Search Results (853)

Using Photoplethysmogram (PPG) signals for identity recognition has been proven effective in biometric authentication. However, in real-world applications, PPG signals are prone to interference from noise, physical activity, diseases, and other factors, making it challenging to ensure accurate user recognition and verification in complex environments. To address these issues, this paper proposes an improved MSF-SE ResNet50 (Multi-Scale Feature Squeeze-and-Excitation ResNet50) model based on 2D PPG signals. Unlike most existing methods that directly process one-dimensional PPG signals, this paper adopts a novel approach based on two-dimensional PPG signal processing. By applying Continuous Wavelet Transform (CWT), the preprocessed one-dimensional PPG signal is transformed into a two-dimensional time-frequency map, which not only preserves the time-frequency characteristics of the signal but also provides richer spatial information. During the feature extraction process, the SENet module is first introduced to enhance the ability to extract distinctive features. Next, a novel Lightweight Multi-Scale Feature Fusion (LMSFF) module is proposed, which addresses the limitation of single-scale feature extraction in existing methods by employing parallel multi-scale convolutional operations. Finally, cross-stage feature fusion is implemented, overcoming the limitations of traditional feature fusion methods. These techniques work synergistically to improve the model’s performance. On the BIDMC dataset, the MSF-SE ResNet50 model achieved accuracy, precision, recall, and F1 scores of 98.41%, 98.19%, 98.27%, and 98.23%, respectively. Compared to existing state-of-the-art methods, the proposed model demonstrates significant improvements across all evaluation metrics, highlighting its significance in terms of network architecture and performance. Full article

Background: Pulmonary fibrosis (PF), the end-stage manifestation of interstitial lung disease, is defined by excessive extracellular matrix deposition and alveolar destruction. Activated fibroblasts, the primary matrix producers, rely heavily on dysregulated glucose metabolism for their activation. While Salt Inducible Kinase 2 (SIK2) regulates glycolytic pathways in oncogenesis, its specific contributions to fibroblast activation and therapeutic potential in PF pathogenesis remain undefined. This study elucidates the functional role of SIK2 in PF and assesses its viability as a therapeutic target. Methods: SIK2 expression/localization in fibrosis was assessed by Western blot and immunofluorescence. Fibroblast-specific Sik2 KO mice evaluated effects on bleomycin-induced fibrosis. SIK2’s role in fibroblast activation and glucose metabolism impact (enzyme expression, metabolism assays, metabolites) were tested. SIK2 inhibitors were screened and evaluated therapeutically in fibrosis models. Results: It demonstrated significant SIK2 upregulation, specifically within activated fibroblasts of fibrotic lungs from both PF patients and murine models. Functional assays demonstrated that SIK2 is crucial for fibroblast activation, proliferation, and migration. Mechanistically, SIK2 enhances fibroblast glucose metabolism by increasing the expression of glycolysis-related enzymes. Additionally, this study demonstrated that the SIK2 inhibitor YKL06-061 effectively inhibited PF in both bleomycin and FITC-induced PF mouse models with the preliminary safety profile. Furthermore, we identified a novel therapeutic application for the clinically approved drug fostamatinib, demonstrating it inhibits fibroblast activation via SIK2 targeting and alleviates PF in mice. Conclusions: Our findings highlight SIK2 as a promising therapeutic target and provide compelling preclinical evidence for two distinct anti-fibrotic strategies with significant potential for future PF treatment. Full article

Age-related macular degeneration (AMD) is the leading cause of blindness in developed countries. Predicting its progression is crucial for preventing late-stage AMD, as it is an irreversible retinal disease. Both genetic factors and retinal images are instrumental in diagnosing and predicting AMD progression. Previous studies have explored automated diagnosis using single fundus images and genetic variants, but they often fail to utilize the valuable longitudinal data from multiple visits. Longitudinal retinal images offer a dynamic view of disease progression, yet standard Long Short-Term Memory (LSTM) models assume consistent time intervals between training and testing, limiting their effectiveness in real-world settings. To address this limitation, we propose time-varied Long Short-Term Memory (TV-LSTM), which accommodates irregular time intervals in longitudinal data. Our innovative approach enables the integration of both longitudinal fundus images and AMD-associated genetic variants for more precise progression prediction. Our TV-LSTM model achieved an AUC-ROC of 0.9479 and an AUC-PR of 0.8591 for predicting late AMD within two years, using data from four visits with varying time intervals. Full article

Background: Faced with the profound impact of major infectious diseases on public life and economic development, humans have long sought to understand disease transmission and intervention strategies. To better explore the impact of individuals’ different coping behaviors—triggered by changes in their psychological security due to public information and external environmental changes—on the spread to infectious diseases, the model will place greater emphasis on quantifying psychological factors to make it more aligned with real-world situations. Methods: To better understand the interplay between information dissemination and disease transmission, we propose a two-layer network model that incorporates psychological safety factors. Results: Our model reveals key insights into disease transmission dynamics: (1) active defense behaviors help reduce both disease spread and information diffusion; (2) passive resistance behaviors expand disease transmission and may trigger recurrence but enhance information spread; (3) high-timeliness, low-fuzziness information reduces the peak of the initial infection but does not significantly curb overall disease spread, and the rapid dissemination of disease-related information is most effective in limiting the early stages of transmission; and (4) community structures in information networks can effectively curb the spread of infectious diseases. Conclusions: These findings offer valuable theoretical support for public health strategies and disease prevention after government information release. Full article

Alzheimer’s Disease and Dementia (ADD) progresses along a continuum of cognitive decline, typically from Subjective Cognitive Impairment (SCI) to Mild Cognitive Impairment (MCI) and eventually to dementia. While many studies have focused on classifying these clinical stages, fewer have examined whether brain connectomes encode this continuum in a low-dimensional, interpretable form. Motivated by the hypothesis that structural brain connectomes undergo complex yet compact changes across cognitive decline, we propose a Graph Neural Network (GNN)-based framework that embeds these connectomes into a two-dimensional manifold to capture the evolving patterns of structural connectivity associated with cognitive deterioration. Using attention-based graph aggregation and Principal Component Analysis (PCA), we find that MCI subjects consistently occupy an intermediate position between SCI and ADD, and that the observed transitions align with known clinical biomarkers of ADD pathology. This hypothesis-driven analysis is further supported by the model’s robust separation performance, with ROC-AUC scores of 0.93 for ADD vs. SCI and 0.81 for ADD vs. MCI. These findings offer an interpretable and neurologically grounded representation of dementia progression, emphasizing structural connectome alterations as potential markers of cognitive decline. Full article

Accurate segmentation of cardiac MR images using deep neural networks is crucial for cardiac disease diagnosis and treatment planning, as it provides quantitative insights into heart anatomy and function. However, achieving high segmentation accuracy relies heavily on extensive, precisely annotated datasets, which are costly and time-consuming to obtain. This study addresses this challenge by proposing a novel data augmentation framework based on a condition-guided diffusion generative model, controlled by multiple cardiac labels. The framework aims to expand annotated cardiac MR datasets and significantly improve the performance of downstream cardiac segmentation tasks. The proposed generative data augmentation framework operates in two stages. First, a Label Diffusion Module is trained to unconditionally generate realistic multi-category spatial masks (encompassing regions such as the left ventricle, interventricular septum, and right ventricle) conforming to anatomical prior probabilities derived from noise. Second, cardiac MR images are generated conditioned on these semantic masks, ensuring a precise one-to-one mapping between synthetic labels and images through the integration of a spatially-adaptive normalization (SPADE) module for structural constraint during conditional model training. The effectiveness of this augmentation strategy is demonstrated using the U-Net model for segmentation on the enhanced 2D cardiac image dataset derived from the M&M Challenge. Results indicate that the proposed method effectively increases dataset sample numbers and significantly improves cardiac segmentation accuracy, achieving a 5% to 10% higher Dice Similarity Coefficient (DSC) compared to traditional data augmentation methods. Experiments further reveal a strong correlation between image generation quality and augmentation effectiveness. This framework offers a robust solution for data scarcity in cardiac image analysis, directly benefiting clinical applications. Full article

Chronic inflammatory response syndrome (CIRS) and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) are debilitating multisystem illnesses that share overlapping symptoms and molecular patterns, including immune dysregulation, mitochondrial impairment, and vascular dysfunction. This review provides a chronological synthesis of biomarker development in CIRS, tracing its evolution from early functional tests such as visual contrast sensitivity (VCS) to advanced transcriptomic profiling. Drawing on peer-reviewed studies spanning two decades, we examine the layered integration of neuroendocrine, immunologic, metabolic, and genomic markers that collectively support a multisystem model of innate immune activation specific to environmentally acquired illness. Particular focus is given to the Gene Expression: Inflammation Explained (GENIE) platform’s use of transcriptomics to classify disease stages and distinguish CIRS from other fatiguing conditions. While ME/CFS research continues to explore overlapping pathophysiologic features, it has yet to establish a unified diagnostic model with validated biomarkers or exposure-linked mechanisms. As a result, many patients labeled with ME/CFS may, in fact, represent unrecognized CIRS cases. This review underscores the importance of structured biomarker timelines in improving differential diagnosis and guiding treatment in complex chronic illness and highlights the reproducibility of the CIRS framework in contrast to the diagnostic ambiguity surrounding ME/CFS. Full article

Corn smut, caused by Ustilago maydis, significantly threatens maize production. This study evaluated 199 maize inbred lines at the seedling stage under greenhouse conditions for resistance to U. maydis, identifying 39 highly resistant lines. A genome-wide association study (GWAS) using the mrMLM model detected 19 significant single-nucleotide polymorphism (SNP) loci. Based on a linkage disequilibrium (LD) decay distance of 260 kb, 226 candidate genes were identified. Utilizing the significant loci chr1_244281660 and chr5_220156746, two kompetitive allele-specific PCR (KASP) markers were successfully developed. A PCR-based sequence-specific oligonucleotide probe hybridization technique applied to the 199 experimental lines and 60 validation lines confirmed polymorphism for both markers, with selection efficiencies of 48.12% and 43.33%, respectively. The tested materials were derived from foundational inbred lines of domestic and foreign origin. Analysis of 39 highly resistant lines showed that the advantageous alleles carrying thymine/cytosine (T/C) predominated at frequencies of 94.87% and 53.84%, respectively. The genotype TTCC conferred high resistance, while CCTT was highly susceptible. The resistance exhibited high heritability and significant gene-by-environment interaction. This work systematically dissects the genetic basis of common smut resistance in maize, identifies favorable alleles, and provides a novel KASP marker-based strategy for developing disease-resistant germplasm. Full article

Verticillium wilt is characterized by chlorosis in leaves and is a devastating disease in eggplant. Early diagnosis, prior to the manifestation of symptoms, enables targeted management of the disease. In this study, we aim to detect early leaf wilt in eggplant leaves caused by Verticillium dahliae by integrating multispectral imaging with machine learning and deep learning techniques. Multispectral and chlorophyll fluorescence images were collected from leaves of the inbred eggplant line 11-435, including data on image texture, spectral reflectance, and chlorophyll fluorescence. Subsequently, we established a multispectral data model, fusion information model, and multispectral image–information fusion model. The multispectral image–information fusion model, integrated with a two-dimensional convolutional neural network (2D-CNN), demonstrated optimal performance in classifying early-stage Verticillium wilt infection, achieving a test accuracy of 99.37%. Additionally, transfer learning enabled us to diagnose early leaf wilt in another eggplant variety, the inbred line 14-345, with an accuracy of 84.54 ± 1.82%. Compared to traditional methods that rely on visible symptom observation and typically require about 10 days to confirm infection, this study achieved early detection of Verticillium wilt as soon as the third day post-inoculation. These findings underscore the potential of the fusion model as a valuable tool for the early detection of pre-symptomatic states in infected plants, thereby offering theoretical support for in-field detection of eggplant health. Full article

Accurate classification of chest X-ray (CXR) images is crucial for diagnosing lung diseases in medical imaging. Existing deep learning models for CXR image classification face challenges in distinguishing non-lung features. In this work, we propose a new segmentation-assisted fusion-based classification method. The method involves two stages: first, we use a lightweight segmentation model, Partial Convolutional Segmentation Network (PCSNet) designed based on an encoder–decoder architecture, to accurately obtain lung masks from CXR images. Then, a fusion of the masked CXR image with the original image enables classification using the improved lightweight ShuffleNetV2 model. The proposed method is trained and evaluated on segmentation datasets including the Montgomery County Dataset (MC) and Shenzhen Hospital Dataset (SH), and classification datasets such as Chest X-Ray Images for Pneumonia (CXIP) and COVIDx. Compared with seven segmentation models (U-Net, Attention-Net, SegNet, FPNNet, DANet, DMNet, and SETR), five classification models (ResNet34, ResNet50, DenseNet121, Swin-Transforms, and ShuffleNetV2), and state-of-the-art methods, our PCSNet model achieved high segmentation performance on CXR images. Compared to the state-of-the-art Attention-Net model, the accuracy of PCSNet increased by 0.19% (98.94% vs. 98.75%), and the boundary accuracy improved by 0.3% (97.86% vs. 97.56%), while requiring 62% fewer parameters. For pneumonia classification using the CXIP dataset, the proposed strategy outperforms the current best model by 0.14% in accuracy (98.55% vs. 98.41%). For COVID-19 classification with the COVIDx dataset, the model reached an accuracy of 97.50%, the absolute improvement in accuracy compared to CovXNet was 0.1%, and clinical metrics demonstrate more significant gains: specificity increased from 94.7% to 99.5%. These results highlight the model’s effectiveness in medical image analysis, demonstrating clinically meaningful improvements over state-of-the-art approaches. Full article

Background: Duchenne muscular dystrophy (DMD), which affects 1 in 3500 to 5000 newborn boys worldwide, is characterized by progressive skeletal muscle weakness and degeneration. The reduced muscle regeneration capacity presented by patients is associated with increased fibrosis. Satellite cells (SCs) are skeletal muscle stem cells that play an important role in adult muscle maintenance and regeneration. The absence or mutation of dystrophin in DMD is hypothesized to impair SC asymmetric division, leading to cell cycle arrest. Methods: To overcome the limited availability of biopsies from DMD patients, we used our 3D skeletal muscle organoid (SMO) system, which delivers a stable population of myogenic progenitors (MPs) in dormant, activated, and committed stages, to perform SMO cultures using three DMD patient-derived iPSC lines. Results: The results of scRNA-seq analysis of three DMD SMO cultures versus two healthy, non-isogenic, SMO cultures indicate reduced MP populations with constant activation and differentiation, trending toward embryonic and immature myotubes. Mapping our data onto the human myogenic reference atlas, together with primary SC scRNA-seq data, indicated a more immature developmental stage of DMD organoid-derived MPs. DMD fibro-adipogenic progenitors (FAPs) appear to be activated in SMOs. Conclusions: Our organoid system provides a promising model for studying muscular dystrophies in vitro, especially in the case of early developmental onset, and a methodology for overcoming the bottleneck of limited patient material for skeletal muscle disease modeling. Full article

The accurate assessment of plant disease severity is crucial for effective crop management. Deep learning, especially via CNNs, is widely used for image segmentation in plant lesion detection, but accurately assessing disease severity across varied environmental conditions remains challenging. This study evaluates eight deep learning models for detecting and quantifying Cercospora leaf spot (Cercospora capsici) severity in chili peppers under natural field conditions. A custom dataset of 1645 chili pepper leaf images, collected from a Brazilian plantation and annotated with 6282 lesions, was developed for real-world robustness, reflecting real-world variability in lighting and background. First, an algorithm was developed to process raw images, applying ROI selection and background removal. Then, four YOLOv8 and four Mask R-CNN models were fine-tuned for pixel-level segmentation and severity classification, comparing one-stage and two-stage models to offer practical insights for agricultural applications. In pixel-level segmentation on the test dataset, Mask R-CNN achieved superior precision with a Mean Intersection over Union (MIoU) of 0.860 and F1-score of 0.924 for the mask_rcnn_R101_FPN_3x model, compared to 0.808 and 0.893 for the YOLOv8s-Seg model. However, in severity classification, Mask R-CNN underestimated higher severity levels, with an accuracy of 72.3% for level III, while YOLOv8 attained 91.4%. Additionally, YOLOv8 demonstrated greater efficiency, with an inference time of 27 ms versus 89 ms for Mask R-CNN. While Mask R-CNN excels in segmentation accuracy, YOLOv8 offers a compelling balance of speed and reliable severity classification, making it suitable for real-time plant disease assessment in agricultural applications. Full article

This study presents a hybrid ensemble learning framework for the joint detection and motor severity prediction of Parkinson’s disease (PD) using biomedical voice features. The proposed architecture integrates a deep multimodal fusion model with dense expert pathways, multi-head self-attention, and multitask output branches to simultaneously perform binary classification and regression. To ensure data quality and improve model generalization, preprocessing steps included outlier removal via Isolation Forest, two-stage feature scaling (RobustScaler followed by MinMaxScaler), and augmentation through polynomial and interaction terms. Borderline-SMOTE was employed to address class imbalance in the classification task. To enhance prediction performance, ensemble learning strategies were applied by stacking outputs from the fusion model with tree-based regressors (Random Forest, Gradient Boosting, and XGBoost), using diverse meta-learners including XGBoost, Ridge Regression, and a deep neural network. Among these, the Stacking Ensemble with XGBoost (SE-XGB) achieved the best results, with an R² of 99.78% and RMSE of 0.3802 for UPDRS regression and 99.37% accuracy for PD classification. Comparative analysis with recent literature highlights the superior performance of our framework, particularly in regression settings. These findings demonstrate the effectiveness of combining advanced feature engineering, deep learning, and ensemble meta-modeling for building accurate and generalizable models in voice-based PD monitoring. This work provides a scalable foundation for future clinical decision support systems. Full article

Pine wilt disease has caused severe damage to China’s forest ecosystems. Utilizing the rich information from very-high-resolution (VHR) satellite imagery for large-scale and accurate monitoring of pine wilt disease is a crucial approach to curbing its spread. However, current research on identifying infected trees using VHR satellite imagery and deep learning remains extremely limited. This study introduces several advanced self-attention algorithms into the task of satellite-based monitoring of pine wilt disease to enhance detection performance. We constructed a dataset of discolored pine trees affected by pine wilt disease using imagery from the Gaofen-2 and Gaofen-7 satellites. Within the unified semantic segmentation framework MMSegmentation, we implemented four single-head attention models—NLNet, CCNet, DANet, and GCNet—and two multi-head attention models—Swin Transformer and SegFormer—for the accurate semantic segmentation of infected trees. The model predictions were further analyzed through visualization. The results demonstrate that introducing appropriate self-attention algorithms significantly improves detection accuracy for pine wilt disease. Among the single-head attention models, DANet achieved the highest accuracy, reaching 73.35%. The multi-head attention models exhibited an excellent performance, with SegFormer-b2 achieving an accuracy of 76.39%, learning the features of discolored pine trees at the earliest stage and converging faster. The visualization of model inference results indicates that DANet, which integrates convolutional neural networks (CNNs) with self-attention mechanisms, achieved the highest overall accuracy at 94.43%. The use of self-attention algorithms enables models to extract more precise morphological features of discolored pine trees, enhancing user accuracy while potentially reducing production accuracy. Full article

Recently, marketing authorizations were granted by the Federal Drug Administration (FDA) for pegcetacoplan and avacincaptad pegol, which inhibit C3 and C5 complement components, respectively. These two drugs were demonstrated to slow down the growth of atrophic areas in the retina. These authorizations represent a huge breakthrough for patients suffering from geographic atrophy (GA), the late stage of the dry form of Age-related Macular Degeneration (AMD). Until then, no treatment was available to treat this blinding disease. However, these two new compounds inhibiting the complement system are still not available for patients outside of the United States, and they are not devoid of drawbacks, including a poor effect on vision improvement, an increased risk of occurrence of the neovascular form of AMD and the burden of patients receiving recurrent intravitreal injections. Thus, the important medical need posed by GA remains incompletely answered, and new therapeutic options with alternative modes of action are still required. Oxidative stress and inflammation are two major potential targets to limit the progression of atrophic retinal lesions. Dimethyl fumarate, dimethyl itaconate and other activators of the transcription factor nuclear factor erythroid 2-related factor 2 (Nrf2) display antioxidants and immunomodulatory properties that have shown evidence of efficacy in in vitro and in vivo models of dry AMD. Tecfidera^®, whose active principle is dimethyl fumarate, is already commercialized for the treatment of autoimmune diseases such as multiple sclerosis and psoriasis. The aim of this review is to present the rationale and the design of the clinical trial we initiated to test the effectiveness and safety of repurposing Tecfidera^®, which could represent a new therapeutic alternative in patients with the dry form of AMD. Full article