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Publications

Publications by BIO

2018

A Pixel-Wise Distance Regression Approach for Joint Retinal Optical Disc and Fovea Detection

Authors
Meyer, MI; Galdran, A; Mendonca, AM; Campilho, A;

Publication
MEDICAL IMAGE COMPUTING AND COMPUTER ASSISTED INTERVENTION - MICCAI 2018, PT II

Abstract
This paper introduces a novel strategy for the task of simultaneously locating two key anatomical landmarks in retinal images of the eye fundus, namely the optic disc and the fovea. For that, instead of attempting to classify each pixel as belonging to the background, the optic disc, or the fovea center, which would lead to a highly class-imbalanced setting, the problem is reformulated as a pixelwise regression task. The regressed quantity consists of the distance from the closest landmark of interest. A Fully-Convolutional Deep Neural Network is optimized to predict this distance for each image location, implicitly casting the problem into a per-pixel Multi-Task Learning approach by which a globally consistent distribution of distances across the entire image can be learned. Once trained, the two minimal distances predicted by the model are selected as the locations of the optic disc and the fovea. The joint learning of every pixel position relative to the optic disc and the fovea favors an automatic understanding of the overall anatomical distribution. This results in an effective technique that can detect both locations simultaneously, as opposed to previous methods that handle both tasks separately. Comprehensive experimental results on a large public dataset validate the proposed approach.

2018

Wearable Health Devices-Vital Sign Monitoring, Systems and Technologies

Authors
Dias, D; Cunha, JPS;

Publication
SENSORS

Abstract
Wearable Health Devices (WHDs) are increasingly helping people to better monitor their health status both at an activity/fitness level for self-health tracking and at a medical level providing more data to clinicians with a potential for earlier diagnostic and guidance of treatment. The technology revolution in the miniaturization of electronic devices is enabling to design more reliable and adaptable wearables, contributing for a world-wide change in the health monitoring approach. In this paper we review important aspects in the WHDs area, listing the state-of-the-art of wearable vital signs sensing technologies plus their system architectures and specifications. A focus on vital signs acquired by WHDs is made: first a discussion about the most important vital signs for health assessment using WHDs is presented and then for each vital sign a description is made concerning its origin and effect on heath, monitoring needs, acquisition methods and WHDs and recent scientific developments on the area (electrocardiogram, heart rate, blood pressure, respiration rate, blood oxygen saturation, blood glucose, skin perspiration, capnography, body temperature, motion evaluation, cardiac implantable devices and ambient parameters). A general WHDs system architecture is presented based on the state-of-the-art. After a global review of WHDs, we zoom in into cardiovascular WHDs, analysing commercial devices and their applicability versus quality, extending this subject to smart t-shirts for medical purposes. Furthermore we present a resumed evolution of these devices based on the prototypes developed along the years. Finally we discuss likely market trends and future challenges for the emerging WHDs area.

2018

Automatic Characterization of the Serous Retinal Detachment Associated with the Subretinal Fluid Presence in Optical Coherence Tomography Images

Authors
Moura, Jd; Novo, J; Penas, S; Ortega, M; Silva, JA; Mendonça, AM;

Publication
Knowledge-Based and Intelligent Information & Engineering Systems: Proceedings of the 22nd International Conference KES-2018, Belgrade, Serbia, 3-5 September 2018.

Abstract
An accurate detection of the macular edema (ME) presence constitutes a crucial ophthalmological issue as it provides useful information for the identification, diagnosis and treatment of different relevant ocular and Systemic diseaseS. serous Retinal Detachment (sRD) is a particular type of ME, which is characterized by the leakage of fluid that has a propensity of being accumulated in the macular region. This paper proposes a new methodology for the automatic identification and characterization of the sRD edema using Optical Coherence Tomography (OCT) imageS. The subretinal fluids and the External Limiting Membrane (ELM) retinal layers are identified and characterized to measure the disease severity. Four different visualization modules were designed including representative derived parameters to facilitate the doctor's work in the diagnostic evaluation of ME. The different steps of this method were validated using the manual labelling provided by an expert clinician. The validation of the proposed method offered satisfactory results, constituting a suitable scenario with intuitive visual representations that also include different relevant biomarkerS. © 2018 The Author(s).

2018

Evaluation of Coherence-Based Beamforming for B-Mode and Speckle Tracking Echocardiography

Authors
Santos, P; Koriakina, N; Chakraborty, B; Pedrosa, J; Petrescu, AM; Voigt, JU; D'hooge, J;

Publication
IEEE International Ultrasonics Symposium, IUS

Abstract
Phase coherence methods have been proposed to improve the delay-and-sum (DAS) beamforming in terms of contrast and spatial resolution. However, they could be equally beneficial for speckle tracking echocadiography, given the higher variance they introduce in the speckle texture. The aim of this study was to compare, in a close-to-clinical scenario, the B-mode and speckle tracking performance of the DAS beamformer and 4 phase coherence methods: generalized coherence factor, phase coherence factor, sign coherence factor and short lag spatial coherence. Both simulation and experimental imaging of a tissue mimicking phantom were used to assess classical imaging metrics, whereas in-vivo imaging was performed to evaluate myocardial visibility and tissue tracking. Results showed improved resolution and contrast from the coherence beamformers, as well as a reduction of clutter noise, especially in the near field. Similarly, apical strain curves were more reliably estimated following coherence processing. Overall, these methods seem to better derive both morphological and functional imaging, although no method outperformed in all scenarios. © 2018 IEEE.

2018

Cognitive Impact and Psychophysiological Effects of Stress Using a Biomonitoring Platform

Authors
Rodrigues, S; Paiva, JS; Dias, D; Aleixo, M; Filipe, RM; Cunha, JPS;

Publication
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH

Abstract
Stress can impact multiple psychological and physiological human domains. In order to better understand the effect of stress on cognitive performance, and whether this effect is related to an autonomic response to stress, the Trier Social Stress Test (TSST) was used as a testing platform along with a 2-Choice Reaction Time Task. When considering the nature and importance of Air Traffic Controllers (ATCs) work and the fact that they are subjected to high levels of stress, this study was conducted with a sample of ATCs (n = 11). Linear Heart Rate Variability (HRV) features were extracted from ATCs electrocardiogram (ECG) acquired using a medical-grade wearable ECG device (Vital Jacket((R)) (1-Lead, Biodevices S.A, Matosinhos, Portugal)). Visual Analogue Scales (VAS) were also used to measure perceived stress. TSST produced statistically significant changes in some HRV parameters (Average of normal-to-normal intervals (AVNN), Standard Deviation of all NN (SDNN), root mean square of differences between successive rhythm-to-rhythm (RR) intervals (RMSSD), pNN20, and LF/HF) and subjective measures of stress, which recovered after the stress task. Although these short-term changes in HRV showed a tendency to normalize, an impairment on cognitive performance was evident. Despite that participant's reaction times were lower, the accuracy significantly decreased, presenting more errors after performing the acute stress event. Results can also point to the importance of the development of quantified occupational health (qOHealth) devices to allow for the monitoring of stress responses.

2018

Experimental and Theoretical Evaluation of the Trapping Performance of Polymeric Lensed Optical Fibers: Single Biological Cells versus Synthetic Structures

Authors
Paiva, JS; Ribeiro, RSR; Jorge, PAS; Rosa, CC; Azevedo, MM; Sampaio, P; Cunha, JPS;

Publication
BIOPHOTONICS: PHOTONIC SOLUTIONS FOR BETTER HEALTH CARE VI

Abstract
Optical Tweezers (OTs) have been widely applied in Biology, due to their outstanding focusing abilities, which make them able to exert forces on micro-sized particles. The magnitude of such forces (pN) is strong enough to trap their targets. However, the most conventional OT setups are based on complex configurations, being associated with focusing difficulties with biologic samples. Optical Fiber Tweezers (OFTs), which consist in optical fibers with a lens in one of its extremities are valuable alternatives to Conventional Optical Tweezers (COTs). OFTs are flexible, simpler, low-cost and easy to handle. However, its trapping performance when manipulating biological and complex structures remains poorly characterized. In this study, we experimentally characterized the optical trapping of a biological cell found within a culture of rodent glial neuronal cells, using a polymeric lens fabricated through a photo-polymerization method on the top of a fiber. Its trapping performance was compared with two synthetic microspheres (PMMA, polystyrene) and two simple cells (a yeast and a Drosophila Melanogaster cell). Moreover, the experimental results were also compared with theoretical calculations made using a numerical model based on the Finite Differences Time Domain. It was found that, although the mammalian neuronal cell had larger dimensions, the magnitude of forces exerted on it was the lowest among all particles. Our results allowed us to quantify, for the first time, the complexity degree of manipulating such "demanding" cells in comparison with known targets. Thus, they can provide valuable insights about the influence of particle parameters such as size, refractive index, homogeneity degree and nature (biologic, synthetic). Furthermore, the theoretical results matched the experimental ones which validates the proposed model.

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