A Persistent Homology Approach to Heart Rate Variability Analysis With an Application to Sleep-Wake Classification

Persistent homology reveals robustness loss in inhaled substance abuse rs-fMRI networks

Analyzing functional brain activity through functional magnetic resonance imaging (fMRI) is commonly done using tools from graph theory for the analysis of the correlation matrices. A drawback of these methods is that the networks must be restricted to values of the weights of the edges within certain thresholds and there is no consensus about the best choice of such thresholds. Topological data analysis (TDA) is a recently-developed tool in algebraic topology which allows us to analyze networks through combinatorial spaces obtained from them, with the advantage that all the possible thresholds can be considered at once. In this paper we applied TDA, in particular persistent homology, to study correlation matrices from rs-fMRI, and through statistical analysis, we detected significant differences between the topological structures of adolescents with inhaled substance abuse disorder (ISAD) and healthy controls. We interpreted the topological differences as indicative of a loss of robustness in the functional brain networks of the ISAD population.

A novel multi-task machine learning classifier for rare disease patterning using cardiac strain imaging data

To provide accurate predictions, current machine learning-based solutions require large, manually labeled training datasets. We implement persistent homology (PH), a topological tool for studying the pattern of data, to analyze echocardiography-based strain data and differentiate between rare diseases like constrictive pericarditis (CP) and restrictive cardiomyopathy (RCM). Patient population (retrospectively registered) included those presenting with heart failure due to CP (n = 51), RCM (n = 47), and patients without heart failure symptoms (n = 53). Longitudinal, radial, and circumferential strains/strain rates for left ventricular segments were processed into topological feature vectors using Machine learning PH workflow. In differentiating CP and RCM, the PH workflow model had a ROC AUC of 0.94 (Sensitivity = 92%, Specificity = 81%), compared with the GLS model AUC of 0.69 (Sensitivity = 65%, Specificity = 66%). In differentiating between all three conditions, the PH workflow model had an AUC of 0.83 (Sensitivity = 68%, Specificity = 84%), compared with the GLS model AUC of 0.68 (Sensitivity = 52% and Specificity = 76%). By employing persistent homology to differentiate the "pattern" of cardiac deformations, our machine-learning approach provides reasonable accuracy when evaluating small datasets and aids in understanding and visualizing patterns of cardiac imaging data in clinically challenging disease states.

Topological data analysis of the synchronization of a network of Rössler chaotic electronic oscillators

Synchronization study allows a better understanding of the exchange of information among systems. In this work, we study experimental data recorded from a set of Rössler-like chaotic electronic oscillators arranged in a complex network, where the interactions between the oscillators are given in terms of a connectivity matrix, and their intensity is controlled by a global coupling parameter. We use the zero and one persistent homology groups to characterize the point clouds obtained from the signals recorded in pairs of oscillators. We show that the normalized persistent entropy (NPE) allows us to characterize the effective coupling between pairs of oscillators because it tends to increase with the coupling strength and to decrease with the distance between the oscillators. We also observed that pairs of oscillators that have similar degrees and are nearest neighbors tend to have higher NPE values than pairs with different degrees. However, large variability is found in the NPE values. Comparing the NPE behavior with that of the phase-locking value (PLV, commonly used to evaluate the synchronization of phase oscillators), we find that for large enough coupling, PLV only displays a monotonic increase, while NPE shows a richer behavior that captures variations in the behavior of the oscillators. This is due to the fact that PLV only captures coupling-induced phase changes, while NPE also captures amplitude changes. Moreover, when we consider the same network but with Kuramoto phase oscillators, we also find that NPE captures the transition to synchronization (as it increases with the coupling strength), and it also decreases with the distance between the oscillators. Therefore, we propose NPE as a data analysis technique to try to differentiate pairs of oscillators that have strong effective coupling because they are first or near neighbors, from those that have weaker coupling because they are distant neighbors.

Epidemiological waves - Types, drivers and modulators in the COVID-19 pandemic

Introduction

A discussion of 'waves' of the COVID-19 epidemic in different countries is a part of the national conversation for many, but there is no hard and fast means of delineating these waves in the available data and their connection to waves in the sense of mathematical epidemiology is only tenuous.

Methods

We present an algorithm which processes a general time series to identify substantial, significant and sustained periods of increase in the value of the time series, which could reasonably be described as 'observed waves'. This provides an objective means of describing observed waves in time series. We use this method to synthesize evidence across different countries to study types, drivers and modulators of waves.

Results

The output of the algorithm as applied to epidemiological time series related to COVID-19 corresponds to visual intuition and expert opinion. Inspecting the results of individual countries shows how consecutive observed waves can differ greatly with respect to the case fatality ratio. Furthermore, in large countries, a more detailed analysis shows that consecutive observed waves have different geographical ranges. We also show how waves can be modulated by government interventions and find that early implementation of NPIs correlates with a reduced number of observed waves and reduced mortality burden in those waves.

Conclusion

It is possible to identify observed waves of disease by algorithmic methods and the results can be fruitfully used to analyse the progression of the epidemic.

Assessing nocturnal scratch with actigraphy in atopic dermatitis patients

Nocturnal scratch is one major factor leading to impaired quality of life in atopic dermatitis (AD) patients. Therefore, objectively quantifying nocturnal scratch events aids in assessing the disease state, treatment effect, and AD patients' quality of life. In this paper, we describe the use of actigraphy, highly predictive topological features, and a model-ensembling approach to develop an assessment of nocturnal scratch events by measuring scratch duration and intensity. Our assessment is tested in a clinical setting against the ground truth obtained from video recordings. The new approach addresses unmet challenges in existing studies, such as the lack of generalizability to real-world applications, the failure to capture finger scratches, and the limitations in the evaluation due to imbalanced data in the current literature. Furthermore, the performance evaluation shows agreement between derived digital endpoints and the video annotation ground truth, as well as patient-reported outcomes, which demonstrated the validity of the new assessment of nocturnal scratch.

Dynamic ECG signal quality evaluation based on persistent homology and GoogLeNet method

Cardiovascular disease is a serious health problem. Continuous Electrocardiograph (ECG) monitoring plays a vital role in the early detection of cardiovascular disease. As the Internet of Things technology continues to mature, wearable ECG signal monitors have been widely used. However, dynamic ECG signals are extremely susceptible to contamination. Therefore, it is necessary to evaluate the quality of wearable dynamic ECG signals. The topological data analysis method (TDA) with persistent homology, which can effectively capture the topological information of high-dimensional data space, has been widely studied. In this study, a brand-new quality assessment method of wearable dynamic ECG signals was proposed based on the TDA with persistent homology method. The point cloud of an ECG signal was constructed, and then the complex sequence was generated and displayed as a persistent barcode. Finally, GoogLeNet based on the transfer learning model with a 10-fold cross-validation method was used to train the classification model. A total of 12-leads ECGs Dataset and single-lead ECGs Dataset, established based on the 2011 PhysioNet/CinC challenge dataset, were both used to verify the performance of this method. In the study, 773 "acceptable" and 225 "unacceptable" signals were used as 12-leads ECGs Dataset. We relabeled 12,000 ECG signals in the challenge dataset, and treated them as single-lead ECGs Dataset after empty lead detection and balance datasets. Compared with the traditional ECG signal quality assessment method mainly based on waveform characteristics and time-frequency characteristics, the performance of the quality assessment method proposed. In this study, the classification performance of the proposed method are fairly great, mAcc = 98.04%, F1 = 98.40%, Se = 97.15%, Sp = 98.93% for 12-leads ECGs Dataset and mAcc = 98.55%, F1 = 98.62%, Se = 98.37%, Sp = 98.85% for single-lead ECGs Dataset.

Algebraic topology-based machine learning using MRI predicts outcomes in primary sclerosing cholangitis

BACKGROUND

Primary sclerosing cholangitis (PSC) is a chronic cholestatic liver disease that can lead to cirrhosis and hepatic decompensation. However, predicting future outcomes in patients with PSC is challenging. Our aim was to extract magnetic resonance imaging (MRI) features that predict the development of hepatic decompensation by applying algebraic topology-based machine learning (ML).

METHODS

We conducted a retrospective multicenter study among adults with large duct PSC who underwent MRI. A topological data analysis-inspired nonlinear framework was used to predict the risk of hepatic decompensation, which was motivated by algebraic topology theory-based ML. The topological representations (persistence images) were employed as input for classification to predict who developed early hepatic decompensation within one year after their baseline MRI.

RESULTS

We reviewed 590 patients; 298 were excluded due to poor image quality or inadequate liver coverage, leaving 292 potentially eligible subjects, of which 169 subjects were included in the study. We trained our model using contrast-enhanced delayed phase T1-weighted images on a single center derivation cohort consisting of 54 patients (hepatic decompensation, n = 21; no hepatic decompensation, n = 33) and a multicenter independent validation cohort of 115 individuals (hepatic decompensation, n = 31; no hepatic decompensation, n = 84). When our model was applied in the independent validation cohort, it remained predictive of early hepatic decompensation (area under the receiver operating characteristic curve = 0.84).

CONCLUSIONS

Algebraic topology-based ML is a methodological approach that can predict outcomes in patients with PSC and has the potential for application in other chronic liver diseases.

Detecting bifurcations in dynamical systems with CROCKER plots

Existing tools for bifurcation detection from signals of dynamical systems typically are either limited to a special class of systems or they require carefully chosen input parameters and a significant expertise to interpret the results. Therefore, we describe an alternative method based on persistent homology-a tool from topological data analysis-that utilizes Betti numbers and CROCKER plots. Betti numbers are topological invariants of topological spaces, while the CROCKER plot is a coarsened but easy to visualize data representation of a one-parameter varying family of persistence barcodes. The specific bifurcations we investigate are transitions from periodic to chaotic behavior or vice versa in a one-parameter collection of differential equations. We validate our methods using numerical experiments on ten dynamical systems and contrast the results with existing tools that use the maximum Lyapunov exponent. We further prove the relationship between the Wasserstein distance to the empty diagram and the norm of the Betti vector, which shows that an even more simplified version of the information has the potential to provide insight into the bifurcation parameter. The results show that our approach reveals more information about the shape of the periodic attractor than standard tools, and it has more favorable computational time in comparison with the Rösenstein algorithm for computing the maximum Lyapunov exponent.

Personalized Medicine for the Critically Ill Patient: A Narrative Review

Personalized Medicine (PM) is rapidly advancing in everyday medical practice. Technological advances allow researchers to reach patients more than ever with their discoveries. The critically ill patient is probably the most complex of all, and personalized medicine must make serious efforts to fulfill the desire to “treat the individual, not the disease”. The complexity of critically ill pathologies arises from the severe state these patients and from the deranged pathways of their diseases. PM constitutes the integration of basic research into clinical practice; however, to make this possible complex and voluminous data require processing through even more complex mathematical models. The result of processing biodata is a digitized individual, from which fragments of information can be extracted for specific purposes. With this review, we aim to describe the current state of PM technologies and methods and explore its application in critically ill patients, as well as some of the challenges associated with PM in intensive care from the perspective of economic, approval, and ethical issues. This review can help in understanding the complexity of, P.M.; the complex processes needed for its application in critically ill patients, the benefits that make the effort of implementation worthwhile, and the current challenges of PM.

Topological data analysis in biomedicine: A review

Significant technological advances made in recent years have shepherded a dramatic increase in utilization of digital technologies for biomedicine- everything from the widespread use of electronic health records to improved medical imaging capabilities and the rising ubiquity of genomic sequencing contribute to a "digitization" of biomedical research and clinical care. With this shift toward computerized tools comes a dramatic increase in the amount of available data, and current tools for data analysis capable of extracting meaningful knowledge from this wealth of information have yet to catch up. This article seeks to provide an overview of emerging mathematical methods with the potential to improve the abilities of clinicians and researchers to analyze biomedical data, but may be hindered from doing so by a lack of conceptual accessibility and awareness in the life sciences research community. In particular, we focus on topological data analysis (TDA), a set of methods grounded in the mathematical field of algebraic topology that seeks to describe and harness features related to the "shape" of data. We aim to make such techniques more approachable to non-mathematicians by providing a conceptual discussion of their theoretical foundations followed by a survey of their published applications to scientific research. Finally, we discuss the limitations of these methods and suggest potential avenues for future work integrating mathematical tools into clinical care and biomedical informatics.

On detecting dynamical regime change using a transformation cost metric between persistent homology diagrams

This work outlines a pipeline for time series analysis that incorporates a measure of similarity not previously applied between homological summaries. Specifically, the well-established, but disparate, methods of persistent homology and TrAnsformation Cost Time Series (TACTS) are combined to provide a metric for tracking dynamics via changing homological features. TACTS allows subtle changes in dynamics to be accounted for, gives a quantitative output that can be directly interpreted, and is tunable to provide several complementary perspectives simultaneously. Our method is demonstrated first with known dynamical systems and then with a real-world electrocardiogram dataset. This paper highlights inadequacies in existing persistent homology metrics and describes circumstances where TACTS can be more sensitive and better suited to detecting a variety of regime changes.

Grading your models: Assessing dynamics learning of models using persistent homology

Assessing model accuracy for complex and chaotic systems is a non-trivial task that often relies on the calculation of dynamical invariants, such as Lyapunov exponents and correlation dimensions. Well-performing models are able to replicate the long-term dynamics and ergodic properties of the desired system. We term this phenomenon "dynamics learning." However, existing estimates based on dynamical invariants, such as Lyapunov exponents and correlation dimensions, are not unique to each system, not necessarily robust to noise, and struggle with detecting pathological errors, such as errors in the manifold density distribution. This can make meaningful and accurate model assessment difficult. We explore the use of a topological data analysis technique, persistent homology, applied to uniformly sampled trajectories from constructed reservoir models of the Lorenz system to assess the learning quality of a model. A proposed persistent homology point summary, conformance, was able to identify models with successful dynamics learning and detect discrepancies in the manifold density distribution.

TopoResNet: A Hybrid Deep Learning Architecture and Its Application to Skin Lesion Classification

The application of artificial intelligence (AI) to various medical subfields has been a popular topic of research in recent years. In particular, deep learning has been widely used and has proven effective in many cases. Topological data analysis (TDA)—a rising field at the intersection of mathematics, statistics, and computer science—offers new insights into data. In this work, we develop a novel deep learning architecture that we call TopoResNet that integrates topological information into the residual neural network architecture. To demonstrate TopoResNet, we apply it to a skin lesion classification problem. We find that TopoResNet improves the accuracy and the stability of the training process.

Persistent homology as a new method of the assessment of heart rate variability

Heart rate variability (hrv) is a physiological phenomenon of the variation in the length of the time interval between consecutive heartbeats. In many cases it could be an indicator of the development of pathological states. The classical approach to the analysis of hrv includes time domain methods and frequency domain methods. However, attempts are still being made to define new and more effective hrv assessment tools. Persistent homology is a novel data analysis tool developed in the recent decades that is rooted at algebraic topology. The Topological Data Analysis (TDA) approach focuses on examining the shape of the data in terms of connectedness and holes, and has recently proved to be very effective in various fields of research. In this paper we propose the use of persistent homology to the hrv analysis. We recall selected topological descriptors used in the literature and we introduce some new topological descriptors that reflect the specificity of hrv, and we discuss their relation to the standard hrv measures. In particular, we show that this novel approach provides a collection of indices that might be at least as useful as the classical parameters in differentiating between series of beat-to-beat intervals (RR-intervals) in healthy subjects and patients suffering from a stroke episode.