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1.
《IRBM》2022,43(5):405-413
PurposeLeukaemia is diagnosed conventionally by observing the peripheral blood and bone marrow smear using a microscope and with the help of advanced laboratory tests. Image processing-based methods, which are simple, fast, and cheap, can be used to detect and classify leukemic cells by processing and analysing images of microscopic smear. The proposed study aims to classify Acute Lymphoblastic Leukaemia (ALL) by Deep Learning (DL) based techniques.ProceduresThe study used Deep Convolutional Neural Networks (DNNs) to classify ALL according to WHO classification scheme without using any image segmentation and feature extraction that involves intense computations. Images from an online image bank of American Society of Haematology (ASH) were used for the classification.FindingsA classification accuracy of 94.12% is achieved by the study in isolating the B-cell and T-cell ALL images using a pretrained CNN AlexNet as well as LeukNet, a custom-made deep learning network designed by the proposed work. The study also compared the classification performances using three different training algorithms.ConclusionsThe paper detailed the use of DNNs to classify ALL, without using any image segmentation and feature extraction techniques. Classification of ALL into subtypes according to the WHO classification scheme using image processing techniques is not available in literature to the best of the knowledge of the authors. The present study considered the classification of ALL only, and detection of other types of leukemic images can be attempted in future research.  相似文献   

2.
《IRBM》2022,43(6):705-714
BackgroundThe changes in electroencephalogram (EEG) signals that reflect the changes in physiological structure, cognitive functions, and activities have been observed in healthy aging adults. It is unknown that when the brain aging initiates and whether these age-related alterations can be associated with incipient neurodegenerative diseases in healthy elderly individuals.Materials and methodsWe employed feature extraction and classification methods to classify and compare the EEG signals of middle-aged and elderly age groups. This study included 20 healthy middle-aged and 20 healthy elderly subjects. The EEG signals were recorded during a resting state (eyes-open and eyes-closed) and during a working memory (WM) task using eight electrodes. The minimum redundancy maximum relevance technique was employed in the selection of the optimal feature. Four classification methods, including decision tree, support vector machine, Naïve Bayes, and K-nearest neighbor, were used to distinguish the elderly age group from the middle-aged group based on their EEG signals.ResultsIn the resting state, a good correlation was observed among absolute power delta and theta bands and aging, whereas between beta absolute power and aging, a WM task correlation was observed. The results also indicated that the mean frequency and absolute power might be useful for the prediction and classification of EEG signals in aging individuals. Furthermore, the use of the decision tree method in a WM task state distinguished the elderly group from the middle-aged group with an accuracy of 87.5%.ConclusionsWorking memory could play a vital role in the optimization of classification of EEG signals in aging and discrimination of age-related issues associated with neurodegeneration.  相似文献   

3.
《IRBM》2022,43(3):198-209
BackgroundFrequency band optimization improves the performance of common spatial pattern (CSP) in motor imagery (MI) tasks classification because MI-related electroencephalograms (EEGs) are highly frequency specific. Many variants of CSP algorithm divided the EEG into various sub bands and then applied CSP. However, the feature dimension of MI-EEG data increases with addition of frequency sub bands and requires efficient feature selection algorithms. The performance of CSP also depends on filtering techniques.MethodIn this study, we designed a dual tree complex wavelet transform based filter bank to filter the EEG into sub bands, instead of traditional filtering methods, which improved the spatial feature extraction efficiency. Further, after filtering EEG into different sub bands, we extracted spatial features from each sub band using CSP and optimized them by a proposed supervised learning framework based on neighbourhood component analysis (NCA). Subsequently, a support vector machine (SVM) is trained to perform classification.ResultsAn experimental study, conducted on two datasets (BCI Competition IV (Dataset 2b), and BCI competition III (Dataset IIIa)), validated the MI classification effectiveness of the proposed method in comparison with standard algorithms such as CSP, Filter bank CSP (CSP), and Discriminative FBCSP (DFBCSP). The average classification accuracy obtained by the proposed method for BCI Competition IV (Dataset 2b), and BCI Competition III (Dataset IIIa) are 84.02 ± 12.2 and 89.1 ± 7.50, respectively and found significant than that achieved by standard methods.ConclusionAchieved superior results suggest that the proposed algorithm can improve the performance of MI-based Brain-computer interface devices.  相似文献   

4.
《IRBM》2020,41(6):331-353
Objectives: Epileptic seizures are one of the most common diseases in society and difficult to detect. In this study, a new method was proposed to automatically detect and classify epileptic seizures from EEG (Electroencephalography) signals.Methods: In the proposed method, EEG signals classification five-classes including the cases of eyes open, eyes closed, healthy, from the tumor region, an epileptic seizure, has been carried out by using the support vector machine (SVM) and the normalization methods comprising the z-score, minimum-maximum, and MAD normalizations. To classify the EEG signals, the support vector machine classifiers having different kernel functions, including Linear, Cubic, and Medium Gaussian, have been used. In order to evaluate the performance of the proposed hybrid models, the confusion matrix, ROC curves, and classification accuracy have been used. The used SVM models are Linear SVM, Cubic SVM, and Medium Gaussian SVM.Results: Without the normalizations, the obtained classification accuracies are 76.90%, 82.40%, and 81.70% using Linear SVM, Cubic SVM, and Medium Gaussian SVM, respectively. After applying the z-score normalization to the multi-class EEG signals dataset, the obtained classification accuracies are 77.10%, 82.30%, and 81.70% using Linear SVM, Cubic SVM, and Medium Gaussian SVM, respectively. With the minimum-maximum normalization, the obtained classification accuracies are 77.20%, 82.40%, and 81.50% using Linear SVM, Cubic SVM, and Medium Gaussian SVM, respectively. Moreover, finally, after applying the MAD normalization to the multi-class EEG signals dataset, the obtained classification accuracies are 76.70%, 82.50%, and 81.40% using Linear SVM, Cubic SVM, and Medium Gaussian SVM, respectively.Conclusion: The obtained results have shown that the best hybrid model is the combination of cubic SVM and MAD normalization in the classification of EEG signals classification five-classes.  相似文献   

5.
In this paper, a new approach based on eigen-systems pseudo-spectral estimation methods, namely Eigenvector (EV) and MUSIC, and Multiple Layer Perceptron (MLP) neural network is introduced. In this approach, the calculated EEG (electroencephalogram) spectrum is divided into smaller frequency sub-bands. Then, a set of features, {maximum, entropy, average, standard deviation, mobility}, are extracted from these sub-bands. Next, incorporating a set of the EEG time domain features {standard deviation, complexity measure} with the spectral feature set, a feature vector is formed. The feature vector is then fetched into a MLP neural network to classify the signal into the following three states: normal (healthy), epileptic patient signal in a seizure-free interval (inter-ictal), and epileptic patient signal in a full seizure interval (ictal). The experimental results show that the classification of the EEG signals maybe achieved with approximately 97.5% accuracy and the variance of 0.095% using an available public EEG signals database. The results are among the best reported methods for classifying the three states aforementioned. This is a high speed with high accuracy as well as low misclassifying rate method so it can make the practical and real-time detection of this chronic disease feasible.  相似文献   

6.
Object categorization using single-trial electroencephalography (EEG) data measured while participants view images has been studied intensively. In previous studies, multiple event-related potential (ERP) components (e.g., P1, N1, P2, and P3) were used to improve the performance of object categorization of visual stimuli. In this study, we introduce a novel method that uses multiple-kernel support vector machine to fuse multiple ERP component features. We investigate whether fusing the potential complementary information of different ERP components (e.g., P1, N1, P2a, and P2b) can improve the performance of four-category visual object classification in single-trial EEGs. We also compare the classification accuracy of different ERP component fusion methods. Our experimental results indicate that the classification accuracy increases through multiple ERP fusion. Additional comparative analyses indicate that the multiple-kernel fusion method can achieve a mean classification accuracy higher than 72 %, which is substantially better than that achieved with any single ERP component feature (55.07 % for the best single ERP component, N1). We compare the classification results with those of other fusion methods and determine that the accuracy of the multiple-kernel fusion method is 5.47, 4.06, and 16.90 % higher than those of feature concatenation, feature extraction, and decision fusion, respectively. Our study shows that our multiple-kernel fusion method outperforms other fusion methods and thus provides a means to improve the classification performance of single-trial ERPs in brain–computer interface research.  相似文献   

7.
《IRBM》2022,43(4):300-308
ObjectivesThis study investigates the performance of the Support Vector Machine (SVM) to classify non-real-time and real-time EMG signals. The study also compares training performance using personalized and generalized data from all subjects. Thus, an idea about the data sets to be used in the training of the real-time classification model has been put forward. In addition, real-time classification results were obtained for ten days, and it was observed how training oneself would affect the classification results.Material and methods:EMG data were acquired for 7 hand gestures from 8 healthy subjects to create the data set: fist, fingers spread, wave-in, wave-out, pronation, supination, and rest. Subjects repeated each gesture 30 times. The Myo armband with 8 dry surface electrodes was used for data acquisition.Results14 features of the EMG signals have been extracted and non-real-time classification has been made for each feature; the highest accuracy of 96.38% was obtained using root mean square (RMS) and integrated EMG features. Three (3) kernel functions of SVM were tested in non-real-time classification and the highest accuracy was obtained with Cubic SVM using 3rd order polynomial. For this reason, Cubic SVM was used for real-time classification using the features that gave the best results in non-real-time classification. A subject repeated the gestures and real-time classification was performed. The highest accuracy of 99.05% was obtained with the mean absolute value (MAV) feature. The real-time classification was undertaken on eight subjects using the MAV feature's best performance with an average accuracy of 95.83% using the personalized data set and 91.79% using the generalized data set.ConclusionThe greatest accuracy is obtained by training the classifier with the subject's own data. Thus, it can be said that EMG signals are personal, just like fingerprints and retina. In addition, as a result, the tests repeated for 10 days showed the repeatability of the activation of the relevant muscle set and the training takes place and how this can be applied to those who will use prosthetic hands to obtain certain gestures.  相似文献   

8.

Background

Nowadays, sleep quality is one of the most important measures of healthy life, especially considering the huge number of sleep-related disorders. Identifying sleep stages using polysomnographic (PSG) signals is the traditional way of assessing sleep quality. However, the manual process of sleep stage classification is time-consuming, subjective and costly. Therefore, in order to improve the accuracy and efficiency of the sleep stage classification, researchers have been trying to develop automatic classification algorithms. Automatic sleep stage classification mainly consists of three steps: pre-processing, feature extraction and classification. Since classification accuracy is deeply affected by the extracted features, a poor feature vector will adversely affect the classifier and eventually lead to low classification accuracy. Therefore, special attention should be given to the feature extraction and selection process.

Methods

In this paper the performance of seven feature selection methods, as well as two feature rank aggregation methods, were compared. Pz-Oz EEG, horizontal EOG and submental chin EMG recordings of 22 healthy males and females were used. A comprehensive feature set including 49 features was extracted from these recordings. The extracted features are among the most common and effective features used in sleep stage classification from temporal, spectral, entropy-based and nonlinear categories. The feature selection methods were evaluated and compared using three criteria: classification accuracy, stability, and similarity.

Results

Simulation results show that MRMR-MID achieves the highest classification performance while Fisher method provides the most stable ranking. In our simulations, the performance of the aggregation methods was in the average level, although they are known to generate more stable results and better accuracy.

Conclusions

The Borda and RRA rank aggregation methods could not outperform significantly the conventional feature ranking methods. Among conventional methods, some of them slightly performed better than others, although the choice of a suitable technique is dependent on the computational complexity and accuracy requirements of the user.
  相似文献   

9.
Electroencephalography (EEG) signals collected from human brains have generally been used to diagnose diseases. Moreover, EEG signals can be used in several areas such as emotion recognition, driving fatigue detection. This work presents a new emotion recognition model by using EEG signals. The primary aim of this model is to present a highly accurate emotion recognition framework by using both a hand-crafted feature generation and a deep classifier. The presented framework uses a multilevel fused feature generation network. This network has three primary phases, which are tunable Q-factor wavelet transform (TQWT), statistical feature generation, and nonlinear textural feature generation phases. TQWT is applied to the EEG data for decomposing signals into different sub-bands and create a multilevel feature generation network. In the nonlinear feature generation, an S-box of the LED block cipher is utilized to create a pattern, which is named as Led-Pattern. Moreover, statistical feature extraction is processed using the widely used statistical moments. The proposed LED pattern and statistical feature extraction functions are applied to 18 TQWT sub-bands and an original EEG signal. Therefore, the proposed hand-crafted learning model is named LEDPatNet19. To select the most informative features, ReliefF and iterative Chi2 (RFIChi2) feature selector is deployed. The proposed model has been developed on the two EEG emotion datasets, which are GAMEEMO and DREAMER datasets. Our proposed hand-crafted learning network achieved 94.58%, 92.86%, and 94.44% classification accuracies for arousal, dominance, and valance cases of the DREAMER dataset. Furthermore, the best classification accuracy of the proposed model for the GAMEEMO dataset is equal to 99.29%. These results clearly illustrate the success of the proposed LEDPatNet19.  相似文献   

10.
《IRBM》2022,43(6):678-686
ObjectivesFeature selection in data sets is an important task allowing to alleviate various machine learning and data mining issues. The main objectives of a feature selection method consist on building simpler and more understandable classifier models in order to improve the data mining and processing performances. Therefore, a comparative evaluation of the Chi-square method, recursive feature elimination method, and tree-based method (using Random Forest) used on the three common machine learning methods (K-Nearest Neighbor, naïve Bayesian classifier and decision tree classifier) are performed to select the most relevant primitives from a large set of attributes. Furthermore, determining the most suitable couple (i.e., feature selection method-machine learning method) that provides the best performance is performed.Materials and methodsIn this paper, an overview of the most common feature selection techniques is first provided: the Chi-Square method, the Recursive Feature Elimination method (RFE) and the tree-based method (using Random Forest). A comparative evaluation of the improvement (brought by such feature selection methods) to the three common machine learning methods (K- Nearest Neighbor, naïve Bayesian classifier and decision tree classifier) are performed. For evaluation purposes, the following measures: micro-F1, accuracy and root mean square error are used on the stroke disease data set.ResultsThe obtained results show that the proposed approach (i.e., Tree Based Method using Random Forest, TBM-RF, decision tree classifier, DTC) provides accuracy higher than 85%, F1-score higher than 88%, thus, better than the KNN and NB using the Chi-Square, RFE and TBM-RF methods.ConclusionThis study shows that the couple - Tree Based Method using Random Forest (TBM-RF) decision tree classifier successfully and efficiently contributes to find the most relevant features and to predict and classify patient suffering of stroke disease.”  相似文献   

11.
BackgroundMass spectrometry (MS) is becoming the gold standard for biomarker discovery. Several MS-based bioinformatics methods have been proposed for this application, but the divergence of the findings by different research groups on the same MS data suggests that the definition of a reliable method has not been achieved yet. In this work, we propose an integrated software platform, MASCAP, intended for comparative biomarker detection from MALDI-TOF MS data.ResultsMASCAP integrates denoising and feature extraction algorithms, which have already shown to provide consistent peaks across mass spectra; furthermore, it relies on statistical analysis and graphical tools to compare the results between groups. The effectiveness in mass spectrum processing is demonstrated using MALDI-TOF data, as well as SELDI-TOF data. The usefulness in detecting potential protein biomarkers is shown comparing MALDI-TOF mass spectra collected from serum and plasma samples belonging to the same clinical population.ConclusionsThe analysis approach implemented in MASCAP may simplify biomarker detection, by assisting the recognition of proteomic expression signatures of the disease. A MATLAB implementation of the software and the data used for its validation are available at http://www.unich.it/proteomica/bioinf.  相似文献   

12.
13.
In this paper, EEG signals of 20 schizophrenic patients and 20 age-matched control participants are analyzed with the objective of determining the more informative channels and finally distinguishing the two groups. For each case, 22 channels of EEG were recorded. A two-stage feature selection algorithm is designed, such that, the more informative channels are first selected to enhance the discriminative information. Two methods, bidirectional search and plus-L minus-R (LRS) techniques are employed to select these informative channels. The interesting point is that most of selected channels are located in the temporal lobes (containing the limbic system) that confirm the neuro-phychological differences in these areas between the schizophrenic and normal participants. After channel selection, genetic algorithm (GA) is employed to select the best features from the selected channels. In this case, in addition to elimination of the less informative channels, the redundant and less discriminant features are also eliminated. A computationally fast algorithm with excellent classification results is obtained. Implementation of this efficient approach involves several features including autoregressive (AR) model parameters, band power, fractal dimension and wavelet energy. To test the performance of the final subset of features, classifiers including linear discriminant analysis (LDA) and support vector machine (SVM) are employed to classify the reduced feature set of the two groups. Using the bidirectional search for channel selection, a classification accuracy of 84.62% and 99.38% is obtained for LDA and SVM, respectively. Using the LRS technique for channel selection, a classification accuracy of 88.23% and 99.54% is also obtained for LDA and SVM, respectively. Finally, the results are compared and contrasted with two well-known methods namely, the single-stage feature selection (evolutionary feature selection) and principal component analysis (PCA)-based feature selection. The results show improved accuracy of classification in relatively low computational time with the two-stage feature selection.  相似文献   

14.
《IRBM》2022,43(2):107-113
Background and objectiveAn important task of the brain-computer interface (BCI) of motor imagery is to extract effective time-domain features, frequency-domain features or time-frequency domain features from the raw electroencephalogram (EEG) signals for classification of motor imagery. However, choosing an appropriate method to combine time domain and frequency domain features to improve the performance of motor imagery recognition is still a research hotspot.MethodsIn order to fully extract and utilize the time-domain and frequency-domain features of EEG in classification tasks, this paper proposed a novel dual-stream convolutional neural network (DCNN), which can use time domain signal and frequency domain signal as the inputs, and the extracted time-domain features and frequency-domain features are fused by linear weighting for classification training. Furthermore, the weight can be learned by the DCNN automatically.ResultsThe experiments based on BCI competition II dataset III and BCI competition IV dataset 2a showed that the model proposed by this study has better performance than other conventional methods. The model used time-frequency signal as the inputs had better performance than the model only used time-domain signals or frequency-domain signals. The accuracy of classification was improved for each subject compared with the models only used one signals as the inputs.ConclusionsFurther analysis shown that the fusion weight of different subject is specifically, adjusting the weight coefficient automatically is helpful to improve the classification accuracy.  相似文献   

15.
《IRBM》2022,43(5):333-339
1) ObjectivesPreterm birth caused by preterm labor is one of the major health problems in the world. In this article, we present a new framework for dealing with this problem through the processing of electrohysterographic signals (EHG) that are recorded during labor and pregnancy. The objective in this research is to improve the classification between labor and pregnancy contractions by using a new approach that focuses on the connectivity analysis based on graph parameters, representative of uterine synchronization, and comparing neural network and machine learning methods in order to classify between labor and pregnancy.2) Material and methodsafter denoising of the 16 EHG signals recorded from pregnant women abdomen, we applied different connectivity methods to obtain connectivity matrices; then by using the graph theory, we extracted some graph parameters from the connectivity matrices; finally, we tested different neural network and machine learning methods on the features obtained from both graph and connectivity methods in order to classify between labor and pregnancy.3) ResultsThe best results were obtained by using the logistic regression method. We also evidence the power of graph parameters extracted from the connectivity matrices to improve the classification results.4) ConclusionThe use of graph analysis associated with machine learning methods can be a powerful tool to improve labor and pregnancy classification based on the analysis of EHG signals.  相似文献   

16.
Screening alcohol use disorder (AUD) patients has been challenging due to the subjectivity involved in the process. Hence, robust and objective methods are needed to automate the screening of AUD patients. In this paper, a machine learning method is proposed that utilized resting-state electroencephalography (EEG)-derived features as input data to classify the AUD patients and healthy controls and to perform automatic screening of AUD patients. In this context, the EEG data were recorded during 5 min of eyes closed and 5 min of eyes open conditions. For this purpose, 30 AUD patients and 15 aged-matched healthy controls were recruited. After preprocessing the EEG data, EEG features such as inter-hemispheric coherences and spectral power for EEG delta, theta, alpha, beta and gamma bands were computed involving 19 scalp locations. The selection of most discriminant features was performed with a rank-based feature selection method assigning a weight value to each feature according to a criterion, i.e., receiver operating characteristics curve. For example, a feature with large weight was considered more relevant to the target labels than a feature with less weight. Therefore, a reduced set of most discriminant features was identified and further be utilized during classification of AUD patients and healthy controls. As results, the inter-hemispheric coherences between the brain regions were found significantly different between the study groups and provided high classification efficiency (Accuracy = 80.8, sensitivity = 82.5, and specificity = 80, F-Measure = 0.78). In addition, the power computed in different EEG bands were found significant and provided an overall classification efficiency as (Accuracy = 86.6, sensitivity = 95, specificity = 82.5, and F-Measure = 0.88). Further, the integration of these EEG feature resulted into even higher results (Accuracy = 89.3 %, sensitivity = 88.5 %, specificity = 91 %, and F-Measure = 0.90). Based on the results, it is concluded that the EEG data (integration of the theta, beta, and gamma power and inter-hemispheric coherence) could be utilized as objective markers to screen the AUD patients and healthy controls.  相似文献   

17.
R.R. Janghel  Y.K. Rathore 《IRBM》2021,42(4):258-267
ObjectivesAlzheimer's Disease (AD) is the most general type of dementia. In all leading countries, it is one of the primary reasons of death in senior citizens. Currently, it is diagnosed by calculating the MSME score and by the manual study of MRI Scan. Also, different machine learning methods are utilized for automatic diagnosis but existing has some limitations in terms of accuracy. So, main objective of this paper to include a preprocessing method before CNN model to increase the accuracy of classification.Materials and methodIn this paper, we present a deep learning-based approach for detection of Alzheimer's Disease from ADNI database of Alzheimer's disease patients, the dataset contains fMRI and PET images of Alzheimer's patients along with normal person's image. We have applied 3D to 2D conversion and resizing of images before applying VGG-16 architecture of Convolution neural network for feature extraction. Finally, for classification SVM, Linear Discriminate, K means clustering, and Decision tree classifiers are used.ResultsThe experimental result shows that the average accuracy of 99.95% is achieved for the classification of the fMRI dataset, while the average accuracy of 73.46% is achieved with the PET dataset. On comparing results on the basis of accuracy, specificity, sensitivity and on some other parameters we found that these results are better than existing methods.Conclusionsthis paper, suggested a unique way to increase the performance of CNN models by applying some preprocessing on image dataset before sending to CNN architecture for feature extraction. We applied this method on ADNI database and on comparing the accuracies with other similar approaches it shows better results.  相似文献   

18.
This work describes a generalized method for classifying motor-related neural signals for a brain-computer interface (BCI), based on a stochastic machine learning method. The method differs from the various feature extraction and selection techniques employed in many other BCI systems. The classifier does not use extensive a-priori information, resulting in reduced reliance on highly specific domain knowledge. Instead of pre-defining features, the time-domain signal is input to a population of multi-layer perceptrons (MLPs) in order to perform a stochastic search for the best structure. The results showed that the average performance of the new algorithm outperformed other published methods using the Berlin BCI IV (2008) competition dataset and was comparable to the best results in the Berlin BCI II (2002–3) competition dataset. The new method was also applied to electroencephalography (EEG) data recorded from five subjects undertaking a hand squeeze task and demonstrated high levels of accuracy with a mean classification accuracy of 78.9% after five-fold cross-validation. Our new approach has been shown to give accurate results across different motor tasks and signal types as well as between subjects.  相似文献   

19.
《IRBM》2019,40(5):297-305
BackgroundBrain Computer Interface (BCI) systems have been widely used to develop sustainable assistive technology for people suffering from neurological impairments. A major limitation of current BCI systems is that they are based on Subject-dependent (SD) concept. The SD based BCI system is time consuming and inconvenient for physical or mental disables people and also not suitable for limited computer resources. In order to overcome these problems, recently subject-independent (SI) based BCI concept has been introduced to identify mental states of motor disabled people but the expected outcome of the SI based BCI has not been achieved yet. Hence this paper intends to present an efficient scheme for SI based BCI system. The goal of this research is to develop a method for classifying mental states which can be used by any user. For attaining this target, this study employs a supervised spatial filtering method with four types of feature extraction methods including Katz Fractal Dimension, Sub band Energy, Log Variance and Root Mean Square (RMS) and finally the obtained features are used as input to Linear Discriminant Analysis (LDA) classification model for identifying mental states for SI BCI system.ResultsThe performance of the proposed design is evaluated in several ways such as considering different time window length; different frequency bands; different number of channels. The mean classification accuracy using Katz feature is 84.35% which is the maximum output compare to other features that outperforms the existing methods.ConclusionsOur proposed design will help to make a new technology for development of real-time SI based BCI systems that can be more supportive for the motor disabled patients.  相似文献   

20.
《IRBM》2021,42(5):390-397
ObjectiveGeneral anesthesia is a reversible drug-induced state of altered arousal characterized by loss of responsiveness (LOR) due to brainstem inactivation. Precise identification of the LOR during the induction of general anesthesia is extremely important to provide personalized information on anesthetic requirements and could help maintain an adequate level of anesthesia throughout surgery, ensuring safe and effective care and balancing the avoidance of intraoperative awareness and overdose. So, main objective of this paper was to investigate whether a Convolutional Neural Network (CNN) applied to bilateral frontal electroencephalography (EEG) dataset recorded from patients during opioid-propofol anesthetic procedures identified the exact moment of LOR.Material and methodsA clinical protocol was designed to allow for the characterization of different clinical endpoints throughout the transition to unresponsiveness. Fifty (50) patients were enrolled in the study and data from all was included in the final dataset analysis. While under a constant estimated effect-site concentration of 2.5 ng/mL of remifentanil, an 1% propofol infusion was started at 3.3 mL//h until LOR. The level of responsiveness was assessed by an anesthesiologist every six seconds using a modified version of the Richmond Agitation-Sedation Scale (aRASS). The frontal EEG was acquired using a bilateral bispectral (BIS VISTA™ v2.0, Medtronic, Ireland) sensor. EEG data was then split into 5-second epochs, and for each epoch, the anesthesiologist's classification was used to label it as responsiveness (no-LOR) or unresponsiveness (LOR). All 5-second epochs were then used as inputs for the CNN model to classify the untrained segment as no-LOR or LOR.ResultsThe CNN model was able to identify the transition from no-LOR to LOR successfully, achieving 97.90±0.07% accuracy on the cross-validation set.ConclusionThe obtained results showed that the proposed CNN model was quite efficient in the responsiveness/unresponsiveness classification. We consider our approach constitutes an additional technique to the current methods used in the daily clinical setting where LOR is identified by the loss of response to verbal commands or mechanical stimulus. We therefore hypothesized that automated EEG analysis could be a useful tool to detect the moment of LOR, especially using machine learning approaches.  相似文献   

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