Breathing pattern characterization in patients with respiratory and cardiac failure

El objetivo principal de la tesis es estudiar los patrones respiratorios de pacientes en proceso de extubación y pacientes con insuficiencia cardiaca crónica (CHF), a partirde la señal de flujo respiratorio. La información obtenida de este estudio puede contribuir a la comprensión de los procesos fisiológicos subyacentes,y ayudar en el diagnóstico de estos pacientes. Uno de los problemas más desafiantes en unidades de cuidados intensivos es elproceso de desconexión de pacientes asistidos mediante ventilación mecánica. Más del 10% de pacientes que se extuban tienen que ser reintubados antes de 48 horas. Una prueba fallida puede ocasionar distrés cardiopulmonar y una mayor tasa de mortalidad. Se caracterizó el patrón respiratorio y la interacción dinámica entre la frecuenciacardiaca y frecuencia respiratoria, para obtener índices no invasivos que proporcionen una mayor información en el proceso de destete y mejorar el éxito de la desconexión.Las señales de flujo respiratorio y electrocardiográfica utilizadas en este estudio fueron obtenidas durante 30 minutos aplicando la prueba de tubo en T. Se compararon94 pacientes que tuvieron éxito en el proceso de extubación (GE), 39 pacientes que fracasaron en la prueba al mantener la respiración espontánea (GF), y 21 pacientes quesuperaron la prueba con éxito y fueron extubados, pero antes de 48 horas tuvieron que ser reintubados (GR). El patrón respiratorio se caracterizó a partir de las series temporales. Se aplicó la dinámica simbólica conjunta a las series correspondientes a las frecuencias cardiaca y respiratoria, para describir las interacciones cardiorrespiratoria de estos pacientes. Técnicas de "clustering", ecualización del histograma, clasificación mediante máquinasde soporte vectorial (SVM) y técnicas de validación permitieron seleccionar el conjunto de características más relevantes. Se propuso una nueva métrica B (índice de equilibrio) para la optimización de la clasificación con muestras desbalanceadas. Basado en este nuevo índice, aplicando SVM, se seleccionaron las mejores características que mantenían el mejor equilibrio entre sensibilidad y especificidad en todas las clasificaciones. El mejor resultado se obtuvo considerando conjuntamente la precisión y el valor de B, con una clasificación del 80% entre los grupos GE y GF, con 6 características. Clasificando GE vs. el resto de los pacientes, el mejor resultado se obtuvo con 9 características, con 81%. Clasificando GR vs. GE y GR vs. el resto de pacientes la precisión fue del 83% y 81% con 9 y 10 características, respectivamente. La tasa de mortalidad en pacientes con CHF es alta y la estratificación de estospacientes en función del riesgo es uno de los principales retos de la cardiología contemporánea. Estos pacientes a menudo desarrollan patrones de respiraciónperiódica (PB) incluyendo la respiración de Cheyne-Stokes (CSR) y respiración periódica sin apnea. La respiración periódica en estos pacientes se ha asociadocon una mayor mortalidad, especialmente en pacientes con CSR. Por lo tanto, el estudio de estos patrones respiratorios podría servir como un marcador de riesgo y proporcionar una mayor información sobre el estado fisiopatológico de pacientes con CHF. Se pretende identificar la condición de los pacientes con CHFde forma no invasiva mediante la caracterización y clasificación de patrones respiratorios con PBy respiración no periódica (nPB), y patrón de sujetos sanos, a partir registros de 15minutos de la señal de flujo respiratorio. Se caracterizó el patrón respiratorio mediante un estudio tiempo-frecuencia estacionario y no estacionario, de la envolvente de la señal de flujo respiratorio. Parámetros relacionados con la potencia espectral de la envolvente de la señal presentaron losmejores resultados en la clasificación de sujetos sanos y pacientes con CHF con CSR, PB y nPB. Las curvas ROC validan los resultados obtenidos. Se aplicó la "correntropy" para una caracterización tiempo-frecuencia mas completa del patrón respiratorio de pacientes con CHF. La "corretronpy" considera los momentos estadísticos de orden superior, siendo más robusta frente a los "outliers". Con la densidad espectral de correntropy (CSD) tanto la frecuencia de modulación como la dela respiración se representan en su posición real en el eje frecuencial. Los pacientes con PB y nPB, presentan diferentesgrados de periodicidad en función de su condición, mientras que los sujetos sanos no tienen periodicidad marcada. Con único parámetro se obtuvieron resultados del 88.9% clasificando pacientes PB vs. nPB, 95.2% para CHF vs. sanos, 94.4% para nPB vs. sanos.The main objective of this thesis is to study andcharacterize breathing patterns through the respiratory flow signal applied to patients on weaning trials from mechanicalventilation and patients with chronic heart failure (CHF). The aim is to contribute to theunderstanding of the underlying physiological processes and to help in the diagnosis of these patients. One of the most challenging problems in intensive care units is still the process ofdiscontinuing mechanical ventilation, as over 10% of patients who undergo successfulT-tube trials have to be reintubated in less than 48 hours. A failed weaning trial mayinduce cardiopulmonary distress and carries a higher mortality rate. We characterize therespiratory pattern and the dynamic interaction between heart rate and breathing rate toobtain noninvasive indices that provide enhanced information about the weaningprocess and improve the weaning outcome. This is achieved through a comparison of 94 patients with successful trials (GS), 39patients who fail to maintain spontaneous breathing (GF), and 21 patients who successfully maintain spontaneous breathing and are extubated, but require thereinstitution of mechanical ventilation in less than 48 hours because they are unable tobreathe (GR). The ECG and the respiratory flow signals used in this study were acquired during T-tube tests and last 30 minute. The respiratory pattern was characterized by means of a number of respiratory timeseries. Joint symbolic dynamics applied to time series of heart rate and respiratoryfrequency was used to describe the cardiorespiratory interactions of patients during theweaning trial process. Clustering, histogram equalization, support vector machines-based classification (SVM) and validation techniques enabled the selection of the bestsubset of input features. We defined a new optimization metric for unbalanced classification problems, andestablished a new SVM feature selection method, based on this balance index B. The proposed B-based SVM feature selection provided a better balance between sensitivityand specificity in all classifications. The best classification result was obtained with SVM feature selection based on bothaccuracy and the balance index, which classified GS and GFwith an accuracy of 80%, considering 6 features. Classifying GS versus the rest of patients, the best result wasobtained with 9 features, 81%, and the accuracy classifying GR versus GS, and GR versus the rest of the patients was 83% and 81% with 9 and 10 features, respectively.The mortality rate in CHF patients remains high and risk stratification in these patients isstill one of the major challenges of contemporary cardiology. Patients with CHF oftendevelop periodic breathing patterns including Cheyne-Stokes respiration (CSR) and periodic breathing without apnea. Periodic breathing in CHF patients is associated withincreased mortality, especially in CSR patients. Therefore it could serve as a risk markerand can provide enhanced information about thepathophysiological condition of CHF patients. The main goal of this research was to identify CHF patients' condition noninvasively bycharacterizing and classifying respiratory flow patterns from patients with PB and nPBand healthy subjects by using 15-minute long respiratory flow signals. The respiratory pattern was characterized by a stationary and a nonstationary time-frequency study through the envelope of the respiratory flow signal. Power-related parameters achieved the best results in all of the classifications involving healthy subjects and CHF patients with CSR, PB and nPB and the ROC curves validated theresults obtained for the identification of different respiratory patterns. We investigated the use of correntropy for the spectral characterization of respiratory patterns in CHF patients. The correntropy function accounts for higher-order moments and is robust to outliers. Due to the former property, the respiratory and modulationfrequencies appear at their actual locations along the frequency axis in the correntropy spectral density (CSD). The best results were achieved with correntropy and CSD-related parameters that characterized the power in the modulation and respiration discriminant bands, definedas a frequency interval centred on the modulation and respiration frequency peaks,respectively. All patients, i.e. both PB and nPB, exhibit various degrees of periodicitydepending on their condition, whereas healthy subjects have no pronounced periodicity.This fact led to excellent results classifying PB and nPB patients 88.9%, CHF versushealthy 95.2%, and nPB versus healthy 94.4% with only one parameter.Postprint (published version

Mathematics and Digital Signal Processing

Modern computer technology has opened up new opportunities for the development of digital signal processing methods. The applications of digital signal processing have expanded significantly and today include audio and speech processing, sonar, radar, and other sensor array processing, spectral density estimation, statistical signal processing, digital image processing, signal processing for telecommunications, control systems, biomedical engineering, and seismology, among others. This Special Issue is aimed at wide coverage of the problems of digital signal processing, from mathematical modeling to the implementation of problem-oriented systems. The basis of digital signal processing is digital filtering. Wavelet analysis implements multiscale signal processing and is used to solve applied problems of de-noising and compression. Processing of visual information, including image and video processing and pattern recognition, is actively used in robotic systems and industrial processes control today. Improving digital signal processing circuits and developing new signal processing systems can improve the technical characteristics of many digital devices. The development of new methods of artificial intelligence, including artificial neural networks and brain-computer interfaces, opens up new prospects for the creation of smart technology. This Special Issue contains the latest technological developments in mathematics and digital signal processing. The stated results are of interest to researchers in the field of applied mathematics and developers of modern digital signal processing systems

Fuzzy Wavelet Neural Network Using a Correntropy Criterion for Nonlinear System Identification

Recent researches have demonstrated that the Fuzzy Wavelet Neural Networks (FWNNs) are an efficient tool to identify nonlinear systems. In these structures, features related to fuzzy logic, wavelet functions, and neural networks are combined in an architecture similar to the Adaptive Neurofuzzy Inference Systems (ANFIS). In practical applications, the experimental data set used in the identification task often contains unknown noise and outliers, which decrease the FWNN model reliability. In order to reduce the negative effects of these erroneous measurements, this work proposes the direct use of a similarity measure based on information theory in the FWNN learning procedure. The Mean Squared Error (MSE) cost function is replaced by the Maximum Correntropy Criterion (MCC) in the traditional error backpropagation (BP) algorithm. The input-output maps of a real nonlinear system studied in this work are identified from an experimental data set corrupted by different outliers rates and additive white Gaussian noise. The results demonstrate the advantages of the proposed cost function using the MCC as compared to the MSE. This work also investigates the influence of the kernel size on the performance of the MCC in the BP algorithm, since it is the only free parameter of correntropy

Novas estratégias de pré-processamento, extração de atributos e classificação em sistemas BCI

Orientador: Romis Ribeiro de Faissol AttuxTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Engenharia Elétrica e de ComputaçãoResumo: As interfaces cérebro-computador (BCIs) visam controlar um dispositivo externo, utilizando diretamente os sinais cerebrais do usuário. Tais sistemas requerem uma série de etapas para processar e extrair atributos relevantes dos sinais observados para interpretar correta e eficientemente as intenções do usuário. Embora o campo tenha se desenvolvido continuamente e algumas dificuldades tenham sido superadas, ainda é necessário aumentar a capacidade de uso, melhorando sua capacidade de classificação e aumentando a confiabilidade de sua resposta. O objetivo clássico da pesquisa de BCI é apoiar a comunicação e o controle para usuários com comunicação prejudicada devido a doenças ou lesões. Aplicações típicas das BCI são a operação de cursores de interface, programas de escrita de texto ou dispositivos externos, como cadeiras de rodas, robôs e diferentes tipos de próteses. O usuário envia informações moduladas para a BCI, realizando tarefas mentais que produzem padrões cerebrais distintos. A BCI adquire sinais do cérebro do usuário e os traduz em comunicação adequada. Esta tese tem como objetivo desenvolver uma comunicação BCI não invasiva mais rápida e confiável baseada no estudo de diferentes técnicas que atuam nas etapas de processamento do sinal, considerando dois aspectos principais, a abordagem de aprendizado de máquina e a redução da complexidade na tarefa de aprendizado dos padrões mentais pelo usuário. A pesquisa foi focada em dois paradigmas de BCI, Imagética Motora (IM) e o potencial relacionado ao evento P300. Algoritmos de processamento de sinais para a detecção de ambos os padrões cerebrais foram aplicados e avaliados. O aspecto do pré-processamento foi a primeira perspectiva estudada, considerando como destacar a resposta dos fenômenos cerebrais, em relação ao ruído e a outras fontes de informação que talvez distorçam o sinal de EEG; isso em si é um passo que influenciará diretamente a resposta dos seguintes blocos de processamento e classificação. A Análise de Componente Independente (ICA) foi usada em conjunto com métodos de seleção de atributos e diferentes classificadores para separar as fontes originais relacionadas à dessincronização produzida pelo fenômeno de IM; esta foi uma tentativa de criar um tipo de filtro espacial que permitisse o sinal ser pré-processado, reduzindo a influência do ruído. Além disso, os resultados dos valores de classificação foram analisados considerando a comparação com métodos padrão de pré-processamento, como o filtro CAR. Os resultados mostraram que é possível separar os componentes relacionados à atividade motora. A proposta da ICA, em média, foi 4\% mais alta em porcentagem de precisão de classificação do que os resultados obtidos usando o CAR, ou quando nenhum filtro foi usado. O papel dos métodos que estudam a conectividade de diferentes áreas do cérebro foi avaliado como a segunda contribuição deste trabalho; Isso permitiu considerar aspectos que contemplam a complexidade da resposta cerebral de um usuário. A área da BCI precisa de uma interpretação mais profunda do que acontece no nível do cérebro em vários dos fenômenos estudados. A técnica utilizada para construir grafos de conectividade funcional foi a correntropia, esta medida foi utilizada para quantificar a similaridade; uma comparação foi feita usando também, as medidas de correlação de Spearman e Pearson. A conectividade funcional relaciona diferentes áreas do cérebro analisando sua atividade cerebral, de modo que o estudo do grafo foi avaliado utilizando três medidas de centralidade, onde a importância de um nó na rede é medida. Também, dois tipos de classificadores foram testados, comparando os resultados no nível de precisão de classificação. Em conclusão, a correntropia pode trazer mais informações para o estudo da conectividade do que o uso da correlação simples, o que trouxe melhorias nos resultados da classificação, especialmente quando ela foi utilizada com o classificador ELM. Finalmente, esta tese demonstra que os BCIs podem fornecer comunicação efetiva em uma aplicação onde a predição da resposta de classificação foi modelada, o que permitiu a otimização dos parâmetros do processamento de sinal realizado usando o filtro espacial xDAWN e um classificador FLDA para o problema do speller P300, buscando a melhor resposta para cada usuário. O modelo de predição utilizado foi Bayesiano e confirmou os resultados obtidos com a operação on-line do sistema, permitindo otimizar os parâmetros tanto do filtro quanto do classificador. Desta forma, foi visto que usando filtros com poucos canais de entrada, o modelo otimizado deu melhores resultados de acurácia de classificação do que os valores inicialmente obtidos ao treinar o filtro xDAWN para os mesmos casos. Os resultados obtidos mostraram que melhorias nos métodos do transdutor BCI, no pré-processamento, extração de características e classificação constituíram a base para alcançar uma comunicação BCI mais rápida e confiável. O avanço nos resultados da classificação foi obtido em todos os casos, comparado às técnicas que têm sido amplamente utilizadas e já mostraram eficácia para esse tipo de problema. No entanto, ainda há aspectos a considerar da resposta dos sujeitos para tipos específicos de paradigmas, lembrando que sua resposta pode variar ao longo de diferentes dias e as implicações reais disso na definição e no uso de diferentes métodos de processamento de sinalAbstract: Brain-computer interfaces (BCIs) aim to control an external device by directly employing user's brain signals. Such systems require a series of steps to process and extract relevant features from the observed signals to correctly and efficiently interpret the user's intentions. Although the field has been continuously developing and some difficulties have been overcome, it is still necessary to increase usability by enhancing their classification capacity and increasing the reliability of their response. The classical objective of BCI research is to support communication and control for users with impaired communication due to illness or injury. Typical BCI applications are the operation of interface cursors, spelling programs or external devices, such as wheelchairs, robots and different types of prostheses. The user sends modulated information to the BCI by engaging in mental tasks that produce distinct brain patterns. The BCI acquires signals from the user¿s brain and translates them into suitable communication. This thesis aims to develop faster and more reliable non-invasive BCI communication based on the study of different techniques that serve in the signal processing stages, considering two principal aspects, the machine learning approach, and the reduction of the complexity in the task of learning the mental patterns by the user. Research was focused on two BCI paradigms, Motor Imagery (MI) and the P300 event related potential (ERP). Signal processing algorithms for the detection of both brain patterns were applied and evaluated. The aspect of the pre-processing was the first perspective studied to consider how to highlight the response of brain phenomena, in relation to noise and other sources of information that maybe distorting the EEG signal; this in itself is a step that will directly influence the response of the following blocks of processing and classification. The Independent Component Analysis (ICA) was used in conjunction with feature selection methods and different classifiers to separate the original sources that are related to the desynchronization produced by MI phenomenon; an attempt was made to create a type of spatial filter that pre-processed the signal, reducing the influence of the noise. Furthermore, some of the classifications values were analyzed considering comparison when used other standard pre-processing methods, as the CAR filter. The results showed that it is possible to separate the components related to motor activity. The ICA proposal on average were 4\% higher in percent of classification accuracy than those obtained using CAR, or when no filter was used. The role of methods that study the connectivity of different brain areas were evaluated as the second contribution of this work; this allowed to consider aspects that contemplate the complexity of the brain response of a user. The area of BCI needs a deeper interpretation of what happens at the brain level in several of the studied phenomena. The technique used to build functional connectivity graphs was correntropy, this quantity was used to measure similarity, a comparison was made using also, the Spearman and Pearson correlation. Functional connectivity relates different brain areas activity, so the study of the graph was evaluated using three measures of centrality of graph, where the importance of a node in the network is measured. In addition, two types of classifiers were tested, comparing the results at the level of classification precision. In conclusion, the correntropy can bring more information for the study of connectivity than the use of the simple correlation, which brought improvements in the classification results especially when it was used with the ELM classifier. Finally, this thesis demonstrates that BCIs can provide effective communication in an application where the prediction of the classification response was modeled, which allowed the optimization of the parameters of the signal processing performed using the xDAWN spatial filter and a FLDA classifier for the problem of the P300 speller, seeking the best response for each user. The prediction model used was Bayesian and confirmed the results obtained with the on-line operation of the system, thus allowing to optimize the parameters of both the filter and the classifier. In this way it was seen that using filters with few inputs the optimized model gave better results of acuraccy classification than the values initially obtained when the training ofthe xDAWN filter was made for the same cases. The obtained results showed that improvements in the BCI transducer, pre-processing, feature extraction and classification methods constituted the basis to achieve faster and more reliable BCI communication. The advance in the classification results were obtained in all cases, compared to techniques that have been widely used and had already shown effectiveness for this type of problemsDoutoradoEngenharia de ComputaçãoDoutora em Engenharia Elétrica153311/2014-2CNP

Development of nonlinear techniques based on time-frequency representation and information theory for the analysis of EEG signals to assess different states of consciousness

Electroencephalogram (EEG) recordings provide insight into the changes in brain activity associated with various states of anesthesia, epilepsy, brain attentiveness, sleep disorders, brain disorders, etc. EEG's are complex signals whose statistical properties depend on both space and time. Their randomness and non-stationary characteristics make them impossible to be described in an accurate way with a simple technique, requiring analysis and characterization involves techniques that take into account their non-stationarity. For that, new advanced techniques in order to improve the efficiency of the EEG based methods used in the clinical practice have to be developed. The main objective of this thesis was to investigate and implement different methods based on nonlinear techniques in order to develop indexes able to characterize the frequency spectrum, the nonlinear dynamics and the complexity of the EEG signals recorded in different state of consciousness. Firstly, a new method for removing peak and spike in biological signal based on the signal envelope was successfully designed and applied to simulated and real EEG signals, obtaining performances significantly better than the traditional adaptive filters. Then, several studies were carried out in order to extract and evaluate EEG measures based on nonlinear techniques in different contexts such as the automatic detection of sleepiness and the characterization and prediction of the nociceptive stimuli and the assessment of the sedation level. Four novel indexes were defined by calculating entropy of the Choi-Williams distribution (CWD) with respect to time or frequency, by using the probability mass function at each time instant taken independently or by using the probability mass function of the entire CWD. The values of these indexes tend to decrease, with different proportion, when the behavior of the signals evolved from chaos or randomness to periodicity and present differences when comparing EEG recorded in eyes-open and eyes-closed states and in ictal and non-ictal states. Measures obtained with time-frequency representation, mutual information function and correntropy, were applied to EEG signals for the automatic sleepiness detection in patients suffering sleep disorders. The group of patients with excessive daytime sleepiness presented more power in ¿ band than the group without sleepiness, which presented higher spectral and cross-spectral entropy in the frontal zone in d band. More complexity in the occipital zone was found in the group of patients without sleepiness in ß band, while a stronger nonlinear coupling between the occipital and frontal regions was detected in patients with excessive daytime sleepiness, in ß band. Time-frequency representation and non-linear measures were also used in order to study how adaptation and fatigue affect the event-related brain potentials to stimuli of different modalities. Differences between the responses to infrequent and frequent stimulation in different recording periods were found in series of averaged EEG epochs recorded after thermal, electrical and auditory stimulation. Nonlinear measures calculated on EEG filtered in the traditional frequency bands and in higher frequency bands improved the assessment of the sedation level. These measures were obtained by applying all the developed techniques on signals recorded from patients sedated, in order to predict the responses to pain stimulation such as nail bad compression and endoscopy tube insertion. The proposed measures exhibit better performances than the bispectral index (BIS), a traditional indexes used for hypnosis assessment. In conclusion, nonlinear measures based on time-frequency representation, mutual information functions and correntropy provided additional information that helped to improve the automatic sleepiness detection, the characterization and prediction of the nociceptive responses and thus the assessment of the sedation level.El registro de la señal Electroencefalografíca (EEG) proporciona información sobre los cambios en la actividad cerebral asociados con varios estados de la anestesia, la epilepsia, la atención cerebral, los trastornos del sueño, los trastornos cerebrales, etc. Los EEG son señales complejas cuyas propiedades estadísticas dependen del espacio y del tiempo. Sus características aleatorias y no estacionarias hacen imposible que el EEG se describa de forma precisa con una técnica sencilla requiriendo un análisis y una caracterización que implica técnicas que tengan en cuenta su no estacionariedad. Todo esto aumenta la necesidad de desarrollar nuevas técnicas avanzadas con el fin de mejorar la eficiencia de los métodos utilizados en la práctica clínica que son basados en el análisis de EEG. En esta tesis se han investigado y aplicado diferentes métodos utilizando técnicas no lineales con el fin de desarrollar índices capaces de caracterizar el espectro de frecuencias, la dinámica no lineal y la complejidad de las señales EEG registradas en diferentes estados de conciencia. En primer lugar, se ha desarrollado un nuevo algoritmo basado en la envolvente de la señal para la eliminación de ruido de picos en las señales biológicas. Este algoritmo ha sido aplicado a señales simuladas y reales obteniendo resultados significativamente mejores comparados con los filtros adaptativos tradicionales. Seguidamente, se han llevado a cabo varios estudios con el fin de extraer y evaluar las medidas de EEG basadas en técnicas no lineales en diferentes contextos. Se han definido nuevos índices mediante el cálculo de la entropía de la distribución de Choi-Williams (DCW) con respecto al tiempo o la frecuencia. Se ha observado que los valores de estos índices tienden a disminuir, en diferentes proporciones, cuando el comportamiento de las señales evoluciona de caótico o aleatorio a periódico. Además, se han encontrado valores diferentes de estos índices aplicados a la señal EEG registrada en diferentes estados. Diferentes medidas basadas en la representación tiempo-frecuencia, la función de información mutua y la correntropia se han aplicado al EEG para la detección automática de la somnolencia en pacientes que sufren trastornos del sueño. Se ha observado en la zona frontal que la potencia en la banda θ es mayor en los pacientes con somnolencia diurna excesiva, mientras que la entropía espectral y la entropía espectral cruzada en la banda δ es mayor en los pacientes sin somnolencia. En el grupo sin somnolencia se ha encontrado más complejidad en la zona occipital, mientras que el acoplamiento no lineal entre las regiones occipital y frontal ha resultado más fuerte en pacientes con somnolencia diurna excesiva, en la banda β. La representación tiempo-frecuencia y las medidas no lineales se han utilizado para estudiar cómo la adaptación y la fatiga afectan a los potenciales cerebrales relacionados con estímulos térmicos, eléctricos y auditivos. Analizando el promedio de varias épocas de EEG grabadas después de la estimulación, se han encontrado diferencias entre las respuestas a la estimulación frecuente e infrecuente en diferentes períodos de registro. Todas las técnicas que se han desarrollado, se han aplicado a señales EEG registradas en pacientes sedados, con el fin de predecir las respuestas a la estimulación del dolor. Un conjunto de medidas calculadas en señales EEG filtradas en diferentes bandas de frecuencia ha permitido mejorar la evaluación del nivel de sedación. Las medidas propuestas han presentado un mejor rendimiento comparado con el índice bispectral, un indicador de hipnosis tradicional. En conclusión, las medidas no lineales basadas en la representación tiempofrecuencia, funciones de información mutua y correntropia han proporcionado informaciones adicionales que contribuyeron a mejorar la detección automática de la somnolencia, la caracterización y predicción de las respuestas nociceptivas y por lo tanto la evaluación del nivel de sedación

Analysis of the propagation of uterine electrical activity applied to predict preterm labor

There are many open questions concerning the functioning of the human uterus. One of these open questions concerns exactly how the uterus operates as an organ to perform the very organized act of contracting in a synchronized fashion to expulse a new human into this world. If we don‟t understand how it works when it is working normally, it is obvious that we will not be as capable of intervening or preventing when, sometimes with tragic consequences, it does not do its job properly and a child is born before it is ready. The aim of our research is to be able to understand what the electrical activity of the uterus can tell us about the risk of premature birth, to understand better how the uterus works and to benefit from these understanding to find tool that can be used for labor detection and prediction of preterm labor. This idea of using the externally detected electrical activity of the uterus (electrohysterogram or EHG) to predict preterm labor is not new and lot of work has already been put into it. The novel approach in this work is not to use the signal collected from one or two isolated places on the expectant mother‟s abdomen but to map the propagation of the signals and to investigate the auto organization of the contractions. We therefore use a matrix of electrodes to give us a much more complete picture of the organization and operation of the uterus as pregnancy reaches its conclusion. Labor is the physiologic process by which a fetus is expelled from the uterus to the outside world and is defined as regular uterine contractions accompanied by cervical effacement and dilatation. In the normal labor, the uterine contractions and cervix dilatation are preceded by biochemical changes in the cervical connective tissue.Il reste beaucoup de questions ouvertes concernant le fonctionnement de l'utérus humain. L'une de ces questions est comment l'utérus fonctionne en tant qu‟organe organisé pour générer une contraction synchrone et expulser un nouvel être humain dans ce monde ? Si nous ne comprenons pas comment l‟utérus fonctionne, quand il fonctionne normalement, il est évident que nous ne serons pas en mesure d'intervenir ou de prévoir quand, avec parfois des conséquences tragiques, il ne fait pas son travail correctement et qu‟un enfant nait avant d‟être prêt ! Le but de notre recherche est de comprendre ce que l'activité électrique de l'utérus peut nous apporter sur la prévention du risque de naissance prématurée, de mieux comprendre comment fonctionne l'utérus et de bénéficier de ces connaissances pour développer un outil qui peut être utilisé pour la détection de l‟accouchement et la prédiction du travail prématuré. Cette idée d'utiliser l'activité électrique détectée à la surface de l‟abdomen (ou électrohystérogramme EHG) pour prédire un accouchement prématuré n'est pas nouvelle et beaucoup de travaux ont déjà été mis en oeuvre. La nouvelle approche dans ce travail n‟est pas d‟utiliser le signal recueilli par un ou deux endroits isolés sur l'abdomen de la future mère, mais de cartographier la propagation des signaux et d‟explorer l'auto organisation des contractions. Nous utilisons donc une matrice d'électrodes pour nous donner une image beaucoup plus complète de l'organisation et du fonctionnement de l'utérus. L‟accouchement est le processus physiologique par lequel le foetus est expulsé de l'utérus vers le monde extérieur. Il est défini comme la survenue de contractions utérines régulières accompagnées de l'effacement du col et de la dilatation cervicale. Dans le travail normal, les contractions de l'utérus et la dilatation du col sont précédées par des changements biochimiques du tissu conjonctif du col utérin