Faculty Publications
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Item Miners’ return to work following injuries in coal mines; Powrót do pracy górników poszkodowanych w wypadkach w kopalni w?gla(Nofer Institute of Occupational Medicine ul. sw. Teresy od Dzieciatka Jezus 8 Lodz 91-348, 2016) Bhattacherjee, A.; Kunar, B.M.Background: The occupational injuries in mines are common and result in severe socio-economical consequences. Earlier studies have revealed the role of multiple factors such as demographic factors, behavioral factors, health-related factors, working environment, and working conditions for mine injuries. However, there is a dearth of information about the role of some of these factors in delayed return to work (RTW) following a miner’s injury. These factors may likely include personal characteristics of injured persons and his or her family, the injured person’s social and economic status, and job characteristics. This study was conducted to assess the role of some of these factors for the return to work following coal miners’ injuries. Material and Methods: A study was conducted for 109 injured workers from an underground coal mine in the years 2000-2009. A questionnaire, which was completed by the personnel interviews, included among others age, height, weight, seniority, alcohol consumption, sleeping duration, presence of diseases, job stress, job satisfaction, and injury type. The data was analyzed using the Kaplan-Meier estimates and the Cox proportional hazard model. Results: According to Kaplan-Meier estimate it was revealed that a lower number of dependents, longer sleep duration, no job stress, no disease, no alcohol addiction, and higher monthly income have a great impact on early return to work after injury. The Cox regression analysis revealed that the significant risk factors which influenced miners’ return to work included presence of disease, job satisfaction and injury type. Conclusions: The mine management should pay attention to significant risk factors for injuries in order to develop effective preventive measures. © 2016, Nofer Institute of Occupational Medicine. All rights reserved.Item Analysis of cortical rhythms in intracranial EEG by temporal difference operators during epileptic seizures(Elsevier Ltd, 2016) Malali, A.; Chaitanya, G.; Gowda, S.; Majumdar, K.Brain oscillations have traditionally been studied by time-frequency analysis of the electrophysiological signals. In this work we demonstrated the usefulness of two nonlinear combinations of differential operators on intracranial EEG (iEEG) recordings to study abnormal oscillations in human brain during intractable focal epileptic seizures. Each one dimensional time domain signal was visualized as the trajectory of a particle moving in a force field with one degree of freedom. Modeling of the temporal difference operators to be applied on the signals was inspired by the principles of classical Newtonian mechanics. Efficiency of one of the nonlinear combinations of the operators in distinguishing the seizure part from the background signal and the artifacts was established, particularly when the seizure duration was long. The resultant automatic detection algorithm is linear time executable and detects a seizure with an average delay of 5.02 s after the electrographic onset, with a mean 0.05/h false positive rate and 94% detection accuracy. The area under the ROC curve was 0.959. Another nonlinear combination of differential operators detects spikes (peaks) and inverted spikes (troughs) in a signal irrespective of their shape and size. It was shown that in a majority of the cases simultaneous occurrence of all the spikes and inverted spikes across the focal channels was more after the seizure offset than during the seizure, where the duration after the offset was taken equal to the duration of the seizure. It has been explained in terms of GABAergic inhibition of seizure termination. © 2016 Elsevier Ltd. All rights reserved.Item Fully automatic ROI extraction and edge-based segmentation of radius and ulna bones from hand radiographs(PWN-Polish Scientific Publishers bbe@ibib.waw.pl, 2017) Simu, S.; Lal, S.; Nagarsekar, P.; Naik, A.Bone age is a reliable measure of person's growth and maturation of skeleton. The difference between chronological age and bone age indicates presence of endocrinological problems. The automated bone age assessment system (ABAA) based on Tanner and Whitehouse method (TW3) requires monitoring the growth of radius, ulna and short bones (phalanges) of left hand. In this paper, a detailed analysis of two bones in the bone age assessment system namely, radius and ulna is presented. We propose an automatic extraction method for the region of interest (ROI) of radius and ulna bones from a left hand radiograph (RUROI). We also propose an improved edge-based segmentation technique for those bones. Quantitative and qualitative results of the proposed segmentation technique are evaluated and compared with other state-of-the-art segmentation techniques. Medical experts have also validated the qualitative results of proposed segmentation technique. Experimental results reveal that these proposed techniques provide better segmentation accuracy as compared to the other state-of-the-art segmentation techniques. © 2017 Nalecz Institute of Biocybernetics and Biomedical Engineering of the Polish Academy of SciencesItem Metabolomic profiling of doxycycline treatment in chronic obstructive pulmonary disease(Elsevier B.V., 2017) Singh, B.; Jana, S.K.; Ghosh, N.; Das, S.K.; Joshi, M.; Bhattacharyya, P.; Chaudhury, K.Serum metabolic profiling can identify the metabolites responsible for discrimination between doxycycline treated and untreated chronic obstructive pulmonary disease (COPD) and explain the possible effect of doxycycline in improving the disease conditions. 1H nuclear magnetic resonance (NMR)-based metabolomics was used to obtain serum metabolic profiles of 60 add-on doxycycline treated COPD patients and 40 patients receiving standard therapy. The acquired data were analyzed using multivariate principal component analysis (PCA), partial least-squares-discriminant analysis (PLS-DA), and orthogonal projection to latent structure with discriminant analysis (OPLS-DA). A clear metabolic differentiation was apparent between the pre and post doxycycline treated group. The distinguishing metabolites lactate and fatty acids were significantly down-regulated and formate, citrate, imidazole and L-arginine upregulated. Lactate and folate are further validated biochemically. Metabolic changes, such as decreased lactate level, inhibited arginase activity and lowered fatty acid level observed in COPD patients in response to add-on doxycycline treatment, reflect the anti-inflammatory action of the drug. Doxycycline as a possible therapeutic option for COPD seems promising. © 2016 Elsevier B.V.Item A study about evolutionary and non-evolutionary segmentation techniques on hand radiographs for bone age assessment(Elsevier Ltd, 2017) Simu, S.; Lal, S.In this paper, a study and performance comparison of various evolutionary and non-evolutionary segmentation techniques on digital hand radiographs for bone age assessment is presented. The segmented hand bones are of vital importance in process of automated bone age assessment (ABAA). Bone age assessment is a technique of checking the skeletal development and detecting growth disorder in a person. However, it is very difficult to segment out the bone from the soft tissue. The problem arises from overlapping pixel intensities between bone region and soft tissue region and also between soft tissue region and background. Thus there is a requirement for a robust segmentation technique for hand bone segmentation. Taking this into consideration we make a comparison between non-evolutionary and evolutionary segmentation algorithms implemented on hand radiographs to recognize bone borders and shapes. The simulation and experimental results demonstrate that multiplicative intrinsic component optimization (MICO) algorithm provides better results as compared to other existing evolutionary and non-evolutionary algorithms. © 2016 Elsevier LtdItem Accurate lumen diameter measurement in curved vessels in carotid ultrasound: an iterative scale-space and spatial transformation approach(Springer Verlag service@springer.de, 2017) Krishna Kumar, P.; Araki, T.; Rajan, J.; Saba, L.; Lavra, F.; Ikeda, N.; Sharma, A.M.; Shafique, S.; Nicolaïdes, A.; Laird, J.R.; Gupta, A.; Suri, J.S.Monitoring of cerebrovascular diseases via carotid ultrasound has started to become a routine. The measurement of image-based lumen diameter (LD) or inter-adventitial diameter (IAD) is a promising approach for quantification of the degree of stenosis. The manual measurements of LD/IAD are not reliable, subjective and slow. The curvature associated with the vessels along with non-uniformity in the plaque growth poses further challenges. This study uses a novel and generalized approach for automated LD and IAD measurement based on a combination of spatial transformation and scale-space. In this iterative procedure, the scale-space is first used to get the lumen axis which is then used with spatial image transformation paradigm to get a transformed image. The scale-space is then reapplied to retrieve the lumen region and boundary in the transformed framework. Then, inverse transformation is applied to display the results in original image framework. Two hundred and two patients’ left and right common carotid artery (404 carotid images) B-mode ultrasound images were retrospectively analyzed. The validation of our algorithm has done against the two manual expert tracings. The coefficient of correlation between the two manual tracings for LD was 0.98 (p < 0.0001) and 0.99 (p < 0.0001), respectively. The precision of merit between the manual expert tracings and the automated system was 97.7 and 98.7%, respectively. The experimental analysis demonstrated superior performance of the proposed method over conventional approaches. Several statistical tests demonstrated the stability and reliability of the automated system. © 2016, International Federation for Medical and Biological Engineering.Item Early diagnosis of osteoporosis using radiogrammetry and texture analysis from hand and wrist radiographs in Indian population(Springer London, 2018) Areeckal, A.S.; Jayasheelan, N.; Kamath, J.; Zawadynski, S.; Kocher, M.; Sumam David, S.Summary: We propose an automated low cost tool for early diagnosis of onset of osteoporosis using cortical radiogrammetry and cancellous texture analysis from hand and wrist radiographs. The trained classifier model gives a good performance accuracy in classifying between healthy and low bone mass subjects. Introduction: We propose a low cost automated diagnostic tool for early diagnosis of reduction in bone mass using cortical radiogrammetry and cancellous texture analysis of hand and wrist radiographs. Reduction in bone mass could lead to osteoporosis, a disease observed to be increasingly occurring at a younger age in recent times. Dual X-ray absorptiometry (DXA), currently used in clinical practice, is expensive and available only in urban areas in India. Therefore, there is a need to develop a low cost diagnostic tool in order to facilitate large-scale screening of people for early diagnosis of osteoporosis at primary health centers. Methods: Cortical radiogrammetry from third metacarpal bone shaft and cancellous texture analysis from distal radius are used to detect low bone mass. Cortical bone indices and cancellous features using Gray Level Run Length Matrices and Laws’ masks are extracted. A neural network classifier is trained using these features to classify healthy subjects and subjects having low bone mass. Results: In our pilot study, the proposed segmentation method shows 89.9 and 93.5% accuracy in detecting third metacarpal bone shaft and distal radius ROI, respectively. The trained classifier shows training accuracy of 94.3% and test accuracy of 88.5%. Conclusion: An automated diagnostic technique for early diagnosis of onset of osteoporosis is developed using cortical radiogrammetric measurements and cancellous texture analysis of hand and wrist radiographs. The work shows that a combination of cortical and cancellous features improves the diagnostic ability and is a promising low cost tool for early diagnosis of increased risk of osteoporosis. © 2017, International Osteoporosis Foundation and National Osteoporosis Foundation.Item A novel pre-processing procedure for enhanced feature extraction and characterization of electromyogram signals(Elsevier Ltd, 2018) Powar, O.S.; Chemmangat, K.; Figarado, S.In the analysis of electromyogram signals, the challenge lies in the suppression of noise associated with the measurement and signal conditioning. The main aim of this paper is to present a novel pre-processing step, namely Minimum Entropy Deconvolution Adjusted (MEDA), to enhance the signal for feature extraction resulting in better characterization of different upper limb motions. MEDA method is based on finding the set of filter coefficients that recover the output signal with maximum value of kurtosis while minimizing the low kurtosis noise components. The proposed method has been validated on surface electromyogram dataset collected from seven subjects performing eight classes of hand movements (wrist flexion, wrist radial deviation, hand close, tripod, wrist extension, wrist ulnar deviation, cylindrical and key grip) with only two pairs of electrodes recorded from flexor carpi radialis and extensor carpi radialis on the forearm. The performance of the MEDA has been compared across four classifiers namely J-48, k-nearest neighbours (KNN), Naives Bayes and Linear Discriminant Analysis (LDA) attaining the classification accuracy of 85.3 ± 4%, 85.67 ± 5%, 76 ± 6% and 91.2 ± 2% respectively. Practical results demonstrate the feasibility of the approach with mean percentage increase in classification accuracy of 20.5%, without significant increase in computational time across seven subjects demonstrating the significance of MEDA in classification. © 2018 Elsevier LtdItem Automatic seizure detection by modified line length and Mahalanobis distance function(Elsevier Ltd, 2018) Pathak, A.; Ramesh, A.; Mitra, A.; Majumdar, K.Automatic seizure detection with high accuracy and in linear time has profound implications on therapeutic intervention mechanisms. In this work taking into account 12 popular seizure detection algorithms we have shown that line length is one feature that is extractable in linear time from EEG signals and capable of automatic seizure onset detection with highest accuracy among linear time extractable features. Also line length is less prone to give false positives. The detection accuracy has been ascertained by ROC curve analysis on Freiburg Seizure Prediction Project data containing intracranial EEG recordings of 87 seizures from 21 patients with sufficient interictal signals. Next, we have modified the classical line length feature extraction algorithm to improve its accuracy without any additional computational burden. Finally, we have applied both classical line length (LL) and modified line length (MLL) on all focal channels and detected seizures on multidimensional focal channel signals by Mahalanobis distance function (MDF). Both detected 73 out of 87 seizures. Area under the ROC curve (AUC), detection delay and false positive for LL and MLL are 0.951, 11.903 s, 0.201/h and 0.954, 11.698 s, 0.198/h respectively. Since LL has already been incorporated into an FDA approved commercially available closed loop intervention system, even this minute improvement may have significant healthcare implications. © 2018 Elsevier LtdItem Combined radiogrammetry and texture analysis for early diagnosis of osteoporosis using Indian and Swiss data(Elsevier Ltd, 2018) Areeckal, A.S.; Kamath, J.; Zawadynski, S.; Kocher, M.; Sumam David, S.Osteoporosis is a bone disorder characterized by bone loss and decreased bone strength. The most widely used technique for detection of osteoporosis is the measurement of bone mineral density (BMD) using dual energy X-ray absorptiometry (DXA). But DXA scans are expensive and not widely available in low-income economies. In this paper, we propose a low cost pre-screening tool for the detection of low bone mass, using cortical radiogrammetry of third metacarpal bone and trabecular texture analysis of distal radius from hand and wrist radiographs. An automatic segmentation algorithm to automatically locate and segment the third metacarpal bone and distal radius region of interest (ROI) is proposed. Cortical measurements such as combined cortical thickness (CCT), cortical area (CA), percent cortical area (PCA) and Barnett Nordin index (BNI) were taken from the shaft of third metacarpal bone. Texture analysis of trabecular network at the distal radius was performed using features obtained from histogram, gray level Co-occurrence matrix (GLCM) and morphological gradient method (MGM). The significant cortical and texture features were selected using independent sample t-test and used to train classifiers to classify healthy subjects and people with low bone mass. The proposed pre-screening tool was validated on two ethnic groups, Indian sample population and Swiss sample population. Data of 134 subjects from Indian sample population and 65 subjects from Swiss sample population were analysed. The proposed automatic segmentation approach shows a detection accuracy of 86% in detecting the third metacarpal bone shaft and 90% in accurately locating the distal radius ROI. Comparison of the automatic radiogrammetry to the ground truth provided by experts show a mean absolute error of 0.04 mm for cortical width of healthy group, 0.12 mm for cortical width of low bone mass group, 0.22 mm for medullary width of healthy group, and 0.26 mm for medullary width of low bone mass group. Independent sample t-test was used to select the most discriminant features, to be used as input for training the classifiers. Pearson correlation analysis of the extracted features with DXA-BMD of lumbar spine (DXA-LS) shows significantly high correlation values. Classifiers were trained with the most significant features in the Indian and Swiss sample data. Weighted KNN classifier shows the best test accuracy of 78% for Indian sample data and 100% for Swiss sample data. Hence, combined automatic radiogrammetry and texture analysis is shown to be an effective low cost pre-screening tool for early diagnosis of osteoporosis. © 2018 Elsevier Ltd