Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference最新文献

{"title":"Apple Watch Sleep and Physiological Tracking Compared to Clinically Validated Actigraphy, Ballistocardiography and Polysomnography.","authors":"Dominic J Jaworski, Edward J Park","doi":"10.1109/EMBC40787.2023.10340725","DOIUrl":"10.1109/EMBC40787.2023.10340725","url":null,"abstract":"<p><p>This paper investigates the performance of the latest Apple Watch (Series 8, released September 2022) in comparison with research grade devices. The Apple Watch was compared to wrist worn actigraphy, non-contact ballistocardiography (BCG) placed in the bed and evaluated with polysomnography (PSG) as a reference system. Sleep analysis and individual cardiorespiratory parameters were measured from the Apple Watch. The Apple Watch performed well for identifying sleep-wake states but had difficulty identifying the sleep stages compared to the reference PSG system. Physiological parameters obtained from the Apple Watch compared well with measurements of the other devices in the study.Clinical Relevance- Consumer devices are readily available and inexpensive compared to clinical devices. A consumer device that can provide accurate physiological data equivalent to a clinical device would let researchers and clinicians collect data without the intrusive nature of a clinical device.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814130","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}

{"title":"ARGO 2.0: a Hybrid NLP/ML Framework for Diagnosis Standardization.","authors":"Francesco Berloco, Sabino Ciavarella, Simona Colucci, Luigi Alfredo Grieco, Attilio Guarini, Gian Maria Zaccaria","doi":"10.1109/EMBC40787.2023.10340022","DOIUrl":"10.1109/EMBC40787.2023.10340022","url":null,"abstract":"<p><p>A relevant problem in medicine is the standardization of the diagnosis associated with a clinical case. Although diagnosis formulation is an intrinsically subjective and uncertain process, its standardization may take benefit from digital solutions automating the routines at the basis of such a decision. In this work, we propose ARGO 2.0: a framework for the development of decision support systems for diagnosis formulation. The framework can read free-text reports and store their clinically relevant information as personalized electronic Case Report Forms. A hybrid strategy, exploiting the synergy of Natural Language Processing and Machine Learning techniques, is used to automatically suggest a diagnosis in a standardized fashion. ARGO 2.0 has been designed to be template-independent and easily tailored to specific medical fields. We here demonstrate its feasibility in hemo lympho-pathology, by detailing its implementation, object of an ongoing validation campaign in a standing medical institute. ARGO 2.0 achieved an average Accuracy of 95.07%, an average precision of 94.85%, an average Recall of 96.31% and a F-Score of 95.32% onto the test set, outperforming both its embedded components, based on Natural Language Processing and Machine Learning.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814151","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}

{"title":"Spasticity assessment with muscle coactivation of elbow flexors during passive stretch in Post-stroke Hemiplegia.","authors":"Hui Wang, Yanjuan Geng, Peng Fang, Guanglin Li","doi":"10.1109/EMBC40787.2023.10340440","DOIUrl":"10.1109/EMBC40787.2023.10340440","url":null,"abstract":"<p><p>the assessment of muscle properties is an essential prerequisite in the treatment of post-stroke muscle spasticity. Previous studies have shown that muscle coactivation, which reflects the simultaneous activation of agonist and antagonist muscle groups, is associated with muscle spasticity during voluntary contraction. However, current spasticity assessment approaches do not often consider muscle coactivation for passive contraction measured with surface electromyography (sEMG). The purpose here is to evaluate the validity and reliability of muscle co-activation based on sEMG for assessing spasticity of post-stroke patients. This study was conducted on 39 chronic hemiplegia post-stroke patients with varying degrees of elbow flexor spasticity. The severity of spasticity was assessed with Modified Ashworth Scale (MAS). The patients produced elbow flexion passively on affected arm. Two-channel surface sEMG recordings were acquired simultaneously for the biceps and triceps muscles. The effectiveness and reliability of the EMG-based spasticity assessment method were evaluated using Spearman's correlation analysis and intra class correlation coefficients (ICCs). The results showed that there was a statistically significant positive relationship between the level of activity and the coactivation index (R=0.710, P=0.003), while the ICCs for intra trial measures ranged between 0.928 and 0.976. Muscle coactivation is a promising tool for continuously quantifying muscle spasticity in post-stroke patients, suggesting that the EMG-based muscle coactivation index could be useful for assessing motor function.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814159","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}

{"title":"Spatio-temporal Spread Variation through Myocardium in Supply and Demand Ischemia.","authors":"Oishee Mazumder, Dibyendu Roy, Aniruddha Sinha","doi":"10.1109/EMBC40787.2023.10340713","DOIUrl":"10.1109/EMBC40787.2023.10340713","url":null,"abstract":"<p><p>In this paper, we investigate spatio-temporal progression of Myocardial ischemia (MI) and propose a metric for quantifying ischemic manifestation using cardiac activation time. Spatio-temporal spread is separately analyzed and compared for two different types of ischemia, namely 'Demand' and 'Supply' ischemia. This is done for both surface progression, along the epicardial surface as well as volume progression, along the three sub-myocardial layers. Cardiac activation time or depolarization time is computed from cardiac surface potential using a combined spatio-temporal derivative function. Ischemic zones in the cardiac surface is computed using Principal Component Analysis (PCA) and eigen vector projection of the depolarization time. Spatio-temporal ischemic spread analysis revealed different ischemic initiation and manifestation pattern for Demand and Supply ischemia, both in surface and volume progression.Clinical relevance Activation time based ischemic progression metric can serve as an alternate marker for ischemia detection and can provide more intuitive understanding on the pathological progression, and in turn assist in developing methods to prevent cell damage due to ischemic progression.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814199","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}

{"title":"Assessing the Potential of Brain-Computer Interface Multiplayer Video Games using c-VEPs: A Pilot Study.","authors":"Selene Moreno-Calderon, Victor Martinez-Cagigal, Eduardo Santamaria-Vazquez, Sergio Perez-Velasco, Diego Marcos-Martinez, Roberto Hornero","doi":"10.1109/EMBC40787.2023.10340542","DOIUrl":"10.1109/EMBC40787.2023.10340542","url":null,"abstract":"<p><p>Video games have become a common and widespread form of entertainment, while non-invasive brain-computer interfaces (BCI) are emerging as potential alternative communication technologies. Combining BCIs and video games can enhance the gaming experience and make it accessible to motor-disabled individuals. Recently, code-modulated visual evoked potentials (c-VEP) have been proposed as a novel control signal able to achieve high performance with short calibration times. However, there are still no video games that use c-VEPs as a control signal. The aim of this pilot study is to develop an implementation of the 'Connect 4' multiplayer video game using a c-VEP-based BCI and test it with 10 healthy users. Participants were paired to compete in matches and carried out individual tasks. The results showed that the participants were able to control the game with an average accuracy of 94.10% and a selection time of 5.25 seconds per command, outperforming previous approaches. This suggests that the proposed video game is feasible and c-VEPs can provide smooth BCI control.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814219","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}

{"title":"Association Between Chronic Back Pain and Protective Behaviors is Subjective and Context Dependent.","authors":"Md Taufeeq Uddin, Ghada Zamzmi, Shaun Canavan","doi":"10.1109/EMBC40787.2023.10340621","DOIUrl":"10.1109/EMBC40787.2023.10340621","url":null,"abstract":"<p><p>Chronic lower back (CLB) pain limits patients' day-to-day activities, increases their missed days of work, and causes emotional distress. Developing adequate and individual-tailored treatment for CLB patients requires a better understanding of pain and protective behaviors, and how these behaviors are modulated or altered by context and subjectivity. In this work, we conducted experiments to investigate 1) the relationship between pain and protective behaviors in patients with CLB pain, 2) whether individual differences and context are relevant factors in the relationship, and 3) the impact of this relationship and its factors on the performance of current automated models for pain and protective behavior perception. Our results show 1) significant association (p - value < 0.05) between pain and protective behaviors in patients with CLB pain and 2) subjectivity and context are influential factors in this association. Further, our results show that considering this association along with its factors significantly (p-value < 0.05) improves the performance of automated pain and protective behaviors perception. These findings highlight the role of this association on pain and protective behaviors perception and raise several questions about the robustness of existing automated models that do not take this association into account.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814234","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}

{"title":"Spinal Cord Injury Patients Exhibit Changes in Motor-Related Activity and Topographic Distribution.","authors":"Marta Borras, Sergio Romero, Monica Rojas-Martinez, Leidy Y Serna, Miguel A Mananas","doi":"10.1109/EMBC40787.2023.10340794","DOIUrl":"10.1109/EMBC40787.2023.10340794","url":null,"abstract":"<p><p>Spinal Cord Injury (SCI) is a common disease that usually limits the patient's independence by affecting their motor function. SCI patients usually present neuroplasticity, which allows brain signals transmission through spread pathways. Some innovative rehabilitation therapies, such as functional electrical stimulation (FES) or Brain-computer interfaces (BCIs) jointly with motor neuroprostheses, provide hope for functional restoration. BCIs require the analysis of event-related EEG potentials (ERPs). Movement-related cortical potentials (MRCPs) and event-related desynchroni-zation and synchronization (ERD/ERS) are the most commonly studied ERPs during motor activity. ERPs of healthy subjects may vary from SCI patients. Thus, this study aimed to compare ERPs between healthy subjects and SCI patients during upper-limb movements (forearm supination and pronation, and hand open). Differences between controls and SCI patients were shown in terms of ERPs' amplitude as well as in topographic maps. Changes in amplitude were more substantial in ERD potentials than in MRCPs, while topographic maps showed better localization of all features in healthy patients. The level of SCI injury determines the patients' mobility. A comparison between complete, partial and no motor function subjects showed lower values of feature's amplitudes in the latter group.Clinical Relevance- This demonstrates the existence of significant statistical differences between healthy and SCI subjects, and might be helpful when performing SCI rehabilitation techniques such as designing BCI and neuroprostheses, or analyzing and understanding the brain plasticity process.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814238","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}

{"title":"ASTRA: Atomic Surface Transformations for Radiotherapy Quality Assurance.","authors":"Amith Kamath, Robert Poel, Jonas Willmann, Ekin Ermis, Nicolaus Andratschke, Mauricio Reyes","doi":"10.1109/EMBC40787.2023.10341062","DOIUrl":"10.1109/EMBC40787.2023.10341062","url":null,"abstract":"<p><p>Treatment for glioblastoma, an aggressive brain tumour usually relies on radiotherapy. This involves planning how to achieve the desired radiation dose distribution, which is known as treatment planning. Treatment planning is impacted by human errors, inter-expert variability in segmenting (or outlining) the tumor target and organs-at-risk, and differences in segmentation protocols. Erroneous segmentations translate to erroneous dose distributions, and hence sub-optimal clinical outcomes. Reviewing segmentations is time-intensive, significantly reduces the efficiency of radiation oncology teams, and hence restricts timely radiotherapy interventions to limit tumor growth. Moreover, to date, radiation oncologists review and correct segmentations without information on how potential corrections might affect radiation dose distributions, leading to an ineffective and suboptimal segmentation correction workflow. In this paper, we introduce an automated deep-learning based method: atomic surface transformations for radiotherapy quality assurance (ASTRA), that predicts the potential impact of local segmentation variations on radiotherapy dose predictions, thereby serving as an effective dose-aware sensitivity map of segmentation variations. On a dataset of 100 glioblastoma patients, we show how the proposed approach enables assessment and visualization of areas of organs-at-risk being most susceptible to dose changes, providing clinicians with a dose-informed mechanism to review and correct segmentations for radiation therapy planning. These initial results suggest strong potential for employing such methods within a broader automated quality assurance system in the radiotherapy planning workflow. Code to reproduce this is available at https://github.com/amithjkamath/astraClinical Relevance: ASTRA shows promise in indicating what regions of the OARs are more likely to impact the distribution of radiation dose.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814239","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}

{"title":"Spontaneous alpha-band oscillations reflect individual differences in audiovisual temporal perception.","authors":"Zeliang Jiang, Xingwei An, Shuang Liu, Erwei Yin, Ye Yan, Dong Ming","doi":"10.1109/EMBC40787.2023.10340570","DOIUrl":"10.1109/EMBC40787.2023.10340570","url":null,"abstract":"<p><p>Light, and sound are persistently out of sync for subjective temporal perception called point of subjective simultaneity (PSS). It is stable within individuals but variable among individuals. Previous studies found that spontaneous alpha power, functioning in attention-related brain states, predicts individual PSS in the temporal order judgment (TOJ) task. However, the neural mechanisms underlying individual differences in audiovisual PSS have not been elucidated in the simultaneity judgment (SJ) task. A hypothesis that the spontaneous alpha band power might reflect the individual subjective temporal bias was proposed. We designed an SJ task EEG experiment where subjects judged whether the beep-flash stimuli are synchronous to test the above hypothesis. We primarily explored the correlation between the alpha-band power differences (visual- and auditory-leading conditions) with individual PSS. We used the V50A (~50% proportion of synchronous responses) to represent visual-leading conditions while A50V represents auditory-leading ones. We found the higher alpha power difference (V50A - A50V) predicted larger individual PSS. This study extends previous results and found that individual difference effects in the alpha band power also exist in the SJ task. The results suggested that alpha power might be associated with a spontaneous attentional state and reflect individuals' subjective temporal bias.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814243","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}

{"title":"Statistical Approaches to Characterize Functional Connectivity in Brain and Physiologic Networks on a Single-Subject Basis.","authors":"Laura Sparacino, Martina Valentino, Yuri Antonacci, Giuseppe Parla, Gianvincenzo Sparacia, Luca Faes","doi":"10.1109/EMBC40787.2023.10340969","DOIUrl":"10.1109/EMBC40787.2023.10340969","url":null,"abstract":"<p><p>The trend toward personalized medicine necessitates drawing conclusions from descriptive indexes of physiopathological states estimated from individual recordings of biomedical signals, using statistical analyses that focus on subject-specific differences between experimental conditions. In this context, the present work introduces an approach to assess functional connectivity in brain and physiologic networks by pairwise information-theoretic measures of coupling between signals, whose significance and variations between conditions are statistically validated on a single-subject basis through the use of surrogate and bootstrap data analyses. The approach is illustrated on single-subject recordings of (i) resting-state functional magnetic resonance imaging (rest-fMRI) signals acquired in a pediatric patient with hepatic encephalography associated to a portosystemic shunt and undergoing liver vascular shunt correction, and of (ii) cardiovascular and cerebrovascular time series acquired at rest and during head-up tilt in a subject suffering from orthostatic intolerance.</p>","PeriodicalId":72237,"journal":{"name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814262","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}