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Abstract Computer-assisted diagnosis (CAD) plays a key role in cancer diagnosis or screening. Whereas, current CAD performs poorly on whole slide image (WSI) analysis, and thus fails to generalize well. This research aims to develop an automatic classification system to distinguish between different types of carcinomas. Obtaining rich deep features in multi-class classification while achieving high accuracy is still a challenging problem. The detection and classification of cancerous cells in WSI are quite challenging due to the misclassification of normal lumps and cancerous cells. This is due to cluttering, occlusion, and irregular cell distribution. Researchers in the past mostly obtained the hand-crafted features while neglecting the above-mentioned challenges which led to a reduction of the classification accuracy. To mitigate this problem we proposed an efficient dual attention-based network (CytoNet). The proposed network is composed of two main modules (i) Efficient-Net and (ii) Dual Attention Module (DAM). Efficient-Net is capable of obtaining higher accuracy and enhancing efficiency as compared to existing Convolutional Neural Networks (CNNs). It is also useful to obtain the most generic features as it has been trained on ImageNet. Whereas DAM is very robust in obtaining attention and targeted features while negating the background. In this way, the combination of an efficient and attention module is useful to obtain the robust, and intrinsic features to obtain comparable performance. Further, we evaluated the proposed network on two well-known datasets (i) Our generated thyroid dataset (ii) Mendeley Cervical dataset (Hussain in Data Brief, 2019) with enhanced performance compared to their counterparts. CytoNet demonstrated a 99% accuracy rate on the thyroid dataset in comparison to its counterpart. The precision, recall, and F1-score values achieved on the Mendeley Cervical dataset are 0.992, 0.985, and 0.977, respectively. The code implementation is available on GitHub. https://github.com/naveedilyas/CytoNet-An-Efficient-Dual-Attention-based-Automatic-Prediction-of-Cancer-Sub-types-in-Cytol.

IntroductionIn this study, we classified electroencephalography (EEG) data of imagined speech using signal decomposition and multireceptive convolutional neural network. The imagined speech EEG with five vowels /a/, /e/, /i/, /o/, and /u/, and mute (rest) sounds were obtained from ten study participants.Materials and methodsFirst, two different signal decomposition methods were applied for comparison: noise-assisted multivariate empirical mode decomposition and wavelet packet decomposition. Six statistical features were calculated from the decomposed eight sub-frequency bands EEG. Next, all features obtained from each channel of the trial were vectorized and used as the input vector of classifiers. Lastly, EEG was classified using multireceptive field convolutional neural network and several other classifiers for comparison.ResultsWe achieved an average classification rate of 73.09 and up to 80.41% in a multiclass (six classes) setup (Chance: 16.67%). In comparison with various other classifiers, significant improvements for other classifiers were achieved (p-value < 0.05). From the frequency sub-band analysis, high-frequency band regions and the lowest-frequency band region contain more information about imagined vowel EEG data. The misclassification and classification rate of each vowel imaginary EEG was analyzed through a confusion matrix.DiscussionImagined speech EEG can be classified successfully using the proposed signal decomposition method and a convolutional neural network. The proposed classification method for imagined speech EEG can contribute to developing a practical imagined speech-based brain-computer interfaces system.

Heart rate variability (HRV) is a known psychophysiological marker for diverse psychiatric symptoms. In this study, we aimed to explore the potential for clinical use of HRV by investigating the interrelationship between HRV indices and clinical measures mainly used to assess depressive and anxious symptoms. Participants who reported depressive and anxious symptoms were designated into the following groups: group 1, clinician-rated and self-rated depression; group 2, only self-rated depression; group 3, clinician-rated and self-rated anxiety; group 4, only self-rated anxiety. Statistical comparisons were performed between these groups to investigate the association between HRV and clinical measures. As a result, HRV variables showed significant correlations only with the clinician-rated assessments. Moreover, both time and frequency domain HRV indices were significantly different between groups 1 and 2, but groups 3 and 4 showed significant differences only in frequency domain HRV indices. Our study showed that HRV is an objective indicator for depressive or anxious symptoms. Additionally, it is considered a potential indicator for predicting the severity or state of depressive symptoms rather than of anxious symptoms. This study will contribute to increasing the diagnostic utility of discriminating those symptoms based on HRV in the future.

Abstract Abrupt and continuous nature of scale variation in a crowded scene is a challenging task to enhance crowd counting accuracy in an image. Existing crowd counting techniques generally used multi-column or single-column dilated convolution to tackle scale variation due to perspective distortion. However, due to multi-column nature, they obtain identical features, whereas, the standard dilated convolution (SDC) with expanded receptive field size has sparse pixel sampling rate. Due to sparse nature of SDC, it is highly challenging to obtain relevant contextual information. Further, features at multiple scale are not extracted despite some inception-based model is not used (which is cost effective). To mitigate theses drawbacks in SDC, we therefore, propose a hierarchical dense dilated deep pyramid feature extraction through convolution neural network (CNN) for single image crowd counting (HDPF). It comprises of three modules: general feature extraction module (GFEM), deep pyramid feature extraction module (PFEM) and fusion module (FM). The GFEM is responsible to obtain task independent general features. Whereas, PFEM plays a vital role to obtain the relevant contextual information due to dense pixel sampling rate caused by densely connected dense stacked dilated convolutional modules (DSDCs). Further, due to dense connections among DSDCs, the final feature map acquires multi-scale information with expanded receptive field as compared to SDC. Due to dense pyramid nature, it is very effective to propagate the extracted feature from lower dilated convolutional layers (DCLs) to middle and higher DCLs, which result in better estimation accuracy. The FM is used to fuse the incoming features extracted by other modules. The proposed technique is tested through simulations on three well known datasets: Shanghaitech (Part-A), Shanghaitech (Part-B) and Venice. Results justify its relative effectiveness in terms of selected performance.

Gliomas are the most common and highly growing tumors lead to high mortality rate in their highest grade. The early diagnosis of gliomas, and treatment planning are most important steps to enhance the life expectancy of a patient. Among the modern imaging techniques, magnetic resonance imaging (MRI) is the most robust and widely used technique to visualize the brain tumor. The CNN-based networks mainly depend on multi-branch and increasing the depth/width of the network to enhance the segmentation accuracy at the cost of high computational cost. To mitigate these drawbacks we therefore, propose a hybrid weights alignment with multi-dilated attention network for automatic brain tumor segmentation (Hybrid-DANet). It employs multiple modules incorporated on baseline encoder-decoder architecture. Firstly, we proposed a novel hybrid weight alignment with multi-dilated attention module (HWADA) is used between the skip connections. It has capability to obtain the different sets of aligned weight by using different dilation schemes. Different weight alignments play a vital role to obtain very precise targeted information while negating the less informative part. It utilizes the low and high level information with skip connections across each branch of encoder and decoder. Secondly, we incorporated a multi channel multi scale module (MCS) on the baseline module. It consists of multiple channels used to extract the channel-wise information with more reduced computational cost. To reduce the resultant saturated accuracy due to vanishing gradient problem, we incorporated the residual module (RM). Thus, the RM, and MCS are useful to obtain the deep, intrinsic, channel-wise feature without expansion of depth and height. Whereas the novel HWADA not only propagates the low level information but also process it to obtain more semantic features used for decoder. We have tested our proposed technique on well-known datasets; BraTS 2017, and 2018 with comparable performance to counter-part.

Fetal cardiac monitoring and assessment during pregnancy play a critical role in the early detection of the potential risk of fetal cardiac problems, thus allowing for timely preventive measures and healthy births. It is necessary to continuously monitor the fetal heart for this purpose. Methods of fetal cardiac monitoring by extracting maternal and fetal electrocardiograms (ECGs) from maternal abdominal ECGs have been extensively investigated. However, the extraction of a clear fetal ECG is a major challenge because fetal signals are typically dominated by maternal ECG signals and noise. Most existing methods for fetal ECG extraction involve several steps, such as extracting and removing the maternal ECG and then extracting the fetal ECG. To address the complexity of this process, we propose a novel method for effectively decomposing a single-channel maternal abdominal ECG into a maternal ECG and fetal ECG without using multiple steps by employing an end-to-end deep learning network architecture using W-net. Model training is performed using a simulation dataset. Then, a fetal ECG is extracted from a real maternal abdominal ECG. The performance of the proposed architecture is compared with that of other state-of-the-art deep learning models on the basis of the detection of QRS complexes. The proposed model shows higher precision and recall values and F1 scores. This demonstrates that the proposed model can effectively extract a fetal ECG from a single-channel maternal abdominal ECG. The model is expected to contribute to commercial applications for long-term maternal and fetal monitoring.

Cervical cancer is a common and preventable disease that poses a significant threat to women’s health and well-being. It is the fourth most prevalent cancer among women worldwide, with approximately 604,000 new cases and 342,000 deaths in 2020, according to the World Health Organization. Early detection and diagnosis of cervical cancer are crucial for reducing mortality and morbidity rates. The Papanicolaou smear test is a widely used screening method that involves the examination of cervical cells under a microscope to identify any abnormalities. However, this method is time-consuming, labor-intensive, subjective, and prone to human errors. Artificial intelligence techniques have emerged as a promising alternative to improve the accuracy and efficiency of Papanicolaou smear diagnosis. Artificial intelligence techniques can automatically analyze Papanicolaou smear images and classify them into normal or abnormal categories, as well as detect the severity and type of lesions. This paper provides a comprehensive review of the recent advances in artificial intelligence diagnostics of the Papanicolaou smear, focusing on the methods, datasets, performance metrics, and challenges. The paper also discusses the potential applications and future directions of artificial intelligence diagnostics of the Papanicolaou smear.

Abstract Precise monitoring of the brain after a stroke is essential for clinical decision making. Due to the non-invasive nature and high temporal resolution of electroencephalography (EEG), it is widely used to evaluate real-time cortical activity. In this study, we investigated the stroke-related EEG biomarkers and developed a predictive model for quantifying the structural brain damage in a focal cerebral ischaemic rat model. We enrolled 31 male Sprague–Dawley rats and randomly assigned them to mild stroke, moderate stroke, severe stroke, and control groups. We induced photothrombotic stroke targeting the right auditory cortex. We then acquired EEG signal responses to sound stimuli (frequency linearly increasing from 8 to 12 kHz with 750 ms duration). Power spectral analysis revealed a significant correlation of the relative powers of alpha, theta, delta, delta/alpha ratio, and (delta + theta)/(alpha + beta) ratio with the stroke lesion volume. The auditory evoked potential analysis revealed a significant association of amplitude and latency with stroke lesion volume. Finally, we developed a multiple regression model combining EEG predictors for quantifying the ischaemic lesion (R2 = 0.938, p value

Abstract In this study, we hypothesized that task performance could be evaluated applying EEG microstate to mental arithmetic task. This pilot study also aimed at evaluating the efficacy of microstates as novel features to discriminate task performance. Thirty-six subjects were divided into good and poor performers, depending on how well they performed the task. Microstate features were derived from EEG recordings during resting and task states. In the good performers, there was a decrease in type C and an increase in type D features during the task compared to the resting state. Mean duration and occurrence decreased and increased, respectively. In the poor performers, occurrence of type D feature, mean duration and occurrence showed greater changes. We investigated whether microstate features were suitable for task performance classification and eleven features including four archetypes were selected by recursive feature elimination (RFE). The model that implemented them showed the highest classification performance for differentiating between groups. Our pilot findings showed that the highest mean Area Under Curve (AUC) was 0.831. This study is the first to apply EEG microstate features to specific cognitive tasks in healthy subjects, suggesting that EEG microstate features can reflect task achievement.

This study aims to reveal dynamic brain networks during speech perception. All male subjects were presented five English vowel [a], [e], [i], [o], and [u] stimuli. Brain dynamics were decoded using multivariate Gaussian hidden Markov model (MGHMM), which trained on spatiotemporal patterns of broadband multivariate event-related potential amplitudes to identify distinct broadband EEG microstates (MS), microstate source imaging, and microstate functional connectivity (μFC). Obtained results showed fluctuated cortical generators and μFC in eight microstates throughout the perception. Microstate source imaging revealed involvements of bilateral (left-side dominance) posterior superior temporal cortex (TC), inferior frontal gyrus (IFG), and supramarginal regions in perception. Precentral cortex where primary motor cortex located was also significantly activated. These regions were early appeared at 96-151 ms (left-side dominance) and at 186-246 ms (left hemisphere only) after the stimuli onset. Results from μFC revealed significant increases in delta (2.5-4.5 Hz), theta (4.5-8.5 Hz), alpha (12.5-14.5 Hz), beta (22.5-24.5 Hz), low gamma (30.5-32.5, 38.5-40.5 Hz) but decreases in high gamma (42.5-46.5 Hz) bands in perception. Increased FC were observed mainly at; (1) microstate segments 34-95 ms (MS2) and 96-151 ms (MS3) in early stages, (2) microstate intervals 186-246 ms (MS5) and 297-449 ms (MS6) in subsequent stages of perception. We found that stronger statistical FC differences in perception at TCs, with respect to left IFG (Broca' area), left TC, and precentral areas. Furthermore, by conducting a comparative protocol measuring FC distinction degree, we showed performance improvements of 8.01% (p-value = 0.0162), 14.41% (pvalue = 0.006) when compared MGHMM to well established Lehmann-based modified K-means, Atomize and Agglomerative Hierarchical Clustering and 8.791% (p-value = 0.0097) over the combination of K-means and sliding window methods, respectively. This study indicates the usefulness of EEG microstates to investigate broadband brain dynamics in speech perception. The current findings based on male subjects would be generalized more by future studies with a larger appropriate sample size including female subjects.

Over the years, considerable research has been conducted to investigate the mechanisms of speech perception and recognition. Electroencephalography (EEG) is a powerful tool for identifying brain activity; therefore, it has been widely used to determine the neural basis of speech recognition. In particular, for the classification of speech recognition, deep learning-based approaches are in the spotlight because they can automatically learn and extract representative features through end-to-end learning. This study aimed to identify particular components that are potentially related to phoneme representation in the rat brain and to discriminate brain activity for each vowel stimulus on a single-trial basis using a bidirectional long short-term memory (BiLSTM) network and classical machine learning methods. Nineteen male Sprague-Dawley rats subjected to microelectrode implantation surgery to record EEG signals from the bilateral anterior auditory fields were used. Five different vowel speech stimuli were chosen, /a/, /e/, /i/, /o/, and /u/, which have highly different formant frequencies. EEG recorded under randomly given vowel stimuli was minimally preprocessed and normalized by a z-score transformation to be used as input for the classification of speech recognition. The BiLSTM network showed the best performance among the classifiers by achieving an overall accuracy, f1-score, and Cohen's κ values of 75.18%, 0.75, and 0.68, respectively, using a 10-fold cross-validation approach. These results indicate that LSTM layers can effectively model sequential data, such as EEG; hence, informative features can be derived through BiLSTM trained with end-to-end learning without any additional hand-crafted feature extraction methods.

Abstract Background Spinal cord injury (SCI) is a severe medical condition affecting the hand and locomotor function. New medical technologies, including various wearable devices, as well as rehabilitation treatments are being developed to enhance hand function in patients with SCI. As three-dimensional (3D) printing has the advantage of being able to produce low-cost personalized devices, there is a growing appeal to apply this technology to rehabilitation equipment in conjunction with scientific advances. In this study, we proposed a novel 3D-printed hand orthosis that is controlled by electromyography (EMG) signals. The orthosis was designed to aid the grasping function for patients with cervical SCI. We applied this hand exoskeleton system to individuals with tetraplegia due to SCI and validated its effectiveness. Methods The 3D architecture of the device was designed using computer-aided design software and printed with a polylactic acid filament. The dynamic hand orthosis enhanced the tenodesis grip to provide sufficient grasping function. The root mean square of the EMG signal was used as the input for controlling the device. Ten subjects with hand weakness due to chronic cervical SCI were enrolled in this study, and their hand function was assessed before and after wearing the orthosis. The Toronto Rehabilitation Institute Hand Function Test (TRI-HFT) was used as the primary outcome measure. Furthermore, improvements in functional independence in daily living and device usability were evaluated. Results The newly developed orthosis improved hand function of subjects, as determined using the TRI-HFT (p

A photoplethysmogram (PPG) sensor has been broadly used for smart watches and bands because it is easy to measure and contains many health information, such as heart rate (HR) and respiratory rate (RR). Because the PPG sensor blinks an LED at sampling instants, the rate for sampling and LED flashing should be reduced to extend the battery life. To reduce the rate, we employed two different compressive covariance sensing (CCS) techniques and applied them to HR and RR estimation. The CCS cannot recover a signal itself but reconstructs its covariance. We designed a signal processing technique to extract HR and RR from the reconstructed covariance. The estimation performance was evaluated by using the open-source data and the experimental data, and the power consumption of a wrist-type PPG sensor with respect to the compression ratio was evaluated. The proposed method acquired the covariance of the PPG with an average sampling rate of 1.79 Hz below the Nyquist rate for HR (10 Hz), and it significantly reduced the energy consumption for the PPG sampling. Moreover, its estimation accuracy was sufficient to be used for a wearable healthcare system. As a result, the proposed method showed that HR and RR can be estimated with an ultra-low-power PPG sensor.

Electroencephalography (EEG) microstate analysis is a method wherein spontaneous EEG activity is segmented at sub-second levels to analyze quasi-stable states. In particular, four archetype microstates and their features are known to reflect changes in brain state in neuropsychiatric diseases. However, previous studies have only reported differences in each microstate feature and have not determined whether microstate features are suitable for schizophrenia classification. Therefore, it is necessary to validate microstate features for schizophrenia classification. Nineteen microstate features, including duration, occurrence, and coverage as well as thirty-one conventional EEG features, including statistical, frequency, and temporal characteristics were obtained from resting-state EEG recordings of 14 patients diagnosed with schizophrenia and from 14 healthy (control) subjects. Machine-learning based multivariate analysis was used to evaluate classification performance. EEG recordings of patients and controls showed different microstate features. More importantly, when differentiating among patients and controls, EEG microstate features outperformed conventional EEG ones. The performance of the microstate features exceeded that of conventional EEG, even after optimization using recursive feature elimination. EEG microstate features applied with conventional EEG features also showed better classification performance than conventional EEG features alone. The current study is the first to validate the use of microstate features to discriminate schizophrenia, suggesting that EEG microstate features are useful for schizophrenia classification.

Postoperative delirium can lead to increased morbidity and mortality, and may even be a potentially life-threatening clinical syndrome. However, the neural mechanism underlying this condition has not been fully understood and there is little knowledge regarding potential preventive strategies. To date, investigation of transcranial direct current stimulation (tDCS) for the relief of symptoms caused by neuropsychiatric disorders and the enhancement of cognitive performance has led to promising results. In this study, we demonstrated that tDCS has a possible effect on the fast recovery from delirium in rats after microelectrode implant surgery, as demonstrated by postoperative behavior and neurophysiology compared with sham stimulation. This is the first study to describe the possible effects of tDCS for the fast recovery from delirium based on the study of both electroencephalography and behavioral changes. Postoperative rats showed decreased attention, which is the core symptom of delirium. However, anodal tDCS over the right frontal area immediately after surgery exhibited positive effects on acute attentional deficit. It was found that relative power of theta was lower in the tDCS group than in the sham group after surgery, suggesting that the decrease might be the underlying reason for the positive effects of tDCS. Connectivity analysis revealed that tDCS could modulate effective connectivity and synchronization of brain activity among different brain areas, including the frontal cortex, parietal cortex, and thalamus. It was concluded that anodal tDCS on the right frontal regions may have the potential to help patients recover quickly from delirium.

Purpose: To perform automatic assessment of dementia severity using a deep learning framework applied to resting-state functional magnetic resonance imaging (rs-fMRI) data.Method: We divided 133 Alzheimer’s disease (AD) patients with clinical dementia rating (CDR) scores from 0.5 to 3 into two groups based on dementia severity; the groups with very mild/mild (CDR: 0.5–1) and moderate to severe (CDR: 2–3) dementia consisted of 77 and 56 subjects, respectively. We used rs-fMRI to extract functional connectivity features, calculated using independent component analysis (ICA), and performed automated severity classification with three-dimensional convolutional neural networks (3D-CNNs) based on deep learning.Results: The mean balanced classification accuracy was 0.923 ± 0.042 (p < 0.001) with a specificity of 0.946 ± 0.019 and sensitivity of 0.896 ± 0.077. The rs-fMRI data indicated that the medial frontal, sensorimotor, executive control, dorsal attention, and visual related networks mainly correlated with dementia severity.Conclusions: Our CDR-based novel classification using rs-fMRI is an acceptable objective severity indicator. In the absence of trained neuropsychologists, dementia severity can be objectively and accurately classified using a 3D-deep learning framework with rs-fMRI independent components.

BackgroundEarly diagnosis of Alzheimer's disease (AD) and Mild Cognitive Impairment (MCI) is essential for timely treatment. Machine learning and multivariate pattern analysis (MVPA) for the diagnosis of brain disorders are explicitly attracting attention in the neuroimaging community. In this paper, we propose a voxel-wise discriminative framework applied to multi-measure resting-state fMRI (rs-fMRI) that integrates hybrid MVPA and extreme learning machine (ELM) for the automated discrimination of AD and MCI from the cognitive normal (CN) state.Materials and methodsWe used two rs-fMRI cohorts: the public Alzheimer's disease Neuroimaging Initiative database (ADNI2) and an in-house Alzheimer's disease cohort from South Korea, both including individuals with AD, MCI, and normal controls. After extracting three-dimensional (3-D) patterns measuring regional coherence and functional connectivity during the resting state, we performed univariate statistical t-tests to generate a 3-D mask that retained only voxels showing significant changes. Given the initial univariate features, to enhance discriminative patterns, we implemented MVPA feature reduction using support vector machine-recursive feature elimination (SVM-RFE), and least absolute shrinkage and selection operator (LASSO), in combination with the univariate t-test. Classifications were performed by an ELM, and its efficiency was compared to linear and nonlinear (radial basis function) SVMs.ResultsThe maximal accuracies achieved by the method in the ADNI2 cohort were 98.86% (pConclusionFrom a clinical perspective, combining extreme learning machine and hybrid MVPA applied on concatenations of multiple rs-fMRI biomarkers can potentially assist the clinicians in AD and MCI diagnosis.

Crowd counting is a challenging task due to large perspective, density, and scale variations. CNN-based crowd counting techniques have achieved significant performance in sparse to dense environments. However, crowd counting in high perspective-varying scenes (images) is getting harder due to different density levels occupied by the same number of pixels. In this way large variations for objects in the same spatial area make it difficult to count accurately. Further, existing CNN-based crowd counting methods are used to extract rich deep features; however, these features are used locally and disseminated while propagating through intermediate layers. This results in high counting errors, especially in dense and high perspective-variation scenes. Further, class-specific responses along channel dimensions are underestimated. To address these above mentioned issues, we therefore propose a CNN-based dense feature extraction network for accurate crowd counting. Our proposed model comprises three main modules: (1) backbone network, (2) dense feature extraction modules (DFEMs), and (3) channel attention module (CAM). The backbone network is used to obtain general features with strong transfer learning ability. The DFEM is composed of multiple sub-modules called dense stacked convolution modules (DSCMs), densely connected with each other. In this way features extracted from lower and middle-lower layers are propagated to higher layers through dense connections. In addition, combinations of task independent general features obtained by the former modules and task-specific features obtained by later ones are incorporated to obtain high counting accuracy in large perspective-varying scenes. Further, to exploit the class-specific response between background and foreground, CAM is incorporated at the end to obtain high-level features along channel dimensions for better counting accuracy. Moreover, we have evaluated the proposed method on three well known datasets: Shanghaitech (Part-A), Shanghaitech (Part-B), and Venice. The performance of the proposed technique justifies its relative effectiveness in terms of selected performance compared to state-of-the-art techniques.

Multimodal features of structural and functional magnetic resonance imaging (MRI) of the human brain can assist in the diagnosis of schizophrenia. We performed a classification study on age, sex, and handedness-matched subjects. The dataset we used is publicly available from the Center for Biomedical Research Excellence (COBRE) and it consists of two groups: patients with schizophrenia and healthy controls. We performed an independent component analysis and calculated global averaged functional connectivity-based features from the resting-state functional MRI data for all the cortical and subcortical anatomical parcellation. Cortical thickness along with standard deviation, surface area, volume, curvature, white matter volume, and intensity measures from the cortical parcellation, as well as volume and intensity from sub-cortical parcellation and overall volume of cortex features were extracted from the structural MRI data. A novel hybrid weighted feature concatenation method was used to acquire maximal 99.29% (P < 0.0001) accuracy which preserves high discriminatory power through the weight of the individual feature type. The classification was performed by an extreme learning machine, and its efficiency was compared to linear and non-linear (radial basis function) support vector machines, linear discriminant analysis, and random forest bagged tree ensemble algorithms. This article reports the predictive accuracy of both unimodal and multimodal features after 10-by-10-fold nested cross-validation. A permutation test followed the classification experiment to assess the statistical significance of the classification results. It was concluded that, from a clinical perspective, this feature concatenation approach may assist the clinicians in schizophrenia diagnosis.

The thalamus is thought to relay peripheral sensory information to the somatosensory cortex in the parietal lobe. Long-range thalamo-parietal interactions play an important role in inducing the effect of anesthetic. However, whether these interaction changes vary with different levels of anesthesia is not known. In the present study, we investigated the influence of different levels of isoflurane-induced anesthesia on the functional connectivity between the thalamus and the parietal region. Microelectrodes were implanted in rats to record local field potentials (LFPs). The rats underwent different levels of isoflurane anesthesia [deep anesthesia: isoflurane (ISO) 2.5 vol%, light anesthesia (ISO 1 vol%), awake, and recovery state] and LFPs were recorded from four different brain areas (left parietal, right parietal, left thalamus, and right thalamus). Partial directed coherence (PDC) was calculated for these areas. With increasing depth of anesthesia, the PDC in the thalamus-to-parietal direction was significantly increased mainly in the high frequency ranges; however, in the parietal-to-thalamus direction, the increase was mainly in the low frequency band. For both directions, the PDC changes were prominent in the alpha frequency band. Functional interactions between the thalamus and parietal area are augmented proportionally to the anesthesia level. This relationship may pave the way for better understanding of the neural processing of sensory inputs from the periphery under different levels of anesthesia.

In this paper, we propose a system for inferring the pinch-to-zoom gesture using surface EMG (Electromyography) signals in real time. Pinch-to-zoom, which is a common gesture in smart devices such as an iPhone or an Android phone, is used to control the size of images or web pages according to the distance between the thumb and index finger. To infer the finger motion, we recorded EMG signals obtained from the first dorsal interosseous muscle, which is highly related to the pinch-to-zoom gesture, and used a support vector machine for classification between four finger motion distances. The powers which are estimated by Welch’s method were used as feature vectors. In order to solve the multiclass classification problem, we applied a one-versus-one strategy, since a support vector machine is basically a binary classifier. As a result, our system yields 93.38% classification accuracy averaged over six subjects. The classification accuracy was estimated using 10-fold cross validation. Through our system, we expect to not only develop practical prosthetic devices but to also construct a novel user experience (UX) for smart devices.

Surface electromyography (sEMG) signals comprise electrophysiological information related to muscle activity. As this signal is easy to record, it is utilized to control several myoelectric prostheses devices. Several studies have been conducted to process sEMG signals more efficiently. However, research on optimal algorithms and electrode placements for the processing of sEMG signals is still inconclusive. In addition, very few studies have focused on minimizing the number of electrodes. In this study, we investigated the most effective method for myoelectric signal classification with a small number of electrodes. A total of 23 subjects participated in the study, and the sEMG data of 14 different hand movements of the subjects were acquired from targeted muscles and untargeted muscles. Furthermore, the study compared the classification accuracy of the sEMG data using discriminative feature-oriented dictionary learning (DFDL) and other conventional classifiers. DFDL demonstrated the highest classification accuracy among the classifiers, and its higher quality performance became more apparent as the number of channels decreased. The targeted method was superior to the untargeted method, particularly when classifying sEMG signals with DFDL. Therefore, it was concluded that the combination of the targeted method and the DFDL algorithm could classify myoelectric signals more effectively with a minimal number of channels.

The classification of neuroimaging data for the diagnosis of certain brain diseases is one of the main research goals of the neuroscience and clinical communities. In this study, we performed multiclass classification using a hierarchical extreme learning machine (H-ELM) classifier. We compared the performance of this classifier with that of a support vector machine (SVM) and basic extreme learning machine (ELM) for cortical MRI data from attention deficit/hyperactivity disorder (ADHD) patients. We used 159 structural MRI images of children from the publicly available ADHD-200 MRI dataset. The data consisted of three types, namely, typically developing (TDC), ADHD-inattentive (ADHD-I), and ADHD-combined (ADHD-C). We carried out feature selection by using standard SVM-based recursive feature elimination (RFE-SVM) that enabled us to achieve good classification accuracy (60.78%). In this study, we found the RFE-SVM feature selection approach in combination with H-ELM to effectively enable the acquisition of high multiclass classification accuracy rates for structural neuroimaging data. In addition, we found that the most important features for classification were the surface area of the superior frontal lobe, and the cortical thickness, volume, and mean surface area of the whole cortex.

Sitting posture monitoring systems (SPMSs) help assess the posture of a seated person in real-time and improve sitting posture. To date, SPMS studies reported have required many sensors mounted on the backrest plate and seat plate of a chair. The present study, therefore, developed a system that measures a total of six sitting postures including the posture that applied a load to the backrest plate, with four load cells mounted only on the seat plate. Various machine learning algorithms were applied to the body weight ratio measured by the developed SPMS to identify the method that most accurately classified the actual sitting posture of the seated person. After classifying the sitting postures using several classifiers, average and maximum classification rates of 97.20% and 97.94%, respectively, were obtained from nine subjects with a support vector machine using the radial basis function kernel; the results obtained by this classifier showed a statistically significant difference from the results of multiple classifications using other classifiers. The proposed SPMS was able to classify six sitting postures including the posture with loading on the backrest and showed the possibility of classifying the sitting posture even though the number of sensors is reduced.

Virtual reality (VR) is a computer technique that creates an artificial environment composed of realistic images, sounds, and other sensations. Many researchers have used VR devices to generate various stimuli, and have utilized them to perform experiments or to provide treatment. In this study, the participants performed mental tasks using a VR device while physiological signals were measured: a photoplethysmogram (PPG), electrodermal activity (EDA), and skin temperature (SKT). In general, stress is an important factor that can influence the autonomic nervous system (ANS). Heart-rate variability (HRV) is known to be related to ANS activity, so we used an HRV derived from the PPG peak interval. In addition, the peak characteristics of the skin conductance (SC) from EDA and SKT variation can also reflect ANS activity; we utilized them as well. Then, we applied a kernel-based extreme-learning machine (K-ELM) to correctly classify the stress levels induced by the VR task to reflect five different levels of stress situations: baseline, mild stress, moderate stress, severe stress, and recovery. Twelve healthy subjects voluntarily participated in the study. Three physiological signals were measured in stress environment generated by VR device. As a result, the average classification accuracy was over 95% using K-ELM and the integrated feature (IT = HRV + SC + SKT). In addition, the proposed algorithm can embed a microcontroller chip since K-ELM algorithm have very short computation time. Therefore, a compact wearable device classifying stress levels using physiological signals can be developed.

Fetal heart rate (FHR) is an important determinant of fetal health. Cardiotocography (CTG) is widely used for measuring the FHR in the clinical field. However, fetal movement and blood flow through the maternal blood vessels can critically influence Doppler ultrasound signals. Moreover, CTG is not suitable for long-term monitoring. Therefore, researchers have been developing algorithms to estimate the FHR using electrocardiograms (ECGs) from the abdomen of pregnant women. However, separating the weak fetal ECG signal from the abdominal ECG signal is a challenging problem. In this paper, we propose a method for estimating the FHR using sequential total variation denoising and compare its performance with that of other single-channel fetal ECG extraction methods via simulation using the Fetal ECG Synthetic Database (FECGSYNDB). Moreover, we used real data from PhysioNet fetal ECG databases for the evaluation of the algorithm performance. The R-peak detection rate is calculated to evaluate the performance of our algorithm. Our approach could not only separate the fetal ECG signals from the abdominal ECG signals but also accurately estimate the FHR.

Multimodal features of structural and functional magnetic resonance imaging (MRI) of the human brain can assist in the diagnosis of schizophrenia. We performed a classification study on age, sex, and handedness-matched subjects. The dataset we used is publicly available from the Center for Biomedical Research Excellence (COBRE) and it consists of two groups: patients with schizophrenia and healthy controls. We performed an independent component analysis and calculated global averaged functional connectivitybased features from the resting-state functional MRI data for all the cortical and subcortical anatomical parcellation. Cortical thickness along with standard deviation, surface area, volume, curvature, white matter volume, and intensity measures from the cortical parcellation, as well as volume and intensity from sub-cortical parcellation and overall volume of cortex features were extracted from the structural MRI data. A novel hybrid weighted feature concatenation method was used to acquire maximal 99.29% (P < 0.0001) accuracy which preserves high discriminatory power through the weight of the individual feature type. The classification was performed by an extreme learningmachine, and its efficiency was compared to linear and non-linear (radial basis function) support vector machines, linear discriminant analysis, and random forest bagged tree ensemble algorithms. This article reports the predictive accuracy of both unimodal and multimodal features after 10-by-10-fold nested cross-validation. A permutation test followed the classification experiment to assess the statistical significance of the classification results. It was concluded that, from a clinical perspective, this feature concatenation approach may assist the clinicians in schizophrenia diagnosis. [ABSTRACT FROM AUTHOR]

Structural and functional MRI unveil many hidden properties of the human brain. We performed this multi-class classification study on selected subjects from the publically available attention deficit hyperactivity disorder ADHD-200 dataset of patients and healthy children. The dataset has three groups, namely, ADHD inattentive, ADHD combined, and typically developing. We calculated the global averaged functional connectivity maps across the whole cortex to extract anatomical atlas parcellation based features fromthe resting-state fMRI (rs-fMRI) data and cortical parcellation based features from the structural MRI (sMRI) data. In addition, the preprocessed image volumes from both of these modalities followed an ANOVA analysis separately using all the voxels. This study utilized the average measure from the most significant regions acquired from ANOVA as features for classification in addition to the multi-modal and multi-measure features of structural and functional MRI data. We extracted most discriminative features by hierarchical sparse feature elimination and selection algorithm. These features include cortical thickness, image intensity, volume, cortical thickness standard deviation, surface area, and ANOVA based features respectively. An extreme learning machine performed both the binary and multi-class classifications in comparison with support vector machines. This article reports prediction accuracy of both unimodal and multi-modal features from test data. We achieved 76.190% (p < 0.0001) classification accuracy in multi-class settings as well as 92.857% (p < 0.0001) classification accuracy in binary settings. In addition, we found ANOVA-based significant regions of the brain that also play a vital role in the classification of ADHD. Thus, froma clinical perspective, thismulti-modal group analysis approach with multi-measure features may improve the accuracy of the ADHD differential diagnosis. [ABSTRACT FROM AUTHOR]

So far, many approaches have been developed for motion artifact (MA) reduction from photoplethysmogram (PPG). Specifically, single-input MA reduction methods are useful to apply wearable and mobile healthcare systems because of their low hardware costs and simplicity. However, most of them are insufficiently developed to be used in real-world situations, and they suffer from a phase distortion problem. In this study, we propose a novel single-input MA reduction algorithm based on time-variant forward-backward harmonic notch filtering. To verify the proposed method, we collected real PPG data corrupted by MA and compared it with existing single-input MA reduction methods. In conclusion, the proposed zero-phase line enhancer (ZLE) was found to be superior for MA reduction and exhibited zero phase response. [ABSTRACT FROM AUTHOR]

Backgrounds: The heartbeat is fundamental cardiac activity which is straightforwardly detected with a variety of measurement techniques for analyzing physiological signals. Unfortunately, unexpected noise or contaminated signals can distort or cut out electrocardiogram (ECG) signals in practice, misleading the heartbeat detectors to report a false heart rate or suspend itself for a considerable length of time in the worst case. To deal with the problem of unreliable heartbeat detection, PhysioNet/CinC suggests a challenge in 2014 for developing robust heart beat detectors using multimodal signals.Methods: This article proposes a multimodal data association method that supplements ECG as a primary input signal with blood pressure (BP) and electroencephalogram (EEG) as complementary input signals when input signals are unreliable. If the current signal quality index (SQI) qualifies ECG as a reliable input signal, our method applies QRS detection to ECG and reports heartbeats. Otherwise, the current SQI selects the best supplementary input signal between BP and EEG after evaluating the current SQI of BP. When BP is chosen as a supplementary input signal, our association model between ECG and BP enables us to compute their regular intervals, detect characteristics BP signals, and estimate the locations of the heartbeat. When both ECG and BP are not qualified, our fusion method resorts to the association model between ECG and EEG that allows us to apply an adaptive filter to ECG and EEG, extract the QRS candidates, and report heartbeats.Results: The proposed method achieved an overall score of 86.26 % for the test data when the input signals are unreliable. Our method outperformed the traditional method, which achieved 79.28 % using QRS detector and BP detector from PhysioNet. Our multimodal signal processing method outperforms the conventional unimodal method of taking ECG signals alone for both training and test data sets.Conclusions: To detect the heartbeat robustly, we have proposed a novel multimodal data association method of supplementing ECG with a variety of physiological signals and accounting for the patient-specific lag between different pulsatile signals and ECG. Multimodal signal detectors and data-fusion approaches such as those proposed in this article can reduce false alarms and improve patient monitoring. [ABSTRACT FROM AUTHOR]

Background: Monitoring of intracranial pressure (ICP) is highly important for detecting abnormal brain conditions such as intracranial hemorrhage, cerebral edema, or brain tumor. Until now, the monitoring of ICP requires an invasive method which has many disadvantages including the risk of infections, hemorrhage, or brain herniation. Therefore, many non-invasive methods have been proposed for estimating ICP. However, these methods are still insufficient to estimate sudden increases in ICP. Methods: We proposed a simplified intracranial hemo- and hydro-dynamics model that consisted of two simple resistance circuits. From this proposed model, we designed an ICP estimation algorithm to trace ICP changes. First, we performed a simulation based on the original Ursino model with the real arterial blood pressure to investigate our proposed approach. We subsequently applied it to experimental data that were measured during the Valsalva maneuver (VM) and resting state, respectively. Results: Simulation result revealed a small root mean square error (RMSE) between the estimated ICP by our approach and the reference ICP derived from the original Ursino model. Compared to the pulsatility index (PI) based approach and Kashif's model, our proposed method showed more statistically significant difference between VM and resting state. Conclusion: Our proposed method successfully tracked sudden ICP increases. Therefore, our method may serve as a suitable tool for non-invasive ICP monitoring. [ABSTRACT FROM AUTHOR]

In this paper, we propose a system for inferring the pinch-to-zoom gesture using surface EMG (Electromyography) signals in real time. Pinch-to-zoom, which is a common gesture in smart devices such as an iPhone or an Android phone, is used to control the size of images or web pages according to the distance between the thumb and index finger. To infer the finger motion, we recorded EMG signals obtained from the first dorsal interosseous muscle, which is highly related to the pinch-to-zoom gesture, and used a support vector machine for classification between four finger motion distances. The powers which are estimated by Welch's method were used as feature vectors. In order to solve the multiclass classification problem, we applied a one-versus-one strategy, since a support vector machine is basically a binary classifier. As a result, our system yields 93.38% classification accuracy averaged over six subjects. The classification accuracy was estimated using 10-fold cross validation. Through our system, we expect to not only develop practical prosthetic devices but to also construct a novel user experience (UX) for smart devices. [ABSTRACT FROM AUTHOR]

Background: Many researchers have attempted to acquire respiratory rate (RR) information from a photoplethysmogram (PPG) because respiration affects the waveform of the PPG. However, most of these methods were difficult to operate in real-time because of their complexity or computational requirements. From these needs, we attempted to develop a method to estimate RR from a PPG with a light computational burden. Methods: To obtain RR information, we adopt a sequential filtering structure and frequency estimation technique, which extracts a dominant frequency from a given signal. In particular, we used an adaptive lattice notch filter (ALNF) to estimate RR from a PPG along with an additional heart rate that is utilized as an adaptation parameter of our method. Furthermore, we designed a sequential infinite impulse response (IIR) notch filtering system (i.e., harmonic IIR notch filter) to eliminate the cardiac component and its harmonics from the PPG. We compared the proposed method with Burg's AR modeling method, which is widely used to estimate RR from a PPG, using open-source data and measured data. Results: By using a statistical test, it was determined that our adaptive lattice-type respiratory rate estimator (ALRE) was significantly more accurate than Burg's AR model method (p <0.0001). Furthermore, the ALRE's tracking performance was better than that of Burg's method, and the variances of its estimates were smaller than those of Burg's method. Conclusions: In short, our method showed a better performance than Burg's AR modeling method for realtime applications. [ABSTRACT FROM AUTHOR]