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Biomedical Signal Processing for Disease Diagnosis

A special issue of Sensors (ISSN 1424-8220). This special issue belongs to the section "Biosensors".

Deadline for manuscript submissions: closed (1 March 2021) | Viewed by 62666

Special Issue Editors


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Guest Editor
Biomedical Engineering Group, Universidad de Valladolid, Paseo Belén, 15, 47011 Valladolid, Spain
Interests: biomedical signals; signal processing; nonlinear analyses; connectivity measures; electroencephalography; magnetoencephalography
Special Issues, Collections and Topics in MDPI journals

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Special Issue Information

Dear Colleagues,

Nowadays, sensors are integrated in many medical devices in order to record the signals generated by the physiological activity of our body. Biomedical signal processing is an interdisciplinary field where physicians, mathematicians, biologists, and engineers, among others, collaborate to develop and/or apply mathematical methods to extract useful information from the recorded physiological data. This Special Issue aims to attract researchers with interest on the application of signal processing methods to different biomedical signals (electrocardiogram, electroencephalogram, magnetoencephalogram, electromyogram, galvanic skin response, pulse oximetry, photopletismogram, etc.) to help physicians in the diagnosis of human diseases. Original papers that describe new research on this subject are welcomed. We look forward your participation in this Special Issue.

Prof. Dr. Carlos Gómez
Prof. Dr. Raúl Alcaraz
Guest Editors

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Keywords

  • Biomedical signal processing
  • Biomedical signals (ECG, EEG, PPG, EDR, EMG, etc.)
  • Diseases
  • Aid diagnosis
  • Physiological time series dynamics
  • Physiological redundancy, synergy, complexity, and connectivity
  • Linear and non-linear data processing
  • Time, frequency, and time–frequency analyses

Published Papers (14 papers)

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Research

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15 pages, 2185 KiB  
Article
Detection of Negative Stress through Spectral Features of Electroencephalographic Recordings and a Convolutional Neural Network
by Arturo Martínez-Rodrigo, Beatriz García-Martínez, Álvaro Huerta and Raúl Alcaraz
Sensors 2021, 21(9), 3050; https://doi.org/10.3390/s21093050 - 27 Apr 2021
Cited by 10 | Viewed by 2276
Abstract
In recent years, electroencephalographic (EEG) signals have been intensively used in the area of emotion recognition, partcularly in distress identification due to its negative impact on physical and mental health. Traditionally, brain activity has been studied from a frequency perspective by computing the [...] Read more.
In recent years, electroencephalographic (EEG) signals have been intensively used in the area of emotion recognition, partcularly in distress identification due to its negative impact on physical and mental health. Traditionally, brain activity has been studied from a frequency perspective by computing the power spectral density of the EEG recordings and extracting features from different frequency sub-bands. However, these features are often individually extracted from single EEG channels, such that each brain region is separately evaluated, even when it has been corroborated that mental processes are based on the coordination of different brain areas working simultaneously. To take advantage of the brain’s behaviour as a synchronized network, in the present work, 2-D and 3-D spectral images constructed from common 32 channel EEG signals are evaluated for the first time to discern between emotional states of calm and distress using a well-known deep-learning algorithm, such as AlexNet. The obtained results revealed a significant improvement in the classification performance regarding previous works, reaching an accuracy about 84%. Moreover, no significant differences between the results provided by the diverse approaches considered to reconstruct 2-D and 3-D spectral maps from the original location of the EEG channels over the scalp were noticed, thus suggesting that these kinds of images preserve original spatial brain information. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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11 pages, 1542 KiB  
Communication
Hyperparameter Optimization for COVID-19 Pneumonia Diagnosis Based on Chest CT
by Paulo Lacerda, Bruno Barros, Célio Albuquerque and Aura Conci
Sensors 2021, 21(6), 2174; https://doi.org/10.3390/s21062174 - 20 Mar 2021
Cited by 25 | Viewed by 2916
Abstract
Convolutional Neural Networks (CNNs) have been successfully applied in the medical diagnosis of different types of diseases. However, selecting the architecture and the best set of hyperparameters among the possible combinations can be a significant challenge. The purpose of this work is to [...] Read more.
Convolutional Neural Networks (CNNs) have been successfully applied in the medical diagnosis of different types of diseases. However, selecting the architecture and the best set of hyperparameters among the possible combinations can be a significant challenge. The purpose of this work is to investigate the use of the Hyperband optimization algorithm in the process of optimizing a CNN applied to the diagnosis of SARS-Cov2 disease (COVID-19). The test was performed with the Optuna framework, and the optimization process aimed to optimize four hyperparameters: (1) backbone architecture, (2) the number of inception modules, (3) the number of neurons in the fully connected layers, and (4) the learning rate. CNNs were trained on 2175 computed tomography (CT) images. The CNN that was proposed by the optimization process was a VGG16 with five inception modules, 128 neurons in the two fully connected layers, and a learning rate of 0.0027. The proposed method achieved a sensitivity, precision, and accuracy of 97%, 82%, and 88%, outperforming the sensitivity of the Real-Time Polymerase Chain Reaction (RT-PCR) tests (53–88%) and the accuracy of the diagnosis performed by human experts (72%). Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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11 pages, 445 KiB  
Communication
Characterization of Changes in P-Wave VCG Loops Following Pulmonary-Vein Isolation
by Nuria Ortigosa, Óscar Cano and Frida Sandberg
Sensors 2021, 21(5), 1923; https://doi.org/10.3390/s21051923 - 09 Mar 2021
Cited by 1 | Viewed by 2006
Abstract
Atrial fibrillation is the most common type of cardiac arrhythmia in clinical practice. Currently, catheter ablation for pulmonary-vein isolation is a well-established treatment for maintaining sinus rhythm when antiarrhythmic drugs do not succeed. Unfortunately, arrhythmia recurrence after catheter ablation remains common, with estimated [...] Read more.
Atrial fibrillation is the most common type of cardiac arrhythmia in clinical practice. Currently, catheter ablation for pulmonary-vein isolation is a well-established treatment for maintaining sinus rhythm when antiarrhythmic drugs do not succeed. Unfortunately, arrhythmia recurrence after catheter ablation remains common, with estimated rates of up to 45%. A better understanding of factors leading to atrial-fibrillation recurrence is needed. Hence, the aim of this study is to characterize changes in the atrial propagation pattern following pulmonary-vein isolation, and investigate the relation between such characteristics and atrial-fibrillation recurrence. Fifty patients with paroxysmal atrial fibrillation who had undergone catheter ablation were included in this study. Time-segment and vectorcardiogram-loop-morphology analyses were applied to characterize P waves extracted from 1 min long 12-lead electrocardiogram segments before and after the procedure, respectively. Results showed that P-wave vectorcardiogram loops were significantly less round and more planar, P waves and PR intervals were significantly shorter, and heart rate was significantly higher after the procedure. Differences were larger for patients who did not have arrhythmia recurrences at 2 years of follow-up; for these patients, the pre- and postprocedure P waves could be identified with 84% accuracy. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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23 pages, 1241 KiB  
Article
Monophonic and Polyphonic Wheezing Classification Based on Constrained Low-Rank Non-Negative Matrix Factorization
by Juan De La Torre Cruz, Francisco Jesús Cañadas Quesada, Nicolás Ruiz Reyes, Sebastián García Galán, Julio José Carabias Orti and Gerardo Peréz Chica
Sensors 2021, 21(5), 1661; https://doi.org/10.3390/s21051661 - 28 Feb 2021
Cited by 6 | Viewed by 2997
Abstract
The appearance of wheezing sounds is widely considered by physicians as a key indicator to detect early pulmonary disorders or even the severity associated with respiratory diseases, as occurs in the case of asthma and chronic obstructive pulmonary disease. From a physician’s point [...] Read more.
The appearance of wheezing sounds is widely considered by physicians as a key indicator to detect early pulmonary disorders or even the severity associated with respiratory diseases, as occurs in the case of asthma and chronic obstructive pulmonary disease. From a physician’s point of view, monophonic and polyphonic wheezing classification is still a challenging topic in biomedical signal processing since both types of wheezes are sinusoidal in nature. Unlike most of the classification algorithms in which interference caused by normal respiratory sounds is not addressed in depth, our first contribution proposes a novel Constrained Low-Rank Non-negative Matrix Factorization (CL-RNMF) approach, never applied to classification of wheezing as far as the authors’ knowledge, which incorporates several constraints (sparseness and smoothness) and a low-rank configuration to extract the wheezing spectral content, minimizing the acoustic interference from normal respiratory sounds. The second contribution automatically analyzes the harmonic structure of the energy distribution associated with the estimated wheezing spectrogram to classify the type of wheezing. Experimental results report that: (i) the proposed method outperforms the most recent and relevant state-of-the-art wheezing classification method by approximately 8% in accuracy; (ii) unlike state-of-the-art methods based on classifiers, the proposed method uses an unsupervised approach that does not require any training. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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19 pages, 3052 KiB  
Article
Wavelet Analysis of Overnight Airflow to Detect Obstructive Sleep Apnea in Children
by Verónica Barroso-García, Gonzalo C. Gutiérrez-Tobal, David Gozal, Fernando Vaquerizo-Villar, Daniel Álvarez, Félix del Campo, Leila Kheirandish-Gozal and Roberto Hornero
Sensors 2021, 21(4), 1491; https://doi.org/10.3390/s21041491 - 21 Feb 2021
Cited by 17 | Viewed by 3458
Abstract
This study focused on the automatic analysis of the airflow signal (AF) to aid in the diagnosis of pediatric obstructive sleep apnea (OSA). Thus, our aims were: (i) to characterize the overnight AF characteristics using discrete wavelet transform (DWT) approach, ( [...] Read more.
This study focused on the automatic analysis of the airflow signal (AF) to aid in the diagnosis of pediatric obstructive sleep apnea (OSA). Thus, our aims were: (i) to characterize the overnight AF characteristics using discrete wavelet transform (DWT) approach, (ii) to evaluate its diagnostic utility, and (iii) to assess its complementarity with the 3% oxygen desaturation index (ODI3). In order to reach these goals, we analyzed 946 overnight pediatric AF recordings in three stages: (i) DWT-derived feature extraction, (ii) feature selection, and (iii) pattern recognition. AF recordings from OSA patients showed both lower detail coefficients and decreased activity associated with the normal breathing band. Wavelet analysis also revealed that OSA disturbed the frequency and energy distribution of the AF signal, increasing its irregularity. Moreover, the information obtained from the wavelet analysis was complementary to ODI3. In this regard, the combination of both wavelet information and ODI3 achieved high diagnostic accuracy using the common OSA-positive cutoffs: 77.97%, 81.91%, and 90.99% (AdaBoost.M2), and 81.96%, 82.14%, and 90.69% (Bayesian multi-layer perceptron) for 1, 5, and 10 apneic events/hour, respectively. Hence, these findings suggest that DWT properly characterizes OSA-related severity as embedded in nocturnal AF, and could simplify the diagnosis of pediatric OSA. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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23 pages, 7370 KiB  
Article
An Automated System for Classification of Chronic Obstructive Pulmonary Disease and Pneumonia Patients Using Lung Sound Analysis
by Syed Zohaib Hassan Naqvi and Mohammad Ahmad Choudhry
Sensors 2020, 20(22), 6512; https://doi.org/10.3390/s20226512 - 14 Nov 2020
Cited by 33 | Viewed by 8313
Abstract
Chronic obstructive pulmonary disease (COPD) and pneumonia are two of the few fatal lung diseases which share common adventitious lung sounds. Diagnosing the disease from lung sound analysis to design a noninvasive technique for telemedicine is a challenging task. A novel framework is [...] Read more.
Chronic obstructive pulmonary disease (COPD) and pneumonia are two of the few fatal lung diseases which share common adventitious lung sounds. Diagnosing the disease from lung sound analysis to design a noninvasive technique for telemedicine is a challenging task. A novel framework is presented to perform a diagnosis of COPD and Pneumonia via application of the signal processing and machine learning approach. This model will help the pulmonologist to accurately detect disease A and B. COPD, normal and pneumonia lung sound (LS) data from the ICBHI respiratory database is used in this research. The performance analysis is evidence of the improved performance of the quadratic discriminate classifier with an accuracy of 99.70% on selected fused features after experimentation. The fusion of time domain, cepstral, and spectral features are employed. Feature selection for fusion is performed through the back-elimination method whereas empirical mode decomposition (EMD) and discrete wavelet transform (DWT)-based techniques are used to denoise and segment the pulmonic signal. Class imbalance is catered with the implementation of the adaptive synthetic (ADASYN) sampling technique. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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17 pages, 1393 KiB  
Article
Relationship between the Presence of the ApoE ε4 Allele and EEG Complexity along the Alzheimer’s Disease Continuum
by Víctor Gutiérrez-de Pablo, Carlos Gómez, Jesús Poza, Aarón Maturana-Candelas, Sandra Martins, Iva Gomes, Alexandra M. Lopes, Nádia Pinto and Roberto Hornero
Sensors 2020, 20(14), 3849; https://doi.org/10.3390/s20143849 - 10 Jul 2020
Cited by 12 | Viewed by 2617
Abstract
Alzheimer’s disease (AD) is the most prevalent cause of dementia, being considered a major health problem, especially in developed countries. Late-onset AD is the most common form of the disease, with symptoms appearing after 65 years old. Genetic determinants of AD risk are [...] Read more.
Alzheimer’s disease (AD) is the most prevalent cause of dementia, being considered a major health problem, especially in developed countries. Late-onset AD is the most common form of the disease, with symptoms appearing after 65 years old. Genetic determinants of AD risk are vastly unknown, though, ε 4 allele of the ApoE gene has been reported as the strongest genetic risk factor for AD. The objective of this study was to analyze the relationship between brain complexity and the presence of ApoE ε 4 alleles along the AD continuum. For this purpose, resting-state electroencephalography (EEG) activity was analyzed by computing Lempel-Ziv complexity (LZC) from 46 healthy control subjects, 49 mild cognitive impairment subjects, 45 mild AD patients, 44 moderate AD patients and 33 severe AD patients, subdivided by ApoE status. Subjects with one or more ApoE ε 4 alleles were included in the carriers subgroups, whereas the ApoE ε 4 non-carriers subgroups were formed by subjects without any ε 4 allele. Our results showed that AD continuum is characterized by a progressive complexity loss. No differences were observed between AD ApoE ε 4 carriers and non-carriers. However, brain activity from healthy subjects with ApoE ε 4 allele (carriers subgroup) is more complex than from non-carriers, mainly in left temporal, frontal and posterior regions (p-values < 0.05, FDR-corrected Mann–Whitney U-test). These results suggest that the presence of ApoE ε 4 allele could modify the EEG complexity patterns in different brain regions, as the temporal lobes. These alterations might be related to anatomical changes associated to neurodegeneration, increasing the risk of suffering dementia due to AD before its clinical onset. This interesting finding might help to advance in the development of new tools for early AD diagnosis. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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17 pages, 2651 KiB  
Article
Evaluation of Deep Neural Networks for Semantic Segmentation of Prostate in T2W MRI
by Zia Khan, Norashikin Yahya, Khaled Alsaih, Syed Saad Azhar Ali and Fabrice Meriaudeau
Sensors 2020, 20(11), 3183; https://doi.org/10.3390/s20113183 - 03 Jun 2020
Cited by 48 | Viewed by 6838
Abstract
In this paper, we present an evaluation of four encoder–decoder CNNs in the segmentation of the prostate gland in T2W magnetic resonance imaging (MRI) image. The four selected CNNs are FCN, SegNet, U-Net, and DeepLabV3+, which was originally proposed for the segmentation of [...] Read more.
In this paper, we present an evaluation of four encoder–decoder CNNs in the segmentation of the prostate gland in T2W magnetic resonance imaging (MRI) image. The four selected CNNs are FCN, SegNet, U-Net, and DeepLabV3+, which was originally proposed for the segmentation of road scene, biomedical, and natural images. Segmentation of prostate in T2W MRI images is an important step in the automatic diagnosis of prostate cancer to enable better lesion detection and staging of prostate cancer. Therefore, many research efforts have been conducted to improve the segmentation of the prostate gland in MRI images. The main challenges of prostate gland segmentation are blurry prostate boundary and variability in prostate anatomical structure. In this work, we investigated the performance of encoder–decoder CNNs for segmentation of prostate gland in T2W MRI. Image pre-processing techniques including image resizing, center-cropping and intensity normalization are applied to address the issues of inter-patient and inter-scanner variability as well as the issue of dominating background pixels over prostate pixels. In addition, to enrich the network with more data, to increase data variation, and to improve its accuracy, patch extraction and data augmentation are applied prior to training the networks. Furthermore, class weight balancing is used to avoid having biased networks since the number of background pixels is much higher than the prostate pixels. The class imbalance problem is solved by utilizing weighted cross-entropy loss function during the training of the CNN model. The performance of the CNNs is evaluated in terms of the Dice similarity coefficient (DSC) and our experimental results show that patch-wise DeepLabV3+ gives the best performance with DSC equal to 92.8 % . This value is the highest DSC score compared to the FCN, SegNet, and U-Net that also competed the recently published state-of-the-art method of prostate segmentation. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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18 pages, 3737 KiB  
Article
Exploration of User’s Mental State Changes during Performing Brain–Computer Interface
by Li-Wei Ko, Rupesh Kumar Chikara, Yi-Chieh Lee and Wen-Chieh Lin
Sensors 2020, 20(11), 3169; https://doi.org/10.3390/s20113169 - 03 Jun 2020
Cited by 27 | Viewed by 3728
Abstract
Substantial developments have been established in the past few years for enhancing the performance of brain–computer interface (BCI) based on steady-state visual evoked potential (SSVEP). The past SSVEP-BCI studies utilized different target frequencies with flashing stimuli in many different applications. However, it is [...] Read more.
Substantial developments have been established in the past few years for enhancing the performance of brain–computer interface (BCI) based on steady-state visual evoked potential (SSVEP). The past SSVEP-BCI studies utilized different target frequencies with flashing stimuli in many different applications. However, it is not easy to recognize user’s mental state changes when performing the SSVEP-BCI task. What we could observe was the increasing EEG power of the target frequency from the user’s visual area. BCI user’s cognitive state changes, especially in mental focus state or lost-in-thought state, will affect the BCI performance in sustained usage of SSVEP. Therefore, how to differentiate BCI users’ physiological state through exploring their neural activities changes while performing SSVEP is a key technology for enhancing the BCI performance. In this study, we designed a new BCI experiment which combined working memory task into the flashing targets of SSVEP task using 12 Hz or 30 Hz frequencies. Through exploring the EEG activity changes corresponding to the working memory and SSVEP task performance, we can recognize if the user’s cognitive state is in mental focus or lost-in-thought. Experiment results show that the delta (1–4 Hz), theta (4–7 Hz), and beta (13–30 Hz) EEG activities increased more in mental focus than in lost-in-thought state at the frontal lobe. In addition, the powers of the delta (1–4 Hz), alpha (8–12 Hz), and beta (13–30 Hz) bands increased more in mental focus in comparison with the lost-in-thought state at the occipital lobe. In addition, the average classification performance across subjects for the KNN and the Bayesian network classifiers were observed as 77% to 80%. These results show how mental state changes affect the performance of BCI users. In this work, we developed a new scenario to recognize the user’s cognitive state during performing BCI tasks. These findings can be used as the novel neural markers in future BCI developments. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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17 pages, 3784 KiB  
Article
EEG Signal Analysis for Diagnosing Neurological Disorders Using Discrete Wavelet Transform and Intelligent Techniques
by Fahd A. Alturki, Khalil AlSharabi, Akram M. Abdurraqeeb and Majid Aljalal
Sensors 2020, 20(9), 2505; https://doi.org/10.3390/s20092505 - 28 Apr 2020
Cited by 82 | Viewed by 8215
Abstract
Analysis of electroencephalogram (EEG) signals is essential because it is an efficient method to diagnose neurological brain disorders. In this work, a single system is developed to diagnose one or two neurological diseases at the same time (two-class mode and three-class mode). For [...] Read more.
Analysis of electroencephalogram (EEG) signals is essential because it is an efficient method to diagnose neurological brain disorders. In this work, a single system is developed to diagnose one or two neurological diseases at the same time (two-class mode and three-class mode). For this purpose, different EEG feature-extraction and classification techniques are investigated to aid in the accurate diagnosis of neurological brain disorders: epilepsy and autism spectrum disorder (ASD). Two different modes, single-channel and multi-channel, of EEG signals are analyzed for epilepsy and ASD. The independent components analysis (ICA) technique is used to remove the artifacts from EEG dataset. Then, the EEG dataset is segmented and filtered to remove noise and interference using an elliptic band-pass filter. Next, the EEG signal features are extracted from the filtered signal using a discrete wavelet transform (DWT) to decompose the filtered signal to its sub-bands delta, theta, alpha, beta and gamma. Subsequently, five statistical methods are used to extract features from the EEG sub-bands: the logarithmic band power (LBP), standard deviation, variance, kurtosis, and Shannon entropy (SE). Further, the features are fed into four different classifiers, linear discriminant analysis (LDA), support vector machine (SVM), k-nearest neighbor (KNN), and artificial neural networks (ANNs), to classify the features corresponding to their classes. The combination of DWT with SE and LBP produces the highest accuracy among all the classifiers. The overall classification accuracy approaches 99.9% using SVM and 97% using ANN for the three-class single-channel and multi-channel modes, respectively. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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19 pages, 2402 KiB  
Article
Arrhythmia Diagnosis by Using Level-Crossing ECG Sampling and Sub-Bands Features Extraction for Mobile Healthcare
by Saeed Mian Qaisar and Syed Fawad Hussain
Sensors 2020, 20(8), 2252; https://doi.org/10.3390/s20082252 - 16 Apr 2020
Cited by 25 | Viewed by 3406
Abstract
Mobile healthcare is an emerging technique for clinical applications. It is usually based on cloud-connected biomedical implants. In this context, a novel solution is presented for the detection of arrhythmia by using electrocardiogram (ECG) signals. The aim is to achieve an effective solution [...] Read more.
Mobile healthcare is an emerging technique for clinical applications. It is usually based on cloud-connected biomedical implants. In this context, a novel solution is presented for the detection of arrhythmia by using electrocardiogram (ECG) signals. The aim is to achieve an effective solution by using real-time compression, efficient signal processing, and data transmission. The system utilizes level-crossing-based ECG signal sampling, adaptive-rate denoising, and wavelet-based sub-band decomposition. Statistical features are extracted from the sub-bands and used for automated arrhythmia classification. The performance of the system was studied by using five classes of arrhythmia, obtained from the MIT-BIH dataset. Experimental results showed a three-fold decrease in the number of collected samples compared to conventional counterparts. This resulted in a significant reduction of the computational cost of the post denoising, features extraction, and classification. Moreover, a seven-fold reduction was achieved in the amount of data that needed to be transmitted to the cloud. This resulted in a notable reduction in the transmitter power consumption, bandwidth usage, and cloud application processing load. Finally, the performance of the system was also assessed in terms of the arrhythmia classification, achieving an accuracy of 97%. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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21 pages, 2651 KiB  
Article
Emphasis Learning, Features Repetition in Width Instead of Length to Improve Classification Performance: Case Study—Alzheimer’s Disease Diagnosis
by Hamid Akramifard, MohammadAli Balafar, SeyedNaser Razavi and Abd Rahman Ramli
Sensors 2020, 20(3), 941; https://doi.org/10.3390/s20030941 - 10 Feb 2020
Cited by 4 | Viewed by 2932
Abstract
In the past decade, many studies have been conducted to advance computer-aided systems for Alzheimer’s disease (AD) diagnosis. Most of them have recently developed systems concentrated on extracting and combining features from MRI, PET, and CSF. For the most part, they have obtained [...] Read more.
In the past decade, many studies have been conducted to advance computer-aided systems for Alzheimer’s disease (AD) diagnosis. Most of them have recently developed systems concentrated on extracting and combining features from MRI, PET, and CSF. For the most part, they have obtained very high performance. However, improving the performance of a classification problem is complicated, specifically when the model’s accuracy or other performance measurements are higher than 90%. In this study, a novel methodology is proposed to address this problem, specifically in Alzheimer’s disease diagnosis classification. This methodology is the first of its kind in the literature, based on the notion of replication on the feature space instead of the traditional sample space. Briefly, the main steps of the proposed method include extracting, embedding, and exploring the best subset of features. For feature extraction, we adopt VBM-SPM; for embedding features, a concatenation strategy is used on the features to ultimately create one feature vector for each subject. Principal component analysis is applied to extract new features, forming a low-dimensional compact space. A novel process is applied by replicating selected components, assessing the classification model, and repeating the replication until performance divergence or convergence. The proposed method aims to explore most significant features and highest-preforming model at the same time, to classify normal subjects from AD and mild cognitive impairment (MCI) patients. In each epoch, a small subset of candidate features is assessed by support vector machine (SVM) classifier. This repeating procedure is continued until the highest performance is achieved. Experimental results reveal the highest performance reported in the literature for this specific classification problem. We obtained a model with accuracies of 98.81%, 81.61%, and 81.40% for AD vs. normal control (NC), MCI vs. NC, and AD vs. MCI classification, respectively. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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20 pages, 3987 KiB  
Article
A Novel Approach for Multi-Lead ECG Classification Using DL-CCANet and TL-CCANet
by Weiyi Yang, Yujuan Si, Di Wang and Gong Zhang
Sensors 2019, 19(14), 3214; https://doi.org/10.3390/s19143214 - 21 Jul 2019
Cited by 26 | Viewed by 3181
Abstract
Cardiovascular disease (CVD) has become one of the most serious diseases that threaten human health. Over the past decades, over 150 million humans have died of CVDs. Hence, timely prediction of CVDs is especially important. Currently, deep learning algorithm-based CVD diagnosis methods are [...] Read more.
Cardiovascular disease (CVD) has become one of the most serious diseases that threaten human health. Over the past decades, over 150 million humans have died of CVDs. Hence, timely prediction of CVDs is especially important. Currently, deep learning algorithm-based CVD diagnosis methods are extensively employed, however, most such algorithms can only utilize one-lead ECGs. Hence, the potential information in other-lead ECGs was not utilized. To address this issue, we have developed novel methods for diagnosing arrhythmia. In this work, DL-CCANet and TL-CCANet are proposed to extract abstract discriminating features from dual-lead and three-lead ECGs, respectively. Then, the linear support vector machine specializing in high-dimensional features is used as the classifier model. On the MIT-BIH database, a 95.2% overall accuracy is obtained by detecting 15 types of heartbeats using DL-CCANet. On the INCART database, overall accuracies of 94.01% (II and V1 leads), 93.90% (V1 and V5 leads) and 94.07% (II and V5 leads) are achieved by detecting seven types of heartbeat using DL-CCANet, while TL-CCANet yields a higher overall accuracy of 95.52% using the above three leads. In addition, all of the above experiments are implemented using noisy ECG data. The proposed methods have potential to be applied in the clinic and mobile devices. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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Review

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26 pages, 4140 KiB  
Review
Assessment of Human Visual Acuity Using Visual Evoked Potential: A Review
by Xiaowei Zheng, Guanghua Xu, Kai Zhang, Renghao Liang, Wenqiang Yan, Peiyuan Tian, Yaguang Jia, Sicong Zhang and Chenghang Du
Sensors 2020, 20(19), 5542; https://doi.org/10.3390/s20195542 - 28 Sep 2020
Cited by 23 | Viewed by 7126
Abstract
Visual evoked potential (VEP) has been used as an alternative method to assess visual acuity objectively, especially in non-verbal infants and adults with low intellectual abilities or malingering. By sweeping the spatial frequency of visual stimuli and recording the corresponding VEP, VEP acuity [...] Read more.
Visual evoked potential (VEP) has been used as an alternative method to assess visual acuity objectively, especially in non-verbal infants and adults with low intellectual abilities or malingering. By sweeping the spatial frequency of visual stimuli and recording the corresponding VEP, VEP acuity can be defined by analyzing electroencephalography (EEG) signals. This paper presents a review on the VEP-based visual acuity assessment technique, including a brief overview of the technique, the effects of the parameters of visual stimuli, and signal acquisition and analysis of the VEP acuity test, and a summary of the current clinical applications of the technique. Finally, we discuss the current problems in this research domain and potential future work, which may enable this technique to be used more widely and quickly, deepening the VEP and even electrophysiology research on the detection and diagnosis of visual function. Full article
(This article belongs to the Special Issue Biomedical Signal Processing for Disease Diagnosis)
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