scholarly journals Dynamic Detection and Reversal of Myocardial Ischemia Using an Artificially Intelligent Bioelectronic Medicine

2021 ◽  
Author(s):  
PD Ganzer ◽  
MS Loeian ◽  
SR Roof ◽  
B Teng ◽  
L Lin ◽  
...  

AbstractMyocardial ischemia is spontaneous, usually asymptomatic, and contributes to fatal cardiovascular consequences. Importantly, biological neural networks cannot reliably detect and correct myocardial ischemia on their own. Supplementing biological neural networks may enable reliable detection, and potentially even facilitate correction, of myocardial ischemia. In this study, we demonstrate an artificially intelligent and responsive bioelectronic medicine, where an artificial neural network (ANN) supplements biological neural networks enabling reliable detection and correction of myocardial ischemia (preclinical experiments in rats). This responsive bioelectronic medicine uses an ANN with a long short-term memory layer to decode spontaneous myocardial ischemia and autonomously trigger vagus nerve stimulation (VNS) for reducing chronotropy, afterload, and myocardial oxygen demand. We first used injections of cardiovascular stress inducing agents (dobutamine and norepinephrine) that produce a model of spontaneous myocardial ischemia. Next, ANNs were trained to decode spontaneous cardiovascular stress and myocardial ischemia, with an overall accuracy of ~92%. ANN-controlled VNS reversed the major biomarkers of myocardial ischemia with no side effects. In contrast, open-loop VNS or ANN controlled VNS following a caudal vagotomy essentially failed to reverse correlates of myocardial ischemia. Lastly, variants of ANNs were used to meet clinically relevant needs, including interpretable visualizations of stress pathophysiology and unsupervised detection of new emerging stress states. Together, this adaptive architecture provides clinically relevant insights as pathophysiology evolves. Overall, these results provide a first-time demonstration that ANNs can supplement deficient biological neural networks to dynamically detect and help bioelectronically reverse cardiovascular pathophysiology.

Biomimetics ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Michelle Gutiérrez-Muñoz ◽  
Astryd González-Salazar ◽  
Marvin Coto-Jiménez

Speech signals are degraded in real-life environments, as a product of background noise or other factors. The processing of such signals for voice recognition and voice analysis systems presents important challenges. One of the conditions that make adverse quality difficult to handle in those systems is reverberation, produced by sound wave reflections that travel from the source to the microphone in multiple directions. To enhance signals in such adverse conditions, several deep learning-based methods have been proposed and proven to be effective. Recently, recurrent neural networks, especially those with long short-term memory (LSTM), have presented surprising results in tasks related to time-dependent processing of signals, such as speech. One of the most challenging aspects of LSTM networks is the high computational cost of the training procedure, which has limited extended experimentation in several cases. In this work, we present a proposal to evaluate the hybrid models of neural networks to learn different reverberation conditions without any previous information. The results show that some combinations of LSTM and perceptron layers produce good results in comparison to those from pure LSTM networks, given a fixed number of layers. The evaluation was made based on quality measurements of the signal’s spectrum, the training time of the networks, and statistical validation of results. In total, 120 artificial neural networks of eight different types were trained and compared. The results help to affirm the fact that hybrid networks represent an important solution for speech signal enhancement, given that reduction in training time is on the order of 30%, in processes that can normally take several days or weeks, depending on the amount of data. The results also present advantages in efficiency, but without a significant drop in quality.


Actuators ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 30
Author(s):  
Pornthep Preechayasomboon ◽  
Eric Rombokas

Soft robotic actuators are now being used in practical applications; however, they are often limited to open-loop control that relies on the inherent compliance of the actuator. Achieving human-like manipulation and grasping with soft robotic actuators requires at least some form of sensing, which often comes at the cost of complex fabrication and purposefully built sensor structures. In this paper, we utilize the actuating fluid itself as a sensing medium to achieve high-fidelity proprioception in a soft actuator. As our sensors are somewhat unstructured, their readings are difficult to interpret using linear models. We therefore present a proof of concept of a method for deriving the pose of the soft actuator using recurrent neural networks. We present the experimental setup and our learned state estimator to show that our method is viable for achieving proprioception and is also robust to common sensor failures.


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