Advanced Statistical Machine Learning Methods for the Analysis of Neurophysiologic Data with Medical Application

Transcranial magnetic stimulation procedures use a magnetic field to carry a short-lasting electrical current pulse into the brain, where it stimulates neurons, particularly in superficial regions of the cerebral cortex. It is a powerfull tool to calculate several parameters related to the intracortical excitability and inhibition of the motor cortex. The cortical silent period (CSP), evoked by magnetic stimulation, corresponds to the suppression of muscle activity for a short period after a muscle response to a magnetic stimulation. The duration of the CSP is paramount to assess intracortical inhibition, and it is known to be correlated with the prognosis of stroke patients’ motor ability. Current mechanisms to estimate the duration of the CSP are mostly based on the analysis of raw electromyographical (EMG) signal and they are very sensitive to the presence of noise. This master thesis is devoted to the analysis of the EMG signal of stroke patients under rehabilitation. The use of advanced statistical machine learning techniques that behave robustly in the presence of noise for this analysis allows us to accurately estimate signal parameters such as the CSP. The research reported in this thesis provides us with a first evidence about their applicability in other areas of neuroscience

Advanced Statistical Machine Learning Methods for the Analysis of Neurophysiologic Data with Medical Application

Transcranial magnetic stimulation procedures use a magnetic field to carry a short-lasting electrical current pulse into the brain, where it stimulates neurons, particularly in superficial regions of the cerebral cortex. It is a powerfull tool to calculate several parameters related to the intracortical excitability and inhibition of the motor cortex. The cortical silent period (CSP), evoked by magnetic stimulation, corresponds to the suppression of muscle activity for a short period after a muscle response to a magnetic stimulation. The duration of the CSP is paramount to assess intracortical inhibition, and it is known to be correlated with the prognosis of stroke patients’ motor ability. Current mechanisms to estimate the duration of the CSP are mostly based on the analysis of raw electromyographical (EMG) signal and they are very sensitive to the presence of noise. This master thesis is devoted to the analysis of the EMG signal of stroke patients under rehabilitation. The use of advanced statistical machine learning techniques that behave robustly in the presence of noise for this analysis allows us to accurately estimate signal parameters such as the CSP. The research reported in this thesis provides us with a first evidence about their applicability in other areas of neuroscience

IFCN-endorsed practical guidelines for clinical magnetoencephalography (MEG)

Magnetoencephalography (MEG) records weak magnetic fields outside the human head and thereby provides millisecond-accurate information about neuronal currents supporting human brain function. MEG and electroencephalography (EEG) are closely related complementary methods and should be interpreted together whenever possible. This manuscript covers the basic physical and physiological principles of MEG and discusses the main aspects of state-of-the-art MEG data analysis. We provide guidelines for best practices of patient preparation, stimulus presentation, MEG data collection and analysis, as well as for MEG interpretation in routine clinical examinations. In 2017, about 200 whole-scalp MEG devices were in operation worldwide, many of them located in clinical environments. Yet, the established clinical indications for MEG examinations remain few, mainly restricted to the diagnostics of epilepsy and to preoperative functional evaluation of neurosurgical patients. We are confident that the extensive ongoing basic MEG research indicates potential for the evaluation of neurological and psychiatric syndromes, developmental disorders, and the integrity of cortical brain networks after stroke. Basic and clinical research is, thus, paving way for new clinical applications to be identified by an increasing number of practitioners of MEG. (C) 2018 International Federation of Clinical Neurophysiology. Published by Elsevier B.V.Peer reviewe

De animais a máquinas : humanos tecnicamente melhores nos imaginários de futuro da convergência tecnológica

Dissertação (mestrado)—Universidade de Brasília, Instituto de Ciências Sociais, Departamento de Sociologia, 2020.O tema desta investigação é discutir os imaginários sociais de ciência e tecnologia que emergem a partir da área da neuroengenharia, em sua relação com a Convergência Tecnológica de quatro disciplinas: Nanotecnologia, Biotecnologia, tecnologias da Informação e tecnologias Cognitivas - neurociências- (CT-NBIC). Estas áreas desenvolvem-se e são articuladas por meio de discursos que ressaltam o aprimoramento das capacidades físicas e cognitivas dos seres humanos, com o intuito de construir uma sociedade melhor por meio do progresso científico e tecnológico, nos limites das agendas de pesquisa e desenvolvimento (P&D). Objetivos: Os objetivos nesse cenário, são discutir as implicações éticas, econômicas, políticas e sociais deste modelo de sistema sociotécnico. Nos referimos, tanto as aplicações tecnológicas, quanto as consequências das mesmas na formação dos imaginários sociais, que tipo de relações se estabelecem e como são criadas dentro desse contexto. Conclusão: Concluímos na busca por refletir criticamente sobre as propostas de aprimoramento humano mediado pela tecnologia, que surgem enquanto parte da agenda da Convergência Tecnológica NBIC. No entanto, as propostas de melhoramento humano vão muito além de uma agenda de investigação. Há todo um quadro de referências filosóficas e políticas que defendem o aprimoramento da espécie, vertentes estas que se aliam a movimentos trans-humanistas e pós- humanistas, posições que são ao mesmo tempo éticas, políticas e econômicas. A partir de nossa análise, entendemos que ciência, tecnologia e política estão articuladas, em coprodução, em relação às expectativas de futuros que são esperados ou desejados. Ainda assim, acreditamos que há um espaço de diálogo possível, a partir do qual buscamos abrir propostas para o debate público sobre questões de ciência e tecnologia relacionadas ao aprimoramento da espécie humana.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)The subject of this research is to discuss the social imaginaries of science and technology that emerge from the area of neuroengineering in relation with the Technological Convergence of four disciplines: Nanotechnology, Biotechnology, Information technologies and Cognitive technologies -neurosciences- (CT-NBIC). These areas are developed and articulated through discourses that emphasize the enhancement of human physical and cognitive capacities, the intuition it is to build a better society, through the scientific and technological progress, at the limits of the research and development (R&D) agendas. Objectives: The objective in this scenery, is to discuss the ethic, economic, politic and social implications of this model of sociotechnical system. We refer about the technological applications and the consequences of them in the formation of social imaginaries as well as the kind of social relations that are created and established in this context. Conclusion: We conclude looking for critical reflections about the proposals of human enhancement mediated by the technology. That appear as a part of the NBIC technologies agenda. Even so, the proposals of human enhancement go beyond boundaries that an investigation agenda. There is a frame of philosophical and political references that defend the enhancement of the human beings. These currents that ally to the transhumanism and posthumanism movements, positions that are ethic, politic and economic at the same time. From our analysis, we understand that science, technology and politics are articulated, are in co-production, regarding the expected and desired futures. Even so, we believe that there is a space of possible dialog, from which we look to open proposals for the public discussion on questions of science and technology related to enhancement of human beings

Signal Processing Using Non-invasive Physiological Sensors

Non-invasive biomedical sensors for monitoring physiological parameters from the human body for potential future therapies and healthcare solutions. Today, a critical factor in providing a cost-effective healthcare system is improving patients' quality of life and mobility, which can be achieved by developing non-invasive sensor systems, which can then be deployed in point of care, used at home or integrated into wearable devices for long-term data collection. Another factor that plays an integral part in a cost-effective healthcare system is the signal processing of the data recorded with non-invasive biomedical sensors. In this book, we aimed to attract researchers who are interested in the application of signal processing methods to different biomedical signals, such as an electroencephalogram (EEG), electromyogram (EMG), functional near-infrared spectroscopy (fNIRS), electrocardiogram (ECG), galvanic skin response, pulse oximetry, photoplethysmogram (PPG), etc. We encouraged new signal processing methods or the use of existing signal processing methods for its novel application in physiological signals to help healthcare providers make better decisions

Complex Shoulder Instability: A combined study of functional MRI, Electromyography and 3-D motion analysis

Purpose of Study : The pathophysiology of type II/III shoulder instability under the Stanmore Classification is not understood. This absence of knowledge prevents treatment strategies being devised or a proper understanding of existing therapies. This is the first study to approach this group of patients from both a cerebral and muscle analysis perspective. Methods : The assessment of shoulder movement was undertaken using two simple movements, forward flexion and abduction. The muscles around the shoulder (AD, MD, PD, UT, SA, BB, TM, LD, PM, SSP, ISP and SUB) were assessed in 21 individuals in the standing and supine position using EMG. In the supine position the movement was restricted to the movement possible in a Siemens 1.5 Tesla MRI Scanner. Patients were recruited with Polar type II/III shoulder instability, with their inclusion confirmed by the senior surgeon and physiotherapist. In total, 16 Polar type II/III patients were recruited along with 16 age-matched controls. The patients and the controls underwent an fMRI and EMG. The fMRI protocol involved movements of forward flexion and abduction in a 1.5 tesla MRI Scanner. The EMG movements tested were forward flexion and abductions to 90 degrees (AD, MD, PD, UT, SA, TM, LD, PM, BB, ISP). Both the patients and the controls completed questionnaires: the Western Ontario Shoulder Instability Index (WOSI), Oxford Shoulder Instability Score (OSIS) and Beck’s Depression Inventory. Results : Analysis of the EMG data in the normal shoulder group confirmed activations in both supine and standing positions; however the activations in the supine position were of a different character. There was increased activation in the patient group compared to the control group. In the patient group, with a voxel level familywise error rate (FWER) p=0.04, there was a unique activation at MNI coordinates -38 -26 56. The cluster FWER p<0.001 showed additional clusters in the patient group in the Primary somatosensory cortex, BA 3, Primary Motor Cortex, BA 4, Premotor cortex, BA 6 and Dorsolateral prefrontal cortex, BA 9. When the WOSI and OSIS were used as a contrast, activations were seen in primary somatosensory cortex, BA 3, supplementary motor cortex, BA 11, orbitofrontal area, BA 26, cingulate gyrus and the amygdala. The WOSI and OSIS showed a dramatically different score in the patient group compared to the controls, save for one patient whose symptoms had largely resolved following muscle patterning physiotherapy. Conclusion : The EMG studies in the standing and the supine position confirmed the validity of the fMRI paradigm. The instability questionnaires, WOSI and OSIS confirmed the patient group selection. The unique activation (MNI -38 -26 56) occurred within the primary motor cortex, with the cluster level voxels stretching between both the somatosensory cortex and the motor cortex. The WOSI and OSI comparisons show similar activations. This is thought to be evidence of compensatory activation. This additional activation was also seen in the EMG analysis, with evidence throughout all of the muscles that greater activation was needed to complete simple movement. Overall, the comparative addition cortical and muscles activations in patient group simultaneously demonstrate dysfunction and compensatory strategies employed to achieve simple shoulder movement

Intelligent Biosignal Processing in Wearable and Implantable Sensors

This reprint provides a collection of papers illustrating the state-of-the-art of smart processing of data coming from wearable, implantable or portable sensors. Each paper presents the design, databases used, methodological background, obtained results, and their interpretation for biomedical applications. Revealing examples are brain–machine interfaces for medical rehabilitation, the evaluation of sympathetic nerve activity, a novel automated diagnostic tool based on ECG data to diagnose COVID-19, machine learning-based hypertension risk assessment by means of photoplethysmography and electrocardiography signals, Parkinsonian gait assessment using machine learning tools, thorough analysis of compressive sensing of ECG signals, development of a nanotechnology application for decoding vagus-nerve activity, detection of liver dysfunction using a wearable electronic nose system, prosthetic hand control using surface electromyography, epileptic seizure detection using a CNN, and premature ventricular contraction detection using deep metric learning. Thus, this reprint presents significant clinical applications as well as valuable new research issues, providing current illustrations of this new field of research by addressing the promises, challenges, and hurdles associated with the synergy of biosignal processing and AI through 16 different pertinent studies. Covering a wide range of research and application areas, this book is an excellent resource for researchers, physicians, academics, and PhD or master students working on (bio)signal and image processing, AI, biomaterials, biomechanics, and biotechnology with applications in medicine