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The efficacy of convolutional neural network (CNN)-enhanced electrocardiography (ECG) in detecting hypertrophic cardiomyopathy (HCM) and dilated HCM (dHCM) remains uncertain in real-world applications. This retrospective study analyzed data from 19,170 patients (including 140 HCM or dHCM) in the Shinken Database (2010–2017). We evaluated the sensitivity, positive predictive rate (PPR), and F1 score of CNN-enhanced ECG in a "basic diagnosis" model (total disease label) and a "comprehensive diagnosis" model (including disease subtypes). Using all-lead ECG in the "basic diagnosis" model, we observed a sensitivity of 76%, PPR of 2.9%, and F1 score of 0.056. These metrics improved in cases with a diagnostic probability of ≥ 0.9 and left ventricular hypertrophy (LVH) on ECG: 100% sensitivity, 8.6% PPR, and 0.158 F1 score. The "comprehensive diagnosis" model further enhanced these figures to 100%, 13.0%, and 0.230, respectively. Performance was broadly consistent across CNN models using different lead configurations, particularly when including leads viewing the lateral walls. While the precision of CNN models in detecting HCM or dHCM in real-world settings is initially low, it improves by targeting specific patient groups and integrating disease subtype models. The use of ECGs with fewer leads, especially those involving the lateral walls, appears comparably effective. [ABSTRACT FROM AUTHOR]

Objectives The high incidence of prostate cancer causes prostatic samples to significantly affect pathology laboratories workflow and turnaround times (TATs). Whole-slide imaging (WSI) and artificial intelligence (AI) have both gained approval for primary diagnosis in prostate pathology, providing physicians with novel tools for their daily routine. Methods A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was carried out in electronic databases to gather the available evidence on the application of AI-based algorithms to prostate cancer. Results Of 6290 articles, 80 were included, mostly (59%) dealing with biopsy specimens. Glass slides were digitized to WSI in most studies (89%), roughly two-thirds of which (66%) exploited convolutional neural networks for computational analysis. The algorithms achieved good to excellent results about cancer detection and grading, along with significantly reduced TATs. Furthermore, several studies showed a relevant correlation between AI-identified histologic features and prognostic predictive variables such as biochemical recurrence, extraprostatic extension, perineural invasion, and disease-free survival. Conclusions The published evidence suggests that AI can be reliably used for prostate cancer detection and grading, assisting pathologists in the time-consuming screening of slides. Further technologic improvement would help widening AI's adoption in prostate pathology, as well as expanding its prognostic predictive potential. [ABSTRACT FROM AUTHOR]

Background Purpose Methods Results Conclusion In radiotherapy, the delineation of the gross tumor volume (GTV) in brain metastases using computed tomography (CT) simulation localization is very important. However, despite the criticality of this process, a pronounced gap exists in the availability of tools tailored for the automatic segmentation of the GTV based on CT simulation localization images.This study aims to fill this gap by devising an effective tool specifically for the automatic segmentation of the GTV using CT simulation localization images.A dual‐network generative adversarial network (GAN) architecture was developed, wherein the generator focused on refining CT images for more precise delineation, and the discriminator differentiated between real and augmented images. This architecture was coupled with the Mask R‐CNN model to achieve meticulous GTV segmentation. An end‐to‐end training process facilitated the integration between the GAN and Mask R‐CNN functionalities. Furthermore, a conditional random field (CRF) was incorporated to refine the initial masks generated by the Mask R‐CNN model to ensure optimal segmentation accuracy. The performance was assessed using key metrics, namely, the Dice coefficient (DSC), intersection over union (IoU), accuracy, specificity, and sensitivity.The GAN+Mask R‐CNN+CRF integration method in this study performs well in GTV segmentation. In particular, the model has an overall average DSC of 0.819 ± 0.102 and an IoU of 0.712 ± 0.111 in the internal validation. The overall average DSC in the external validation data is 0.726 ± 0.128 and the IoU is 0.640 ± 0.136. It demonstrates favorable generalization ability.The integration of the GAN, Mask R‐CNN, and CRF optimization provides a pioneering tool for the sophisticated segmentation of the GTV in brain metastases using CT simulation localization images. The method proposed in this study can provide a robust automatic segmentation approach for brain metastases in the absence of MRI. [ABSTRACT FROM AUTHOR]

Cardiac image synthesis and analysis are pivotal in modern healthcare for accurate diagnosis and treatment of cardiovascular conditions. This study introduces a pioneering approach—hybrid GAN with semantic resonance—for the generation and analysis of synthetic cardiac images. Drawing from a diverse dataset encompassing local and global views, acquired through various modalities like MRI, CT, and echocardiography, the critical need for both accuracy and clinical relevance in cardiac image synthesis is addressed. In the architectural setup, a hybrid GAN is defined, comprising both local and global components. The local generator excels in capturing intricate details, while the global generator contextualizes the overall cardiac structure. A fundamental innovation lies in the incorporation of pre-trained CNN classifiers specialized in recognizing cardiac pathologies, anatomical structures, and clinical features. These classifiers provide conditional guidance to the generators, ensuring that the synthesized images align semantically with clinical expectations. The training phase employs a pioneering approach, integrating real-time feedback from the classifiers to steer the image synthesis process. The generators, discriminators, and classifiers are optimized, with a dual emphasis on adversarial loss for authenticity and classification loss for diagnostic significance. The accuracy obtained by the proposed approach is 98.96%. Further, the SSIM and PSNR values attained by the proposed approach are 0.955 and 45.23, which is higher than the existing approaches like GAN, CNN, VAE, DenseNet, VGG19, DeepCardiac, Pix2Pix GAN and Cycle-GAN, respectively. Validation on an independent test dataset underscores the generalization capabilities of the proposed hybrid GAN. Furthermore, post-processing techniques refine the generated images, elevating their clinical relevance. Results visualization presents the prowess of the proposed approach, providing a holistic view of local and global perspectives within synthetic images. [ABSTRACT FROM AUTHOR]

The proliferation of invasive plant species poses a significant ecological threat, necessitating effective mapping strategies for control and conservation efforts. Existing studies employing unmanned aerial vehicles (UAVs) and multispectral (MS) sensors in complex natural environments have predominantly relied on classical machine learning (ML) models for mapping plant species in natural environments. However, a critical gap exists in the literature regarding the use of deep learning (DL) techniques that integrate MS data and vegetation indices (VIs) with different feature extraction techniques to map invasive species in complex natural environments. This research addresses this gap by focusing on mapping the distribution of the Broad-leaved pepper (BLP) along the coastal strip in the Sunshine Coast region of Southern Queensland in Australia. The methodology employs a dual approach, utilising classical ML models including Random Forest (RF), eXtreme Gradient Boosting (XGBoost), and Support Vector Machine (SVM) in conjunction with the U-Net DL model. This comparative analysis allows for an in-depth evaluation of the performance and effectiveness of both classical ML and advanced DL techniques in mapping the distribution of BLP along the coastal strip. Results indicate that the DL U-Net model outperforms classical ML models, achieving a precision of 83%, recall of 81%, and F1–score of 82% for BLP classification during training and validation. The DL U-Net model attains a precision of 86%, recall of 76%, and F1–score of 81% for BLP classification, along with an Intersection over Union (IoU) of 68% on the separate test dataset not used for training. These findings contribute valuable insights to environmental conservation efforts, emphasising the significance of integrating MS data with DL techniques for the accurate mapping of invasive plant species. [ABSTRACT FROM AUTHOR]

Objectives: Existing endoscopic scores for ulcerative colitis (UC) objectively categorize disease severity based on the presence or absence of endoscopic findings; therefore, it may not reflect the range of clinical severity within each category. However, inflammatory bowel disease (IBD) expert endoscopists categorize the severity and diagnose the overall impression of the degree of inflammation. This study aimed to develop an artificial intelligence (AI) system that can accurately represent the assessment of the endoscopic severity of UC by IBD expert endoscopists. Methods: A ranking‐convolutional neural network (ranking‐CNN) was trained using comparative information on the UC severity of 13,826 pairs of endoscopic images created by IBD expert endoscopists. Using the trained ranking‐CNN, the UC Endoscopic Gradation Scale (UCEGS) was used to express severity. Correlation coefficients were calculated to ensure that there were no inconsistencies in assessments of severity made using UCEGS diagnosed by the AI and the Mayo Endoscopic Subscore, and the correlation coefficients of the mean for test images assessed using UCEGS by four IBD expert endoscopists and the AI. Results: Spearman's correlation coefficient between the UCEGS diagnosed by AI and Mayo Endoscopic Subscore was approximately 0.89. The correlation coefficients between IBD expert endoscopists and the AI of the evaluation results were all higher than 0.95 (P < 0.01). Conclusions: The AI developed here can diagnose UC severity endoscopically similar to IBD expert endoscopists. [ABSTRACT FROM AUTHOR]

Background: Intraoperative cholangiography (IOC) is a contrast-enhanced X-ray acquired during laparoscopic cholecystectomy. IOC images the biliary tree whereby filling defects, anatomical anomalies and duct injuries can be identified. In Australia, IOC are performed in over 81% of cholecystectomies compared with 20 to 30% internationally (Welfare AIoHa in Australian Atlas of Healthcare Variation, 2017). In this study, we aim to train artificial intelligence (AI) algorithms to interpret anatomy and recognise abnormalities in IOC images. This has potential utility in (a) intraoperative safety mechanisms to limit the risk of missed ductal injury or stone, (b) surgical training and coaching, and (c) auditing of cholangiogram quality. Methodology: Semantic segmentation masks were applied to a dataset of 1000 cholangiograms with 10 classes. Classes corresponded to anatomy, filling defects and the cholangiogram catheter instrument. Segmentation masks were applied by a surgical trainee and reviewed by a radiologist. Two convolutional neural networks (CNNs), DeeplabV3+ and U-Net, were trained and validated using 900 (90%) labelled frames. Testing was conducted on 100 (10%) hold-out frames. CNN generated segmentation class masks were compared with ground truth segmentation masks to evaluate performance according to a pixel-wise comparison. Results: The trained CNNs recognised all classes.. U-Net and DeeplabV3+ achieved a mean F1 of 0.64 and 0.70 respectively in class segmentation, excluding the background class. The presence of individual classes was correctly recognised in over 80% of cases. Given the limited local dataset, these results provide proof of concept in the development of an accurate and clinically useful tool to aid in the interpretation and quality control of intraoperative cholangiograms. Conclusion: Our results demonstrate that a CNN can be trained to identify anatomical structures in IOC images. Future performance can be improved with the use of larger, more diverse training datasets. Implementation of this technology may provide cholangiogram quality control and improve intraoperative detection of ductal injuries or ductal injuries. [ABSTRACT FROM AUTHOR]

The increasing use of convolutional neural networks (CNNs) has brought about a significant transformation in numerous fields, such as image categorization and identification. In the development of a CNN model to classify images of sericea lespedeza [SL; Lespedeza cuneata (Dum-Cours) G. Don] from weed images, four architectures were explored: CNN model variant 1, CNN model variant 2, the Visual Geometry Group (VGG16) model, and ResNet50. CNN model variant 1 (batch normalization with adjusted dropout method) demonstrated 100% validation accuracy, while variant 2 (RMSprop optimization with adjusted learning rate) achieved 90.78% validation accuracy. Pre-trained models, like VGG16 and ResNet50, were also analyzed. In contrast, ResNet50's steady learning pattern indicated the potential for better generalization. A detailed evaluation of these models revealed that variant 1 achieved a perfect score in precision, recall, and F1 score, indicating superior optimization and feature utilization. Variant 2 presented a balanced performance, with metrics between 86% and 93%. VGG16 mirrored the behavior of variant 2, both maintaining around 90% accuracy. In contrast, ResNet50's results revealed a conservative approach for class 0 predictions. Overall, variant 1 stood out in performance, while both variant 2 and VGG16 showed balanced results. The reliability of CNN model variant 1 was highlighted by the significant accuracy percentages, suggesting potential for practical implementation in agriculture. In addition to the above, a smartphone application for the identification of SL in a field-based trial showed promising results with an accuracy of 98–99%. The conclusion from the above is that a CNN model with batch normalization has the potential to play a crucial role in the future in redefining and optimizing the management of undesirable vegetation. [ABSTRACT FROM AUTHOR]

A pipeline is critical in conveying water, oil, gas, petrochemicals, and slurry. As the pipeline ages and corrodes, it becomes susceptible to deterioration, resulting in wastage and hazardous damages depending on the material it transports. To mitigate these risks, implementing a suitable monitoring system becomes essential, enabling the early identification of damage and minimizing waste and the potential for hazardous incidents. The pipeline monitoring system can be exterior, visual/biological, and computational. This paper surveys state-of-the-art approaches and also performs experimental analyses with a few methods in signal/data-driven approaches within computational methods. More precisely, signal processing-based leak localization methods, artificial intelligence-based leak detection methods, and combined approaches are given. This paper implements five signal processing-based methods and 17 artificial intelligence-based methods. This implementation helps to compare and understand the significance of appropriate noise removal and feature extraction. The data for this analysis is collected using acousto-optic sensors from an experimental setup. After implementation, the highest observed leak localization accuracy is 99.14% with the wavelet packet adaptive independent component analysis-based generalized cross correlation, and the highest leak detection accuracy is 98.32% with the one-dimensional convolutional neural network. [ABSTRACT FROM AUTHOR]

Pre-trained convolutional neural network (CNN) structures are considered as one of the emerging education management tools that can help improve the quality of education by allowing decision makers to manipulate important indicators. These indicators, which are categorized as student and institution specific factors, may influence student progress, retention or dropout rates. In this paper, we develop a deep learning model of predicting students' satisfactions and their expected outcomes and associated early failures. The model can also predict dropout rates and identify the main baseline risk factors that influence such rates. The academic data of 12,000 students enrolled from 2018 in the Arab Open University student information system are used as CNNs training dataset to ensure that all institution levels are represented. Then, the trained network provides a probabilistic model that indicates, for each student, the probability of dropout. Based on the prediction model, the study presents an early warning system framework to generate alerts and recommendations to allow early and effective institutional intervention. Experiments are achieved by using the proposed dataset and the performance of our approach is considerably better compared to the competitive models in terms of training/validation accuracy and mean square errors. [ABSTRACT FROM AUTHOR]

Using the improved Johnson et al.'s style migration network as a starting point, this paper proposes a new loss function based on the position information Gram matrix. The new method adds the chunked Gram matrix with position information, and simultaneously, the structural similarity between the style map and the resultant image is added to the style training. The style position information is given to the resultant image, and finally, the resolution of the resultant image is improved with the SRGAN. The new model can effectively migrate the texture structure as well as the color space of the style image, while the data of the content image are kept intact. The simulation results reveal that the image processing results of the new model improve those of the classical Johnson et al.'s method, Google Brain team method, and CCPL method, and the SSIM values of the resulting map and style image are all greater than 0.3. As a comparison, the SSIM values of Johnson et al., Google Brain team, and CCPL are 0.14, 0.11, and 0.12, respectively, which is an obvious improvement. Moreover, with deeper training, the new method can improve the similarity of certain resulting images and style images to more than 0.37256. In addition, training other arbitrary content images on the basis of the trained model can quickly yield satisfactory results. [ABSTRACT FROM AUTHOR]

Myelodysplastic syndrome is primarily characterized by dysplasia in the bone marrow (BM), presenting a challenge in consistent morphology interpretation. Accurate diagnosis through traditional slide-based analysis is difficult, necessitating a standardized objective technique. Over the past two decades, imaging flow cytometry (IFC) has proven effective in combining image-based morphometric analyses with high-parameter phenotyping. We have previously demonstrated the effectiveness of combining IFC with a feature-based machine learning algorithm to accurately identify and quantify rare binucleated erythroblasts (BNEs) in dyserythropoietic BM cells. However, a feature-based workflow poses challenges requiring software-specific expertise. Here we employ a Convolutional Neural Network (CNN) algorithm for BNE identification and differentiation from doublets and cells with irregular nuclear morphology in IFC data. We demonstrate that this simplified AI workflow, coupled with a powerful CNN algorithm, achieves comparable BNE quantification accuracy to manual and feature-based analysis with substantial time savings, eliminating workflow complexity. This streamlined approach holds significant clinical value, enhancing IFC accessibility for routine diagnostic purposes. [ABSTRACT FROM AUTHOR]

Background and Objectives: The availability of multiple dental implant systems makes it difficult for the treating dentist to identify and classify the implant in case of inaccessibility or loss of previous records. Artificial intelligence (AI) is reported to have a high success rate in medical image classification and is effectively used in this area. Studies have reported improved implant classification and identification accuracy when AI is used with trained dental professionals. This systematic review aims to analyze various studies discussing the accuracy of AI tools in implant identification and classification. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, and the study was registered with the International Prospective Register of Systematic Reviews (PROSPERO). The focused PICO question for the current study was "What is the accuracy (outcome) of artificial intelligence tools (Intervention) in detecting and/or classifying the type of dental implant (Participant/population) using X-ray images?" Web of Science, Scopus, MEDLINE-PubMed, and Cochrane were searched systematically to collect the relevant published literature. The search strings were based on the formulated PICO question. The article search was conducted in January 2024 using the Boolean operators and truncation. The search was limited to articles published in English in the last 15 years (January 2008 to December 2023). The quality of all the selected articles was critically analyzed using the Quality Assessment and Diagnostic Accuracy Tool (QUADAS-2). Results: Twenty-one articles were selected for qualitative analysis based on predetermined selection criteria. Study characteristics were tabulated in a self-designed table. Out of the 21 studies evaluated, 14 were found to be at risk of bias, with high or unclear risk in one or more domains. The remaining seven studies, however, had a low risk of bias. The overall accuracy of AI models in implant detection and identification ranged from a low of 67% to as high as 98.5%. Most included studies reported mean accuracy levels above 90%. Conclusions: The articles in the present review provide considerable evidence to validate that AI tools have high accuracy in identifying and classifying dental implant systems using 2-dimensional X-ray images. These outcomes are vital for clinical diagnosis and treatment planning by trained dental professionals to enhance patient treatment outcomes. [ABSTRACT FROM AUTHOR]

Background: Imaging is vital for assessing rectal cancer, with endoanal ultrasound (EAUS) being highly accurate in large tertiary medical centers. However, EAUS accuracy drops outside such settings, possibly due to varied examiner experience and fewer examinations. This underscores the need for an AI-based system to enhance accuracy in non-specialized centers. This study aimed to develop and validate deep learning (DL) models to differentiate rectal cancer in standard EAUS images. Methods: A transfer learning approach with fine-tuned DL architectures was employed, utilizing a dataset of 294 images. The performance of DL models was assessed through a tenfold cross-validation. Results: The DL diagnostics model exhibited a sensitivity and accuracy of 0.78 each. In the identification phase, the automatic diagnostic platform achieved an area under the curve performance of 0.85 for diagnosing rectal cancer. Conclusions: This research demonstrates the potential of DL models in enhancing rectal cancer detection during EAUS, especially in settings with lower examiner experience. The achieved sensitivity and accuracy suggest the viability of incorporating AI support for improved diagnostic outcomes in non-specialized medical centers. [ABSTRACT FROM AUTHOR]

The increasing availability of hydrological and physiographic spatiotemporal data has boosted machine learning's role in rapid flood mapping. Yet, data scarcity, especially high-resolution DEMs, challenges regions with limited access. This paper examines how DEM type and resolution affect flood prediction accuracy, utilizing a cutting-edge deep learning (DL) method called 1D convolutional neural network (CNN). It utilizes synthetic hydrographs as training input and water depth data obtained from LISFLOOD-FP, a 2D hydrodynamic model, as target data. This study investigates digital surface models (DSMs) and digital terrain models (DTMs) derived from a 1 m LIDAR-based DTM, with resolutions from 15 to 30 m. The methodology is applied and assessed in a established benchmark, city of Carlisle, UK. The models' performance is then evaluated and compared against an observed flood event using RMSE, Bias, and Fit indices. Leveraging the insights gained from this region, the paper discusses the applicability of the methodology to address the challenges encountered in a data-scarce flood-prone region, exemplified by Pakistan. Results indicated that utilizing a 30 m DTM outperformed a 30 m DSM in terms of flood depth prediction accuracy by about 21% during the flood peak stage, highlighting the superior performance of DTM at lower resolutions. Increasing the resolution of DTM to 15 m resulted in a minimum 50% increase in RMSE and a 20% increase in fit index across all flood stages. The findings emphasize that while a coarser resolution DEM may impact the accuracy of machine learning models, it remains a viable option for rapid flood prediction. However, even a slight improvement in data resolution in data-scarce regions would provide significant added value, ultimately enhancing flood risk management. [ABSTRACT FROM AUTHOR]

With the development of artificial intelligence, deep-learning-based log anomaly detection proves to be an important research topic. In this paper, we propose LogCSS, a novel log anomaly detection framework based on the Context-Semantics-Statistics Convolutional Neural Network (CSSCNN). It is the first model that uses BERT (Bidirectional Encoder Representation from Transformers) and CNN (Convolutional Neural Network) to extract the semantic, temporal, and correlational features of the logs. We combine the features with the statistic information of log templates for the classification model to improve the accuracy. We also propose a technique, DOOT (Deals with the Out-Of-Templates), for online template matching. The experimental research shows that our framework improves the average F1 score of the six best algorithms in the industry by more than 5% on the open-source dataset HDFS, and improves the average F1 score of the six best algorithms in the industry by more than 8% on the BGL dataset, LogCSS also performs better than other similar methods on our own constructed dataset. [ABSTRACT FROM AUTHOR]

Smart farming, also known as precision agriculture or digital farming, is an innovative approach to agriculture that utilizes advanced technologies and data-driven techniques to optimize various aspects of farming operations. One smart farming activity, fruit classification, has broad applications and impacts across agriculture, food production, health, research, and environmental conservation. Accurate and reliable fruit classification benefits various stakeholders, from farmers and food producers to consumers and conservationists. In this study, we conduct a comprehensive comparative analysis to assess the performance of a Convolutional Neural Network (CNN) model in conjunction with four transfer learning models: VGG16, ResNet50, MobileNet-V2, and EfficientNet-B0. Models are trained once on a benchmark dataset called Fruits360 and another time on a reduced version of it to study the effect of data size and image processing on fruit classification performance. The original dataset reported accuracy scores of 95%, 93%, 99.8%, 65%, and 92.6% for these models, respectively. While accuracy increased when trained on the reduced dataset for three of the employed models. This study provides valuable insights into the performance of various deep learning models and dataset versions, offering guidance on model selection and data preprocessing strategies for image classification tasks. [ABSTRACT FROM AUTHOR]

Objectives: Although several studies have shown the usefulness of artificial intelligence to identify abnormalities in small‐bowel capsule endoscopy (SBCE) images, few studies have proven its actual clinical usefulness. Thus, the aim of this study was to examine whether meaningful findings could be obtained when negative SBCE videos were reanalyzed with a deep convolutional neural network (CNN) model. Methods: Clinical data of patients who received SBCE for suspected small‐bowel bleeding at two academic hospitals between February 2018 and July 2020 were retrospectively collected. All SBCE videos read as negative were reanalyzed with the CNN algorithm developed in our previous study. Meaningful findings such as angioectasias and ulcers were finally decided after reviewing CNN‐selected images by two gastroenterologists. Results: Among 202 SBCE videos, 103 (51.0%) were read as negative by humans. Meaningful findings were detected in 63 (61.2%) of these 103 videos after reanalyzing them with the CNN model. There were 79 red spots or angioectasias in 40 videos and 66 erosions or ulcers in 35 videos. After reanalysis, the diagnosis was changed for 10 (10.3%) patients who had initially negative SBCE results. During a mean follow‐up of 16.5 months, rebleeding occurred in 19 (18.4%) patients. The rebleeding rate was 23.6% (13/55) for patients with meaningful findings and 16.1% (5/31) for patients without meaningful findings (P = 0.411). Conclusion: Our CNN algorithm detected meaningful findings in negative SBCE videos that were missed by humans. The use of deep CNN for SBCE image reading is expected to compensate for human error. [ABSTRACT FROM AUTHOR]

Purpose: To develop and validate a deep learning model for distinguishing healthy vocal folds (HVF) and vocal fold polyps (VFP) on laryngoscopy videos, while demonstrating the ability of a previously developed informative frame classifier in facilitating deep learning development. Methods: Following retrospective extraction of image frames from 52 HVF and 77 unilateral VFP videos, two researchers manually labeled each frame as informative or uninformative. A previously developed informative frame classifier was used to extract informative frames from the same video set. Both sets of videos were independently divided into training (60%), validation (20%), and test (20%) by patient. Machine-labeled frames were independently verified by two researchers to assess the precision of the informative frame classifier. Two models, pre-trained on ResNet18, were trained to classify frames as containing HVF or VFP. The accuracy of the polyp classifier trained on machine-labeled frames was compared to that of the classifier trained on human-labeled frames. The performance was measured by accuracy and area under the receiver operating characteristic curve (AUROC). Results: When evaluated on a hold-out test set, the polyp classifier trained on machine-labeled frames achieved an accuracy of 85% and AUROC of 0.84, whereas the classifier trained on human-labeled frames achieved an accuracy of 69% and AUROC of 0.66. Conclusion: An accurate deep learning classifier for vocal fold polyp identification was developed and validated with the assistance of a peer-reviewed informative frame classifier for dataset assembly. The classifier trained on machine-labeled frames demonstrates improved performance compared to the classifier trained on human-labeled frames. Level of evidence: 4. [ABSTRACT FROM AUTHOR]

Atrial fibrillation (AF) is the most common arrhythmia and may easily lead to various complications. Therefore, precision medical methods are needed to identify and enhance AF detection to achieve early diagnosis and treatment. Artificial intelligence-based wearable devices are of great value for the screening and management of AF patients. This article reviews the relevant literature on recent applications of such devices for AF screening. [ABSTRACT FROM AUTHOR]

Background: The exceptional capabilities of artificial intelligence (AI) in extracting image information and processing complex models have led to its recognition across various medical fields. With the continuous evolution of AI technologies based on deep learning, particularly the advent of convolutional neural networks (CNNs), AI presents an expanded horizon of applications in lung cancer screening, including lung segmentation, nodule detection, false‐positive reduction, nodule classification, and prognosis. Methodology: This review initially analyzes the current status of AI technologies. It then explores the applications of AI in lung cancer screening, including lung segmentation, nodule detection, and classification, and assesses the potential of AI in enhancing the sensitivity of nodule detection and reducing false‐positive rates. Finally, it addresses the challenges and future directions of AI in lung cancer screening. Results: AI holds substantial prospects in lung cancer screening. It demonstrates significant potential in improving nodule detection sensitivity, reducing false‐positive rates, and classifying nodules, while also showing value in predicting nodule growth and pathological/genetic typing. Conclusions: AI offers a promising supportive approach to lung cancer screening, presenting considerable potential in enhancing nodule detection sensitivity, reducing false‐positive rates, and classifying nodules. However, the universality and interpretability of AI results need further enhancement. Future research should focus on the large‐scale validation of new deep learning‐based algorithms and multi‐center studies to improve the efficacy of AI in lung cancer screening. [ABSTRACT FROM AUTHOR]

Simple Summary: Early detection of malignant melanoma (MM) has the potential to significantly reduce morbidity and mortality as the thickness of the lesion is closely associated with prognosis. Artificial intelligence (AI) is a non-invasive technology that has the potential to aid clinicians in the early diagnosis of skin cancers, including melanoma. Performance metrics of machine-based AI have been shown to rival or improve upon clinician diagnosis. However, many studies have limited this scope to pre-build image databases that may not replicate real-world settings experienced in general practice. This systematic review aimed to report the performance of commercial or market-approved dermatoscopic systems with AI in the form of convolutional neural networks (CNNs) when tasked with classifying melanoma. The sensitivity and specificity of CNNs are highly varied and illustrate the necessity of clinician-to-patient interaction in the diagnosis process. Clinicians working in unison with AI show the most promise for better performance when classifying MM. Background: Cutaneous melanoma remains an increasing global public health burden, particularly in fair-skinned populations. Advancing technologies, particularly artificial intelligence (AI), may provide an additional tool for clinicians to help detect malignancies with a more accurate success rate. This systematic review aimed to report the performance metrics of commercially available convolutional neural networks (CNNs) tasked with detecting MM. Methods: A systematic literature search was performed using CINAHL, Medline, Scopus, ScienceDirect and Web of Science databases. Results: A total of 16 articles reporting MM were included in this review. The combined number of melanomas detected was 1160, and non-melanoma lesions were 33,010. The performance of market-approved technology and clinician performance for classifying melanoma was highly heterogeneous, with sensitivity ranging from 16.4 to 100.0%, specificity between 40.0 and 98.3% and accuracy between 44.0 and 92.0%. Less heterogeneity was observed when clinicians worked in unison with AI, with sensitivity ranging between 83.3 and 100.0%, specificity between 83.7 and 87.3%, and accuracy between 86.4 and 86.9%. Conclusion: Instead of focusing on the performance of AI versus clinicians for classifying melanoma, more consistent performance has been obtained when clinicians' work is supported by AI, facilitating management decisions and improving health outcomes. [ABSTRACT FROM AUTHOR]

Monitoring body condition score (BCS) is a useful management tool to estimate the energy reserves of an individual cow or a group of cows. The aim of this study was to develop and evaluate the performance of a fully automated 2-dimensional imaging system using a machine learning algorithm to generate real-time BCS for dairy cows. Two separate datasets were used for training and testing. The training dataset included 34,150 manual BCS (MAN_BCS) assigned by 5 experienced veterinarians during 35 visits at 7 dairy farms. Ordinal regression methods and deep learning architecture were used when developing the algorithm. Subsequently, the testing dataset was used to evaluate the developed BCS prediction algorithm on 4 of the participating farms. An experienced human assessor (HA1) visited these farms and performed 8 whole-milking-herd BCS sessions. Each farm was visited twice, allowing for 30 d (±2 d) to pass between visits. The MAN_BCS assigned by HA1 were considered the ground truth data. At the end of the validation study, MAN_BCS were merged with the stored automated BCS (AI_BCS), resulting in a testing dataset of 9,657 single BCS. A total of 3,817 cows in the testing dataset were scored twice 30 d (±2 d) apart, and the change in their BCS (ΔBCS) was calculated. A subset of cows at one farm were scored twice on consecutive days to evaluate the within-observer agreement of both the human assessor and the system. The manual BCS of 2 more assessors (HA2 and HA3) were used to assess the interobserver agreement between humans. Finally, we also collected ultrasound measurements of backfat thickness (BFT) from 111 randomly selected cows with available MAN_BCS and AI_BCS. Using the testing dataset, intra- and interobserver agreement for single BCS and ΔBCS were estimated by calculating the simple percentage agreement (PA) at 3 error levels and the weighted kappa (κ w) for the exact agreement. A Bland-Altman plot was constructed to visualize the systematic and proportional bias. The association between MAN_BCS and AI_BCS and the BFT was assessed with Passing-Bablok regressions. The system had an almost perfect repeatability with a κ w of 0.99. The agreement between MAN_BCS and AI_BCS was substantial, with an overall κ w of 0.69. The overall PA at the exact, ± 0.25-unit, and ± 0.50-unit BCS error range between MAN_BCS and AI_BCS was 44.4%, 84.6%, and 94.8%, respectively, and greater than the PA obtained between HA1 and HA3. The Bland-Altman plot revealed a minimal systematic bias of −0.09 with a proportional bias at the extreme scores. Furthermore, despite the low κ w of 0.20, the overall PA at the exact and ± 0.25-unit of BCS error range between MAN_BCS and AI_BCS regarding the ΔBCS was 45.7 and 88.2%, respectively. A strong linear relationship was observed between BFT and AI_BCS (ρ = 0.75), although weaker than that between BFT and MAN_BCS (ρ = 0.91). The system was able to predict single BCS and ΔBCS with satisfactory accuracy, comparable to that obtained between trained human scorers. [ABSTRACT FROM AUTHOR]

The purpose of this study is to deeply understand the psychological state of boxers before the competition, and explore an efficient boxing action classification and recognition model supported by artificial intelligence (AI) technology through these psychological characteristics. Firstly, this study systematically measures the key psychological dimensions of boxers, such as anxiety level, self-confidence, team identity, and opponent attitude, through psychological scale survey to obtain detailed psychological data. Then, based on these data, this study innovatively constructs a boxing action classification and recognition model based on BERT fusion 3D-ResNet, which not only comprehensively considers psychological information, but also carefully considers action characteristics to improve the classification accuracy of boxing actions. The performance evaluation shows that the model proposed in this study is significantly superior to the traditional model in terms of loss value, accuracy and F1 value, and the accuracy reaches 96.86%. Therefore, through the comprehensive application of psychology and deep learning, this study successfully constructs a boxing action classification and recognition model that can fully understand the psychological state of boxers, which provides strong support for the psychological training and action classification of boxers. [ABSTRACT FROM AUTHOR]

The use of computers to read musical scores is referred to as optical music recognition (OMR). The recent advancements in artificial intelligence and big data have led to the development of deep learning approaches for recognizing musical notes. Previous research has shown that there is a lot of room for improvement in handwritten musical notation recognition systems due to differences in writing styles and the complex structure of musical symbols. The research described here aims to develop a deep learning-based system for recognizing handwritten musical notation. The system uses a convolutional neural network (CNN) to extract and learn pixel features of musical symbols and achieve a recognition accuracy of over 90%. The CNN model was trained using image samples from the HOMUS dataset and fine-tuned to minimize the loss function and reduce classification errors. The CNN model achieved an accuracy of 96.95% on the test samples, which is a significant improvement over the 86.0% accuracy from previous studies. The performance of the CNN model was also compared to five state-of-the-art deep learning methods, namely, quantum gray Wolf optimization (QGWO) algorithm, nonfully connected network (NFC-Net) classifier, nearest neighbor classifier, data augmentation and ensemble learning, and the CNN model outperformed four of them. However, the CNN model occasionally misclassified musical symbols with similar shapes, indicating that there is still room for improvement in the system's performance. Future research could focus on improving the model's performance on similar-shaped symbols. Overall, the research demonstrates the effectiveness of using a CNN model for handwritten musical notation recognition and highlights the potential of deep learning approaches in this area. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to compare assessments by radiologists, artificial intelligence (AI), and quantitative measurement using synthetic MRI (SyMRI) for differential diagnosis between astrocytoma, IDH-mutant and oligodendroglioma, and IDH-mutant and 1p/19q-codeleted and to identify the superior method. Methods: Thirty-three cases (men, 14; women, 19) comprising 19 astrocytomas and 14 oligodendrogliomas were evaluated. Four radiologists independently evaluated the presence of the T2-FLAIR mismatch sign. A 3D convolutional neural network (CNN) model was trained using 50 patients outside the test group (28 astrocytomas and 22 oligodendrogliomas) and transferred to evaluate the T2-FLAIR mismatch lesions in the test group. If the CNN labeled more than 50% of the T2-prolonged lesion area, the result was considered positive. The T1/T2-relaxation times and proton density (PD) derived from SyMRI were measured in both gliomas. Each quantitative parameter (T1, T2, and PD) was compared between gliomas using the Mann–Whitney U-test. Receiver-operating characteristic analysis was used to evaluate the diagnostic performance. Results: The mean sensitivity, specificity, and area under the curve (AUC) of radiologists vs. AI were 76.3% vs. 94.7%; 100% vs. 92.9%; and 0.880 vs. 0.938, respectively. The two types of diffuse gliomas could be differentiated using a cutoff value of 2290/128 ms for a combined 90th percentile of T1 and 10th percentile of T2 relaxation times with 94.4/100% sensitivity/specificity with an AUC of 0.981. Conclusion: Compared to the radiologists' assessment using the T2-FLAIR mismatch sign, the AI and the SyMRI assessments increased both sensitivity and objectivity, resulting in improved diagnostic performance in differentiating gliomas. [ABSTRACT FROM AUTHOR]

The digital age has brought tremendous opportunities for innovation and efficiency. However, it has also exposed businesses, governments, and individuals to a range of cyber threats, such as data breaches, network attacks, ransomware, malicious insiders, and identity theft. This requires the implementation of robust cybersecurity measures to safeguard sensitive information and ensure the uninterrupted operation of all critical IT systems. This paper aims to provide a facial recognition security system for cyber-physical security that incorporates a neural network and intelligent algorithms to assess the severity level of security breaches. The system also includes alarms with severity levels ranging from 1 (low severity) to 4 (critical), based on facial recognition and data from carbon dioxide and temperature sensors. In the event of a security breach, an incident response plan is presented. The proposed system is applicable to offices, workspaces, server rooms, data centers and other areas where information is stored, to enhance physical security and protect against cybersecurity threats. [ABSTRACT FROM AUTHOR]

In view of the inevitable error problems caused by peak extraction, calibration curve fitting and other essential operations in the traditional data processing of chromatic confocal microscopy (CCM), a regression model based on convolutional neural network (CNN) is proposed so that the above necessary operations are no longer required. This CNN-based regression model draws on the core concepts of the AlexNet model and has been moderately customized and optimized to make it more suitable for CCM application scenarios. The proposed method has been v alidated using a completely homemade CCM apparatus The experimental results showed that the CNN-based method is feasible for the CCM measurement and exhibits better stability and higher axial resolution than traditional methods, indicating that deep learning has good application value in the data processing of CCM. • A new chromatic confocal sensing method based on artificial intelligence is proposed. A model based on the deep convolutional neural network (CNN) has been established. • With the new method, traditional data processing methods, i.e., the peak extraction algorithm and the calibration procedure, required in chromatic confocal microscopy are no longer needed. • An experimental prototype has been built, and detailed experimental tests for resolution, accuracy, and 3D topography were carried out. • The measurement results proved that the CNN-based model can improve the axial resolution and measurement precision. [ABSTRACT FROM AUTHOR]

Background and Aim: Discrimination of gastrointestinal tuberculosis (GITB) and Crohn's disease (CD) is difficult. Use of artificial intelligence (AI)‐based technologies may help in discriminating these two entities. Methods: We conducted a systematic review on the use of AI for discrimination of GITB and CD. Electronic databases (PubMed and Embase) were searched on June 6, 2022, to identify relevant studies. We included any study reporting the use of clinical, endoscopic, and radiological information (textual or images) to discriminate GITB and CD using any AI technique. Quality of studies was assessed with MI‐CLAIM checklist. Results: Out of 27 identified results, a total of 9 studies were included. All studies used retrospective databases. There were five studies of only endoscopy‐based AI, one of radiology‐based AI, and three of multiparameter‐based AI. The AI models performed fairly well with high accuracy ranging from 69.6–100%. Text‐based convolutional neural network was used in three studies and Classification and regression tree analysis used in two studies. Interestingly, irrespective of the AI method used, the performance of discriminating GITB and CD did not match in discriminating from other diseases (in studies where a third disease was also considered). Conclusion: The use of AI in differentiating GITB and CD seem to have acceptable accuracy but there were no direct comparisons with traditional multiparameter models. The use of multiple parameter‐based AI models have the potential for further exploration in search of an ideal tool and improve on the accuracy of traditional models. [ABSTRACT FROM AUTHOR]

Computer vision (CV) technologies have been applied extensively in turbid water assessment. However, the accuracies of CV to detect turbidity is limited by several factors such as inferior image quality and adoptation of traditional machine learning (MsL). Several past studies have shown that the accuracy of CV to detect turbidity can be enhanced by employing image pre-processing and artificial intelligence (AI). Therefore, this study proposes a combined CV and convolution neural network (CNN) approach for turbid water classification in accordance with national water quality standards. A total of 71 turbid water samples in the range of 0–100 nephelometry turbidity units (NTU) were prepared from a mixture of 1000 NTU stock Formazine solution and distilled water. Digital images of water samples were acquired with the Asus Zenfone Go smartphone and nephelometry principle. Synthetic minority oversampling technique (SMOTE) was employed for image pre-processing, synthesis, and augmentation. Classification models were developed with Keras CNN architecture and TensorFlow framework. Two national water standards referred to were Malaysia National Water Quality Standard Class I (NWQS-C1) and France Système D'évaluation de la Qualité des cours d'EAU bleu aptitude (SEQ-EAU-b). The proposed CV-CNN approach was successfully implemented with 94.34–98.42% accuracy. The accuracy of CNN was slightly higher when trained with color images (98.42%) than with grayscale images (94.34%). This study demonstrated that CV and CNN are excellent tools for water quality assessment, especially for classifying water turbidity. [ABSTRACT FROM AUTHOR]

Pathology is the gold standard for diagnosis of neoplastic diseases. Whole slide imaging turns traditional slides into digital images, and artificial intelligence has shown great potential in pathological image analysis, especially deep learning models. The application of artificial intelligence in whole slide imaging of lung cancer involves many aspects such as histopathological classification, tumor microenvironment analysis, efficacy and survival prediction, etc., which is expected to assist clinical decision-making of accurate treatment. Limitations in this field include the lack of precisely annotated data and slide quality varying among institutions. Here we summarized recent research in lung cancer pathology image analysis leveraging artificial intelligence and proposed several future directions. [ABSTRACT FROM AUTHOR]

BACKGROUND: In many developing countries, a significant number of breast cancer patients are unable to receive timely treatment due to a large population base, high patient numbers, and limited medical resources. OBJECTIVE: This paper proposes a breast cancer assisted diagnosis system based on electronic medical records. The goal of this system is to address the limitations of existing systems, which primarily rely on structured electronic records and may miss crucial information stored in unstructured records. METHODS: The proposed approach is a breast cancer assisted diagnosis system based on electronic medical records. The system utilizes breast cancer enhanced convolutional neural networks with semantic initialization filters (BC-INIT-CNN). It extracts highly relevant tumor markers from unstructured medical records to aid in breast cancer staging diagnosis and effectively utilizes the important information present in unstructured records. RESULTS: The model's performance is assessed using various evaluation metrics. Such as accuracy, ROC curves, and Precision-Recall curves. Comparative analysis demonstrates that the BC-INIT-CNN model outperforms several existing methods in terms of accuracy and computational efficiency. CONCLUSIONS: The proposed breast cancer assisted diagnosis system based on BC-INIT-CNN showcases the potential to address the challenges faced by developing countries in providing timely treatment to breast cancer patients. By leveraging unstructured medical records and extracting relevant tumor markers, the system enables accurate staging diagnosis and enhances the utilization of valuable information. [ABSTRACT FROM AUTHOR]

The use of computers to read musical scores is referred to as optical music recognition (OMR). The recent advancements in artificial intelligence and big data have led to the development of deep learning approaches for recognizing musical notes. Previous research has shown that there is a lot of room for improvement in handwritten musical notation recognition systems due to differences in writing styles and the complex structure of musical symbols. The research described here aims to develop a deep learning-based system for recognizing handwritten musical notation. The system uses a convolutional neural network (CNN) to extract and learn pixel features of musical symbols and achieve a recognition accuracy of over 90%. The CNN model was trained using image samples from the HOMUS dataset and fine-tuned to minimize the loss function and reduce classification errors. The CNN model achieved an accuracy of 96.95% on the test samples, which is a significant improvement over the 86.0% accuracy from previous studies. The performance of the CNN model was also compared to five state-of-the-art deep learning methods, namely, quantum gray Wolf optimization (QGWO) algorithm, nonfully connected network (NFC-Net) classifier, nearest neighbor classifier, data augmentation and ensemble learning, and the CNN model outperformed four of them. However, the CNN model occasionally misclassified musical symbols with similar shapes, indicating that there is still room for improvement in the system's performance. Future research could focus on improving the model's performance on similar-shaped symbols. Overall, the research demonstrates the effectiveness of using a CNN model for handwritten musical notation recognition and highlights the potential of deep learning approaches in this area. [ABSTRACT FROM AUTHOR]

This paper explores the transformative fusion of Quantum computing, Artificial Intelligence (AI), the Internet of Things (IoT), and advanced optical systems within smart city development. A significant innovation within this study is the concept of "optical IoT," wherein IoT relies on advanced optical technologies, including high-resolution cameras, LiDAR scanners, meters, sensors, and wearables, strategically distributed throughout urban environments for real-time image data acquisition. Traditional smart city models may rely on conventional data acquisition methods that are not real-time or high-resolution, leading to delayed and less accurate urban management decisions. Existing models might use disparate systems for monitoring and management, which can result in inefficient resource allocation and coordination, especially in critical situations like emergency response. In this research Advanced Smart City Architecture (ASCA) this integration empowers the system to excel in tasks such as semantic segmentation, enabling precise identification and categorization of urban elements. Quantum optical systems are employed in quantum-enhanced sensors, such as quantum-enhanced interferometers and atomic clocks. These sensors offer improved precision for measurements like distance, time, and acceleration. The ASCA approach equips city planners, administrators, and emergency responders with real-time urban monitoring and management capabilities. This dynamic system yields numerous advantages, including optimized resource allocation, enhanced traffic management, improved environmental quality, and swift emergency response capabilities. This research underscores the immense potential of ASCA in reshaping urban development and sustainability within smart cities. By harmonizing AI, IoT, and advanced optical systems, this paradigm shift enables smart cities to evolve into more efficient and resilient urban environments. These cities become finely attuned to the ever-evolving needs of their residents, ultimately fostering innovation and progress at an unprecedented scale. Proposed ASCA achieves an impressive 91.98% enhancement in sustainable smart city development when compared to these existing techniques. [ABSTRACT FROM AUTHOR]

Real-time and high-precision land cover classification is the foundation for efficient and quantitative research on grassland degradation using remote sensing techniques. In view of the shortcomings of manual surveying and satellite remote sensing, this study focuses on the identification and classification of grass species indicating grassland degradation. We constructed a UAV-based hyperspectral remote sensing system and collected field data in grassland areas. By applying artificial intelligence technology, we developed a 3D_RNet-O model based on convolutional neural networks, effectively addressing technical challenges in hyperspectral remote sensing identification and classification of grassland degradation indicators, such as low reflectance of vegetation, flat spectral curves, and sparse distribution. The results showed that the model achieved a classification accuracy of 99.05% by optimizing hyperparameter combinations based on improving residual block structures. The establishment of the UAV-based hyperspectral remote sensing system and the proposed 3D_RNet-O classification model provide possibilities for further research on low-altitude hyperspectral remote sensing in grassland ecology. [ABSTRACT FROM AUTHOR]

Vegetation in East Antarctica, such as moss and lichen, vulnerable to the effects of climate change and ozone depletion, requires robust non-invasive methods to monitor its health condition. Despite the increasing use of unmanned aerial vehicles (UAVs) to acquire high-resolution data for vegetation analysis in Antarctic regions through artificial intelligence (AI) techniques, the use of multispectral imagery and deep learning (DL) is quite limited. This study addresses this gap with two pivotal contributions: (1) it underscores the potential of deep learning (DL) in a field with notably limited implementations for these datasets; and (2) it introduces an innovative workflow that compares the performance between two supervised machine learning (ML) classifiers: Extreme Gradient Boosting (XGBoost) and U-Net. The proposed workflow is validated by detecting and mapping moss and lichen using data collected in the highly biodiverse Antarctic Specially Protected Area (ASPA) 135, situated near Casey Station, between January and February 2023. The implemented ML models were trained against five classes: Healthy Moss, Stressed Moss, Moribund Moss, Lichen, and Non-vegetated. In the development of the U-Net model, two methods were applied: Method (1) which utilised the original labelled data as those used for XGBoost; and Method (2) which incorporated XGBoost predictions as additional input to that version of U-Net. Results indicate that XGBoost demonstrated robust performance, exceeding 85% in key metrics such as precision, recall, and F1-score. The workflow suggested enhanced accuracy in the classification outputs for U-Net, as Method 2 demonstrated a substantial increase in precision, recall and F1-score compared to Method 1, with notable improvements such as precision for Healthy Moss (Method 2: 94% vs. Method 1: 74%) and recall for Stressed Moss (Method 2: 86% vs. Method 1: 69%). These findings contribute to advancing non-invasive monitoring techniques for the delicate Antarctic ecosystems, showcasing the potential of UAVs, high-resolution multispectral imagery, and ML models in remote sensing applications. [ABSTRACT FROM AUTHOR]

Alzheimer's disease (AD) is a debilitating neurodegenerative disorder that requires accurate diagnosis for effective management and treatment. In this article, we propose an architecture for a convolutional neural network (CNN) that utilizes magnetic resonance imaging (MRI) data from the Alzheimer's disease Neuroimaging Initiative (ADNI) dataset to categorize AD. The network employs two separate CNN models, each with distinct filter sizes and pooling layers, which are concatenated in a classification layer. The multi-class problem is addressed across three, four, and five categories. The proposed CNN architecture achieves exceptional accuracies of 99.43%, 99.57%, and 99.13%, respectively. These high accuracies demonstrate the efficacy of the network in capturing and discerning relevant features from MRI images, enabling precise classification of AD subtypes and stages. The network architecture leverages the hierarchical nature of convolutional layers, pooling layers, and fully connected layers to extract both local and global patterns from the data, facilitating accurate discrimination between different AD categories. Accurate classification of AD carries significant clinical implications, including early detection, personalized treatment planning, disease monitoring, and prognostic assessment. The reported accuracy underscores the potential of the proposed CNN architecture to assist medical professionals and researchers in making precise and informed judgments regarding AD patients. [ABSTRACT FROM AUTHOR]

The role of capsule endoscopy and enteroscopy in managing various small-bowel pathologies is well-established. However, their broader application has been hampered mainly by their lengthy reading times. As a result, there is a growing interest in employing artificial intelligence (AI) in these diagnostic and therapeutic procedures, driven by the prospect of overcoming some major limitations and enhancing healthcare efficiency, while maintaining high accuracy levels. In the past two decades, the applicability of AI to gastroenterology has been increasing, mainly because of the strong imaging component. Nowadays, there are a multitude of studies using AI, specifically using convolutional neural networks, that prove the potential applications of AI to these endoscopic techniques, achieving remarkable results. These findings suggest that there is ample opportunity for AI to expand its presence in the management of gastroenterology diseases and, in the future, catalyze a game-changing transformation in clinical activities. This review provides an overview of the current state-of-the-art of AI in the scope of small-bowel study, with a particular focus on capsule endoscopy and enteroscopy. [ABSTRACT FROM AUTHOR]

Exposing a healthy wound bed for skin grafting is an important step during burn surgery to ensure graft take and maintain good functional outcomes. Currently, the removal of non-viable tissue in the burn wound bed during excision is determined by expert clinician judgment. Using a porcine model of tangential burn excision, we investigated the effectiveness of an intraoperative multispectral imaging device combined with artificial intelligence to aid clinician judgment for the excision of non-viable tissue. Multispectral imaging data was obtained from serial tangential excisions of thermal burn injuries and used to train a deep learning algorithm to identify the presence and location of non-viable tissue in the wound bed. Following algorithm development, we studied the ability of two surgeons to estimate wound bed viability, both unaided and aided by the imaging device. The deep learning algorithm was 87% accurate in identifying the viability of a burn wound bed. When paired with the surgeons, this device significantly improved their abilities to determine the viability of the wound bed by 25% (p = 0.03). Each time a surgeon changed their decision after seeing the AI model output, it was always a change from an incorrect decision to excise more tissue to a correct decision to stop excision. This study provides insight into the feasibility of image-guided burn excision, its effect on surgeon decision making, and suggests further investigation of a real-time imaging system for burn surgery could reduce over-excision of burn wounds. • Study demonstrates usefulness of an imaging device in providing surgical guidance to aid clinicians in burn excision. • Multispectral imaging and artificial intelligence correctly identified the viable and non-viable wound bed. • Multispectral imaging and artificial intelligence helped surgeons stop at the correct depth during burn excision surgery. • Multispectral imaging and artificial intelligence could eventually provide reliable guidance during burn surgery. [ABSTRACT FROM AUTHOR]

Simple Summary: This systematic review demonstrated that artificial intelligence (AI) can help detect metastatic prostate cancer with or without lymph node involvement on prostate-specific membrane antigen (PSMA) PET scans with high accuracy. Additional benefits of AI include the ability to estimate the volume of metastatic cancer, prognosticate, and differentiate bony metastasis from post-radiotherapy bone changes. AI can also improve workflow by helping to standardize reporting and automate time-consuming tasks. However, given the variable sensitivity and positive predictive value of AI, it is recommended that an experienced nuclear medicine physician proofread the final report. Larger studies producing more consistent results are needed before AI can be fully integrated into PSMA reporting. Early detection of metastatic prostate cancer (mPCa) is crucial. Whilst the prostate-specific membrane antigen (PSMA) PET scan has high diagnostic accuracy, it suffers from inter-reader variability, and the time-consuming reporting process. This systematic review was registered on PROSPERO (ID CRD42023456044) and aims to evaluate AI's ability to enhance reporting, diagnostics, and predictive capabilities for mPCa on PSMA PET scans. Inclusion criteria covered studies using AI to evaluate mPCa on PSMA PET, excluding non-PSMA tracers. A search was conducted on Medline, Embase, and Scopus from inception to July 2023. After screening 249 studies, 11 remained eligible for inclusion. Due to the heterogeneity of studies, meta-analysis was precluded. The prediction model risk of bias assessment tool (PROBAST) indicated a low overall risk of bias in ten studies, though only one incorporated clinical parameters (such as age, and Gleason score). AI demonstrated a high accuracy (98%) in identifying lymph node involvement and metastatic disease, albeit with sensitivity variation (62–97%). Advantages included distinguishing bone lesions, estimating tumour burden, predicting treatment response, and automating tasks accurately. In conclusion, AI showcases promising capabilities in enhancing the diagnostic potential of PSMA PET scans for mPCa, addressing current limitations in efficiency and variability. [ABSTRACT FROM AUTHOR]

The integration of artificial intelligence (AI) with Digital Twins (DTs) has emerged as a promising approach to revolutionize healthcare, particularly in terms of diagnosis and management of thoracic disorders. This study proposes a comprehensive framework, named Lung-DT, which leverages IoT sensors and AI algorithms to establish the digital representation of a patient's respiratory health. Using the YOLOv8 neural network, the Lung-DT system accurately classifies chest X-rays into five distinct categories of lung diseases, including "normal", "covid", "lung_opacity", "pneumonia", and "tuberculosis". The performance of the system was evaluated employing a chest X-ray dataset available in the literature, demonstrating average accuracy of 96.8%, precision of 92%, recall of 97%, and F1-score of 94%. The proposed Lung-DT framework offers several advantages over conventional diagnostic methods. Firstly, it enables real-time monitoring of lung health through continuous data acquisition from IoT sensors, facilitating early diagnosis and intervention. Secondly, the AI-powered classification module provides automated and objective assessments of chest X-rays, reducing dependence on subjective human interpretation. Thirdly, the twin digital representation of the patient's respiratory health allows for comprehensive analysis and correlation of multiple data streams, providing valuable insights as to personalized treatment plans. The integration of IoT sensors, AI algorithms, and DT technology within the Lung-DT system demonstrates a significant step towards improving thoracic healthcare. By enabling continuous monitoring, automated diagnosis, and comprehensive data analysis, the Lung-DT framework has enormous potential to enhance patient outcomes, reduce healthcare costs, and optimize resource allocation. [ABSTRACT FROM AUTHOR]

Summary: This study utilized deep learning to classify osteoporosis and predict bone density using opportunistic CT scans and independently tested the models on data from different hospitals and equipment. Results showed high accuracy and strong correlation with QCT results, showing promise for expanding osteoporosis screening and reducing unnecessary radiation and costs. Purpose: To explore the feasibility of using deep learning to establish a model for osteoporosis classification and bone density value prediction based on opportunistic CT scans and to verify its generalization and diagnostic ability using an independent test set. Methods: A total of 1219 cases of opportunistic CT scans were included in this study, with QCT results as the reference standard. The training set: test set: independent test set ratio was 703: 176: 340, and the independent test set data of 340 cases were from 3 different hospitals and 4 different CT scanners. The VB-Net structure automatic segmentation model was used to segment the trabecular bone, and DenseNet was used to establish a three-classification model and bone density value prediction regression model. The performance parameters of the models were calculated and evaluated. Results: The ROC curves showed that the mean AUCs of the three-category classification model for categorizing cases into "normal," "osteopenia," and "osteoporosis" for the training set, test set, and independent test set were 0.999, 0.970, and 0.933, respectively. The F1 score, accuracy, precision, recall, precision, and specificity of the test set were 0.903, 0.909, 0.899, 0.908, and 0.956, respectively, and those of the independent test set were 0.798, 0.815, 0.792, 0.81, and 0.899, respectively. The MAEs of the bone density prediction regression model in the training set, test set, and independent test set were 3.15, 6.303, and 10.257, respectively, and the RMSEs were 4.127, 8.561, and 13.507, respectively. The R-squared values were 0.991, 0.962, and 0.878, respectively. The Pearson correlation coefficients were 0.996, 0.981, and 0.94, respectively, and the p values were all < 0.001. The predicted values and bone density values were highly positively correlated, and there was a significant linear relationship. Conclusion: Using deep learning neural networks to process opportunistic CT scan images of the body can accurately predict bone density values and perform bone density three-classification diagnosis, which can reduce the radiation risk, economic consumption, and time consumption brought by specialized bone density measurement, expand the scope of osteoporosis screening, and have broad application prospects. [ABSTRACT FROM AUTHOR]

The emergence of data-driven analytics and intelligent monitoring systems is radically transforming the world of competitive sports. However, robust real-time activity recognition remains elusive for rapid-paced sports like table tennis due to the complexity of strokes and quick maneuvering. This paper tries to overcome this challenge through an innovative cloud-supported system integrating the Internet of Things (IoT), machine learning, and wearable sensors for automated analysis of table tennis gameplay. We strategically set up a multi-camera IoT system around a table tennis court to compile a rich labeled image dataset encapsulating over 15,000 frames. To improve model generalization, the images captured various playing styles, lighting conditions, and camera angles. We developed tailored SVM and CNN architectures optimized for table tennis activity classification. The models were trained on GPU-accelerated platforms using the curated dataset. After hyperparameter tuning and cross-validation, the CNN model achieved 96.2% accuracy, a precision value of 96.3%, a recall value of 95.2%, and an F1-score of 96.3% in classifying standard strokes and serves. Additionally, the models exhibited impressive processing speeds of 22–34 fps, enabling real-time utilization. Our proposed model outperformed the latest models in this field with higher accuracy, recall values, F1-score, and precision. While expanding the dataset diversity and testing variations of deep network architectures could further enhance performance, this paper demonstrates a crucial leap toward helping real-time analytics in table tennis using an AI-powered computer vision approach. The hybrid system combining IoT, wearables, and machine learning establishes a framework to transform data into actionable and timely insights for table tennis players and coaches. [ABSTRACT FROM AUTHOR]

The aim of this validation study was to comprehensively evaluate the performance and generalization capability of a deep learning-based periapical lesion detection algorithm on a clinically representative cone-beam computed tomography (CBCT) dataset and test for non-inferiority. The evaluation involved 195 CBCT images of adult upper and lower jaws, where sensitivity and specificity metrics were calculated for all teeth, stratified by jaw, and stratified by tooth type. Furthermore, each lesion was assigned a periapical index score based on its size to enable a score-based evaluation. Non-inferiority tests were conducted with proportions of 90% for sensitivity and 82% for specificity. The algorithm achieved an overall sensitivity of 86.7% and a specificity of 84.3%. The non-inferiority test indicated the rejection of the null hypothesis for specificity but not for sensitivity. However, when excluding lesions with a periapical index score of one (i.e., very small lesions), the sensitivity improved to 90.4%. Despite the challenges posed by the dataset, the algorithm demonstrated promising results. Nevertheless, further improvements are needed to enhance the algorithm's robustness, particularly in detecting very small lesions and the handling of artifacts and outliers commonly encountered in real-world clinical scenarios. [ABSTRACT FROM AUTHOR]

Background: Gastric surgery involves numerous surgical phases; however, its steps can be clearly defined. Deep learning-based surgical phase recognition can promote stylization of gastric surgery with applications in automatic surgical skill assessment. This study aimed to develop a deep learning-based surgical phase-recognition model using multicenter videos of laparoscopic distal gastrectomy, and examine the feasibility of automatic surgical skill assessment using the developed model. Methods: Surgical videos from 20 hospitals were used. Laparoscopic distal gastrectomy was defined and annotated into nine phases and a deep learning-based image classification model was developed for phase recognition. We examined whether the developed model's output, including the number of frames in each phase and the adequacy of the surgical field development during the phase of supra-pancreatic lymphadenectomy, correlated with the manually assigned skill assessment score. Results: The overall accuracy of phase recognition was 88.8%. Regarding surgical skill assessment based on the number of frames during the phases of lymphadenectomy of the left greater curvature and reconstruction, the number of frames in the high-score group were significantly less than those in the low-score group (829 vs. 1,152, P < 0.01; 1,208 vs. 1,586, P = 0.01, respectively). The output score of the adequacy of the surgical field development, which is the developed model's output, was significantly higher in the high-score group than that in the low-score group (0.975 vs. 0.970, P = 0.04). Conclusion: The developed model had high accuracy in phase-recognition tasks and has the potential for application in automatic surgical skill assessment systems. [ABSTRACT FROM AUTHOR]

With the advancement in modern imaging techniques like CT scan, MRI, PET scan etc., a vast amount of data is generated every day in the field of healthcare. Big data contains hidden information, which necessitates the development of intelligent systems to analyze it and extract relevant information, allowing for accurate and cost-effective decisions in the medical field. By utilizing the untapped potential of the big data available in the medical field, very precise models can be developed for the medical diagnosis of retinal diseases. Optical coherence tomography (OCT) is a non-invasive imaging test that captures different, distinctive layers of the retina and optic nerve in a living eye to map and measure their thickness, that helps diagnose various retinal disorders. With the advancement of the application of deep learning-based techniques in the field of medical sciences, the use of convolutional neural network (CNN) based approaches for disease detection is gaining popularity. While the manual examination of 3D OCT images for the diagnosis of retinal disorders requires extensive time and expert intervention, the use of CNNs provides an effective automated option that provides results with higher accuracy while also reducing the time involved in the overall process. In this paper, we have implemented the aforementioned idea by proposing OCT-CNN, a CNN architecture, that automatically classifies retinal OCT images and identifies potential disorders in a living eye. Several techniques have been employed to enhance the performance of the proposed approach, including digital enhancement of the images, dropout regularization, adaptive learning rates, and early stopping of training to attain optimal performance. The performance of the proposed OCT-CNN is evaluated on the UCSD dataset against several popular deep CNN architectures and existing state-of-the-art approaches to automatic retinal OCT classification. The proposed OCT-CNN attains the best performance on all evaluated metrics, pushing the classification accuracies to 99.28% on CNV, 99.9% on DME, 99.38% on DRUSEN, and 100% on NORMAL images, indicating its superiority over existing state-of-the-art techniques. [ABSTRACT FROM AUTHOR]

Background and Aim: Convolutional neural network (CNN) systems that automatically detect abnormalities from small‐bowel capsule endoscopy (SBCE) images are still experimental, and no studies have directly compared the clinical usefulness of different systems. We compared endoscopist readings using an existing and a novel CNN system in a real‐world SBCE setting. Methods: Thirty‐six complete SBCE videos, including 43 abnormal lesions (18 mucosal breaks, 8 angioectasia, and 17 protruding lesions), were retrospectively prepared. Three reading processes were compared: (A) endoscopist readings without CNN screening, (B) endoscopist readings after an existing CNN screening, and (C) endoscopist readings after a novel CNN screening. Results: The mean number of small‐bowel images was 14 747 per patient. Among these images, existing and novel CNN systems automatically captured 24.3% and 9.4% of the images, respectively. In this process, both systems extracted all 43 abnormal lesions. Next, we focused on the clinical usefulness. The detection rates of abnormalities by trainee endoscopists were not significantly different across the three processes: A, 77%; B, 67%; and C, 79%. The mean reading time of the trainees was the shortest during process C (10.1 min per patient), followed by processes B (23.1 min per patient) and A (33.6 min per patient). The mean psychological stress score while reading videos (scale, 1–5) was the lowest in process C (1.8) but was not significantly different between processes B (2.8) and A (3.2). Conclusions: Our novel CNN system significantly reduced endoscopist reading time and psychological stress while maintaining the detectability of abnormalities. CNN performance directly affects clinical utility and should be carefully assessed. [ABSTRACT FROM AUTHOR]

The accuracy of initial conditions is an important driver of the forecast skill of numerical weather prediction models. Increases in the quantity of available measurements, particularly high‐resolution remote sensing observational data products from satellites, are valuable inputs for improving those initial condition estimates. However, the traditional data assimilation methods for integrating observations into forecast models are computationally expensive. This makes incorporating dense observations into operational forecast systems challenging, and it is often prohibitively time‐consuming. Additionally, high‐resolution observations often have correlated observation errors which are difficult to estimate and create problems for assimilation systems. As a result, large quantities of data are discarded and not used for state initialization. Using the Lorenz‐96 system for testing, we demonstrate that a simple machine learning method can be trained to assimilate high‐resolution data. Using it to do so improves both initial conditions and forecast accuracy. Compared to using the Ensemble Kalman Filter with high‐resolution observations ignored, our augmented method has an average root‐mean‐squared error reduced by 37%. Ensemble forecasts using initial conditions generated by the augmented method are more accurate and reliable at up to 10 days of forecast lead time. Plain Language Summary: Weather forecasts are highly sensitive to the estimate of the current state of the atmosphere, known as initial conditions. The atmosphere is chaotic, meaning that small errors in this estimate can grow quickly as the forecast model predicts events further into the future. The satellite era has contributed to large improvements in weather forecasts by providing additional data that allow for more accurate estimates of initial conditions. However, current methods for generating initial conditions are computationally time‐consuming, and as a result, large fractions of available measurements are not used for this purpose. In a proof‐of‐concept study using a simplified representation of the atmosphere for testing, we train a machine learning (ML) method to replicate the results of a traditional method. Once trained, ML models are usually very fast. Applying the trained model exclusively to measurements that would otherwise be too time‐consuming to use produces better initial conditions and more accurate forecasts. Key Points: Machine Learning (ML) augmented data assimilation (DA) of high‐resolution observations improves the analysis in a nonlinear dynamical modelExplainable Artificial Intelligence identifies system covariances to guide neural network training for analysis state reproductionShort‐term forecasts from the analysis generated by the ML augmented DA are more accurate and more reliable [ABSTRACT FROM AUTHOR]

With artificial intelligence technology progressing at a tremendous speed, intelligent driving has got a lot of recognition in recent years. Lane detection is one of the primary functions in self-driving cars. Traditionally, lane detection was done using image processing algorithms and computer vision techniques, which included extraction of areas which are possible lane areas, edge enhancement etc. Deep learning models with new improvements are being introduced till date. Additionally, a self-driving vehicle must be able to recognise traffic signs. In the proposed work a VGG-16 convolutional neural network is used for road segmentation. The model is trained on the KITTI road/lane detection evaluation 2013 dataset. The model performed well with an accuracy of 98.58%. For traffic sign detection, the German traffic sign recognition benchmark dataset is used. A convolutional neural network is used with ADAM optimizer, which gives an accuracy of 95%. [ABSTRACT FROM AUTHOR]

A machine learning model has been developed to automatically detect mast cells and granules in skin biopsy specimens imaged with confocal microscopy. The model was trained and validated using images from 22 punch biopsy specimens from subjects with plaque psoriasis. The model demonstrated high precision and recall in detecting mast cells and granules, and it was used to calculate cell and granule densities in psoriatic lesions compared to perilesional skin. The findings support the theory that mast cells play a role in the pathogenesis of psoriasis. The researchers hope to further optimize the model for faster and more accurate mast cell quantification in dermatologic research. [Extracted from the article]