Respiratory motion exhibits non-linear and non-stationary behavior in nature and this has been a great hindrance to the accurate prediction of tumor in motion adaptive radiotherapy. Accurate prediction of respiratory motion and subsequent tracking of tumor has been a challenge due to the irregularities and intra-trace variabilities. In order to overcome this issue, prediction models can be trained by using neural networks. However due to the burden of large training data, computational efficacy of existing neural networks can be affected. Moreover, training of neural networks using conventional methods like back-propagation (BP) may result in local minima and it may slow down the learning rate and convergence respectively. As a solution, in this paper, we employed random vector function link (RVFL) based neural networks to train the model in a very efficient way to achieve high accuracy in respiratory motion prediction. In RVFL, the direct link from input features to output layer acts as regularization to prevent the network from overfitting. The proposed method is tested with real respiratory motion traces acquired from 31 patients. Results show that RVFL with the use of direct link performs quite better than without direct link.
BackgroundDementia-related disorders have been an age-long challenge to the research and healthcare communities as their various forms are expressed with similar clinical symptoms. These disorders are usually irreversible at their late onset, hence their lack of validated and approved cure. Since their prodromal stages usually lurk for a long period of time before the expression of noticeable clinical symptoms, a secondary prevention which has to do with treating the early onsets has been suggested as the possible solution. Connectivity analysis of electrophysiology signals has played significant roles in the diagnosis of various dementia disorders through early onset identification.ObjectiveWith the various applications of electrophysiology signals, the purpose of this study is to systematically review the step-by-step procedures of connectivity analysis frameworks for dementia disorders. This study aims at identifying the methodological issues involved in such frameworks and also suggests approaches to solve such issues.MethodsIn this study, ProQuest, PubMed, IEEE Xplore, Springer Link, and Science Direct databases are employed for exploring the evolution and advancement of connectivity analysis of electrophysiology signals of dementia-related disorders between January 2016 to December 2022. The quality of assessment of the studied articles was done using Cochrane guidelines for the systematic review of diagnostic test accuracy.ResultsOut of a total of 4,638 articles found to have been published on the review scope between January 2016 to December 2022, a total of 51 peer-review articles were identified to completely satisfy the review criteria. An increasing trend of research in this domain is identified within the considered time frame. The ratio of MEG and EEG utilization found within the reviewed articles is 1:8. Most of the reviewed articles employed graph theory metrics for their analysis with clustering coefficient (CC), global efficiency (GE), and characteristic path length (CPL) appearing more frequently compared to other metrics.SignificanceThis study provides general insight into how to employ connectivity measures for the analysis of electrophysiology signals of dementia-related disorders in order to better understand their underlying mechanism and their differential diagnosis.
Dementia-related disordersDementia is a group of symptoms that affects memory, thinking, behavior, and the ability to perform everyday tasks (8, 9). There are many different types of dementia, including Alzheimer's disease, which is the most common cause of dementia (10). Other forms of dementia include vascular dementia, Lewy body dementia, and frontotemporal dementia (11,12). All forms of dementia result in a progressive decline in cognitive function and can have a significant impact on a person's quality of life. Generally, the symptoms of different types of dementia can often overlap, making it difficult to diagnose the specific type without additional testing (13). Early symptoms of dementia can be subtle and may include mild memory loss, difficulty completing familiar tasks, and changes in mood and behavior. The general symptoms of dementia can include:
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