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1.
Bioengineering (Basel) ; 10(11)2023 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-38002449

RESUMO

Current deep learning-based speech enhancement methods focus on enhancing the time-frequency representation of the signal. However, conventional methods can lead to speech damage due to resolution mismatch problems that emphasize only specific information in the time or frequency domain. To address these challenges, this paper introduces a speech enhancement model designed with a dual-path structure that identifies key speech characteristics in both the time and time-frequency domains. Specifically, the time path aims to model semantic features hidden in the waveform, while the time-frequency path attempts to compensate for the spectral details via a spectral extension block. These two paths enhance temporal and spectral features via mask functions modeled as LSTM, respectively, offering a comprehensive approach to speech enhancement. Experimental results show that the proposed dual-path LSTM network consistently outperforms conventional single-domain speech enhancement methods in terms of speech quality and intelligibility.

2.
Aesthetic Plast Surg ; 2023 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-37697089

RESUMO

BACKGROUND: In breast surgery, achieving esthetic outcomes with symmetry is crucial. The nipple-areolar complex (NAC) plays a significant role in breast characteristic measurement. Various technologies have advanced measurement techniques, and light detection and ranging (LiDAR) technology using three-dimensional scanning has been introduced in engineering. Increasing effort has been exerted to integrate such technologies into the medical field. This study focused on measuring NAC using a LiDAR camera, comparing it with traditional methods, and aimed to establish the clinical utility of LiDAR for obtaining favorable esthetic results. METHODS: A total of 44 patients, who underwent breast reconstruction surgery, and 65 NACs were enrolled. Measurements were taken (areolar width [AW], nipple width [NW] and nipple projection [NP]) using traditional methods (ruler and photometry) and LiDAR camera. To assess correlations and explore clinical implications, patient demographics and measurement values were collected. RESULTS: NAC measurements using a periscope and LiDAR methods were compared and correlated. LiDAR measurement accuracy was found to be high, with values above 95% for AW, NW and NP. Significant positive correlations were observed between measurements obtained through both methods for all parameters. When comparing body mass index, breast volume with AW and NW with NP, significant correlations were observed. These findings demonstrate the reliability and utility of LiDAR-based measurements in NAC profile assessment and provide valuable insights into the relationship between patient demographics and NAC parameters. CONCLUSIONS: LiDAR-based measurements are effective and can replace classical methods in NAC anthropometry, contributing to consistent and favorable esthetic outcomes in breast surgery. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266 .

3.
Medicina (Kaunas) ; 58(7)2022 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-35888600

RESUMO

Background and Objectives: Petechial cerebral hemorrhages can be caused by various factors, such as traumas, cerebral infarctions, and aging, and is related to the disruption of the blood-brain barrier or the cellular damage of blood vessels. However, there is no animal model that recapitulates cerebral petechial hemorrhages. Materials and Methods: Here, we implemented a petechial hemorrhage using a novel technology, i.e., microbubble-assisted focused ultrasound (MB + FUS). Results: This method increases the permeability of the blood-brain barrier by directly applying mechanical force to the vascular endothelial cells through cavitation of the microbubbles. Microbubble-enhanced cavitation has the advantage of controlling the degree and location of petechial hemorrhages. Conclusions: We thus generated a preclinical rat model using noninvasive focal MB + FUS. This method is histologically similar to actual petechial hemorrhages of the brain and allows the achievement of a physiologically resembling petechial hemorrhage. In the future, this method shall be considered as a useful animal model for studying the pathophysiology and treatment of petechial cerebral hemorrhages.


Assuntos
Barreira Hematoencefálica , Células Endoteliais , Animais , Barreira Hematoencefálica/diagnóstico por imagem , Barreira Hematoencefálica/fisiologia , Hemorragia Cerebral/diagnóstico por imagem , Modelos Animais de Doenças , Microbolhas , Ratos
4.
Sensors (Basel) ; 21(11)2021 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-34072699

RESUMO

Recently, the development of medical rehabilitation technology has resulted in an increased interest in speech therapy equipment. In particular, research on articulation therapy for communication disorders is being actively conducted. The existing methods for the diagnosis and treatment of speech disorders, such as traditional tactile perception tests and methods based on the empirical judgment of speech therapists, have many limitations. Moreover, the position and contact force of the tongue are key factors in speech disorders with regards to articulation. This is a very important factor in the distinction of Korean characters such as lax, tense and aspirated consonants. In this study, we proposed a Korean-electropalatography (EPG) system to easily measure and monitor the position and contact force of the tongue during articulation treatment and diagnosis. In our proposed K-EPG system, a sensor was fabricated using an AgCl electrode and biocompatible silicon. Furthermore, the measured signal was analyzed by implementing a bio-signal processing module and monitoring program. In particular, the bio-signal was measured by inserting the device into the palate of an experimental healthy test group (four subjects). Through these experiments, we confirmed that our K-EPG system could be applied to clinical treatment in speech therapy.


Assuntos
Transtornos da Articulação , Fonoterapia , Humanos , Palato , República da Coreia , Língua
5.
Radiat Oncol ; 15(1): 86, 2020 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-32312283

RESUMO

BACKGROUND: Current chemoradiation regimens for locally advanced cervical cancer are fairly uniform despite a profound diversity of treatment response and recurrence patterns. The wide range of treatment responses and prognoses to standardized concurrent chemoradiation highlights the need for a reliable tool to predict treatment outcomes. We investigated pretreatment magnetic resonance (MR) imaging features of primary tumor and involved lymph node for predicting clinical outcome in cervical cancer patients. METHODS: We included 93 node-positive cervical cancer patients treated with definitive chemoradiotherapy at our institution between 2006 and 2017. The median follow-up period was 38 months (range, 5-128). Primary tumor and involved lymph node were manually segmented on axial gadolinium-enhanced T1-weighted images as well as T2-weighted images and saved as 3-dimensional regions of interest (ROI). After the segmentation, imaging features related to histogram, shape, and texture were extracted from each ROI. Using these features, random survival forest (RSF) models were built to predict local control (LC), regional control (RC), distant metastasis-free survival (DMFS), and overall survival (OS) in the training dataset (n = 62). The generated models were then tested in the validation dataset (n = 31). RESULTS: For predicting LC, models generated from primary tumor imaging features showed better predictive performance (C-index, 0.72) than those from lymph node features (C-index, 0.62). In contrast, models from lymph nodes showed superior performance for predicting RC, DMFS, and OS compared to models of the primary tumor. According to the 3-year time-dependent receiver operating characteristic analysis of LC, RC, DMFS, and OS prediction, the respective area under the curve values for the predicted risk of the models generated from the training dataset were 0.634, 0.796, 0.733, and 0.749 in the validation dataset. CONCLUSIONS: Our results suggest that tumor and lymph node imaging features may play complementary roles for predicting clinical outcomes in node-positive cervical cancer.


Assuntos
Linfonodos/diagnóstico por imagem , Imageamento por Ressonância Magnética , Neoplasias do Colo do Útero/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Quimiorradioterapia , Feminino , Humanos , Linfonodos/patologia , Pessoa de Meia-Idade , Modelos Teóricos , Prognóstico , Curva ROC , Interpretação de Imagem Radiográfica Assistida por Computador , Estudos Retrospectivos , Resultado do Tratamento , Neoplasias do Colo do Útero/patologia , Neoplasias do Colo do Útero/terapia , Adulto Jovem
6.
Sensors (Basel) ; 19(3)2019 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-30691211

RESUMO

In step with the development of Industry 4.0, research on automatic operation technology and components related to automobiles is continuously being conducted. In particular, the torque angle sensor (TAS) module of the steering wheel system is considered to be a core technology owing to its precise angle, torque sensing, and high-speed signal processing. In the case of conventional TAS modules, in addition to the complicated gear structure, there is an error in angle detection due to the backlash between the main and sub-gear. In this paper, we propose a multi-track encoder-based vehicle steering system, which is incorporated with a TAS module structure that minimizes the number of components and the angle detection error of the module compared with existing TAS modules. We also fabricated and tested an angle detection signal processing board and evaluated it on a test stand. As a result, we could confirm its excellent performance of an average deviation of 0.4° and applicability to actual vehicles by evaluating its electromagnetic interference (EMI) environmental reliability. The ultimate goal of the TAS module is to detect the target steering angle with minimal computation by the steering or main electronic control unit (ECU) to meet the needs of the rapidly growing vehicle technology. The verified angle detection module can be applied to an actual steering system in accordance with the mentioned technical requirements.

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