1.Application Status of Machine Learning in Assisted Diagnosis Techniques of Cardiovascular Diseases.
Pinliang LIAO ; Zihong WANG ; Miao TIAN ; Hong CHAI ; Xiaoyu CHEN
Chinese Journal of Medical Instrumentation 2025;49(1):24-34
In recent years, cardiovascular disease has become a common disease. With the development of machine learning and big data technologies, the processing ability of electrocardiogram (ECG) signals has been greatly enhanced through new computer technologies, enabling the auxiliary diagnosis technology for cardiovascular disease (CVD) to achieve new improvements. This article discusses the application of machine learning in ECG processing, especially in the auxiliary diagnosis of diseases. Firstly, the conventional signal preprocessing methods are introduced, and then the EEG signal processing methods based on feature extraction and fuzzy classification are explored. Secondly, the application of auxiliary diagnosis in CVD is further summarized. Finally, the advantages and disadvantages of the two methods are analyzed, and based on this, a design of an auxiliary diagnostic system compatible with the two methods is proposed, providing a new perspective for similar applied researches in the future.
Machine Learning
;
Cardiovascular Diseases/diagnosis*
;
Humans
;
Electrocardiography
;
Signal Processing, Computer-Assisted
;
Diagnosis, Computer-Assisted
;
Fuzzy Logic
;
Electroencephalography
2.Design and Implementation of Non-Invasive Hemodynamic Monitoring System Based on Impedance Cardiogram Method.
Fuhao KANG ; Qi YIN ; Yanan LIU ; Lin HUANG ; Yan HANG ; Jilun YE ; Xu ZHANG
Chinese Journal of Medical Instrumentation 2025;49(1):80-88
Hemodynamic monitoring can reflect cardiac function and blood perfusion and is an indispensable monitoring method in clinical practice. Invasive hemodynamic monitoring methods represented by the thermodilution method are limited in their clinical application scope because they require vascular cannulation. Non-invasive hemodynamic monitoring has attracted extensive attention from medical companies and clinicians at home and abroad in recent years due to its advantages such as safety, non-invasiveness, continuous monitoring, simple operation, and low cost. This paper designs a non-invasive hemodynamic monitoring system based on the impedance cardiography, including hardware, algorithm, software design, and performance parameter evaluation. Among them, the hardware part mainly includes a differential high-frequency constant current source stimulation circuit, impedance cardiogram signal acquisition, and ECG signal acquisition circuit. Signal processing includes wave filtering, impedance cardiogram signal calibration, and ECG signal and impedance cardiogram signal feature point recognition. According to the collected impedance cardiogram and ECG signals, hemodynamic parameters such as heart rate (HR), stroke volume (SV), cardiac output (CO), stroke index (SI), cardiac index (CI), and cardiac contractility index (ICON) are calculated based on the Nyboer thoracic cylinder model. After testing, the key technical indicators of the system hardware are better than that of the relevant medical device standards. The system was used to collect impedance cardiogram and ECG signal data from 40 volunteers. The calculated HR, SV, and CO, three important hemodynamic indicators, were compared with the ICONCore non-invasive cardiac output monitor of OSYPKA Medical in Germany. Their Pearson correlation coefficients were 0.992 ( P<0.001), 0.948 ( P<0.001), and 0.933 ( P<0.001), respectively, verifying that the designed system has high accuracy and reliability.
Cardiography, Impedance/methods*
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Humans
;
Hemodynamic Monitoring/methods*
;
Equipment Design
;
Signal Processing, Computer-Assisted
;
Hemodynamics
;
Algorithms
;
Monitoring, Physiologic/methods*
;
Electrocardiography
3.3D Pulse Image Detection and Pulse Pattern Recognition Based on Subtle Motion Magnification Technology.
Chongyang YAO ; Yongxin CHOU ; Zhiwei LIANG ; Haiping YANG ; Jicheng LIU ; Dongmei LIN
Chinese Journal of Medical Instrumentation 2025;49(3):255-262
To address the problem of large reconstruction errors in 3D pulse signals caused by excessively small out-of-plane displacement of the contact membrane in the existing traditional Chinese medicine fingertip tactile binocular vision detection technology, this study proposes a 3D pulse image detection method based on subtle motion magnification technology and explores its application in pulse pattern recognition. Firstly, a 3D pulse image detection system based on binocular vision to obtain pulse image signals is developed as experimental data. Then, the phase motion video magnification algorithm is used to amplify the original signals, and the amplified signals are reconstructed in three dimensions to obtain 3D pulse signals. On this basis, nine features are extracted from the 3D pulse signals and features selection is performed using a two-sample Kolmogorov-Smirnov test. Finally, machine learning algorithms such as decision trees and random forests are used to identify the five types of pulse conditions: deep pulse, intermittent pulse, flooding pulse, slippery pulse, and rapid pulse. The experimental results show that compared to the methods without subtle motion magnification technology, the proposed method significantly improves waveform clarity, amplitude stability, and periodic regularity. Meanwhile, the average accuracy in pulse pattern recognition reaches 96.29%±0.26%.
Algorithms
;
Imaging, Three-Dimensional/methods*
;
Pattern Recognition, Automated
;
Medicine, Chinese Traditional
;
Motion
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Humans
;
Pulse
;
Signal Processing, Computer-Assisted
;
Machine Learning
4.Research Progress on Coupling Analysis of Continuous Physiological Signals.
Guojing WANG ; Weidong WANG ; Hongyun LIU
Chinese Journal of Medical Instrumentation 2025;49(4):396-405
The coupling analysis of continuous physiological signals is a crucial tool for revealing the dynamic activities and interactions within physiological systems. To gain a deeper understanding of the coupling relationships between physiological systems, this paper provides a comprehensive review of recent research on coupling analysis methods for continuous physiological signals, both domestically and internationally. It focuses on various coupling analysis techniques, including time-domain, frequency-domain, time-frequency-domain and nonlinear methods, and explores their applications in the coupling assessment of different physiological systems. Finally, the paper discusses the limitations of these methods and their future development trends. By systematically reviewing the current methods of continuous physiological signal coupling analysis, this paper aims to provide valuable references for further research on coupling evaluation methods for physiological systems.
Signal Processing, Computer-Assisted
;
Humans
5.A segmented backprojection tensor degradation feature encoding model for motion artifacts correction in dental cone beam computed tomography.
Zhixiong ZENG ; Yongbo WANG ; Zongyue LIN ; Zhaoying BIAN ; Jianhua MA
Journal of Southern Medical University 2025;45(2):422-436
OBJECTIVES:
We propose a segmented backprojection tensor degradation feature encoding (SBP-MAC) model for motion artifact correction in dental cone beam computed tomography (CBCT) to improve the quality of the reconstructed images.
METHODS:
The proposed motion artifact correction model consists of a generator and a degradation encoder. The segmented limited-angle reconstructed sub-images are stacked into the tensors and used as the model input. A degradation encoder is used to extract spatially varying motion information in the tensor, and the generator's skip connection features are adaptively modulated to guide the model for correcting artifacts caused by different motion waveforms. The artifact consistency loss function was designed to simplify the learning task of the generator.
RESULTS:
The proposed model could effectively remove motion artifacts and improve the quality of the reconstructed images. For simulated data, the proposed model increased the peak signal-to-noise ratio by 8.28%, increased the structural similarity index measurement by 2.29%, and decreased the root mean square error by 23.84%. For real clinical data, the proposed model achieved the highest expert score of 4.4221 (against a 5-point scale), which was significantly higher than those of all the other comparison methods.
CONCLUSIONS
The SBP-MAC model can effectively extract spatially varying motion information in the tensors and achieve adaptive artifact correction from the tensor domain to the image domain to improve the quality of reconstructed dental CBCT images.
Cone-Beam Computed Tomography/methods*
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Artifacts
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Humans
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Motion
;
Image Processing, Computer-Assisted/methods*
;
Signal-To-Noise Ratio
;
Algorithms
6.A myocardial infarction detection and localization model based on multi-scale field residual blocks fusion with modified channel attention.
Qiucen WU ; Xueqi LU ; Yaoqi WEN ; Yong HONG ; Yuliang WU ; Chaomin CHEN
Journal of Southern Medical University 2025;45(8):1777-1790
OBJECTIVES:
We propose a myocardial infarction (MI) detection and localization model for improving the diagnostic accuracy for MI to provide assistance to clinical decision-making.
METHODS:
The proposed model was constructed based on multi-scale field residual blocks fusion modified channel attention (MSF-RB-MCA). The model utilizes lead II electrocardiogram (ECG) signals to detect and localize MI, and extracts different levels of feature information through the multi-scale field residual block. A modified channel attention for automatic adjustment of the feature weights was introduced to enhance the model's ability to focus on the MI region, thereby improving the accuracy of MI detection and localization.
RESULTS:
A 5-fold cross-validation test of the model was performed using the publicly available Physikalisch-Technische Bundesanstalt (PTB) dataset. For MI detection, the model achieved an accuracy of 99.96% on the test set with a specificity of 99.84% and a sensitivity of 99.99%. For MI localization, the accuracy, specificity and sensitivity were 99.81%, 99.98% and 99.65%, respectively. The performances of the model for MI detection and localization were superior to those of other comparison models.
CONCLUSIONS
The proposed MSF-RB-MCA model shows excellent performance in AI detection and localization based on lead II ECG signals, demonstrating its great potential for application in wearable devices.
Myocardial Infarction/diagnosis*
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Humans
;
Electrocardiography/methods*
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Signal Processing, Computer-Assisted
;
Algorithms
;
Sensitivity and Specificity
7.A Novel Real-time Phase Prediction Network in EEG Rhythm.
Hao LIU ; Zihui QI ; Yihang WANG ; Zhengyi YANG ; Lingzhong FAN ; Nianming ZUO ; Tianzi JIANG
Neuroscience Bulletin 2025;41(3):391-405
Closed-loop neuromodulation, especially using the phase of the electroencephalography (EEG) rhythm to assess the real-time brain state and optimize the brain stimulation process, is becoming a hot research topic. Because the EEG signal is non-stationary, the commonly used EEG phase-based prediction methods have large variances, which may reduce the accuracy of the phase prediction. In this study, we proposed a machine learning-based EEG phase prediction network, which we call EEG phase prediction network (EPN), to capture the overall rhythm distribution pattern of subjects and map the instantaneous phase directly from the narrow-band EEG data. We verified the performance of EPN on pre-recorded data, simulated EEG data, and a real-time experiment. Compared with widely used state-of-the-art models (optimized multi-layer filter architecture, auto-regress, and educated temporal prediction), EPN achieved the lowest variance and the greatest accuracy. Thus, the EPN model will provide broader applications for EEG phase-based closed-loop neuromodulation.
Humans
;
Electroencephalography/methods*
;
Brain/physiology*
;
Machine Learning
;
Signal Processing, Computer-Assisted
;
Male
;
Adult
;
Neural Networks, Computer
;
Brain Waves/physiology*
8.AQMFB-DWT: A Preprocessing Technique for Removing Blink Artifacts Before Extracting Pain-evoked Potential EEG.
Wenjia GAO ; Dan LIU ; Qisong WANG ; Yongping ZHAO ; Jinwei SUN
Neuroscience Bulletin 2025;41(12):2285-2295
The pain-evoked potential electroencephalogram (EEG) is an effective electrophysiological indicator for pain assessment, yet its extraction is challenging due to interference from background activity and involuntary blinks. Although existing blink artifact-removal methods show efficacy, they face limitations such as the need for reference signals, neglect of individual differences, and reliance on user input, hindering their practical application in clinical pain assessments. In this paper, we propose a novel framework applying adaptive quadrature mirror filter banks (AQMFB) with discrete wavelet transform (DWT) to remove blink artifacts in pain EEG. Unlike traditional DWT methods that apply fixed wavelets across subjects, our method adapts wavelet construction based on the characteristics of EEG. Experimental results demonstrate that AQMFB-DWT outperforms four leading methods in removing blink artifacts with minimal distortion of pain information, all within an acceptable processing time. This technique is a valuable preprocessing step for enhancing the extraction of pain-evoked potentials.
Humans
;
Artifacts
;
Blinking/physiology*
;
Electroencephalography/methods*
;
Pain/diagnosis*
;
Male
;
Wavelet Analysis
;
Adult
;
Female
;
Evoked Potentials/physiology*
;
Young Adult
;
Brain/physiopathology*
;
Pain Measurement/methods*
;
Signal Processing, Computer-Assisted
9.Scientific analysis and usage reassessment of suspected medicinal cinnabar unearthed from Mawangdui Tomb No.3 of the Han Dynasty.
Ning-Ning XU ; Ting-Yan REN ; Ming-Jie LI ; Pan XIAO ; Guo-Hui SHEN ; Ji-Qing BAI ; Qi LIU
China Journal of Chinese Materia Medica 2025;50(11):2915-2923
Cinnabar(HgS) was widely used in ancient times for medicinal purposes, religious rituals, and pigments. A group of bright red powdery clumps was excavated from Mawangdui Tomb No.3 of the Han Dynasty. Early studies considered the clumps as evidence of cinnabar's medicinal use during the Qin-Han period. This study employed a range of archaeometric techniques, including extended-depth-of-field stereo imaging, micro-CT, scanning electron microscopy-energy dispersive spectroscopy, Raman spectroscopy, and Fourier transform infrared spectrometry FTIR, to systematically analyze the material composition and structural characteristics of these remains. The results revealed that the cinnabar particles were granular, finely ground, and tightly bound to silk matrix, with no detectable excipients typically associated with medicinal formulations. Micro-CT imaging indicated a well-preserved textile structure, with clear signs of sedimentary accumulation and mechanical damage. Based on historical and archaeological studies, this study suggested that these remains were more likely degraded accumulations of cinnabar-colored silk textiles rather than medicinal cinnabar. By clarifying the diversity of ancient cinnabar applications and preservation states, this study provides new insights for the archaeological identification of mineral medicinal materials and contributes to the standardized study of Chinese medicinal materials and understanding of the historical use of cinnabar.
History, Ancient
;
China
;
Humans
;
Medicine, Chinese Traditional/history*
;
Archaeology
;
Drugs, Chinese Herbal/history*
;
Spectroscopy, Fourier Transform Infrared
;
Spectrum Analysis, Raman
;
Mercury Compounds
10.The joint analysis of heart health and mental health based on continual learning.
Hongxiang GAO ; Zhipeng CAI ; Jianqing LI ; Chengyu LIU
Journal of Biomedical Engineering 2025;42(1):1-8
Cardiovascular diseases and psychological disorders represent two major threats to human physical and mental health. Research on electrocardiogram (ECG) signals offers valuable opportunities to address these issues. However, existing methods are constrained by limitations in understanding ECG features and transferring knowledge across tasks. To address these challenges, this study developed a multi-resolution feature encoding network based on residual networks, which effectively extracted local morphological features and global rhythm features of ECG signals, thereby enhancing feature representation. Furthermore, a model compression-based continual learning method was proposed, enabling the structured transfer of knowledge from simpler tasks to more complex ones, resulting in improved performance in downstream tasks. The multi-resolution learning model demonstrated superior or comparable performance to state-of-the-art algorithms across five datasets, including tasks such as ECG QRS complex detection, arrhythmia classification, and emotion classification. The continual learning method achieved significant improvements over conventional training approaches in cross-domain, cross-task, and incremental data scenarios. These results highlight the potential of the proposed method for effective cross-task knowledge transfer in ECG analysis and offer a new perspective for multi-task learning using ECG signals.
Humans
;
Electrocardiography/methods*
;
Mental Health
;
Algorithms
;
Signal Processing, Computer-Assisted
;
Machine Learning
;
Arrhythmias, Cardiac/diagnosis*
;
Cardiovascular Diseases
;
Neural Networks, Computer
;
Mental Disorders

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