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Background: Patient-reported outcomes (PRO) allow clinicians to measure health-related quality of life (HRQOL) and understand patients' treatment priorities, but obtaining PRO requires surveys which are not part of routine care. We aimed to develop a preliminary natural language processing (NLP) pipeline to extract HRQOL trajectory based on deep learning models using patient language. Materials and methods: Our data consisted of transcribed interviews of 100 patients undergoing surgical intervention for low-risk thyroid cancer, paired with HRQOL assessments completed during the same visits. Our outcome measure was HRQOL trajectory measured by the SF-12 physical and mental component scores (PCS and MCS), and average THYCA-QoL score.We constructed an NLP pipeline based on BERT, a modern deep language model that captures context semantics, to predict HRQOL trajectory as measured by the above endpoints. We compared this to baseline models using logistic regression and support vector machines trained on bag-of-words representations of transcripts obtained using Linguistic Inquiry and Word Count (LIWC). Finally, given the modest dataset size, we implemented two data augmentation methods to improve performance: first by generating synthetic samples via GPT-2, and second by changing the representation of available data via sequence-by-sequence pairing, which is a novel approach. Results: A BERT-based deep learning model, with GPT-2 synthetic sample augmentation, demonstrated an area-under-curve of 76.3% in the classification of HRQOL accuracy as measured by PCS, compared to the baseline logistic regression and bag-of-words model, which had an AUC of 59.9%. The sequence-by-sequence pairing method for augmentation had an AUC of 71.2% when used with the BERT model. Conclusions: NLP methods show promise in extracting PRO from unstructured narrative data, and in the future may aid in assessing and forecasting patients' HRQOL in response to medical treatments. Our experiments with optimization methods suggest larger amounts of novel data would further improve performance of the classification model.
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Pyroelectric infrared (PIR) sensors are low-cost, low-power, and highly reliable sensors that have been widely used in smart environments. Indoor localization systems may be wearable or non-wearable, where the latter are also known as device-free localization systems. Since binary PIR sensors detect only the presence of a subject's motion in their field of view (FOV) without other information about the actual location, information from overlapping FOVs of multiple sensors can be useful for localization. This study introduces the PIRILS (pyroelectric infrared indoor localization system), in which the sensing signal processing algorithms are augmented by deep learning algorithms that are designed based on the operational characteristics of the PIR sensor. Expanding to the detection of multiple targets, the PIRILS develops a quantized scheme that exploits the behavior of an artificial neural network (ANN) model to demonstrate localization performance in tracking multiple targets. To further improve the localization performance, the PIRILS incorporates a data augmentation strategy that enhances the training data diversity of the target's motion. Experimental results indicate system stability, improved positioning accuracy, and expanded applicability, thus providing an improved indoor multi-target localization framework.
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Algoritmos , Inteligencia Artificial , Redes Neurales de la Computación , Procesamiento de Señales Asistido por Computador , Movimiento (Física)RESUMEN
Pyroelectric Infrared (PIR) sensors are low-cost, low-power, and highly reliable sensors that have been widely used in smart environments. Indoor localization systems can be categorized as wearable and non-wearable systems, where the latter are also known as device-free localization systems. Since the binary PIR sensor detects only the presence of a human motion in its field of view (FOV) without any other information about the actual location, utilizing the information of overlapping FOV of multiple sensors can be useful for localization. In this study, a PIR detector and sensing signal processing algorithms were designed based on the characteristics of the PIR sensor. We applied the designed PIR detector as a sensor node to create a non-wearable cooperative indoor human localization system. To improve the system performance, signal processing algorithms and refinement schemes (i.e., the Kalman filter, a Transferable Belief Model, and a TBM-based hybrid approach (TBM + Kalman filter)) were applied and compared. Experimental results indicated system stability and improved positioning accuracy, thus providing an indoor cooperative localization framework for PIR sensor networks.
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Algoritmos , Procesamiento de Señales Asistido por Computador , Humanos , Movimiento (Física)RESUMEN
Functional magnetic resonance imaging (fMRI)-based functional connectivity (FC) commonly characterizes the functional connections in the brain. Conventional quantification of FC by Pearson's correlation captures linear, time-domain dependencies among blood-oxygen-level-dependent (BOLD) signals. We examined measures to quantify FC by investigating: (i) Is Pearson's correlation sufficient to characterize FC? (ii) Can alternative measures better quantify FC? (iii) What are the implications of using alternative FC measures? FMRI analysis in healthy adult population suggested that: (i) Pearson's correlation cannot comprehensively capture BOLD inter-dependencies. (ii) Eight alternative FC measures were similarly consistent between task and resting-state fMRI, improved age-based classification and provided better association with behavioral outcomes. (iii) Formulated hypotheses were: first, in lieu of Pearson's correlation, an augmented, composite and multi-metric definition of FC is more appropriate; second, canonical large-scale brain networks may depend on the chosen FC measure. A thorough notion of FC promises better understanding of variations within a given population.
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Conectoma , Imagen por Resonancia Magnética , Red Nerviosa , Oxígeno/metabolismo , Adolescente , Adulto , Femenino , Humanos , Masculino , Red Nerviosa/diagnóstico por imagen , Red Nerviosa/metabolismoRESUMEN
Human pluripotent stem cell (hPSC)-derived neural organoids display unprecedented emergent properties. Yet in contrast to the singular neuroepithelial tube from which the entire central nervous system (CNS) develops in vivo, current organoid protocols yield tissues with multiple neuroepithelial units, a.k.a. neural rosettes, each acting as independent morphogenesis centers and thereby confounding coordinated, reproducible tissue development. Here, we discover that controlling initial tissue morphology can effectively (>80%) induce single neural rosette emergence within hPSC-derived forebrain and spinal tissues. Notably, the optimal tissue morphology for observing singular rosette emergence was distinct for forebrain versus spinal tissues due to previously unknown differences in ROCK-mediated cell contractility. Following release of geometric confinement, the tissues displayed radial outgrowth with maintenance of a singular neuroepithelium and peripheral neuronal differentiation. Thus, we have identified neural tissue morphology as a critical biophysical parameter for controlling in vitro neural tissue morphogenesis furthering advancement towards biomanufacture of CNS tissues with biomimetic anatomy and physiology.
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Diferenciación Celular , Técnicas de Cultivo de Órganos/métodos , Células Madre Pluripotentes/fisiología , Prosencéfalo/citología , Médula Espinal/citología , Fenómenos Biofísicos , Humanos , MorfogénesisRESUMEN
Percutaneous needle-based liver ablation procedures are becoming increasingly common for the treatment of small isolated tumors in hepatocellular carcinoma patients who are not candidates for surgery. Rapid 3-D visualization of liver ablations has potential clinical value, because it can enable interventional radiologists to plan and execute needle-based ablation procedures with real time feedback. Ensuring the right volume of tissue is ablated is desirable to avoid recurrence of tumors from residual untreated cancerous cells. Shear wave velocity (SWV) measurements can be used as a surrogate for tissue stiffness to distinguish stiffer ablated regions from softer untreated tissue. This paper extends the previously reported sheaf reconstruction method to generate complete 3-D visualizations of SWVs without resorting to an approximate intermediate step of reconstructing transverse C planes. The noisy data are modeled using a Markov random field, and a computationally tractable reconstruction algorithm that can handle grids with millions of points is developed. Results from simulated ellipsoidal inclusion data show that this algorithm outperforms standard nearest neighbor interpolation by an order of magnitude in mean squared reconstruction error. Results from the phantom experiments show that it also provides a higher contrast-to-noise ratio by almost 2 dB and better signal-to-noise ratio in the stiff inclusion by over 2 dB compared with nearest neighbor interpolation and has lower computational complexity than linear and spline interpolation.
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Diagnóstico por Imagen de Elasticidad/métodos , Imagenología Tridimensional/métodos , Técnicas de Ablación , Algoritmos , Cadenas de Markov , Fantasmas de Imagen , Cirugía Asistida por ComputadorRESUMEN
Neural information modeling and analysis often requires a measurement of the mutual influence among many signals. A common technique is the conditional Granger causality (cGC) which measures the influence of one time series on another time series in the presence of a third. Geweke has translated this condition into the frequency domain and has explored the mathematical relationships between the time and frequency domain expressions. Chen has observed that in practice, the expressions may return (meaningless) negative numbers, and has proposed an alternative which is based on a partitioned matrix scheme, which we call partitioned Granger causality (pGC). There has been some confusion in the literature about the relationship between cGC and pGC; some authors treat them as essentially identical measures, while others have noted that some properties (such as the relationship between the time and frequency domain expressions) do not hold for the pGC. This paper presents a series of matrix equalities that simplify the calculation of the pGC. In this simplified expression, the essential differences and similarities between the cGC and the pGC become clear; in essence, the pGC is dependent on only a subset of the parameters in the model estimation, and the noise residuals (which are uncorrelated in the cGC) need not be uncorrelated in the pGC. The mathematical results are illustrated with a simulation, and the measures are applied to an EEG dataset.
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Causalidad , Modelos TeóricosRESUMEN
Purpose. To achieve rapid automated delineation of gross target volume (GTV) and to quantify changes in volume/position of the target for radiotherapy planning using four-dimensional (4D) CT. Methods and Materials. Novel morphological processing and successive localization (MPSL) algorithms were designed and implemented for achieving autosegmentation. Contours automatically generated using MPSL method were compared with contours generated using state-of-the-art deformable registration methods (using Elastix© and MIMVista software). Metrics such as the Dice similarity coefficient, sensitivity, and positive predictive value (PPV) were analyzed. The target motion tracked using the centroid of the GTV estimated using MPSL method was compared with motion tracked using deformable registration methods. Results. MPSL algorithm segmented the GTV in 4DCT images in 27.0 ± 11.1 seconds per phase (512 × 512 resolution) as compared to 142.3 ± 11.3 seconds per phase for deformable registration based methods in 9 cases. Dice coefficients between MPSL generated GTV contours and manual contours (considered as ground-truth) were 0.865 ± 0.037. In comparison, the Dice coefficients between ground-truth and contours generated using deformable registration based methods were 0.909 ± 0.051. Conclusions. The MPSL method achieved similar segmentation accuracy as compared to state-of-the-art deformable registration based segmentation methods, but with significant reduction in time required for GTV segmentation.