Biomedical Signal Processing and Control

Classification of motor imagery (MI) tasks through EEG is valuable in brain-computer interfacing and rehabilitation engineering. EEG channels selection for MI task classification is well discussed problem and is challenging due to its combinatorial nature. Most of the existing methods are subject and task-dependent. This paper introduces a subject-independent EEG channel selection. The proposed approach consists of two stages. First, we rank channels based on their divergence from a reference channel Cz. We hypothesize that channels less divergent from Cz are more relevant for MI task classification. In the second stage, we employ a three-stage feature selection and classification model to evaluate the selected channels. It consists of a bandpass filter, followed by common spatial pattern (CSP) filter and three classifiers viz. SVM, 1-NN and 5-NN. Two publicly available datasets viz. PhysioNet and BCI Competition III IVa datasets have been used to assess the method. It performs 15.21\% more than 3Cs and just 2.91\% less than all-channels accuracy with as few as 20/118 channels on BCI Competition data and 19.64\% more than 3Cs on the PhysioNet dataset with 16/64 channels. Empirical comparison implies that the method performs better than classical models such as CSP Rank, fishers rank, and normalized mutual information, significantly. Results support that our hypothesis that divergence between channels and a reference channel Cz can be used as a ranking measure for channel selection.

Background and ObjectiveAccurately parameterizing dynamic, time-varying interactions in physiological systems is a methodological challenge, as global causal discovery methods may obscure transient, local fluctuations. This study introduces tempord, an open-source Python library designed to estimate local temporal orders and evaluate the short-term stability, directionality, and strength of causal links in non-stationary biological signals. MethodsThe algorithm estimates temporal relationships by keeping one signal stationary while iteratively shifting another one within a sliding window. To parameterize optimal inter-signal shifts (causal vector, CV), the framework utilizes linear modeling or time series distance metrics. The methodology was validated through a simulation study on synthetic bivariate signals with mathematically imposed dynamic phase delays, under both deterministic and noisy conditions. Furthermore, in-vivo capabilities were demonstrated by evaluating cardiorespiratory coupling dynamics across spontaneous and music-induced relaxation breathing states. ResultsThe simulation study demonstrated that the extracted CV trajectories precisely aligned with ground-truth temporal delays, assessed using mean absolute error and root mean square error for both noise-free and noisy synthetic data. In-vivo application demonstrated dynamic temporal stability and the detection of minor step changes during autonomic nervous system state transitions. ConclusionsThe tempord Python package bridges the gap between global causal discovery and local beat-by-beat statistical parameterization. It provides a robust "bottom-up" analytical instrument for investigating the transient mechanisms governing complex biological networks.

Surface electromyography (sEMG) offers a silent and wearable input modality, but its practical use is limited by variability across users and recording sessions. This study presents a compact CNN- Transformer model for decoding isolated handwritten digits from eight-channel sEMG signals. The model combines trainable signal preprocessing, convolutional feature extraction, and Transformerbased temporal modeling. It was evaluated on ten recordings from five participants using recordingseen classification, leave-one-recording-out (LORO) generalization, and few-shot adaptation. The model achieved a mean macro F1 score of 0.924 {+/-} 0.059 in the recording-seen setting and 0.619 {+/-} 0.252 under zero-shot LORO evaluation. Adaptation using two labeled trials per digit increased macro F1 to 0.828 {+/-} 0.112, while ten trials per digit achieved 0.925 {+/-} 0.053. The proposed architecture also outperformed classical and neural baselines in the controlled LORO benchmark. These results indicate that compact CNN-Transformer models, combined with lightweight target-recording calibration, provide a promising basis for adaptive sEMG-based input systems.

Transformer-based deep learning models have shown great potential for decoding visual EEG signals. However, their internal attention mechanisms are often evaluated primarily on optimization objectives, leaving their alignment with biological brain connectivity an open question. This study empirically evaluates how variations in EEG preprocessing strategies affect these attention representations using the Adaptive Thinking Mapper (ATM) model as a framework. We compared a baseline pipeline (MVNN only) against a comprehensive cleaning pipeline integrating ICA and notch filtering. The models were evaluated through cross-generalization, noise robustness, and spectral-temporal ablation analyses. Furthermore, we investigated the structural correspondence between the model's data-driven attention weights and neurophysiological reference networks (GPDC, PDC, and DTF) using Node Strength Correlation and Representational Similarity Analysis (RSA). The results show that the comprehensive preprocessing successfully suppresses non-neural artifacts, such as frontal noise and electrical interference, while maintaining comparable decoding accuracy and baseline robustness. Alignment analyses revealed that the broad spatial organization of the learned attention patterns remains highly stable across pipelines, capturing key directed connectivity dynamics with subtle, metric-dependent variations in global representational geometry. This work provides an empirical exploration into bridging data-driven attention weights with neurophysiological consistency, offering insights toward more transparent brain-computer interfaces.

The features of the PPG (photoplethysmography) morphology are known to reflect age-related cardiac and vascular changes. In most contemporary wearables, PPG signals are acquired from distal sites such as the wrist and finger. The superficial temporal artery (STA), accessible at the temple region, is reached via a shorter arterial path from the aortic root than the radial circulation, and may therefore carry hemodynamic and aging information with less distance-dependent attenuation. We hypothesized that the morphology of the PPG at temple region (STA) would show stronger and more numerous age correlates than the PPG at the wrist. To test this, we extracted a common set of 89 pulse-morphology features, spanning raw-waveform timing/amplitude/area measures, ratios among them, derivative-based ratios, and spectral harmonic-ratio features. We compared an in-house temple-worn device which has PPG as one of the sensors, with a publicly available Microsoft Aurora-BP wrist-worn PPG dataset, and tested each feature's association with age. We identified 14 robust age correlates at the temple region, compared to 3 at the wrist. The temple's correlates spanned multiple morphological categories and showed a larger age-association than at the wrist. These results support the hypothesis that the temple region may be a more robust PPG measurement site than the wrist to extract age-related cardiovascular information, which motivates further investigation of temple-based cardiovascular sensing.

Background Continuous health monitoring enables early detection of diseases and improves therapeutic outcomes. Non-intrusive biosignal sensors, such as capacitive ECG (cECG), offer a practical solution for daily monitoring in private environments, such as smart homes and vehicles. However, artifacts reduce signal quality and compromise reliability. Methods Following a registered report protocol (Warnecke JM et al. Plos One. 2021; 16(7):e0254780), we record data of 44 subjects and develop an artifact index for cECG. We use three signal quality indices (SQIs): the correlation of QRS complexes (corSQI), the R-peak detection consistency (bSQI) and the absolute amplitude ratio (aSQI). Our index classifies overlapping 10s segments with a step-width of 2s into clean or artifact segments. We label a 2s interval as artifacts if all five overlapping segments indicate artifacts. We record cECGs using an armchair with integrated electrodes in a single-arm study involving 44 subjects performing two activities -- reading and watching television (TV); for 11 minutes each. We record a time-synchronized reference ECG with skin electrodes on the chest. To evaluate the artifact index, we compare it with manually generated ground truth. Moreover, we evaluate the clothing materials cotton, linen, jeans, and polyester in 5 subjects. Results Watching TV results in longer, continuously clean signal durations than reading. On average, 88.3% of the signal has a minimum continuous clean duration of 10s, versus 79.8% during reading. All clothing configurations achieve a clean signal duration exceeding 10s. Among the SQI metrics, bSQI performs best, achieving an accuracy of 90.7% and an F1 score of 79.9%. Combining the three SQI metrics in a voting approach improves accuracy to 92.0% and F1 score to 82.1%. Discussion Our artifact index automatically distinguishes clean from artifact cECG segments, promoting health monitoring in unsupervised real-world settings, earlier disease detection, and preventive health management. A limitation is the investigation of only two scenarios (reading and watching TV).

Interictal epileptiform discharges (IEDs) are diagnostically important EEG abnormalities observed between seizures. This study addresses a conditional spatial-classification task where every analyzed four-second epoch had already been reviewed and confirmed by experts as containing an IED, and the model assigned that epoch to one of five predefined scalp-distribution categories (generalized, frontal, temporal, occipital, or centro-parietal). The analysis therefore does not evaluate IED-versus-non-IED detection. After preprocessing, 2,514 IED-labelled epochs were analyzed using identical stratified epoch-level partitions, SMOTE based training, 26 handcrafted features per included channel, and multiple machine-learning classifiers. A staged channel ablation compared 19-channel scalp EEG, 21-channel EEG with ECG, and the complete 29-channel input containing scalp EEG, referential, ECG, and EMG channels. The best EEG-only result was obtained with linear discriminant analysis (88.89% test accuracy). CatBoost achieved 93.25% on EEG with ECG channel and 94.44% with the whole channel set. All eight directly comparable classifiers showed numerically higher test accuracy after ECG channel was added; for CatBoost, the increase was 6.35 percentage points. In the EEG with ECG channel, CatBoost model on ECG channel on right and left arm received respectively 15.79% and 15.12% of normalized global SHAP attribution, and beta-band power was the leading of all features (18.76%). These SHAP values indicate model-specific predictive contributions and do not establish physiological biomarkers, causal autonomic mechanisms, or clinical localization. The findings support a limited methodological conclusion which is ECG-derived features were associated with improved internal epoch-level categorization of expert-confirmed IED epochs. They do not establish IED detection, artifact rejection, independent EMG effects, or generalization to unseen patients.

Understanding the neural dynamics underlying expressive musical performance remains a major challenge at the intersection of neuroscience, music cognition, and computational modeling. While EEG studies of emotion have largely focused on passive exposure to affective stimuli, comparatively little research has examined oscillatory brain activity during active musical expression. The present single-subject study investigated whether band-limited EEG activity recorded during expressive piano performance by a professional concert pianist contains sufficient discriminative structure to support supervised multi-class classification of musically defined emotional categories. MethodsEEG was recorded from 128 scalp sites while a professional concert pianist performed emotionally characterized excerpts from Bach, Beethoven, and Chopin in a continuous naturalistic session. Musical excerpts had been previously categorized and perceptually validated according to emotional valence, tempo, energy/arousal, and tonal structure. From the continuous EEG recording, 180 non-overlapping 2-second artifact-free segments were extracted, yielding 30 segments for each emotional category. Mean spectral power was computed within theta (3.5-7.5 Hz), alpha (7.5-12.5 Hz), and high-beta (24-30 Hz) frequency bands across selected centro-parietal and posterior electrodes, resulting in 24 EEG-derived features per segment. Linear Support Vector Machine, Random Forest, and Gradient Boosting classifiers were evaluated using an 80/20 train-test split combined with 5-fold cross-validation. ResultsEEG-only classification achieved above-chance performance across models, with Random Forest yielding the highest accuracy (0.42), macro F1-score (0.414), and Cohens {kappa} (0.30), exceeding the theoretical chance level of 0.167. Feature importance analysis revealed distributed contributions across theta, alpha, and high-beta oscillatory activity, particularly over parietal and occipital regions, without evidence for a single dominant neural marker. Inclusion of an additional binary arousal-related feature substantially improved Random Forest performance (accuracy = 0.58; macro F1 = 0.579; {kappa} = 0.50), indicating that arousal organization contributed strongly to category separability within the classification framework. ConclusionsThese findings suggest that oscillatory EEG activity accompanying expressive musical action contains measurable statistical structure associated with emotionally differentiated performance states. Rather than identifying discrete neural correlates of emotion, the present results provide a computational characterization of distributed oscillatory dynamics emerging during expressive motor-acoustic interaction, extending affective EEG research beyond passive perception paradigms toward ecologically grounded musical performance contexts.

EEG microstates are a distinct number of quasi-stable spatial distributions of brain activity. Microstate trajectories are strongly suspected to reflect the underlying neural mechanisms during information processing and are therefore also called the "building blocks" of human thought. In this study, we examined, if EEG microstate sequences can serve as potential triggers for a Brain-Computer Interface (BCI). To this end, a semi-supervised deep learning model architecture consisting of an LSTM-based autoencoder and a dense neural network was utilized to classify between left- and right-hand motor imagery EEG data, with the resulting classification output serving as the BCI trigger. On the one hand, this was done in a 2-step approach, in which the autoencoder and classifer have been trained separately. On the other hand, an end-to-end approach was employed, where training was performed by combining reconstruction and classification losses. Results show that the proposed model architecture was able to extract relevant features from microstate sequences and exploit them for within subjects and sessions classification. Applying transfer learning to session-to-session or across-subject transfer resulted in peak classification accuracies around 89%. We also investigated to what extent transfer learning has to be applied to reach considerable classification accuracies serving as the calibration time representative. We found that on average around 400s are needed for BCI calibration when emplyoing our approach to reach 80% classification accuracy. The present study signifies that the investigation of EEG microstate trajectories can be a promising approach for extracting BCI triggers, as it reduces the dimensionality of multi-channel recorded EEG signals to a distinct number of brain states over time. Deep learning methods, especially transfer learning, applied to EEG microstate trajectories seem promising regarding user-convenient and calibration-free BCIs in real-world applications.

AO_SCPLOWBSTRACTC_SCPLOWElectroencephalography (EEG) is a promising tool for automated detection of mild cognitive impairment (MCI) and dementia, but comparisons across studies are limited by inconsistent datasets and evaluation protocols. This study benchmarks ten deep learning models across four resting-state EEG datasets and eight binary classification tasks using a unified preprocessing pipeline and five-fold subject-wise cross-validation. Each experiment was repeated ten times. SCCNet obtained the highest mean subject-level accuracy, sensitivity, and F1 score, while ShallowConvNet achieved the highest mean segment-level accuracy, specificity, and precision. Subject-level aggregation improved mean accuracy for all evaluated models, and performance varied substantially across datasets and diagnostic tasks. Higher computational cost did not consistently correspond to better classification performance, with several compact architectures remaining competitive with substantially larger models. The results provide a reproducible reference for comparing EEG-based dementia classification models under consistent subject-independent evaluation conditions.

Cervical cancer represents a pressing global health challenge, emphasizing the critical need for accurate and timely diagnostic methods to facilitate effective treatment and improve survival rates. In response to this challenge, the study presents CerViX-Net, an innovative classification framework designed to advance cervical cancer detection through enhanced computational efficiency and diagnostic accuracy. The development of CerViX-Net is motivated by the limitations of traditional diagnostic models, particularly in handling the computational and memory demands of large-scale data, while ensuring precise feature extraction and classification. CerViX-Net employs a hybrid deep learning architecture that combines the capabilities of ResNet50, EfficientNet-B0, and a Modified Vision Transformer (ViT) module. The ResNet50 branch extracts hierarchical features through stacked convolutional and identity blocks. In another path, the modified ViT module transforms image patches via linear projection, augments them with positional and class embeddings, and processes them using Parallel Transformer Encoder layers to model contextual relationships. Concurrently, EfficientNet-B0 utilizes MBConv blocks to extract multi-scale representations. The feature outputs from all three branches are integrated and passed through a classification head consisting of dropout layers and dense layers to ensure robust and accurate predictions. The proposed framework is rigorously evaluated on the Mendeley LBC dataset, achieving exceptional performance metrics with an accuracy of 99.69%, precision of 99.28%, recall of 99.48%, and an F1-score of 99.52%. The robustness of CerViX-Net is further validated on the SIPaKMeD and Herlev Pap Smear datasets, where it demonstrates comparable excellence, underscoring its efficacy and adaptability across diverse cytology datasets. Statistical validation using Friedman's test further reinforces its superiority over competing methods.

Motor unit (MU) decomposition using high-density surface electromyography (HD-sEMG) has been widely used to characterize MU behavior in neurophysiology and to build neural-machine interfaces for wearable robots. Recently, many open-source software tools for MU decomposition have been made available on GitHub, which could reduce the effort of researchers in the field. However, the consistency among these open-source tools has never been studied, making researchers hesitate to use them. In this study, we collected 7 open-source software tools on GitHub and applied them to decompose MUs from an open-source HD-sEMG dataset (including 11 isometric contraction trials) to investigate the consistency among these tools. To create a comprehensive MU pool for reference, we combined all unique MUs identified by seven tools, visually inspected and removed bad MUs, and manually edited all remaining MU spike trains. Across 7 tools for 11 trials, the number of identified MUs ranges from 167 to 736. The number of valid MUs after expert inspection ranges from 29 to 210, which is 10% to 72% of the reference pool. The rate of agreement between the raw MUSTs and the manually edited MUSTs ranges from 0.86 to 0.94, and the averaged number of edits per MU to correct misalignments ranges from 14 to 39. The results show inconsistency in the implementation and procedures of each tool, which results in an inconsistent number of identified MUs and valid MUs (29 vs 210). In general, a substantial amount of effort is required to process the raw MUSTs from each tool to conduct further research analysis. This study provided a guideline for using open-source software tools for MU decomposition and indicated that it would be beneficial to develop tools to automatically edit the MUSTs.

Adhesive electrocardiography (ECG) electrodes used in neonatal intensive care units (NICUs) may cause skin injury in premature infants. Although photoplethysmography (PPG)-based ECG reconstruction has been explored, existing studies have mainly focused on adult data and often rely on direct PPG-to-ECG mapping or artificial signal alignment, which may be unsuitable for neonates with highly variable pulse arrival time (PAT). In this study, we propose an alignment-free RoPE-based dual-stream Transformer for reconstructing missing neonatal ECG segments using concurrent PPG signals and bidirectional ECG context. A total of 52,566 10-second ECG-PPG windows were extracted from 159 NICU patients and split at the patient level to prevent data leakage. The model was designed to learn ECG-PPG temporal coupling without forced synchronization by integrating PPG-derived hemodynamic timing information with lead-specific ECG context. Under a 40% random missing condition, the model achieved a Pearson correlation coefficient of 0.96, mean absolute error of 0.04, and root mean square error of 0.07. It also maintained robust performance under 4.0-second continuous block loss and 60% random patch loss, preserving a PCC of at least 0.90. These findings suggest that the proposed framework may serve as a signal imputation module for maintaining ECG monitoring continuity in NICU environments. Prospective validation is required before clinical diagnostic use.

Cerebral ischemia is a significant concern during high-risk surgeries, such as carotid endarterectomy (CEA). Continuous electroencephalography, monitored by neurophysiological experts, is used to detect cerebral ischemia during surgery; however, real-time visual interpretation is resource-intensive and error-prone. We evaluated machine learning (ML) models, including random forest (RF), eXtreme Gradient Boosting with a random forest base classifier (XGB), elastic-net logistic regression (LR), support vector classifier (SVC) with a radial basis function kernel, and naive Bayes (NB) classifier, for automated detection of cerebral ischemia during CEA using quantitative electroencephalographic (qEEG) features. RF achieved the highest sensitivity (0.79-0.83) and an area under the precision-recall curve (AUPRC) of 0.44, while XGB demonstrated the highest specificity (0.93-0.96) with an AUPRC of 0.36. Both models showed high negative predictive values and high area under the receiver operating characteristic (AUROC) scores. Feature-importance analysis identified alpha-band activity and hemispheric asymmetry as the most discriminative qEEG predictors of ischemia. These results highlight the potential of ML-assisted monitoring to support neurophysiology experts and enhance patient safety during high-risk surgical procedures.

Photoplethysmography (PPG, optical measurement of cardiac blood volume changes) is the foundation of wearable cardiac monitoring, but systematically fails on dark skin due to melanin absorption. We present the Melanin Absorption Invariance (MAI) framework: a label-free method that substantially reduces cross-skin-tone bias in cardiac feature extraction by preserving topological rather than geometric signal structure. We prove two theorems: Theorem 1 bounds attractor bias to O(SNR_eff^-1) under Z-normalization; Theorem 2 reduces residual bias to O(SNR_eff^-2) via SNR-adaptive correction. Empirical validation confirms these theoretical predictions on real dark-skin PPG signals. Comprehensive empirical validation on the complete MMPD dataset (Fitzpatrick III-VI, n = 656 recordings, 33 subjects, spanning all 4 lighting conditions and 5 motion types, Samsung Galaxy mobile phone) demonstrates MAI generalization across real-world deployment conditions. Results show substantial attractor bias reduction across all skin tone groups, with largest effects for Fitzpatrick IV and VI populations most affected by current systems. This work demonstrates a theoretically grounded, label-free, skin-tone-invariant cardiac monitoring framework.

Background: Precise localisation of intracranial electrode contacts is essential for the interpretation of stereoelectroencephalography recordings and planning epilepsy surgery. In current clinical practice, this is typically a manual process, which is time-consuming and prone to variability. Existing automated solutions are often fragmented across multiple tools requiring technical expertise, limiting their adoption in routine clinical workflows. This study presents an open-source extension for 3D Slicer that provides an integrated, user-friendly standalone solution for the direct automatic detection of electrode contacts within a widely used medical imaging platform. Results: The proposed method combines anchor bolt-based initialisation, probabilistic segmentation of electrode structures, and non-linear modelling to precisely track true electrode trajectories. The approach was evaluated on a dataset comprising 78 cases from 73 patients, including 1,078 electrodes with 14,480 contacts. The method achieved high localisation accuracy, with a median (interquartile range) deviation of 0.10 (0.06, 0.15) mm. Only 7/1078 (0.65%) electrodes required manual correction; these specific cases were handled using tools provided within the proposed extension. Conclusions: The presented extension enables fast, accurate, and reproducible electrode contact localisation within a single integrated environment. By combining automation with intuitive user interaction, it significantly reduces processing time while maintaining clinical reliability. The tool's free availability as an extension in 3D Slicer lowers the barrier to adoption and supports the standardisation of workflows across clinical and research centres.

The increasing availability of portable ultrasound systems motivates exploration of novel approaches to respiratory signal assessment. In this in-vitro study, we investigate whether pulsed-wave (PW) Doppler ultrasound can capture structured spectral patterns from replayed lung sound recordings. Digitized respiratory sounds were replayed through a tissue-mimicking ultrasound phantom, generating 1,478 PW Doppler spectral images from recordings associated with healthy subjects and several externally labeled disease categories. Exploratory classification experiments using a ResNet-18 architecture demonstrated that these Doppler representations contain learnable differences under controlled conditions. These findings motivate further investigation into PW Doppler as a potential representation of respiratory acoustics.

ObjectiveElectroencephalography (EEG) is a key tool for studying auditory processing in cochlear implant (CI) users. In particular, EEG recordings obtained during continuous speech are becoming increasingly important for assessing speech and language processing in CI users, and may be utilized for neurofeedback. However, CIs also induce strong stimulation artifacts that are time-locked to the stimulus and mask the neural responses that have smaller magnitudes. Existing artifact reduction methods are typically based on event-related potentials (ERPs) or require manual component selection, making them unsuitable for naturalistic listening conditions or large datasets. ApproachWe develop CORSICA (CORrelation-baSed ICA artifact rejection), a reproducible, parameter-efficient method for CI artifact reduction in EEG responses to continuous speech. CORSICA operates on independent components (ICs) obtained through Infomax ICA and requires no manual component labelling, with performance governed by a single tunable threshold. It exploits the observation that CI artifacts temporally follow the audio signal without delay, whereas neural responses have an inherent lag due to auditory pathway latencies. For each IC, CORSICA computes the cross-correlation with the speech stimulus. Artifacts are identified by a high signal-to-noise ratio (SNR) of the correlation peak near zero lag, and the component is rejected if this SNR exceeds a threshold. To benchmark CORSICA, we evaluate two alternatives: a TRF-based SNR method, in which temporal response functions are fitted to each IC and artifact-driven peaks near zero lag are used for rejection, and a variant replacing ICA with second-order blind identification (SOBI) as the source separation step. Main resultsCORSICA effectively suppressed CI artifacts while preserving neural activity, enabling recovery of physiologically plausible TRFs with only 2% of ICs rejected. Both benchmark methods confirmed the validity of the SNR-based rejection framework, but CORSICA outperformed the TRF-based alternative in artifact suppression quality. Replacing ICA with SOBI as the source separation step required more ICs to be rejected, further supporting ICA as the preferred backbone for CORSICA. SignificanceCORSICA provides a fully objective, label-free approach to identifying CI artifacts in speech-evoked EEG data, with no manual intervention required. By centering artifact rejection on a single interpretable threshold, it offers a reproducible preprocessing standard for future EEG studies on speech processing in CI users. ConclusionOur findings demonstrate that objective CI artifact suppression in speech-evoked EEG data is feasible on the basis of the ICs temporal response patterns.

Breast cancer is the leading cause of cancer-related deaths among women in the Philippines. Over 65% of these cases are diagnosed when they are advanced (Montemayor, 2023). This highlights the need for improved early screening devices. E-HAPLOS, or Electrical Impedance Human-guided Assessment with Pressure for Lump Observation System, is a low-cost glove with sensors designed to improve early detection of suspicious breast lump through touch. It integrates force-sensitive resistors (FSRs) to measure tissue stiffness and Electrical Impedance Spectroscopy (EIS) to analyze conductivity across different frequencies--properties that are closely linked to breast cancer. The prototype uses an ESP32 microcontroller that transmits real-time pressure and impedance data to the website. Tested on gelatin breast models with simulated lump, the FSRs effectively identified lump locations by recording higher mean force values (45.81 kPa vs. 33.57 kPa). This guided approach allowed the combined FSR-EIS system to reach a diagnostic performance with an Area Under the Curve (AUC) above 0.94, a significant improvement over unguided measurement (AUC {approx} 0.78). A two-way ANOVA confirmed a significant difference in diagnostic performance based on the system modality (p < 0.001). Tukeys Honesty Significant Difference (HSD) test showed that the FSR-EIS system was statistically superior to both the unguided EIS (p < 0.001) and FSR-only system (p = 0.041). Results demonstrate the synergistic effect of the integrated system, enabling accurate differentiation of suspicious lumps from normal tissue. The FSR-EIS system of the E-HAPLOS glove shows a great potential for detection of lumps in simulated breasts as a screening tool.

Accurate diagnosis of Parkinson's disease (PD) remains challenging due to substantial inter-subject variability and the absence of widely accessible, objective multimodal biomarkers. Although speech and magnetoencephalography (MEG) biomarkers have individually demonstrated strong discriminative potential, their joint utilization is constrained by the absence of subject-level paired datasets - a fundamental gap that has prevented cross-modal validation at the individual level. We argue that this makes cross-cohort representation learning not merely a pragmatic workaround, but the most realistic and clinically transferable framework for multimodal PD assessment. In real-world deployment, acoustic screening and neuroimaging biomarkers are acquired through separate clinical pathways and must be integrated across heterogeneous patient populations. To address this, we propose MIRA-Net (Modality-Invariant Residual Adversarial Network). This cross-cohort representation learning framework integrates acoustic speech features from four established UCI datasets (n = 193) with beta-band MEG biomarkers from the NatMEG-PD dataset (n = 127) for PD classification. MIRA-Net employs RF-SHAP feature selection, gradient-reversal-based domain adaptation, and supervised contrastive alignment to learn participant-independent, modality-invariant embeddings. The framework is evaluated under Rest, Go, and Passive task conditions against Early Fusion, Vanilla DANN, and Supervised Contrastive Learning baselines. MIRA-Net achieves a peak accuracy of 86.23% (Go condition, Stacking classifier) with AUC values exceeding 0.88 under repeated cross-validation, alongside a sensitivity of 89.4% and specificity of 83.1%. Friedman tests confirm statistically significant performance differences among fusion strategies (p < 0.003 across all conditions). These results demonstrate that cross-cohort representation learning can extract robust disease-discriminative signatures without synchronized multimodal recordings, offering a practical pathway toward AI-assisted PD assessment in resource-constrained clinical settings.