05 Fakultät Informatik, Elektrotechnik und Informationstechnik
Permanent URI for this collectionhttps://elib.uni-stuttgart.de/handle/11682/6
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Item Open Access A muscle model for injury simulation(2023) Millard, Matthew; Kempter, Fabian; Fehr, Jörg; Stutzig, Norman; Siebert, TobiasCar accidents frequently cause neck injuries that are painful, expensive, and difficult to simulate. The movements that lead to neck injury include phases in which the neck muscles are actively lengthened. Actively lengthened muscle can develop large forces that greatly exceed the maximum isometric force. Although Hill-type models are often used to simulate human movement, this model has no mechanism to develop large tensions during active lengthening. When used to simulate neck injury, a Hill model will underestimate the risk of injury to the muscles but may overestimate the risk of injury to the structures that the muscles protect. We have developed a musculotendon model that includes the viscoelasticity of attached crossbridges and has an active titin element. In this work we evaluate the proposed model to a Hill model by simulating the experiments of Leonard et al. [1] that feature extreme active lengthening.Item Open Access Editorial - autonomous health monitoring and assistance systems with IoT(2021) Azzopardi, George; Karastoyanova, Dimka; Aiello, Marco; Schizas, Christos N.Item Open Access Improving the accuracy of musculotendon models for the simulation of active lengthening(2023) Millard, Matthew; Kempter, Fabian; Stutzig, Norman; Siebert, Tobias; Fehr, JörgVehicle accidents can cause neck injuries which are costly for individuals and society. Safety systems could be designed to reduce the risk of neck injury if it were possible to accurately simulate the tissue-level injuries that later lead to chronic pain. During a crash, reflexes cause the muscles of the neck to be actively lengthened. Although the muscles of the neck are often only mildly injured, the forces developed by the neck’s musculature affect the tissues that are more severely injured. In this work, we compare the forces developed by MAT_156, LS-DYNA’s Hill-type model, and the newly proposed VEXAT muscle model during active lengthening. The results show that Hill-type muscle models underestimate forces developed during active lengthening, while the VEXAT model can more faithfully reproduce experimental measurements.Item Open Access ‘Better see a doctor?’ status quo of symptom checker apps in Germany : a cross-sectional survey with a mixed-methods design (CHECK.APP)(2024) Wetzel, Anna-Jasmin; Koch, Roland; Koch, Nadine; Klemmt, Malte; Müller, Regina; Preiser, Christine; Rieger, Monika; Rösel, Inka; Ranisch, Robert; Ehni, Hans-Jörg; Joos, StefanieBackground: Symptom checker apps (SCAs) offer symptom classification and low-threshold self-triage for laypeople. They are already in use despite their poor accuracy and concerns that they may negatively affect primary care. This study assesses the extent to which SCAs are used by medical laypeople in Germany and which software is most popular. We examined associations between satisfaction with the general practitioner (GP) and SCA use as well as the number of GP visits and SCA use. Furthermore, we assessed the reasons for intentional non-use. Methods: We conducted a survey comprising standardised and open-ended questions. Quantitative data were weighted, and open-ended responses were examined using thematic analysis. Results: This study included 850 participants. The SCA usage rate was 8%, and approximately 50% of SCA non-users were uninterested in trying SCAs. The most commonly used SCAs were NetDoktor and Ada. Surprisingly, SCAs were most frequently used in the age group of 51–55 years. No significant associations were found between SCA usage and satisfaction with the GP or the number of GP visits and SCA usage. Thematic analysis revealed skepticism regarding the results and recommendations of SCAs and discrepancies between users’ requirements and the features of apps. Conclusion: SCAs are still widely unknown in the German population and have been sparsely used so far. Many participants were not interested in trying SCAs, and we found no positive or negative associations of SCAs and primary care.Item Open Access Cervical muscle reflexes during lateral accelerations(2023) Millard, Matthew; Hunger, Susanne; Broß, Lisa; Fehr, Jörg; Holzapfel, Christian; Stutzig, Norman; Siebert, TobiasAutonomous vehicles will allow a variety of seating orientations that may change the risk of neck injury during an accident. Having a rotated head at the time of a rear-end collision in a conventional vehicle is associated with a higher risk of acute and chronic whiplash. The change in posture affects both the movement of the head and the response of the muscles. We are studying the reflexes of the muscles of the neck so that we can validate the responses of digital human body models that are used in crash simulations. The neck movements and muscle activity of 21 participants (11 female) were recorded at the Stuttgart FKFS mechanical driving simulator. During the maneuver we recorded the acceleration of the seat and electromyographic (EMG) signals from the sternocleidomastoid (STR) muscles using a Biopac MP 160 system (USA). As intuition would suggest, the reflexes of the muscles of the neck are sensitive to posture and the direction of the acceleration.Item Open Access Whiplash simulation: how muscle modelling and movement interact(2022) Millard, Matthew; Siebert, Tobias; Stutzig, Norman; Fehr, JörgWhiplash injury and associated disorders are costly to society and individuals. Accurate simulations of neck movement during car accidents are needed to assess the risk of whiplash injury. Existing simulations indicate that Hill-type muscle models are too compliant, and as a result, predict more neck movement than is observed during in-vivo experiments. Simulating head and neck movement is challenging because many of the neck muscles operate on the descending limb of the force-length curve, a region that Hill-type models inaccurately capture. Hill-type muscle models have negative stiffness on the descending limb of the force-length curve and so develop less force the more they are lengthened. Biological muscle, in contrast, can develop large transient forces during active lengthening and sustain large forces when aggressively lengthened. Recently, a muscle model has been developed that mimics the active impedance of muscle in the short range and can capture the large forces generated during extreme lengthening. In this work, we will compare the accuracy of simulated neck movements, using both a Hill-type model and the model of Millard et al., to the in-vivo neck movement. If successful, the improved accuracy of our simulations will make it possible to predict and help prevent neck injury.Item Open Access Avoiding shortcut-learning by mutual information minimization in deep learning-based image processing(2023) Fay, Louisa; Cobos, Erick; Yang, Bin; Gatidis, Sergios; Küstner, ThomasItem Open Access Automated imaging-based abdominal organ segmentation and quality control in 20,000 participants of the UK Biobank and German National Cohort Studies(2022) Kart, Turkay; Fischer, Marc; Winzeck, Stefan; Glocker, Ben; Bai, Wenjia; Bülow, Robin; Emmel, Carina; Friedrich, Lena; Kauczor, Hans-Ulrich; Keil, Thomas; Kröncke, Thomas; Mayer, Philipp; Niendorf, Thoralf; Peters, Annette; Pischon, Tobias; Schaarschmidt, Benedikt M.; Schmidt, Börge; Schulze, Matthias B.; Umutle, Lale; Völzke, Henry; Küstner, Thomas; Bamberg, Fabian; Schölkopf, Bernhard; Rückert, Daniel; Gatidis, SergiosLarge epidemiological studies such as the UK Biobank (UKBB) or German National Cohort (NAKO) provide unprecedented health-related data of the general population aiming to better understand determinants of health and disease. As part of these studies, Magnetic Resonance Imaging (MRI) is performed in a subset of participants allowing for phenotypical and functional characterization of different organ systems. Due to the large amount of imaging data, automated image analysis is required, which can be performed using deep learning methods, e. g. for automated organ segmentation. In this paper we describe a computational pipeline for automated segmentation of abdominal organs on MRI data from 20,000 participants of UKBB and NAKO and provide results of the quality control process. We found that approx. 90% of data sets showed no relevant segmentation errors while relevant errors occurred in a varying proportion of data sets depending on the organ of interest. Image-derived features based on automated organ segmentations showed relevant deviations of varying degree in the presence of segmentation errors. These results show that large-scale, deep learning-based abdominal organ segmentation on MRI data is feasible with overall high accuracy, but visual quality control remains an important step ensuring the validity of down-stream analyses in large epidemiological imaging studies.Item Open Access The aluminum standard : using generative Artificial Intelligence tools to synthesize and annotate non-structured patient data(2024) Diaz Ochoa, Juan G.; Mustafa, Faizan E.; Weil, Felix; Wang, Yi; Kama, Kudret; Knott, MarkusBackground. Medical narratives are fundamental to the correct identification of a patient’s health condition. This is not only because it describes the patient’s situation. It also contains relevant information about the patient’s context and health state evolution. Narratives are usually vague and cannot be categorized easily. On the other hand, once the patient’s situation is correctly identified based on a narrative, it is then possible to map the patient’s situation into precise classification schemas and ontologies that are machine-readable. To this end, language models can be trained to read and extract elements from these narratives. However, the main problem is the lack of data for model identification and model training in languages other than English. First, gold standard annotations are usually not available due to the high level of data protection for patient data. Second, gold standard annotations (if available) are difficult to access. Alternative available data, like MIMIC (Sci Data 3:1, 2016) is written in English and for specific patient conditions like intensive care. Thus, when model training is required for other types of patients, like oncology (and not intensive care), this could lead to bias. To facilitate clinical narrative model training, a method for creating high-quality synthetic narratives is needed. Method. We devised workflows based on generative AI methods to synthesize narratives in the German language to avoid the disclosure of patient’s health data. Since we required highly realistic narratives, we generated prompts, written with high-quality medical terminology, asking for clinical narratives containing both a main and co-disease. The frequency of distribution of both the main and co-disease was extracted from the hospital’s structured data, such that the synthetic narratives reflect the disease distribution among the patient’s cohort. In order to validate the quality of the synthetic narratives, we annotated them to train a Named Entity Recognition (NER) algorithm. According to our assumptions, the validation of this system implies that the synthesized data used for its training are of acceptable quality. Result. We report precision, recall and F1 score for the NER model while also considering metrics that take into account both exact and partial entity matches. Trained models are cautious, with a precision up to 0.8 for Entity Type match metric and a F1 score of 0.3. Conclusion. Despite its inherent limitations, this technology has the potential to allow data interoperability by using encoded diseases across languages and regions without compromising data safety. Additionally, it facilitates the synthesis of unstructured patient data. In this way, the identification and training of models can be accelerated. We believe that this method may be able to generate discharge letters for any combination of main and co-diseases, which will significantly reduce the amount of time spent writing these letters by healthcare professionals.