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1.
Neurobiol Dis ; 179: 106053, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36871641

RESUMEN

PTE is a neurological disorder characterized by recurrent and spontaneous epileptic seizures. PTE is a major public health problem occurring in 2-50% of TBI patients. Identifying PTE biomarkers is crucial for the development of effective treatments. Functional neuroimaging studies in patients with epilepsy and in epileptic rodents have observed that abnormal functional brain activity plays a role in the development of epilepsy. Network representations of complex systems ease quantitative analysis of heterogeneous interactions within a unified mathematical framework. In this work, graph theory was used to study resting state functional magnetic resonance imaging (rs-fMRI) and reveal functional connectivity abnormalities that are associated with seizure development in traumatic brain injury (TBI) patients. We examined rs-fMRI of 75 TBI patients from Epilepsy Bioinformatics Study for Antiepileptogenic Therapy (EpiBioS4Rx) which aims to identify validated Post-traumatic epilepsy (PTE) biomarkers and antiepileptogenic therapies using multimodal and longitudinal data acquired from 14 international sites. The dataset includes 28 subjects who had at least one late seizure after TBI and 47 subjects who had no seizures within 2 years post-injury. Each subject's neural functional network was investigated by computing the correlation between the low frequency time series of 116 regions of interest (ROIs). Each subject's functional organization was represented as a network consisting of nodes, brain regions, and edges that show the relationship between the nodes. Then, several graph measures concerning the integration and the segregation of the functional brain networks were extracted in order to highlight changes in functional connectivity between the two TBI groups. Results showed that the late seizure-affected group had a compromised balance between integration and segregation and presents functional networks that are hyperconnected, hyperintegrated but at the same time hyposegregated compared with seizure-free patients. Moreover, TBI subjects who developed late seizures had more low betweenness hubs.


Asunto(s)
Lesiones Traumáticas del Encéfalo , Epilepsia Postraumática , Epilepsia , Humanos , Lesiones Traumáticas del Encéfalo/complicaciones , Lesiones Traumáticas del Encéfalo/diagnóstico por imagen , Epilepsia Postraumática/diagnóstico por imagen , Epilepsia Postraumática/etiología , Encéfalo/diagnóstico por imagen , Biomarcadores , Convulsiones/diagnóstico por imagen , Imagen por Resonancia Magnética
2.
J Public Health (Oxf) ; 44(1): e51-e58, 2022 03 07.
Artículo en Inglés | MEDLINE | ID: mdl-34426837

RESUMEN

BACKGROUND: The Coronavirus Disease 2019 (COVID-19) pandemic warranted a myriad of government-ordered business closures across the USA in efforts to mitigate the spread of the virus. This study aims to discover the implications of government-enforced health policies of reopening public businesses amidst the pandemic and its effect on county-level infection rates. METHODS: Eighty-three US counties (n = 83) that reported at least 20 000 cases as of 4 November 2020 were selected for this study. The dates when businesses (restaurants, bars, retail, gyms, salons/barbers and public schools) partially and fully reopened, as well as infection rates on the 1st and 14th days following each businesses' reopening, were recorded. Regression analysis was conducted to deduce potential associations between the 14-day change in infection rate and mask usage frequency, median household income, population density and social distancing. RESULTS: On average, infection rates rose significantly as businesses reopened. The average 14-day change in infection rate was higher for fully reopened businesses (infection rate = +0.100) compared to partially reopened businesses (infection rate = +0.0454). The P-value of the two distributions was 0.001692, indicating statistical significance (P < 0.01). CONCLUSION: This research provides insight into the transmission of COVID-19 and promotes evidence-driven policymaking for disease prevention and community health.


Asunto(s)
COVID-19 , COVID-19/epidemiología , COVID-19/prevención & control , Control de Enfermedades Transmisibles , Humanos , Pandemias/prevención & control , Salud Pública , SARS-CoV-2
3.
Expert Syst Appl ; 195: 116540, 2022 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-35075334

RESUMEN

With coronavirus disease 2019 (COVID-19) cases rising rapidly, deep learning has emerged as a promising diagnosis technique. However, identifying the most accurate models to characterize COVID-19 patients is challenging because comparing results obtained with different types of data and acquisition processes is non-trivial. In this paper we designed, evaluated, and compared the performance of 20 convolutional neutral networks in classifying patients as COVID-19 positive, healthy, or suffering from other pulmonary lung infections based on chest computed tomography (CT) scans, serving as the first to consider the EfficientNet family for COVID-19 diagnosis and employ intermediate activation maps for visualizing model performance. All models are trained and evaluated in Python using 4173 chest CT images from the dataset entitled "A COVID multiclass dataset of CT scans," with 2168, 758, and 1247 images of patients that are COVID-19 positive, healthy, or suffering from other pulmonary infections, respectively. EfficientNet-B5 was identified as the best model with an F1 score of 0.9769 ± 0.0046, accuracy of 0.9759 ± 0.0048, sensitivity of 0.9788 ± 0.0055, specificity of 0.9730 ± 0.0057, and precision of 0.9751 ± 0.0051. On an alternate 2-class dataset, EfficientNetB5 obtained an accuracy of 0.9845 ± 0.0109, F1 score of 0.9599 ± 0.0251, sensitivity of 0.9682 ± 0.0099, specificity of 0.9883 ± 0.0150, and precision of 0.9526 ± 0.0523. Intermediate activation maps and Gradient-weighted Class Activation Mappings offered human-interpretable evidence of the model's perception of ground-class opacities and consolidations, hinting towards a promising use-case of artificial intelligence-assisted radiology tools. With a prediction speed of under 0.1 s on GPUs and 0.5 s on CPUs, our proposed model offers a rapid, scalable, and accurate diagnostic for COVID-19.

4.
Neuroimage ; 225: 117458, 2021 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-33099008

RESUMEN

In recent years, several studies have demonstrated that machine learning and deep learning systems can be very useful to accurately predict brain age. In this work, we propose a novel approach based on complex networks using 1016 T1-weighted MRI brain scans (in the age range 7-64years). We introduce a structural connectivity model of the human brain: MRI scans are divided in rectangular boxes and Pearson's correlation is measured among them in order to obtain a complex network model. Brain connectivity is then characterized through few and easy-to-interpret centrality measures; finally, brain age is predicted by feeding a compact deep neural network. The proposed approach is accurate, robust and computationally efficient, despite the large and heterogeneous dataset used. Age prediction accuracy, in terms of correlation between predicted and actual age r=0.89and Mean Absolute Error MAE =2.19years, compares favorably with results from state-of-the-art approaches. On an independent test set including 262 subjects, whose scans were acquired with different scanners and protocols we found MAE =2.52. The only imaging analysis steps required in the proposed framework are brain extraction and linear registration, hence robust results are obtained with a low computational cost. In addition, the network model provides a novel insight on aging patterns within the brain and specific information about anatomical districts displaying relevant changes with aging.


Asunto(s)
Desarrollo del Adolescente , Envejecimiento , Trastorno del Espectro Autista/diagnóstico por imagen , Encéfalo/diagnóstico por imagen , Desarrollo Infantil , Aprendizaje Profundo , Adolescente , Adulto , Trastorno del Espectro Autista/fisiopatología , Encéfalo/crecimiento & desarrollo , Encéfalo/fisiología , Encéfalo/fisiopatología , Niño , Femenino , Neuroimagen Funcional , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Redes Neurales de la Computación , Adulto Joven
5.
Ann Hematol ; 100(5): 1123-1132, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33686492

RESUMEN

An association of various blood types and the 2019 novel coronavirus disease (COVID-19) has been found in a number of publications. The aim of this literature review is to summarize key findings related to ABO blood types and COVID-19 infection rate, symptom presentation, and outcome. Summarized findings include associations between ABO blood type and higher infection susceptibility, intubation duration, and severe outcomes, including death. The literature suggests that blood type O may serve as a protective factor, as individuals with blood type O are found COVID-19 positive at far lower rates. This could suggest that blood type O individuals are less susceptible to infection, or that they are asymptomatic at higher rates and therefore do not seek out testing. We also discuss genetic associations and potential molecular mechanisms that drive the relationship between blood type and COVID-19. Studies have found a strong association between a locus on a specific gene cluster on chromosome three (chr3p21.31) and outcome severity, such as respiratory failure. Cellular models have suggested an explanation for blood type modulation of infection, evidencing that spike protein/Angiotensin-converting enzyme 2 (ACE2)-dependent adhesion to ACE2-expressing cell lines was specifically inhibited by monoclonal or natural human anti-A antibodies, so individuals with non-A blood types, specifically O, or B blood types, which produce anti-A antibodies, may be less susceptible to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection due to the inhibitory effects of anti-A antibodies.


Asunto(s)
Sistema del Grupo Sanguíneo ABO/genética , COVID-19/genética , Sistema del Grupo Sanguíneo ABO/sangre , Tipificación y Pruebas Cruzadas Sanguíneas , COVID-19/sangre , COVID-19/diagnóstico , COVID-19/etiología , Susceptibilidad a Enfermedades , Predisposición Genética a la Enfermedad , Humanos , Incidencia , Factores de Riesgo , SARS-CoV-2/aislamiento & purificación , Índice de Severidad de la Enfermedad
6.
J Neurol Neurosurg Psychiatry ; 91(11): 1154-1157, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32848013

RESUMEN

BACKGROUND: Traumatic brain injury (TBI) causes early seizures and is the leading cause of post-traumatic epilepsy. We prospectively assessed structural imaging biomarkers differentiating patients who develop seizures secondary to TBI from patients who do not. DESIGN: Multicentre prospective cohort study starting in 2018. Imaging data are acquired around day 14 post-injury, detection of seizure events occurred early (within 1 week) and late (up to 90 days post-TBI). RESULTS: From a sample of 96 patients surviving moderate-to-severe TBI, we performed shape analysis of local volume deficits in subcortical areas (analysable sample: 57 patients; 35 no seizure, 14 early, 8 late) and cortical ribbon thinning (analysable sample: 46 patients; 29 no seizure, 10 early, 7 late). Right hippocampal volume deficit and inferior temporal cortex thinning demonstrated a significant effect across groups. Additionally, the degree of left frontal and temporal pole thinning, and clinical score at the time of the MRI, could differentiate patients experiencing early seizures from patients not experiencing them with 89% accuracy. CONCLUSIONS AND RELEVANCE: Although this is an initial report, these data show that specific areas of localised volume deficit, as visible on routine imaging data, are associated with the emergence of seizures after TBI.


Asunto(s)
Contusión Encefálica/diagnóstico por imagen , Hemorragia Encefálica Traumática/diagnóstico por imagen , Adelgazamiento de la Corteza Cerebral/diagnóstico por imagen , Epilepsia Postraumática/diagnóstico por imagen , Lóbulo Frontal/diagnóstico por imagen , Hipocampo/diagnóstico por imagen , Lóbulo Temporal/diagnóstico por imagen , Adulto , Contusión Encefálica/complicaciones , Hemorragia Encefálica Traumática/complicaciones , Lesiones Traumáticas del Encéfalo/diagnóstico por imagen , Reglas de Decisión Clínica , Biología Computacional , Electroencefalografía , Epilepsia Postraumática/epidemiología , Epilepsia Postraumática/etiología , Femenino , Lóbulo Frontal/patología , Escala de Coma de Glasgow , Hipocampo/patología , Humanos , Procesamiento de Imagen Asistido por Computador , Modelos Logísticos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Tamaño de los Órganos , Estudios Prospectivos , Lóbulo Temporal/patología , Factores de Tiempo , Adulto Joven
7.
Neurobiol Dis ; 123: 127-136, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-29864492

RESUMEN

We describe the infrastructure and functionality for a centralized preclinical and clinical data repository and analytic platform to support importing heterogeneous multi-modal data, automatically and manually linking data across modalities and sites, and searching content. We have developed and applied innovative image and electrophysiology processing methods to identify candidate biomarkers from MRI, EEG, and multi-modal data. Based on heterogeneous biomarkers, we present novel analytic tools designed to study epileptogenesis in animal model and human with the goal of tracking the probability of developing epilepsy over time.


Asunto(s)
Macrodatos , Encéfalo/diagnóstico por imagen , Epilepsia Postraumática/diagnóstico por imagen , Procesamiento de Imagen Asistido por Computador/métodos , Difusión de la Información/métodos , Biomarcadores , Encéfalo/patología , Encéfalo/fisiopatología , Mapeo Encefálico , Electroencefalografía , Epilepsia Postraumática/patología , Epilepsia Postraumática/fisiopatología , Humanos , Imagen por Resonancia Magnética
8.
Neurobiol Dis ; 123: 110-114, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30048805

RESUMEN

The Epilepsy Bioinformatics Study for Anti-epileptogenic Therapy (EpiBioS4Rx) is a longitudinal prospective observational study funded by the National Institute of Health (NIH) to discover and validate observational biomarkers of epileptogenesis after traumatic brain injury (TBI). A multidisciplinary approach has been incorporated to investigate acute electrical, neuroanatomical, and blood biomarkers after TBI that may predict the development of post-traumatic epilepsy (PTE). We plan to enroll 300 moderate-severe TBI patients with a frontal and/or temporal lobe hemorrhagic contusion. Acute evaluation with blood, imaging and electroencephalographic monitoring will be performed and then patients will be tracked for 2 years to determine the incidence of PTE. Validation of selected biomarkers that are discovered in planned animal models will be a principal feature of this work. Specific hypotheses regarding the discovery of biomarkers have been set forth in this study. An international cohort of 13 centers spanning 2 continents will be developed to facilitate this study, and for future interventional studies.


Asunto(s)
Lesiones Traumáticas del Encéfalo/diagnóstico , Epilepsia Postraumática/diagnóstico , Biomarcadores/sangre , Encéfalo/fisiopatología , Lesiones Traumáticas del Encéfalo/sangre , Lesiones Traumáticas del Encéfalo/complicaciones , Lesiones Traumáticas del Encéfalo/fisiopatología , Biología Computacional , Epilepsia Postraumática/sangre , Epilepsia Postraumática/etiología , Epilepsia Postraumática/fisiopatología , Humanos , Estudios Longitudinales , Estudios Observacionales como Asunto , Estudios Prospectivos
9.
Epilepsia ; 60(11): 2151-2162, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31595501

RESUMEN

Traumatic brain injury (TBI) affects 2.5 million people annually within the United States alone, with over 300 000 severe injuries resulting in emergency room visits and hospital admissions. Severe TBI can result in long-term disability. Posttraumatic epilepsy (PTE) is one of the most debilitating consequences of TBI, with an estimated incidence that ranges from 2% to 50% based on severity of injury. Conducting studies of PTE poses many challenges, because many subjects with TBI never develop epilepsy, and it can be more than 10 years after TBI before seizures begin. One of the unmet needs in the study of PTE is an accurate biomarker of epileptogenesis, or a panel of biomarkers, which could provide early insights into which TBI patients are most susceptible to PTE, providing an opportunity for prophylactic anticonvulsant therapy and enabling more efficient large-scale PTE studies. Several recent reviews have provided a comprehensive overview of this subject (Neurobiol Dis, 123, 2019, 3; Neurotherapeutics, 11, 2014, 231). In this review, we describe acute and chronic imaging methods that detect biomarkers for PTE and potential mechanisms of epileptogenesis. We also describe shortcomings in current acquisition methods, analysis, and interpretation that limit ongoing investigations that may be mitigated with advancements in imaging techniques and analysis.


Asunto(s)
Epilepsia Postraumática/diagnóstico por imagen , Epilepsia Postraumática/metabolismo , Imagen por Resonancia Magnética/métodos , Tomografía de Emisión de Positrones/métodos , Tomografía Computarizada por Rayos X/métodos , Anticonvulsivantes/uso terapéutico , Lesiones Traumáticas del Encéfalo/diagnóstico por imagen , Lesiones Traumáticas del Encéfalo/tratamiento farmacológico , Lesiones Traumáticas del Encéfalo/metabolismo , Epilepsia Postraumática/tratamiento farmacológico , Humanos
10.
J Digit Imaging ; 32(1): 97-104, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30030766

RESUMEN

Segmentation of MRI scans is a critical part of the workflow process before we can further analyze neuroimaging data. Although there are several automatic tools for segmentation, no segmentation software is perfectly accurate, and manual correction by visually inspecting the segmentation errors is required. The process of correcting these errors is tedious and time-consuming, so we present a novel method of performing this task in a head-mounted virtual reality interactive system with a new software, Virtual Brain Segmenter (VBS). We provide the results of user testing on 30 volunteers to show the benefits of our tool as a more efficient, intuitive, and engaging alternative compared with the current method of correcting segmentation errors.


Asunto(s)
Mapeo Encefálico/métodos , Errores Diagnósticos/prevención & control , Procesamiento de Imagen Asistido por Computador/métodos , Imagenología Tridimensional/métodos , Imagen por Resonancia Magnética/métodos , Realidad Virtual , Encéfalo/anatomía & histología , Competencia Clínica , Humanos , Neuroimagen/métodos
11.
Discrete Continuous Dyn Syst Ser B ; 23(1): 161-172, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30369835

RESUMEN

Epilepsy is among the most common serious disabling disorders of the brain, and the global burden of epilepsy exerts a tremendous cost to society. Most people with epilepsy have acquired forms, and the development of antiepileptogenic interventions could potentially prevent or cure these epilepsies [3, 13]. The discovery of potential antiepileptogenic treatments is currently a high research priority. Clinical validation would require a means to identify populations of patients at particular high risk for epilepsy after a potential epileptogenic insult to know when to treat and to document prevention or cure. We investigate the development of post-traumatic epilepsy (PTE) following traumatic brain injury (TBI), because this condition offers the best opportunity to know the time of onset of epileptogenesis in patients. Epileptogenesis is common after TBI, and because much is known about the physical history of PTE, it represents a near-ideal human model in which to study the process of developing seizures. Using scalp and depth EEG recordings for six patients, the goal of our analysis is to find a way to quantitatively detect features in the EEG that could potentially help predict seizure onset post trauma. Unsupervised Diffusion Component Analysis [5], a novel approach based on the diffusion mapping framework [4], reduces data dimensionality and provides pattern recognition that can be used to distinguish different states of the patient, such as seizures and non-seizure spikes in the EEG. This method is also adapted to the data to enable the extraction of the underlying brain activity. Previous work has shown that such techniques can be useful for seizure prediction [6]. Some new results that demonstrate how this algorithm is used to detect spikes in the EEG data as well as other changes over time are shown. This nonlinear and local network approach has been used to determine if the early occurrences of specific electrical features of epileptogenesis, such as interictal epileptiform activity and morphologic changes in spikes and seizures, during the initial week after TBI predicts the development of PTE.

12.
Diagnostics (Basel) ; 14(3)2024 Feb 04.
Artículo en Inglés | MEDLINE | ID: mdl-38337853

RESUMEN

Given the pronounced impact COVID-19 continues to have on society-infecting 700 million reported individuals and causing 6.96 million deaths-many deep learning works have recently focused on the virus's diagnosis. However, assessing severity has remained an open and challenging problem due to a lack of large datasets, the large dimensionality of images for which to find weights, and the compute limitations of modern graphics processing units (GPUs). In this paper, a new, iterative application of transfer learning is demonstrated on the understudied field of 3D CT scans for COVID-19 severity analysis. This methodology allows for enhanced performance on the MosMed Dataset, which is a small and challenging dataset containing 1130 images of patients for five levels of COVID-19 severity (Zero, Mild, Moderate, Severe, and Critical). Specifically, given the large dimensionality of the input images, we create several custom shallow convolutional neural network (CNN) architectures and iteratively refine and optimize them, paying attention to learning rates, layer types, normalization types, filter sizes, dropout values, and more. After a preliminary architecture design, the models are systematically trained on a simplified version of the dataset-building models for two-class, then three-class, then four-class, and finally five-class classification. The simplified problem structure allows the model to start learning preliminary features, which can then be further modified for more difficult classification tasks. Our final model CoSev boosts classification accuracies from below 60% at first to 81.57% with the optimizations, reaching similar performance to the state-of-the-art on the dataset, with much simpler setup procedures. In addition to COVID-19 severity diagnosis, the explored methodology can be applied to general image-based disease detection. Overall, this work highlights innovative methodologies that advance current computer vision practices for high-dimension, low-sample data as well as the practicality of data-driven machine learning and the importance of feature design for training, which can then be implemented for improvements in clinical practices.

13.
Comput Med Imaging Graph ; 115: 102386, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38718562

RESUMEN

A late post-traumatic seizure (LPTS), a consequence of traumatic brain injury (TBI), can potentially evolve into a lifelong condition known as post-traumatic epilepsy (PTE). Presently, the mechanism that triggers epileptogenesis in TBI patients remains elusive, inspiring the epilepsy community to devise ways to predict which TBI patients will develop PTE and to identify potential biomarkers. In response to this need, our study collected comprehensive, longitudinal multimodal data from 48 TBI patients across multiple participating institutions. A supervised binary classification task was created, contrasting data from LPTS patients with those without LPTS. To accommodate missing modalities in some subjects, we took a two-pronged approach. Firstly, we extended a graphical model-based Bayesian estimator to directly classify subjects with incomplete modality. Secondly, we explored conventional imputation techniques. The imputed multimodal information was then combined, following several fusion and dimensionality reduction techniques found in the literature, and subsequently fitted to a kernel- or a tree-based classifier. For this fusion, we proposed two new algorithms: recursive elimination of correlated components (RECC) that filters information based on the correlation between the already selected features, and information decomposition and selective fusion (IDSF), which effectively recombines information from decomposed multimodal features. Our cross-validation findings showed that the proposed IDSF algorithm delivers superior performance based on the area under the curve (AUC) score. Ultimately, after rigorous statistical comparisons and interpretable machine learning examination using Shapley values of the most frequently selected features, we recommend the two following magnetic resonance imaging (MRI) abnormalities as potential biomarkers: the left anterior limb of internal capsule in diffusion MRI (dMRI), and the right middle temporal gyrus in functional MRI (fMRI).


Asunto(s)
Biomarcadores , Lesiones Traumáticas del Encéfalo , Aprendizaje Automático , Neuroimagen , Humanos , Lesiones Traumáticas del Encéfalo/diagnóstico por imagen , Lesiones Traumáticas del Encéfalo/complicaciones , Neuroimagen/métodos , Masculino , Femenino , Imagen por Resonancia Magnética/métodos , Adulto , Algoritmos , Epilepsia Postraumática/diagnóstico por imagen , Epilepsia Postraumática/etiología , Imagen Multimodal/métodos , Convulsiones/diagnóstico por imagen , Teorema de Bayes , Persona de Mediana Edad
14.
Signal Image Video Process ; 17(4): 907-914, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-35371333

RESUMEN

Since December 2019, the novel coronavirus disease 2019 (COVID-19) has claimed the lives of more than 3.75 million people worldwide. Consequently, methods for accurate COVID-19 diagnosis and classification are necessary to facilitate rapid patient care and terminate viral spread. Lung infection segmentations are useful to identify unique infection patterns that may support rapid diagnosis, severity assessment, and patient prognosis prediction, but manual segmentations are time-consuming and depend on radiologic expertise. Deep learning-based methods have been explored to reduce the burdens of segmentation; however, their accuracies are limited due to the lack of large, publicly available annotated datasets that are required to establish ground truths. For these reasons, we propose a semi-automatic, threshold-based segmentation method to generate region of interest (ROI) segmentations of infection visible on lung computed tomography (CT) scans. Infection masks are then used to calculate the percentage of lung abnormality (PLA) to determine COVID-19 severity and to analyze the disease progression in follow-up CTs. Compared with other COVID-19 ROI segmentation methods, on average, the proposed method achieved improved precision ( 47.49 % ) and specificity ( 98.40 % ) scores. Furthermore, the proposed method generated PLAs with a difference of ± 3.89 % from the ground-truth PLAs. The improved ROI segmentation results suggest that the proposed method has potential to assist radiologists in assessing infection severity and analyzing disease progression in follow-up CTs.

15.
Front Public Health ; 11: 1252668, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38045980

RESUMEN

Background: COVID-19 is constantly evolving, and highly populated communities consist of many different characteristics that may contribute to COVID-19 health outcomes. Therefore, we aimed to (1) quantify the relationships between county characteristics and severe and non-severe county-level health outcomes related to COVID-19. We also aimed to (2) compare these relationships across time periods where the Delta (B.1.617.2) and Omicron (B.1.1.529 and BA.1.1) variants were dominant in the U.S. Methods: We used multiple regression to measure the strength of relationships between healthcare outcomes and county characteristics in the 50 most populous U.S. counties. Results: We found many different significant predictors including the proportion of a population vaccinated, median household income, population density, and the proportion of residents aged 65+, but mainly found that socioeconomic factors and the proportion of a population vaccinated play a large role in the dynamics of the spread and severity of COVID-19 in communities with high populations. Discussion: The present study shines light on the associations between public health outcomes and county characteristics and how these relationships change throughout Delta and Omicron's dominance. It is important to understand factors underlying COVID-19 health outcomes to prepare for future health crises.


Asunto(s)
COVID-19 , Humanos , COVID-19/epidemiología , SARS-CoV-2 , Renta , Densidad de Población
16.
Sci Data ; 10(1): 83, 2023 02 09.
Artículo en Inglés | MEDLINE | ID: mdl-36759619

RESUMEN

Data sharing is becoming ubiquitous and can be advantageous for most biomedical research. However, some data are inherently more amenable to sharing than others. For example, human intracranial neurophysiology recordings and associated multimodal data have unique features that warrant special considerations. The associated data are heterogeneous, difficult to compare, highly specific, and collected from small cohorts with treatment resistant conditions, posing additional complications when attempting to perform generalizable analyses across projects. We present the Data Archive for the BRAIN Initiative (DABI) and describe features of the platform that are designed to overcome these and other challenges. DABI is a data repository and portal for BRAIN Initiative projects that collect human and animal intracranial recordings, and it allows users to search, visualize, and analyze multimodal data from these projects. The data providers maintain full control of data sharing privileges and can organize and manage their data with a user-friendly and intuitive interface. We discuss data privacy and security concerns, example analyses from two DABI datasets, and future goals for DABI.

17.
Front Public Health ; 11: 1148200, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37228717

RESUMEN

Introduction: COVID-19 vaccine inequities have been widespread across California, the United States, and globally. As COVID-19 vaccine inequities have not been fully understood in the youth population, it is vital to determine possible factors that drive inequities to enable actionable change that promotes vaccine equity among vulnerable minor populations. Methods: The present study used the social vulnerability index (SVI) and daily vaccination numbers within the age groups of 12-17, 5-11, and under 5 years old across all 58 California counties to model the growth velocity and the anticipated maximum proportion of population vaccinated. Results: Overall, highly vulnerable counties, when compared to low and moderately vulnerable counties, experienced a lower vaccination rate in the 12-17 and 5-11 year-old age groups. For age groups 5-11 and under 5 years old, highly vulnerable counties are expected to achieve a lower overall total proportion of residents vaccinated. In highly vulnerable counties in terms of socioeconomic status and household composition and disability, the 12-17 and 5-11 year-old age groups experienced lower vaccination rates. Additionally, in the 12-17 age group, high vulnerability counties are expected to achieve a higher proportion of residents vaccinated compared to less vulnerable counterparts. Discussion: These findings elucidate shortcomings in vaccine uptake in certain pediatric populations across California and may help guide health policies and future allocation of vaccines, with special emphasis placed on vulnerable populations, especially with respect to socioeconomic status and household composition and disability.


Asunto(s)
Vacunas contra la COVID-19 , COVID-19 , Niño , Adolescente , Humanos , Preescolar , Conservación de los Recursos Naturales , COVID-19/epidemiología , COVID-19/prevención & control , Vacunación , Demografía , California/epidemiología
18.
Artículo en Inglés | MEDLINE | ID: mdl-38083533

RESUMEN

Elevated ß oscillations (13-35 Hz) are characteristic pathophysiology in Parkinson's Disease (PD). Cortical thinning has also been reported in the disease, however the relationship between these biomarkers of PD has not been established. By comparing electrophysiological measurements with cortical thickness, this study aims to reveal the pathoetiology of disease and symptoms in PD. Preoperative magnetic resonance imaging (MRI) and intraoperative local field potentials (LFPs) were collected from 34 subjects diagnosed with PD. Cortical surfaces were reconstructed from the images, and cortical thickness was extracted from the subregions where the recording electrode was placed in M1. LFPs were preprocessed and cleaned using a semiautomatic artifact detection algorithm, then power spectral densities (PSD) were computed and periodic and aperiodic frequency components were calculated. Nonparametric Spearman rank correlations assessed the relationship between electrophysiological components (i.e. center frequency (CF), power, bandwidth, 1/f exponent, knee), with cortical thickness. According to the CF of each subject's PSD, the cohort was split into two sub-groups: low-ß peak (13-20 Hz) and high-ß peak (20-35 Hz) groups. There was a significant negative correlation between power and cortical thickness only in the high-ß subgroup (r=-0.48, p(corrected)=0.049). This relationship remained significant when correcting for age (r=-0.52,p=0.015), indicating that the effect of age on cortical thinning was not the determining factor. We did not find significant differences between UPDRS-III motor symptom scores for the low-and high-ß subgroups. Of note is the dominance of high-ß oscillatory power and its relationship with cortical thickness. As suggested by the literature, increased high-ß activity during movement may be exaggerated in PD. These findings suggest that the characteristic cortical thinning in PD causes variation in electrical activity, leading to elevated high-ß activity.Clinical relevance- This multimodal study provides additional insights on the pathophysiology and its relevance with morphology of Parkinson's Disease.


Asunto(s)
Corteza Motora , Enfermedad de Parkinson , Humanos , Enfermedad de Parkinson/diagnóstico por imagen , Corteza Motora/diagnóstico por imagen , Adelgazamiento de la Corteza Cerebral , Movimiento , Imagen por Resonancia Magnética
19.
Front Neuroimaging ; 2: 1068591, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37554636

RESUMEN

Traumatic brain injury (TBI) often results in heterogenous lesions that can be visualized through various neuroimaging techniques, such as magnetic resonance imaging (MRI). However, injury burden varies greatly between patients and structural deformations often impact usability of available analytic algorithms. Therefore, it is difficult to segment lesions automatically and accurately in TBI cohorts. Mislabeled lesions will ultimately lead to inaccurate findings regarding imaging biomarkers. Therefore, manual segmentation is currently considered the gold standard as this produces more accurate masks than existing automated algorithms. These masks can provide important lesion phenotype data including location, volume, and intensity, among others. There has been a recent push to investigate the correlation between these characteristics and the onset of post traumatic epilepsy (PTE), a disabling consequence of TBI. One motivation of the Epilepsy Bioinformatics Study for Antiepileptogenic Therapy (EpiBioS4Rx) is to identify reliable imaging biomarkers of PTE. Here, we report the protocol and importance of our manual segmentation process in patients with moderate-severe TBI enrolled in EpiBioS4Rx. Through these methods, we have generated a dataset of 127 validated lesion segmentation masks for TBI patients. These ground-truths can be used for robust PTE biomarker analyses, including optimization of multimodal MRI analysis via inclusion of lesioned tissue labels. Moreover, our protocol allows for analysis of the refinement process. Though tedious, the methods reported in this work are necessary to create reliable data for effective training of future machine-learning based lesion segmentation methods in TBI patients and subsequent PTE analyses.

20.
ArXiv ; 2023 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-37426452

RESUMEN

As data sharing has become more prevalent, three pillars - archives, standards, and analysis tools - have emerged as critical components in facilitating effective data sharing and collaboration. This paper compares four freely available intracranial neuroelectrophysiology data repositories: Data Archive for the BRAIN Initiative (DABI), Distributed Archives for Neurophysiology Data Integration (DANDI), OpenNeuro, and Brain-CODE. The aim of this review is to describe archives that provide researchers with tools to store, share, and reanalyze both human and non-human neurophysiology data based on criteria that are of interest to the neuroscientific community. The Brain Imaging Data Structure (BIDS) and Neurodata Without Borders (NWB) are utilized by these archives to make data more accessible to researchers by implementing a common standard. As the necessity for integrating large-scale analysis into data repository platforms continues to grow within the neuroscientific community, this article will highlight the various analytical and customizable tools developed within the chosen archives that may advance the field of neuroinformatics.

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