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While the pet market is continuously rapidly increasing in Korea, pet dog owners feel uncomfortable in coping with pet dog's health problems in time. In this paper, we propose a pre-diagnosis system based on neuro-fuzzy learning, enabling non-expert users to monitor their pets' health by inputting observed symptoms. To develop such a system, we form a disease-symptom database based on several textbooks with veterinarians' guidance and filtering. The system offers likely disease predictions and recommended coping strategies based on fuzzy inference. We evaluated three fuzzy inference algorithms-PFCM-R, FHAL, and MNFL. While PFCM-R achieved high accuracy with clean data, it struggled with noisy inputs. FHAL showed better noise tolerance but lower precision. PFCM-R is a variant of well-known fuzzy unsupervised learner FCM, and FHAL is the hybrid fuzzy inference engine based on Fuzzy Association Memory and a double-layered FCM we developed. To make the system more robust, we propose the multi-layered neuro-fuzzy learner (MNFL) in this paper, which effectively weakens the association strength between the disease and the observed symptoms, less related to the body part on which the abnormal symptoms are observed. In experiments that are designed to examine how the inference system reacts under increasing noisy input from the user, MNFL achieved 98% accuracy even with non-erroneous inputs, demonstrating superior robustness to other inference engines. This system empowers pet owners to detect health issues early, improving the quality of care and fostering more informed interactions with veterinarians, ultimately enhancing the well-being of companion animals.

Ganglion cysts are common soft tissue masses of the hand and wrist, and small size cysts are often hypoechoic. Thus, identifying them from ultrasonography is not an easy problem. In this paper, we propose an automatic segmentation method using two artificial intelligence algorithms in sequence. A density based unsupervised learning algorithm called DBSCAN is performed as a front-end and its result determines the number of clusters used in the Fuzzy C-Means (FCM) clustering algorithm for quantification of ganglion cyst object. In an experiment using 120 images, the proposed method shows a higher extraction rate (89.2%) and lower false positive rate compared with FCM when the ground truth is set as the human expert's decision. Such human-like behavior is more apparent when the size of the ganglion cyst is small that the quality of ultrasonography is often not very high. With this fully automatic segmentation method, the operator subjectivity that is highly dependent on the experience of the ultrasound examiner can be mitigated with high reliability.

Background: Low Back Pain (LBP) is a common disorder involving the muscles and bones and about half of the people experience LBP at some point of their lives. Since the social economic cost and the recurrence rate over the lifetime is very high, the treatment/rehabilitation of chronic LBP is important to physiotherapists, both for clinical and research purposes. Trunk muscles such as the lumbar multifidi is important in spinal functions and intramuscular fat is also important in understanding pain control and rehabilitations. However, the analysis of such muscles and related fat require many human interventions and thus suffers from the operator subjectivity especially when the ultrasonography is used due to its cost-effectiveness and no radioactive risk., Aims: In this paper, we propose a fully automatic computer vision based software to compute the thickness of the lumbar multifidi muscles and to analyze intramuscular fat distribution in that area., Methods: The proposed system applies various image processing algorithms to enhance the intensity contrast of the image and measure the thickness of the target muscle. Intermuscular fat analysis is done by Fuzzy C-Means (FCM) clustering based quantization., Results: In experiment using 50 DICOM format ultrasound images from 50 subjects, the proposed system shows very promising result in computing the thickness of lumbar multifidi., Conclusion: The proposed system have minimal discrepancy(less than 0.2 cm) from human expert for 72% (36 out of 50 cases) of the given data. Also, FCM based intramuscular fat analysis looks better than conventional histogram analysis., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)

Background: Current naked-eye examination of the ultrasound images for inflamed appendix has limitations due to its intrinsic operator subjectivity problem., Objective: In this paper, we propose a fully automatic intelligent method for extracting inflamed appendix from ultrasound images. Accurate and automatic extraction of inflamed appendix from ultrasonography is a major decision making resource of the diagnosis and management of suspected appendicitis., Methods: The proposed method uses Fuzzy C-means learning algorithm in pixel clustering with semi-dynamic control of initializing the number of clusters based on the intensity contrast dispersion of the input image. Thirty percent of the prepared ultrasonography samples are classified into four different groups based on their intensity contrast distribution and then different number of clusters are assigned to the images in accordance with such groups in Fuzzy C-means learning process., Results: In the experiment, the proposed system successfully extracts the target without human intervention in 82 of 85 cases (96.47% accuracy). The proposed method also shows that it can cover the false negative cases occurred previously that used self-organizing map as the learning engine., Conclusion: Such high level reliable correct extraction of inflamed appendix encourages to use the automatic extraction software in the diagnosis procedure of suspected acute appendicitis., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)

Accurate diagnosis of acute appendicitis is a difficult problem in practice especially when the patient is too young or women in pregnancy. In this paper, we propose a fully automatic appendix extractor from ultrasonography by applying a series of image processing algorithms and an unsupervised neural learning algorithm, self-organizing map. From the suggestions of clinical practitioners, we define four shape patterns of appendix and self-organizing map learns those patterns in pixel clustering phase. In the experiment designed to test the performance for those four frequently found shape patterns, our method is successful in 3 types (1 failure out of 45 cases) but leaves a question for one shape pattern (80% correct).

Deep Cervical Flexor (DCF) muscles are important in monitoring and controlling neck pain. While ultrasonographic analysis is useful in this area, it has intrinsic subjectivity problem. In this paper, we propose automatic DCF extractor/analyzer software based on computer vision. One of the major difficulties in developing such an automatic analyzer is to detect important organs and their boundaries under very low brightness contrast environment. Our fuzzy sigma binarization process is one of the answers for that problem. Another difficulty is to compensate information loss that happened during such image processing procedures. Many morphologically motivated image processing algorithms are applied for that purpose. The proposed method is verified as successful in extracting DCFs and measuring thicknesses in experiment using two hundred 800 × 600 DICOM ultrasonography images with 98.5% extraction rate. Also, the thickness of DCFs automatically measured by this software has small difference (less than 0.3 cm) for 89.8% of extracted DCFs.

Ultrasound examination (US) does a key role in the diagnosis and management of the patients with clinically suspected appendicitis which is the most common abdominal surgical emergency. Among the various sonographic findings of appendicitis, outer diameter of the appendix is most important. Therefore, clear delineation of the appendix on US images is essential. In this paper, we propose a new intelligent method to extract appendix automatically from abdominal sonographic images as a basic building block of developing such an intelligent tool for medical practitioners. Knowing that the appendix is located at the lower organ area below the bottom fascia line, we conduct a series of image processing techniques to find the fascia line correctly. And then we apply fuzzy ART learning algorithm to the organ area in order to extract appendix accurately. The experiment verifies that the proposed method is highly accurate (successful in 38 out of 40 cases) in extracting appendix.