。我们的研究结果证明了BioZ技术用于无套管血压和血流监测的可行性,解决了现有无套管技术的关键局限性。
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