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- Kaptoge, S., et al.
(författare)
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Whom to treat? The contribution of vertebral X-rays to risk-based algorithms for fracture prediction. Results from the European Prospective Osteoporosis Study
- 2006
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Ingår i: Osteoporosis International. - : Springer Science and Business Media LLC. - 1433-2965 .- 0937-941X. ; 17:9, s. 1369-1381
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Vertebral fracture is a strong risk factor for future spine and hip fractures; yet recent data suggest that only 5-20% of subjects with a spine fracture are identified in primary care. We aimed to develop easily applicable algorithms predicting a high risk of future spine fracture in men and women over 50 years of age. Methods: Data was analysed from 5,561 men and women aged 50+ years participating in the European Prospective Osteoporosis Study (EPOS). Lateral thoracic and lumbar spine radiographs were taken at baseline and at an average of 3.8 years later. These were evaluated by an experienced radiologist. The risk of a new (incident) vertebral fracture was modelled as a function of age, number of prevalent vertebral fractures, height loss, sex and other fracture history reported by the subject, including limb fractures occurring between X-rays. Receiver Operating Characteristic (ROC) curves were used to compare the predictive ability of models. Results: In a negative binomial regression model without baseline X-ray data, the risk of incident vertebral fracture significantly increased with age [RR 1.74, 95% CI (1.44, 2.10) per decade], height loss [1.08 (1.04, 1.12) per cm decrease], female sex [1.48 (1.05, 2.09)], and recalled fracture history; [1.65 (1.15, 2.38) to 3.03 (1.66, 5.54)] according to fracture site. Baseline radiological assessment of prevalent vertebral fracture significantly improved the areas subtended by ROC curves from 0.71 (0.67, 0.74) to 0.74 (0.70, 0.77) P=0.013 for predicting 1+ incident fracture; and from 0.74 (0.67, 0.81) to 0.83 (0.76, 0.90) P=0.001 for 2+ incident fractures. Age, sex and height loss remained independently predictive. The relative risk of a new vertebral fracture increased with the number of prevalent vertebral fractures present from 3.08 (2.10, 4.52) for 1 fracture to 9.36 (5.72, 15.32) for 3+. At a specificity of 90%, the model including X-ray data improved the sensitivity for predicting 2+ and 1+ incident fractures by 6 and 4 fold respectively compared with random guessing. At 75% specificity the improvements were 3.2 and 2.4 fold respectively. With the modelling restricted to the subjects who had BMD measurements (n=2,409), the AUC for predicting 1+ vs. 0 incident vertebral fractures improved from 0.72 (0.66, 0.79) to 0.76 (0.71, 0.82) upon adding femoral neck BMD (P=0.010). Conclusion: We conclude that for those with existing vertebral fractures, an accurately read spine X-ray will form a central component in future algorithms for targeting treatment, especially to the most vulnerable. The sensitivity of this approach to identifying vertebral fracture cases requiring anti-osteoporosis treatment, even when X-rays are ordered highly selectively, exceeds by a large margin the current standard of practice as recorded anywhere in the world.
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| 4. |
- Gezici, S, et al.
(författare)
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Localization via ultra-wideband radios: A look at positioning aspects of future sensor networks
- 2005
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Ingår i: IEEE Signal Processing Magazine. - 1053-5888. ; 22:4, s. 70-84
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Tidskriftsartikel (refereegranskat)abstract
- UWB technology provides an excellent means for wireless positioning due to its high resolution capability in the time domain. Its ability to resolve multipath components makes it possible to obtain accurate location estimates without the need for complex estimation algorithms. In this article, theoretical limits for TOA estimation and TOA-based location estimation for UWB systems have been considered. Due to the complexity of the optimal schemes, suboptimal but practical alternatives have been emphasized. Performance limits for hybrid TOA/SS and TDOA/SS schemes have also been considered. Although the fundamental mechanisms for localization, including AOA-, TOA-, TDOA-, and SS-based methods, apply to all radio air interface, some positioning techniques are favored by UWB-based systems using ultrawide bandwidths.
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- Jorswieck, Eduard A., et al.
(författare)
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Game Theory in Signal Processing and Communications
- 2009
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Ingår i: IEEE signal processing magazine (Print). - : IEEE. - 1053-5888 .- 1558-0792. ; 26:5
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Game theory is a branch of mathematics aimed at the modeling and understanding of resource conflict problems. Essentially, the theory splits into two branches: noncooperative and cooperative game theory. The distinction between the two is whether or not the players in the game can make joint decisions regarding the choice of strategy. Noncooperative game theory is closely connected to minimax optimization and typically results in the study of various equilibria, most notably the Nash equilibrium. Cooperative game theory examines how strictly rational (selfish) actors can benefit from voluntary cooperation by reaching bargaining agreements. Another distinction is between static and dynamic game theory, where the latter can be viewed as a combination of game theory and optimal control. In general, the theory provides a structured approach to many important problems arising in signal processing and communications, notably resource allocation and robust transceiver optimization. Recent applications also occur in other emerging fields, such as cognitive radio, spectrum sharing, and in multihop-sensor and adhoc networks.
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| 6. |
- Molisch, Andreas, et al.
(författare)
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A low-cost time-hopping impulse radio system for high data rate transmission
- 2005
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Ingår i: Eurasip Journal on Applied Signal Processing. - 1110-8657. ; :3, s. 397-412
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Tidskriftsartikel (refereegranskat)abstract
- We present an efficient, low-cost implementation of time-hopping impulse radio that fulfills the spectral mask mandated by the FCC and is suitable for high-data-rate, short-range communications. Key features are (i) all-baseband implementation that obviates the need for passband components, (ii) symbol-rate (not chip rate) sampling, A/D conversion, and digital signal processing, (iii) fast acquisition due to novel search algorithms, and (iv) spectral shaping that can be adapted to accommodate different spectrum regulations and interference environments. Computer simulations show that this system can provide 110 Mbps at 7–10 m distance, as well as higher data rates at shorter distances under FCC emissions limits. Due to the spreading concept of time-hopping impulse radio, the system can sustain multiple simultaneous users, and can suppress narrowband interference effectively.
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