Search Results (628)

Intra-fractional respiratory management represents one of the greatest challenges of modern cancer radiotherapy (RT), as significant breathing-induced lesion motion might affect target coverage and organs at risk (OARs) sparing, jeopardizing oncological and toxicity outcomes. The detrimental effects on dosage of uncompensated organ motion are exacerbated in RT with charged particles (e.g., protons and carbon ions), due to their higher ballistic selectivity. The simplest strategies to counteract this phenomenon are the use of larger treatment margins and reductions in or control of respiration (e.g., by means of compression belts, breath hold). Gating and tracking, which synchronize beam delivery with the respiratory signal, also represent widely adopted solutions. When tracking the tumor itself or surrogates, invasive procedures (e.g., marker implantation), an unnecessary imaging dose (e.g., in X-ray-based fluoroscopy), or expensive equipment (e.g., magnetic resonance imaging, MRI) is usually required. When chest and abdomen excursions are measured to infer internal tumor displacement, the additional devices needed to perform this task, such as pressure sensors or surface cameras, present inherent limitations that can impair the procedure itself. In this context, radars have intrigued the radiation oncology community, being inexpensive, non-invasive, contactless, and insensitive to obstacles. Even if real-world clinical implementation is still lagging behind, there is a growing body of research unraveling the potential of these devices in this field. The purpose of this narrative review is to provide an overview of the studies that have delved into the potential of radar-based technologies for motion-adaptive photon and particle RT applications. Full article

In this study, a prototype system was developed as a potential alternative to lockdown measures against the spread of airborne infectious diseases such as COVID-19. The system integrates real-time estimation functions for respiratory flow and mask leakage into a low-cost powered air-purifying respirator (PAPR) designed for the general public. Using only a single differential-pressure sensor (SDP810) and a controller (Arduino UNO R4 WiFi), the respiratory flow (Q_3e) is estimated from the differential pressure (ΔP) and battery voltage (V_b), and both the wearing status and leak status are transmitted to and displayed on a smartphone application. For evaluation, a testbench called the Respiratory Airflow Testbench was constructed by connecting a cylinder–piston drive to a mannequin head to simulate realistic wearing conditions. The estimated respiratory flow Q_3e, calculated solely from ΔP and V_b, showed high agreement with the measured flow Q_3m obtained from a reference flow sensor, confirming the effectiveness of the estimation algorithm. Furthermore, an automatic leak detection method based on the time-integrated value of Q_3e was implemented, enabling the detection of improper wearing. This system thus achieves respiratory flow estimation and leakage detection based only on ΔP and V_b. In the future, it is expected to be extended to applications such as pressure control synchronized with breathing activity and health monitoring based on respiratory and coughing analysis. This platform also has the potential to serve as the foundation of a PAPR Wearing Status Network Management System, which will contribute to societal-level infection control through the networked sharing of wearing status information. Full article

Exhaled breath analysis (EBA) is an advanced, non-invasive diagnostic technique that utilizes volatile organic compounds (VOCs) to detect and monitor various diseases. This review examines EBA’s historical development and current status as a promising diagnostic tool. It highlights the significant contributions of modern methods such as gas chromatography–mass spectrometry (GC-MS), ion mobility spectrometry (IMS), and electronic noses in enhancing the sensitivity and specificity of EBA. Furthermore, it emphasizes the transformative role of nanotechnology and machine learning in improving the diagnostic accuracy of EBA. Despite challenges such as standardization and environmental factors, which must be addressed for the widespread adoption of this technique, EBA shows excellent potential for early disease detection and personalized medicine. The review also highlights the potential of photonic crystal fiber (PCF) sensors, known for their superior sensitivity, in the field of EBA. Full article

In this study, a hybrid sensor-based electronic nose circuit was developed using eight metal-oxide semiconductors and 14 quartz crystal microbalance gas sensors. This study included 100 participants: 60 individuals diagnosed with lung cancer, 20 healthy nonsmokers, and 20 healthy smokers. A total of 338 experiments were performed using breath samples throughout this study. In the classification phase of the obtained data, in addition to traditional classification algorithms, such as decision trees, support vector machines, k-nearest neighbors, and random forests, the fuzzy logic method supported by the optimization algorithm was also used. While the data were classified using the fuzzy logic method, the parameters of the membership functions were optimized using a nature-inspired optimization algorithm. In addition, principal component analysis and linear discriminant analysis were used to determine the effects of dimension-reduction algorithms. As a result of all the operations performed, the highest classification accuracy of 94.58% was achieved using traditional classification algorithms, whereas the data were classified with 97.93% accuracy using the fuzzy logic method optimized with optimization algorithms inspired by nature. Full article

Volatile organic compounds (VOCs) present in human exhaled breath have emerged as promising biomarkers for non-invasive disease diagnosis. However, traditional VOC detection technology that relies on large instruments is not widely used due to high costs and cumbersome testing processes. Machine learning-assisted gas sensor arrays offer a compelling alternative by enabling the accurate identification of complex VOC mixtures through collaborative multi-sensor detection and advanced algorithmic analysis. This work systematically reviews the advanced applications of machine learning-assisted gas sensor arrays in medical diagnosis. The types and principles of sensors commonly employed for disease diagnosis are summarized, such as electrochemical, optical, and semiconductor sensors. Machine learning methods that can be used to improve the recognition ability of sensor arrays are systematically listed, including support vector machines (SVM), random forests (RF), artificial neural networks (ANN), and principal component analysis (PCA). In addition, the research progress of sensor arrays combined with specific algorithms in the diagnosis of respiratory, metabolism and nutrition, hepatobiliary, gastrointestinal, and nervous system diseases is also discussed. Finally, we highlight current challenges associated with machine learning-assisted gas sensors and propose feasible directions for future improvement. Full article

A respiratory monitoring sensor based on a balloon-shaped optical fiber is proposed. The sensor consists of a single-mode fiber (SMF) coated with polydimethylsiloxane (PDMS) bent into a balloon shape to form a fiber optic Mach–Zehnder interferometer. The sensor’s sensitivity to temperature enables monitoring of breathing status by recognizing the temperature changes that occur during human respiration. By adjusting the bending radius of the balloon-shaped SMF, high-order modes can be effectively excited to interfere with the core mode. Due to the high thermo-optic coefficient and thermal expansion coefficient of PDMS itself, the balloon-shaped fiber optic sensor can achieve temperature sensitivity. The experimental results show that the temperature sensitivity is −166.29 pm/°C in a temperature range of 30 °C to 60 °C. Finally, the proposed sensor was mounted into a respiratory mask to monitor different breathing states (normal, fast, slow, and oral–nasal breathing transitions) and breathing frequencies. Full article

Background/Objectives: Newborn heart rate is an integral part of resuscitation algorithms, but the impact of ECG monitoring on resuscitative interventions and clinical outcomes has been identified as a knowledge gap. The objective was to evaluate the impact of routine use of dry-electrode ECG in all newborns immediately after birth on time to start positive pressure ventilation (PPV) when indicated. Methods: We conducted a randomized clinical trial from June 2019 to November 2021 at Stavanger University Hospital, Norway. Dry-electrode ECG sensors were applied immediately after birth to all newborns ≥ 34 weeks’ gestation. Randomization determined whether the heart rate display was visible or masked. Time of birth was registered in an observation app. Time to start ventilation was calculated from video recordings. Results: In total, 7343 newborns ≥ 34 weeks’ gestation were enrolled, 4284 in the intervention and 3059 in the control group, and 3.7% and 3.8% received ventilation, respectively. In 171/275 (62%) of the newborns the exact time of birth and a video of the resuscitation were available, for 98 in the intervention and 73 in the control group. Ventilation was provided within 60 s to 44/98 (45%) in the intervention and 24/73 (33%) in the control group, p = 0.12. Time from birth to start of PPV was a median of 66 (44, 102) s in the intervention and 84 (49, 148) s in the control group, p = 0.058. Resuscitated newborns were apneic (74%) or breathing ineffectively (26%) at the start of PPV, and only 36% had a heart rate < 100 beats per minute. Conclusions: The use of dry-electrode ECG heart rate monitoring did not change the proportion of newborns that received ventilation within 60 s after birth, but early termination due to employee protests to video recordings rendered the trial inadequately powered to detect a difference. Breathing status was likely a more important determinant of starting ventilation than bradycardia. Full article

This study presents the development and the mechanical and clinical characterization of a flexible biodegradable chitosan–glycerol–graphite composite strain sensor for real-time respiratory monitoring, where the main material, chitosan, is derived and extracted from Tenebrio Molitor larvae shells. Chitosan was extracted using a sustainable, low-impact protocol and processed into a stretchable and flexible film through glycerol plasticization and graphite integration, forming a conductive biocomposite. The sensor, fabricated in a straight-line geometry to ensure uniform strain distribution and signal stability, was evaluated for its mechanical and electrical performance under cyclic loading. Results demonstrate linearity, repeatability, and responsiveness to strain variations in the stain sensor during mechanical characterization and performance, ranging from 1 to 15%, with minimal hysteresis and fast recovery times. The device reliably captured respiratory cycles during normal breathing across three different areas of measurement: the sternum, lower ribs, and diaphragm. The strain sensor also identified distinct breathing patterns, including eupnea, tachypnea, bradypnea, apnea, and Kussmaul respiration, showing the capability to sense respiratory cycles during pathological situations. Compared to conventional monitoring systems, the sensor offers superior skin conformity, better adhesion, comfort, and improved signal quality without the need for invasive procedures or complex instrumentation. Its low-cost, biocompatible design holds strong potential for wearable healthcare applications, particularly in continuous respiratory tracking, sleep disorder diagnostics, and home-based patient monitoring. Future work will focus on wireless integration, environmental durability, and clinical validation. Full article

Many commercial wearable sensor systems typically rely on a single continuous cardiorespiratory sensing modality, photoplethysmography (PPG), which suffers from inherent biases (i.e., differences in skin tone) and noise (e.g., motion and pressure artifacts). In this research, we present a wearable device that provides robust estimates of cardiorespiratory variables by combining three physiological signals from the upper arm: multiwavelength PPG, single-sided electrocardiography (SS-ECG), and bioimpedance plethysmography (BioZ), along with an inertial measurement unit (IMU) providing 3-axis accelerometry and gyroscope information. We evaluated the multimodal device on 16 subjects by its ability to estimate heart rate (HR) and breathing rate (BR) in the presence of various static and dynamic noise sources (e.g., skin tone and motion). We proposed a hierarchical approach that considers the subject’s skin tone and signal quality to select the optimal sensing modality for estimating HR and BR. Our results indicate that, when estimating HR, there is a trade-off between accuracy and robustness, with SS-ECG providing the highest accuracy (low mean absolute error; MAE) but low reliability (higher rates of sensor failure), and PPG/BioZ having lower accuracy but higher reliability. When estimating BR, we find that fusing estimates from multiple modalities via ensemble bagged tree regression outperforms single-modality estimates. These results indicate that multimodal approaches to cardiorespiratory monitoring can overcome the accuracy–robustness trade-off that occurs when using single-modality approaches. Full article

Nasal obstruction is a common symptom of nasal conditions, with nasal resistance being a crucial physiological indicator for assessing severity. However, traditional rhinomanometry faces challenges with interference, limited automation, and unstable measurement results. To address these issues, this research designed a nasal resistance measurement system based on multi-sensor fusion of pressure and flow. The system comprises lower computer hardware for acquiring raw pressure–flow signals in the nasal cavity and upper computer software for segmenting and filtering effective respiratory cycles and calculating various nasal resistance indicators. Meanwhile, the system’s anti-interference capability was assessed using recall, precision, and accuracy rates for respiratory cycle recognition, while stability was evaluated by analyzing the standard deviation of nasal resistance indicators. The experimental results demonstrate that the system achieves recall and precision rates of 99% and 86%, respectively, for the recognition of effective respiratory cycles. Additionally, under the three common interference scenarios of saturated or weak breaths, breaths when not worn properly, and multiple breaths, the system can achieve a maximum accuracy of 96.30% in identifying ineffective respiratory cycles. Furthermore, compared to the measurement without filtering for effective respiratory cycles, the system reduces the median within-group standard deviation across four types of nasal resistance measurements by 5 to 18 times. In conclusion, the nasal resistance measurement system developed in this research demonstrates strong anti-interference capabilities, significantly enhances the automation of the measurement process and the stability of the measurement results, and offers robust technical support for the auxiliary diagnosis of related nasal conditions. Full article

The early detection of liver cirrhosis (LC) is crucial due to its high morbidity and mortality in advanced stages. Reliable, non-invasive diagnostic tools are essential for timely intervention. Exhaled human breath, reflecting metabolic changes, offers significant potential for disease diagnosis. This paper focuses on the emerging role of sensor array-based volatile organic compounds (VOCs) analysis of exhaled breath, particularly using electronic nose (e-nose) technology to differentiate LC patients from healthy controls (HCs). This study included 55 participants: 27 LC patients and 28 HCs. Sensor’s measurement data were analyzed using machine learning techniques, such as principal component analysis (PCA), discriminant function analysis (DFA), and support vector machines (SVMs) that were utilized to uncover meaningful patterns and facilitate accurate classification of sensor-derived information. The diagnostic accuracy was thoroughly assessed through receiver operating characteristic (ROC) curve analysis, with specific emphasis on assessing sensitivity and specificity metrics. The e-nose effectively distinguished LC from HC, with PCA explaining 92.50% variance and SVMs achieving 100% classification accuracy. This study demonstrates the significant potential of e-nose technology towards VOCs analysis in exhaled breath, as a valuable tool for LC diagnosis. It also explores feature extraction methods and suitable algorithms for effectively distinguishing between LC patients and controls. This research provides a foundation for advancing breath-based diagnostic technologies for early detection and monitoring of liver cirrhosis. Full article

Objectives: New smartphone-based methods for measuring cervical spine range of motion (CS-ROM) and posture are emerging. The purpose of this study was to assess the reliability and validity of three such methods in patients with non-specific chronic neck pain (NSCNP). Methods: The within-day test–retest reliability of CS-ROM and forward head posture (craniovertebral angle-CVA) was examined in 45 patients with NSCNP. CS-ROM was simultaneously measured with an accelerometer sensor (KFORCE Sens^®) and a mobile phone device (iHandy and Compass apps), testing the accuracy of each and the parallel-forms reliability between the two methods. For construct validity, correlations of CS-ROM with demographics, lifestyle, and other cervical and thoracic spine biomechanically based measures were examined in 90 patients with NSCNP. Male–female differences were also explored. Results: Both methods were reliable, with measurements concurring between the two devices in all six movement directions (intraclass correlation coefficient/ICC = 0.90–0.99, standard error of the measurement/SEM = 0.54–3.09°). Male–female differences were only noted for two CS-ROM measures and CVA. Significant associations were documented: (a) between the six CS-ROM measures (R = 0.22–0.54, p < 0.05), (b) participants’ age with five out of six CS-ROM measures (R = 0.23–0.40, p < 0.05) and CVA (R = 0.21, p < 0.05), (c) CVA with two out of six CS-ROM measures (extension R = 0.29, p = 0.005 and left-side flexion R = 0.21, p < 0.05), body mass (R = −0.39, p < 0.001), body mass index (R = −0.52, p < 0.001), and chest wall expansion (R = 0.24–0.29, p < 0.05). Significantly lower forward head posture was noted in subjects with a high level of physical activity relative to those with a low level of physical activity. Conclusions: The reliability of both CS-ROM methods was excellent. Reductions in CS-ROM and increases in CVA were age-dependent in NSCNP. The significant relationship identified between CVA and CWE possibly signifies interconnections between NSCNP and the biomechanical aspect of dysfunctional breathing. Full article

Ketones, which are key biomarkers of fat oxidation, are relevant for metabolic health maintenance and disease development, making continuous monitoring essential. In this study, we introduce a novel colorimetric sensor designed for potential continuous acetone detection in biological fluids. The sensor features a polydimethylsiloxane (PDMS) shell that encapsulates a sensitive and specific liquid-core acetone-sensing probe. The microsphere sensors were characterized by evaluating their size, PDMS shell thickness, colorimetric response, and sensitivity under realistic conditions, including 100% relative humidity (RH) and CO₂ interference. The microsphere size and sensor sensitivity can be controlled by modifying the fabrication parameters. Critically, the sensor showed high selectivity for acetone detection, with negligible interference from CO₂ concentrations up to 4%. In addition, the sensor displayed good reproducibility (CV < 5%) and stability under realistic storage conditions (over two weeks at 4 °C). Finally, the accuracy of the microsphere sensor was validated against a gold standard gas chromatography-mass spectrometry (GC-MS) method using simulated and real breath samples from healthy individuals and type 1 diabetes patients. The correlation between the microsphere sensor and GC-MS produced a linear fit with a slope of 0.948 and an adjusted R-squared value of 0.954. Therefore, the liquid-core microsphere-based sensor is a promising platform for acetone body fluid analysis. Full article

We have developed an adjustable optical fiber Bragg grating (FBG) sensing unit for monitoring nasal breathing. The FBG sensing unit can accommodate individuals with varying facial dimensions by adjusting the connecting holes of the ear hangers. We employed two FBG configurations: an encapsulated FBG within a silicon tube (FBG₁) and a bare FBG (FBG₂). Calibration experiments show the temperature sensitivities of 6.77 pm/°C and 6.18 pm/°C, respectively, as well as the pressure sensitivities of 2.05 pm/N and 1.18 pm/N, respectively. We conducted breathe monitoring tests on male and female volunteers under the resting and the motion states. For the male volunteer, the breathing frequency is 13.48 breaths per minute during the rest state and increases to 23.91 breaths per minute during the motion state. For the female volunteer, the breathing frequency is 14.12 breaths per minute during rest and rises to 24.59 breaths per minute during motion. Experimental results show that the FBG sensing unit can effectively distinguish breathing rate for the same person in different states. In addition, we employed a random forest algorithm to assess the importance of two sensors in breathing monitoring applications. The findings indicate that FBG₁ outperforms FBG₂ in monitoring performance, highlighting that pressure plays a positive impact in enhancing the accuracy of breathing monitoring. Full article

Resistive gas sensors have attracted significant attention due to their simple architecture, low cost, and ease of integration, with widespread applications in environmental monitoring, industrial safety, and healthcare diagnostics. This review provides a comprehensive overview of recent advances in resistive gas sensors, focusing on their fundamental working mechanisms, sensing material design, device architecture optimization, and intelligent system integration. These sensors primarily operate based on changes in electrical resistance induced by interactions between gas molecules and sensing materials, including physical adsorption, charge transfer, and surface redox reactions. In terms of materials, metal oxide semiconductors, conductive polymers, carbon-based nanomaterials, and their composites have demonstrated enhanced sensitivity and selectivity through strategies such as doping, surface functionalization, and heterojunction engineering, while also enabling reduced operating temperatures. Device-level innovations—such as microheater integration, self-heated nanowires, and multi-sensor arrays—have further improved response speed and energy efficiency. Moreover, the incorporation of artificial intelligence (AI) and Internet of Things (IoT) technologies has significantly advanced signal processing, pattern recognition, and long-term operational stability. Machine learning (ML) algorithms have enabled intelligent design of novel sensing materials, optimized multi-gas identification, and enhanced data reliability in complex environments. These synergistic developments are driving resistive gas sensors toward low-power, highly integrated, and multifunctional platforms, particularly in emerging applications such as wearable electronics, breath diagnostics, and smart city infrastructure. This review concludes with a perspective on future research directions, emphasizing the importance of improving material stability, interference resistance, standardized fabrication, and intelligent system integration for large-scale practical deployment. Full article