PubMed Health⌕ Search

Biomedical subjects

Jean-Marc Lina

Publications and source records attributed to Jean-Marc Lina.

4 recordsLinked to original sources

Pseudonymization of radiology data for research purposes.

Medical image processing methods and algorithms, developed by researchers, need to be validated and tested. Test data would ideally be real clinical data especially that clinical data is varied and exists in large volumes. Nowadays, clinical data is accessible electronically and has important value for researchers. However, the usage of clinical data for research purposes should respect data confidentiality, patient right to privacy, and patient consent. In fact, clinical data is nominative given that it contains information about the patient such as name, age, and identification number. Evidently, clinical data needs to be de-identified to be exported to research databases. However, the same patient is usually followed during a long period of time. The disease progression and the diagnostic evolution represent extremely valuable information for researchers as well. Our objective is to build a research database from de-identified clinical data while enabling the data set to be easily incremented by exporting new pseudonymous data, acquired over a long period of time. Pseudonymization is data de-identification, such that data belonging to an individual in the clinical environment still belong to the same individual in the de-identified research version. In this paper, we explore various software architectures to enable the implementation of an imaging research database that can be incremented in time. We also evaluate their security and discuss their security pitfalls. As most imaging data accessible electronically is available with the digital imaging and communication in medicine (DICOM) standard, we propose a de-identification scheme that closely follows DICOM recommendations. Our work can be used to enable electronic health record (EHR) secondary usage such as public surveillance and research, while maintaining patient confidentiality.

Algorithms↗

Data-driven parceling and entropic inference in MEG.

In Amblard et al. [Amblard, C., Lapalme, E., Lina, J.M. 2004. Biomagnetic source detection by maximum entropy and graphical models. IEEE Trans. Biomed. Eng. 55 (3) 427--442], the authors introduced the maximum entropy on the mean (MEM) as a methodological framework for solving the magnetoencephalography (MEG) inverse problem. The main component of the MEM is a reference probability density that enables one to include all kind of prior information on the source intensity distribution to be estimated. This reference law also encompasses the definition of a model. We consider a distributed source model together with a clustering hypothesis that assumes functionally coherent dipoles. The reference probability distribution is defined as a prior parceling of the cortical surface. In this paper, we present a data-driven approach for parceling out the cortex into regions that are functionally coherent. Based on the recently developed multivariate source pre-localization (MSP) principle [Mattout, J., Pelegrini-Issac, M., Garnero, L., Benali, H. 2005. Multivariate source pre-localization (MSP): Use of functionally informed basis functions for better conditioning the MEG inverse problem. NeuroImage 26 (2) 356--373], the data-driven clustering (DDC) of the dipoles provides an efficient parceling of the sources as well as an estimate of parameters of the initial reference probability distribution. On MEG simulated data, the DDC is shown to further improve the MEM inverse approach, as evaluated considering two different iterative algorithms and using classical error metrics as well as ROC (receiver operating characteristic) curve analysis. The MEM solution is also compared to a LORETA-like inverse approach. The data-driven clustering allows to take most advantage of the MEM formalism. Its main trumps lie in the flexible probabilistic way of introducing priors and in the notion of spatial coherent regions of activation. The latter reduces the dimensionality of the problem. In so doing, it narrows down the gap between the two types of inverse methods, the popular dipolar approaches and the distributed ones.

Algorithms↗

Bayesian spatio-temporal approach for EEG source reconstruction: conciliating ECD and distributed models.

Characterizing the cortical activity sources of electroencephalography (EEG)/magnetoencephalography data is a critical issue since it requires solving an ill-posed inverse problem that does not admit a unique solution. Two main different and complementary source models have emerged: equivalent current dipoles (ECD) and distributed linear (DL) models. While ECD models remain highly popular since they provide an easy way to interpret the solutions, DL models (also referred to as imaging techniques) are known to be more realistic and flexible. In this paper, we show how those two representations of the brain electromagnetic activity can be cast into a common general framework yielding an optimal description and estimation of the EEG sources. From this extended source mixing model, we derive a hybrid approach whose key aspect is the separation between temporal and spatial characteristics of brain activity, which allows to dramatically reduce the number of DL model parameters. Furthermore, the spatial profile of the sources, as a temporal invariant map, is estimated using the entire time window data, allowing to significantly enhance the information available about the spatial aspect of the EEG inverse problem. A Bayesian framework is introduced to incorporate distinct temporal and spatial constraints on the solution and to estimate both parameters and hyperparameters of the model. Using simulated EEG data, the proposed inverse approach is evaluated and compared with standard distributed methods using both classical criteria and ROC curves.

Algorithms↗

Biomagnetic source detection by maximum entropy and graphical models.

This article presents a new approach for detecting active sources in the cortex from magnetic field measurements on the scalp in magnetoencephalography (MEG). The solution of this ill-posed inverse problem is addressed within the framework of maximum entropy on the mean (MEM) principle introduced by Clarke and Janday. The main ingredient of this regularization technique is a reference probability measure on the random variables of interest. These variables are the intensity of current sources distributed on the cortical surface for which this measure encompasses all available prior information that could help to regularize the inverse problem. This measure introduces hidden Markov random variables associated with the activation state of predefined cortical regions. MEM approach is applied within this particular probabilistic framework and simulations show that the present methodology leads to a practical detection of cerebral activity from MEG data.

Algorithms↗