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Jarmund AH, Pedersen SA, Torp H, Dudink J, Nyrnes SA. A Scoping Review of Cerebral Doppler Arterial Waveforms in Infants. ULTRASOUND IN MEDICINE & BIOLOGY 2023; 49:919-936. [PMID: 36732150 DOI: 10.1016/j.ultrasmedbio.2022.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 12/08/2022] [Accepted: 12/12/2022] [Indexed: 06/18/2023]
Abstract
Cerebral Doppler ultrasound has been an important tool in pediatric diagnostics and prognostics for decades. Although the Doppler spectrum can provide detailed information on cerebral perfusion, the measured spectrum is often reduced to simple numerical parameters. To help pediatric clinicians recognize the visual characteristics of disease-associated Doppler spectra and identify possible areas for future research, a scoping review of primary studies on cerebral Doppler arterial waveforms in infants was performed. A systematic search in three online bibliographic databases yielded 4898 unique records. Among these, 179 studies included cerebral Doppler spectra for at least five infants below 1 y of age. The studies describe variations in the cerebral waveforms related to physiological changes (43%), pathology (62%) and medical interventions (40%). Characteristics were typically reported as resistance index (64%), peak systolic velocity (43%) or end-diastolic velocity (39%). Most studies focused on the anterior (59%) and middle (42%) cerebral arteries. Our review highlights the need for a more standardized terminology to describe cerebral velocity waveforms and for precise definitions of Doppler parameters. We provide a list of reporting variables that may facilitate unambiguous reports. Future studies may gain from combining multiple Doppler parameters to use more of the information encoded in the Doppler spectrum, investigating the full spectrum itself and using the possibilities for long-term monitoring with Doppler ultrasound.
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Affiliation(s)
- Anders Hagen Jarmund
- Department of Circulation and Medical Imaging (ISB), NTNU-Norwegian University of Science and Technology, Trondheim, Norway.
| | - Sindre Andre Pedersen
- Library Section for Research Support, Data and Analysis, NTNU University Library, NTNU-Norwegian University of Science and Technology, Trondheim, Norway
| | - Hans Torp
- Department of Circulation and Medical Imaging (ISB), NTNU-Norwegian University of Science and Technology, Trondheim, Norway
| | - Jeroen Dudink
- Department of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Siri Ann Nyrnes
- Department of Circulation and Medical Imaging (ISB), NTNU-Norwegian University of Science and Technology, Trondheim, Norway; Children's Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
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Gan L, Yin X, Huang J, Jia B. Transcranial Doppler analysis based on computer and artificial intelligence for acute cerebrovascular disease. MATHEMATICAL BIOSCIENCES AND ENGINEERING : MBE 2023; 20:1695-1715. [PMID: 36899504 DOI: 10.3934/mbe.2023077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Cerebrovascular disease refers to damage to brain tissue caused by impaired intracranial blood circulation. It usually presents clinically as an acute nonfatal event and is characterized by high morbidity, disability, and mortality. Transcranial Doppler (TCD) ultrasonography is a non-invasive method for the diagnosis of cerebrovascular disease that uses the Doppler effect to detect the hemodynamic and physiological parameters of the major intracranial basilar arteries. It can provide important hemodynamic information that cannot be measured by other diagnostic imaging techniques for cerebrovascular disease. And the result parameters of TCD ultrasonography such as blood flow velocity and beat index can reflect the type of cerebrovascular disease and serve as a basis to assist physicians in the treatment of cerebrovascular diseases. Artificial intelligence (AI) is a branch of computer science which is used in a wide range of applications in agriculture, communications, medicine, finance, and other fields. In recent years, there are much research devoted to the application of AI to TCD. The review and summary of related technologies is an important work to promote the development of this field, which can provide an intuitive technical summary for future researchers. In this paper, we first review the development, principles, and applications of TCD ultrasonography and other related knowledge, and briefly introduce the development of AI in the field of medicine and emergency medicine. Finally, we summarize in detail the applications and advantages of AI technology in TCD ultrasonography including the establishment of an examination system combining brain computer interface (BCI) and TCD ultrasonography, the classification and noise cancellation of TCD ultrasonography signals using AI algorithms, and the use of intelligent robots to assist physicians in TCD ultrasonography and discuss the prospects for the development of AI in TCD ultrasonography.
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Affiliation(s)
- Lingli Gan
- Department of Neurology, Chongqing General Hospital, Chongqing 401147, China
| | - Xiaoling Yin
- Department of Neurosurgery, Chongqing General Hospital, Chongqing 401147, China
| | - Jiating Huang
- Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong, China
| | - Bin Jia
- Department of Neurosurgery, Chongqing General Hospital, Chongqing 401147, China
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Thorpe SG, Thibeault CM, Canac N, Jalaleddini K, Dorn A, Wilk SJ, Devlin T, Scalzo F, Hamilton RB. Toward automated classification of pathological transcranial Doppler waveform morphology via spectral clustering. PLoS One 2020; 15:e0228642. [PMID: 32027714 PMCID: PMC7004309 DOI: 10.1371/journal.pone.0228642] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Accepted: 01/20/2020] [Indexed: 11/21/2022] Open
Abstract
Cerebral Blood Flow Velocity waveforms acquired via Transcranial Doppler (TCD) can provide evidence for cerebrovascular occlusion and stenosis. Thrombolysis in Brain Ischemia (TIBI) flow grades are widely used for this purpose, but require subjective assessment by expert evaluators to be reliable. In this work we seek to determine whether TCD morphology can be objectively assessed using an unsupervised machine learning approach to waveform categorization. TCD beat waveforms were recorded at multiple depths from the Middle Cerebral Arteries of 106 subjects; 33 with Large Vessel Occlusion (LVO). From each waveform, three morphological features were extracted, quantifying onset of maximal velocity, systolic canopy length, and the number/prominence of peaks/troughs. Spectral clustering identified groups implicit in the resultant three-dimensional feature space, with gap statistic criteria establishing the optimal cluster number. We found that gap statistic disparity was maximized at four clusters, referred to as flow types I, II, III, and IV. Types I and II were primarily composed of control subject waveforms, whereas types III and IV derived mainly from LVO patients. Cluster morphologies for types I and IV aligned clearly with Normal and Blunted TIBI flows, respectively. Types II and III represented commonly observed flow-types not delineated by TIBI, which nonetheless deviate from normal and blunted flows. We conclude that important morphological variability exists beyond that currently quantified by TIBI in populations experiencing or at-risk for acute ischemic stroke, and posit that the observed flow-types provide the foundation for objective methods of real-time automated flow type classification.
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Affiliation(s)
- Samuel G. Thorpe
- Department of Research, Neural Analytics, Inc., Los Angeles, California, United States of America
- * E-mail:
| | - Corey M. Thibeault
- Department of Research, Neural Analytics, Inc., Los Angeles, California, United States of America
| | - Nicolas Canac
- Department of Research, Neural Analytics, Inc., Los Angeles, California, United States of America
| | - Kian Jalaleddini
- Department of Research, Neural Analytics, Inc., Los Angeles, California, United States of America
| | - Amber Dorn
- Department of Research, Neural Analytics, Inc., Los Angeles, California, United States of America
| | - Seth J. Wilk
- Department of Research, Neural Analytics, Inc., Los Angeles, California, United States of America
| | - Thomas Devlin
- Department of Neurology, Erlanger Medical Center, Chattanooga, Tennessee, United States of America
| | - Fabien Scalzo
- Department of Neurology, University of California Los Angeles, Los Angeles, California, United States of America
| | - Robert B. Hamilton
- Department of Research, Neural Analytics, Inc., Los Angeles, California, United States of America
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Elzaafarany K, Aly MH, Kumar G, Nakhmani A. Cerebral Artery Vasospasm Detection Using Transcranial Doppler Signal Analysis. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2019; 38:2191-2202. [PMID: 30593699 DOI: 10.1002/jum.14916] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 11/12/2018] [Accepted: 12/02/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVES Silent cerebral artery vasospasm in aneurysmal subarachnoid hemorrhage causes serious complications such as cerebral ischemia and death. A transcranial Doppler (TCD) ultrasound system is a noninvasive device that can effectively detect cerebral artery vasospasm as soon as it sets in, even before and in the absence of clinical deterioration. Continuous or even daily TCD monitoring is challenging because of the operator expertise and certification required in the form of a trained sonographer and interpretive experience required in the form of an additionally trained and certified physician to perform these studies. This barrier exists because of a lack of automation for detection (without human intervention) of cerebral artery vasospasm using TCD ultrasound. To overcome this barrier, we present an algorithm that automates detection of cerebral artery vasospasm. METHODS We extracted features such as the energy, energy entropy, zero-crossing rate, spectral centroid, spectral speed, spectral entropy, spectral flux, spectral roll-off, harmonic ratio, chroma, and Mel frequency cepstral coefficients for signal classification. Then we applied principal component analysis to reduce the data dimensionality. RESULTS All of the chosen features were used for training a decision-tree classifier. The algorithm had high accuracy for cerebral artery vasospasm detection, with overall sensitivity of 87.5% and specificity of 89.74%. CONCLUSIONS The algorithm has the potential for development into a continuous cerebral artery vasospasm monitor.
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Affiliation(s)
- Khaled Elzaafarany
- Departments of Electrical and Computer Engineering, University of Alabama, Birmingham, Alabama, USA
- Department of Electronics and Communication Engineering, Arab Academy for Science, Technology, and Maritime Transport, Alexandria, Egypt
| | - Moustafa H Aly
- Department of Electronics and Communication Engineering, Arab Academy for Science, Technology, and Maritime Transport, Alexandria, Egypt
| | - Gyanendra Kumar
- Neurology, Division of Cerebrovascular Diseases, University of Alabama, Birmingham, Alabama, USA
- Department of Neurology, Division of Cerebrovascular Diseases, Mayo Clinic, Phoenix, Arizona, USA
| | - Arie Nakhmani
- Departments of Electrical and Computer Engineering, University of Alabama, Birmingham, Alabama, USA
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Alieyan K, Almomani A, Anbar M, Alauthman M, Abdullah R, Gupta BB. DNS rule-based schema to botnet detection. ENTERP INF SYST-UK 2019. [DOI: 10.1080/17517575.2019.1644673] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Kamal Alieyan
- National Advanced IPv6 Centre (NAv6), Universiti Sains Malaysia, Gelugor, Penang, Malaysia
| | - Ammar Almomani
- Department of Information Technology, Al-Huson University College, Al-Balqa Applied University, Irbid, Jordan
| | - Mohammed Anbar
- National Advanced IPv6 Centre (NAv6), Universiti Sains Malaysia, Gelugor, Penang, Malaysia
| | - Mohammad Alauthman
- Department of Computer Science, Faculty of information technology, Zarqa university, Zarqa, Jordan
| | - Rosni Abdullah
- National Advanced IPv6 Centre (NAv6), Universiti Sains Malaysia, Gelugor, Penang, Malaysia
| | - B. B. Gupta
- Department of Computer Engineering, National Institute of Technology Kurukshtra, Kurukshetra, India
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Seera M, Lim CP, Tan KS, Liew WS. Classification of transcranial Doppler signals using individual and ensemble recurrent neural networks. Neurocomputing 2017. [DOI: 10.1016/j.neucom.2016.05.117] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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S. S, S. AAB, S. G. A novel memetic algorithm for discovering knowledge in binary and multi class predictions based on support vector machine. Appl Soft Comput 2016. [DOI: 10.1016/j.asoc.2016.08.038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Seara Vieira A, Borrajo L, Iglesias EL. Improving the text classification using clustering and a novel HMM to reduce the dimensionality. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2016; 136:119-30. [PMID: 27686709 DOI: 10.1016/j.cmpb.2016.08.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Revised: 08/14/2016] [Accepted: 08/23/2016] [Indexed: 05/16/2023]
Abstract
In text classification problems, the representation of a document has a strong impact on the performance of learning systems. The high dimensionality of the classical structured representations can lead to burdensome computations due to the great size of real-world data. Consequently, there is a need for reducing the quantity of handled information to improve the classification process. In this paper, we propose a method to reduce the dimensionality of a classical text representation based on a clustering technique to group documents, and a previously developed Hidden Markov Model to represent them. We have applied tests with the k-NN and SVM classifiers on the OHSUMED and TREC benchmark text corpora using the proposed dimensionality reduction technique. The experimental results obtained are very satisfactory compared to commonly used techniques like InfoGain and the statistical tests performed demonstrate the suitability of the proposed technique for the preprocessing step in a text classification task.
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Affiliation(s)
- A Seara Vieira
- Department of Computer Science, Higher Technical School of Computer Engineering, University of Vigo, 32004 Ourense, Spain.
| | - L Borrajo
- Department of Computer Science, Higher Technical School of Computer Engineering, University of Vigo, 32004 Ourense, Spain.
| | - E L Iglesias
- Department of Computer Science, Higher Technical School of Computer Engineering, University of Vigo, 32004 Ourense, Spain.
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Xie HB, Zhou P, Guo T, Sivakumar B, Zhang X, Dokos S. Multiscale Two-Directional Two-Dimensional Principal Component Analysis and Its Application to High-Dimensional Biomedical Signal Classification. IEEE Trans Biomed Eng 2016. [DOI: 10.1109/tbme.2015.2436375] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Hariharan M, Polat K, Sindhu R. A new hybrid intelligent system for accurate detection of Parkinson's disease. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2014; 113:904-913. [PMID: 24485390 DOI: 10.1016/j.cmpb.2014.01.004] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2013] [Revised: 12/26/2013] [Accepted: 01/02/2014] [Indexed: 06/03/2023]
Abstract
Elderly people are commonly affected by Parkinson's disease (PD) which is one of the most common neurodegenerative disorders due to the loss of dopamine-producing brain cells. People with PD's (PWP) may have difficulty in walking, talking or completing other simple tasks. Variety of medications is available to treat PD. Recently, researchers have found that voice signals recorded from the PWP is becoming a useful tool to differentiate them from healthy controls. Several dysphonia features, feature reduction/selection techniques and classification algorithms were proposed by researchers in the literature to detect PD. In this paper, hybrid intelligent system is proposed which includes feature pre-processing using Model-based clustering (Gaussian mixture model), feature reduction/selection using principal component analysis (PCA), linear discriminant analysis (LDA), sequential forward selection (SFS) and sequential backward selection (SBS), and classification using three supervised classifiers such as least-square support vector machine (LS-SVM), probabilistic neural network (PNN) and general regression neural network (GRNN). PD dataset was used from University of California-Irvine (UCI) machine learning database. The strength of the proposed method has been evaluated through several performance measures. The experimental results show that the combination of feature pre-processing, feature reduction/selection methods and classification gives a maximum classification accuracy of 100% for the Parkinson's dataset.
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Affiliation(s)
- M Hariharan
- School of Mechatronic Engineering, Universiti Malaysia Perlis (UniMAP), 02600, Campus Pauh Putra, Perlis, Malaysia.
| | - Kemal Polat
- Department of Electrical and Electronics Engineering, Faculty of Engineering and Architecture, Abant Izzet Baysal University, 14280 Bolu, Turkey
| | - R Sindhu
- School of Microelectronic Engineering, Universiti Malaysia Perlis (UniMAP), 02600, Campus Pauh Putra, Perlis, Malaysia
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A Two-Stage Unsupervised Dimension Reduction Method for Text Clustering. ADVANCES IN INTELLIGENT SYSTEMS AND COMPUTING 2013. [DOI: 10.1007/978-81-322-1041-2_45] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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