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Fang W, Mao Y, Wang H, Sugimori H, Kiuch S, Sutherland K, Kamishima T. Fully automatic quantification for hand synovitis in rheumatoid arthritis using pixel-classification-based segmentation network in DCE-MRI. Jpn J Radiol 2024:10.1007/s11604-024-01592-6. [PMID: 38789911 DOI: 10.1007/s11604-024-01592-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 05/07/2024] [Indexed: 05/26/2024]
Abstract
PURPOSE A classification-based segmentation method is proposed to quantify synovium in rheumatoid arthritis (RA) patients using a deep learning (DL) method based on time-intensity curve (TIC) analysis in dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI). MATERIALS AND METHODS This retrospective study analyzed a hand MR dataset of 28 RA patients (six males, mean age 53.7 years). A researcher, under expert guidance, used in-house software to delineate regions of interest (ROIs) for hand muscles, bones, and synovitis, generating a dataset with 27,255 pixels with corresponding TICs (muscle: 11,413, bone: 8502, synovitis: 7340). One experienced musculoskeletal radiologist performed ground truth segmentation of enhanced pannus in the joint bounding box on the 10th DCE phase, or around 5 min after contrast injection. Data preprocessing included median filtering for noise reduction, phase-only correlation algorithm for motion correction, and contrast-limited adaptive histogram equalization for improved image contrast and noise suppression. TIC intensity values were normalized using zero-mean normalization. A DL model with dilated causal convolution and SELU activation function was developed for enhanced pannus segmentation, tested using leave-one-out cross-validation. RESULTS 407 joint bounding boxes were manually segmented, with 129 synovitis masks. On the pixel-based level, the DL model achieved sensitivity of 85%, specificity of 98%, accuracy of 99% and precision of 84% for enhanced pannus segmentation, with a mean Dice score of 0.73. The false-positive rate for predicting cases without synovitis was 0.8%. DL-measured enhanced pannus volume strongly correlated with ground truth at both pixel-based (r = 0.87, p < 0.001) and patient-based levels (r = 0.84, p < 0.001). Bland-Altman analysis showed the mean difference for hand joints at the pixel-based and patient-based levels were -9.46 mm3 and -50.87 mm3, respectively. CONCLUSION Our DL-based DCE-MRI TIC shape analysis has the potential for automatic segmentation and quantification of enhanced synovium in the hands of RA patients.
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Affiliation(s)
- Wanxuan Fang
- Graduate School of Health Sciences, Hokkaido University, North-12 West-5, Kita-Ku, Sapporo, 060-0812, Japan
| | - Yijun Mao
- Graduate School of Health Sciences, Hokkaido University, North-12 West-5, Kita-Ku, Sapporo, 060-0812, Japan
| | - Haolin Wang
- Graduate School of Health Sciences, Hokkaido University, North-12 West-5, Kita-Ku, Sapporo, 060-0812, Japan
| | - Hiroyuki Sugimori
- Faculty of Health Sciences, Hokkaido University, North-12 West-5, Kita-Ku, Sapporo, 060-0812, Japan
| | - Shinji Kiuch
- AIC Yaesu Clinic, C-Road Bldg., 2-1-18, Nihonbashi, Chuo-Ku, Tokyo, Japan
| | - Kenneth Sutherland
- Global Center for Biomedical Science and Engineering, Hokkaido University, North-15 West-7, Kita-Ku, Sapporo, 060-8638, Japan
| | - Tamotsu Kamishima
- Faculty of Health Sciences, Hokkaido University, North-12 West-5, Kita-Ku, Sapporo, 060-0812, Japan.
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Ahuja H, Badhwar S, Edgell H, Litoiu M, Sergio LE. Machine learning algorithms for detection of visuomotor neural control differences in individuals with PASC and ME. Front Hum Neurosci 2024; 18:1359162. [PMID: 38638805 PMCID: PMC11024369 DOI: 10.3389/fnhum.2024.1359162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 03/15/2024] [Indexed: 04/20/2024] Open
Abstract
The COVID-19 pandemic has affected millions worldwide, giving rise to long-term symptoms known as post-acute sequelae of SARS-CoV-2 (PASC) infection, colloquially referred to as long COVID. With an increasing number of people experiencing these symptoms, early intervention is crucial. In this study, we introduce a novel method to detect the likelihood of PASC or Myalgic Encephalomyelitis (ME) using a wearable four-channel headband that collects Electroencephalogram (EEG) data. The raw EEG signals are processed using Continuous Wavelet Transform (CWT) to form a spectrogram-like matrix, which serves as input for various machine learning and deep learning models. We employ models such as CONVLSTM (Convolutional Long Short-Term Memory), CNN-LSTM, and Bi-LSTM (Bidirectional Long short-term memory). Additionally, we test the dataset on traditional machine learning models for comparative analysis. Our results show that the best-performing model, CNN-LSTM, achieved an accuracy of 83%. In addition to the original spectrogram data, we generated synthetic spectrograms using Wasserstein Generative Adversarial Networks (WGANs) to augment our dataset. These synthetic spectrograms contributed to the training phase, addressing challenges such as limited data volume and patient privacy. Impressively, the model trained on synthetic data achieved an average accuracy of 93%, significantly outperforming the original model. These results demonstrate the feasibility and effectiveness of our proposed method in detecting the effects of PASC and ME, paving the way for early identification and management of the condition. The proposed approach holds significant potential for various practical applications, particularly in the clinical domain. It can be utilized for evaluating the current condition of individuals with PASC or ME, and monitoring the recovery process of those with PASC, or the efficacy of any interventions in the PASC and ME populations. By implementing this technique, healthcare professionals can facilitate more effective management of chronic PASC or ME effects, ensuring timely intervention and improving the quality of life for those experiencing these conditions.
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Affiliation(s)
- Harit Ahuja
- School of Information Technology, York University, Toronto, ON, Canada
| | - Smriti Badhwar
- School of Kinesiology and Health Science, York University, Toronto, ON, Canada
| | - Heather Edgell
- School of Kinesiology and Health Science, York University, Toronto, ON, Canada
| | - Marin Litoiu
- School of Information Technology, York University, Toronto, ON, Canada
- Lassonde School of Engineering, York University, Toronto, ON, Canada
| | - Lauren E. Sergio
- School of Information Technology, York University, Toronto, ON, Canada
- School of Kinesiology and Health Science, York University, Toronto, ON, Canada
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Mallick S, Baths V. Novel deep learning framework for detection of epileptic seizures using EEG signals. Front Comput Neurosci 2024; 18:1340251. [PMID: 38590939 PMCID: PMC11000706 DOI: 10.3389/fncom.2024.1340251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Accepted: 03/04/2024] [Indexed: 04/10/2024] Open
Abstract
Introduction Epilepsy is a chronic neurological disorder characterized by abnormal electrical activity in the brain, often leading to recurrent seizures. With 50 million people worldwide affected by epilepsy, there is a pressing need for efficient and accurate methods to detect and diagnose seizures. Electroencephalogram (EEG) signals have emerged as a valuable tool in detecting epilepsy and other neurological disorders. Traditionally, the process of analyzing EEG signals for seizure detection has relied on manual inspection by experts, which is time-consuming, labor-intensive, and susceptible to human error. To address these limitations, researchers have turned to machine learning and deep learning techniques to automate the seizure detection process. Methods In this work, we propose a novel method for epileptic seizure detection, leveraging the power of 1-D Convolutional layers in combination with Bidirectional Long Short-Term Memory (LSTM) and Gated Recurrent Unit (GRU) and Average pooling Layer as a single unit. This unit is repeatedly used in the proposed model to extract the features. The features are then passed to the Dense layers to predict the class of the EEG waveform. The performance of the proposed model is verified on the Bonn dataset. To assess the robustness and generalizability of our proposed architecture, we employ five-fold cross-validation. By dividing the dataset into five subsets and iteratively training and testing the model on different combinations of these subsets, we obtain robust performance measures, including accuracy, sensitivity, and specificity. Results Our proposed model achieves an accuracy of 99-100% for binary classifications into seizure and normal waveforms, 97.2%-99.2% accuracy for classifications into normal-interictal-seizure waveforms, 96.2%-98.4% accuracy for four class classification and accuracy of 95.81%-98% for five class classification. Discussion Our proposed models have achieved significant improvements in the performance metrics for the binary classifications and multiclass classifications. We demonstrate the effectiveness of the proposed architecture in accurately detecting epileptic seizures from EEG signals by using EEG signals of varying lengths. The results indicate its potential as a reliable and efficient tool for automated seizure detection, paving the way for improved diagnosis and management of epilepsy.
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Affiliation(s)
- Sayani Mallick
- Cognitive Neuroscience Laboratory, Department of Electrical and Electronics Engineering, BITS Pilani, KK Birla Goa Campus, Pilani, Goa, India
| | - Veeky Baths
- Cognitive Neuroscience Laboratory, Department of Biological Sciences, BITS Pilani, KK Birla Goa Campus, Pilani, Goa, India
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Zhang H, Zhou QQ, Chen H, Hu XQ, Li WG, Bai Y, Han JX, Wang Y, Liang ZH, Chen D, Cong FY, Yan JQ, Li XL. The applied principles of EEG analysis methods in neuroscience and clinical neurology. Mil Med Res 2023; 10:67. [PMID: 38115158 PMCID: PMC10729551 DOI: 10.1186/s40779-023-00502-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 11/23/2023] [Indexed: 12/21/2023] Open
Abstract
Electroencephalography (EEG) is a non-invasive measurement method for brain activity. Due to its safety, high resolution, and hypersensitivity to dynamic changes in brain neural signals, EEG has aroused much interest in scientific research and medical fields. This article reviews the types of EEG signals, multiple EEG signal analysis methods, and the application of relevant methods in the neuroscience field and for diagnosing neurological diseases. First, three types of EEG signals, including time-invariant EEG, accurate event-related EEG, and random event-related EEG, are introduced. Second, five main directions for the methods of EEG analysis, including power spectrum analysis, time-frequency analysis, connectivity analysis, source localization methods, and machine learning methods, are described in the main section, along with different sub-methods and effect evaluations for solving the same problem. Finally, the application scenarios of different EEG analysis methods are emphasized, and the advantages and disadvantages of similar methods are distinguished. This article is expected to assist researchers in selecting suitable EEG analysis methods based on their research objectives, provide references for subsequent research, and summarize current issues and prospects for the future.
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Affiliation(s)
- Hao Zhang
- School of Systems Science, Beijing Normal University, Beijing, 100875, China
| | - Qing-Qi Zhou
- College of Electrical and Control Engineering, North China University of Technology, Beijing, 100041, China
| | - He Chen
- School of Automation Science and Engineering, South China University of Technology, Guangzhou, 510641, China
| | - Xiao-Qing Hu
- Department of Psychology, the State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong SAR, 999077, China
- HKU-Shenzhen Institute of Research and Innovation, Shenzhen, 518057, Guangdong, China
| | - Wei-Guang Li
- Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong SAR, 999077, China
| | - Yang Bai
- Department of Rehabilitation Medicine, the First Affiliated Hospital of Nanchang University, Nanchang, 330006, China
- Rehabilitation Medicine Clinical Research Center of Jiangxi Province, Nanchang, 330006, China
| | - Jun-Xia Han
- Beijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, 100048, China
| | - Yao Wang
- School of Communication Science, Beijing Language and Culture University, Beijing, 100083, China
| | - Zhen-Hu Liang
- Institute of Electrical Engineering, Yanshan University, Qinhuangdao, 066004, Hebei, China.
| | - Dan Chen
- School of Computer Science, Wuhan University, Wuhan, 430072, China.
| | - Feng-Yu Cong
- School of Biomedical Engineering, Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian, 116081, Liaoning, China.
| | - Jia-Qing Yan
- College of Electrical and Control Engineering, North China University of Technology, Beijing, 100041, China.
| | - Xiao-Li Li
- School of Automation Science and Engineering, South China University of Technology, Guangzhou, 510641, China.
- Guangdong Artificial Intelligence and Digital Economy Laboratory (Guangzhou), Guangzhou, 510335, China.
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