Transformer enhanced autoencoder rendering cleaning of noisy optical coherence tomography images.

Purpose: Optical coherence tomography (OCT) is an emerging imaging tool in healthcare with common applications in ophthalmology for detection of retinal diseases, as well as other medical domains. The noise in OCT images presents a great challenge as it hinders the clinician's ability to diagnosis in extensive detail. Approach: In this work, a region-based, deep-learning, denoising framework is proposed for adaptive cleaning of noisy OCT-acquired images. The core of the framework is a hybrid deep-learning model named transformer enhanced autoencoder rendering (TEAR). Attention gates are utilized to ensure focus on denoising the foreground and to remove the background. TEAR is designed to remove the different types of noise artifacts commonly present in OCT images and to enhance the visual quality. Results: Extensive quantitative evaluations are performed to evaluate the performance of TEAR and compare it against both deep-learning and traditional state-of-the-art denoising algorithms. The proposed method improved the peak signal-to-noise ratio to 27.9 dB, CNR to 6.3 dB, SSIM to 0.9, and equivalent number of looks to 120.8 dB for a dental dataset. For a retinal dataset, the performance metrics in the same sequence are: 24.6, 14.2, 0.64, and 1038.7 dB, respectively. Conclusions: The results show that the approach verifiably removes speckle noise and achieves superior quality over several well-known denoisers.

Denoising of Optical Coherence Tomography Images in Ophthalmology Using Deep Learning: A Systematic Review.

Imaging from optical coherence tomography (OCT) is widely used for detecting retinal diseases, localization of intra-retinal boundaries, etc. It is, however, degraded by speckle noise. Deep learning models can aid with denoising, allowing clinicians to clearly diagnose retinal diseases. Deep learning models can be considered as an end-to-end framework. We selected denoising studies that used deep learning models with retinal OCT imagery. Each study was quality-assessed through image quality metrics (including the peak signal-to-noise ratio-PSNR, contrast-to-noise ratio-CNR, and structural similarity index metric-SSIM). Meta-analysis could not be performed due to heterogeneity in the methods of the studies and measurements of their performance. Multiple databases (including Medline via PubMed, Google Scholar, Scopus, Embase) and a repository (ArXiv) were screened for publications published after 2010, without any limitation on language. From the 95 potential studies identified, a total of 41 were evaluated thoroughly. Fifty-four of these studies were excluded after full text assessment depending on whether deep learning (DL) was utilized or the dataset and results were not effectively explained. Numerous types of OCT images are mentioned in this review consisting of public retinal image datasets utilized purposefully for denoising OCT images (n = 37) and the Optic Nerve Head (ONH) (n = 4). A wide range of image quality metrics was used; PSNR and SNR that ranged between 8 and 156 dB. The minority of studies (n = 8) showed a low risk of bias in all domains. Studies utilizing ONH images produced either a PSNR or SNR value varying from 8.1 to 25.7 dB, and that of public retinal datasets was 26.4 to 158.6 dB. Further analysis on denoising models was not possible due to discrepancies in reporting that did not allow useful pooling. An increasing number of studies have investigated denoising retinal OCT images using deep learning, with a range of architectures being implemented. The reported increase in image quality metrics seems promising, while study and reporting quality are currently low.

Highly Sensitive Terahertz Metasurface Based on Electromagnetically Induced Transparency-Like Resonance in Detection of Skin Cancer Cells.

Terahertz (THz) metasurfaces based on high Q-factor electromagnetically induced transparency-like (EIT-like) resonances are promising for biological sensing. Despite this potential, they have not often been investigated for practical differentiation between cancerous and healthy cells. The present methodology relies mainly on refractive index sensing, while factors of transmission magnitude and Q-factor offer significant information about the tumors. To address this limitation and improve sensitivity, we fabricated a THz EIT-like metasurface based on asymmetric resonators on an ultra-thin and flexible dielectric substrate. Bright-dark modes coupling at 1.96 THz was experimentally verified, and numerical results and theoretical analysis were presented. An enhanced theoretical sensitivity of 550 GHz/RIU was achieved for a sample with a thickness of 13µm due to the ultra-thin substrate and novel design. A two-layer skin model was generated whereby keratinocyte cell lines were cultured on a base of collagen. When NEB1-shPTCH (basal cell carcinoma (BCC)) were switched out for NEB1-shCON cell lines (healthy) and when BCC's density was raised from 1×105 to 2.5×105, a frequency shift of 40 and 20 GHz were observed, respectively. A combined sensing analysis characterizes different cell lines. The findings may open new opportunities for early cancer detection with a fast, less-complicated, and inexpensive method.

A High-Performance, Low-Cost, and Integrated Hairpin Topology RF Switched Filter Bank for Radar Applications.

Switched filter banks find widespread application in frequency-hopping radar systems and communication networks with multiple operating frequencies, especially in situations demanding elevated filter element isolation. In this paper, the design and implementation of a highly isolated switchable narrow-bandpass filter bank architecture using hairpin microstrip topology is presented. The filter bank has four discrete bandpass filters with passbands of 2.0-2.2 GHz, 2.3-2.5 GHz, 3.1-3.3 GHz, and 3.9-4.1 GHz. These filters span the radar S-frequency band (2.0-4.0 GHz). In order to switch between channels with a switching speed of nanoseconds, low-loss and highly isolated SP4T switches are implemented. Advanced design system (ADS) software is used to design the various filter functionalities, and the entire system is tested on a vector network analyzer (VNA). The proposed architecture makes it much easier to put the filter bank into practice and switch it to the desired frequency, which is useful for radar receiver applications.

Lesion Detection in Optical Coherence Tomography with Transformer-Enhanced Detector.

Optical coherence tomography (OCT) is an emerging imaging tool in healthcare with common applications in ophthalmology for the detection of retinal diseases and in dentistry for the early detection of tooth decay. Speckle noise is ubiquitous in OCT images, which can hinder diagnosis by clinicians. In this paper, a region-based, deep learning framework for the detection of anomalies is proposed for OCT-acquired images. The core of the framework is Transformer-Enhanced Detection (TED), which includes attention gates (AGs) to ensure focus is placed on the foreground while identifying and removing noise artifacts as anomalies. TED was designed to detect the different types of anomalies commonly present in OCT images for diagnostic purposes and thus aid clinical interpretation. Extensive quantitative evaluations were performed to measure the performance of TED against current, widely known, deep learning detection algorithms. Three different datasets were tested: two dental and one CT (hosting scans of lung nodules, livers, etc.). The results showed that the approach verifiably detected tooth decay and numerous lesions across two modalities, achieving superior performance compared to several well-known algorithms. The proposed method improved the accuracy of detection by 16-22% and the Intersection over Union (IOU) by 10% for both dentistry datasets. For the CT dataset, the performance metrics were similarly improved by 9% and 20%, respectively.

The Use of Wearable Technology in Providing Assistive Solutions for Mental Well-Being.

The main goal of this manuscript is to provide an extensive literature review and analysis of certain biomarkers, which are frequently used to identify stress, anxiety, and other emotions, leading to potential solutions for the monitoring of mental wellness using wearable technologies. It is possible to see the impacts of several biomarkers in detecting stress levels and their effectiveness with an investigation into the literature on this subject. Biofeedback training has demonstrated some psychological effects, such as a reduction in anxiety and self-control enhancement. This survey demonstrates backed up by evidence that wearable devices are assistive in providing health and mental wellness solutions. Because physical activity tracing would reduce the stress stressors, which affect the subject's body, therefore, it would also affect the mental activity and would lead to a reduction in cognitive mental load.

A High Performance All-Textile Wearable Antenna for Wristband Application.

A compact, conformal, all-textile wearable antenna is proposed in this paper for the 2.45 GHz ISM (Industrial, Scientific and Medical) band. The integrated design consists of a monopole radiator backed by a 2 × 1 Electromagnetic Band Gap (EBG) array, resulting in a small form factor suitable for wristband applications. An EBG unit cell is optimized to work in the desired operating band, the results of which are further explored to achieve bandwidth maximization via floating EBG ground. A monopole radiator is made to work in association with the EBG layer to produce the resonance in the ISM band with plausible radiation characteristics. The fabricated design is tested for free space performance analysis and subjected to human body loading. The proposed antenna design achieves bandwidth of 2.39 GHz to 2.54 GHz with a compact footprint of 35.4 × 82.4 mm2. The experimental investigations reveal that the reported design adequately retains its performance while operating in close proximity to human beings. The presented Specific Absorption Rate (SAR) analysis reveals 0.297 W/kg calculated at 0.5 W input power, which certifies that the proposed antenna is safe for use in wearable devices.

Enhancing System Performance through Objective Feature Scoring of Multiple Persons' Breathing Using Non-Contact RF Approach.

Breathing monitoring is an efficient way of human health sensing and predicting numerous diseases. Various contact and non-contact-based methods are discussed in the literature for breathing monitoring. Radio frequency (RF)-based breathing monitoring has recently gained enormous popularity among non-contact methods. This method eliminates privacy concerns and the need for users to carry a device. In addition, such methods can reduce stress on healthcare facilities by providing intelligent digital health technologies. These intelligent digital technologies utilize a machine learning (ML)-based system for classifying breathing abnormalities. Despite advances in ML-based systems, the increasing dimensionality of data poses a significant challenge, as unrelated features can significantly impact the developed system's performance. Optimal feature scoring may appear to be a viable solution to this problem, as it has the potential to improve system performance significantly. Initially, in this study, software-defined radio (SDR) and RF sensing techniques were used to develop a breathing monitoring system. Minute variations in wireless channel state information (CSI) due to breathing movement were used to detect breathing abnormalities in breathing patterns. Furthermore, ML algorithms intelligently classified breathing abnormalities in single and multiple-person scenarios. The results were validated by referencing a wearable sensor. Finally, optimal feature scoring was used to improve the developed system's performance in terms of accuracy, training time, and prediction speed. The results showed that optimal feature scoring can help achieve maximum accuracy of up to 93.8% and 91.7% for single-person and multi-person scenarios, respectively.

Non-Invasive Solutions to Identify Distinctions Between Healthy and Mild Cognitive Impairments Participants.

Mild cognitive impairment (MCI) is a condition characterized by impairment in a single cognitive domain or mild deficit in several cognitive domains. MCI patients are at increased risk of progression to dementia with almost 50% of MCI patients developing dementia within five years. Early detection can play an important role in early intervention, prevention, and appropriate treatments. In this study, we examined heart rate variability (HRV) as a novel physiological biomarker for identifying individuals at higher risk of MCI. We investigated if measuring HRV using non-invasive sensors might offer reliable, non-invasive techniques to distinguish MCI patients from healthy controls. Twenty-one MCI patients were recruited to examine this possibility. HRV was assessed using CorSense wearable device. HRV indices were analyzed and compared in rest between MCI and healthy controls. The significance of difference of numerical data between two groups was assessed using parametric unpaired t-test or non-parametric Wilcoxon rank sum test based on the fulfilment of unpaired t-test assumptions. Multiple linear regression models were performed to assess the association between individual HRV parameter with the cognitive status adjusting for gender and age. Time-domain parameters i.e., the standard deviation of NN intervals (SDNN), and the root mean square of successive differences between normal heartbeats (RMSSD) were significantly lower in MCI patients compared with healthy controls. Prediction accuracy for the logistic regression using 10-fold cross-validation was 76.5%, Specificity was 0.8571, while sensitivity was 0.8095. Our study demonstrated that healthy participants have higher HRV indices compared to older adults with MCI using non-invasive biosensors technologies. Our results are of clinical importance in terms of showing the possibility that MCI of older people can be predicted using only HRV PPG-based data.

Design and development of a multi-functional bi-anisotropic metasurface with ultra-wide out of band transmission.

This paper presents a multi-functional bi-anisotropic metasurface having ultra-wide out of band transmission characteristics. The proposed metasurface is comprised of 90° rotated T-shaped configuration yielding greater than or equal to 50% out-of-band transmission from above L- to X-band. Moreover, this metasurface achieves a maximum of 99% out-of-band transmission at lower frequency bands (i.e., L-band). The simultaneous absorptive and controlled reflection functionalities are achieved at 15.028 to 15.164 GHz along with polarization-insensitive and angular stable properties. The proposed metasurface yields state-of-the-art features compared to already published papers and has broader scope for Fabry Perot cavity, Radar cross-section (RCS) reduction, electromagnetic compatibility and interference (EMC/I) shielding, selective multi-frequency bolometers, ultrathin wave trapping filters, sensors and beam-splitters in the microwave domain.

Improving Machine Learning Classification Accuracy for Breathing Abnormalities by Enhancing Dataset.

The recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as coronavirus disease (COVID)-19, has appeared as a global pandemic with a high mortality rate. The main complication of COVID-19 is rapid respirational deterioration, which may cause life-threatening pneumonia conditions. Global healthcare systems are currently facing a scarcity of resources to assist critical patients simultaneously. Indeed, non-critical patients are mostly advised to self-isolate or quarantine themselves at home. However, there are limited healthcare services available during self-isolation at home. According to research, nearly 20-30% of COVID patients require hospitalization, while almost 5-12% of patients may require intensive care due to severe health conditions. This pandemic requires global healthcare systems that are intelligent, secure, and reliable. Tremendous efforts have been made already to develop non-contact sensing technologies for the diagnosis of COVID-19. The most significant early indication of COVID-19 is rapid and abnormal breathing. In this research work, RF-based technology is used to collect real-time breathing abnormalities data. Subsequently, based on this data, a large dataset of simulated breathing abnormalities is generated using the curve fitting technique for developing a machine learning (ML) classification model. The advantages of generating simulated breathing abnormalities data are two-fold; it will help counter the daunting and time-consuming task of real-time data collection and improve the ML model accuracy. Several ML algorithms are exploited to classify eight breathing abnormalities: eupnea, bradypnea, tachypnea, Biot, sighing, Kussmaul, Cheyne-Stokes, and central sleep apnea (CSA). The performance of ML algorithms is evaluated based on accuracy, prediction speed, and training time for real-time breathing data and simulated breathing data. The results show that the proposed platform for real-time data classifies breathing patterns with a maximum accuracy of 97.5%, whereas by introducing simulated breathing data, the accuracy increases up to 99.3%. This work has a notable medical impact, as the introduced method mitigates the challenge of data collection to build a realistic model of a large dataset during the pandemic.

A multifunctional ultrathin flexible bianisotropic metasurface with miniaturized cell size.

In this paper, a flexible bianisotropic metasurface possessing omega-type coupling is presented. The designed metasurface behaves differently when excited from either forward (port 1) or back (port 2) sides. It provides an absorption of 99.46% at 15.1 Gigahertz (GHz), when illuminated from port 1, whereas, on simultaneous illumination from port 2, it behaves like a partially reflective surface (PRS). Furthermore, the presented metasurface not only acts as an in-band absorptive surface (port 1) and partially reflective surface (port 2), but it also provides 97% out-of-band transmission at 7.8 GHz. The response of the presented metasurface remains the same for both transverse Electric (TE) and transverse magnetic (TM) polarized wave or any arbitrary linearly polarized wave. Additionally, the response of the metasurface is angularly stable for any oblique incidence up to 45º. The proposed ultrathin flexible metasurface with absorption, partial reflection and out-of-band transmission properties can be used in the Fabry Perrot cavity antenna for gain enhancement with radar cross-section (RCS) reduction both for passband and stop-band filtering, and conformal antenna applications.

Making assembly line in supply chain robust and secure using UHF RFID.

This paper presents a block-chain enabled inkjet-printed ultrahigh frequency radiofrequency identification (UHF RFID) system for the supply chain management, traceability and authentication of hard to tag bottled consumer products containing fluids such as water, oil, juice, and wine. In this context, we propose a novel low-cost, compact inkjet-printed UHF RFID tag antenna design for liquid bottles, with 2.5 m read range improvement over existing designs along with robust performance on different liquid bottle products. The tag antenna is based on a nested slot-based configuration that achieves good impedance matching around high permittivity surfaces. The tag was designed and optimized using the characteristic mode analysis. Moreover, the proposed RFID tag was commercially tested for tagging and billing of liquid bottle products in a conveyer belt and smart refrigerator for automatic billing applications. With the help of block-chain based product tracking and a mobile application, we demonstrate a real-time, secure and smart supply chain process in which items can be monitored using the proposed RFID technology. We believe the standalone system presented in this paper can be deployed to create smart contracts that benefit both the suppliers and consumers through the development of trust. Furthermore, the proposed system will paves the way towards authentic and contact-less delivery of food, drinks and medicine in recent Corona virus pandemic.

RF Sensing Based Breathing Patterns Detection Leveraging USRP Devices.

Non-contact detection of the breathing patterns in a remote and unobtrusive manner has significant value to healthcare applications and disease diagnosis, such as in COVID-19 infection prediction. During the epidemic prevention and control period of COVID-19, non-contact approaches have great significance because they minimize the physical burden on the patient and have the least requirement of active cooperation of the infected individual. During the pandemic, these non-contact approaches also reduce environmental constraints and remove the need for extra preparations. According to the latest medical research, the breathing pattern of a person infected with COVID-19 is unlike the breathing associated with flu and the common cold. One noteworthy symptom that occurs in COVID-19 is an abnormal breathing rate; individuals infected with COVID-19 have more rapid breathing. This requires continuous real-time detection of breathing patterns, which can be helpful in the prediction, diagnosis, and screening for people infected with COVID-19. In this research work, software-defined radio (SDR)-based radio frequency (RF) sensing techniques and machine learning (ML) algorithms are exploited to develop a platform for the detection and classification of different abnormal breathing patterns. ML algorithms are used for classification purposes, and their performance is evaluated on the basis of accuracy, prediction speed, and training time. The results show that this platform can detect and classify breathing patterns with a maximum accuracy of 99.4% through a complex tree algorithm. This research has a significant clinical impact because this platform can also be deployed for practical use in pandemic and non-pandemic situations.

Screen Printing Carbon Nanotubes Textiles Antennas for Smart Wearables.

Electronic textiles have become a dynamic research field in recent decades, attracting attention to smart wearables to develop and integrate electronic devices onto clothing. Combining traditional screen-printing techniques with novel nanocarbon-based inks offers seamless integration of flexible and conformal antenna patterns onto fabric substrates with a minimum weight penalty and haptic disruption. In this study, two different fabric-based antenna designs called PICA and LOOP were fabricated through a scalable screen-printing process by tuning the conductive ink formulations accompanied by cellulose nanocrystals. The printing process was controlled and monitored by revealing the relationship between the textiles' nature and conducting nano-ink. The fabric prototypes were tested in dynamic environments mimicking complex real-life situations, such as being in proximity to a human body, and being affected by wrinkling, bending, and fabric care such as washing or ironing. Both computational and experimental on-and-off-body antenna gain results acknowledged the potential of tunable material systems complimenting traditional printing techniques for smart sensing technology as a plausible pathway for future wearables.

Securing the Insecure: A First-Line-of-Defense for Body-Centric Nanoscale Communication Systems Operating in THz Band.

This manuscript presents a novel mechanism (at the physical layer) for authentication and transmitter identification in a body-centric nanoscale communication system operating in the terahertz (THz) band. The unique characteristics of the propagation medium in the THz band renders the existing techniques (say for impersonation detection in cellular networks) not applicable. In this work, we considered a body-centric network with multiple on-body nano-senor nodes (of which some nano-sensors have been compromised) who communicate their sensed data to a nearby gateway node. We proposed to protect the transmissions on the link between the legitimate nano-sensor nodes and the gateway by exploiting the path loss of the THz propagation medium as the fingerprint/feature of the sender node to carry out authentication at the gateway. Specifically, we proposed a two-step hypothesis testing mechanism at the gateway to counter the impersonation (false data injection) attacks by malicious nano-sensors. To this end, we computed the path loss of the THz link under consideration using the high-resolution transmission molecular absorption (HITRAN) database. Furthermore, to refine the outcome of the two-step hypothesis testing device, we modeled the impersonation attack detection problem as a hidden Markov model (HMM), which was then solved by the classical Viterbi algorithm. As a bye-product of the authentication problem, we performed transmitter identification (when the two-step hypothesis testing device decides no impersonation) using (i) the maximum likelihood (ML) method and (ii) the Gaussian mixture model (GMM), whose parameters are learned via the expectation-maximization algorithm. Our simulation results showed that the two error probabilities (missed detection and false alarm) were decreasing functions of the signal-to-noise ratio (SNR). Specifically, at an SNR of 10 dB with a pre-specified false alarm rate of 0.2, the probability of correct detection was almost one. We further noticed that the HMM method outperformed the two-step hypothesis testing method at low SNRs (e.g., a 10% increase in accuracy was recorded at SNR = -5 dB), as expected. Finally, it was observed that the GMM method was useful when the ground truths (the true path loss values for all the legitimate THz links) were noisy.

A multiband circular polarization selective metasurface for microwave applications.

In this research article, a multiband circular polarization selective (CPS) metasurface is presented. A reciprocal bi-layered metasurface is designed by introducing the chirality in the structure. The top layer of the proposed metasurface is composed of circular split-ring resonator with a cross shape structure inside it. The same structure is printed on the bottom side of the proposed metasurface by rotating it at an angle of 90° to achieve chirality in the structure. The proposed metasurface is able to add CPS surface capability between 5.18 and 5.23 GHz for y-polarized incident wave. For the frequency band of 5.18-5.23 GHz, the transmission goes up to - 4 dB, while the polarization extinction ratio (PER) reaches up to - 27.4 dB at 5.2 GHz. Similarly, for x-polarized incident wave, three strategic CPS operating bands are achieved within the frequency ranges of 10.64-10.82 GHz, 12.25-12.47 GHz, and 14.42-14.67 GHz. The maximum PER of 47.16 dB has been achieved for the 14.42-14.67 GHz frequency band at 14.53 GHz. Furthermore, the response of the metasurface does not vary against oblique incidences up to 45°. The simple structure, angular stability, multiband and miniaturized size make this metasurface an outstanding applicant for polarization conversion and biomedical applications.

Contactless Small-Scale Movement Monitoring System Using Software Defined Radio for Early Diagnosis of COVID-19.

The exponential growth of the novel coronavirus disease (N-COVID-19) has affected millions of people already and it is obvious that this crisis is global. This situation has enforced scientific researchers to gather their efforts to contain the virus. In this pandemic situation, health monitoring and human movements are getting significant consideration in the field of healthcare and as a result, it has emerged as a key area of interest in recent times. This requires a contactless sensing platform for detection of COVID-19 symptoms along with containment of virus spread by limiting and monitoring human movements. In this paper, a platform is proposed for the detection of COVID-19 symptoms like irregular breathing and coughing in addition to monitoring human movements using Software Defined Radio (SDR) technology. This platform uses Channel Frequency Response (CFR) to record the minute changes in Orthogonal Frequency Division Multiplexing (OFDM) subcarriers due to any human motion over the wireless channel. In this initial research, the capabilities of the platform are analyzed by detecting hand movement, coughing, and breathing. This platform faithfully captures normal, slow, and fast breathing at a rate of 20, 10, and 28 breaths per minute respectively using different methods such as zero-cross detection, peak detection, and Fourier transformation. The results show that all three methods successfully record breathing rate. The proposed platform is portable, flexible, and has multifunctional capabilities. This platform can be exploited for other human body movements and health abnormalities by further classification using artificial intelligence.