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A fuzzy-based approach to remove clock skew and reset from one-way delay measurement.

One-way delay (OWD) traces are important measurements for analyzing end-to-end performance on the Internet. It is still a great challenge to provide a scalable solution for large-scale OWD measurement. Because the clocks at end systems are usually not synchronized, the OWD measurements are often inaccurate. For the more challenging case with clock resets to some reference times during the measurement, the OWD measurements are more inaccurate. Furthermore, the measurement data often exhibit considerable network-induced noise when the network is heavily loaded. All the existing OWD measurement techniques, such as linear programming and convex-hull approach (CHA), try to solve this problem by deterministic mathematics model. However, they often fail to distinguish clock resets from temporary Internet congestion. Based on the fuzzy-clustering analysis, this paper proposes a new algorithm to estimate and remove the clock skews and resets from measurement results. This algorithm has been implemented as a tool called fuzzy-based OWD corrector (FOC). The paper then presents OWD measurements of several Internet paths using FOC. Numerical experiments demonstrate that FOC is more accurate and robust than the existing techniques. FOCs computation complexity O(N) is similar to that of CHA and its computing time is much less than that of convex-hull technique.

Algorithms↗

[Optimization of PET image quality by means of 3D data acquisition and iterative image reconstruction].

PURPOSE: In the recent past, several algorithms have been developed in order to transform 3D sinograms acquired at volume PET systems into 2D data sets. These methods offer the possibility to combine the high sensitivity of the 3D measurement with the advantages of iterative 2D image reconstruction. The purpose of our study was the assessment of this approach by using phantom measurements and patient examinations. METHODS: The experiments were performed at the latest-generation whole-body PET system ECAT EXACT HR+. For 2D data acquisition, a collimator of thin tungsten septa was positioned in the field-of-view. Prior to image reconstruction, the measured 3D data were sorted into 2D sinograms by suing the Fourier rebinning (FORE) algorithm developed by M. Defrise. The standard filtered backprojection (FBP) method and an optimized ML/EM algorithm with overrelaxation for accelerated convergence were employed for image reconstruction. The spatial resolution of both methods as well as the convergence and noise properties of the ML/EM algorithm were studied in phantom measurements. Furthermore, patient data were acquired in the 2D mode as well as in the 3D mode and reconstructed with both techniques. RESULTS: At the same spatial resolution, the ML/EM-reconstructed images showed fewer and less prominent artefacts than the FBP-reconstructed images. The resulting improved detail conspicuously was achieved for the data acquired in the 2D mode as well as in the 3D mode. The best image quality was obtained by iterative 2D reconstruction of 3D data sets which were previously rebinned into 2D sinograms with help of the FORE algorithm. The phantom measurements revealed that 50 iteration steps with the optimized ML/EM algorithm were sufficient to keep the relative quantitation error below 5%. CONCLUSION: Our measurements show that the image quality in 3D PET can be improved by using iterative reconstruction techniques. The concept of 3D data acquisition and combining the FORE algorithm with 2D ML/EM reconstruction can readily be employed in clinical practice since the computation time is not considerably longer than that in iterative reconstruction of true 2D data.

Aged↗

Features selection and architecture optimization in connectionist systems.

In this paper, we propose a features selection measure and an architecture optimization procedure for Multi-Layer Perceptrons (MLP). The algorithm presented in this contribution employs a heuristic measure named HVS (Heuristic for Variable Selection). This new measure allows us to identify and select important variables in the features space. This can be achieved by eliminating redundant features and those which do not contain enough relevant information. The proposed measure is used in a new procedure aimed at selecting the "best" MLP architecture given an initial structure. Application results for two generic problems: regression and discrimination, demonstrates the proposed selection algorithm's effectiveness in identifying optimized connectionist models with higher accuracy. Finally, an extension of HVS, named epsilonHVS, is proposed for discriminative features detection and architecture optimization for Time Delay Neural Networks models (TDNN).

Algorithms↗

Measurement error of visual field tests in glaucoma.

AIM: Psychophysical strategies designed for clinical visual field testing produce rapid estimates of threshold with relatively few stimulus presentations and so represent a trade-off between test quality and efficiency. The aim of this study was to determine the measurement error of a staircase algorithm similar to full threshold with standard automated perimetry (SAP) and frequency doubling perimetry (FDP) in glaucoma patients. METHODS: Seven patients with early open angle glaucoma (OAG) were prospectively recruited. All were experienced in laboratory based psychophysics. Three matched test locations were examined with SAP (externally driven Humphrey field analyser) and FDP (CRT) in a single arbitrarily selected eye of each subject. Each location was tested twice with a 4-2-2 dB staircase strategy, similar to full threshold, and then with the method of constant stimuli (MOCS). Accuracy (threshold estimation error) was quantified by determination of differences between "true" threshold measurements made by MOCS and single staircase threshold estimates. Precision (repeatability) was quantified by the differences between repeated staircase threshold estimates. RESULTS: Precision was relatively high for both tests, although higher for FDP than SAP at depressed sensitivity levels. The staircase strategy significantly underestimated threshold sensitivity for both test types, with the mean difference (95% CI) between staircase and MOCS thresholds being 4.48 dB (2.35 to 7.32) and 1.35 dB (0.56 to 1.73) for SAP and FDP respectively. Agreement levels (weighted kappa) between MOCS and staircase thresholds were found to be 0.48 for SAP and 0.85 for FDP. Although this "bias" appeared constant for FDP across all sensitivity levels, this was not the case for SAP where accuracy decreased at lower sensitivity levels. CONCLUSION: Estimations of threshold sensitivity made using staircase strategies common to clinical visual field test instrumentation are associated with varying degrees of measurement error according to visual field test type and sensitivity. In particular, SAP significantly overestimates the "true" level of sensitivity, particularly in damaged areas of the visual field, suggesting that clinical data of this type should be interpreted with caution.

Aged↗

A novel method of estimation of DPOAE signals.

A new method of measurement of distortion product otoacoustic emission (DPOAE) signal level based on a recently introduced nonlinear adaptive method of extraction of nonstationary sinusoids is presented. Essentially, three units of such an algorithm are employed to extract and measure the two stimuli and the DPOAE signal. Each unit has the capability of locking on a specified sinusoidal component of the input signal and tracking its variations over time. Performance of the proposed method is demonstrated with the aid of computer simulations and is verified in laboratory using recorded clinical data. Comparison is made between the proposed technique and existing methods. The proposed method features structural simplicity which renders it particularly attractive for implementation on both software and hardware platforms. It offers a high degree of immunity with regard to background noise and parameter variations. Compared to conventional methods, the proposed method offers a shorter measurement time which is of significant value in clinical examinations.

Acoustic Stimulation↗

Using composite health status measures to assess the nation's health.

Research in progress at the National Center for Health Statistics for evaluating the usefulness of composite measures of health status for assessing the nation's health is described. Three measures suitable for use in the general population, the Health Insurance Experiment-Functional Limitations (HIE-FL), the Health Utility Index (HUI), and the Quality of Well-being (QWB) scale, have been mapped to data collected in the 1980 National Health Interview Survey (NHIS). Analysis using current algorithms for making composite function status measures according to the QWB methods suggests that traditional single indicators of health tend to overestimate the level of health by about 10%. When symptoms and problems are added to the composite function score, the overestimate as measured by the single indicator is at least 50%. The authors are continuing to validate these algorithms, to develop similar ones for the HIE-FL and HUI, and to extend the analysis to data collected in 1977, 1979, and 1984. Current results indicate that to realize fully the benefits of composite measures, well-established, valid, and reliable measures of health-related quality of life should be included as part of the regular NHIS data collection procedures.

Activities of Daily Living↗

Quantitative measurements of cerebral blood flow in patients with unilateral carotid artery occlusion: a PET and MR study.

Although it has been demonstrated that quantitative measures of cerebral blood flow (CBF) can be obtained with the singular value decomposition (SVD) algorithm, the extent to which quantitative CBF measurements can be utilized under pathophysiological conditions has not been systematically studied. A total of five healthy volunteers and five patients with unilateral carotid artery occlusion were studied. Only magnetic resonance (MR) images were acquired for the volunteer group while both MR and positron emission tomography (PET) images were acquired for the patient group. Assessments of CBF from normal volunteers compared favorably with values reported in the literature. However, while a linear relationship was observed for each patient when MR measured CBF was compared to that obtained from PET, this linear relationship diminished when all patients were analyzed as a group (r = 0.41). A correction factor (CF) was proposed that was equal to the ratio of the area of the venous output function (VOF) in each patient to the mean VOF obtained from the volunteer group. After globally scaling the CBF of each patient based on the experimentally derived CF, a substantial improvement was observed (a slope of 1.02 and r = 0.8 for the linear regression line) in the relationship between MR estimated CBF and those obtained from PET.

Analysis of Variance↗

Combined index of heart rate variability and oximetry in screening for the sleep apnoea/hypopnoea syndrome.

Many sleep centres employ a preliminary screening test in order to reduce the number of polysomnographies required in the routine diagnosis of the sleep apnoea/hypopnoea syndrome (SAHS). We investigated the combination of heart rate and oximetry information as a means of performing this test. A retrospective study of 100 patients with suspected SAHS was made. All patients had in-hospital polysomnography on one night. We estimated the number of respiratory event-related arousals by counting the number of autonomic arousals (assessed on the basis of changes in the heart interbeat interval) that were coincident with a rise in oximetry. The hourly index of such events was denoted the "cardiac-oximetry disturbance index" (CODI). The median apnoea/hypopnoea index (AHI) was 16.5 (range 1.0-93.6) h-1. The CODI correlated significantly with the AHI (Spearman correlation coefficient rs = 0.88, P < 0.01), and the area (+/- standard error) under the receiver operating characteristic (ROC) was 0.94 +/- 0.05. Oximetry alone (based on 4% dips) was a less effective screening test (rs = 0.80, P < 0.01; area under ROC 0.83 +/- 0.06). Using 2% dips in oximetry offered comparable performance with the CODI (rs = 0.91, P < 0.01; area under ROC 0.93 +/- 0.04). The CODI was better correlated with the electroencephalograph arousal index (rs = 0.84, P < 0.01) than was oximetry (2% dips, rs = 0.57, P < 0.01). The CODI algorithm also offers an informal measure of self-validation: a large discrepancy between the number of autonomic arousals and the number of rises in oximetry indicates the presence of autonomic arousals without changes in oximetry (or vice versa). This self-validation mechanism identified several patients in this study, and may be useful in identifying sleep disruption due to chronic pain or other causes.

Adult↗

Artificial neural networks for automation of Rutherford backscattering spectroscopy experiments and data analysis.

We present an algorithm based on artificial neural networks able to determine optimized experimental conditions for Rutherford backscattering measurements of Ge-implanted Si. The algorithm can be implemented for any other element implanted into a lighter substrate. It is foreseeable that the method developed in this work can be applied to still many other systems. The algorithm presented is a push-button black box, and does not require any human intervention. It is thus suited for automated control of an experimental setup, given an interface to the relevant hardware. Once the experimental conditions are optimized, the algorithm analyzes the final data obtained, and determines the desired parameters. The method is thus also suited for automated analysis of the data. The algorithm presented can be easily extended to other ion beam analysis techniques. Finally, it is suggested how the artificial neural networks required for automated control and analysis of experiments could be automatically generated. This would be suited for automated generation of the required computer code. Thus could RBS be done without experimentalists, data analysts, or programmers, with only technicians to keep the machines running.

Journal Article↗

Skeletal measurements using a flying spot digital imaging device.

A flying spot digital imaging unit was devised to measure skeletal length and angles. This device uses a spinning chopper wheel and fixed slit collimator in front of a conventional X-ray tube to produce a scanning pencil beam that passes through the patient and onto an electronic detector. The beam scans the patient transversely and the device moves longitudinally, creating a digital image with a skin dose of less than 2 mrad (0.02 mGy). Patients can be imaged both when upright and when recumbent. A large field of view makes it possible for the entire length of the spine or lower extremities to be included in a single image. Built-in computer algorithms are used to make measurements of skeletal lengths and angles. The accuracy of the digital device was tested by making measurements of known angles and lengths using protractors and rulers. Skeletal measurements were then made on a number of patients. Interobserver error was tested using both patient and nonpatient images. The following patient measurements were made: Cobb angle in 166 patients with scoliosis; knee joint angles in 120 patients undergoing knee surgery; lower extremity lengths in 78 patients with length inequalities; bony fragment angulation and displacement in 30 patients with healing fractures. These studies have shown the device to be accurate with low interobserver error, while delivering much lower patient dose than more conventional methods. The ability to manipulate window levels and widths enables visualization of thick and thin body parts on the same image. Our experience both in the laboratory and with patients has been encouraging, and the method appears to have several advantages over more conventional techniques.

Bone and Bones↗

Assessment of second-order clearances between orthodontic archwires and bracket slots via the critical contact angle for binding.

Twenty-six archwires and 24 brackets were selected from among the hundreds of products available that nominally have from 18 to 22 mil bracket slots and 14, 16, 17, 18, 19, and/or 21 mil archwire sizes. After the archwires and brackets were dimensioned, a minimization-maximization algorithm was applied to the measurements in order to establish the likely boundaries of the critical contact angle for binding (thetac) as defined by the presence and absence of second-order clearance. From among the myriad archwire-bracket permutations possible, 64 combinations were identified--20 using the bracket slot as the controlling dimension and 44 using the bracket width. Using a previously derived mathematical expression that relates the dimensions of each archwire-bracket couple to its calculated thetac, the corresponding sets of indices were plotted. The results show that the maximum value of the calculated thetac can never exceed about 5 degrees , or else sliding mechanics will always be hampered. Other outcomes were validated experimentally using 5 of the 64 archwire-bracket couples by measuring the resistance to sliding (RS) at 15 different contact angles (theta) ranging from theta=0 degrees to theta=12 degrees and by subsequently determining a measured thetac. These values agreed with the calculated thetac values. When the practitioner knows the thetac, treatment time might be reduced because the teeth do not need to be over-aligned prior to employing sliding mechanics (i.e., by not making theta< thetac) These results underscore the importance of exact wire and bracket dimensions on packaging; otherwise, sliding mechanics can be compromised by miscalculating thetac.

Algorithms↗

Three dimensional image restoration in fluorescence lifetime imaging microscopy.

A microscope set-up and numerical methods are described which enable the measurement and reconstruction of three-dimensional nanosecond fluorescence lifetime images in every voxel. The frequency domain fluorescence lifetime imaging microscope (FLIM) utilizes phase detection of high-frequency modulated light by homodyne mixing on a microchannel plate image intensifier. The output signal at the image intensifier's phosphor screen is integrated on a charge coupled device camera. A scanning stage is employed to obtain a series of phase-dependent intensity images at equally separated depths in a specimen. The Fourier transform of phase-dependent data gives three-dimensional (3D) images of the Fourier coefficients. These images are deblurred using an Iterative Constrained Tikhonov-Miller (ICTM) algorithm in conjunction with a measured point spread function. The 3D reconstruction of fluorescence lifetimes are calculated from the deblurred images of the Fourier coefficients. An improved spatial and temporal resolution of fluorescence lifetimes was obtained using this approach to the reconstruction of simulated 3D FLIM data. The technique was applied to restore 3D FLIM data of a live cell specimen expressing two green fluorescent protein fusion constructs having distinct fluorescence lifetimes which localized to separate cellular compartments.

Image Processing, Computer-Assisted↗

Depth dose under narrow shielding blocks: a comparison of measured and calculated dose.

This paper describes measurements done to investigate the accuracy of dose calculation algorithms when used to calculate the dose under shielding blocks. Because the prescribed dose is sometimes limited by the dose to organs at risk within the irradiated volume, it is important to know the dose under a block accurately. Five different algorithms from four treatment planning systems were used to calculate the dose under two narrow lead alloy blocks each placed centrally in a 15 x 15-cm beam of 6- and 18-MV X-rays, respectively. Measurements were done in a water phantom with the same geometrical set-up. All measured data have a common feature; a high surface dose (up to about 20%) decreasing linearly within the first 1-2 cm to a minimum ranging from 13 to 6.5%, and then increasing to a maximum depending on the X-ray energy and block width. Beyond the maximum, the dose decreases approximately linearly due to absorption of the primary beam. The first part of the curve is due essentially to secondary electrons. Beyond the minimum, the X-ray scatter dose component increases, due to increasing phantom scatter, to a maximum which is greater for 6 MV than for 18 MV X-rays. Most algorithms could not reproduce measured data accurately.(ABSTRACT TRUNCATED AT 250 WORDS)

Algorithms↗

Hemodynamic and oxygen transport patterns for outcome prediction, therapeutic goals, and clinical algorithms to improve outcome. Feasibility of artificial intelligence to customize algorithms.

A generalized decision tree or clinical algorithm for treatment of high-risk elective surgical patients was developed from a physiologic model based on empirical data. First, a large data bank was used to do the following: (1) describe temporal hemodynamic and oxygen transport patterns that interrelate cardiac, pulmonary, and tissue perfusion functions in survivors and nonsurvivors; (2) define optimal therapeutic goals based on the supranormal oxygen transport values of high-risk postoperative survivors; (3) compare the relative effectiveness of alternative therapies in a wide variety of clinical and physiologic conditions; and (4) to develop criteria for titration of therapy to the endpoints of the supranormal optimal goals using cardiac index (CI), oxygen delivery (DO2), and oxygen consumption (VO2) as proxy outcome measures. Second, a general purpose algorithm was generated from these data and tested in preoperatively randomized clinical trials of high-risk surgical patients. Improved outcome was demonstrated with this generalized algorithm. The concept that the supranormal values represent compensations that have survival value has been corroborated by several other groups. We now propose a unique approach to refine the generalized algorithm to develop customized algorithms and individualized decision analysis for each patient's unique problems. The present article describes a preliminary evaluation of the feasibility of artificial intelligence techniques to accomplish individualized algorithms that may further improve patient care and outcome.

Algorithms↗

Radiofrequency power deposition utilizing thermal imaging.

Wavelength effects influence radiofrequency (RF) power deposition distributions and limit magnetic resonance (MR) medical applications at very high magnetic fields. The power depositions in spherical saline gel phantoms were deduced from proton resonance shift thermal maps at both 1.5 T and 3.0 T over a range of conductivities. Phase differences before and after RF heating were measured for both a quadrature head coil and a circular surface coil. A long echo time (TE) pulse sequence with a 3D phase unwrap algorithm provided increased thermal sensitivity. The measured thermal maps agreed with a model of eddy-current heating by circularly polarized oscillating RF fields in a conducting dielectric sphere. At 3.0 T, thermal maps were acquired with a <0.32 degrees C temperature rise at 4 W. Proton resonance shift thermal maps provided a measure of hot spots in very-high-field MR imaging (MRI), in which both the phase sensitivity and signal-to-noise ratio (SNR) were increased. The method provides a means of studying the heat distribution generated by RF coils excited by clinical pulse sequences.

Magnetic Resonance Imaging↗

Estimation of drug binding parameters.

Many methods have been suggested and tested to estimate the association constants and binding capabilities of ligand-macromolecule interactions from experimental data. This problem is a subset of the general problem of parameter estimation for nonlinear algebraic models where both the independent and dependent variables are subject to measurement error. It is often difficult to anticipate the effect on the parameter estimates that is caused by error in the primary measurements. In this work, a computer algorithm is described which finds the maximum likelihood estimate for the true values of the parameters and also estimates for the values of the measurements. It is applied to experimental binding data in two examples for fitting the association constants and binding capacities.

Dicumarol↗

Software for dynamic analysis of tracer-based metabolomic data: estimation of metabolic fluxes and their statistical analysis.

MOTIVATION: Metabolic flux analysis of biochemical reaction networks using isotope tracers requires software tools that can analyze the dynamics of isotopic isomer (isotopomer) accumulation in metabolites and reveal the underlying kinetic mechanisms of metabolism regulation. Since existing tools are restricted by the isotopic steady state and remain disconnected from the underlying kinetic mechanisms, we have recently developed a novel approach for the analysis of tracer-based metabolomic data that meets these requirements. The present contribution describes the last step of this development: implementation of (i) the algorithms for the determination of the kinetic parameters and respective metabolic fluxes consistent with the experimental data and (ii) statistical analysis of both fluxes and parameters, thereby lending it a practical application. RESULTS: The C++ applications package for dynamic isotopomer distribution data analysis was supplemented by (i) five distinct methods for resolving a large system of differential equations; (ii) the 'simulated annealing' algorithm adopted to estimate the set of parameters and metabolic fluxes, which corresponds to the global minimum of the difference between the computed and measured isotopomer distributions; and (iii) the algorithms for statistical analysis of the estimated parameters and fluxes, which use the covariance matrix evaluation, as well as Monte Carlo simulations. An example of using this tool for the analysis of (13)C distribution in the metabolites of glucose degradation pathways has demonstrated the evaluation of optimal set of parameters and fluxes consistent with the experimental pattern, their range and statistical significance, and also the advantages of using dynamic rather than the usual steady-state method of analysis. AVAILABILITY: Software is available free from http://www.bq.ub.es/bioqint/selivanov.htm

Algorithms↗