Publications by authors named "Ekaterina Kutafina"

Article Synopsis
  • * A consensus meeting in March 2024, attended by 28 experts and stakeholders, aimed to standardize research protocols for studying neuropathic pain using human peripheral tissues.
  • * The meeting resulted in agreed-upon guidelines for phenotyping, laboratory protocols, statistical design, and data sharing to improve consistency in research and enhance understanding of neuropathic pain.
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Article Synopsis
  • Despite advancements in deep learning, its complex and opaque nature hinders widespread clinical adoption, prompting interest in concept-based interpretability, specifically using techniques like Testing with Concept Activation Vectors (TCAV).
  • This study applies TCAV to abnormality detection in electroencephalography (EEG), utilizing the XceptionTime model on multi-channel physiological data to enhance interpretability and analyze concepts linked to EEG pathologies.
  • The results indicate that TCAV scores align with clinical expectations, demonstrating its potential for improving interpretability in deep learning models and identifying biases in medical data.
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Introduction: The Local Data Hub (LDH) is a platform for FAIR sharing of medical research (meta-)data. In order to promote the usage of LDH in different research communities, it is important to understand the domain-specific needs, solutions currently used for data organization and provide support for seamless uploads to a LDH. In this work, we analyze the use case of microneurography, which is an electrophysiological technique for analyzing neural activity.

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The paper discusses biases in medical imaging analysis, particularly focusing on the challenges posed by the development of machine learning algorithms and generative models. It introduces a taxonomy of bias problems and addresses them through a data infrastructure initiative: the PADME (Platform for Analytics and Distributed Machine-Learning for Enterprises), which is a part of the National Research Data Infrastructure for Personal Health Data (NFDI4Health) project. The PADME facilitates the structuring and sharing of health data while ensuring privacy and adherence to FAIR principles.

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This work aims to improve FAIR-ness of the microneurography research by integrating the local (meta)data to existing research data infrastructures. In the previous work, we developed an odML based solution for local metadata storage of microneurography data. However, this solution is limited to a narrow community.

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The importance of cybersecurity in healthcare, with a focus on safeguarding sensitive patient information from unauthorized access, use, or disclosure, cannot be overstated Security breaches in this sector can have significant consequences due to the widespread use of electronic health records (EHRs) and interconnected medical devices, creating opportunities for exploitation. This work presents a first step to analyzing and organizing healthcare-specific cybersecurity problems and existing security frameworks. Special focus is put on the security risks associated with data integration centers while recognizing their role as hubs for innovation.

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This paper presents an implementation of an architecture based on open-source solutions using ELK Stack - Elasticsearch, Logstash, and Kibana - for real-time data analysis and visualizations in the Medical Data Integration Center, University Hospital Cologne, Germany. The architecture addresses challenges in handling diverse data sources, ensuring standardized access, and facilitating seamless analysis in real-time, ultimately enhancing the precision, speed, and quality of monitoring processes within the medical informatics domain.

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Background And Objectives: The increasing amount of open-access medical data provides new opportunities to gain clinically relevant information without recruiting new patients. We developed an open-source computational pipeline, that utilizes the publicly available electroencephalographic (EEG) data of the Temple University Hospital to identify EEG profiles associated with the usage of neuroactive medications. It facilitates access to the data and ensures consistency in data processing and analysis, thus reducing the risk of errors and creating comparable and reproducible results.

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Objective: Patients with small fiber neuropathy (SFN) suffer from neuropathic pain, which is still a therapeutic problem. Changed activation patterns of mechano-insensitive peripheral nerve fibers (CMi) could cause neuropathic pain. However, there is sparse knowledge about mechanisms leading to CMi dysfunction since it is difficult to dissect specific molecular mechanisms in humans.

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In the field of neuroscience, a considerable number of commercial data acquisition and processing solutions rely on proprietary formats for data storage. This often leads to data being locked up in formats that are only accessible by using the original software, which may lead to interoperability problems. In fact, even the loss of data access is possible if the software becomes unsupported, changed, or otherwise unavailable.

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Clinical assessment of newly developed sensors is important for ensuring their validity. Comparing recordings of emerging electrocardiography (ECG) systems to a reference ECG system requires accurate synchronization of data from both devices. Current methods can be inefficient and prone to errors.

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Metadata is essential for handling medical data according to FAIR principles. Standards are well-established for many types of electrophysiological methods but are still lacking for microneurographic recordings of peripheral sensory nerve fibers in humans. Developing a new concept to enhance laboratory workflows is a complex process.

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Metadata standards are well-established for many types of electrophysiological methods but are still lacking for microneurographic recordings of peripheral sensory nerve fibers in humans. Finding a solution for daily work in the laboratory is a complex process. We have designed templates based on odML and odML-tables to structure and capture metadata and provided an extension to the existing GUI to enable database searching.

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Despite developments in wearable devices for detecting various bio-signals, continuous measurement of breathing rate (BR) remains a challenge. This work presents an early proof of concept that employs a wearable patch to estimate BR. We propose combining techniques for calculating BR from electrocardiogram (ECG) and accelerometer (ACC) signals, while applying decision rules based on signal-to-noise (SNR) to fuse the estimates for improved accuracy.

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In a healthy state, pain plays an important role in natural biofeedback loops and helps to detect and prevent potentially harmful stimuli and situations. However, pain can become chronic and as such a pathological condition, losing its informative and adaptive function. Efficient pain treatment remains a largely unmet clinical need.

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Recent advances in machine learning show great potential for automatic detection of abnormalities in electroencephalography (EEG). While simple and interpretable models combined with expert-comprehensible input features offer full control of the decision making process, these methods commonly lag behind complex deep learning and feature extraction methods in terms of performance. Here we study a feasibility of a bridging solution, where deep learning is combined with interpretable input and an algorithm computing the importance of particular EEG features in the decision process.

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To understand neural encoding of neuropathic pain, evoked and resting activity of peripheral human C-fibers are studied microneurography experiments. Before different spiking patterns can be analyzed, spike sorting is necessary to distinguish the activity of particular fibers of a recorded bundle. Due to single-electrode measurements and high noise contamination, standard methods based on spike shapes are insufficient and need to be enhanced with additional information.

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The presented computational pipeline is designed to analyze drug-induced changes in EEG data from the Temple University EEG Corpus. The data is cleaned from artifacts, pre-processed, the averaged absolute and relative frequency powers are calculated and compared to a control group. Thus, different research hypotheses can be tested with the intention to reuse accessible data collections.

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openMNGlab is an open-source software framework for data analysis, tailored for the specific needs of microneurography - a type of electrophysiological technique particularly important for research on peripheral neural fibers coding. Currently, openMNGlab loads data from Spike2 and Dapsys, which are two major data acquisition solutions. By building on top of the Neo software, openMNGlab can be easily extended to handle the most common electrophysiological data formats.

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In this paper a machine learning model for automatic detection of abnormalities in electroencephalography (EEG) is dissected into parts, so that the influence of each part on the classification accuracy score can be examined. The most successful setup of several shallow artificial neural networks aggregated via voting results in accuracy of 81%. Stepwise simplification of the model shows the expected decrease in accuracy, but a naive model with thresholding of a single extracted feature (relative wavelet energy) is still able to achieve 75%, which remains strongly above the random guess baseline of 54%.

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The aim of the present investigation was to assess if a mobile electroencephalography (EEG) setup can be used to track mental workload, which is an important aspect of learning performance and motivation and may thus represent a valuable source of information in the evaluation of cognitive training approaches. Twenty five healthy subjects performed a three-level N-back test using a fully mobile setup including tablet-based presentation of the task and EEG data collection with a self-mounted mobile EEG device at two assessment time points. A two-fold analysis approach was chosen including a standard analysis of variance and an artificial neural network to distinguish the levels of cognitive load.

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One of the important questions in the research on neural coding is how the preceding axonal activity affects the signal propagation speed of the following one. We present an approach to solving this problem by introducing a multi-level spike count for activity quantification and fitting a family of linear regression models to the data. The best-achieved score is R2=0.

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Development of mobile sensors brings new opportunities to medical research. In particular, mobile electroencephalography (EEG) devices can be potentially used in low cost screening for epilepsy and other neurological and psychiatric disorders. The necessary condition for such applications is thoughtful validation in the specific medical context.

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