A Unified Dynamic Model for the Decomposition of Skin Conductance and the Inference of Sudomotor Nerve Activities
Electrodermal activity (EDA), commonly measured as skin conductance (SC), is a widely used physiological signal in psychological research and behavioral health applications. EDA is considered an indicator of arousal, a key aspect of emotion and stress. This work proposes a data-driven dynamic system model that characterizes the temporal dynamics of skin conductance and infers the latent arousal signal, utilizing techniques from system identification and sparse optimization. It introduces a fourth-order, linear time-invariant model for the overall skin conductance signal, including both the tonic and phasic components. The model was applied to a large dataset of over 200 participants to evaluate model fit. Furthermore, a three-component decomposition of skin conductance is introduced, based on mathematical definitions derived from the model, which provides key insights into the temporal dynamics of skin conductance. Comparative evaluation shows that the estimated latent neural signal effectively differentiates between high and low arousal states, while maintaining expected physiological properties. This work lays the foundation for numerous behavioral health applications and paves the road for designing physiology-based interventions aimed at regulating arousal.
Cortical Activation Patterns Determine Effectiveness of rTMS-induced Motor Imagery Decoding Enhancement in Stroke Patients
Combination therapy with motor imagery (MI)-based brain-computer interface (BCI) and repetitive transcranial magnetic stimulation (rTMS) is a promising therapy for poststroke neurorehabilitation. However, with patients' individual differences, the clinical effects vary greatly. This study aims to explore the hypothesis that stroke patients show individualized cortical response to rTMS treatments, which determine the effectiveness of rTMS-induced MI decoding enhancement. We applied four kinds of rTMS treatments respectively to four groups of subacute stroke patients, twenty-six patients in total, and observed their EEG dynamics, MI decoding performance, and Fugl-Meyer assessment changes following 2-week neuromodulation. Four treatments consisted of ipsilesional 10 Hz rTMS, contralesional 1 Hz rTMS, ipsilesional 1 Hz rTMS, and sham stimulation. Results showed stroke patients with different neural reorganization patterns responded individually to rTMS therapy. Patients with cortical lesions mostly showed contralesional recruitment and patients without cortical lesions mostly presented ipsilesional focusing. Significant activation increases in the ipsilesional hemisphere (pre: -15.7% ∓ 8.2%, post: -17.3% ∓ 8.1%, p = 0.037) and MI decoding accuracy enhancement (pre: 76.3 ± 13.8%, post: 86.6 ± 8.2%, p = 0.037) were concurrently found in no-cortical-lesion patients with ipsilesional activation treatment. In the group of patients without cortical lesions, recovery rate in those receiving ipsilesional activation therapy (23.5 ± 10.4%) was higher than those receiving ipsilesional suppression therapy (9.9 ± 9.3%) (p = 0.041). This study reveals that tailoring neuromodulation therapy by recognizing cortical activation patterns is promising for improving effectiveness of the combination therapy with BCI and rTMS.
A Growing Bubble Speller Paradigm for Brain-Computer Interface Based on Event-related Potentials
Event-related potentials (ERPs) reflect electropotential changes within specific cortical regions in response to specific events or stimuli during cognitive processes. The P300 speller is an important application of ERP-based brain-computer interfaces (BCIs), offering potential assistance to individuals with severe motor disabilities by decoding their electroencephalography (EEG) to communicate.
Closed-perfusion transretinal ERG setup for preclinical drug and nanostructure testing
The isolated mammalian retina may serve as a sensitive biosensor for preclinical drug testing, including eye drugs and a broader range of pharmaceuticals. To facilitate testing with minimal amounts of drug molecules or nanostructures, we developed a closed-perfusion transretinal electroretinography (tERG) setup.
Personalized Blood Glucose Forecasting From Limited CGM Data Using Incrementally Retrained LSTM
For people with Type 1 diabetes (T1D), accurate blood glucose (BG) forecasting is crucial for the effective delivery of insulin by Artificial Pancreas (AP) systems. Deep learning frameworks like Long Short-Term-Memory (LSTM) have been widely used to predict BG using continuous glucose monitor (CGM) data. However, these methods usually require large amounts of training data for personalized forecasts. Moreover, individuals with diabetes exhibit diverse glucose variability (GV), resulting in varying forecast accuracy. To address these limitations, we propose a novel deep learning framework: Incrementally Retrained Stacked LSTM (IS-LSTM). This approach gradually adapts to individuals' data and employs parameter-transfer for efficiency. We compare our method to three benchmarks using two CGM datasets from individuals with T1D: OpenAPS and Replace-BG. On both datasets, our approach significantly reduces root mean square error compared to the state of the art (Stacked LSTM): from 14.55 to 10.23mg/dL (OpenAPS) and 17.15 to 13.41mg/dL (Replace-BG) at 30-minute Prediction Horizon (PH). Clarke error grid analysis demonstrates clinical feasibility with at least 98.81% and 97.25% of predictions within the clinically safe zone at 30- and 60-minute PHs. Further, we demonstrate the effectiveness of our method in cold-start scenarios, which helps new CGM users obtain accurate predictions.
A novel computer-assisted system for long bone fracture reduction with a hexapod external fixator
Accurate alignment of long bone fractures under minimally invasive procedures is a prerequisite for excellent treatment outcomes. However, the existing technologies suffer from the drawbacks of complex operations and excessive dependence on the surgeon's expertise. To solve these problems, we have developed a novel computer-assisted system to achieve rapid and effective reduction of fractures.
Gait Symmetric Adaptation and Aftereffect Through Concurrent Split-Belt Treadmill Walking and Explicit Visual Feedback Distortion
Gait asymmetry may be improved through various gait training methods. Combining split-belt treadmill walking (SB) with visual feedback distortion (VD) could enhance motor learning, thereby improving gait symmetry adaptation and retention. This study compared step length symmetry adaptation and aftereffects between SB-only and the combined explicit VD with SB, as well as between explicit VD-only and the combined explicit VD with SB.
Label-Free Non-Contact Vascular Imaging using Photon Absorption Remote Sensing
Functional vascular imaging is a critical method for early detection and prevention of disease. Established non-contact vascular imaging techniques capture predominantly structural information. In this study, a novel non-contact label-free in vivo Photon Absorption Remote Sensing (PARS) microscope is developed for structural and functional vascular imaging.
Computationally Efficient SVD Filtering for Ultrasound Flow Imaging and Real-Time Application to Ultrafast Doppler
Over the past decade, ultrasound microvasculature imaging has seen the rise of highly sensitive techniques, such as ultrafast power Doppler (UPD) and ultrasound localization microscopy (ULM). The cornerstone of these techniques is the acquisition of a large number of frames based on unfocused wave transmission, enabling the use of singular value decomposition (SVD) as a powerful clutter filter to separate microvessels from surrounding tissue. Unfortunately, SVD is computationally expensive, hampering its use in real-time UPD imaging and weighing down the ULM processing chain, with evident impact in a clinical context. To solve this problem, we propose a new approach to implement SVD filtering, based on simplified and elementary operations that can be optimally parallelized on GPU (GPU sSVD), unlike standard SVD algorithms that are mainly serial. First, we show that GPU sSVD filters UPD and ULM data with high computational efficiency compared to standard SVD implementations, and without losing image quality. Second, we demonstrate that the proposed method is suitable for real-time operation. GPU sSVD was embedded in a research scanner, along with the spatial similarity matrix (SSM), a well-known efficient approach to automate the selection of SVD blood components. High real-time throughput of GPU sSVD is demonstrated when using large packets of frames, with and without SSM. For example, more than 15000 frames/s were filtered with 512 packet size on a 128 × 64 samples beamforming grid. Finally, GPU sSVD was used to perform, for the first time, UPD imaging with real-time and adaptive SVD filtering on healthy volunteers.
Ventricular Arrhythmia Classification Using Similarity Maps and Hierarchical Multi-Stream Deep Learning
Ventricular arrhythmias are the primary arrhythmias that cause sudden cardiac death. We address the problem of classification between ventricular tachycardia (VT), ventricular fibrillation (VF) and non-ventricular rhythms (NVR).
Diagnosing Necrotizing Enterocolitis via Fine-Grained Visual Classification
Necrotizing Enterocolitis (NEC) is a devastating condition affecting prematurely born neonates. Reviewing Abdominal X-rays (AXRs) is a key step in NEC diagnosis, staging and treatment decision-making, but poses significant challenges due to the subtle, difficult-to-identify radiological signs of the disease. In this paper, we propose AIDNEC - AI Diagnosis of NECrotizing enterocolitis, a deep learning method to automatically detect and stratify the severity (surgical or medical) of NEC from no pathology in AXRs. The model is trainable end-to-end and integrates a Detection Transformer and Graph Convolution modules for localizing discriminative areas in AXRs, used to formulate subtle local embeddings. These are then combined with global image features to perform Fine-Grained Visual Classification (FGVC). We evaluate AIDNEC on our GOSH NEC dataset of 1153 images from 334 patients, achieving 79.7% accuracy in classifying NEC against No Pathology. AIDNEC outperforms the backbone by 2.6%, FGVC models by 2.5% and CheXNet by 4.2%, with statistically significant (two-tailed p 0.05) improvements, while providing meaningful discriminative regions to support the classification decision. Additional validation in the publicly available Chest X-ray14 dataset yields comparable performance to state-of-the-art methods, illustrating AIDNEC's robustness in a different X-ray classification task.
Perovskite Quantum Dot-Based Photovoltaic Biointerface for Photostimulation of Neurons
A promising avenue for vision restoration against retinal degeneration is the use of semiconductor-based photovoltaic biointerfaces to substitute natural photoreceptors. Instead of silicon, perovskite has emerged as an exciting material for solar energy harvesting, and its nanocrystalline forms generally offer better stability than their bulk counterparts in addition to the distinct synthesis and fabrication steps.
A Novel Methodology for Intracranial Pressure Subpeak Identification Enabling Morphological Feature Analysis
The objective of this study is to propose a novel methodology for intracranial pressure (ICP) waveform subpeak identification by incorporating arterial blood pressure (ABP) and electrocardiogram (ECG) signals from patients who have undergone traumatic brain injury (TBI).
PET mapping of receptor occupancy using joint direct parametric reconstruction
Receptor occupancy (RO) studies using PET neuroimaging play a critical role in the development of drugs targeting the central nervous system (CNS). The conventional approach to estimate drug receptor occupancy consists in estimation of binding potential changes between two PET scans (baseline and post-drug injection). This estimation is typically performed separately for each scan by first reconstructing dynamic PET scan data before fitting a kinetic model to time activity curves. This approach fails to properly model the noise in PET measurements, resulting in poor RO estimates, especially in low receptor density regions.
ThermICA: Novel Approach for a Multivariate Analysis of Facial Thermal Responses
Infrared Thermography (IRT) has been used to monitor skin temperature variation in a contactless manner, in both clinical medicine and psychophysiology. Here, we introduce a new methodology to obtain information about autonomic correlates related to perspiration, peripheral vasomotility, and respiration from infrared recordings.
Modeling Patient-specific Apnea-bradycardia Patterns in Preterm Newborn
Preterm infants are particularly exposed to severe cardio-respiratory events, associating apnea with bradycardia and oxygen desaturation. A patient-specific and event-specific model-based approach is proposed in this work to analyze the acute heart rate response to apnea-bradycardia events in preterm newborn.
A New Multi-mode, High Pressure Portable Transcranial Ultrasound Stimulation System
Transcranial ultrasound stimulation (TUS) is a promising non-invasive neuromodulation method for brain disorders. Commonly-used TUS systems in research include custom-built and commercial devices. Custom-built devices typically consist of traditional function generator, power amplifier, and ultrasound transducer. Due to cumbersome wiring and absence of dedicated control software, the operation of these devices is inconvenient. Commercial devices often have limited waveform modes and cannot perform ultrasound modulation with complex waveforms. These limitations limit the application of TUS technology by ordinary users. Therefore, we propose a portable TUS system with multiple modes and high acoustic pressure.
Action Observation with Rhythm Imagery (AORI): A Novel Paradigm to Activate Motor-Related Pattern for High-Performance Motor Decoding
The Motor Imagery (MI) paradigm has been widely used in brain-computer interface (BCI) for device control and motor rehabilitation. However, the MI paradigm faces challenges such as comprehension difficulty and limited decoding accuracy. Therefore, we propose the Action Observation with Rhythm Imagery (AORI) as a natural paradigm to provide distinct features for high-performance decoding.
Cluster Neuronal Firing Induced by Uniform Pulses of High-Frequency Stimulation on Axons in Rat Hippocampus
High-frequency stimulation (HFS) of electrical pulse sequences has been used in various neuromodulation techniques to treat certain disorders. Here, we test the hypothesis that HFS sequences with purely periodic pulses could directly generate non-uniform firing in directly stimulated neurons.
A Bipedal Walking Model Considering Trunk Pitch Angle for Estimating the Influence of Suspension Load on Human Biomechanics
Suspended loads have been shown to improve loaded-walking economy. Establishing a biped walking model with dynamic trunk pitch angles can provide more comprehensive estimates of the human biomechanical response under suspended loads.
A Computational Study on the Activation of Neural Transmission in Deep Brain Stimulation
Deep brain stimulation (DBS) is an established treatment for neurodegenerative movement disorders such as Parkinson's disease that mitigates symptoms by overwriting pathological signals from the central nervous system to the motor system. Nearly all computational models of DBS, directly or indirectly, associate clinical improvements with the extent of fiber activation in the vicinity of the stimulating electrode. However, it is not clear how such activation modulates information transmission. Here, we use the exact cable equation for straight or curved axons and show that DBS segregates the signaling pathways into one of the three communicational modes: complete information blockage, uni-, and bi-directional transmission. Furthermore, all these modes respond to the stimulating pulse in an asynchronous but frequency-locked fashion. Asynchrony depends on the geometry of the axon, its placement and orientation, and the stimulation protocol. At the same time, the electrophysiology of the nerve determines frequency-locking. Such a trimodal response challenges the notion of activation as a binary state and studies that correlate it with the DBS outcome. Importantly, our work suggests that a mechanistic understanding of DBS action relies on distinguishing between these three modes of information transmission.