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Portable noninvasive technologies for early breast cancer detection: A systematic review. 用于早期乳腺癌检测的便携式无创技术:系统综述。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI: 10.1016/j.compbiomed.2024.109219
Shadrack O Aboagye, John A Hunt, Graham Ball, Yang Wei
{"title":"Portable noninvasive technologies for early breast cancer detection: A systematic review.","authors":"Shadrack O Aboagye, John A Hunt, Graham Ball, Yang Wei","doi":"10.1016/j.compbiomed.2024.109219","DOIUrl":"10.1016/j.compbiomed.2024.109219","url":null,"abstract":"<p><p>Breast cancer remains a leading cause of cancer mortality worldwide, with early detection crucial for improving outcomes. This systematic review evaluates recent advances in portable non-invasive technologies for early breast cancer detection, assessing their methods, performance, and potential for clinical implementation. A comprehensive literature search was conducted across major databases for relevant studies published between 2015 and 2024. Data on technology types, detection methods, and diagnostic performance were extracted and synthesized from 41 included studies. The review examined microwave imaging, electrical impedance tomography (EIT), thermography, bioimpedance spectroscopy (BIS), and pressure sensing technologies. Microwave imaging and EIT showed the most promise, with some studies reporting sensitivities and specificities over 90 %. However, most technologies are still in early stages of development with limited large-scale clinical validation. These innovations could complement existing gold standards, potentially improving screening rates and outcomes, especially in underserved populations, whiles decreasing screening waiting times in developed countries. Further research is therefore needed to validate their clinical efficacy, address implementation challenges, and assess their impact on patient outcomes before widespread adoption can be recommended.</p>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"182 ","pages":"109219"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-based multilevel transcriptome exploration highlights relevant chemokines and chemokine receptor axes in glioblastoma 基于患者的多层次转录组探索凸显了胶质母细胞瘤中的相关趋化因子和趋化因子受体轴。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 DOI: 10.1016/j.compbiomed.2024.109197
Giulia D'Uonnolo , Damla Isci , Bakhtiyor Nosirov , Amandine Kuppens , May Wantz , Petr V. Nazarov , Anna Golebiewska , Bernard Rogister , Andy Chevigné , Virginie Neirinckx , Martyna Szpakowska
{"title":"Patient-based multilevel transcriptome exploration highlights relevant chemokines and chemokine receptor axes in glioblastoma","authors":"Giulia D'Uonnolo ,&nbsp;Damla Isci ,&nbsp;Bakhtiyor Nosirov ,&nbsp;Amandine Kuppens ,&nbsp;May Wantz ,&nbsp;Petr V. Nazarov ,&nbsp;Anna Golebiewska ,&nbsp;Bernard Rogister ,&nbsp;Andy Chevigné ,&nbsp;Virginie Neirinckx ,&nbsp;Martyna Szpakowska","doi":"10.1016/j.compbiomed.2024.109197","DOIUrl":"10.1016/j.compbiomed.2024.109197","url":null,"abstract":"<div><div>Chemokines and their receptors form a complex interaction network, crucial for precise leukocyte positioning and trafficking. In cancer, they promote malignant cell proliferation and survival but are also critical for immune cell infiltration in the tumor microenvironment. Glioblastoma (GBM) is the most common and lethal brain tumor, characterized by an immunosuppressive TME, with restricted immune cell infiltration. A better understanding of chemokine-receptor interactions is therefore essential for improving tumor immunogenicity. In this study, we assessed the expression of all human chemokines in adult-type diffuse gliomas, with particular focus on GBM, based on patient-derived samples. Publicly available bulk RNA sequencing datasets allowed us to identify the chemokines most abundantly expressed in GBM, with regard to disease severity and across different tumor subregions. To gain insight into the chemokines–receptor network at the single cell resolution, we explored GBmap, a curated resource integrating multiple scRNAseq datasets from different published studies. Our study constitutes the first patient–based handbook highlighting the relevant chemokine–receptor crosstalks, which are of significant interest in the perspective of a therapeutic modulation of the TME in GBM.</div></div>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"182 ","pages":"Article 109197"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pan-cancer characterization of cellular senescence reveals its inter-tumor heterogeneity associated with the tumor microenvironment and prognosis. 细胞衰老的泛癌症特征揭示了其与肿瘤微环境和预后相关的肿瘤间异质性。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI: 10.1016/j.compbiomed.2024.109196
Kang Li, Chen Guo, Rufeng Li, Yufei Yao, Min Qiang, Yuanyuan Chen, Kangsheng Tu, Yungang Xu
{"title":"Pan-cancer characterization of cellular senescence reveals its inter-tumor heterogeneity associated with the tumor microenvironment and prognosis.","authors":"Kang Li, Chen Guo, Rufeng Li, Yufei Yao, Min Qiang, Yuanyuan Chen, Kangsheng Tu, Yungang Xu","doi":"10.1016/j.compbiomed.2024.109196","DOIUrl":"10.1016/j.compbiomed.2024.109196","url":null,"abstract":"<p><p>Cellular senescence (CS) is characterized by the irreversible cell cycle arrest and plays a key role in aging and diseases, such as cancer. Recent years have witnessed the burgeoning exploration of the intricate relationship between CS and cancer, with CS recognized as either a suppressing or promoting factor and officially acknowledged as one of the 14 cancer hallmarks. However, a comprehensive characterization remains absent from elucidating the divergences of this relationship across different cancer types and its involvement in the multi-facets of tumor development. Here we systematically assessed the cellular senescence of over 10,000 tumor samples from 33 cancer types, starting by defining a set of cancer-associated CS signatures and deriving a quantitative metric representing the CS status, called CS score. We then investigated the CS heterogeneity and its intricate relationship with the prognosis, immune infiltration, and therapeutic responses across different cancers. As a result, cellular senescence demonstrated two distinct prognostic groups: the protective group with eleven cancers, such as LIHC, and the risky group with four cancers, including STAD. Subsequent in-depth investigations between these two groups unveiled the potential molecular and cellular mechanisms underlying the distinct effects of cellular senescence, involving the divergent activation of specific pathways and variances in immune cell infiltrations. These results were further supported by the disparate associations of CS status with the responses to immuno- and chemo-therapies observed between the two groups. Overall, our study offers a deeper understanding of inter-tumor heterogeneity of cellular senescence associated with the tumor microenvironment and cancer prognosis.</p>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"182 ","pages":"109196"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Histopathology-driven prostate cancer identification: A VBIR approach with CLAHE and GLCM insights. 组织病理学驱动的前列腺癌识别:具有 CLAHE 和 GLCM 见解的 VBIR 方法。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI: 10.1016/j.compbiomed.2024.109213
Pramod K B Rangaiah, B P Pradeep Kumar, Robin Augustine
{"title":"Histopathology-driven prostate cancer identification: A VBIR approach with CLAHE and GLCM insights.","authors":"Pramod K B Rangaiah, B P Pradeep Kumar, Robin Augustine","doi":"10.1016/j.compbiomed.2024.109213","DOIUrl":"10.1016/j.compbiomed.2024.109213","url":null,"abstract":"<p><p>Efficient extraction and analysis of histopathological images are crucial for accurate medical diagnoses, particularly for prostate cancer. This research enhances histopathological image reclamation by integrating Visual-Based Image Reclamation (VBIR) techniques with contrast-limited adaptive Histogram Equalization (CLAHE) and the Gray-Level Co-occurrence Matrix (GLCM) algorithm. The proposed method leverages CLAHE to improve image contrast and visibility, crucial for regions with varying illumination, and employs a non-linear Support Vector Machine (SVM) to incorporate GLCM features. Our approach achieved a notable success rate of 89.6%, demonstrating significant improvement in image analysis. The average execution time for matched tissues was 41.23 s (standard deviation 36.87 s), and for unmatched tissues, 21.22 s (standard deviation 29.18 s). These results underscore the method's efficiency and reliability in processing histopathological images. The findings from this study highlight the potential of our method to enhance image reclamation processes, paving the way for further research and advancements in medical image analysis. The superior performance of our approach signifies its capability to significantly improve histopathological image analysis, contributing to more accurate and efficient diagnostic practices.</p>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"182 ","pages":"109213"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lightweight medical image segmentation network with multi-scale feature-guided fusion. 多尺度特征引导融合的轻量级医学图像分割网络。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 Epub Date: 2024-10-03 DOI: 10.1016/j.compbiomed.2024.109204
Zhiqin Zhu, Kun Yu, Guanqiu Qi, Baisen Cong, Yuanyuan Li, Zexin Li, Xinbo Gao
{"title":"Lightweight medical image segmentation network with multi-scale feature-guided fusion.","authors":"Zhiqin Zhu, Kun Yu, Guanqiu Qi, Baisen Cong, Yuanyuan Li, Zexin Li, Xinbo Gao","doi":"10.1016/j.compbiomed.2024.109204","DOIUrl":"10.1016/j.compbiomed.2024.109204","url":null,"abstract":"<p><p>In the field of computer-aided medical diagnosis, it is crucial to adapt medical image segmentation to limited computing resources. There is tremendous value in developing accurate, real-time vision processing models that require minimal computational resources. When building lightweight models, there is always a trade-off between computational cost and segmentation performance. Performance often suffers when applying models to meet resource-constrained scenarios characterized by computation, memory, or storage constraints. This remains an ongoing challenge. This paper proposes a lightweight network for medical image segmentation. It introduces a lightweight transformer, proposes a simplified core feature extraction network to capture more semantic information, and builds a multi-scale feature interaction guidance framework. The fusion module embedded in this framework is designed to address spatial and channel complexities. Through the multi-scale feature interaction guidance framework and fusion module, the proposed network achieves robust semantic information extraction from low-resolution feature maps and rich spatial information retrieval from high-resolution feature maps while ensuring segmentation performance. This significantly reduces the parameter requirements for maintaining deep features within the network, resulting in faster inference and reduced floating-point operations (FLOPs) and parameter counts. Experimental results on ISIC2017 and ISIC2018 datasets confirm the effectiveness of the proposed network in medical image segmentation tasks. For instance, on the ISIC2017 dataset, the proposed network achieved a segmentation accuracy of 82.33 % mIoU, and a speed of 71.26 FPS on 256 × 256 images using a GeForce GTX 3090 GPU. Furthermore, the proposed network is tremendously lightweight, containing only 0.524M parameters. The corresponding source codes are available at https://github.com/CurbUni/LMIS-lightweight-network.</p>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"182 ","pages":"109204"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142375248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploiting the sequential nature of genomic data for improved analysis and identification 利用基因组数据的连续性改进分析和鉴定。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 DOI: 10.1016/j.compbiomed.2024.109307
M. Saqib Nawaz , M. Zohaib Nawaz , Zhang Junyi , Philippe Fournier-Viger , Jun-Feng Qu
{"title":"Exploiting the sequential nature of genomic data for improved analysis and identification","authors":"M. Saqib Nawaz ,&nbsp;M. Zohaib Nawaz ,&nbsp;Zhang Junyi ,&nbsp;Philippe Fournier-Viger ,&nbsp;Jun-Feng Qu","doi":"10.1016/j.compbiomed.2024.109307","DOIUrl":"10.1016/j.compbiomed.2024.109307","url":null,"abstract":"<div><div>Genomic data is growing exponentially, posing new challenges for sequence analysis and classification, particularly for managing and understanding harmful new viruses that may later cause pandemics. Recent genome sequence classification models yield promising performance. However, the majority of them do not consider the sequential arrangement of nucleotides and amino acids, a critical aspect for uncovering their inherent structure and function. To overcome this, we introduce GenoAnaCla, a novel approach for analyzing and classifying genome sequences, based on sequential pattern mining (SPM). The proposed approach first constructs and preprocesses datasets comprising RNA virus genome sequences in three formats: <em>nucleotide</em>, <em>coding region</em>, and <em>protein</em>. Then, to capture sequential features for the analysis and classification of viruses, GenoAnaCla extracts frequent sequential patterns and rules in three forms and in codons. Eight classifiers are utilized, and their effectiveness is assessed by employing a variety of evaluation metrics. A performance comparison demonstrates that the suggested approach surpasses the current state-of-the-art genome sequence classification and detection techniques with a 3.18% performance increase in accuracy on average.</div></div>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"183 ","pages":"Article 109307"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Machine learning model identifies genetic predictors of cisplatin-induced ototoxicity in CERS6 and TLR4 机器学习模型确定了 CERS6 和 TLR4 中顺铂诱导耳毒性的遗传预测因子。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 DOI: 10.1016/j.compbiomed.2024.109324
Ali Arab , Bahareh Kashani , Miguel Cordova-Delgado , Erika N. Scott , Kaveh Alemi , Jessica Trueman , Gabriella Groeneweg , Wan-Chun Chang , Catrina M. Loucks , Colin J.D. Ross , Bruce C. Carleton , Martin Ester
{"title":"Machine learning model identifies genetic predictors of cisplatin-induced ototoxicity in CERS6 and TLR4","authors":"Ali Arab ,&nbsp;Bahareh Kashani ,&nbsp;Miguel Cordova-Delgado ,&nbsp;Erika N. Scott ,&nbsp;Kaveh Alemi ,&nbsp;Jessica Trueman ,&nbsp;Gabriella Groeneweg ,&nbsp;Wan-Chun Chang ,&nbsp;Catrina M. Loucks ,&nbsp;Colin J.D. Ross ,&nbsp;Bruce C. Carleton ,&nbsp;Martin Ester","doi":"10.1016/j.compbiomed.2024.109324","DOIUrl":"10.1016/j.compbiomed.2024.109324","url":null,"abstract":"<div><h3>Background</h3><div>Cisplatin-induced ototoxicity remains a significant concern in pediatric cancer treatment due to its permanent impact on quality of life. Previously, genetic association analyses have been performed to detect genetic variants associated with this adverse reaction.</div></div><div><h3>Methods</h3><div>In this study, a combination of interpretable neural networks and Generative Adversarial Networks (GANs) was employed to identify genetic markers associated with cisplatin-induced ototoxicity. The applied method, BRI-Net, incorporates biological domain knowledge to define the network structure and employs adversarial training to learn an unbiased representation of the data, which is robust to known confounders. Leveraging genomic data from a cohort of 362 cisplatin-treated pediatric cancer patients recruited by the CPNDS (Canadian Pharmacogenomics Network for Drug Safety), this model revealed two statistically significant single nucleotide polymorphisms to be associated with cisplatin-induced ototoxicity.</div></div><div><h3>Results</h3><div>Two markers within the <em>CERS6</em> (rs13022792, p-value: 3 × 10<sup>−4</sup>) and <em>TLR4</em> (rs10759932, p-value: 7 × 10<sup>−4</sup>) genes were associated with this cisplatin-induced adverse reaction. CERS6, a ceramide synthase, contributes to elevated ceramide levels, a known initiator of apoptotic signals in mouse models of inner ear hair cells. TLR4, a pattern-recognition protein, initiates inflammation in response to cisplatin, and reduced <em>TLR4</em> expression has been shown in murine hair cells to confer protection from ototoxicity.</div></div><div><h3>Conclusion</h3><div>Overall, these findings provide a foundation for understanding the genetic landscape of cisplatin-induced ototoxicity, with implications for improving patient care and treatment outcomes.</div></div>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"183 ","pages":"Article 109324"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-invasive regional parameter identification of degenerated human meniscus. 变性人体半月板的无创区域参数识别。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI: 10.1016/j.compbiomed.2024.109230
Jonas Schwer, Fabio Galbusera, Anita Ignatius, Lutz Dürselen, Andreas Martin Seitz
{"title":"Non-invasive regional parameter identification of degenerated human meniscus.","authors":"Jonas Schwer, Fabio Galbusera, Anita Ignatius, Lutz Dürselen, Andreas Martin Seitz","doi":"10.1016/j.compbiomed.2024.109230","DOIUrl":"10.1016/j.compbiomed.2024.109230","url":null,"abstract":"<p><p>Accurate identification of local changes in the biomechanical properties of the normal and degenerative meniscus is critical to better understand knee joint osteoarthritis onset and progression. Ex-vivo material characterization is typically performed on specimens obtained from different locations, compromising the tissue's structural integrity and thus altering its mechanical behavior. Therefore, the aim of this in-silico study was to establish a non-invasive method to determine the region-specific material properties of the degenerated human meniscus. In a previous experimental magnetic resonance imaging (MRI) study, the spatial displacement of the meniscus and its root attachments in mildly degenerated (n = 12) and severely degenerated (n = 12) cadaveric knee joints was determined under controlled subject-specific axial joint loading. To simulate the experimental response of the lateral and medial menisci, individual finite element models were created utilizing a transverse isotropic hyper-poroelastic constitutive material formulation. The superficial displacements were applied to the individual models to calculate the femoral reaction force in an inverse finite element analysis. During particle swarm optimization, the four most sensitive material parameters were varied to minimize the error between the femoral reaction force and the force applied in the MRI loading experiment. Individual global and regional parameter sets were identified. In addition to in-depth model verification, prediction errors were determined to quantify the reliability of the identified parameter sets. Both compressibility of the solid meniscus matrix (+141 %, p ≤ 0.04) and hydraulic permeability (+53 %, p ≤ 0.04) were significantly increased in the menisci of severely degenerated knees compared to mildly degenerated knees, irrespective of the meniscus region. By contrast, tensile and shear properties were unaffected by progressive knee joint degeneration. Overall, the optimization procedure resulted in reliable and robust parameter sets, as evidenced by mean prediction errors of <1 %. In conclusion, the proposed approach demonstrated high potential for application in clinical practice, where it might provide a non-invasive diagnostic tool for the early detection of osteoarthritic changes within the knee joint.</p>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"182 ","pages":"109230"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A joint analysis proposal of nonlinear longitudinal and time-to-event right-, interval-censored data for modeling pregnancy miscarriage. 用于模拟妊娠流产的非线性纵向和时间到事件右间隔删失数据的联合分析建议。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI: 10.1016/j.compbiomed.2024.109186
Rolando de la Cruz, Marc Lavielle, Cristian Meza, Vicente Núñez-Antón
{"title":"A joint analysis proposal of nonlinear longitudinal and time-to-event right-, interval-censored data for modeling pregnancy miscarriage.","authors":"Rolando de la Cruz, Marc Lavielle, Cristian Meza, Vicente Núñez-Antón","doi":"10.1016/j.compbiomed.2024.109186","DOIUrl":"10.1016/j.compbiomed.2024.109186","url":null,"abstract":"<p><p>Pregnancy in-vitro fertilization (IVF) cases are associated with adverse first-trimester outcomes in comparison to spontaneously achieved pregnancies. Human chorionic gonadotrophin β subunit (β-HCG) is a well-known biomarker for the diagnosis and monitoring of pregnancy after IVF. Low levels of β-HCG during this period are related to miscarriage, ectopic pregnancy, and IVF procedure failures. Longitudinal profiles of β-HCG can be used to distinguish between normal and abnormal pregnancies and to assist and guide the clinician in better management and monitoring of post-IVF pregnancies. Therefore, assessing the association between longitudinally measured β-HCG serum concentration and time to early miscarriage is of crucial interest to clinicians. A common joint modeling approach is to use the longitudinal β-HCG trajectory to determine the risk of miscarriage. This work was motivated by a follow-up study with normal and abnormal pregnancies where β-HCG serum concentrations were measured in 173 young women during a gestational age of 9-86 days in Santiago, Chile. Some women experienced a miscarriage event, and their exact event times were unknown, so we have interval-censored data, with the event occurring between the last time of the observed measurement and ten days later. However, for those women belonging to the normal pregnancy group; that is, carrying a pregnancy to a full-term event, right censoring data are observed. Estimation procedures are based on the Stochastic Approximation of the Expectation-Maximization (SAEM) algorithm.</p>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"182 ","pages":"109186"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MediAlbertina: An European Portuguese medical language model. MediAlbertina:欧洲葡萄牙语医学语言模型。
IF 7 2区 医学
Computers in biology and medicine Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI: 10.1016/j.compbiomed.2024.109233
Miguel Nunes, João Boné, João C Ferreira, Pedro Chaves, Luis B Elvas
{"title":"MediAlbertina: An European Portuguese medical language model.","authors":"Miguel Nunes, João Boné, João C Ferreira, Pedro Chaves, Luis B Elvas","doi":"10.1016/j.compbiomed.2024.109233","DOIUrl":"10.1016/j.compbiomed.2024.109233","url":null,"abstract":"<p><strong>Background: </strong>Patient medical information often exists in unstructured text containing abbreviations and acronyms deemed essential to conserve time and space but posing challenges for automated interpretation. Leveraging the efficacy of Transformers in natural language processing, our objective was to use the knowledge acquired by a language model and continue its pre-training to develop an European Portuguese (PT-PT) healthcare-domain language model.</p><p><strong>Methods: </strong>After carrying out a filtering process, Albertina PT-PT 900M was selected as our base language model, and we continued its pre-training using more than 2.6 million electronic medical records from Portugal's largest public hospital. MediAlbertina 900M has been created through domain adaptation on this data using masked language modelling.</p><p><strong>Results: </strong>The comparison with our baseline was made through the usage of both perplexity, which decreased from about 20 to 1.6 values, and the fine-tuning and evaluation of information extraction models such as Named Entity Recognition and Assertion Status. MediAlbertina PT-PT outperformed Albertina PT-PT in both tasks by 4-6% on recall and f1-score.</p><p><strong>Conclusions: </strong>This study contributes with the first publicly available medical language model trained with PT-PT data. It underscores the efficacy of domain adaptation and offers a contribution to the scientific community in overcoming obstacles of non-English languages. With MediAlbertina, further steps can be taken to assist physicians, in creating decision support systems or building medical timelines in order to perform profiling, by fine-tuning MediAlbertina for PT- PT medical tasks.</p>","PeriodicalId":10578,"journal":{"name":"Computers in biology and medicine","volume":"182 ","pages":"109233"},"PeriodicalIF":7.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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