{"title":"Validating knowledge-based volumetric modulated arc therapy plans with a multi-institution model (broad model) using a complete open-loop dataset for prostate cancer.","authors":"Takaaki Ito, Kazuki Kubo, Ryuta Nakahara, Jun-Ichi Fukunaga, Yoshihiro Ueda, Tatsuya Kamima, Yumiko Shimizu, Makoto Hirata, Ryu Kawamorita, Kentaro Ishii, Kiyoshi Nakamatsu, Hajime Monzen","doi":"10.1007/s13246-024-01505-x","DOIUrl":"10.1007/s13246-024-01505-x","url":null,"abstract":"<p><p>This study examined the characteristics of the broad model (KBP<sub>broad</sub>) through a complete open-loop evaluation of volumetric modulated arc therapy (VMAT) plans for prostate cancer in 30 patients at two institutions. KBP<sub>broad</sub>, trained using 561 prostate cancer VMAT plans from five institutions with different treatment protocols, was shared with two institutions. The institutions were not involved in the creation of KBP<sub>broad</sub>. Plan created with KBP<sub>broad</sub> were compared with clinical plans (CPs) and plans created using a single-institution model at each institution (KBP<sub>onsite</sub>). KBP<sub>broad</sub> maintained the target coverage of CPs while meeting dose limits across varied settings at each institution. At institution X, KBP<sub>broad</sub> provided 40, 60, and 70 Gy (V<sub>40Gy</sub>, V<sub>60Gy</sub>, and V<sub>70Gy</sub>, respectively) to 30.8% ± 9.9%, 15.3% ± 8.5%, and 9.0% ± 6.4% of the volume at the rectal wall, respectively, which were significantly smaller than those provided by KBP<sub>onsite</sub> and CPs. At institution Y, compared with CPs, KBP<sub>broad</sub> provided significantly greater V<sub>50Gy</sub>, V<sub>70Gy</sub>, dose to 2% of the volume (D<sub>2%</sub>) at the rectum, and D<sub>2%</sub> at the bladder but significantly lower V<sub>50Gy</sub> and V<sub>70Gy</sub> at the bladder, in addition to superior dose homogeneity and conformality at the planning target volume. Our complete open-loop evaluation of VMAT plans for prostate cancer at two institutions demonstrated the clinical effectiveness of KBP<sub>broad</sub> at institutions producing plans with insufficient reductions in OAR doses. Thus, the quality of KBP<sub>broad</sub> plans is likely greater than that of KBP<sub>onsite</sub> plans and CPs.</p>","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"195-205"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fabrication of 3D printed hollow spheres for quality control and feasibility for use with xSPECT bone.","authors":"Tuyet Oanh Lam, Andy Young","doi":"10.1007/s13246-024-01496-9","DOIUrl":"10.1007/s13246-024-01496-9","url":null,"abstract":"<p><p>Quantitative accuracy and constancy of Siemens xSPECT Bone quantitative reconstruction algorithm (xBone) can be monitored using activity-filled hollow spheres, which could be 3D printed (3DP) to increase accessibility to phantoms. One concern is that 3D prints can have air gaps in the walls which may pose issues for attenuation correction and xBone tissue zone mapping. This study assessed the feasibility of using 3DP spheres (3DP-S) with materials PLA, PETG and Resin as substitutes for commercial hollow spheres (C-S). Phantom preparation and acquisition parameters were based on the white paper. A Jaszczak phantom was fitted with six <sup>99m</sup>Tc- and contrast-filled 3DP-S. SPECT/CT acquisitions were performed on the Siemens Intevo T6 and reconstructed with xBone. Regions-of-interest for activity concentration measurements were drawn to the internal diameter of the spheres. PLA and PETG printed via filament freeform fabrication resulted in minute air gaps, mainly at steep overhang however this did not impact xBone zone maps. Activity concentration recovery of the 3DP-S were within ± 5% of C-S when sufficient projection angles are used (P < 0.05 per equivalence two one-sided test). Spheres printed via masked stereolithography experienced minor resin pooling and increased wall thickness-the smallest sphere was not usable. Resin printing achieved the best watertightness and transparency. PLA and PETG were most affordable but construction was labour intensive. PLA performed best overall in print reproducibility and quantitative accuracy. Similarly printed hollow spheres can be used for quality control of xBone accuracy where C-S are not available. While 3D printing increases accessibility to phantoms, close oversight is required of printing conditions.</p>","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"133-141"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CT scatter spectra transmission data of 80, 100, 120 and 140 kVp primary beams for various shielding materials.","authors":"S M Edwards","doi":"10.1007/s13246-024-01494-x","DOIUrl":"10.1007/s13246-024-01494-x","url":null,"abstract":"<p><p>The shielding of computed tomography (CT) suites has commonly relied on the assumption that the primary beam has the same beam quality and thus penetrability as the scattered radiation. This report expands on a preliminary work that showed scattered radiation from patients having an overall reduced beam quality, with published transmission data for 120 kVp and 140 kVp through lead. Beam quality data of patient scatter spectra for 80 kVp and 100 kVp are uniquely provided herein using the same methodology, expanding the diagnostic energy range. The mean energy of scatter radiation spectra across this 80-140 kVp diagnostic range was found to have a reduction of 13.4-17.9% compared to a primary beam with a defined 9.8 mm Al added filtration. A DOSXYZnrc Monte Carlo program using the EGSnrc photon and electron transport code was subsequently used to simulate the transmission of scattered spectra of all 80, 100, 120 and 140 kVp beams through various commonly used shielding materials, including lead, concrete, steel, plate glass and gypsum wallboard. Transmission data and Archer fitting coefficients for this scattered radiation were calculated and show a reduction in transmission over the range of practical shielding thicknesses for these materials. Transmission through lead was significantly reduced in comparison to the National Council of Radiological Protection (NCRP) and British Institute of Radiology (BIR) methodologies using primary beam spectra, with transmissions reduced between 40.4 and 63.9% for 120 kVp and between 38.1 and 42% for 140 kVp beams over a 0.44-2.64 mm thickness range. The use of CT scatter spectra and their resultant transmission data is recommended for optimal shielding design.</p>","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"111-119"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Towards ultra-low-dose CT for detecting pulmonary nodules using DenseNet.","authors":"Ching-Ching Yang","doi":"10.1007/s13246-025-01520-6","DOIUrl":"10.1007/s13246-025-01520-6","url":null,"abstract":"<p><p>Low-radiation techniques should be used to detect and follow lung nodules on CT images, but reducing radiation dose to ultra-low-dose CT with submilliSievert dose level would drastically impede image quality and sensitivity for nodule detection. This study investigated the feasibility of using DenseNet to suppress image noise in ultra-low-dose CT for lung cancer screening. DenseNet was trained using input-label pairs from 1, 2, 4, and 6 patients. After training, the model was tested with chest CT from 14 patients that were not used in training process. Seven patients have solid nodules and 7 patients have subsolid nodules. Root mean square error (RMSE) and peak signal-to-noise ratio (PSNR) were calculated to quantify the difference between reference and test images. The contrast-to-noise ratio (CNR) between lung nodule and lung parenchyma was calculated to evaluate the target detectability of chest CT. Subjective image quality assessment was performed using 4-point ranking scale to evaluate the visual quality of CT images perceived by end user. Substantial improvements in RMSE and PSNR were observed after denoising. The lung nodules in denoised images could be distinguished more easily in comparison with those in the original ultra-low-dose CT, which is supported by the CNRs and subjective image quality scores. The comparison of intensity profiles for lung nodules demonstrated that the image noise in ultra-low-dose CT could be suppressed effectively after denoising without causing edge blurring or variation in Hounsfield unit (HU) values. A two-sample t-test revealed no statistically significant differences between full-dose CT and denoised ultra-low-dose CT in the evaluation of lung nodules, lung parenchyma, paraspinal muscle, or vertebral body. Since the linear no-threshold model suggests that no amount of ionizing radiation is entirely risk-free, the quest for further dose reduction remains a consistently important focus in radiology. Overall, our findings suggest that DenseNet could be a viable approach for reducing image noise in ultra-low-dose CT scans used for lung cancer screening.</p>","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"379-389"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Song Yue, Sana Tabbassum, Elizabeth Helen Jaye, Cheryl A M Anderson, Linda H Nie
{"title":"Publisher Correction to: Sensitivity improvement of a deuterium-deuterium neutron generator based in vivo neutron activation analysis (IVNAA) system.","authors":"Song Yue, Sana Tabbassum, Elizabeth Helen Jaye, Cheryl A M Anderson, Linda H Nie","doi":"10.1007/s13246-024-01497-8","DOIUrl":"10.1007/s13246-024-01497-8","url":null,"abstract":"","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"47"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Significance of gender, brain region and EEG band complexity analysis for Parkinson's disease classification using recurrence plots and machine learning algorithms.","authors":"Divya Sasidharan, V Sowmya, E A Gopalakrishnan","doi":"10.1007/s13246-025-01521-5","DOIUrl":"10.1007/s13246-025-01521-5","url":null,"abstract":"<p><p>Parkinson Disease (PD) is a complex neurological disorder attributed by loss of neurons generating dopamine in the SN per compacta. Electroencephalogram (EEG) plays an important role in diagnosing PD as it offers a non-invasive continuous assessment of the disease progression and reflects these complex patterns. This study focuses on the non-linear analysis of resting state EEG signals in PD, with a gender-specific, brain region-specific, and EEG band-specific approach, utilizing recurrence plots (RPs) and machine learning (ML) algorithms for classification. For this an open EEG dataset consisting of 14 PD and 14 healthy (HC) subjects is utilized. Recurrence plots and cross-recurrence plots (CRPs) were constructed for each frequency band and brain region, extracting complexity measures such as determinism (DET) and entropy (ENT). The interpretability of the ML model decisions is investigated using explainability technique. The scattered distribution of points in RPs of male PD individuals reflects the complex and dynamic nature of abnormal brain function. Also, CRPs confirms the enhanced effect of Beta Gamma synchronization during PD in the Parietal region. Low DET and high ENT corresponds to the complex non-linear characteristics of EEG signals and brain neuronal circuits during PD condition in male subjects. The extracted recurrence features served as inputs to the ML models, which achieved high classification performance, across all the scenarios. This study demonstrates the potential of recurrence plot-based complexity analysis combined with machine learning for the gender-specific, region-specific, and band-specific assessment of EEG signals during resting state in Parkinson's disease.</p>","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"391-407"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Performance improvements of virtual monoenergetic images in photon-counting detector CT compared with dual source dual-energy CT: Fourier-based assessment.","authors":"Hiroki Kawashima, Katsuhiro Ichikawa, Ryoichi Yoshida, Takuto Katayama, Makoto Arimoto, Jun Kataoka, Hiroji Nagata, Satoshi Kobayashi","doi":"10.1007/s13246-024-01499-6","DOIUrl":"10.1007/s13246-024-01499-6","url":null,"abstract":"<p><p>To confirm the performance improvement of virtual monoenergetic images (VMIs) for iodine contrast tasks in a clinical photon-counting detector CT (PCD CT) using Fourier-based assessment, compared with those in the latest-generation dual-source dual-energy CT (DECT). A water-filled bath with a diameter of 300 mm, which contains rod-shaped phantoms equivalent to diluted iodine (2 and 12 mg/mL), was scanned using PCD CT and DECT at 15, 7.5, and 3 mGy. VMIs were generated without any iterative reconstruction algorithm. Task transfer function (TTF), noise power spectrum (NPS), and slice sensitivity profile were evaluated for VMIs at 70 and 40 keV. The detectability index (d') and the squared system performance function (SPF<sup>2</sup>) calculated by TTF<sup>2</sup>/NPS were compared. At 40 keV, the d' values of PCD CT were higher (percentage increase of 25.7-39.9%) than those of DECT, whereas at 70 keV, the difference was rather small. The SPF<sup>2</sup> values at 40 keV of PCD CT grew notably higher than those of DECT as the spatial frequency increased. The higher SPF<sup>2</sup> values endorsed the lower image noise and the sharper edge of the rod phantom as observed. The d' and SPF<sup>2</sup> in VMIs at 40 keV of PCD CT were notably higher than those of DECT, which endorsed the clinical advantages of PCD CT that had been previously reported in various studies.</p>","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"143-153"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improvement of plan quality in whole-breast radiation following BCS using feasibility DVH by less-experienced planners.","authors":"Yun Zhang, Yuling Huang, Mingming Luo, Xingxing Yuan, Xiaoping Wang, Changfei Gong","doi":"10.1007/s13246-024-01493-y","DOIUrl":"10.1007/s13246-024-01493-y","url":null,"abstract":"<p><p>Variability in plan quality of radiotherapy is commonly attributed to the planner's skill rather than technological parameters. While experienced planners can set reasonable parameters before optimization, less experienced planners face challenges. This study aimed to assess the quality of volumetric-modulated arc therapy (VMAT) in patients with left-sided breast cancer following breast-conserving surgery. Twenty-eight patients requiring whole-breast irradiation were randomly selected for inclusion. Each patient underwent two VMAT treatment plans: one optimized by an experienced planner (VMAT-EXP group) and the other designed by a less experienced planner using feasibility dose-volume histogram (FDVH) parameters from PlanIQ (VMAT-FDVH group). Both plans aimed to deliver a prescription dose of 50 Gy in 25 fractions to the planning target volume (PTV). Dosimetry parameters for the PTV and organs at risk (OARs) were compared between the two groups. Both the VMAT-EXP and VMAT-FDVH groups met the clinical plan goals for PTV and OARs. VMAT-FDVH demonstrated a PTV coverage and homogeneity comparable to those of VMAT-EXP. Compared to VMAT-EXP plans, VMAT-FDVH plans resulted in a significant reduction in the mean ipsilateral lung dose, with an average decrease of 0.9 Gy (8.5 Gy vs. 7.6 Gy, P < 0.001). The V5Gy and V20Gy of the ipsilateral lung were also reduced by 3.2% and 1.8%, respectively. Minor differences were observed in the heart, contralateral lung, breast, and liver. Personalized objectives derived from the feasibility DVH tool facilitated the generation of acceptable VMAT plans. Less experienced planners achieved lower doses to the ipsilateral lung while maintaining adequate target coverage and homogeneity. These findings suggest the potential for the effective use of VMAT in in patients with left-sided breast cancer following breast-conserving surgery, especially when guided by feasibility DVH parameters.</p>","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"103-110"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tarik El Ghalbzouri, Tarek El Bardouni, Jaafar El Bakkali, Otman El Hajjaji, Hicham Satti, Assia Arectout, Maryam Hadouachi, Randa Yerru
{"title":"<ArticleTitle xmlns:ns0=\"http://www.w3.org/1998/Math/MathML\">Re-evaluation of <ns0:math><ns0:mmultiscripts><ns0:mrow /> <ns0:mrow /> <ns0:mn>18</ns0:mn></ns0:mmultiscripts> </ns0:math> F-FDG absorbed and effective dose in adult and pediatric phantoms using DoseCalcs Monte Carlo platform: a validation study.","authors":"Tarik El Ghalbzouri, Tarek El Bardouni, Jaafar El Bakkali, Otman El Hajjaji, Hicham Satti, Assia Arectout, Maryam Hadouachi, Randa Yerru","doi":"10.1007/s13246-024-01492-z","DOIUrl":"10.1007/s13246-024-01492-z","url":null,"abstract":"<p><p>Positron emission tomography (PET) using <math><mmultiscripts><mrow></mrow> <mrow></mrow> <mn>18</mn></mmultiscripts> </math> F-FDG is a well-known modality for the diagnosis of various diseases in patients of different ages, sexes, and states of health, which implies that internal radiation dosimetry is highly desired for different phantom anatomies. In this study, we validate \"DoseCalcs,\" a new Monte Carlo platform that combines personalized internal dosimetry calculations with Monte Carlo simulations. To achieve that, we used the specific absorbed fraction (SAF) calculated by DoseCalcs and those from ICRP publication 133 to estimate the absorbed dose per injected activity (AD/IA) and effective dose per injected activity (ED/IA) for <math><mmultiscripts><mrow></mrow> <mrow></mrow> <mn>18</mn></mmultiscripts> </math> F-FDG. The investigation focused on various voxelized phantoms representing different age groups, including adult male and female, and pediatric phantoms of various ages, from newborn to 15 years old. Using the DoseCalcs Monte Carlo platform, we have simulated the emission of <math><mmultiscripts><mrow></mrow> <mrow></mrow> <mn>18</mn></mmultiscripts> </math> F-FDG positrons based on the energy spectrum provided in ICRP publication 107. The results demonstrated the impact of anatomical differences and different organ/tissue compositions on radiation absorption, with significant variations in the AD/IA across different phantoms. Interestingly, organs/tissues near the emission source showed higher AD/IA, highlighting the anatomical dependence on the phantom. When our results were compared to established reference data, especially from ICRP128, most organs/tissues had good agreement. Still, some cases have shown differences. This shows how important it is to use accurate radionuclide data and biokinetic modeling in internal dosimetry calculations. Furthermore, we compared AD/IA and ED/IA values calculated in newborns by DoseCalcs with those derived from alternative codes, MCNP and EGSnrc. While the results generally exhibited consistency, subtle variations underscored the influence of biokinetics modeling choices and computational methodologies. Overall, this research contributes valuable insights into the precision of internal dosimetry calculations using \"DoseCalcs-Gui\" by providing one platform for Monte Carlo simulation and personalized internal dosimetry in nuclear medicine. The DoseCalcs platform is free for research and available for download at www.github.com/TarikEl/DoseCalcs-Gui .</p>","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"87-102"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fang Yu, Huang Zhiyuan, Leng Hongxia, Dongbo Liu, Wang Weibo
{"title":"A new HCM heart sound classification method based on weighted bispectrum features.","authors":"Fang Yu, Huang Zhiyuan, Leng Hongxia, Dongbo Liu, Wang Weibo","doi":"10.1007/s13246-024-01506-w","DOIUrl":"10.1007/s13246-024-01506-w","url":null,"abstract":"<p><p>Hypertrophic cardiomyopathy (HCM), including obstructive HCM and non-obstructive HCM, can lead to sudden cardiac arrest in adolescents and athletes. Early diagnosis and treatment through auscultation of different types of HCM can prevent the occurrence of malignant events. However, it is challenging to distinguish the pathological information of HCM related to differential left ventricular outflow tract pressure gradients. To address this issue, a classification method based on weighted bispectrum features of heart sounds (HSs) is proposed for efficient and cost-effective HCM analysis. Preprocessing is first applied to remove background noise during HS acquisition. Then, the bispectrum contour map is calculated, and 56-dimensional features are extracted to represent the pathological information of HCM. Next, an adaptive threshold weighting mutual information method is proposed for feature selection and weighted fusion. Finally, the CNN-RF classifier model is built to automatically identify different types of HCM cases. A clinical dataset of normal and two types of HCM HSs is utilized for validation. The results show that the proposed method performs well, with a classification accuracy reaching 94.4%. It provides a reliable reference for HCM diagnosis in young patients in clinical settings.</p>","PeriodicalId":48490,"journal":{"name":"Physical and Engineering Sciences in Medicine","volume":" ","pages":"207-220"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}