This book aims at informing on new trends, challenges and solutions, in the multidisciplinary field of biomedical engineering. It covers traditional biomedical engineering topics, as well as innovative applications such as artificial intelligence in health care, tissue engineering , neurotechnology and wearable devices. Further topics include mobile health and electroporation-based technologies, as well as new treatments in medicine. Gathering the proceedings of the 8th European Medical and Biological Engineering Conference (EMBEC 2020), held on November 29 - December 3, 2020, in Portorož, Slovenia, this book bridges fundamental and clinically-oriented research, emphasizing the role of education, translational research and commercialization of new ideas in biomedical engineering. It aims at inspiring and fostering communication and collaboration between engineers, physicists, biologists, physicians and other professionals dealing with cutting-edge themes in and advanced technologies serving the broad field of biomedical engineering.
Author(s): Tomaz Jarm, Aleksandra Cvetkoska, Samo Mahnič-Kalamiza, Damijan Miklavcic
Series: IFMBE Proceedings, 80
Publisher: Springer
Year: 2021
Language: English
Pages: 1172
City: Cham
Preface and Welcome Address
Organization
Committees
Organizing Committee
International Scientific Programme Committee
International Advisory Committee
Scientific Reviewers
Contents
A Current-Based Forward Solver for the Shunt Model of Electrical Impedance Tomography
1 Method
1.1 Forming the System of Linear Equations
1.2 Distributions of Current Density and Potential
2 Simulation Results
3 Discussion
References
A MATLAB App to Assess, Compare and Validate New Methods Against Their Benchmarks
Abstract
1 Introduction
2 Methods
2.1 Statistical Analysis
2.2 Validation
3 Results
3.1 First Tab: Overview
3.2 Second Tab: Data Uploading and Normality Test
3.3 Third Tab: Results of the Correlation Analysis
3.4 Fourth Tab: Bias, Limits of Agreement and Bland-Altman Plots
3.5 Fifth Tab: Results of the Statistical Hypothesis Test
3.6 Sixth Tab: Summary and Statistical Indexes
4 Conclusion
Conflict of Interest
References
A Novel Convolutional Neural Network for Continuous Blood Pressure Estimation
Abstract
1 Introduction
2 Data Collection
3 Preprocessing
4 Proposed Convolutional Neural Networks (CNN) Architecture
5 Experimental Results and Comparison
6 Conclusion
References
A Novel Validation Framework to Assess Segmentation Accuracy of Inertial Sensor Data for Rehabilitation Exercises
Abstract
1 Introduction
2 Methodology
2.1 IMU Data Collection
2.2 Data Analysis
3 Results and Discussion
4 Conclusion
References
A Retrospective Observational Study of Health Facility Ownership Type and Performance on HIV Indicator Data Reporting in Kenya
Abstract
1 Introduction
2 Method
3 Results
3.1 Overall Reporting Performance
4 Discussion
5 Conclusion
Declaration of Conflicting Interests
References
A Study of Baseline in Psychophysiological Experiments
Abstract
1 Introduction
2 Method
2.1 Sample
2.2 Stimuli and Experimental Design
3 Results
3.1 Difficulty of Arithmetic Tasks
3.2 Physiology During Task
4 Discussion
References
A Tool for Automatic Estimation of Patient Position in Spinal CT Data
1 Introduction
2 Methods
2.1 Rotation Prediction
2.2 Implementation Details
2.3 Experimental Data
3 Results and Discussion
4 Conclusion
References
A Web-Based Service Portal to Steer Numerical Simulations on High-Performance Computers
1 Introduction
2 State-of-the-Art in Interactive Supercomputing
3 Challenges of Service Establishment and Operation
4 An HPC-Based Web Service
4.1 Simulation Method
4.2 Technical Implementation of a Service Portal
5 Conclusion
References
An Alternative Way to Measure Tidal Volumes
Abstract
1 Introduction
2 Methods
2.1 Measurement Device
2.2 Participants and Respiratory Maneuvers
2.3 Data Processing
3 Results
4 Discussion
5 Conclusion
Acknowledgement
References
Analysis and Measurement of Cardiac Output Based on Pulmonary Artery Thermodilution in Laboratory Conditions
1 Introduction
2 Measurement Technique
3 Hardware Design
4 Software Design
5 Test Measurements
6 Conclusion
References
Anisotropic Iteratively Re-weighted TV Regularized Reconstruction for Linear Tomosynthesis
Abstract
1 Introduction
1.1 The Problem of the Reconstruction
2 Materials and Methods
2.1 Related Works
2.2 Proposed Method
2.3 The Methodology of Comparing Different Methods
3 Results
4 Discussion and Conclusion
Conflict of Interest
References
Anti-tumor Effectiveness of Calcium Electroporation in Subcutaneous Murine Tumor Models is Dose Dependent
Abstract
1 Introduction
2 Materials and Methods
2.1 Cell Lines and Animals
2.2 Tumor Induction
2.3 Calcium Electroporation in Vivo
2.4 Tumor Growth Assay
2.5 Statistical Analysis
3 Results and Discussion
4 Conclusions
Conflict of Interest
References
Application of Artificial Neural Networks for Analysis of Ice Recrystallization Process for Cryopreservation
Abstract
1 Introduction
2 Materials and Methods
3 Experimental Results
4 Conclusions
Conflict of Interest
References
Application of SOFA Framework for Physics-Based Simulation of Deformable Human Anatomy of Nasal Cavity
Abstract
1 Introduction
2 Materials and Methods
3 Experimental Results
3.1 Application of Force Field Templates
3.2 Simulation of Deformation of the Nasal Anatomic Structures
4 Conclusions
Conflict of Interest
References
Assessment of Associations Between Arterial Mechanical Properties and Biochemical Blood Markers for Early Detection of Atherosclerosis
Abstract
1 Introduction
2 Methods
2.1 Subjects
2.2 Arterial Biomechanical Properties
2.3 Blood Markers Measurements
2.4 Data Analysis and Statistical Methods
3 Results
4 Discussion
5 Conclusion
Conflict of Interest
References
Atlas Optimization for Deep Brain Stimulation
1 Introduction
2 Method
2.1 Clinical Data
2.2 Normalization Pipeline
2.3 Normalization Assessment
2.4 Parameters Exploration
3 Results
3.1 Parameters Exploration
3.2 Best Template Created
4 Discussion
5 Conclusion
References
Augmented Reality Biofeedback for Muscle Activation Monitoring: Proof of Concept
Abstract
1 Introduction
2 System Design
2.1 System Architecture
2.2 System Implementation
2.3 Proof of Concept
3 Conclusions
Conflict of Interest
References
Automatic Detection of Real and Imaginary Parts of Electrical Impedance with Single Synchronous Demodulation Channel
Abstract
1 Introduction
2 Proposed Method
3 Conclusion
Conflict of Interest
References
Automatic MR Spinal Cord Segmentation by Hybrid Residual Attention-Aware Convolutional Neural Networks and Learning Rate Optimization on Real World Data
Abstract
1 Introduction
2 Materials and Methods
2.1 Dataset
2.2 Data Normalization
2.3 Spinal Cord Delineation. Ground Truth Generation
2.4 Spinal Cord Segmentation Network and Hyper-parameters
3 Results
4 Conclusion
5 Limitations
Conflict of Interest
References
Average Walking Speed Estimation with an Inertial Sensor in 10-m Walk Test: A Validation Test with Healthy Subjects
Abstract
1 Introduction
2 Estimation Method of Average Walking Speed
2.1 Stride Detection
2.2 Stride Length Estimation
2.3 Walking Speed Estimation
3 Validation Tests
3.1 Methods
3.2 Results
4 Discussions
5 Conclusion
Acknowledgment
References
Beat-to-Beat Detection Accuracy Using the Ultra Low Power Senbiosys PPG Sensor
1 Introduction
2 Materials and Methods
2.1 Subjects
2.2 Data Acquisition
2.3 Signal Processing
3 Performance Evaluation
3.1 IBI Detection
3.2 IBI Estimation
3.3 Comparison with Shimmer3 PPG
4 Performance vs Power Trade-Off
4.1 SB200 Power Consumption
4.2 IBI Detection Accuracy vs Sampling Frequency
5 Conclusion
References
Biomechanical Characteristics of Non-stationary Respiration Regimens as Possible Indicators of Tiredness in Monotonic Hypokinetic Load
Abstract
1 Introduction
2 Experiment
2.1 Research Group
2.2 Measurement Protocol
2.3 Instrumentation
2.4 Data Processing
2.5 Data Evaluation
3 Results
4 Conclusion
References
Biomedical Application of Fe-Mn Oxide Nanoparticles
Abstract
1 Introduction
2 Materials and Methods
2.1 Synthesis of the Nanoparticles
2.2 Synthesis of the Samples of PLGA-FeMn-NPs
2.3 Shape and Size
2.4 Nanofluid SAR
3 Results
3.1 Characterization of FeMn-NPs and PLGA-FeMn-NPs
3.2 SAR Evaluation
3.3 Biomedical Application of the PLGA-FeMn-NPs
4 Conclusion
Acknowledgements
References
Biomedical Engineering Education in Europe: A 30 Years Review
Abstract
1 Introduction
2 Materials and Methods
2.1 Past Initiatives and Follow up Studies
2.2 Methodology
3 Results
4 Discussion
5 Conclusions
Acknowledgment
References
Preliminary Observations on the Effect of Fullerene and Cerium Oxide Nanoparticles on Phase Transitions of Aqueous DMSO Solutions
Abstract
1 Introduction
2 Materials and Methods
3 Results and Discussion
4 Conclusions
References
Can Functional Infrared Thermal Imaging Estimate Mental Workload in Drivers as Evaluated by Sample Entropy of the fNIRS Signal?
Abstract
1 Introduction
2 Materials and Methods
2.1 Participants
2.2 Instrumentations
2.3 Experimental Design
2.4 Data Analysis
3 Results
4 Discussion
5 Conclusion
Conflicts of Interest
References
Cell Segmentation in Quantitative Phase Images with Improved Iterative Thresholding Method
1 Introduction
2 Methods
2.1 Iterative Thresholding
2.2 Laplacian of Gaussian Enhancement
2.3 Distance Transform-Based Splitting
2.4 Improved Iterative Thresholding
2.5 Experimental Data
3 Results and Discussion
4 Conclusion
References
Characteristic Waveforms for Testing of Medical Aerosol Inhalers
1 Aerosol Drug Delivery
2 Particles Deposition Mechanisms
3 Materials and Methods
3.1 Electro-Mechanical Lung Simulator xPULMTM
3.2 Inhalatory Waveforms
3.3 Measurement Procedure and Data Evaluation
4 Results
5 Discussion
References
Combining Electrochemotherapy with Targeted Therapy Olaparib in vitro
Abstract
1 Introduction
2 Materials and Methods
2.1 Cells and Drugs
2.2 Electrochemotherapy in vitro
2.3 Olaparib Treatment
2.4 Cell Survival Assay
2.5 Combination of Electrochemotherapy and Olaparib
2.6 Statistical Analysis
3 Results
4 Discussion
5 Conclusion
Conflict of Interest
References
Comparison Between Conventional SQUID Based and Novel OPM Based Measuring Systems in MEG
1 Introduction
2 Methods
3 Results
4 Conclusion
References
Complexity Analysis of a Biosignal Time Series Similarity Indexing Approach
Abstract
1 Introduction
2 Methods
2.1 Similarity Measure and Indexing Schemes
2.2 Complexity Analysis
3 Results
4 Conclusions
References
Compliance of a Cardiovascular System Is Non-linear – Influence on the Relation Between Blood Pressure and an Impedance Cardiography in the Reservoir-Wave Model
Abstract
1 Introduction
2 Method
2.1 Simulation of Aortic Blood Pressure Using Reservoir-Wave Model
2.2 Real Signals Analysis and Verification
3 Results
4 Discussion
Conflict of Interest
References
Contribution of Algebraic Iterative Reconstruction Algorithm for Joint Space Segmentation Based on Cone Beam Computed Tomography Images
Abstract
1 Introduction
2 Materiel and Methods
2.1 Experimental Setup
2.2 Image Reconstruction
2.3 Segmentation and Morphometric Measurements
3 Results
4 Discussion
5 Conclusion
References
Control System and User Interface of Cooling Module for Braces
Abstract
1 Introduction
2 Methods
2.1 Participants
2.2 Structure of Cooling Modules
2.3 Control System and User Interface
2.4 Measurement and Verification
3 Results and Discussion
4 Conclusion
Conflict of Interest
References
Counteracting Balance Loss in Transfemoral Amputees by Using an Active Pelvis Orthosis: A Case Series
Abstract
1 Introduction
2 Materials and Methods
2.1 Participants
2.2 Experimental Setup and Protocol
2.3 Data Analysis
3 Results
3.1 Participants
3.2 Effectiveness of the Assistive Strategy
4 Discussion
4.1 Detection Algorithm
4.2 Assistive Strategy
5 List of Abbreviations
Acknowledgments
References
Dealing with Open Issues and Unmet Needs in Healthcare Through Ontology Matching and Federated Learning
Abstract
1 Introduction
2 Federated Analysis Pipeline
2.1 Data Governance
2.2 Ontology Matching
2.3 Federated Learning
3 Results
3.1 Preliminary Case Study
3.2 Enhancing the Data Quality Through Data Curation
3.3 Overcoming the Structural Heterogeneity Through Ontology Matching
3.4 Lymphomagenesis Prediction Through Federated Learning
4 Conclusions
Acknowledgement
References
Decision Support System Based on Artificial Neural Network for Prediction of Antibiotic Sensitivity of Causative Agents of Urinary Tract Infection in Certain Geographical Regions
Abstract
1 Introduction
2 Materials and Methods
2.1 Dataset
2.2 Artificial Neural Network
3 Results
3.1 Expert System Based on Artificial Neural Network Training
3.2 Expert System Based on Artificial Neural Network Performance Validation
4 Conclusion
Conflict of Interest Declaration
References
Decomposition of Compound Muscle Action Potentials by Convolution Kernel Compensation Method: Improved Segmentation of Motor Unit Firings
Abstract
1 Introduction
2 Methodology
2.1 Synthetic HDEMG Signals
2.2 HDEMG Data Model and CKC Decomposition Method
2.3 Statistical Analysis
3 Results
4 Discussion
Declaration of Conflict of Interests
References
Decomposition of High Density Electromyogram Reveals Changes in Motor Unit Action Potential Amplitude After Intramuscular Botulinum Toxin
Abstract
1 Introduction
2 Experimental Methods
3 Results
3.1 Contraction Force
3.2 HDsEMG Analysis
3.3 Peak to Peak Amplitude of the Detected MUAPs
4 Discussion
Declaration of Conflict of Interests
References
Deep Learning for Cardiologist-Level Myocardial Infarction Detection in Electrocardiograms
1 Introduction
2 Related Work
3 Methods
3.1 Data Curation
3.2 Neural Network Model
4 Results
4.1 Record-Wise Split
4.2 Patient-Wise Split
5 Discussion
6 Conclusion
References
Detecting Sleep Spindles Using Entropy
1 Introduction
2 Entropy Definitions
3 Data and Methodology
4 Results
5 Conclusion
References
Detection of Acute Inflammation of Urinary Bladder and Acute Nephritis of Renal Pelvis Origin Using Artificial Neural Network
Abstract
1 Introduction
2 Methods and Materials
3 Results
3.1 Training Process
3.2 Validation Process
4 Conclusion
References
Detection of Temporomandibular Joint Disfunction in Juvenile Idiopathic Arthritis Through Infrared Thermal Imaging and a Machine Learning Procedure
Abstract
1 Introduction
2 Materials and Methods
2.1 Participants
2.2 Electromyographic and Thermal Imaging Measurements
2.3 Experimental Paradigm
2.4 Statistical Analysis and SEMG-M/T Prediction Through Machine Learning GLM
3 Results
4 Discussion
5 Conclusion
References
Development of an Instrumented Chair to Identify the Phases of the Sit-to-Stand Movement
Abstract
1 Introduction
2 Methods
2.1 Instrumented Chair
2.2 Experimentation
3 Results
4 Discussion
Acknowledgement
References
Directional Freezing of Cell-Seeded Electrospun Fiber Mats for Tissue Engineering Applications
Abstract
1 Introduction
2 Materials and Methods
3 Results and Discussion
4 Concluding Remarks
Conflict of Interest
References
Distinguishing Aortic Stenosis from Bicuspid Aortic Valve in Children Using Intelligent Phonocardiography
Abstract
1 Introduction
2 Materials
2.1 Data Acquisition
2.2 Patient Population
3 Methods
3.1 The TGNN
3.2 The Baseline Method
3.3 The A-Test Validation Method
4 Results
5 Discussion
6 Conclusions
Acknowledgement
References
Distributed Access Control for Cross-Organizational Healthcare Data Sharing Scenarios
Abstract
1 Introduction
2 Scenario
3 Access Control System
4 Results and Discussion
5 Conclusion
Conflict of Interest
References
DMAIC Approach for the Reduction of Healthcare-Associated Infections in the Neonatal Intensive Care Unit of the University Hospital of Naples ‘Federico II’
Abstract
1 Introduction
2 Methods
2.1 Define Phase
2.2 Measure Phase
2.3 Analyze Phase
3 Results
3.1 Define Phase
3.2 Measure Phase
3.3 Analyze Phase
4 Discussion and Conclusions
Conflict of Interest
References
DMAIC Approach to Reduce LOS in Patients Undergoing Oral Cancer Surgery
Abstract
1 Introduction
2 Literature Review
3 Application of Six Sigma DMAIC Methodology
3.1 Define
3.2 Measure
3.3 Analyse
3.4 Improve
3.5 Control
4 Results
5 Discussion and Conclusion
References
Early Diagnosis and Prediction of Skeletal Class III Malocclusion from Profile Photos Using Artificial Intelligence
Abstract
1 Introduction
2 Collection of Data
3 Detecting Facial Landmarks
3.1 Python, Facial Landmarks with Dlib, OpenCV Implementation
3.2 Multi-task Cascade Convolutional Neural Network (MTCNN) for Face Detection Implementation
3.3 Python Face Alignment Library
4 Class III Categorization Methods
4.1 Method 1
4.2 Method 2
4.3 Method 3
5 Comparison of the Method1, Method2 and Method3
6 Discussion
7 Conclusion
Acknowledgement
References
Effects of Mirror Therapy on Motor Imagery Elicited ERD/S: An EEG Study on Healthy Subjects
Abstract
1 Introduction
2 Materials and Methods
2.1 Participants and Experimental Protocol
2.2 Mirror Box Task
2.3 Assessment
2.4 EEG Data Acquisition and Processing
2.5 Statistical Analysis
3 Results
4 Discussion
5 Conclusions
Conflict of Interest Statement
References
EIT Based Time Constant Analysis to Determine Different Types of Patients in COVID-19 Pneumonia
Abstract
1 Introduction
2 Method
2.1 Subject and Examine Protocol
2.2 EIT Data Acquisition
2.3 Calculation of Time Constant
3 Results
4 Discussion
5 Conclusion
Acknowledgements
References
Electric Current Detection by T_{2}^{*} Relaxivity Change: A Feasibility Study
Abstract
1 Introduction
2 Methods
2.1 Sensitivity Analysis of Current Detection by T_{2}^{*} Relaxivity Change
2.2 Experiments of Current Detection by Gradient-Echo MRI
3 Results
4 Discussion
5 Conclusion
Conflict of Interest
References
Electrical Impedance Tomography with Box Constraint for Skull Conductivity Estimation
1 Introduction
2 Theory
2.1 Observation Model
2.2 EIT Inverse Problem with Box Constraint
3 Methods
3.1 Jacobian Matrix for Skull Segments
3.2 Implementation of Box Constraint
3.3 Simulation Set-Up
4 Results and Discussion
5 Conclusions and Future Work
References
Electroporation of Cell-Seeded Electrospun Fiber Mats for Cryopreservation
Abstract
1 Introduction
2 Materials and Methods
3 Results and Discussion
4 Concluding Remarks
Acknowledgements
Conflict of Interest
References
Estimation of Blood Velocity from Cardiac Angiography
Abstract
1 Introduction
2 Materials and Methods
2.1 Cross Section Area and Vessel’s Length
2.2 Blood Velocity Determination from Time Density Curves
3 Results
4 Conclusions
Conflicts of Interest
References
Evaluation of dZ/dt Complex Subtypes vs Ensemble Averaging Method for Estimation of Left Ventricular Ejection Time from ICG Recording
Abstract
1 Introduction
2 Impedance Cardiography Background
3 Methods
4 Results
5 Discussion and Conclusion
Conflict of Interest
References
Evaluation of Embeddings in Medication Domain for Spanish Language Using Joint Natural Language Understanding
1 Introduction
2 Scenario Overview
3 Methods
3.1 Data Generation for Intent Detection and Slot Filling
3.2 Training Dataset
3.3 Embeddings
3.4 Test Data
4 Results and Discussion
5 Conclusions
References
Evaluation of Medical Training Courses Satisfaction: Qualitative Analysis and Analytic Hierarchy Process
Abstract
1 Introduction
2 Methods
3 Results
4 Discussion
5 Conclusions
Conflict of Interest
References
Evaluation of Surface Hardness of Biocompatible Material Using Digital Microscope Image Analysis
1 Introduction
2 Materials and Methods
2.1 International Standards for the Evaluation of Rockwell Hardness Using a Microscope
2.2 Measuring Instruments
2.3 Microscope Image Analysis Software
2.4 Measurement and Evaluation Procedure
3 Application of Microscope Image Analysis Software and Results
4 Discussion
5 Conclusion
References
Evaluation of Thermal Properties of Ex Vivo Kidney up to Ablative Temperatures
Abstract
1 Introduction
2 Methods
3 Results and Discussion
4 Conclusion
Conflict of Interest
References
Experimental Evaluation of Physical Breast Phantoms for 2D and 3D Breast X-Ray Imaging Techniques
Abstract
1 Introduction
2 Materials and Methods
2.1 Computational Breast Phantom
2.2 Printing Materials and Their Properties
2.3 Physical Breast Model
2.4 Scanning Procedure
3 Results and Discussion
3.1 Mammography Images of the Three Breast Phantoms
3.2 Breast Tomosynthesis Images of the Three Breast Phantoms
4 Conclusions
Conflict of Interest
References
Finite Element Simulation of the Rupture of Tendons
Abstract
1 Introduction
2 Method
2.1 Fiber Separation
2.2 Preparation of Real Parameters
3 Results
3.1 Preliminary Results
4 Conclusion and Discussion
Acknowledgements
References
First Steps Toward Automated Classification of Impedance Cardiography dZ/dt Complex Subtypes
Abstract
1 Introduction
2 Materials and Methods
2.1 ICG Recording Dataset
2.2 Data Preprocessing for ANN Ingestion
2.3 PRANN Training and Validation Process
3 Results
3.1 PRANNs Design
3.2 Single Stage PRANN
3.3 Divide and Conquer Approach Combining PRANN and SubPRANN
3.4 Performance Comparison
4 Discussion
5 Conclusion
Conflict of Interest
References
Fourier Transform vs. Graph Fourier Transform for EEG-Based Emotion Recognition
1 Introduction
2 Materials and Methods
2.1 The DEAP Dataset
2.2 Graph Fourier Transform
2.3 Graph Construction
2.4 Feature Extraction
2.5 Implementation Issues
3 Results
4 Conclusion and Future Considerations
References
Graphene- and Graphite-Based Polyorganosiloxane Composite Ligaments for Sensory Feedback in Upper-Limb Prosthetics
1 Introduction
2 Synthesising Graphite- and Graphene- Based Composite Sensors
3 Measuring Stimuli and Providing Sensory Feedback
3.1 Digitising Electronics
3.2 Classification of Pressure, Movement and Temperature Stimuli
3.3 Sensory Feedback
4 Laboratory Demonstration
5 Conclusion
References
HB-HTA: Evaluation and Prioritization of Medical Equipments - Pilot Study
Abstract
1 Introduction
2 Methods
2.1 Pair-Wise Comparison Method (Fuller’s Method)
2.2 Scoring Method
2.3 Interviews with Experts
3 Methodology of a Medical Equipment Assessment and Its Prioritizing
3.1 Selection of Appropriate Criteria
3.2 Calculation of Replacement Priority Index (PI)
3.3 Assessment of a Medical Equipment Replacement Urgency
4 Results
5 Discussion
6 Conclusion
Acknowledgment
References
Health Trend Monitoring by Embedded Sensor Systems for Health
Abstract
1 Introduction
2 Research Approach in ESS-H
2.1 Multi-disciplinary Research
2.2 Useful Tools in Health Trend Monitoring
3 Examples of Results
4 Discussion and Conclusion
Acknowledgement
References
Heart Rate Variability Calculation Using Heart Periods Measured Between Consecutive Ponset Points
Abstract
1 Introduction
2 Materials and Methods
2.1 Data Acquisition
2.2 Tested Persons
2.3 Measurement Protocol
2.4 Detecting the Onset of P-Waves in the ECG Signal
2.5 Detecting the Onset of Atrial Activity in the Intracardiac EGM Signal
2.6 Detecting R-Peaks in the ECG Signal
2.7 Characterizing HRV in Short Recordings
3 Results
3.1 Comparing Heart Periods Based on R-peaks and Ponset Points
3.2 Characterizing the Effect of Physical Stress on HRV
4 Discussion
5 Conclusion
Conflict of Interest
References
The Effect of Human Umbilical Cord Blood- Mesenchymal Stem Cells-Derived Secretome on the Proliferation and Migration of Endothelial Progenitor Cells
Abstract
1 Introduction
2 Materials and Methods
2.1 Sample Criteria
2.2 Secretome Preparation
2.3 EPCs Isolation and Culture
2.4 EPCs Identification
2.5 EPCs Treatment
2.6 Proliferation Assay
2.7 Migration Assay
2.8 Statistical Analysis
3 Results
3.1 EPCs Identification
3.2 The hUCB-MSCs Derived Secretome Enhance EPCs Proliferation
3.3 The hUCB-MSCs-Derived Secretome Enhance EPCs Migration
4 Discussion
5 Conclusion
Conflicts of Interest
References
Hyperparameter Algorithms in Electrical Impedance Tomography for Rotational Data
1 Introduction
2 Materials and Methods
2.1 Experiments
2.2 Reconstruction Algorithms
2.3 BestRes
2.4 L-Curve
2.5 SNR as Noise Performance Metric
3 Results and Discussion
4 Conclusion
References
Identification of Clinically Relevant Rules: An Interpretable Approach for CVD Risk Assessment
Abstract
1 Introduction
2 Methodology
2.1 Derivation of Rules
2.2 Selection of Rules
2.3 Classification
3 Results
3.1 Santa Cruz Hospital Dataset
3.2 Validation
4 Conclusions
Acknowledgments
References
Improving Estimation of Mental Wellness Using Computer Games
Abstract
1 Introduction
2 Serious Games for Mental Health Assessment, Game Battery Selection Considerations
3 Methods, Results
3.1 Analysis of Data Gathered
3.2 Developing with the Co-design Method
4 Detected Problems and Improvements Suggested
4.1 Balance Between Entertainment and Measurement
4.2 Too Many Variations of the Games
4.3 Enrichment Feedback to the Users
5 Conclusion
Acknowledgment
References
Increasing the Temporal Resolution of Dynamic Functional Connectivity with Ensemble Empirical Mode Decomposition
Abstract
1 Introduction
2 Methods
2.1 Synthetic Signals
2.2 Functional Connectivity Computation
2.3 Sliding Window Dynamic Connectivity
2.4 Dynamic Connectivity Based on CEEMDAN
3 Results
4 Conclusions
Acknowledgements
References
Influence of Extracellular Environment on Electroporation Efficiency
Abstract
1 Introduction
2 Materials and Methods
2.1 Cell Cultures
2.2 Electroporation
2.3 Conductivity
2.4 Cell Membrane Permeabilization
2.5 Cell Viability
2.6 Statistical Analysis
3 Results and Discussion
4 Conclusions
Acknowledgments
References
Influence of the Backpack on School Children’s Gait: A Statistical and Machine Learning Approach
Abstract
1 Introduction
2 Materials and Methods
2.1 Wearable Inertial System for Gait Analysis
2.2 Study Population
2.3 Study Protocol
2.4 Statistics and Machine Learning Tools
3 Results
4 Conclusion and Discussion
Conflict of Interest Declaration
References
Influence of the Gender on the Relationship Between Heart Rate and Blood Pressure
Abstract
1 Introduction
2 Methods
2.1 Subjects
2.2 Blood Pressure Measurements
3 Results
4 Discussion
Conflict of Interest Statement
References
Inspection of the Efficacy of the Screening Behavior Support Program for Colorectal Cancer Organized Screening
Abstract
1 Introduction
2 Methods
2.1 Subjects and Study Design
2.2 Items of Questionnaire and Screening Behavior Support Program
2.3 Analysis Method
2.4 Ethical Consideration
3 Results and Discussion
4 Conclusion
Acknowledgments
References
Intermittent Non-invasive Blood Pressure Measurement: Gaps and Clinical Needs
Abstract
1 Introduction
2 Intermittent NIBP Monitoring in Clinical Practice
3 Methods
4 Results – Current Clinical Practice on NIBP/ABP Monitoring
5 Discussion – Current Gaps and Opportunities for Intervention
5.1 Reliability of NIBP Reading
5.2 Relevant Changes in BP Dynamics
5.3 Personalization of Thresholds
5.4 Other Findings
6 Conclusion
Conflict of Interest
References
Investigation of Drug Eluting Stents Performance Through in silico Modeling
Abstract
1 Introduction
1.1 Cardiovascular Disease (CVD) and Treatment Approaches
2 Material Models and Methods
2.1 3D Reconstructions and Arterial Segments
2.2 Computational Modeling
2.3 Material Properties
2.4 Boundary and Loading Conditions
3 Results and Discussion
4 Conclusion
Conflict of Interest
References
Investigation of Magnetic Sensor for Intra-oral Continuous Jaw Tracking
Abstract
1 Introduction
2 Methods
2.1 Concept of the System for Jaw Tracking Using a Permanent Magnet
2.2 The Magnetic Field of Permanent Magnet
2.3 Experimental Setup
2.4 Experiments
3 Results
3.1 Background Field Caused Errors
3.2 The Error of Position Tracking
4 Discussion and Conclusions
Statement of Conflicts of Interest
References
Investigation of Muscle Imbalance
1 Introduction
2 Materials and Methods
2.1 Measures
2.2 Numerical Analysis
2.3 Graphical User Interface
3 Results
4 Discussion and Conclusion
References
Lean Six Sigma Approach to Implement a Femur Fracture Care Pathway at “San Giovanni di Dio e Ruggi d’Aragona” University Hospital
Abstract
1 Introduction
2 Methods
2.1 Data Collection and Analysis
2.2 DMAIC Cycle
3 Results and Discussion
4 Conclusion
Conflict of Interest Statement
References
Level of Awareness of Developers and Start-Up Companies on Legal Requirements and Management System Standards for Medical Devices
Abstract
1 The Basics
1.1 Conformity Assessment
1.2 Quality Management System
1.3 Technical File
2 Recognized Problems
2.1 From Notified Body’s Point of View
2.2 From Manufacturer’s Point of View
3 Discussion
4 Conclusion
References
Linear and Nonlinear Features for Myocardial Infarction Detection Using Support Vector Machine on 12-Lead ECG Recordings
1 Introduction
2 Materials and Methods
2.1 12-Lead ECG Recordings Database
2.2 Myocardial Infarction Detector
2.3 Classification Evaluation Metrics
3 Results
4 Discussion
5 Conclusion
References
Localization and Classification of Intracranial Hemorrhages in CT Data
1 Introduction
2 Methods
2.1 Experimental Data
2.2 Pre-processing
2.3 Classifier Design
2.4 Implementation Details
3 Results and Discussion
4 Conclusion
References
Lossy Compression Should Also Be Used in Functional MRI Research
1 Introduction
2 Methods
2.1 Discrete Cosine Transform
2.2 Reordering (Zig-zag)
2.3 Quantization
2.4 Compression
3 Results
3.1 Coding Speed with Different Quantization Levels
3.2 Compression Ratio and NRMSE
3.3 Coding and Storage Speed
3.4 Effect on Functional Analysis
4 Discussion
References
Management of the Diabetic Patient in the Diagnostic Care Pathway
Abstract
1 Introduction
2 Methods
3 Results
4 Discussion and Conclusion
Conflict of Interest Statement
References
Medical Technologies Procurement, Management and Maintenance in Developing Countries: The Case of Health Challenges in Africa
Abstract
1 Introduction
2 Materials and Methods
3 Results
3.1 The Distribution and the Status of Technologies Donated
3.2 Donor Support to Beneficiary
3.3 Replacement Parts
3.4 Support Materials for Donations
4 Conclusion and Discussion
Conflict of Interest Statement
References
mHealth to Securely Coach Chronic Patients
Abstract
1 Introduction
2 AIRDOC
3 Privacy and Security
3.1 Legislation – The General Data Protection Regulation (GDPR)
3.2 Security
4 Interactions
4.1 Human Computer Interaction
5 Discussion and Conclusion
Conflicts of Interest
References
Modeling Approach of Blood Hemodynamics in the Left Ventricle
Abstract
1 Introduction
2 Materials and Methods
2.1 Computed Tomography Analysis
2.2 Blood Flow Modeling
2.3 Myocardial Deformation
2.4 Boundary Conditions
2.5 Finite Element Mesh
3 Results
4 Discussion
5 Conclusion
References
Modelling of Microcirculatory Dynamics with Auto-regressive Models
1 Introduction
2 Materials and Methods
2.1 Dataset
2.2 Data Analysis
3 Results
3.1 Binary Classification
3.2 Linear Classification
4 Discussion
5 Conclusion
References
Modular Control of Kinematics in Prosthetic Gait: Low-Dimensional Description Based on the Planar Covariation Law
Abstract
1 Introduction
2 Methods
2.1 Data Acquisition
2.2 Analysis of Elevation Angles
3 Results
4 Discussion
References
Multiple Regression Model to Predict Length of Hospital Stay for Patients Undergoing Femur Fracture Surgery at “San Giovanni di Dio e Ruggi d’Aragona” University Hospital
Abstract
1 Introduction
2 Methods
2.1 Data Collection and Analysis
2.2 Multiple Linear Regression
3 Results
4 Discussion and Conclusion
Conflict of Interest Statement
References
Multi-run Differential Evolution Improves the Decomposition of Compound Muscle Action Potential in High-Density Surface Electromyograms
1 Introduction
2 CMAP Simulation
3 Methods
3.1 Chromosome Presentation for Finding Optimal MUAP Position
3.2 Algorithm and Chromosome Presentation for Optimal Solution Selection
4 Results
5 Discussion
References
Multiscale Poincaré Plots Analysis of Nystagmus Amplitude Variability During Rotation on Bárány Chair
Abstract
1 Introduction
2 Methods
2.1 Participants
2.2 Materials and Procedure
2.3 Data Processing and Statistical Analysis
3 Results
4 Discussion
5 Conclusion
Ethics and Conflict of Interest
References
Myoelectric Signs of Sustained Muscular Activity During Smartphone Texting
Abstract
1 Introduction
2 Materials and Method
2.1 Participants
2.2 Experimental Protocol
2.3 Data Processing
2.4 Statistics
3 Results
4 Discussion and Conclusion
References
New Anthropometric Data for Bulgarian Females and 3D Biomechanical Model Results for Inertial Parameters of the Upper and Lower Extremities
Abstract
1 Introduction
2 Method and Summary of the Experimental Data
3 Results for the Mass Inertial Parameters of the Limbs of the Average Bulgarian Women
4 Discussion
Conflict of Interest
Appendix
References
Notified Body Certification – Main Challenges and Findings of Assessments
Abstract
1 Introduction - Legislation Framework and Role of Notified Body
1.1 Certification Procedure and Its Time Frame
2 Main Findings of Notified Body’s Assessments
2.1 Main Findings of Technical Documentation Assessments
2.2 Main Findings of Clinical Evaluation Assessments
2.3 Main Findings of Quality Management System Audits
3 Conclusion - How to Deal with Challenges
References
Numerical Modeling of Electroporation Process Using Endocardial Catheter
Abstract
1 Introduction
2 Numerical Model of the Electroporation Process
3 Results and Discussion
4 Conclusion
Acknowledgment
References
Numerical Simulationpg of Langmuir-Hinshelwood Mechanismpg for Heterogeneous Biosensorspg in Microfluidic Channel
1 Introduction
2 Methodology
2.1 Governing Equations
2.2 Boundary Conditions
3 Validation
4 Effects of Input Velocity on Binding Cycle
5 Effects of Input Concentration on Binding Cycle
6 Conclusion
References
On the Need for Spatial Whitening of High-Density Surface Electromyograms in Motor Unit Identification by Neural Networks
Abstract
1 Introduction
2 Neural Networks
2.1 Dense NN
2.2 LSTM NN
3 HDEMG Simulation and Data Analysis
3.1 Simulated HDEMG Signals
3.2 Data Analysis
4 Results
5 Conclusion
Conflict of Interests
References
On the Reuse of Motor Unit Filters in High Density Surface Electromyograms with Different Signal-to-Noise Ratios
1 Introduction
2 Methods
2.1 HDEMG Model and MU Filters
2.2 HDEMG Simulation
2.3 Data Analysis
3 Results
4 Discussion
References
Open Source Robust Machine Learning Software for Medical Patient Data Analysis and Cloud Storage
Abstract
1 Introduction
1.1 Research Regarding Developing & Underdeveloped Countries
1.2 The Barrier for Physicians in Data Science
1.3 Research Goal
2 Method
2.1 Data Upload-Locally Storing-Preprocessing-Training
2.2 Generating Predictions
2.3 Queries
2.4 Data Visualization
3 Result
4 Conclusion
Conflicts of Interest
References
Optical Projection Tomographypg for Particle Counting and Morphology Analysis
1 Introduction
2 Materials and Methods
2.1 Experimental Setup
2.2 Filtered Backprojection Reconstructions
2.3 Brightfield SGBM Reconstruction
2.4 Fluorescent WRT Reconstruction
2.5 Computational Analysis
3 Results and Discussion
3.1 Open Dataset and MATLAB Codes
4 Conclusions
References
Pancreatic Cancer and Its Correlation with Embryogenesis: Identification of Biomolecular Markers Using Machine Learning Methods
Abstract
1 Introduction
2 Methodological Approach
2.1 Datasets
2.2 Feature Extraction
2.3 Cancer Classification and Feature Selection
3 Results
3.1 Feature Selection
4 Identification of Potential Pancreatic Cancer Biomarkers
Conflict of Interest.
References
Patient Identification Workflow for Seamless EHR Access During Patient Follow-Up
Abstract
1 Introduction
2 System Architecture
3 Seamless EHR Access
3.1 Long-Term Login
3.2 Just-In-Time Authentication and Authorization
4 Discussion
5 Conclusion
Conflict of Interest
References
Pilot Study of Application of a Hybrid Transportable System for Postural Stability Measurement in Military Professions
Abstract
1 Introduction
2 Methods
2.1 Subjects
2.2 Equipment
2.3 Measurement
3 Results
4 Discussion
5 Conclusion
Ethics and Conflict of Interest
References
Preliminary Evaluation of a Novel Language Independent Speech-in-Noise Test for Adult Hearing Screening
Abstract
1 Introduction
2 Materials and Methods
2.1 Participants
2.2 Procedures
2.3 Data Analysis
3 Results
4 Discussion
5 Conclusion
Conflict of Interest
References
Prototype Hat as a Biofeedback System to Address Vestibular Balance Impairment
Abstract
1 Introduction
2 Methods
2.1 System Description
2.2 System Operation
2.3 Experiments
3 Results
4 Limitations and Future Work
5 Conclusion
References
Pulmonary Crackle Detection Using the Hilbert Energy Envelope
Abstract
1 Introduction
2 Hilbert Energy Envelope Algorithm
2.1 Pre-processing
2.2 Estimation of Hilbert Energy Envelope
2.3 Thresholding
2.4 Time Width Conditions
3 Dataset and Performance Evaluators
3.1 Dataset
3.2 Performance Evaluators
3.3 Selection of the Number of Test Samples
3.4 Selection of Multiplication Factor ( {\varvec m}_{{\varvec f}} )
4 Results and Discussion
5 Conclusion
Conflict of Interest
References
The Reliability of Pig Gait Inertial Signals: A Pilot Study
1 Introduction
2 Materials and Methods
2.1 Participants and Data Acquisition
2.2 Preprocessing
2.3 Intra-subject Signal Reliability
3 Results
4 Discussion
5 Conclusions
References
Resolution Resampling of Ultrasound Images in Placenta Previa Patients: Influence on Radiomics Data Reliability and Usefulness for Machine Learning
Abstract
1 Introduction
2 Materials and Methods
2.1 Dataset
2.2 Machine Learning
3 Results
4 Discussion
Conflict of Interests
References
Simultaneous Skull Conductivity and Focal Source Imaging from EEG Recordings with the Help of Bayesian Uncertainty Modelling
1 Introduction
2 Theory
2.1 Bayesian Framework with Linear Forward Model
2.2 Bayesian Approximation Error (BAE) Approach
3 Methods
3.1 Head Models
3.2 Computation of the Approximation Error statistics
3.3 Simultaneous Skull Conductivity and Source Estimation
4 Results, Discussion and Future Work
5 Conclusion
References
Six Sigma Approach for a First Evaluation of a Pharmacological Therapy in Tongue Cancer
Abstract
1 Introduction
2 Materials and Methods
2.1 Dataset
2.2 Define
2.3 Measure
2.4 Analyse
2.5 Improve
2.6 Control
3 Results
4 Discussions and Conclusion
Conflict of Interest Statement
References
Spectral Analysis of EEG Signals of Imagined Hand Twisting for Post-stroke Rehabilitation
Abstract
1 Introduction
2 Methodology
2.1 Protocol Design
2.2 EEG Signal Recording
2.3 EEG Signal Processing
2.4 EEG Topography
3 Results and Discussion
4 Conclusion
Acknowledgment
References
Surgical Tool Detection in Laparoscopic Videos by Modeling Temporal Dependencies Between Adjacent Frames
Abstract
1 Introduction
2 Methods and Materials
2.1 Overview
2.2 Visual Features Extraction
2.3 LSTM-Clip Network
2.4 Experimental Setup
3 Results
4 Discussion
5 Conclusion
Conflict of Interest
References
Swallowing Onset Detection: Comparison of Endoscopy- and Accelerometry-Based Estimations
Abstract
1 Introduction
2 Methods
2.1 Subjects
2.2 Protocol
2.3 Data Analysis
3 Results
3.1 Swallowing Onset Estimation
3.2 Muscular Activation Symmetry Evaluation
4 Discussion
5 Conclusions
Conflict of Interest
References
Tanzanian District Hospitals - The Gap Between Governmental Vision and Reality
Abstract
1 Introduction
1.1 Governmental Strategies for Health Care
1.2 New District Hospitals
1.3 Definition of a District Hospital in TZ
2 Current Governmental Policy on District Hospitals
2.1 Human Resources for Health
2.2 The Gap Between Governmental Vision and Reality
3 Financial Aspects
3.1 Health Insurance
4 Hospital/Clinical Engineers, Equipment and Maintenance
5 Concluding Remarks
Conflict of Interest
References
The Effect of Anisotropy on the Impedance and Electric Field Distribution in Deep Brain Stimulation
Abstract
1 Background
2 Materials and Methods
2.1 Brain Tissue Models
2.2 Data Analysis
3 Result
3.1 Impedance
3.2 Volume
3.3 Distance Measures
4 Discussion
5 Conclusion
Acknowledgement
References
The Effect of Force Sensor Arrays Integration into Textile for a Novel Head-Foot Wheelchair Steering System
Abstract
1 Introduction
2 Methodology
2.1 Wheelchair System
2.2 Sensor Array Integration
2.3 Data Acquisition
3 Results and Discussion
3.1 Force Applied in a Single Sensel
3.2 Force Applied to Multiple Sensels
4 Conclusion
Conflict of Interest
References
The Effect of Passive Exoskeleton on Shoulder Muscles Activity during Different Static Tasks
Abstract
1 Introduction
2 Methods
2.1 Participants and experimental conditions
2.2 Data recording and analysis
2.3 Statistical analysis
3 Results
4 Discussion and conclusion
Conflict of Interest
References
The Human Body and Weightlessness: Mass-Inertial Characteristics in One of the Basic Positions Selected by NASA via 3D Mathematical Modelling
Abstract
1 Introduction
2 Model and Method
3 Determination of Mass-Inertial Characteristics in Weightless Body Positions Using SolidWorks Media
4 Conclusions
Conflict of Interest
References
The Use of SCORE and GRACE Risk Tools to Assess the Length of Stay in a Cardiac Intensive Care Unit
Abstract
1 Introduction
2 Materials and Methods
2.1 Dataset
2.2 Discretization of the LoS
2.3 Discretization of the SCORE and GRACE Models
2.4 Assessment Metrics
3 Results
3.1 SCORE Correlation
3.2 GRACE Correlation
3.3 Risk Factors Correlation
3.4 Discussion
4 Conclusions
References
The Use of Six Sigma to Assess Two Prostheses for Immediate Breast Reconstruction
Abstract
1 Introduction
2 Materials and Methods
3 Results
4 Discussion and Conclusion
Conflict of Interests
References
Thermographic Evaluation of Dental Implants Insertion with Different Diameters: In Vitro Comparison Between Regular and Narrow Implants
Abstract
1 Introduction
2 Materials and Methods
3 Results
4 Discussion
5 Conclusion
Conflicts of Interest
References
Three-Dimensional Reconstruction of Carotid Arteries Using Computed Tomography Angiography
Abstract
1 Introduction
2 Methodology
3 Validation
4 Discussion
5 Conclusion
References
Transmembrane Voltage on Realistic Models of Suspended and Adhered Cells Induced by Electroporation
Abstract
1 Introduction
2 Materials and Methods
2.1 Cell Lines
2.2 Electric Protocols for Electroporation and Cell-Specific Electric Field Thresholds
3 Results
4 Discussion
5 Conclusion
Conflict of Interest
References
Ultra-wideband Localization of Pulmonary Nodules During Thoracoscopic Surgery
1 Introduction
2 Simulations and Image Reconstruction
3 Results and Discussions
4 Conclusions
References
Vertebra Segmentation for Clinical CT Images Using Mask R-CNN
Abstract
1 Introduction
2 Background
2.1 Regions with Convolutional Neural Network (R-CNN)
2.2 Fast R-CNN
2.3 Faster R-CNN
2.4 Mask R-CNN
3 Method
3.1 Preprocessing
3.2 Mask R-CNN-Based Vertebra Segmentation
4 Results
5 Conclusion and Discussion
Acknowledgment
References
Author Index