Manual visual review, annotation and categorization of electroencephalography (EEG) is a time-consuming task that is often associated with human bias and requires trained electrophysiology experts with specific domain knowledge. This challenge is now compounded by development of measurement technologies and devices allowing large-scale heterogeneous, multi-channel recordings spanning multiple brain regions over days, weeks. Currently, supervised deep-learning techniques were shown to be an effective tool for analyzing big data sets, including EEG. However, the most significant caveat in training the supervised deep-learning models in a clinical research setting is the lack of adequate gold-standard annotations created by electrophysiology experts. Here, we propose a semi-supervised machine learning technique that utilizes deep-learning methods with a minimal amount of gold-standard labels. The method utilizes a temporal autoencoder for dimensionality reduction and a small number of the expert-provided gold-standard labels used for kernel density estimating (KDE) maps. We used data from electrophysiological intracranial EEG (iEEG) recordings acquired in two hospitals with different recording systems across 39 patients to validate the method. The method achieved iEEG classification (Pathologic vs. Normal vs. Artifacts) results with an area under the receiver operating characteristic (AUROC) scores of 0.862 ± 0.037, 0.879 ± 0.042, and area under the precision-recall curve (AUPRC) scores of 0.740 ± 0.740, 0.714 ± 0.042. This demonstrates that semi-supervised methods can provide acceptable results while requiring only 100 gold-standard data samples in each classification category. Subsequently, we deployed the technique to 12 novel patients in a pseudo-prospective framework for detecting Interictal epileptiform discharges (IEDs). We show that the proposed temporal autoencoder was able to generalize to novel patients while achieving AUROC of 0.877 ± 0.067 and AUPRC of 0.705 ± 0.154.
Endoskopická submukózní disekce (ESD) je náročná terapeutická metoda používaná k odstranění časných neoplazií trávicí trubice. Kompletní cirkulární endoskopická submukózní disekce v jícnu je zatížena značným výskytem pooperačních striktur. Těmto strikturám by mohl zabránit metalický stent s biomateriálem. Metoda: Pilotní projekt byl proveden na sedmi dospělých miniaturních prasatech z chovu Akademie věd ČR v Liběchově. Byl použit jednokanálový endoskop. Po vytyčení okrajů a submukózním podpichu jsme provedli dolní cirkulární slizniční řez a poté 4–6 cm nad ním identicky orální cirkulární řez. Vytvořili jsme tři submukózní tunely v aborálním směru pomocí podpichů a disekce. Po dokončení ESD jsme sliznici vytáhli navenek a resekční plochu jsme přepažili jícnovými stenty (6× nepotaženým a 1× potaženým). V pěti případech jsme nepotažené stenty povlékli biologickým materiálem (Xe-Derma?). Ve třech případech jsme stent připevnili ke stěně jícnu pomocí endoklipů. Po týdnu jsme provedli kontrolní endoskopii a následně pitvu a histologický rozbor resekční plochy. Výsledky: Všechny výkony byly dokončeny úspěšně bez závažných komplikací. Kontrolní endoskopie ukázaly, že biomateriál se stentem chrání resekční plochu (tj. bez zánětu, bez vředů či dezintegrace tkání). Ani v jednom případě však nebyl optimálně umístěn, a to i přesto, že stent byl ukotven a rozvinut vždy správně přes defekt. Ve dvou případech biomateriál sklouzl ze stentu a obnažená síť stentu vyvolala zánět s fibrotickou stenózou jícnu. U zvířat bez protekce biomateriálem jsme při pitvě našli 1× hnisavou mediastinitidu a 1× paraezofageální absces. Stent byl při kontrolní endoskopii po týdnu v 71 % (5/7) dislokován v žaludku. Histologický rozbor ukázal, že po kontaktu s biomateriálem dochází v resekční ploše k uspořádané reepitelizaci již po týdnu od aplikace. Hlubší vrstvy byly bez známek zánětu, bez dysplazií a bez granulomů z cizích buněk. Závěr: Biomateriál (Xe-Derma?) může být vhodným biologickým krytem resekční plochy po cirkulární ESD jícnu s možným vlivem na reepitelizaci a hypoteticky může chránit před vznikem striktur. Migrace stentu krytého biomateriálem není dosud vyřešena.
Endoscopic submucosal dissection (ESD) is a challenging therapeutic method used to remove early neoplasms of the digestive tract. Complete circular ESD in the oesophagus is complicated by an extensive occurrence of postoperative strictures. Such strictures could be prevented using a metallic stent using biomaterial. Method: The pilot project was carried out over 12 months, using seven adult miniature pigs (bred in the laboratories of the Czech Academy of Science in Libechov). We used a single-channel endoscope. After tracing the edges and performing submucosal under-puncturing, we made a distal circular incision of the mucosa and then an identical oral circular incision 4–6 cm above it. We created three submucosal tunnels in the caudal direction using punctures and dissection. After completing the circular ESD, we pulled the mucosa outwards and the resection area was covered with oesophageal stents (six uncoated and one coated). Five primarily uncoated stents were coated with biodegradable material (Xe-Derma?). Three stents were attached to the wall of the oesophagus using endoscopic hemoclips. One week after the procedure, we conducted a control endoscopy followed by autopsy and histological analysis of the resection area. Results: All procedures were successfully completed without any major complications. Control endoscopy showed that the stents using biomaterial provide excellent protection to the resection area (i.e. no inflammation, no ulcer or tissue disintegration). Unfortunately, the biomaterial was not positioned optimally in any of the cases, even though the stent had always been deployed and anchored over the resection correctly. In two cases, the biomaterial slid from the stent and the bare-metal stent caused inflammation with fibrotic stenosis of the oesophagus. In animals where no biomaterial was used, the autopsy revealed 1× purulent mediastinitis and 1× para-oesophageal abscess. After one week the stent had migrated into the stomach in 71% (5/7) of the animals. Histological analysis of the resection area covered with biomaterial showed multi-layered re-epithelialization one week after the procedure. Deeper layers showed no signs of inflammation, without dysplasia, or granulomas from foreign cells. Conclusion: Biomaterial (Xe-Derma?) could be a suitable biological covering of the resection area after circular ESD with a positive effect on re-epithelialization and could hypothetically prevent stenosis. Migration of the stent covered with biomaterial has not yet been resolved. Key words: circular endoscopic submucosal dissection – complication – oesophageal strictures – submucosal tunnel The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study. The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers. Submitted: 4. 9. 2015 Accepted: 22. 9. 2015
- Keywords
- cirkulární endoskopická submukózní disekce, submukózní tunel,
- MeSH
- Equipment Safety MeSH
- Coated Materials, Biocompatible MeSH
- Esophagoscopy * adverse effects MeSH
- Esophagus surgery pathology MeSH
- Wound Healing MeSH
- Foreign-Body Migration MeSH
- Swine, Miniature MeSH
- Minimally Invasive Surgical Procedures adverse effects MeSH
- Disease Models, Animal MeSH
- Pilot Projects MeSH
- Postoperative Complications MeSH
- Prosthesis Failure MeSH
- Mucous Membrane surgery MeSH
- Esophageal Stenosis * prevention & control MeSH
- Stents * adverse effects MeSH
- Inflammation complications MeSH
- Animals MeSH
- Check Tag
- Animals MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
A fused-silica capillary with a common outer diameter, 360 μm, but containing seven internal channels, each 28 μm in diameter (a multichannel capillary), has been tested on electrophoretic separations of mixtures of dopamine, adrenaline, and noradrenaline, using a contactless conductivity and UV photometric detection. It has been demonstrated that the sensitivity of the detection of these neurotransmitters in multichannel capillary, in comparison with those obtained for a standard singlechannel capillary with similar cross-sectional area, is comparable to that for the contactless conductivity and is about 50% higher for the UV photometry. The sensitivity is increased without loss of the separation efficiency, in contrast to UV detection with bubble cell. Further possibilities of using a multichannel capillary are demonstrated on separations of mixtures of inorganic cations (K⁺, Ba²⁺, Na⁺, Mg²⁺, and Li⁺) and mixtures of glucose and ribose. The main advantage of multi-channel capillary in comparison with a singlechannel capillary with the same cross-sectional area becomes apparent in separations in background electrolytes of high conductivity.
- MeSH
- Epinephrine isolation & purification MeSH
- Equipment Design MeSH
- Dopamine isolation & purification MeSH
- Electric Conductivity MeSH
- Electrophoresis, Capillary instrumentation MeSH
- Neurotransmitter Agents isolation & purification MeSH
- Norepinephrine isolation & purification MeSH
- Sensitivity and Specificity MeSH
- Publication type
- Journal Article MeSH
- Evaluation Study MeSH
- Research Support, Non-U.S. Gov't MeSH
Surface plasmon resonance (SPR) biosensors are affinity sensing devices exploiting a special mode of electromagnetic field-surface plasmon-polariton-to detect the binding of analyte molecules from a liquid sample to biomolecular recognition elements immobilized on the surface of the sensor. In this paper, we review advances of SPR biosensor technology towards detection systems for the simultaneous detection of multiple analytes (multi-analyte detection). In addition, we report application of a recently developed multichannel SPR sensor based on spectroscopy of surface plasmons and wavelength division multiplexing of sensing channels to multi-analyte detection.
Bak (Germany, -- Canada) 620 -- A Multi-Media Hospital Equipment Database -- R. Haux 89 -- Data Collection in Multi-center Clinical Trials via Internet. Satomura 127 -- Evaluation of tablet device for electric patient record -- M. Miyamoto, N. Ohe 145 A Multi-Agent Softbot to Retrieve Medical Information on Internet -- O. Baujard, V. Omura: ARRHYTHMIA MONITORING SYSTEM WITH MULTI-MICROCOMPUTERS. (Japan) -- C. Moreau, J.
IFIP world conference series on medical informatics Studies in health technology and informatics
sv. ; 27 cm
- MeSH
- Information Systems MeSH
- Medical Informatics MeSH
- Medicine MeSH
- Publication type
- Congress MeSH
- Collected Work MeSH
- Conspectus
- Lékařské vědy. Lékařství
- NML Fields
- lékařská informatika
