The Effect of Sleep Deprivation on Brain Fingerprint Stability: A Magnetoencephalography Validation Study.

This study examined the stability of the functional connectome (FC) over time using fingerprint analysis in healthy subjects. Additionally, it investigated how a specific stressor, namely sleep deprivation, affects individuals' differentiation. To this aim, 23 healthy young adults underwent magnetoencephalography (MEG) recording at three equally spaced time points within 24 h: 9 a.m., 9 p.m., and 9 a.m. of the following day after a night of sleep deprivation. The findings indicate that the differentiation was stable from morning to evening in all frequency bands, except in the delta band. However, after a night of sleep deprivation, the stability of the FCs was reduced. Consistent with this observation, the reduced differentiation following sleep deprivation was found to be negatively correlated with the effort perceived by participants in completing the cognitive task during sleep deprivation. This correlation suggests that individuals with less stable connectomes following sleep deprivation experienced greater difficulty in performing cognitive tasks, reflecting increased effort.

An Experimental Ultrasound System for Qualitative Tomographic Imaging.

The advancement of new promising techniques in the field of biomedical imaging has always been paramount for the research community. Recently, ultrasound tomography has proved to be a good candidate for non-invasive and safe diagnostics. In particular, breast cancer imaging may benefit from this approach, as frequent screening and early diagnosis require decreased system size and costs compared to conventional imaging techniques. Furthermore, a major advantage of these approaches consists in the operator-independent feature, which is very desirable compared to conventional hand-held ultrasound imaging. In this framework, the authors present some imaging results on an experimental campaign acquired via an in-house ultrasound tomographic system designed and built at the University of Naples Parthenope. Imaging performance was evaluated via different tests, showing good potentiality in structural information retrieval. This study represents a first proof of concept in order to validate the system and to consider further realistic cases in near future applications.

An extension of Phase Linearity Measurement for revealing cross frequency coupling among brain areas.

BACKGROUND: Brain areas need to coordinate their activity in order to enable complex behavioral responses. Synchronization is one of the mechanisms neural ensembles use to communicate. While synchronization between signals operating at similar frequencies is fairly straightforward, the estimation of synchronization occurring between different frequencies of oscillations has proven harder to capture. One specifically hard challenge is to estimate cross-frequency synchronization between broadband signals when no a priori hypothesis is available about the frequencies involved in the synchronization. METHODS: In the present manuscript, we expand upon the phase linearity measurement, an iso-frequency synchronization metrics previously developed by our group, in order to provide a conceptually similar approach able to detect the presence of cross-frequency synchronization between any components of the analyzed broadband signals. RESULTS: The methodology has been tested on both synthetic and real data. We first exploited Gaussian process realizations in order to explore the properties of our new metrics in a synthetic case study. Subsequently, we analyze real source-reconstructed data acquired by a magnetoencephalographic system from healthy controls in a clinical setting to study the performance of our metrics in a realistic environment. CONCLUSIONS: In the present paper we provide an evolution of the PLM methodology able to reveal the presence of cross-frequency synchronization between broadband data.

Type and Location of Wearable Sensors for Monitoring Falls during Static and Dynamic Tasks in Healthy Elderly: A Review.

In recent years, the meaning of successful living has moved from extending lifetime to improving the quality of aging, mainly in terms of high cognitive and physical functioning together with avoiding diseases. In healthy elderly, falls represent an alarming accident both in terms of number of events and the consequent decrease in the quality of life. Stability control is a key approach for studying the genesis of falls, for detecting the event and trying to develop methodologies to prevent it. Wearable sensors have proved to be very useful in monitoring and analyzing the stability of subjects. Within this manuscript, a review of the approaches proposed in the literature for fall risk assessment, fall prevention and fall detection in healthy elderly is provided. The review has been carried out by using the most adopted publication databases and by defining a search strategy based on keywords and boolean algebra constructs. The analysis aims at evaluating the state of the art of such kind of monitoring, both in terms of most adopted sensor technologies and of their location on the human body. The review has been extended to both dynamic and static analyses. In order to provide a useful tool for researchers involved in this field, the manuscript also focuses on the tests conducted in the analyzed studies, mainly in terms of characteristics of the population involved and of the tasks used. Finally, the main trends related to sensor typology, sensor location and tasks have been identified.

Correction: Rucco, R.; et al. Type and Location of Wearable Sensors for Monitoring Falls during Static and Dynamic Tasks in Healthy Elderly: A Review. Sensors 2018, 18, 1613.

The authors wish to make a correction to their paper [1]. The following Table 1 should be replaced with the table shown below it[...].

In-Vivo Electrical Properties Estimation of Biological Tissues by Means of a Multi-Step Microwave Tomography Approach.

The accurate quantitative estimation of the electromagnetic properties of tissues can serve important diagnostic and therapeutic medical purposes. Quantitative microwave tomography is an imaging modality that can provide maps of the in-vivo electromagnetic properties of the imaged tissues, i.e. both the permittivity and the electric conductivity. A multi-step microwave tomography approach is proposed for the accurate retrieval of such spatial maps of biological tissues. The underlying idea behind the new imaging approach is to progressively add details to the maps in a step-wise fashion starting from single-frequency qualitative reconstructions. Multi-frequency microwave data is utilized strategically in the final stage. The approach results in improved accuracy of the reconstructions compared to inversion of the data in a single step. As a case study, the proposed workflow was tested on an experimental microwave data set collected for the imaging of the human forearm. The human forearm is a good test case as it contains several soft tissues as well as bone, exhibiting a wide range of values for the electrical properties.

A Deep Learning Approach for Diagnosis Support in Breast Cancer Microwave Tomography.

In this paper, a deep learning technique for tumor detection in a microwave tomography framework is proposed. Providing an easy and effective imaging technique for breast cancer detection is one of the main focuses for biomedical researchers. Recently, microwave tomography gained a great attention due to its ability to reconstruct the electric properties maps of the inner breast tissues, exploiting nonionizing radiations. A major drawback of tomographic approaches is related to the inversion algorithms, since the problem at hand is nonlinear and ill-posed. In recent decades, numerous studies focused on image reconstruction techniques, in same cases exploiting deep learning. In this study, deep learning is exploited to provide information about the presence of tumors based on tomographic measures. The proposed approach has been tested with a simulated database showing interesting performances, in particular for scenarios where the tumor mass is particularly small. In these cases, conventional reconstruction techniques fail in identifying the presence of suspicious tissues, while our approach correctly identifies these profiles as potentially pathological. Therefore, the proposed method can be exploited for early diagnosis purposes, where the mass to be detected can be particularly small.

Microwave Breast Sensing via Deep Learning for Tumor Spatial Localization by Probability Maps.

BACKGROUND: microwave imaging (MWI) has emerged as a promising modality for breast cancer screening, offering cost-effective, rapid, safe and comfortable exams. However, the practical application of MWI for tumor detection and localization is hampered by its inherent low resolution and low detection capability. METHODS: this study aims to generate an accurate tumor probability map directly from the scattering matrix. This direct conversion makes the probability map independent of specific image formation techniques and thus potentially complementary to any image formation technique. An approach based on a convolutional neural network (CNN) is used to convert the scattering matrix into a tumor probability map. The proposed deep learning model is trained using a large realistic numerical dataset of two-dimensional (2D) breast slices. The performance of the model is assessed through visual inspection and quantitative measures to assess the predictive quality at various levels of detail. RESULTS: the results demonstrate a remarkably high accuracy (0.9995) in classifying profiles as healthy or diseased, and exhibit the model's ability to accurately locate the core of a single tumor (within 0.9 cm for most cases). CONCLUSION: overall, this research demonstrates that an approach based on neural networks (NN) for direct conversion from scattering matrices to tumor probability maps holds promise in advancing state-of-the-art tumor detection algorithms in the MWI domain.

Reduced clinical connectome fingerprinting in multiple sclerosis predicts fatigue severity.

BACKGROUND: Brain connectome fingerprinting is progressively gaining ground in the field of brain network analysis. It represents a valid approach in assessing the subject-specific connectivity and, according to recent studies, in predicting clinical impairment in some neurodegenerative diseases. Nevertheless, its performance, and clinical utility, in the Multiple Sclerosis (MS) field has not yet been investigated. METHODS: We conducted the Clinical Connectome Fingerprint (CCF) analysis on source-reconstructed magnetoencephalography signals in a cohort of 50 subjects: twenty-five MS patients and twenty-five healthy controls. RESULTS: All the parameters of identifiability, in the alpha band, were reduced in patients as compared to controls. These results implied a lower similarity between functional connectomes (FCs) of the same patient and a reduced homogeneity among FCs in the MS group. We also demonstrated that in MS patients, reduced identifiability was able to predict, fatigue level (assessed by the Fatigue Severity Scale). CONCLUSION: These results confirm the clinical usefulness of the CCF in both identifying MS patients and predicting clinical impairment. We hope that the present study provides future prospects for treatment personalization on the basis of individual brain connectome.

An End-to-End Deep Learning Approach for Quantitative Microwave Breast Imaging in Real-Time Applications.

(1) Background: In this paper, an artificial neural network approach for effective and real-time quantitative microwave breast imaging is proposed. It proposes some numerical analyses for the optimization of the network architecture and the improvement of recovery performance and processing time in the microwave breast imaging framework, which represents a fundamental preliminary step for future diagnostic applications. (2) Methods: The methodological analysis of the proposed approach is based on two main aspects: firstly, the definition and generation of a proper database adopted for the training of the neural networks and, secondly, the design and analysis of different neural network architectures. (3) Results: The methodology was tested in noisy numerical scenarios with different values of SNR showing good robustness against noise. The results seem very promising in comparison with conventional nonlinear inverse scattering approaches from a qualitative as well as a quantitative point of view. (4) Conclusion: The use of quantitative microwave imaging and neural networks can represent a valid alternative to (or completion of) modern conventional medical imaging techniques since it is cheaper, safer, fast, and quantitative, thus suitable to assist medical decisions.

Hand Gesture Signatures Acquisition and Processing by Means of a Novel Ultrasound System.

Hand gestures represent a natural way to express concepts and emotions which are peculiar to each culture. Several studies exploit biometric traits, such as fingerprint, iris or face for subject identification purposes. Within this paper, a novel ultrasound system for person identification that exploits hand gestures is presented. The system works as a sonar, measuring the ultrasonic pressure waves scattered by the subject's hand, and analysing its Doppler information. Further, several transformations for obtaining time/frequency representations of the acquired signal are computed and a deep learning detector is implemented. The proposed system is cheap, reliable, contactless and can be easily integrated with other personal identification approaches allowing different security levels. The performances are evaluated via experimental tests carried out on a group of 25 volunteers. Results are encouraging, showing the promising potential of the system.

Detection of Cross-Frequency Coupling Between Brain Areas: An Extension of Phase Linearity Measurement.

The current paper proposes a method to estimate phase to phase cross-frequency coupling between brain areas, applied to broadband signals, without any a priori hypothesis about the frequency of the synchronized components. N:m synchronization is the only form of cross-frequency synchronization that allows the exchange of information at the time resolution of the faster signal, hence likely to play a fundamental role in large-scale coordination of brain activity. The proposed method, named cross-frequency phase linearity measurement (CF-PLM), builds and expands upon the phase linearity measurement, an iso-frequency connectivity metrics previously published by our group. The main idea lies in using the shape of the interferometric spectrum of the two analyzed signals in order to estimate the strength of cross-frequency coupling. We first provide a theoretical explanation of the metrics. Then, we test the proposed metric on simulated data from coupled oscillators synchronized in iso- and cross-frequency (using both Rössler and Kuramoto oscillator models), and subsequently apply it on real data from brain activity. Results show that the method is useful to estimate n:m synchronization, based solely on the phase of the signals (independently of the amplitude), and no a-priori hypothesis is available about the expected frequencies.

A Multithreshold Iterative DBIM-Based Algorithm for the Imaging of Heterogeneous Breast Tissues.

OBJECTIVE: This paper proposes a novel microwave imaging (MWI) multifrequency technique, which combines compressive sensing (CS) with the well-known distorted Born iterative method. CS strategies are emerging as a promising tool in MWI applications, which can improve reconstruction quality and/or reduce the number of data samples. METHODS: The proposed approach is based on iterative shrinkage thresholding algorithm (ISTA), which has been modified to include an automatic and adaptive selection of multithreshold values. RESULTS: This adaptive multithreshold ISTA implementation is applied in reconstruction of two-dimensional (2-D) numerical heterogeneous breast phantoms, where it outperforms the standard thresholding implementation. We show that our approach is also successful in 3-D simulations of a realistic imaging experiment, despite the mismatch between the data and our algorithm's forward model. CONCLUSION: These results suggest that the proposed algorithm is a promising tool for medical MWI applications. SIGNIFICANCE: Important novelties of this approach are the use of multiple thresholds to recover the different unknowns in the Debye model as well as the adaptive selection of these thresholds. Moreover, we have shown that employing modified hard constraints inside the linear step of the inversion procedure can enhance reconstruction quality.

An automated magnetoencephalographic data cleaning algorithm.

The problem of cleaning magnetoencephalographic data is addressed in this manuscript. At present, several denoising procedures have been proposed in the literature, nevertheless their adoption is limited due to the difficulty in implementing and properly tuning the algorithms. Therefore, as of today, the gold standard remains manual cleaning. We propose an approach developed with the aim of automating each step of the manual cleaning. Its peculiarities are the ease of implementation and using and the remarkable reproducibility of the results. Interestingly, the algorithm has been designed to imitate the reasoning behind the manual procedure, carried out by trained experts. Our statistical analysis shows that no significant differences can be found between the two approaches.

Compressive Sensing for Breast Microwave Imaging.

This work proposes a novel microwave imaging (MWI) multi-frequency technique, which combines compressive sensing (CS) with the well-known distorted Born iterative method (DBIM) to enhance the accuracy in the imaging procedure. CS strategies are emerging as a promising tool in MWI applications, which can also reduce the number of data samples. The proposed approach is based on an iterative shrinkage thresholding algorithm (ISTA), which has been modified to include an automatic and adaptive selection of multi-threshold values. The proposed implementation is applied in reconstruction of two-dimensional numerical heterogeneous breast phantoms, where it outer-performs the standard thresholding implementation and proves to be an interesting tool for medical imaging applications.

KSR-NLM: a non local means despeckling filter for ultrasound images based on ratio patch and KS distance.

Speckle noise greatly degrades the quality of ultrasound images. Being signal dependent, it requires the design of specific filters in order to be reduce. Within this manuscript, $a$ novel approach for despeckling ultrasound images is proposed. The methodology belongs to the Non Local Means family. The novelty consists in the methodology adopted for measuring patches similarity. In brief, the statistical distribution of the ratio image patch is estimated and compared to the theoretical Cumulative Distribution Function. More in detail, the Kolmogorov-Smirnov distance is adopted for measuring the similarity between the two distribution. The method, namely KSR-NLM, has shown to achieve good denoising performances both in case of synthetic and real datasets.

Enhanced Wiener filter for ultrasound image restoration.

BACKGROUND AND OBJECTIVE: Speckle phenomenon strongly affects UltraSound (US) images. In the last years, several efforts have been done in order to provide an effective denoising methodology. Although good results have been achieved in terms of noise reduction effectiveness, most of the proposed approaches are not characterized by low computational burden and require the supervision of an external operator for tuning the input parameters. METHODS: Within this manuscript, a novel approach is investigated, based on Wiener filter. Working in the frequency domain, it is characterized by high computational efficiency. With respect to classical Wiener filter, the proposed Enhanced Wiener filter is able to locally adapt itself by tuning its kernel in order to combine edges and details preservation with effective noise reduction. This characteristic is achieved by implementing a Local Gaussian Markov Random Field for modeling the image. Due to its intrinsic characteristics, the computational burden of the algorithm is sensibly low compared to other widely adopted filters and the parameter tuning effort is minimal, being well suited for quasi real time applications. RESULTS: The approach has been tested on both simulated and real datasets, showing interesting performances compared to other state of art methods. CONCLUSIONS: A novel denoising method for UltraSound images is proposed. The approach is able to combine low computational burden with interesting denoising performances and details preservation.

Intra voxel analysis in magnetic resonance imaging.

A technique for analyzing the composition of each voxel, in the magnetic resonance imaging (MRI) framework, is presented. By combining different acquisitions, a novel methodology, called intra voxel analysis (IVA), for the detection of multiple tissues and the estimation of their spin-spin relaxation times is proposed. The methodology exploits the sparse Bayesian learning (SBL) approach in order to solve a highly underdetermined problem imposing the solution sparsity. IVA, developed for spin echo imaging sequence, can be easily extended to any acquisition scheme. For validating the approach, simulated and real data sets are considered. Monte Carlo simulations have been implemented for evaluating the performances of IVA compared to methods existing in literature. Two clinical datasets acquired with a 3T scanner have been considered for validating the approach. With respect to other approaches presented in literature, IVA has proved to be more effective in the voxel composition analysis, in particular in the case of few acquired images. Results are interesting and very promising: IVA is expected to have a remarkable impact on the research community and on the diagnostic field.