Browsing by Author "Wu, Hau-Tieng"
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Item Open Access A Geometric Approach to Biomedical Time Series Analysis(2020) Malik, JohnBiomedical time series are non-invasive windows through which we may observe human systems. Although a vast amount of information is hidden in the medical field's growing collection of long-term, high-resolution, and multi-modal biomedical time series, effective algorithms for extracting that information have not yet been developed. We are particularly interested in the physiological dynamics of a human system, namely the changes in state that the system experiences over time (which may be intrinsic or extrinsic in origin). We introduce a mathematical model for a particular class of biomedical time series, called the wave-shape oscillatory model, which quantifies the sense in which dynamics are hidden in those time series. There are two key ideas behind the new model. First, instead of viewing a biomedical time series as a sequence of measurements made at the sampling rate of the signal, we can often view it as a sequence of cycles occurring at irregularly-sampled time points. Second, the "shape" of an individual cycle is assumed to have a one-to-one correspondence with the state of the system being monitored; as such, changes in system state (dynamics) can be inferred by tracking changes in cycle shape. Since physiological dynamics are not random but are well-regulated (except in the most pathological of cases), we can assume that all of the system's states lie on a low-dimensional, abstract Riemannian manifold called the phase manifold. When we model the correspondence between the hidden system states and the observed cycle shapes using a diffeomorphism, we allow the topology of the phase manifold to be recovered by methods belonging to the field of unsupervised manifold learning. In particular, we prove that the physiological dynamics hidden in a time series adhering to the wave-shape oscillatory model can be well-recovered by applying the diffusion maps algorithm to the time series' set of oscillatory cycles. We provide several applications of the wave-shape oscillatory model and the associated algorithm for dynamics recovery, including unsupervised and supervised heartbeat classification, derived respiratory monitoring, intra-operative cardiovascular monitoring, supervised and unsupervised sleep stage classification, and f-wave extraction (a single-channel blind source separation problem).
Item Open Access Capnography monitoring the hypoventilation during the induction of bronchoscopic sedation: A randomized controlled trial.(Sci Rep, 2017-08-17) Lin, Ting-Yu; Fang, Yueh-Fu; Huang, Shih-Hao; Wang, Tsai-Yu; Kuo, Chih-Hsi; Wu, Hau-Tieng; Kuo, Han-Pin; Lo, Yu-LunWe hypothesize that capnography could detect hypoventilation during induction of bronchoscopic sedation and starting bronchoscopy following hypoventilation, may decrease hypoxemia. Patients were randomized to: starting bronchoscopy when hypoventilation (hypopnea, two successive breaths of at least 50% reduction of the peak wave compared to baseline or apnea, no wave for 10 seconds) (Study group, n = 55), or when the Observer Assessment of Alertness and Sedation scale (OAAS) was less than 4 (Control group, n = 59). Propofol infusion was titrated to maintain stable vital signs and sedative levels. The hypoventilation during induction in the control group and the sedative outcome were recorded. The patient characteristics and procedures performed were similar. Hypoventilation was observed in 74.6% of the patients before achieving OAAS < 4 in the control group. Apnea occurred more than hypopnea (p < 0.0001). Hypoventilation preceded OAAS < 4 by 96.5 ± 88.1 seconds. In the study group, the induction time was shorter (p = 0.03) and subjects with any two events of hypoxemia during sedation, maintenance or recovery were less than the control group (1.8 vs. 18.6%, p < 0.01). Patient tolerance, wakefulness during sedation, and cooperation were similar in both groups. Significant hypoventilation occurred during the induction and start bronchoscopy following hypoventilation may decrease hypoxemia without compromising patient tolerance.Item Open Access Denoise high dimensional dataset with complicated noise and its clinical applications(2023) Su, Pei-ChunWe present a novel algorithm, called eOptShrink, for denoising matrices in the presence of high-dimensional, colored, and dependent noise with a separable covariance structure. Our approach is data-driven and does not require estimation of the covariance structure of the noise.The eOptShrink algorithm utilizes a new imputation and rank estimation technique to achieve optimal shrinkage. We study the asymptotic behavior of the singular values and singular vectors of the random matrix associated with the noisy data, including the sticking property of non-outlier singular values and the delocalization of non-outlier singular vectors with a convergence rate. These theoretical results provide guarantees for the imputation, rank estimation, and eOptShrink algorithm with a convergence rate.
We apply eOptShrink to recover fetal electrocardiogram (ECG) for both the fetal heart rate analysis and morphological analysis of its waveform from two or three trans-abdominal maternal ECG channels.
For the fetal heart rate analysis, the algorithm is evaluated on publicly available database, 2013 PhyioNet/Computing in Cardiology Challenge, set A CinC2013.
For the morphological analysis, we analyze CinC2013 and another publicly available database, Non-Invasive Fetal ECG Arrhythmia Database nifeadb, and propose to simulate semi-real databases by mixing the MIT-BIH Normal Sinus Rhythm Database and MITDB Arrhythmia Database.
For the fetal R peak detection, the proposed algorithm outperforms all algorithms under comparison. For the morphological analysis, the algorithm provides an encouraging result in recovery of the fetal ECG waveform, including PR, QT and ST intervals, even when the fetus has arrhythmia, both in real and simulated databases.
Item Open Access Efficient Fetal-Maternal ECG Signal Separation from Two Channel Maternal Abdominal ECG via Diffusion-Based Channel Selection.(Front Physiol, 2017) Li, Ruilin; Frasch, Martin G; Wu, Hau-TiengThere is a need for affordable, widely deployable maternal-fetal ECG monitors to improve maternal and fetal health during pregnancy and delivery. Based on the diffusion-based channel selection, here we present the mathematical formalism and clinical validation of an algorithm capable of accurate separation of maternal and fetal ECG from a two channel signal acquired over maternal abdomen. The proposed algorithm is the first algorithm, to the best of the authors' knowledge, focusing on the fetal ECG analysis based on two channel maternal abdominal ECG signal, and we apply it to two publicly available databases, the PhysioNet non-invasive fECG database (adfecgdb) and the 2013 PhysioNet/Computing in Cardiology Challenge (CinC2013), to validate the algorithm. The state-of-the-art results are achieved when compared with other available algorithms. Particularly, the F1 score for the R peak detection achieves 99.3% for the adfecgdb and 87.93% for the CinC2013, and the mean absolute error for the estimated R peak locations is 4.53 ms for the adfecgdb and 6.21 ms for the CinC2013. The method has the potential to be applied to other fetal cardiogenic signals, including cardiac doppler signals.Item Open Access Electrocardiographic J Wave and Cardiovascular Outcomes in the General Population (from the Atherosclerosis Risk In Communities Study).(Am J Cardiol, 2016-09-15) O'Neal, Wesley T; Wang, Yi Grace; Wu, Hau-Tieng; Zhang, Zhu-Ming; Li, Yabing; Tereshchenko, Larisa G; Estes, E Harvey; Daubechies, Ingrid; Soliman, Elsayed ZThe association between the J wave, a key component of the early repolarization pattern, and adverse cardiovascular outcomes remains unclear. Inconsistencies have stemmed from the different methods used to measure the J wave. We examined the association between the J wave, detected by an automated method, and adverse cardiovascular outcomes in 14,592 (mean age = 54 ± 5.8 years; 56% women; 26% black) participants from the Atherosclerosis Risk In Communities (ARIC) study. The J wave was detected at baseline (1987 to 1989) and during follow-up study visits (1990 to 1992, 1993 to 1995, and 1996 to 1998) using a fully automated method. Sudden cardiac death, coronary heart disease death, and cardiovascular mortality were ascertained from hospital discharge records, death certificates, and autopsy data through December 31, 2010. A total of 278 participants (1.9%) had evidence of a J wave. Over a median follow-up of 22 years, 4,376 of the participants (30%) died. In a multivariable Cox regression analysis adjusted for demographics, cardiovascular risk factors, and potential confounders, the J wave was not associated with an increased risk of sudden cardiac death (hazard ratio [HR] 0.74, 95% CI 0.36 to 1.50), coronary heart disease death (HR 0.72, 95% CI 0.40 to 1.32), or cardiovascular mortality (HR 1.16, 95% CI 0.87 to 1.56). An interaction was detected for cardiovascular mortality by gender with men (HR 1.54, 95% CI 1.09 to 2.19) having a stronger association than women (HR 0.74, 95% CI 0.43 to 1.25; P-interaction = 0.030). In conclusion, our findings suggest that the J wave is a benign entity that is not associated with an increased risk for sudden cardiac arrest in middle-aged adults in the United States.Item Open Access Heart rate variability is associated with survival in patients with brain metastasis: a preliminary report.(Biomed Res Int, 2013) Wang, Yu-Ming; Wu, Hau-Tieng; Huang, Eng-Yen; Kou, Yu Ru; Hseu, Shu-ShyaImpaired heart rate variability (HRV) has been demonstrated as a negative survival prognosticator in various diseases. We conducted this prospective study to evaluate how HRV affects brain metastasis (BM) patients. Fifty-one BM patients who had not undergone previous brain operation or radiotherapy (RT) were recruited from January 2010 to July 2012, and 40 patients were included in the final analysis. A 5-minute electrocardiogram was obtained before whole brain radiotherapy. Time domain indices of HRV were compared with other clinical factors on overall survival (OS). In the univariate analysis, Karnofsky performance status (KPS) <70 (P = 0.002) and standard deviation of the normal-to-normal interval (SDNN) <10 ms (P = 0.004) significantly predict poor survival. The multivariate analysis revealed that KPS <70 and SDNN <10 ms were independent negative prognosticators for survival in BM patients with hazard ratios of 2.657 and 2.204, respectively. In conclusion, HRV is associated with survival and may be a novel prognostic factor for BM patients.Item Open Access How Nonlinear-Type Time-Frequency Analysis Can Help in Sensing Instantaneous Heart Rate and Instantaneous Respiratory Rate from Photoplethysmography in a Reliable Way.(Front Physiol, 2017) Cicone, Antonio; Wu, Hau-TiengDespite the population of the noninvasive, economic, comfortable, and easy-to-install photoplethysmography (PPG), it is still lacking a mathematically rigorous and stable algorithm which is able to simultaneously extract from a single-channel PPG signal the instantaneous heart rate (IHR) and the instantaneous respiratory rate (IRR). In this paper, a novel algorithm called deppG is provided to tackle this challenge. deppG is composed of two theoretically solid nonlinear-type time-frequency analyses techniques, the de-shape short time Fourier transform and the synchrosqueezing transform, which allows us to extract the instantaneous physiological information from the PPG signal in a reliable way. To test its performance, in addition to validating the algorithm by a simulated signal and discussing the meaning of "instantaneous," the algorithm is applied to two publicly available batch databases, the Capnobase and the ICASSP 2015 signal processing cup. The former contains PPG signals relative to spontaneous or controlled breathing in static patients, and the latter is made up of PPG signals collected from subjects doing intense physical activities. The accuracies of the estimated IHR and IRR are compared with the ones obtained by other methods, and represent the state-of-the-art in this field of research. The results suggest the potential of deppG to extract instantaneous physiological information from a signal acquired from widely available wearable devices, even when a subject carries out intense physical activities.Item Open Access Imaging Cytometry of Human Leukocytes with Third Harmonic Generation Microscopy(Scientific Reports, 2016-11-15) Wu, Cheng-Ham; Wang, Tzung-Dau; Hsieh, Chia-Hung; Huang, Shih-Hung; Lin, Jong-Wei; Hsu, Szu-Chun; Wu, Hau-Tieng; Wu, Yao-Ming; Liu, Tzu-Ming© Author(s) 2016. Based on third-harmonic-generation (THG) microscopy and a k-means clustering algorithm, we developed a label-free imaging cytometry method to differentiate and determine the types of human leukocytes. According to the size and average intensity of cells in THG images, in a two-dimensional scatter plot, the neutrophils, monocytes, and lymphocytes in peripheral blood samples from healthy volunteers were clustered into three differentiable groups. Using these features in THG images, we could count the number of each of the three leukocyte types both in vitro and in vivo. The THG imaging-based counting results agreed well with conventional blood count results. In the future, we believe that the combination of this THG microscopy-based imaging cytometry approach with advanced texture analysis of sub-cellular features can differentiate and count more types of blood cells with smaller quantities of blood.Item Open Access MULTITAPER WAVE-SHAPE F-TEST FOR DETECTING NON-SINUSOIDAL OSCILLATIONS(2023-04-25) Liu, YijiaMany practical periodic signals are not sinusoidal and contami nated by complicated noise. The traditional spectral approach is limited in this case due to the energy spreading caused by the non-sinusoidal oscillation. We systematically study the multitaper spectral estimate and generalize the Thomson’s F-statistic under the setup physically dependent random process to analyze periodic signals of this kind. The developed statistic is applied to estimate the walking activity from the actinogram signals.Item Open Access Non-invasive biomarkers of fetal brain development reflecting prenatal stress: An integrative multi-scale multi-species perspective on data collection and analysis(Neuroscience & Biobehavioral Reviews, 2018-05) Frasch, Martin G; Lobmaier, Silvia M; Stampalija, Tamara; Desplats, Paula; Pallarés, María Eugenia; Pastor, Verónica; Brocco, Marcela A; Wu, Hau-Tieng; Schulkin, Jay; Herry, Christophe L; Seely, Andrew JE; Metz, Gerlinde AS; Louzoun, Yoram; Antonelli, Marta C© 2018 Elsevier Ltd Prenatal stress (PS) impacts early postnatal behavioural and cognitive development. This process of ‘fetal programming’ is mediated by the effects of the prenatal experience on the developing hypothalamic–pituitary–adrenal (HPA) axis and autonomic nervous system (ANS). We derive a multi-scale multi-species approach to devising preclinical and clinical studies to identify early non-invasively available pre- and postnatal biomarkers of PS. The multiple scales include brain epigenome, metabolome, microbiome and the ANS activity gauged via an array of advanced non-invasively obtainable properties of fetal heart rate fluctuations. The proposed framework has the potential to reveal mechanistic links between maternal stress during pregnancy and changes across these physiological scales. Such biomarkers may hence be useful as early and non-invasive predictors of neurodevelopmental trajectories influenced by the PS as well as follow-up indicators of success of therapeutic interventions to correct such altered neurodevelopmental trajectories. PS studies must be conducted on multiple scales derived from concerted observations in multiple animal models and human cohorts performed in an interactive and iterative manner and deploying machine learning for data synthesis, identification and validation of the best non-invasive detection and follow-up biomarkers, a prerequisite for designing effective therapeutic interventions.Item Open Access Robust and scalable unsupervised learning via landmark diffusion, from theory to medical application(2021) Shen, ChaoBiomedical time series contain rich information about human systems, however, effective algorithms for analyzing long-term physiological time series have not yet been developed because of the huge volume size, high dimensionality and large noise nature of the data. Motivated by such challenging task, we proposed a novel spectral embedding algorithm, which we coined Robust and Scalable Embedding via Landmark Diffusion (ROSELAND). The solution is a generic and not limited to analyze physiological waveforms. In short, we measure the affinity between two points via a set of landmarks, which is composed of a small number of points, and ``diffuse'' on the dataset via the landmark set to achieve a spectral embedding. The algorithm is applied to study the arterial blood pressure waveform dynamics during a liver transplant operation lasting for 12 hours long. In addition, we show that Roseland is not only numerically scalable, but also preserves the geometric properties via its diffusion nature under the manifold setup; that is, we theoretically explore the asymptotical behavior of Roseland under the manifold setup, and provide a L-infinity spectral convergence with a rate. Moreover, we offer a high dimensional noise analysis with the help of Gaussian approximation, and show that Roseland is robust to noise.
Item Open Access Two New Methods to Improve Adaptive Time-Frequency Localization(2021) Chen, ZiyuThis dissertation introduces algorithms that analyze oscillatory signals adaptively. It consists of three chapters. The first chapter reviews the adaptive time-frequency analysis of 1-dimensional signals. It introduces models that capture the time-varying behavior of oscillatory signals. Then it explains two state-of-the-art algorithms, named the SynchroSqueezed Transform (SST) and the Concentration of Frequency and Time (ConceFT), that extract the instantaneous information of signals; this chapter ends with a discussion of some of the shortcomings of SST and ConceFT, which will be remedied by the new methods introduced in the remainder of this thesis. The second chapter introduces the Ramanujan DeShape Algorithm (RDS); it incorporates the periodicity transform to extract adaptively the fundamental frequency of a non-harmonic signal. The third part proposes an algorithm that rotates the time-frequency content of an oscillatory signal to obtain a time-frequency representation that has fewer artifacts. Numerical results illustrate the theoretical analysis.