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Publications

Publications by João Paulo Cunha

2020

SnapKi-An Inertial Easy-to-Adapt Wearable Textile Device for Movement Quantification of Neurological Patients

Authors
Oliveira, A; Dias, D; Lopes, EM; Vilas Boas, MD; Cunha, JPS;

Publication
SENSORS

Abstract
The development of wearable health systems has been the focus of many researchers who aim to find solutions in healthcare. Additionally, the large potential of textiles to integrate electronics, together with the comfort and usability they provide, has contributed to the development of smart garments in this area. In the field of neurological disorders with motor impairment, clinicians look for wearable devices that may provide quantification of movement symptoms. Neurological disorders affect different motion abilities thus requiring different needs in movement quantification. With this background we designed and developed an inertial textile-embedded wearable device that is adaptable to different movement-disorders quantification requirements. This adaptative device is composed of a low-power 9-axis inertial unit, a customised textile band and a web and Android cross application used for data collection, debug and calibration. The textile band comprises a snap buttons system that allows the attachment of the inertial unit, as well as its connection with the analog sensors through conductive textile. The resulting system is easily adaptable for quantification of multiple motor symptoms in different parts of the body, such as rigidity, tremor and bradykinesia assessments, gait analysis, among others. In our project, the system was applied for a specific use-case of wrist rigidity quantification during Deep Brain Stimulation surgeries, showing its high versatility and receiving very positive feedback from patients and doctors.

2020

Author Correction: iLoF: An intelligent Lab on Fiber Approach for Human Cancer Single-Cell Type Identification (Scientific Reports, (2020), 10, 1, (3171), 10.1038/s41598-020-59661-5)

Authors
Paiva, JS; Jorge, PAS; Ribeiro, RSR; Balmaña, M; Campos, D; Mereiter, S; Jin, C; Karlsson, NG; Sampaio, P; Reis, CA; Cunha, JPS;

Publication
Scientific Reports

Abstract
An amendment to this paper has been published and can be accessed via a link at the top of the paper. © 2020, The Author(s).

2019

TTR-FAP Progression Evaluation Based on Gait Analysis Using a Single RGB-D Camera

Authors
Vilas Boas, MD; Rocha, AP; Pereira Choupina, HMP; Cardoso, M; Fernandes, JM; Coelho, T; Silva Cunha, JPS;

Publication
2019 41ST ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY (EMBC)

Abstract
Transthyretin Familial Amyloid Polyneuropathy (TTR-FAP) is a rare and disabling neurological disorder caused by, a mutation of the transthyretin gene. One of the disease's characteristics that mostly affects patients' quality of life is its influence on locomotion, with a variable evolution timing. Quantitative motion analysis is useful for assessing motor function, including gait, in diseases affecting movement. However, it is still an evolving field, especially in TTR-FAP, with only a few available studies. A single markerless RGB-D camera pros ides 3-D body joint data in a less expensive, more portable and less intrusive way than reference multi-camera marker-based systems for motion capture. In this contribution, we investigate if a gait analysis system based on a RGB-D camera can be used to detect gait changes over time for a given TTR-FAP patient. 3-D data provided by that system and a reference system were acquired from six TTR-FAP patients, while performing a simple gait task, once and then a year and a half later. For each gait cycle and system, several gait parameters were computed. For each patient, we investigated if the RBG-D camera system is able to detect the existence or not of statistically significant differences between the two different acquisitions (separated by 1.5 years of disease evolution), in a similar way to the reference system. The obtained results show the potential of using a single RGB-D camera to detect relevant changes in spatiotemporal gait parameters (e.g., stride duration and stride length), during TTR-FAP patient follow-up.

2020

Multimodal Approach for Epileptic Seizure Detection in Epilepsy Monitoring Units

Authors
Maia, P; Lopes, E; Hartl, E; Vollmar, C; Noachtar, S; Silva Cunha, JPS;

Publication
XV MEDITERRANEAN CONFERENCE ON MEDICAL AND BIOLOGICAL ENGINEERING AND COMPUTING - MEDICON 2019

Abstract
Epilepsy is one of the most common neurological disorders, affecting up to 1% of the World population. Patients with epilepsy may suffer from severe consequences from seizures (e.g. injuries) when not monitored. Automatic seizure detection systems could mitigate this problem, improving seizure tracking and alerting a caregiver during a seizure. Existing unimodal solutions for seizure detection, based on electroencephalogram (EEG) and electrocardiogram (ECG) still have an unacceptable level of false positives, which can be reduced by combining these two biosignals. In this paper, EEG and ECG data from 7 epileptic patients with diverse recording length and seizure types were used for analyzing the importance of multimodal seizure detection, at a total of around 110 h 2 m. A leave one seizure out cross validation was selected, grouping data containing the period before a seizure and the seizure period. A proof of concept of multimodal seizure detection which uses a deep learning architecture directly on raw data is performed - a Fully Convolutional Neural Network and an architecture based on LSTM were tested. The network based on LSTM achieved better performance - using the best of one or a combination of both signals, all patients had above 91% detected seizures, a specificity per epoch above 0.96 +/- 0.06 and a detection delay below 8.5 +/- 12 s. These results show potential for developing a patient-specific approach for seizure detection that can be transferred to the ambulatory.

2020

Impact of Different Stimuli on User Stress During a Virtual Firefighting Training Exercise

Authors
Narciso, D; Melo, M; Rodrigues, S; Cunha, JPS; Bessa, M;

Publication
2020 IEEE 20TH INTERNATIONAL CONFERENCE ON BIOINFORMATICS AND BIOENGINEERING (BIBE 2020)

Abstract
Training firefighters using Virtual Reality (VR) technology brings several benefits over traditional training methods including the reduction of costs and risks. The ability of causing the same level of stress as a real situation so that firefighters can learn how to deal with stress was investigated. An experiment aiming to study the influence that additional stimuli (heat, weight, smell and using personal protective equipment-PPE) have on user's stress level while performing a Virtual Environment (VE) designed to train firefighters was developed. Participants' stress and Heart Rate Variability (HRV) were obtained from electrocardiograms recorded during the experiment. The results suggest that wearing the PPE has the largest impact on user's stress level. The results also showed that HRV was able to evidence differences between two phases of the experiment, which suggests that it can be used to monitor users' quantified reaction to VEs.

2020

Clinical 3-D Gait Assessment of Patients With Polyneuropathy Associated With Hereditary Transthyretin Amyloidosis

Authors
Vilas Boas, MD; Rocha, AP; Cardoso, MN; Fernandes, JM; Coelho, T; Cunha, JPS;

Publication
FRONTIERS IN NEUROLOGY

Abstract
Hereditary amyloidosis associated with transthyretin V30M (ATTRv V30M) is a rare and inherited multisystemic disease, with a variable presentation and a challenging diagnosis, follow-up and treatment. This condition entails a definitive and progressive motor impairment that compromises walking ability from near onset. The detection of the latter is key for the disease's diagnosis. The aim of this work is to perform quantitative 3-D gait analysis in ATTRv V30M patients, at different disease stages, and explore the potential of the obtained gait information for supporting early diagnosis and/or stage distinction during follow-up. Sixty-six subjects (25 healthy controls, 14 asymptomatic ATTRv V30M carriers, and 27 symptomatic patients) were included in this case-control study. All subjects were asked to walk back and forth for 2 min, in front of a Kinect v2 camera prepared for body motion tracking. We then used our own software to extract gait-related parameters from the camera's 3-D body data. For each parameter, the main subject groups and symptomatic patient subgroups were statistically compared. Most of the explored gait parameters can potentially be used to distinguish between the considered group pairs. Despite of statistically significant differences being found, most of them were undetected to the naked eye. Our Kinect camera-based system is easy to use in clinical settings and provides quantitative gait information that can be useful for supporting clinical assessment during ATTRv V30M onset detection and follow-up, as well as developing more objective and fine-grained rating scales to further support the clinical decisions.

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