arXiv subjects

Tzu-Chi Liu

Publications and source records attributed to Tzu-Chi Liu.

3 recordsLinked to original sources

arXiv2025

Efficient Artifacts Removal for Adaptive Deep Brain Stimulation and a Temporal Event Localization Analysis

Adaptive deep brain stimulation (aDBS) leverages symptom-related biomarkers to deliver personalized neuromodulation therapy, with the potential to improve treatment efficacy and reduce power consumption compared to conventional DBS. However, stimulation-induced signal contamination remains a major technical barrier to advancing its clinical application. Existing artifact removal strategies, both front-end and back-end, face trade-offs between artifact suppression and algorithmic flexibility. Among back-end algorithms, Shrinkage and Manifold-based Artifact Removal using Template Adaptation (SMARTA) has shown promising performance in mitigating stimulus artifacts with minimal distortion to local field potentials (LFPs), but its high computational demand and inability to handle transient direct current (DC) artifacts limit its use in real-time applications. To address this, we developed SMARTA+, a computationally efficient extension of SMARTA capable of suppressing both stimulus and transient DC artifacts while supporting flexible algorithmic design. We evaluated SMARTA+ using semi-real aDBS data and real data from Parkinson's disease patients. Compared to SMARTA and other established methods, SMARTA+ achieved comparable or superior artifact removal while significantly reducing computation time. It preserved spectral and temporal structures, ranging from beta band to high-frequency oscillations, and demonstrated robustness across diverse stimulation protocols. Temporal event localization analysis further showed improved accuracy in detecting beta bursts. These findings support SMARTA+ as a promising tool for advancing real-time, closed-loop aDBS systems.

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arXiv2020

Denoising Click-evoked Otoacoustic Emission Signals by Optimal Shrinkage

Click-evoked otoacoustic emissions (CEOAEs) are clinically used as an objective way to infer whether cochlear functions are normal. However, because the sound pressure level of CEOAEs is typically much lower than the background noise, it usually takes hundreds, if not thousands of repetitions to estimate the signal with sufficient accuracy. In this paper, we propose to improve the signal-to-noise ratio (SNR) of CEOAE signals within limited measurement time by optimal shrinkage (OS) in two different settings: the covariance-based OS (cOS) and the singular value decomposition (SVD)-based OS (sOS). By simulation and analyzing human CEOAE data, the cOS consistently reduced the noise and enhanced the SNR by 1 to 2 dB from a baseline method (BM) that is based on calculating the median. The sOS achieved an SNR enhancement of 2 to 3 dB in simulation, and demonstrated capability to enhance the SNR in real recordings when the SNR achieved by the BM was below 0 dB. An appealing property of OS is that it produces an estimate of every individual column of the signal matrix. This property makes it possible to investigate CEOAE dynamics across a longer period of time when the cochlear conditions are not strictly stationary.

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arXiv2019

Transient-evoked otoacoustic emission signals predicting outcomes of acute sensorineural hearing loss in patients with Meniere's Disease

Background: Fluctuating hearing loss is characteristic of Meniere's Disease (MD) during acute episodes. However, no reliable audiometric hallmarks are available for counselling the hearing recovery possibility. Aims/Objectives: To find parameters for predicting MD hearing outcomes. Material and Methods: We applied machine learning techniques to analyse transient-evoked otoacoustic emission (TEOAE) signals recorded from patients with MD. Thirty unilateral MD patients were recruited prospectively after onset of acute cochleo-vestibular symptoms. Serial TEOAE and pure-tone audiogram (PTA) data were recorded longitudinally. Denoised TEOAE signals were projected onto the three most prominent principal directions through a linear transformation. Binary classification was performed using a support vector machine (SVM). TEOAE signal parameters, including signal energy and group delay, were compared between improved and nonimproved groups using Welchs t-test. Results: Signal energy did not differ (p = 0.64) but a significant difference in 1-kHz (p = 0.045) group delay was recorded between improved and nonimproved groups. The SVM achieved a cross-validated accuracy of >80% in predicting hearing outcomes. Conclusions and Significance: This study revealed that baseline TEOAE parameters obtained during acute MD episodes, when processed through machine learning technology, may provide information on outer hair cell function to predict hearing recovery.

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