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Shirani, S.

Publications and source records attributed to Shirani, S..

3 recordsLinked to original sources

HEART MURMUR DETECTION IN PHONOCARDIOGRAM DATA LEVERAGING DATA AUGMENTATION AND ARTIFICIAL INTELLIGENCE

BackgroundWith a 17.9 million annual mortality rate, cardiovascular disease is the leading global cause of death. As such, early detection and disease diagnosis are critical for effective treatment and symptom management. Cardiac auscultation, the process of listening to the heartbeat, often provides the first indication of underlying cardiac conditions. This practice allows for the identification of heart murmurs caused by turbulent blood flow. In this exploratory research paper, we propose an AI model to streamline this process that improves diagnostic accuracy and efficiency. MethodsWe utilized data from the 2022 George Moody PhysioNet Heart Sound Classification Challenge, comprised of phonocardiogram recordings of individuals under 21 years of age in Northeast Brazil. Only patients who had recordings from all four heart valves were included in our dataset. Audio files were synchronized across all recordings and converted to Mel spectrograms before being passed into a pre-trained Vision Transformer, and finally a MiniROCKET model. Additionally, data augmentation was conducted on audio files and spectrograms to generate new data, bringing our total sample size from 928 spectrograms to 14,848. ResultsCompared to existing methodologies, our model yielded significantly enhanced quality assessment metrics, including Weighted Accuracy, Sensitivity, and F-Score, as well as a faster evaluation speed of 0.02 seconds per patient. ConclusionThe implementation of our method for the detection of heart murmurs can supplement physician diagnosis and contribute to earlier detection of underlying cardiovascular conditions, faster diagnosis times, increased scalability, and enhanced adaptive abilities.

bioengineering↗

Prediction of pathological subthalamic nucleus beta burst occurrence in Parkinson's disease

The cortico-basal ganglia network in Parkinsons disease (PD) is characterized by the emergence of transient episodes of exaggerated beta frequency oscillatory synchrony known as bursts. Although it is well established that bursts of prolonged duration associate closely with motor impairments, the mechanisms leading to burst initiation remain poorly understood. Crucially, it is unclear whether there are features of basal ganglia activity which reliably predict burst onset. Current adaptive Deep Brain Stimulation (aDBS) approaches can only reactively deliver stimulation following burst detection and are unable to stimulate proactively to prevent burst onset. The discovery of predictive biomarkers could allow for such proactive stimulation, thereby offering potential for improvements in therapeutic efficacy. Here, using deep learning, we show that the timing of subthalamic nucleus (STN) beta bursts can be accurately predicted up to 60 ms prior to onset. Furthermore, we highlight that a dip in the beta amplitude - which is likely to be indicative of a phase reset of oscillatory populations occurring between 80-100 ms prior to burst onset - is a predictive biomarker for burst occurrence. These findings demonstrate proof-of-principle for the feasibility of beta burst prediction for DBS and provide insights into the mechanisms of burst initiation.

neuroscience↗

Predicting Long and Short Duration Beta Bursts from Subthalamic Nucleus Local Field Potential Activity in Parkinson's Disease

Neural activities within the beta frequency range (13-30 Hz) are not stationary, but occur in transient packets known as beta bursts. Parkinsons disease (PD) is characterized by the occurrence of beta bursts of increased duration and amplitude within the cortico-basal ganglia network. The pathophysiological importance of beta bursts is exemplified by the fact that they serve as a clinically useful feedback signal in beta amplitude triggered adaptive Deep Brain Stimulation (aDBS). Prolonged duration beta bursts are closely associated with motor impairments in PD, whilst bursts of shorter duration may have a physiological role. Consequently, we aimed to develop a deep learning-based pipeline capable of predicting long (> 150ms) and short (< 150ms) duration beta bursts from subthalamic nucleus local field potential (LFP) recordings. Our approach achieved promising accuracy values of 87% and 85.2% in two patients implanted with a DBS device that was capable of long-term wireless LFP sensing. Our findings highlight the feasibility of prolonged beta burst prediction and could inform the development of a new type of intelligent DBS approach with the capability of delivering stimulation only during the occurrence of prolonged bursts.

bioengineering↗