Frontiers in Network Physiology最新文献

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Case Report: Focal, generalized, or both: does generalized network involvement preclude successful epilepsy surgery? 病例报告:局灶性、全身性或两者兼有:全身性网络受累会妨碍癫痫手术的成功吗?
Frontiers in Network Physiology Pub Date : 2024-07-11 DOI: 10.3389/fnetp.2024.1425329
Cathy K. Cui, Wui-Kwan Wong, Chong H. Wong, Deepak Gill, Michael W. K. Fong
{"title":"Case Report: Focal, generalized, or both: does generalized network involvement preclude successful epilepsy surgery?","authors":"Cathy K. Cui, Wui-Kwan Wong, Chong H. Wong, Deepak Gill, Michael W. K. Fong","doi":"10.3389/fnetp.2024.1425329","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1425329","url":null,"abstract":"We present two cases with focal seizures where scalp electroencephalography (EEG) had prominent features of a developmental and epileptic encephalopathy (DEE): Case 1: a 17-year-old male with complex motor seizures whose EEG demonstrated a slow spike-and-wave pattern and generalized paroxysmal fast activity (GPFA). Case 2: a 12-year-old male with startle-induced asymmetric tonic seizures whose EEG also had a slow spike-and-wave pattern. Both patients had intracranial EEG assessment, and focal cortical resections resulted in long-term seizure freedom and resolution of generalized findings. These cases exemplify patients with focal epilepsy with networks that share similarities to generalized epilepsies, and importantly, these features did not preclude curative epilepsy surgery.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":"116 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mapping the strain-stiffening behavior of the lung and lung cancer at microscale resolution using the crystal ribcage 利用晶体肋骨,以微观分辨率绘制肺和肺癌的应变加固行为图谱
Frontiers in Network Physiology Pub Date : 2024-07-10 DOI: 10.3389/fnetp.2024.1396593
R. LeBourdais, G. Grifno, R. Banerji, Kathryn Regan, B. Suki, H. Nia
{"title":"Mapping the strain-stiffening behavior of the lung and lung cancer at microscale resolution using the crystal ribcage","authors":"R. LeBourdais, G. Grifno, R. Banerji, Kathryn Regan, B. Suki, H. Nia","doi":"10.3389/fnetp.2024.1396593","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1396593","url":null,"abstract":"Lung diseases such as cancer substantially alter the mechanical properties of the organ with direct impact on the development, progression, diagnosis, and treatment response of diseases. Despite significant interest in the lung’s material properties, measuring the stiffness of intact lungs at sub-alveolar resolution has not been possible. Recently, we developed the crystal ribcage to image functioning lungs at optical resolution while controlling physiological parameters such as air pressure. Here, we introduce a data-driven, multiscale network model that takes images of the lung at different distending pressures, acquired via the crystal ribcage, and produces corresponding absolute stiffness maps. Following validation, we report absolute stiffness maps of the functioning lung at microscale resolution in health and disease. For representative images of a healthy lung and a lung with primary cancer, we find that while the lung exhibits significant stiffness heterogeneity at the microscale, primary tumors introduce even greater heterogeneity into the lung’s microenvironment. Additionally, we observe that while the healthy alveoli exhibit strain-stiffening of ∼1.75 times, the tumor’s stiffness increases by a factor of six across the range of measured transpulmonary pressures. While the tumor stiffness is 1.4 times the lung stiffness at a transpulmonary pressure of three cmH2O, the tumor’s mean stiffness is nearly five times greater than that of the surrounding tissue at a transpulmonary pressure of 18 cmH2O. Finally, we report that the variance in both strain and stiffness increases with transpulmonary pressure in both the healthy and cancerous lungs. Our new method allows quantitative assessment of disease-induced stiffness changes in the alveoli with implications for mechanotransduction.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":"35 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141659079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical dynamics and interictal epileptiform discharge: a comparative analysis with respect to tracking seizure risk cycles 临界动力学和发作间期癫痫样放电:追踪癫痫发作风险周期的比较分析
Frontiers in Network Physiology Pub Date : 2024-07-09 DOI: 10.3389/fnetp.2024.1420217
Amrit Kashyap, P. Müller, Gadi Miron, Christian Meisel
{"title":"Critical dynamics and interictal epileptiform discharge: a comparative analysis with respect to tracking seizure risk cycles","authors":"Amrit Kashyap, P. Müller, Gadi Miron, Christian Meisel","doi":"10.3389/fnetp.2024.1420217","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1420217","url":null,"abstract":"Epilepsy is characterized by recurrent, unprovoked seizures. Accurate prediction of seizure occurrence has long been a clinical goal since this would allow to optimize patient treatment, prevent injuries due to seizures, and alleviate the patient burden of unpredictability. Advances in implantable electroencephalographic (EEG) devices, allowing for long-term interictal EEG recordings, have facilitated major progress in this field. Recently, it has been discovered that interictal brain activity demonstrates circadian and multi-dien cycles that are strongly aligned, or phase locked, with seizure risk. Thus, cyclical brain activity patterns have been used to forecast seizures. However, in the effort to develop a clinically useful EEG based seizure forecasting system, challenges remain. Firstly, multiple EEG features demonstrate cyclical patterns, but it remains unclear which feature is best suited for predicting seizures. Secondly, the technology for long-term EEG recording is currently limited in both spatial and temporal sampling resolution. In this study, we compare five established EEG metrics:synchrony, spatial correlation, temporal correlation, signal variance which have been motivated from critical dynamics theory, and interictal epileptiform discharge (IED) which are a traditional marker of seizure propensity. We assess their effectiveness in detecting 24-h and seizure cycles as well as their robustness under spatial and temporal subsampling. Analyzing intracranial EEG data from 23 patients, we report that all examined features exhibit 24-h cycles. Spatial correlation, signal variance, and synchrony showed the highest phase locking with seizures, while IED rates were the lowest. Notably, spatial and temporal correlation were also found to be highly correlated to each other, as were signal variance and IED—suggesting some features may reflect similar aspects of cortical dynamics, whereas others provide complementary information. All features proved robust under subsampling, indicating that the dynamic properties of interictal activity evolve slowly and are not confined to specific brain regions. Our results may aid future translational research by assisting in design and testing of EEG based seizure forecasting systems.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":"123 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141666525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Information theory reveals physiological manifestations of COVID-19 that correlate with symptom density of illness 信息理论揭示了与疾病症状密度相关的 COVID-19 生理表现
Frontiers in Network Physiology Pub Date : 2024-06-14 DOI: 10.3389/fnetp.2024.1211413
Jacob M. Ryan, Shreenithi Navaneethan, Natalie Damaso, Stephan Dilchert, W. Hartogensis, Joseph L. Natale, Frederick M. Hecht, Ashley Mason, Benjamin L. Smarr
{"title":"Information theory reveals physiological manifestations of COVID-19 that correlate with symptom density of illness","authors":"Jacob M. Ryan, Shreenithi Navaneethan, Natalie Damaso, Stephan Dilchert, W. Hartogensis, Joseph L. Natale, Frederick M. Hecht, Ashley Mason, Benjamin L. Smarr","doi":"10.3389/fnetp.2024.1211413","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1211413","url":null,"abstract":"Algorithms for the detection of COVID-19 illness from wearable sensor devices tend to implicitly treat the disease as causing a stereotyped (and therefore recognizable) deviation from healthy physiology. In contrast, a substantial diversity of bodily responses to SARS-CoV-2 infection have been reported in the clinical milieu. This raises the question of how to characterize the diversity of illness manifestations, and whether such characterization could reveal meaningful relationships across different illness manifestations. Here, we present a framework motivated by information theory to generate quantified maps of illness presentation, which we term “manifestations,” as resolved by continuous physiological data from a wearable device (Oura Ring). We test this framework on five physiological data streams (heart rate, heart rate variability, respiratory rate, metabolic activity, and sleep temperature) assessed at the time of reported illness onset in a previously reported COVID-19-positive cohort (N = 73). We find that the number of distinct manifestations are few in this cohort, compared to the space of all possible manifestations. In addition, manifestation frequency correlates with the rough number of symptoms reported by a given individual, over a several-day period prior to their imputed onset of illness. These findings suggest that information-theoretic approaches can be used to sort COVID-19 illness manifestations into types with real-world value. This proof of concept supports the use of information-theoretic approaches to map illness manifestations from continuous physiological data. Such approaches could likely inform algorithm design and real-time treatment decisions if developed on large, diverse samples.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":"37 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141344203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strong delayed negative feedback 强烈的延迟负反馈
Frontiers in Network Physiology Pub Date : 2024-06-05 DOI: 10.3389/fnetp.2024.1399272
Thomas Erneux
{"title":"Strong delayed negative feedback","authors":"Thomas Erneux","doi":"10.3389/fnetp.2024.1399272","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1399272","url":null,"abstract":"In this paper, we analyze the strong feedback limit of two negative feedback schemes which have proven to be efficient for many biological processes (protein synthesis, immune responses, breathing disorders). In this limit, the nonlinear delayed feedback function can be reduced to a function with a threshold nonlinearity. This will considerably help analytical and numerical studies of networks exhibiting different topologies. Mathematically, we compare the bifurcation diagrams for both the delayed and non-delayed feedback functions and show that Hopf classical theory needs to be revisited in the strong feedback limit.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":"51 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141381760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postural control in gymnasts: anisotropic fractal scaling reveals proprioceptive reintegration in vestibular perturbation 体操运动员的姿势控制:各向异性分形缩放揭示了前庭扰动中的本体感觉重新整合
Frontiers in Network Physiology Pub Date : 2024-04-18 DOI: 10.3389/fnetp.2024.1393171
M. Mangalam, Ivan Seleznov, E. Kolosova, Anton Popov, Damian G. Kelty-Stephen, Ken Kiyono
{"title":"Postural control in gymnasts: anisotropic fractal scaling reveals proprioceptive reintegration in vestibular perturbation","authors":"M. Mangalam, Ivan Seleznov, E. Kolosova, Anton Popov, Damian G. Kelty-Stephen, Ken Kiyono","doi":"10.3389/fnetp.2024.1393171","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1393171","url":null,"abstract":"Dexterous postural control subtly complements movement variability with sensory correlations at many scales. The expressive poise of gymnasts exemplifies this lyrical punctuation of release with constraint, from coarse grain to fine scales. Dexterous postural control upon a 2D support surface might collapse the variation of center of pressure (CoP) to a relatively 1D orientation—a direction often oriented towards the focal point of a visual task. Sensory corrections in dexterous postural control might manifest in temporal correlations, specifically as fractional Brownian motions whose differences are more and less correlated with fractional Gaussian noises (fGns) with progressively larger and smaller Hurst exponent H. Traditional empirical work examines this arrangement of lower-dimensional compression of CoP along two orthogonal axes, anteroposterior (AP) and mediolateral (ML). Eyes-open and face-forward orientations cultivate greater variability along AP than ML axes, and the orthogonal distribution of spatial variability has so far gone hand in hand with an orthogonal distribution of H, for example, larger in AP and lower in ML. However, perturbing the orientation of task focus might destabilize the postural synergy away from its 1D distribution and homogenize the temporal correlations across the 2D support surface, resulting in narrower angles between the directions of the largest and smallest H. We used oriented fractal scaling component analysis (OFSCA) to investigate whether sensory corrections in postural control might thus become suborthogonal. OFSCA models raw 2D CoP trajectory by decomposing it in all directions along the 2D support surface and fits the directions with the largest and smallest H. We studied a sample of gymnasts in eyes-open and face-forward quiet posture, and results from OFSCA confirm that such posture exhibits the classic orthogonal distribution of temporal correlations. Head-turning resulted in a simultaneous decrease in this angle Δθ, which promptly reversed once gymnasts reoriented their heads forward. However, when vision was absent, there was only a discernible negative trend in Δθ, indicating a shift in the angle’s direction but not a statistically significant one. Thus, the narrowing of Δθ may signify an adaptive strategy in postural control. The swift recovery of Δθ upon returning to a forward-facing posture suggests that the temporary reduction is specific to head-turning and does not impose a lasting burden on postural control. Turning the head reduced the angle between these two orientations, facilitating the release of postural degrees of freedom towards a more uniform spread of the CoP across both dimensions of the support surface. The innovative aspect of this work is that it shows how fractality might serve as a control parameter of adaptive mechanisms of dexterous postural control.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140689445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A method to assess linear self-predictability of physiologic processes in the frequency domain: application to beat-to-beat variability of arterial compliance 在频域中评估生理过程线性自预测性的方法:应用于动脉顺应性的逐次搏动变异性
Frontiers in Network Physiology Pub Date : 2024-04-04 DOI: 10.3389/fnetp.2024.1346424
Laura Sparacino, Y. Antonacci, Chiara Barà, D. Švec, M. Javorka, L. Faes
{"title":"A method to assess linear self-predictability of physiologic processes in the frequency domain: application to beat-to-beat variability of arterial compliance","authors":"Laura Sparacino, Y. Antonacci, Chiara Barà, D. Švec, M. Javorka, L. Faes","doi":"10.3389/fnetp.2024.1346424","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1346424","url":null,"abstract":"The concept of self-predictability plays a key role for the analysis of the self-driven dynamics of physiological processes displaying richness of oscillatory rhythms. While time domain measures of self-predictability, as well as time-varying and local extensions, have already been proposed and largely applied in different contexts, they still lack a clear spectral description, which would be significantly useful for the interpretation of the frequency-specific content of the investigated processes. Herein, we propose a novel approach to characterize the linear self-predictability (LSP) of Gaussian processes in the frequency domain. The LSP spectral functions are related to the peaks of the power spectral density (PSD) of the investigated process, which is represented as the sum of different oscillatory components with specific frequency through the method of spectral decomposition. Remarkably, each of the LSP profiles is linked to a specific oscillation of the process, and it returns frequency-specific measures when integrated along spectral bands of physiological interest, as well as a time domain self-predictability measure with a clear meaning in the field of information theory, corresponding to the well-known information storage, when integrated along the whole frequency axis. The proposed measure is first illustrated in a theoretical simulation, showing that it clearly reflects the degree and frequency-specific location of predictability patterns of the analyzed process in both time and frequency domains. Then, it is applied to beat-to-beat time series of arterial compliance obtained in young healthy subjects. The results evidence that the spectral decomposition strategy applied to both the PSD and the spectral LSP of compliance identifies physiological responses to postural stress of low and high frequency oscillations of the process which cannot be traced in the time domain only, highlighting the importance of computing frequency-specific measures of self-predictability in any oscillatory physiologic process.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":"9 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The emergence of identity, agency and consciousness from the temporal dynamics of neural elaboration 从神经阐述的时间动态看身份、代理和意识的产生
Frontiers in Network Physiology Pub Date : 2024-04-02 DOI: 10.3389/fnetp.2024.1292388
Riccardo Fesce
{"title":"The emergence of identity, agency and consciousness from the temporal dynamics of neural elaboration","authors":"Riccardo Fesce","doi":"10.3389/fnetp.2024.1292388","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1292388","url":null,"abstract":"Identity—differentiating self from external reality—and agency—being the author of one’s acts—are generally considered intrinsic properties of awareness and looked at as mental constructs generated by consciousness. Here a different view is proposed. All physiological systems display complex time-dependent regulations to adapt or anticipate external changes. To interact with rapid changes, an animal needs a nervous system capable of modelling and predicting (not simply representing) it. Different algorithms must be employed to predict the momentary location of an object based on sensory information (received with a delay), or to design in advance and direct the trajectory of movement. Thus, the temporal dynamics of external events and action must be handled in differential ways, thereby generating the distinction between self and non-self (“identity”) as an intrinsic computational construct in neuronal elaboration. Handling time is not what neurons are designed for. Neuronal circuits are based on parallel processing: each bit of information diverges on many neurons, each of which combines it with many other data. Spike firing reports the likelihood that the specific pattern the neuron is designed to respond to is present in the incoming data. This organization seems designed to process synchronous datasets. However, since neural networks can introduce delays in processing, time sequences can be transformed into simultaneous patterns and analysed as such. This way predictive algorithms can be implemented, and continually improved through neuronal plasticity. To successfully interact with the external reality, the nervous system must model and predict, but also differentially handle perceptual functions or motor activity, by putting in register information that becomes available at different time moments. Also, to learn through positive/negative reinforcement, modelling must establish a causal relation between motor control and its consequences: the contrast between phase lag in perception and phase lead (and control) in motor programming produces the emergence of identity (discerning self from surrounding) and agency (control on actions) as necessary computational constructs to model reality. This does not require any form of awareness. In a brain, capable of producing awareness, these constructs may evolve from mere computational requirements into mental (conscious) constructs.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":"41 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140752313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hamiltonian energy in a modified Hindmarsh–Rose model 改进的 Hindmarsh-Rose 模型中的哈密顿能量
Frontiers in Network Physiology Pub Date : 2024-03-26 DOI: 10.3389/fnetp.2024.1362778
Qianqian Zheng, Yong Xu, Jianwei Shen
{"title":"Hamiltonian energy in a modified Hindmarsh–Rose model","authors":"Qianqian Zheng, Yong Xu, Jianwei Shen","doi":"10.3389/fnetp.2024.1362778","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1362778","url":null,"abstract":"This paper investigates the Hamiltonian energy of a modified Hindmarsh–Rose (HR) model to observe its effect on short-term memory. A Hamiltonian energy function and its variable function are given in the reduced system with a single node according to Helmholtz’s theorem. We consider the role of the coupling strength and the links between neurons in the pattern formation to show that the coupling and cooperative neurons are necessary for generating the fire or a clear short-term memory when all the neurons are in sync. Then, we consider the effect of the degree and external stimulus from other neurons on the emergence and disappearance of short-term memory, which illustrates that generating short-term memory requires much energy, and the coupling strength could further reduce energy consumption. Finally, the dynamical mechanisms of the generation of short-term memory are concluded.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":"19 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of early warning signs to physiological contexts: a comparison of multivariate indices in patients on long-term hemodialysis 将预警信号应用于生理环境:比较长期血液透析患者的多变量指数
Frontiers in Network Physiology Pub Date : 2024-03-26 DOI: 10.3389/fnetp.2024.1299162
V. Legault, Yi Pu, Els Weinans, Alan A. Cohen
{"title":"Application of early warning signs to physiological contexts: a comparison of multivariate indices in patients on long-term hemodialysis","authors":"V. Legault, Yi Pu, Els Weinans, Alan A. Cohen","doi":"10.3389/fnetp.2024.1299162","DOIUrl":"https://doi.org/10.3389/fnetp.2024.1299162","url":null,"abstract":"Early warnings signs (EWSs) can anticipate abrupt changes in system state, known as “critical transitions,” by detecting dynamic variations, including increases in variance, autocorrelation (AC), and cross-correlation. Numerous EWSs have been proposed; yet no consensus on which perform best exists. Here, we compared 15 multivariate EWSs in time series of 763 hemodialyzed patients, previously shown to present relevant critical transition dynamics. We calculated five EWSs based on AC, six on variance, one on cross-correlation, and three on AC and variance. We assessed their pairwise correlations, trends before death, and mortality predictive power, alone and in combination. Variance-based EWSs showed stronger correlations (r = 0.663 ± 0.222 vs. 0.170 ± 0.205 for AC-based indices) and a steeper increase before death. Two variance-based EWSs yielded HR95 > 9 (HR95 standing for a scale-invariant metric of hazard ratio), but combining them did not improve the area under the receiver-operating curve (AUC) much compared to using them alone (AUC = 0.798 vs. 0.796 and 0.791). Nevertheless, the AUC reached 0.825 when combining 13 indices. While some indicators did not perform overly well alone, their addition to the best performing EWSs increased the predictive power, suggesting that indices combination captures a broader range of dynamic changes occurring within the system. It is unclear whether this added benefit reflects measurement error of a unified phenomenon or heterogeneity in the nature of signals preceding critical transitions. Finally, the modest predictive performance and weak correlations among some indices call into question their validity, at least in this context.","PeriodicalId":509566,"journal":{"name":"Frontiers in Network Physiology","volume":"122 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140380326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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