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A review of automated sleep stage based on EEG signals 基于脑电信号的自动睡眠阶段综述
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.06.004
Xiaoli Zhang , Xizhen Zhang , Qiong Huang , Yang Lv , Fuming Chen
{"title":"A review of automated sleep stage based on EEG signals","authors":"Xiaoli Zhang ,&nbsp;Xizhen Zhang ,&nbsp;Qiong Huang ,&nbsp;Yang Lv ,&nbsp;Fuming Chen","doi":"10.1016/j.bbe.2024.06.004","DOIUrl":"10.1016/j.bbe.2024.06.004","url":null,"abstract":"<div><p><span><span><span>Sleep disorders have increasingly impacted healthy lifestyles. Accurate scoring of sleep stages is crucial for diagnosing patients with sleep disorders. The precision of sleep staging differs notably between healthy individuals and those with </span>sleep apnea<span> (SA). SA disrupts the regularity of sleep stages, affecting the performance of sleep stage detection and influencing the accuracy of sleep staging, thereby impacting sleep quality assessment results. The study compares the accuracy of sleep staging between healthy individuals and SA patients using the same algorithm, revealing variations in performance based on different severities of sleep apnea. This suggests limitations in the </span></span>generalization ability<span><span> of current sleep staging methods. Accordingly, researchers are working to develop sleep staging methods that can diminish the impact of sleep apnea and exhibit better generalization capabilities. Furthermore, the study emphasizes the advantages of automated methods over manual scoring due to being less subjective and resource-intensive, making them more suitable for practical applications. The emphasis is on recent research findings on automatic sleep stage classification based on electroencephalography (EEG). The study outlines potential applications and distinctions of various algorithm models rooted in </span>machine learning and </span></span>deep learning within the context of sleep staging. These methods are applied to the well-known public EEG dataset Sleep-EDF. The study applies four widely studied algorithms to the single-channel EEG of 20 subjects, comparing the results of the models’ automatic sleep staging with the manual sleep staging annotations by clinical experts.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 3","pages":"Pages 651-673"},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098053","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
In silico validation of a customizable fully-autonomous artificial pancreas with coordinated insulin, glucagon and rescue carbohydrates 对可协调胰岛素、胰高血糖素和救命碳水化合物的可定制全自主人工胰腺进行硅验证
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.08.003
Ricardo Sanz , Iván Sala-Mira , Clara Furió-Novejarque , Pedro García , José-Luis Díez , Jorge Bondia
{"title":"In silico validation of a customizable fully-autonomous artificial pancreas with coordinated insulin, glucagon and rescue carbohydrates","authors":"Ricardo Sanz ,&nbsp;Iván Sala-Mira ,&nbsp;Clara Furió-Novejarque ,&nbsp;Pedro García ,&nbsp;José-Luis Díez ,&nbsp;Jorge Bondia","doi":"10.1016/j.bbe.2024.08.003","DOIUrl":"10.1016/j.bbe.2024.08.003","url":null,"abstract":"<div><p>Artificial pancreas systems should be designed considering different patient profiles, which is challenging from a control theory perspective. In this paper, a flexible-hybrid dual-hormone control algorithm for an artificial pancreas is proposed. The algorithm handles announced/unannounced meals by means of a non-interacting feedforward scheme that safely incorporates prandial boluses. Also, a coordination strategy is employed to distribute the counter-regulatory actions, which can be delivered as a continuous glucagon infusion via an automated pump, as an oral rescue carbohydrate recommendation, or as a rescue glucagon dose recommendation to be administrated through a glucagon pen. The different configurations of the proposed controller were evaluated in silico using a 14-day virtual scenario with random meal intakes and exercise sessions, achieving above 80% time-in-range and low time spent in hypoglycemia.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 3","pages":"Pages 560-568"},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0208521624000561/pdfft?md5=5dc60e4e8ea6556e7fccf8eae8cffa24&pid=1-s2.0-S0208521624000561-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142049728","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
Amplitude and frequency modulation of EEG predicts Intraventricular hemorrhage in preterm infants 脑电图的振幅和频率调制可预测早产儿脑室内出血
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.08.012
Emad Arasteh , Maria Luisa Tataranno , Maarten De Vos , Xiaowan Wang , Manon J.N.L. Benders , Jeroen Dudink , Thomas Alderliesten
{"title":"Amplitude and frequency modulation of EEG predicts Intraventricular hemorrhage in preterm infants","authors":"Emad Arasteh ,&nbsp;Maria Luisa Tataranno ,&nbsp;Maarten De Vos ,&nbsp;Xiaowan Wang ,&nbsp;Manon J.N.L. Benders ,&nbsp;Jeroen Dudink ,&nbsp;Thomas Alderliesten","doi":"10.1016/j.bbe.2024.08.012","DOIUrl":"10.1016/j.bbe.2024.08.012","url":null,"abstract":"<div><h3>Background</h3><p>Intraventricular hemorrhage (IVH) is a common and significant complication in premature infants. While cranial ultrasound is the golden standard for IVH detection, it may not identify lesions until hours or days after occurring, which limits early intervention. Predicting IVH in premature infants would be highly advantageous. Recent studies have shown that EEG data’s amplitude and frequency modulation features could offer predictive insights for neurological diseases in adults.</p></div><div><h3>Methods</h3><p>To investigate the association between IVH and EEG monitoring, a retrospective case-control study was conducted in preterm infants. All infants underwent amplitude integrated EEG monitoring for at least 3 days after birth. The study included 20 cases who had an IVH diagnosed on cranial ultrasound and had a negative ultrasound 24 h earlier, and 20 matched controls without IVH. Amplitude and frequency modulation features were extracted from single-channel EEG data, and various machine learning algorithms were evaluated to create a predictive model.</p></div><div><h3>Results</h3><p>Cases had an average gestational age and birth weight of 26.4 weeks and 965 g, respectively. The best-performing algorithm was adaptive boosting. EEG data from 24 h before IVH detection proved predictive with an area under the receiver operating characteristic curve of 93 %, an accuracy of 91 %, and a Kappa value of 0.85. The most informative features were the slow varying instantaneous frequency and amplitude in the Delta frequency band.</p></div><div><h3>Conclusion</h3><p>Amplitude and frequency modulation features obtained from single-channel EEG signals in extremely preterm infants show promise for predicting IVH occurrence within 24 h before detection on cranial ultrasound.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 3","pages":"Pages 708-715"},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0208521624000652/pdfft?md5=d0e636422793e1fdd8f1e4522e6831b5&pid=1-s2.0-S0208521624000652-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142128652","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
Development of wide-field high-resolution dual optical imaging platform for vasculature and morphological assessment of chronic kidney disease: A feasibility study 开发用于慢性肾脏病血管和形态学评估的宽视场高分辨率双光学成像平台:可行性研究
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.09.001
Sm Abu Saleah , Jaeyul Lee , Daewoon Seong , Sangyeob Han , Kibeom Park , Juyeon Hong , Sooah Park , Yoon-Hee Kwon , Woonggyu Jung , Mansik Jeon , Jeehyun Kim
{"title":"Development of wide-field high-resolution dual optical imaging platform for vasculature and morphological assessment of chronic kidney disease: A feasibility study","authors":"Sm Abu Saleah ,&nbsp;Jaeyul Lee ,&nbsp;Daewoon Seong ,&nbsp;Sangyeob Han ,&nbsp;Kibeom Park ,&nbsp;Juyeon Hong ,&nbsp;Sooah Park ,&nbsp;Yoon-Hee Kwon ,&nbsp;Woonggyu Jung ,&nbsp;Mansik Jeon ,&nbsp;Jeehyun Kim","doi":"10.1016/j.bbe.2024.09.001","DOIUrl":"10.1016/j.bbe.2024.09.001","url":null,"abstract":"<div><p>Chronic kidney disease (CKD) affects the morphological structure and causes significant degradation in kidney function, leading to renal replacement treatment in affected individuals. Vascular rarefaction is thought to be an important factor in accelerating kidney damage in CKD patients, therefore, the assessment of renal morphology and vasculature is crucial in nephrology. The objective of this study was to evaluate the morphological and vascular changes caused by CKD in mice kidneys. In this study, dual photoacoustic microscopy (PAM) and optical coherence microscopy (OCM) oriented wide-field high-resolution imaging modalities were employed for diseased renal imaging. The unilateral ureteral obstruction (UUO) model was used to prepare renal samples with CKD, and the developed wide-field dual imaging system was used to image both control and CKD-affected kidneys for assessing vascular and morphological changes during CKD progression. The obtained results reveal a gradual alteration in vascular intensity and pelvis space with the progress of UUO disease. Furthermore, a quantitative micro-vessel analysis was performed based on the node, junction, and mesh of the vessel, which provides details on the increasing microvascular-related characteristics in the peripheral area as the disease progresses. Thus, by concurrently employing the advantages of each optical imaging technique, the proposed method of assessing the OCM-based morphological and PAM-based vascular properties of the renal sample using a wide-field multimodal imaging system can be an efficient technique for whole volume analysis without any exogenous contrast agents in kidney histopathology.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 3","pages":"Pages 759-770"},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0208521624000664/pdfft?md5=b467e1866a2af41ffcf837a2d32c06a7&pid=1-s2.0-S0208521624000664-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172999","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
Detection of congestive heart failure based on Gramian angular field and two-dimensional symbolic phase permutation entropy 基于格拉米安角场和二维符号相位排列熵的充血性心力衰竭检测方法
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.06.005
Juanjuan Yang , Caiping Xi
{"title":"Detection of congestive heart failure based on Gramian angular field and two-dimensional symbolic phase permutation entropy","authors":"Juanjuan Yang ,&nbsp;Caiping Xi","doi":"10.1016/j.bbe.2024.06.005","DOIUrl":"10.1016/j.bbe.2024.06.005","url":null,"abstract":"<div><p><span>Congestive heart failure (CHF) is a serious threat to human health. Electrocardiogram (ECG) signals have been proven to be useful in the detection of CHF. However, the low amplitude and short duration of the ECG signals, as well as the superimposed noise during the real-time acquisition of the signal, seriously affect the CHF detection. To improve the detection rate of CHF, this paper proposes a congestive heart failure detection method based on Gramian angular field (GAF) and two-dimensional symbolic phase permutation entropy (SPPE2D). The significant advantage of this method is that it reduces the sensitivity to noise, and good performance can be obtained without denoising using raw ECG signals. We segment the original ECG signals into 2 s non-overlapping segments and convert them into images using the GAF method. Then, the SPPE2D algorithm is proposed to measure the complexity between </span>normal sinus rhythm<span> (NSR) and CHF, and analyze the anti-noise performance of the algorithm. Finally, the SPPE2D features of GAF images are computed and input into a support vector machine<span> (SVM) for CHF detection. Classification accuracy on the Massachusetts Institute of Technology − Beth Israel Hospital Normal Sinus Rhythm Database and Beth Israel Deaconess Medical Center Congestive Heart Failure Database is 99.59%, sensitivity is 99.42%, specificity is 99.80%, and F1-score is 99.62%. The accuracy of detecting CHF reach more than 97.75% in the other five CHF databases. The experimental results show that the method based on GAF and SPPE2D can effectively detect CHF by images of ECG signals and has good robustness. CHF can be detected using the 2 s sample lengths of ECG signals recording with high sensitivity, giving clinicians ample time to treat patients with CHF.</span></span></p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 3","pages":"Pages 674-688"},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693958","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
Modeling blood vessel dynamics: Effects of glucose variations on HUVECs in a hollow fiber bioreactor under laminar shear stress 血管动力学建模:层流剪切应力下葡萄糖变化对中空纤维生物反应器中 HUVEC 的影响
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.08.004
Piotr Ladyzynski, Anna Ciechanowska, Stanislawa Sabalinska, Piotr Foltynski, Agnieszka Wencel, Cezary Wojciechowski, Krzysztof Pluta, Andrzej Chwojnowski
{"title":"Modeling blood vessel dynamics: Effects of glucose variations on HUVECs in a hollow fiber bioreactor under laminar shear stress","authors":"Piotr Ladyzynski,&nbsp;Anna Ciechanowska,&nbsp;Stanislawa Sabalinska,&nbsp;Piotr Foltynski,&nbsp;Agnieszka Wencel,&nbsp;Cezary Wojciechowski,&nbsp;Krzysztof Pluta,&nbsp;Andrzej Chwojnowski","doi":"10.1016/j.bbe.2024.08.004","DOIUrl":"10.1016/j.bbe.2024.08.004","url":null,"abstract":"<div><p>This study aimed to establish a blood vessel model within a hollow fiber bioreactor to evaluate the impact of high and fluctuating glucose levels on human umbilical vein endothelial cells (HUVECs) under laminar shear stress (LSS). HUVECs were cultured for 48 h in normal (5 mM), high (20 mM), and variable (20 mM / 5 mM alternating every 24 h) glucose concentrations under LSS of 0.66 Pa. An automated medium replacement system was developed. The control cultures remained static. The analysis included cell viability via cytometric analysis, glucose consumption, lactate production via electroenzymatic methods, and the expression of 21 genes via qPCR. The percentage of apoptotic cells did not significantly differ across glucose concentrations under LSS. HUVECs favor glycolysis for energy regardless of LSS. Under LSS, the <em>IL1B</em>, <em>CCL2</em>, and <em>SELE</em> genes were upregulated under high-glucose conditions and downregulated under variable-glucose conditions. A few other genes related to inflammation, oxidative stress, cell adhesion and apoptosis were upregulated under high-glucose conditions. In conclusion, using the blood vessel model we effectively examined the impact of glucose profiles on HUVECs under LSS in a device replicating the cylindrical geometry of blood vessels. LSS and tubular cell arrangement might mitigate the adverse effects of variable glucose on endothelial cells.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 3","pages":"Pages 543-559"},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0208521624000585/pdfft?md5=5c0c88b369931ecae917433fef387e38&pid=1-s2.0-S0208521624000585-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040140","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
Static compression optical coherence elastography for the measurement of porcine corneal mechanical properties ex-vivo 用静态压缩光学相干弹性成像技术测量猪角膜的体外机械特性
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.08.006
Zachery Quince , David Alonso-Caneiro , Scott A. Read , Damien G. Harkin , Michael J. Collins
{"title":"Static compression optical coherence elastography for the measurement of porcine corneal mechanical properties ex-vivo","authors":"Zachery Quince ,&nbsp;David Alonso-Caneiro ,&nbsp;Scott A. Read ,&nbsp;Damien G. Harkin ,&nbsp;Michael J. Collins","doi":"10.1016/j.bbe.2024.08.006","DOIUrl":"10.1016/j.bbe.2024.08.006","url":null,"abstract":"<div><h3>Significance</h3><p>The biomechanical properties of the cornea are important for vision and ocular health. Optical coherence elastography (OCE) has the potential to improve our capacity to measure these properties.</p></div><div><h3>Aim</h3><p>This study tested a static compression OCE method utilising a commercially available optical coherence tomography (OCT) device, to estimate the Young’s modulus of <em>ex-vivo</em> porcine corneal tissue.</p><p>Approach: OCT was used to image corneal tissue samples before and during loading by static compression. The compressive force was measured with a piezoresistive force sensor, and tissue deformation was quantified through automated image analysis. Ten <em>ex-vivo</em> porcine corneas were assessed and the corneal thickness was also measured to assess the impact of corneal swelling.</p></div><div><h3>Results</h3><p>An average (standard deviation) Young’s modulus of 0.271 (+/- 0.091) MPa was determined across the 10 corneas assessed. There was a mean decrease of 1.78 % in corneal thickness at the end of the compression series. These results showed that there was a moderate association between corneal thickness and the Young’s modulus recording (R<sup>2</sup> = 0.274).</p></div><div><h3>Conclusions</h3><p>Optical coherence elastography utilising clinical instrumentation, can reliably characterise the mechanical properties of the cornea. These results support the further investigation of the technique for <em>in-vivo</em> measurement of the mechanical properties of the human cornea.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 3","pages":"Pages 609-616"},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0208521624000597/pdfft?md5=96cdfa6e83dcdb05584641adfbe34ec8&pid=1-s2.0-S0208521624000597-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142087527","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
Detection of Attention Deficit Hyperactivity Disorder based on EEG feature maps and deep learning 基于脑电图特征图和深度学习的注意力缺陷多动障碍检测
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.07.003
Ozlem Karabiber Cura , Aydin Akan , Sibel Kocaaslan Atli
{"title":"Detection of Attention Deficit Hyperactivity Disorder based on EEG feature maps and deep learning","authors":"Ozlem Karabiber Cura ,&nbsp;Aydin Akan ,&nbsp;Sibel Kocaaslan Atli","doi":"10.1016/j.bbe.2024.07.003","DOIUrl":"10.1016/j.bbe.2024.07.003","url":null,"abstract":"<div><p>Attention Deficit Hyperactivity Disorder (ADHD) is a neurological condition, typically manifesting in childhood. Behavioral studies are used to treat the illness, but there is no conclusive way to diagnose it. To comprehend changes in the brain, electroencephalography (EEG) signals of ADHD patients are frequently examined. In the proposed study, we introduce EEG feature map (EEG-FM)-based image construction to input deep learning architectures for classifying ADHD. To demonstrate the effectiveness of the proposed method, EEG data of 15 ADHD patients and 18 control subjects are analyzed and detection performance is presented. EEG-FM-based images are obtained using both traditional time domain features used in EEG analysis, such as Hjorth parameters (activity, mobility, complexity), skewness, kurtosis, and peak-to-peak, and nonlinear features such as the largest Lyapunov Exponent, correlation dimension, Hurst exponent, Katz fractal dimension, Higuchi fractal dimension, and approximation entropy. EEG-FM-based images are used to train DarkNet19 architecture and deep features are extracted for each image dataset. Fewer deep features are chosen for each image dataset using the Minimum Redundancy Maximum Relevance (mRMR) feature selection method, and the concatenated deep feature set is created by merging the selected features. Finally, various machine learning methods are used to classify the concatenated deep features. Our EEG-FM and DarkNet19-based approach yields classification accuracies for ADHD between 96.6% and 99.9%. Experimental results indicate that the use of EEG-FM-based images as input to DarkNet19 architecture gives significant advantages in the detection of ADHD.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 3","pages":"Pages 450-460"},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840761","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
Lead II electrocardiograph-derived entropy index for autonomic function assessment in type 2 diabetes mellitus 用于评估 2 型糖尿病患者自主神经功能的导联 II 心电图熵指数
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.08.002
Shanglin Yang , Xuwei Liao , Yuyang Lin , Jianjung Chen , Hsientsai Wu
{"title":"Lead II electrocardiograph-derived entropy index for autonomic function assessment in type 2 diabetes mellitus","authors":"Shanglin Yang ,&nbsp;Xuwei Liao ,&nbsp;Yuyang Lin ,&nbsp;Jianjung Chen ,&nbsp;Hsientsai Wu","doi":"10.1016/j.bbe.2024.08.002","DOIUrl":"10.1016/j.bbe.2024.08.002","url":null,"abstract":"<div><p>The aim of this study was to introduce and evaluate the baroreflex entropy index (BEI), a novel tool derived from standard lead II electrocardiograph (EKG) for autonomic function (AF) assessment in type 2 diabetes mellitus (T2DM). Researchers with distinct roles (analysis and data preparation) analyzed anonymized EKG data from healthy controls and two patient groups with T2DM (well controlled and poorly controlled). BEI was compared between groups, and correlations with glycemic markers (HbA1c, fasting glucose) were investigated. Logistic regression was used to assess the association between BEI and T2DM risk. BEI showed good repeatability and differentiation between groups. Notably, it required only single-lead EKG. BEI was inversely correlated with glycemic markers, suggesting improved baroreflex regulation with better glycemic control. BEI also outperformed small-scale multiscale entropy in group discrimination. Logistic regression identified BEI as a protective factor for T2DM. BEI represents a promising tool for monitoring AF, assessing glycemic control, and potentially stratifying T2DM risk. Further validation in larger longitudinal studies and an exploration of the applicability of BEI to other diseases are warranted.</p></div>","PeriodicalId":55381,"journal":{"name":"Biocybernetics and Biomedical Engineering","volume":"44 3","pages":"Pages 513-520"},"PeriodicalIF":5.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142012832","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
Innovative design addressing complex airway stenosis: Multidimensional performance assessment of a novel Y-shaped airway stent 解决复杂气道狭窄的创新设计:新型 Y 型气道支架的多维性能评估
IF 5.3 2区 医学
Biocybernetics and Biomedical Engineering Pub Date : 2024-07-01 DOI: 10.1016/j.bbe.2024.08.010
Yuyue Jiang , Qungang Shan , Wei Huang , Nannan Yang , Yaping Zhuang , Zhuozhuo Wu , Lu Wang , Zhongmin Wang
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