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AI Empowered Cerebro-Cardiovascular Health Engineering

Cover image for Research Topic "AI Empowered Cerebro-Cardiovascular Health Engineering"
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Editorial12 December 2023
Editorial: AI empowered cerebro-cardiovascular health engineering

Congenital heart disease (CHD) is one of the leading causes of death (Meras et al., 2021). TrueVue, TrueVue Light, and TrueVue Glass are innovative three-dimensional (3D) echocardiographic techniques that can provide radiation-free visualization of cardiac anatomical structures (Genovese et al., 2019). Sun et al. explored their individual advantages and limitations and summarized their application methods for CHDs. This research demonstrated that the combined use of TrueVue, TrueVue Light, and TrueVue Glass improved the accuracy of CHD evaluation and treatment than the traditional imaging techniques.Heart failure (HF) results from ventricular filling or ejection dysfunction (Hao et al., 2019). Ballistocardiography (BCG) has been utilized for in-home detection of various cardiac diseases recently (Wen et al., 2019). Feng et al. proposed a machine learning-aided scheme based on BCG signals for HF detection, enabling comprehensive exploration of the relationship between the heart and the lung systems. Experimental results demonstrated that the proposed scheme could significantly improve the accuracy and robustness of in-home HF detection.Early detection of abnormal electrocardiogram (ECG) patterns is an important method for preventing, identifying, and diagnosing cardiovascular diseases (Dong and Zhu, 2004). Shan et al. proposed an ECG anomaly detection framework (ECG-AAE) based on an adversarial autoencoder and temporal convolutional network. They also employed the adjournment network to solve the ECG data imbalance problem. ECG-AAE could effectively improve the detection rate of abnormal ECG patterns than other popular outlier detection methods while ensuring accuracy.Coronary artery segmentation is essential for helping doctors to identify and segment the regions of interest. However, automatic segmentation of coronary arteries poses challenges due to issues like over-segmentation or omission, often stemming from the small size and poor distribution of contrast medium (Kroft et al., 2007). Wang et al. proposed a novel automatic method, DR-LCT-UNet, to improve the performance of coronary artery segmentation by preserving unobtrusive features through dense residual connection and focusing on local contextual information. The dice similarity coefficient, Recall, and Precision of DR-LCT-UNet outperformed other comparison methods.The central aortic pressure waveform (CAPW) contains valuable information about the cardiovascular system, making it useful for predicting and diagnosing cardiovascular diseases (Flores Geronimo et al., 2021). Sun et al. proposed a novel method to approximate the actual flow waveform with a personalized flow waveform and to examine the feasibility of decomposing the CAPW for quantifying wave reflection. This study proposed a more accurate method based on the characteristics of the CAPW to estimate wave reflection indices than the traditional triangular and lognormal flow methods.

Intracranial pressure (ICP), defined as the pressure within the craniospinal compartment, is an important physiological parameter reflecting the biomechanical status of the brain (Czosnyka and Pickard, 2004)

Functional single ventricle (FSV) is a complex congenital malformation with only one fully functional ventricle. The Y-shaped conduit total cavopulmonary connection (YCPC) was a theoretically efficient procedure for the treatment of FSV. However, the theoretical effectiveness of TCPC significantly differs from its postoperative efficacy (Trusty et al., 2016). To bridge this gap, Zhang et al. applied preoperative computed tomography angiography and computational fluid dynamics simulation to predict and verify the efficacy of YCPC. This approach has effectively improved the applicability of clinical applications of YCPC.Left atrial appendage occlusion (LAAO) was used as a new approach for stroke prevention in patients with atrial fibrillation (AF) (Turagam et al., 2020). 3D Auto LAA is an AI tool designed for the automatic identification of the LAA and measuring important parameters related to surgery. Sun et al. were the first to combine TrueVue Glass and 3D Auto LAA to evaluate AF patients undergoing LAAO and explore their clinical value and technical advantages. They found that it provided a more accurate and efficient assessment of LAA anatomy and physiological parameters for LAAO, surpassing other commonly used imaging techniques.Abdominal aortic aneurysm (AAA) is a degenerative disease that causes significant health problems in humans (Kugo et al., 2019). Artemisia annua L. (A. annua) is a traditional herbal remedy that has been widely used in cardiovascular disease. Molecular docking, a statistical simulation method, focuses on the interaction between molecules and predicts their binding mode and affinity (Wang and Zhu, 2016). Jia et al. systematically summarized the molecular targets of A. annua in the treatment of AAA using network pharmacology combined with molecular docking technology. The molecular docking results revealed that the top five active components of A. annua had a good affinity for core disease targets and played a central role in treating AAA. The results showed that the low binding energy molecular docking results provided valuable information for the development of drugs to treat AAA.

Epilepsy is the most common chronic neurological disease. Intracranial electroencephalography (EEG) signal provides precise anatomical information about the selective engagement of neuronal populations at the millimeter scale and stereo-EEG is one kind of Intracranial EEG (Parvizi and Kastner, 2018). EEG phase-amplitude coupling (PAC), the amplitude of high-frequency oscillations modulated by the phase of low-frequency oscillations (LFOs), is a useful biomarker to localize epileptogenic tissue (Guirgis et al., 2015). Li et al. proposed a novel approach for generating complex-valued PAC with both the coupling strength and the coupled phase of LFO to identify pathological PAC in Stereo-EEG from patients with epilepsy. Their proposed method held promise for identifying more accurate epileptic brain activity for potential surgical intervention. In a separate contribution, Liu et al. proposed a novel approach for localizing neuromodulatory targets, which used intracranial EEG and multi-unit computational models to simulate the dynamic behavior of epileptic networks through external stimulation. This study provided a new tool for localizing patient-specific targets for neuromodulation therapy.The innervation zone (IZ) of a muscle is the region where muscle fibers are innervated by motor axon terminals. IZ estimation is important for treating patients with neurological injuries such as stroke and cerebral palsy (Zhang et al., 2021). Huang et al. investigated methods to reliably and automatically estimate the IZ from monopolar M-wave recordings and found that the PCA-based method demonstrated the most consistency with manual detectionthan other methods. This study has significant clinical value for the neurological rehabilitation of patients.

Even after treatment, both cardiovascular and cerebrovascular diseases can result in motor or cognitive dysfunction, requiring a long period of rehabilitation. A rehabilitation process combining motor and cognitive training has the potential to enhance the chance of recovery and rebuild the action ability. 3D gaming and virtual reality have been employed to make the process more immersive (Nasri et al., 2020). Chen et al. proposed an interactive game utilizing real-time skeletonbased hand gesture recognition to assist rehabilitation exercises. This approach improved the handeye coordination of the patients during a game-like experience. A lightweight residual graph convolutional architecture was proposed for hand gesture recognition. Most of the participants in this study showed an improvement in their passing rate of the game during the test process.

Pre-eclampsia (PE) is a type of hypertensive disorder that can occur during pregnancy (Duhig et al., 2019). Li et al. developed and validated a predictive model for predicting the risk of PE. The model was further analyzed in two subgroups: early-onset pre-eclampsia and late-onset preeclampsia at prenatal visits at different gestational weeks. The overall accuracy of the model reached 86%. This predictive model for PE is of great significance in giving targeted clinical predictions and recommendations, ultimately contributing to the improvement of maternal and infant conditions.Myocardial infarction (MI) is a prevalent cardiovascular disease (R. Nasimov et al., 2020). Zhou et al. developed an algorithm using case data to determine the relationship between the physiological indicators of MI patients and their prognosis. The patient prognostic risk prediction model had an impressive accuracy of 92.2%. The results demonstrated that the prediction model could offer an effective solution for clinical disease prognostic risk assessment, leading to improved clinical outcomes.In summary, this research topic presents the most advancements in AI applications within the fields of cerebrovascular and cardiovascular healthcare. These studies represent a significant stride in our understanding of how AI technology can profoundly improve the diagnosis, treatment, risk prediction, and rehabilitation of cerebrovascular or cardiovascular disease. We appreciate the efforts of all authors for their invaluable contributions, which have immensely enriched this research topic. Furthermore, we express our gratitude to the diligent reviewers and editors for their tremendous efforts in ensuring the quality of rigor of the published work. We sincerely hope that readers will find this collection to be both insightful and valuable, offering a comprehensive overview of the transformative potential of AI in revolutionizing cerebrovascular and cardiovascular healthcare.

2,149 views

Machine learning-aided detection of heart failure (LVEF ≤ 49%) by using ballistocardiography and respiratory effort signals
ORIGINAL RESEARCH
19 January 2023
Machine learning-aided detection of heart failure (LVEF ≤ 49%) by using ballistocardiography and respiratory effort signals
Shen Feng, 9 more and Han Zhang
Purpose: Under the influence of COVID-19 and the in-hospital cost, the in-home detection of cardiovascular disease with smart sensing devices is becoming more popular recently. In the presence of the qualified signals, ballistocardiography (BCG) can not only reflect the cardiac mechanical movements, but also detect the HF in a non-contact manner. However, for the potential HF patients, the additional quality assessment with ECG-aided requires more procedures and brings the inconvenience to their in-home HF diagnosis. To enable the HF detection in many real applications, we proposed a machine learning-aided scheme for the HF detection in this paper, where the BCG signals recorded from the force sensor were employed without the heartbeat location, and the respiratory effort signals separated from force sensors provided more HF features due to the connection between the heart and the lung systems. Finally, the effectiveness of the proposed HF detection scheme was verified in comparative experiments. Methods: First, a piezoelectric sensor was used to record a signal sequences of the two-dimensional vital sign, which includes the BCG and the respiratory effort. Then, the linear and the nonlinear features w.r.t. BCG and respiratory effort signals were extracted to serve the HF detection. Finally, the improved HF detection performance was verified through the LOO and the LOSO cross-validation settings with different machine learning classifiers. Results: The proposed machine learning-aided scheme achieved the robust performance in the HF detection by using 4 different classifiers, and yielded an accuracy of 94.97% and 87.00% in the LOO and the LOSO experiments, respectively. In addition, experimental results demonstrated that the designed respiratory and cardiopulmonary features are beneficial to the HF detection (LVEF ≤ 49%). Conclusion: This study proposed a machine learning-aided HF diagnostic scheme. Experimental results demonstrated that the proposed scheme can fully exploit the relationship between the heart and the lung systems to potentially improve the in-home HF detection performance by using both the BCG, the respiratory and the cardiopulmonary-related features.

5,128 views

21 citations

Heart sound classification based on improved mel-frequency spectral coefficients and deep residual learning
ORIGINAL RESEARCH
22 December 2022
Heart sound classification based on improved mel-frequency spectral coefficients and deep residual learning
Feng Li, 2 more and Wei Liu
Heart sound classification plays a critical role in the early diagnosis of cardiovascular diseases. Although there have been many advances in heart sound classification in the last few years, most of them are still based on conventional segmented features and shallow structure-based classifiers. Therefore, we propose a new heart sound classification method based on improved mel-frequency cepstrum coefficient features and deep residual learning. Firstly, the heart sound signal is preprocessed, and its improved features are computed. Then, these features are used as input features of the neural network. The pathological information in the heart sound signal is further extracted by the deep residual network. Finally, the heart sound signal is classified into different categories according to the features learned by the neural network. This paper presents comprehensive analyses of different network parameters and network connection strategies. The proposed method achieves an accuracy of 94.43% on the dataset in this paper.

12,577 views

51 citations

ORIGINAL RESEARCH
24 November 2022
The prediction and verification of outcome of extracardiac conduits fontan based on computational fluid dynamics simulation
Yong Zhang, 5 more and Huishan Wang

2,309 views

4 citations

ORIGINAL RESEARCH
26 October 2022
Dynamic gestational week prediction model for pre-eclampsia based on ID3 algorithm
Ziwei Li, 10 more and Cuiting Lian

3,314 views

9 citations

Support vector machine deep mining of electronic medical records to predict the prognosis of severe acute myocardial infarction
Cardiovascular disease is currently one of the most important diseases causing death in China and the world, and acute myocardial infarction is a major cause of cardiovascular disease. This study provides an analytical technique for predicting the prognosis of patients with severe acute myocardial infarction using a support vector machine (SVM) technique based on information gleaned from electronic medical records in the Medical Information Marketplace for Intensive Care (MIMIC)-III database. The MIMIC-III database provided 4785 electronic medical records data for inclusion in the model development after screening 7070 electronic medical records of patients admitted to the intensive care unit for treatment of acute myocardial infarction. Data covering laboratory indicators, medication use, basic patient information, and patient scores on the Acute Physiology Score (APS)-III scale were obtained. Adopting the APS-III score as the criterion for identifying anticipated risk, the dimensions of data information incorporated into the mathematical model design were found using correlation coefficient matrix heatmaps and ordered logistic analysis. An automated prognostic risk-prediction model was developed using SVM, and the fit was evaluated by 5× cross-validation. We used a grid search method to further optimize the parameters and improve the model fit. The excellent generalization ability of SVM was fully verified by calculating the 95% confidence interval of the area under the receiver operating characteristic curve (AUC) for six algorithms (linear discriminant, tree, naive Bayes, RUSBoost, KNN, and SVM). The accuracy of the patient prognostic risk-prediction model constructed using SVM was 92.2%, with an AUC value of 0.98, and its confidence interval was the narrowest with higher fitting accuracy and better performance compared to the remaining five models. In this study, a model was designed for fitting that can maximize the potential information to be gleaned in the electronic medical records data. It was demonstrated that SVM models based on electronic medical records data can offer an effective solution for clinical disease prognostic risk assessment and improved clinical outcomes and have great potential for clinical application in the clinical treatment of myocardial infarction.

6,920 views

26 citations

ORIGINAL RESEARCH
6 September 2022
Novel TrueVue series of 3D echocardiography: Revealing the pathological morphology of congenital heart disease
Feifei Sun, 9 more and Weidong Ren

3,994 views

7 citations

Abnormal ECG detection based on an adversarial autoencoder
ORIGINAL RESEARCH
2 September 2022
Abnormal ECG detection based on an adversarial autoencoder
Lianfeng Shan, 9 more and Shijie Chang
Automatic detection and alarm of abnormal ECG events play an important role in ECG Monitor System; however, popular classification models based on supervised learning fails to detect abnormal ECG effectively. Thus, we propose an ECG anomaly detection framework based on adversarial autoencoder and temporal convolutional network (ECG-AAE) which consists of three modules (i.e. autoencoder, discriminator and outlier detector). ECG-AAE is modeled only by normal data. ECG sequence signal are mapped into latent feature space and then reconstructed back to ECG. Discriminator and autoencoder carry out adversarial training, which improves generation ability of autoencoder and makes reconstructed data more authentic. Abnormal scores are proposed based on reconstruction error and discriminant score to evaluate normal ECG criteria. In this process, Temporal convolutional network (TCN) is employed to extract features of normal ECG data. Then, our model is evaluated on MIT-BIH arrhythmia database and CMUH database, with the accuracy, precision, recall, F1-score, and AUC of 0.9673, 0.9854, 0.9486, 0.9666, 0.9672 and of 0.9358, 0.9816, 0.8882, 0.9325, 0.9358, respectively. The result indicates the ECG-AAE can detect abnormal ECG efficiently, with its performance better than other popular outlier detection methods such as AE, AnoGAN.

9,972 views

56 citations