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UI - 97205277
PM - 9052781
AU - Smirnakis SM
AU - Berry MJ
AU - Warland DK
AU - Bialek W
AU - Meister M
TI - Adaptation of retinal processing to image contrast and spatial scale
DP - 1997 Mar 6
TA - Nature
IS - 0028-0836
JC - NSC
PG - 69-73
IP - 6620
VI - 385
AB - Owing to the limited dynamic range of a neuron's output, neural
circuits are faced with a trade-off between encoding the full range of
their inputs and resolving gradations among those inputs. For example,
the ambient light level varies daily over more than nine orders of
magnitude, whereas the firing rate of optic nerve fibres spans less
than two. This discrepancy is alleviated by light adaptation: as the
mean intensity increases, the retina becomes proportionately less
sensitive. However, image statistics other than the mean intensity also
vary drastically during routine visual processing. Theory predicts that
an efficient visual encoder should adapt its strategy not only to the
mean, but to the full shape of the intensity distribution. Here we
report that retinal ganglion cells, the output neurons of the retina,
adapt to both image contrast-the range of light intensities-and to
spatial correlations within the scene, even at constant mean intensity.
The adaptation occurs on a scale of seconds, one hundred times more
slowly than the immediate light response, and involves 2-5-fold changes
in the firing rate. It is mediated within the retinal network: two
independent sites of modulation after the photoreceptor cells appear to
be involved. Our results demonstrate a remarkable plasticity in retinal
processing that may contribute to the contrast adaptation of human
vision.
AD - Department of Physics, Harvard University, Cambridge, Massachusetts
02138, USA.
SO - Nature 1997 Mar 6;385(6620):69-73
UI - 97188314
PM - 9036899
AU - Izenberg SD
AU - Williams MD
AU - Luterman A
TI - Prediction of trauma mortality using a neural network.
MH - Age Factors
MH - Artificial Intelligence
MH - Female
MH - Hospital Mortality
MH - Human
MH - Injury Severity Score
MH - Length of Stay
MH - Male
MH - *Neural Networks (Computer)
MH - Prognosis
MH - Wounds and Injuries/*MORTALITY/CLASSIFICATION
DP - 1997 Mar
TA - Am Surg
IS - 0003-1348
JC - 43E
PG - 275-281
IP - 3
VI - 63
AB - A neural network is a computerized construct consisting of input
neurons (which process input data) connected to hidden neurons (to
mathematically manipulate values they receive from all the input
neurons) connected to output neurons (to output a prediction). Neural
networks are created and trained via multiple iterations over data with
known results. In 1993, 897 trauma patients were either declared dead
in the emergency room (ER; 76 cases), admitted to the intensive care
unit (427 cases, 36 deaths), or taken directly to the operating room
(394 cases, 29 deaths). Using only data available from the ER, a neural
network was created, and 628 cases were randomly selected for training.
After 268 iterations, the network was trained to correctly predict
death or survival in all 628 cases. This trained network was then
tested on the other 269 cases without our providing the death or
survival result. Its overall accuracy was 91 per cent (244 of 269
cases). It was able to predict correctly 60 per cent (12 of 20 cases)
of the postoperative or post-intensive care unit admission deaths and
90 per cent (26 of 29 cases) of the deaths in the ER. Computerized
neural networks can accurately predict a trauma patient's fate based on
inital ER presentation. The theory and use of neural networks in
predicting clinical outcome will be presented.
AD - Department of Surgery, University of South Alabama Medical Center,
Mobile, USA.
SO - Am Surg 1997 Mar;63(3):275-281
UI - 97203769
PM - 9051341
AU - Handels H
AU - Busch C
AU - Encarnacao J
AU - Hahn C
AU - Kuhn V
AU - Miehe J
AU - Poppl SI
AU - Rinast E
AU - Rossmanith C
AU - Seibert F
AU - Will A
TI - KAMEDIN: a telemedicine system for computer supported cooperative work
and remote image analysis in radiology
DP - 1997 Mar
TA - Comput Methods Programs Biomed
IS - 0169-2607
JC - DOH
PG - 175-183
IP - 3
VI - 52
AB - The software system KAMEDIN (Kooperatives Arbeiten und MEdizinische
Diagnostik auf Innovativen Netzen) is a multimedia telemedioine system
for exchange, cooperative diagnostics, and remote analysis of digital
medical image data. It provides components for visualisation,
processing, and synchronised audio-visual discussion of medical images.
Techniques of computer supported cooperative work (CSCW) synchronise
user interactions during a teleconference. Visibility of both local and
remote cursor on the conference workstations facilitates telepointing
and reinforces the conference partner's telepresence. Audio
communication during teleconferences is supported by an integrated
audio component. Furthermore, brain tissue segmentation with artificial
neural networks can be performed on an external supercomputer as a
remote image analysis procedure. KAMEDIN is designed as a low cost CSCW
tool for ISDN based telecommunication. However it can be used on any
TCP/IP supporting network. In a field test, KAMEDIN was installed in 15
clinics and medical departments to validate the systems' usability. The
telemedicine system KAMEDIN has been developed, tested, and evaluated
within a research project sponsored by German Telekom.
AD - Institut fur Medizinische Informatik, Medizinische Universitat zu
Lubeck, Germany. handels@medinf.mu-luebeck.de
SO - Comput Methods Programs Biomed 1997 Mar;52(3):175-183
UI - 97197312
PM - 9044372
AU - Luckman SM
AU - Huckett L
AU - Bicknell RJ
AU - Voisin DL
AU - Herbison AE
TI - Up-regulation of nitric oxide synthase messenger RNA in an integrated
forebrain circuit involved in oxytocin secretion
DP - 1997 Mar
TA - Neuroscience
IS - 0306-4522
JC - NZR
PG - 37-48
IP - 1
VI - 77
AB - The hypothalamo-neurohypophysial system contains high levels of
neuronal nitric oxide synthase and this increases further during times
of neurohormone demand, such as that following osmotic stimulation.
Using double in situ hybridization, we demonstrate here an increase in
the expression of nitric oxide synthase messenger RNA by oxytocin
neurons, but not vasopressin neurons, of the supraoptic nucleus at the
time of lactation, when oxytocin is in demand due to another
neuroendocrine stimulus, the milk-ejection reflex. In addition, using
immunocytochemical retrograde tracing, we show that neurons of the
subfornical organ, median preoptic nucleus and organum vasculosum of
the lamina terminalis, which project to the supraoptic nucleus, contain
nitric oxide synthase. These three structures of the lamina terminalis,
together with the hypothalamo-neurohypophysial system, make up the
forebrain osmoresponsive circuit that controls osmotically-stimulated
release of oxytocin in the rat. The expression of nitric oxide synthase
messenger RNA in the lamina terminalis was also shown to increase
during lactation. The increases in nitric oxide synthase messenger RNA
were not apparent during pregnancy. These results provide evidence for
an integrated nitric oxide synthase-containing neural network involved
in the regulation of the hypothalamo-neurohypophysial axis. The
expression of nitric oxide synthase messenger RNA increases in this
circuit during lactation and correlates with a reduction in the
senstivity of the circuit to osmotic stimuli also present in lactation
but not pregnancy. As nitric oxide is believed to attenuate
neurohormone release, it seems that the increased nitric oxide synthase
messenger RNA expression detected here during lactation at a time of
high oxytocin demand may be involved in reducing the sensitivity of the
whole forebrain circuit to osmotic stimuli.
AD - Department of Neurobiology, Babrahain Institute, Cambridge, U.K.
SO - Neuroscience 1997 Mar;77(1):37-48
UI - 97181119
PM - 9029280
AU - Nussbaum MA
AU - Martin BJ
AU - Chaffin DB
TI - A neural network model for simulation of torso muscle coordination
DP - 1997 Mar
TA - J Biomech
IS - 0021-9290
JC - HJF
PG - 251-258
IP - 3
VI - 30
AB - An artificial neural network (ANN) was created to simulate lumbar
muscle response to static moment loads. The network model was based on
an abstract representation of a motor control system in which muscle
activity is driven primarily to maintain moment equilibrium. The
network model parameters were obtained by an iterative method
(trained), using a modification of the standard backpropagation
algorithm and moment equilibrium constraints. In contrast to previous
ANN models of muscle activity, patterns of muscle activity are not
target (training) values, but rather emerge as a result of moment
equilibrium constraints. Assumptions regarding the moment generating
capacity muscles and competitive interactions between muscles were
employed and enabled the prediction of realistic patterns of muscle
activity upon comparison with experimental electromyographic (EMG) data
sets (r2: 0.4-0.9). The success of the simulation model suggests that a
motor recruitment plan can be mimicked with relatively simple systems
and that 'competition' between responsive units (muscles) may be
intrinsic to the learning process. Prediction of alternative
recruitment patterns and differing magnitudes of co-contractile
activity were achieved by varying competition parameters within and
between units.
AD - Industrial and Systems Engineering, Virginia Polytechnic Institute and
State University, Blacksburg 24061-0118, USA. nussbaum@vt.edu
SO - J Biomech 1997 Mar;30(3):251-258
UI - 97160651
PM - 9006985
AU - Strata F
AU - Atzori M
AU - Molnar M
AU - Ugolini G
AU - Tempia F
AU - Cherubini E
TI - A pacemaker current in dye-coupled hilar interneurons contributes to
the generation of giant GABAergic potentials in developing hippocampus.
MH - Aging/*PHYSIOLOGY
MH - Animal
MH - Animals, Newborn/*PHYSIOLOGY/GROWTH & DEVELOPMENT
MH - Cations/METABOLISM
MH - Electric Conductivity
MH - Electrophysiology
MH - GABA/*PHYSIOLOGY
MH - Hippocampus/*PHYSIOLOGY/GROWTH & DEVELOPMENT/CYTOLOGY
MH - Interneurons/*PHYSIOLOGY
MH - Neurons/PHYSIOLOGY
MH - *Periodicity
MH - Rats
MH - Rats, Wistar
MH - Receptors, GABA-A/PHYSIOLOGY
MH - Support, Non-U.S. Gov't
RN - 56-12-2 (GABA)
RN - 0 (Receptors, GABA-A)
RN - 0 (Cations)
DP - 1997 Feb 15
TA - J Neurosci
IS - 0270-6474
JC - JDF
PG - 1435-1446
IP - 4
VI - 17
AB - The establishment of synaptic connections and their refinement during
development require neural activity. Increasing evidence suggests that
spontaneous bursts of neural activity within an immature network are
mediated by gamma-aminobutyric acid via a paradoxical excitatory
action. Our data show that in the developing hippocampus such
synchronous burst activity is generated in the hilar region by
transiently coupled cells. These cells have been identified as neuronal
elements because they fire action potentials and they are not positive
for the glial fibrillary acidic protein staining. Oscillations in hilar
cells are "paced" by a hyperpolarization-activated current, with
properties of Ih. Coactivated interneurons synchronously release GABA,
which via its excitatory action may serve a neurotrophic function
during the refinement of hippocampal circuitry.
AD - Biophysics Laboratory, International School for Advanced Studies
(SISSA), 34014 Trieste, Italy.
SO - J Neurosci 1997 Feb 15;17(4):1435-1446
UI - 97204834
PM - 9052342
AU - Heston TF
AU - Norman DJ
AU - Barry JM
AU - Bennett WM
AU - Wilson RA
TI - Cardiac risk stratification in renal transplantation using a form of
artificial intelligence
DP - 1997 Feb 15
TA - Am J Cardiol
IS - 0002-9149
JC - 3DQ
PG - 415-417
IP - 4
VI - 79
AB - The purpose of this study was to determine if an expert network, a form
of artificial intelligence, could effectively stratify cardiac risk in
candidates for renal transplant. Input into the expert network
consisted of clinical risk factors and thallium-201 stress test data.
Clinical risk factor screening alone identified 95 of 189 patients as
high risk. These 95 patients underwent thallium-201 stress testing, and
53 had either reversible or fixed defects. The other 42 patients were
classified as low risk. This algorithm made up the "expert system," and
during the 4-year follow-up period had a sensitivity of 82%,
specificity of 77%, and accuracy of 78%. An artificial neural network
was added to the expert system, creating an expert network. Input into
the neural network consisted of both clinical variables and thallium-
201 stress test data. There were 5 hidden nodes and the output (end
point) was cardiac death. The expert network increased the specificity
of the expert system alone from 77% to 90% (p < 0.001), the accuracy
from 78% to 89% (p < 0.005), and maintained the overall sensitivity at
88%. An expert network based on clinical risk factor screening and
thallium-201 stress testing had an accuracy of 89% in predicting the 4-
year cardiac mortality among 189 renal transplant candidates.
AD - Department of Radiology, Oregon Health Sciences University, Portland
97201, USA.
SO - Am J Cardiol 1997 Feb 15;79(4):415-417
UI - 97172539
PM - 9020183
AU - Le Gall AH
AU - Powell SK
AU - Yeaman CA
AU - Rodriguez-Boulan E
TI - The neural cell adhesion molecule expresses a tyrosine-independent
basolateral sorting signal
DP - 1997 Feb 14
TA - J Biol Chem
IS - 0021-9258
JC - HIV
PG - 4559-4567
IP - 7
VI - 272
AB - Transmembrane isoforms of the neural cell adhesion molecule, N-CAM (N-
CAM-140 and N-CAM-180), are vectorially targeted from the trans-Golgi
network to the basolateral domain upon expression in transfected Madin-
Darby canine kidney cells (Powell, S. K., Cunningham, B. A., Edelman,
G. M., and Rodriguez-Boulan, E. (1991) Nature 353, 76-77). To localize
basolateral targeting information, mutant forms of N-CAM-140 were
constructed and their surface distribution analyzed in Madin-Darby
canine kidney cells. N-CAM-140 deleted of its cytoplasmic domain shows
a non-polar steady state distribution, resulting from delivery from the
trans-Golgi network to both the apical and basolateral surfaces. This
result suggests that entrance into the basolateral pathway may occur
without cytoplasmic signals, implying that apical targeting from the
trans-Golgi network is not a default mechanism but, rather, requires
positive sorting information. Subsequent construction and analysis of a
nested set of C-terminal deletion mutants identified a region of 40
amino acids (amino acids 749-788) lacking tyrosine residues required
for basolateral targeting. Addition of these 40 amino acids is
sufficient to restore basolateral targeting to both the non-polar
cytoplasmic deletion mutant of N-CAM as well as to the apically
expressed cytoplasmic deletion mutant of the p75 low affinity
neurotrophin receptor (p75(NTR)), indicating that this tyrosine-free
sequence is capable of functioning independently as a basolateral
sorting signal. Deletion of both cytoplasmic and transmembrane domains
resulted in apical secretion of N-CAM, demonstrating that the
ectodomain of this molecule carries recessive apical sorting
information.
AD - Cornell University Medical College, Dyson Vision Research Institute,
Department of Ophthalmology, New York, New York 10021, USA.
SO - J Biol Chem 1997 Feb 14;272(7):4559-4567
UI - 97196387
PM - 9050408
AU - Zhu Y
AU - Yan H
TI - Computerized tumor boundary detection using a Hopfield neural network
DP - 1997 Feb
TA - IEEE Trans Med Imaging
IS - 0278-0062
JC - COX
PG - 55-67
IP - 1
VI - 16
AB - In this paper, we present a new approach for detection of brain tumor
boundaries in medical images using a Hopfield neural network. The
boundary detection problem is formulated as an optimization process
that seeks the boundary points to minimize an energy functional based
on an active contour model. A modified Hopfield network is constructed
to solve the optimization problem. Taking advantage of the collective
computational ability and energy convergence capability of the Hopfield
network, our method produces the results comparable to those of
standard "snakes"-based algorithms, but it requires less computing
time. With the parallel processing potential of the Hopfield network,
the proposed boundary detection can be implemented for real time
processing. Experiments on different magnetic resonance imaging (MRI)
data sets show the effectiveness of our approach.
AD - Department of Electrical Engineering, University of Sydney, NSW,
Australia. yzhu@ce.usyd.edu.au
SO - IEEE Trans Med Imaging 1997 Feb;16(1):55-67
UI - 97187221
PM - 9034674
AU - Kennedy RL
AU - Harrison RF
AU - Burton AM
AU - Fraser HS
AU - Hamer WG
AU - MacArthur D
AU - McAllum R
AU - Steedman DJ
TI - An artificial neural network system for diagnosis of acute myocardial
infarction (AMI) in the accident and emergency department: evaluation
and comparison with serum myoglobin measurements
DP - 1997 Feb
TA - Comput Methods Programs Biomed
IS - 0169-2607
JC - DOH
PG - 93-103
IP - 2
VI - 52
AB - Recent studies have confirmed that artificial neural networks (ANNs)
are adept at recognising patterns in sets of clinical data. The
diagnosis of acute myocardial infarction (AMI) in patients presenting
with chest pain remains one of the greatest challenges in emergency
medicine. The aim of this study was to evaluate the performance of an
ANN trained to analyse clinical data from chest pain patients. The ANN
was compared with serum myoglobin measurements-cardiac damage is
associated with increased circulating myoglobin levels, and this is
widely used as an early marker for evolving AMI. We used 39 items of
clinical and ECG data from the time of presentation to derive 53 binary
inputs to a back propagation network. On test data (200 cases), overall
accuracy, sensitivity, specificity and positive predictive value (PPV)
of the ANN were 91.8, 91.2, 90.2 and 84.9% respectively. Corresponding
figures using linear discriminant analysis were 81.0, 77.9, 82.6 and
69.7% (P < 0.01). Using a further test set from a different centre (91
cases), the accuracy, sensitivity, specificity and PPV for the
admitting physicians were 65.1, 28.5, 76.9 and 28.6% respectively
compared with 73.6, 52.4, 80.0 and 44.0% for the ANN. Although
myoglobin at presentation was highly specific, it was only 38.0%
sensitive, compared with 85.7% at 3 h. Simple strategies to combine
clinical opinion, ANN output and myoglobin at presentation could
greatly improve sensitivity and specificity of AMI diagnosis. The ideal
support for emergency room physicians may come from a combination of
computer-aided analysis of clinical factors and biochemical markers
such as myoglobin. This study demonstrates that the two approaches
could be usefully combined, the major benefit of the decision support
system being in the first 3 h before biochemical markers have become
abnormal.
AD - City Hospitals Sunderland, Department of Medicine, UK.
SO - Comput Methods Programs Biomed 1997 Feb;52(2):93-103