Medical & Biological Engineering & Computing最新文献

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Effects of vessel morphology on aortic hemodynamics: a statistical shape and CFD investigation. 血管形态对主动脉血流动力学的影响:统计形态和CFD研究。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-07 DOI: 10.1007/s11517-025-03459-y
Marilena Mazzoli, Katia Capellini, Simona Celi
{"title":"Effects of vessel morphology on aortic hemodynamics: a statistical shape and CFD investigation.","authors":"Marilena Mazzoli, Katia Capellini, Simona Celi","doi":"10.1007/s11517-025-03459-y","DOIUrl":"https://doi.org/10.1007/s11517-025-03459-y","url":null,"abstract":"<p><p>Over the past few years, there has been an increase of clinical interest aimed at looking for correlations between morphology, extracted through statistical shape models (SSMs), and hemodynamics, extracted through computational fluid dynamics (CFD) simulations, in cardiovascular diseases. This study explores correlations between aortic morphology and hemodynamics in the thoracic aorta (TA). Existing research often simplifies geometries by excluding supra-aortic vessels due to software limitations in non-rigid registration. To overcome this, a novel algorithm was used to include these vessels in TA analysis. Principal component analysis reduced dimensionality, followed by automatic CFD simulations and correlation analysis between geometric and hemodynamic parameters. The first ( <math> <msub><mrow><mi>M</mi></mrow> <mn>0</mn></msub> </math> ) and second ( <math> <msub><mrow><mi>M</mi></mrow> <mn>1</mn></msub> </math> ) SSM modes explained 46.9 <math><mo>%</mo></math> and 22.4 <math><mo>%</mo></math> of dataset variance, respectively. Significant correlations were identified between <math> <msub><mrow><mi>M</mi></mrow> <mn>0</mn></msub> </math> and ascending TA aneurysm volume (Pr = 0.69), and <math> <msub><mrow><mi>M</mi></mrow> <mn>1</mn></msub> </math> and TA tortuosity (Pr = 0.60). Ten TA shapes were generated by varying standard deviations of <math> <msub><mrow><mi>M</mi></mrow> <mn>0</mn></msub> </math> and <math> <msub><mrow><mi>M</mi></mrow> <mn>1</mn></msub> </math> from -2 to +2, and CFD simulations revealed links between wall shear stress (WSS) indicators and TA morphology. This study presents a novel pipeline to analyze geometric and hemodynamic correlations using realistic TA geometries generated via SSM.</p>","PeriodicalId":49840,"journal":{"name":"Medical & Biological Engineering & Computing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240309","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}
引用次数: 0
Effect of trunk angle on lower limb joint moment in different strategies of sit-to-stand-to-sit motion with healthy subjects. 健康受试者不同坐-立-坐运动策略下躯干角度对下肢关节力矩的影响。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-07 DOI: 10.1007/s11517-025-03451-6
Subodh Kumar Suman, Khyati Verma
{"title":"Effect of trunk angle on lower limb joint moment in different strategies of sit-to-stand-to-sit motion with healthy subjects.","authors":"Subodh Kumar Suman, Khyati Verma","doi":"10.1007/s11517-025-03451-6","DOIUrl":"https://doi.org/10.1007/s11517-025-03451-6","url":null,"abstract":"<p><p>Patients with lower limb impairments often face sit-to-stand-to-sit motion challenges. The patients utilize a greater trunk flexion angle at seat-off time to mitigate knee moment. Alternative methods of STSTS motion strategies are required to study and understand the various patterns to guide physical rehabilitation programs in clinical practice. Four different STSTS strategies-Natural, Full Flexion, Pelvis-spine alignment, and Frame-Assisted-were experimented with twenty healthy subjects in a 3D motion capture lab, and inverse kinematics and dynamics methods were used for motion analysis in Visual 3D. At seat-off time in full flexion, the maximum trunk flexion angle is 58.77(± 17.92) degrees, duration is 1.63 s, 27% of the cycle, which reduces knee moment by -0.466(± 0.2) N.m/kg, increased hip moment by 0.67(± 0.312) N.m/kg, and ankle moment by 0.225(± 0.09) N.m/kg for the compensation. The compensatory movement also occurred while sitting down. Frame-assisted STSTS motion reduced knee moments without increases in hip and ankle moments at the maximum of trunk flexion angle while standing and sitting, and its motion patterns are similar to pelvis-spine alignment and natural strategies. These findings provide valuable insights for physiotherapists to predict the current stage of the patient for clinical assessment and guide in the design and development of medical devices.</p>","PeriodicalId":49840,"journal":{"name":"Medical & Biological Engineering & Computing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240231","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}
引用次数: 0
Development, optimization, and prototyping of a simplified sit-stand mechanism for lower limb impairments. 下肢损伤简易坐立机制的开发、优化和原型设计。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-07 DOI: 10.1007/s11517-025-03455-2
Subin P George, Mervin Joe Thomas, Meby Mathew, Naveen Gangadharan, Arun K Varghese
{"title":"Development, optimization, and prototyping of a simplified sit-stand mechanism for lower limb impairments.","authors":"Subin P George, Mervin Joe Thomas, Meby Mathew, Naveen Gangadharan, Arun K Varghese","doi":"10.1007/s11517-025-03455-2","DOIUrl":"https://doi.org/10.1007/s11517-025-03455-2","url":null,"abstract":"&lt;p&gt;&lt;p&gt;A sit-stand device for rehabilitation should be simple in its design, easy to manufacture, and convenient for individuals with mobility impairments to use. This paper proposes a design framework and prototyping process for developing an assisted sit-to-stand mechanism tailored to the specific limitations faced by individuals with lower limb impairments. The study incorporates a functional kinematic and kinetic design to ensure the mechanism's usability across a diverse range of individuals. Recognizing the critical challenges faced by individuals with spinal cord injuries (SCI) and subsequent paralysis, the design philosophy integrates considerations specifically aimed at this population. A simplified circular design trajectory is presented for individuals with muscle paralysis, focusing on the synthesis of an electrically actuated mechanism. A four-bar linkage is modeled to represent the mechanism in the sagittal plane. The functional attributes of the device are determined, and kinematic synthesis is performed to ensure comfort during the sit-to-stand motion. This is achieved by minimizing the actuator's travel distance during the lift. The velocity and acceleration profiles of the linear actuator are determined after applying boundary conditions. An optimal configuration is selected based on minimizing the displacement of the electric actuator. A human body model based on a 50th percentile male was developed to simulate a motion study of the sit-stand and validate the trajectory using the motion study module in SOLIDWORKS™. An optimum sit-to-stand linkage design was synthesized, and the corresponding prototype was fabricated. The independent anthropometric dimensions on which the design depends are the thigh length and the weight. The sagittal linkages for lifting were calculated and tested through simulation with a human body model to replicate the sit-to-stand movement. The prototype was evaluated on an able-bodied individual. A key design feature was the repositioning of support from the armpit to the hip, thereby reducing user discomfort and improving ergonomics. The motion study revealed that the trajectory of the hip joint (H-point) followed a nearly circular curvature. Stability analysis using a mannequin confirmed a static stability margin of 1 and showed that the device would tip forward only if the deceleration exceeded 35.8 m/s&lt;sup&gt;2&lt;/sup&gt;, which is significantly higher than typical human-induced accelerations-indicating safe operation during use. The prototype fabricated demonstrated the intended sit-to-stand functionality and validated the design approach. The motion analysis confirmed ergonomic hip support and smooth joint trajectories. While the initial testing was successful on an able-bodied subject, further evaluation involving individuals with spinal cord injuries is recommended for final adjustments. This work presents a cost-effective and customizable framework for manufacturing sit-to-stand assistive devices, scalab","PeriodicalId":49840,"journal":{"name":"Medical & Biological Engineering & Computing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240285","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}
引用次数: 0
Corticospinal tract reconstruction with tumor by using a novel direction filter based tractography method. 用一种新的基于方向滤波的脊髓束造影方法重建肿瘤皮质脊髓束。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-01 Epub Date: 2025-05-06 DOI: 10.1007/s11517-025-03357-3
Qingrun Zeng, Ze Xia, Jiahao Huang, Lei Xie, Jiawei Zhang, Shengwei Huang, Zhengqiu Xing, Qichuan Zhuge, Yuanjing Feng
{"title":"Corticospinal tract reconstruction with tumor by using a novel direction filter based tractography method.","authors":"Qingrun Zeng, Ze Xia, Jiahao Huang, Lei Xie, Jiawei Zhang, Shengwei Huang, Zhengqiu Xing, Qichuan Zhuge, Yuanjing Feng","doi":"10.1007/s11517-025-03357-3","DOIUrl":"10.1007/s11517-025-03357-3","url":null,"abstract":"<p><p>The corticospinal tract (CST) is the primary neural pathway responsible for voluntary motor functions, and preoperative CST reconstruction is crucial for preserving nerve functions during neurosurgery. Diffusion magnetic resonance imaging-based tractography is the only noninvasive method to preoperatively reconstruct CST in clinical practice. However, for the largesize bundle CST with complex fiber geometry (fanning fibers), reconstructing its full extent remains challenging with local-derived methods without incorporating global information. Especially in the presence of tumors, the mass effect and partial volume effect cause abnormal diffusion signals. In this work, a CST reconstruction tractography method based on a novel direction filter was proposed, designed to ensure robust CST reconstruction in the clinical dataset with tumors. A direction filter based on a fourth-order differential equation was introduced for global direction estimation. By considering the spatial consistency and leveraging anatomical prior knowledge, the direction filter was computed by minimizing the energy between the target directions and initial fiber directions. On the basis of the new directions corresponding to CST obtained by the direction filter, the fiber tracking method was implemented to reconstruct the fiber trajectory. Additionally, a deep learning-based method along with tractography template prior information was employed to generate the regions of interest (ROIs) and initial fiber directions. Experimental results showed that the proposed method yields higher valid connections and lower no connections and exhibits the fewest broken fibers and short-connected fibers. The proposed method offers an effective tool to enhance CST-related surgical outcomes by optimizing tumor resection and preserving CST.</p>","PeriodicalId":49840,"journal":{"name":"Medical & Biological Engineering & Computing","volume":" ","pages":"2889-2901"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010712","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}
引用次数: 0
Prediction of bone ingrowth into the porous swelling bone anchors using an osteoconnectivity-based adaptive finite element algorithm. 基于骨连通性的自适应有限元算法预测骨长入多孔膨胀骨锚。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-01 Epub Date: 2025-05-07 DOI: 10.1007/s11517-025-03370-6
Amirreza Sadighi, Nolan Black, Mehrangiz Taheri, Moein Taghvaei, Sorin Siegler, Thomas P Schaer, Ahmad R Najafi
{"title":"Prediction of bone ingrowth into the porous swelling bone anchors using an osteoconnectivity-based adaptive finite element algorithm.","authors":"Amirreza Sadighi, Nolan Black, Mehrangiz Taheri, Moein Taghvaei, Sorin Siegler, Thomas P Schaer, Ahmad R Najafi","doi":"10.1007/s11517-025-03370-6","DOIUrl":"10.1007/s11517-025-03370-6","url":null,"abstract":"<p><p>In this study, a bone ingrowth framework was developed, which was integrated with a hygro-elastic swelling simulation, to evaluate the ingrowth of bone into porous co-polymeric swelling bone anchors. The aim was to investigate the impact of swelling-induced radial stress on bone ingrowth and the improvement in the mechanical properties and fixation strength of the anchors. Using the finite element method coupled with the osteoconnectivity matrix, the model successfully predicted the sequential bone formation within the porous bone anchor. The bone ingrowth framework was validated based on available experimental data, closely aligning with empirical observations. The results show that owing to radial stresses generated in the bone-anchor interface by swelling, considerable bone ingrowth could be stimulated. Moreover, among the three finite element models incorporating porosity within the recommended pore size range (300-600 <math><mrow><mi>μ</mi> <mi>m</mi></mrow> </math> ), smaller pore sizes seem to promote faster and more extensive bone ingrowth, while larger pores exhibit slower ingrowth rates. Regardless of the pore sizes, the mechanical integrity and fixation strength of the anchors significantly improved. These findings strengthen the hypotheses that swelling of such anchors can stimulate bone ingrowth, and highlight the importance of pore geometry, size and interconnectivity in optimizing bone ingrowth and improving their performance.</p>","PeriodicalId":49840,"journal":{"name":"Medical & Biological Engineering & Computing","volume":" ","pages":"2923-2942"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055976","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}
引用次数: 0
Predicting fixations and gaze location from EEG. 通过脑电图预测注视和凝视位置。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-01 Epub Date: 2025-05-08 DOI: 10.1007/s11517-025-03362-6
Yoelvis Moreno-Alcayde, V Javier Traver, Luis A Leiva
{"title":"Predicting fixations and gaze location from EEG.","authors":"Yoelvis Moreno-Alcayde, V Javier Traver, Luis A Leiva","doi":"10.1007/s11517-025-03362-6","DOIUrl":"10.1007/s11517-025-03362-6","url":null,"abstract":"<p><p>Brain signals carry cognitive information that can be relevant in downstream tasks, but what about eye-gaze? Although this can be estimated with eye-trackers, it can be very convenient in practice to do it without extra equipment. We consider the challenging tasks of fixation prediction and gaze estimation from electroencephalography (EEG) using deep learning models. We argue that there are three critical design criteria when designing neural architectures for EEG: (1) the spatial and temporal dimensions of the data, (2) the local vs global nature of the data processing, and (3) the overall structure and order with which the steps (1) and (2) are orchestrated. We propose two model architectures, based on Transformers and LSTMs, with different variants in this large design space, and compare them with recent state-of-the-art (SOTA) approaches under two constraints: reduced EEG signal length and reduced set of EEG channels. Our Transformer-based model outperforms the LSTM-only model, but it turns out to be more sensitive with short signal lengths and with less number of channels. Interestingly, our results are similar or slightly better than SOTA, and the models are trained from scratch (i.e., without pre-training or fine-tuning). Our findings provide useful insights for advancing in eye-from-EEG tasks.</p>","PeriodicalId":49840,"journal":{"name":"Medical & Biological Engineering & Computing","volume":" ","pages":"2969-2981"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057225","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}
引用次数: 0
Estimation of the equivalent external force using a musculoskeletal model with muscle coactivation. 用肌肉协同激活的肌肉骨骼模型估计等效外力。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-01 Epub Date: 2025-05-24 DOI: 10.1007/s11517-025-03376-0
Pau Zamora-Ortiz, Rafael J Escarabajal, José L Pulloquinga, Ángel Valera, Marina Valles
{"title":"Estimation of the equivalent external force using a musculoskeletal model with muscle coactivation.","authors":"Pau Zamora-Ortiz, Rafael J Escarabajal, José L Pulloquinga, Ángel Valera, Marina Valles","doi":"10.1007/s11517-025-03376-0","DOIUrl":"10.1007/s11517-025-03376-0","url":null,"abstract":"<p><p>The present work introduces a novel method to determine the force vector that a subject must exert at the end of a limb in order to achieve the desired muscle force, taking into account muscle coactivation. The obtained force vector is referred to as the equivalent external force, as it represents the exerted force at the end-effector needed to provoke a desired muscle force. By using a musculoskeletal model of the lower limb and applying the Karush-Kuhn-Tucker conditions, a precise solution has been achieved to calculate the equivalent external force at the foot for the desired muscle force. The method has been tested with a four-degree-of-freedom robot, generating optimal activation trajectories for the vasti and confirming that the desired force level is achieved. The results validate the effectiveness of the proposed method and highlight its potential applications in both medical rehabilitation and sports training. This significant advancement in the field of biomechanics would provide a valuable tool for health and sports professionals, improving training and rehabilitation strategies.</p>","PeriodicalId":49840,"journal":{"name":"Medical & Biological Engineering & Computing","volume":" ","pages":"3053-3065"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133229","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}
引用次数: 0
Deep learning assisted identification of SCUBE2 and SLC16 A5 combination in RNA-sequencing data as a novel specific potential diagnostic biomarker in prostate cancer. 深度学习辅助鉴定rna测序数据中的SCUBE2和SLC16 A5组合作为前列腺癌新的特异性潜在诊断生物标志物。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-01 Epub Date: 2025-05-08 DOI: 10.1007/s11517-025-03365-3
Saeideh Khorshid Sokhangouy, Mohsen Zeinali, Sina Fathi, Elham Nazari
{"title":"Deep learning assisted identification of SCUBE2 and SLC16 A5 combination in RNA-sequencing data as a novel specific potential diagnostic biomarker in prostate cancer.","authors":"Saeideh Khorshid Sokhangouy, Mohsen Zeinali, Sina Fathi, Elham Nazari","doi":"10.1007/s11517-025-03365-3","DOIUrl":"10.1007/s11517-025-03365-3","url":null,"abstract":"<p><p>Despite the extensive use of biomarkers like PSA, AMACR, and PCA3, prostate cancer (PCa) is still a major clinical challenge, demanding the development of more precise and specific methods for diagnosis. In this study, a deep learning model was applied to identify ten key genes from a pool of 68 common differentially expressed genes in the three transcriptomic datasets. The model demonstrated high performance, with the accuracy of 0.969, R<sup>2</sup> of 0.88, and PR-AUC of 0.98. Notably, selected genes have been previously reported as functionally important in various cancers. Among them, SCUBE2 stands out as a novel potential diagnostic biomarker in prostate cancer, showing a strong diagnostic performance in the TCGA dataset with AUC = 0.84, sensitivity = 0.76, and specificity = 0.84. SCUBE2 is a secreted glycoprotein known for its ability to suppress tumor growth, cell migration, and epithelial-mesenchymal transition (EMT) in several cancer types, including gliomas, breast, and colorectal cancers, mainly through its regulation of signaling pathways such as Hedgehog (Shh). Although its role in prostate cancer (PCa) has not been previously explored, its consistent downregulation across multiple PCa datasets in this study suggests it may act as a tumor suppressor, warranting further investigation. Another candidate, SLC16A5, showed moderate performance individually (AUC = 0.62, SP = 0.81, SE = 0.42 in GSE88808), but its combination with SCUBE2 significantly enhanced diagnostic accuracy (combined AUC = 0.76, SE = 0.75, SP = 0.71). SLC16A5 is a monocarboxylate transporter involved in metabolic reprogramming, and prior studies have linked its downregulation to immune infiltration and poor prognosis in PCa. Functional enrichment analysis of the ten identified genes revealed strong involvement of these genes in cancer-related processes, including gap junction assembly, tight junction formation, efflux transporter activity, and pathways such as Hedgehog signaling, leukocyte transendothelial migration, and cell-cell adhesion. Hub gene analysis further confirmed the central roles of identified genes such as CAV1, GJA1, AMACR, and CLDN8, which are well-documented in cancer progression, metastasis, or therapeutic resistance. In summary, this study identifies SCUBE2 as a novel potential diagnostic biomarker for prostate cancer and supports the use of AI-driven gene discovery in identifying key players in tumor biology. The combination of SCUBE2 with SLC16A5 not only enhances diagnostic precision but also opens new avenues for functional and clinical validation, ultimately contributing to the development of more accurate, multi-gene diagnostic panels for PCa.</p>","PeriodicalId":49840,"journal":{"name":"Medical & Biological Engineering & Computing","volume":" ","pages":"2955-2968"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993781","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}
引用次数: 0
Subclinical atrial fibrillation prediction based on deep learning and strain analysis using echocardiography. 基于超声心动图深度学习和应变分析的亚临床房颤预测。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-01 Epub Date: 2025-05-31 DOI: 10.1007/s11517-025-03385-z
Sung-Hao Huang, Ying-Chi Lin, Ling Chen, Sayan Unankard, Vincent S Tseng, Hsuan-Ming Tsao, Gau-Jun Tang
{"title":"Subclinical atrial fibrillation prediction based on deep learning and strain analysis using echocardiography.","authors":"Sung-Hao Huang, Ying-Chi Lin, Ling Chen, Sayan Unankard, Vincent S Tseng, Hsuan-Ming Tsao, Gau-Jun Tang","doi":"10.1007/s11517-025-03385-z","DOIUrl":"10.1007/s11517-025-03385-z","url":null,"abstract":"<p><p>Subclinical atrial fibrillation (SCAF), also known as atrial high-rate episodes (AHREs), refers to asymptomatic heart rate elevations associated with increased risks of atrial fibrillation and cardiovascular events. Although deep learning (DL) models leveraging echocardiographic images from ultrasound are widely used for cardiac function analysis, their application to AHRE prediction remains unexplored. This study introduces a novel DL-based framework for automatic AHRE detection using echocardiograms. The approach encompasses left atrium (LA) segmentation, LA strain feature extraction, and AHRE classification. Data from 117 patients with cardiac implantable electronic devices undergoing echocardiography were analyzed, with 80% allocated to the development set and 20% to the test set. LA segmentation accuracy was quantified using the Dice coefficient, yielding scores of 0.923 for the LA cavity and 0.741 for the LA wall. For AHRE classification, metrics such as area under the curve (AUC), accuracy, sensitivity, and specificity were employed. A transformer-based model integrating patient characteristics demonstrated robust performance, achieving mean AUC of 0.815, accuracy of 0.809, sensitivity of 0.800, and specificity of 0.783 for a 24-h AHRE duration threshold. This framework represents a reliable tool for AHRE assessment and holds significant potential for early SCAF detection, enhancing clinical decision-making and patient outcomes.</p>","PeriodicalId":49840,"journal":{"name":"Medical & Biological Engineering & Computing","volume":" ","pages":"3113-3122"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192437","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}
引用次数: 0
Improved drowsiness detection in drivers through optimum pairing of EEG features using an optimal EEG channel comparable to a multichannel EEG system. 通过使用可与多通道EEG系统相媲美的最佳EEG通道对EEG特征进行最佳配对,改进了驾驶员的嗜睡检测。
IF 2.6 4区 医学
Medical & Biological Engineering & Computing Pub Date : 2025-10-01 Epub Date: 2025-05-16 DOI: 10.1007/s11517-025-03375-1
Riaz Minhas, Nur Yasin Peker, Mustafa Abdullah Hakkoz, Semih Arbatli, Yeliz Celik, Cigdem Eroglu Erdem, Yuksel Peker, Beren Semiz
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