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Background: Colorectal cancer (CRC) is the second leading cause of cancer death in Kuwait. The effectiveness of colonoscopy in preventing CRC is dependent on a high adenoma detection rate (ADR). Computer-aided detection can identify (CADe) and characterize polyps in real time and differentiate benign from neoplastic polyps, but its role remains unclear in screening colonoscopy. Methods: This was a randomized-controlled trial (RCT) enrolling patients 45 years of age or older presenting for outpatient screening or surveillance colonoscopy (Kuwait clinical trial registration number 2047/2022). Patients with a history of inflammatory bowel disease, alarm symptoms, familial polyposis syndrome, colon resection, or poor bowel preparation were excluded. Patients were randomly assigned to either high-definition white-light (HD-WL) colonoscopy (standard of care) or HD-WL colonoscopy with the CADe system. The primary outcome was ADR. The secondary outcomes included polyp detection rate (PDR), adenoma per colonoscopy (APC), polyp per colonoscopy (PPC), and accuracy of polyp characterization. Results: From 1 September 2022 to 1 March 2023, 102 patients were included and allocated to either the HD-WL colonoscopy group (n = 51) or CADe group (n = 51). The mean age was 52.8 years (SD 8.2), and males represented 50% of the cohort. Screening for CRC accounted for 94.1% of all examinations, while the remaining patients underwent surveillance colonoscopy. A total of 121 polyps were detected with an average size of 4.18 mm (SD 5.1), the majority being tubular adenomas with low-grade dysplasia (47.1%) and hyperplastic polyps (46.3%). There was no difference in the overall bowel preparation, insertion and withdrawal times, and adverse events between the two arms. ADR (primary outcome) was non-significantly higher in the CADe group compared to the HD colonoscopy group (47.1% vs. 37.3%, p = 0.3). Among the secondary outcomes, PDR (78.4% vs. 56.8%, p = 0.02) and PPC (1.35 vs. 0.96, p = 0.04) were significantly higher in the CADe group, but APC was not (0.75 vs. 0.51, p = 0.09). Accuracy in characterizing polyp histology was similar in both groups. Conclusions: In this RCT, the artificial intelligence system showed a non-significant trend towards improving ADR among Kuwaiti patients undergoing screening or surveillance colonoscopy compared to HD-WL colonoscopy alone, while it significantly improved the detection of diminutive polyps. A larger multicenter study is required to detect the true effect of CADe on the detection of adenomas. [ABSTRACT FROM AUTHOR]

Background/Objectives: To develop a computer-aided diagnosis (CAD) method for the classification of late gadolinium enhancement (LGE) cardiac MRI images into myocardial infarction (MI), myocarditis, and healthy classes using a fine-tuned VGG16 model hybridized with multi-layer perceptron (MLP) (VGG16-MLP) and assess our model's performance in comparison to various pre-trained base models and MRI readers. Methods: This study included 361 LGE images for MI, 222 for myocarditis, and 254 for the healthy class. The left ventricle was extracted automatically using a U-net segmentation model on LGE images. Fine-tuned VGG16 was performed for feature extraction. A spatial attention mechanism was implemented as a part of the neural network architecture. The MLP architecture was used for the classification. The evaluation metrics were calculated using a separate test set. To compare the VGG16 model's performance in feature extraction, various pre-trained base models were evaluated: VGG19, DenseNet121, DenseNet201, MobileNet, InceptionV3, and InceptionResNetV2. The Support Vector Machine (SVM) classifier was evaluated and compared to MLP for the classification task. The performance of the VGG16-MLP model was compared with a subjective visual analysis conducted by two blinded independent readers. Results: The VGG16-MLP model allowed high-performance differentiation between MI, myocarditis, and healthy LGE cardiac MRI images. It outperformed the other tested models with 96% accuracy, 97% precision, 96% sensitivity, and 96% F1-score. Our model surpassed the accuracy of Reader 1 by 27% and Reader 2 by 17%. Conclusions: Our study demonstrated that the VGG16-MLP model permits accurate classification of MI, myocarditis, and healthy LGE cardiac MRI images and could be considered a reliable computer-aided diagnosis approach specifically for radiologists with limited experience in cardiovascular imaging. [ABSTRACT FROM AUTHOR]

Background: Artificial intelligence (AI) has recently made unprecedented contributions in every walk of life, but it has not been able to work its way into diagnostic medicine and standard clinical practice yet. Although data scientists, researchers, and medical experts have been working in the direction of designing and developing computer aided diagnosis (CAD) tools to serve as assistants to doctors, their large-scale adoption and integration into the healthcare system still seems far-fetched. Diagnostic radiology is no exception. Imagining techniques like magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography (PET) scans have been widely and very effectively employed by radiologists and neurologists for the differential diagnoses of neurological disorders for decades, yet no AI-powered systems to analyze such scans have been incorporated into the standard operating procedures of healthcare systems. Why? It is absolutely understandable that in diagnostic medicine, precious human lives are on the line, and hence there is no room even for the tiniest of mistakes. Nevertheless, with the advent of explainable artificial intelligence (XAI), the old-school black boxes of deep learning (DL) systems have been unraveled. Would XAI be the turning point for medical experts to finally embrace AI in diagnostic radiology? This review is a humble endeavor to find the answers to these questions. Methods: In this review, we present the journey and contributions of AI in developing systems to recognize, preprocess, and analyze brain MRI scans for differential diagnoses of various neurological disorders, with special emphasis on CAD systems embedded with explainability. A comprehensive review of the literature from 2017 to 2024 was conducted using host databases. We also present medical domain experts' opinions and summarize the challenges up ahead that need to be addressed in order to fully exploit the tremendous potential of XAI in its application to medical diagnostics and serve humanity. Results: Forty-seven studies were summarized and tabulated with information about the XAI technology and datasets employed, along with performance accuracies. The strengths and weaknesses of the studies have also been discussed. In addition, the opinions of seven medical experts from around the world have been presented to guide engineers and data scientists in developing such CAD tools. Conclusions: Current CAD research was observed to be focused on the enhancement of the performance accuracies of the DL regimens, with less attention being paid to the authenticity and usefulness of explanations. A shortage of ground truth data for explainability was also observed. Visual explanation methods were found to dominate; however, they might not be enough, and more thorough and human professor-like explanations would be required to build the trust of healthcare professionals. Special attention to these factors along with the legal, ethical, safety, and security issues can bridge the current gap between XAI and routine clinical practice. [ABSTRACT FROM AUTHOR]

Background and objectives: Accurate classification of lymphadenopathy is essential for determining the pathological nature of lymph nodes (LNs), which plays a crucial role in treatment selection. The biopsy method is invasive and carries the risk of sampling failure, while the utilization of non-invasive approaches such as ultrasound can minimize the probability of iatrogenic injury and infection. With the advancement of artificial intelligence (AI) and machine learning, the diagnostic efficiency of LNs is further enhanced. This study evaluates the performance of ultrasound-based AI applications in the classification of benign and malignant LNs. Methods: The literature research was conducted using the PubMed, EMBASE, and Cochrane Library databases as of June 2024. The quality of the included studies was evaluated using the QUADAS-2 tool. The pooled sensitivity, specificity, and diagnostic odds ratio (DOR) were calculated to assess the diagnostic efficacy of ultrasound-based AI in classifying benign and malignant LNs. Subgroup analyses were also conducted to identify potential sources of heterogeneity. Results: A total of 1,355 studies were identified and reviewed. Among these studies, 19 studies met the inclusion criteria, and 2,354 cases were included in the analysis. The pooled sensitivity, specificity, and DOR of ultrasound-based machine learning in classifying benign and malignant LNs were 0.836 (95% CI [0.805, 0.863]), 0.850 (95% CI [0.805, 0.886]), and 33.331 (95% CI [22.873, 48.57]), respectively, indicating no publication bias (p = 0.12). Subgroup analyses may suggest that the location of lymph nodes, validation methods, and type of primary tumor are the sources of heterogeneity. Conclusion: AI can accurately differentiate benign from malignant LNs. Given the widespread use of ultrasonography in diagnosing malignant LNs in cancer patients, there is significant potential for integrating AI-based decision support systems into clinical practice to enhance the diagnostic accuracy. [ABSTRACT FROM AUTHOR]

Background: Obstructive sleep apnea (OSA) is a prevalent yet underdiagnosed condition associated with a major healthcare burden. Current diagnostic tools, such as full-night polysomnography (PSG), pose a limited accessibility to diagnosis due to their elevated costs. Recent advances in Artificial Intelligence (AI), including Machine Learning (ML) and deep learning (DL) algorithms, offer novel potential tools for an accurate OSA screening and diagnosis. This systematic review evaluates articles employing AI-powered models for OSA screening and diagnosis in the last decade. Methods: A comprehensive electronic search was performed on PubMed/MEDLINE, Google Scholar, and SCOPUS databases. The included studies were original articles written in English, reporting the use of ML algorithms to diagnose and predict OSA in suspected patients. The last search was performed in June 2024. This systematic review is registered in PROSPERO (Registration ID: CRD42024563059). Results: Sixty-five articles, involving data from 109,046 patients, met the inclusion criteria. Due to the heterogeneity of the algorithms, outcomes were analyzed into six sections (anthropometric indexes, imaging, electrocardiographic signals, respiratory signals, and oximetry and miscellaneous signals). AI algorithms demonstrated significant improvements in OSA detection, with accuracy, sensitivity, and specificity often exceeding traditional tools. In particular, anthropometric indexes were most widely used, especially in logistic regression-powered algorithms. Conclusions: The application of AI algorithms to OSA diagnosis and screening has great potential to improve patient outcomes, increase early detection, and lessen the load on healthcare systems. However, rigorous validation and standardization efforts must be made to standardize datasets. [ABSTRACT FROM AUTHOR]

Primary malignant bone tumors are the third highest cause of cancer-related mortality among patients under the age of 20. X-ray scan is the primary tool for detecting bone tumors. However, due to the varying morphologies of bone tumors, it is challenging for radiologists to make a definitive diagnosis based on radiographs. With the recent advancement in deep learning algorithms, there is a surge of interest in computer-aided diagnosis of primary bone tumors. Nonetheless, the development in this field has been hindered by the lack of publicly available X-ray datasets for bone tumors. To tackle this challenge, we established the Bone Tumor X-ray Radiograph dataset (termed BTXRD) in collaboration with multiple medical institutes and hospitals. The BTXRD dataset comprises 3,746 bone images (1,879 normal and 1,867 tumor), with clinical information and global labels available for each image, and distinct mask and annotated bounding box for each tumor instance. This publicly available dataset can support the development and evaluation of deep learning algorithms for the diagnosis of primary bone tumors. [ABSTRACT FROM AUTHOR]

Objective. Hemorrhagic stroke is a major global health problem requiring rapid and accurate diagnosis for effective treatment. Despite advances, current computer-aided diagnosis (CAD) frameworks rarely account for the functional impacts of hemorrhages on specific critical brain regions and lack the detailed assessments essential for precise treatment. To provide detailed insights into hemorrhages, we aim to propose a CAD framework for in-depth hemorrhagic stroke assessment in computed tomography (CT). The framework includes segmenting hemorrhages and critical brain regions, intraparenchymal hemorrhage (IPH) classification for identifying hemorrhages in critical brain regions and detecting hemorrhage volume. Approach. To capture the complex interactions between hemorrhages and critical brain regions, we developed the pairwise hemorrhage-brain regions interaction (PHRI) Network. Its emphasis a novel interaction head that integrates feature on hemorrhages, brain regions, and their interdependencies, enabling the model to learn these relationships during training. In addition, a Global-Local Fusion Unit was introduced to provide with image-wide contextual information, and an uncertainty-weighted loss method was utilized to simultaneously optimise the multitask framework. With institutional review board approval, an in-house hemorrhagic stroke dataset was collected, including 2,764 CT slices from 99 patients. A five-fold cross-validation was used to train and test the models. Main Results. The proposed PHRI network was experimentally validated to effectively extract hemorrhage brain region interactions, thereby significantly outperforming several state-of-the-art models in both hemorrhage and critical brain region segmentation, with an average Dice of 0.9064 ± 0.1079 (P < 0.05), as well as in IPH classification, with an F1-Score of 0.8366. Additionally, the framework demonstrated good performance in hemorrhage volume detection, with an intraclass correlation coefficient of 0.981. Significance. This study introduces a CAD framework for hemorrhagic stroke assessment, offering a novel approach that emphasizes relationships between hemorrhages and critical brain regions. [ABSTRACT FROM AUTHOR]

This study investigates the effectiveness of deep learning models in diagnosing cardiac amyloidosis using 99mTc-PYP scintigraphy. We evaluated more than 40 deep learning models, including both convolutional neural networks (CNNs) and Vision Transformer (ViT) models. The highest-performing model achieved 89.80% accuracy. The study highlights the potential of deep learning methods to improve diagnostic accuracy and reduce patient wait times. These results demonstrate the clinical value of deep learning models in early and accurate cardiac amyloidosis diagnosis, contributing to better patient outcomes and timely interventions. [ABSTRACT FROM AUTHOR]

Background/Aims: The real-world effectiveness of computer-aided detection (CADe) systems during colonoscopies remains uncertain. We assessed the effectiveness of the novel CADe system, ENdoscopy as AI-powered Device (ENAD), in enhancing the adenoma detection rate (ADR) and other quality indicators in real-world clinical practice. Methods: We enrolled patients who underwent elective colonoscopies between May 2022 and October 2022 at a tertiary healthcare center. Standard colonoscopy (SC) was compared to ENAD-assisted colonoscopy. Eight experienced endoscopists performed the procedures in randomly assigned CADe- and non-CADe-assisted rooms. The primary outcome was a comparison of ADR between the ENAD and SC groups. Results: A total of 1,758 sex- and age-matched patients were included and evenly distributed into two groups. The ENAD group had a significantly higher ADR (45.1% vs. 38.8%, p=0.010), higher sessile serrated lesion detection rate (SSLDR) (5.7% vs. 2.5%, p=0.001), higher mean number of adenomas per colonoscopy (APC) (0.78±1.17 vs. 0.61±0.99; incidence risk ratio, 1.27; 95% confidence interval, 1.13–1.42), and longer withdrawal time (9.0±3.4 vs. 8.3±3.1, p<0.001) than the SC group. However, the mean withdrawal times were not significantly different between the two groups in cases where no polyps were detected (6.9±1.7 vs. 6.7±1.7, p=0.058). Conclusions: ENAD-assisted colonoscopy significantly improved the ADR, APC, and SSLDR in real-world clinical practice, particularly for smaller and nonpolypoid adenomas. [ABSTRACT FROM AUTHOR]

Background: Accurate delineation of lesions in acute ischemic stroke is important for determining the extent of tissue damage and the identification of potentially salvageable brain tissues. Automatic segmentation on CT images is challenging due to the poor contrast-to-noise ratio. Quantitative CT perfusion images improve the estimation of the perfusion deficit regions; however, they are limited by a poor signal-to-noise ratio. The study aims to investigate the potential of deep learning (DL) algorithms for the improved segmentation of ischemic lesions. Methods: This study proposes a novel DL architecture, DenseResU-NetCTPSS, for stroke segmentation using multiparametric CT perfusion images. The proposed network is benchmarked against state-of-the-art DL models. Its performance is assessed using the ISLES-2018 challenge dataset, a widely recognized dataset for stroke segmentation in CT images. The proposed network was evaluated on both training and test datasets. Results: The final optimized network takes three image sequences, namely CT, cerebral blood volume (CBV), and time to max (Tmax), as input to perform segmentation. The network achieved a dice score of 0.65 ± 0.19 and 0.45 ± 0.32 on the training and testing datasets. The model demonstrated a notable improvement over existing state-of-the-art DL models. Conclusions: The optimized model combines CT, CBV, and Tmax images, enabling automatic lesion identification with reasonable accuracy and aiding radiologists in faster, more objective assessments. [ABSTRACT FROM AUTHOR]

Simple Summary: This study explores the use of pre-trained deep learning models for classifying brain MRI images into four categories: Glioma, Meningioma, Pituitary, and No Tumor. The study uses a publicly available Brain Tumor MRI dataset and applies transfer learning to improve diagnostic accuracy and efficiency by fine-tuning pre-trained models. Xception achieved the highest performance with a weighted accuracy of 98.73%. While the models showed promise in addressing class imbalances, challenges in improving recall for certain tumor types remain. The study highlights the potential of deep learning in transforming medical imaging and clinical diagnostics. Background/Objectives: Brain tumor classification is a crucial task in medical diagnostics, as early and accurate detection can significantly improve patient outcomes. This study investigates the effectiveness of pre-trained deep learning models in classifying brain MRI images into four categories: Glioma, Meningioma, Pituitary, and No Tumor, aiming to enhance the diagnostic process through automation. Methods: A publicly available Brain Tumor MRI dataset containing 7023 images was used in this research. The study employs state-of-the-art pre-trained models, including Xception, MobileNetV2, InceptionV3, ResNet50, VGG16, and DenseNet121, which are fine-tuned using transfer learning, in combination with advanced preprocessing and data augmentation techniques. Transfer learning was applied to fine-tune the models and optimize classification accuracy while minimizing computational requirements, ensuring efficiency in real-world applications. Results: Among the tested models, Xception emerged as the top performer, achieving a weighted accuracy of 98.73% and a weighted F1 score of 95.29%, demonstrating exceptional generalization capabilities. These models proved particularly effective in addressing class imbalances and delivering consistent performance across various evaluation metrics, thus demonstrating their suitability for clinical adoption. However, challenges persist in improving recall for the Glioma and Meningioma categories, and the black-box nature of deep learning models requires further attention to enhance interpretability and trust in medical settings. Conclusions: The findings underscore the transformative potential of deep learning in medical imaging, offering a pathway toward more reliable, scalable, and efficient diagnostic tools. Future research will focus on expanding dataset diversity, improving model explainability, and validating model performance in real-world clinical settings to support the widespread adoption of AI-driven systems in healthcare and ensure their integration into clinical workflows. [ABSTRACT FROM AUTHOR]

Simple Summary: Developing effective artificial intelligence (AI) systems for rare diseases such as osteosarcoma is challenging owing to the limited available data. This study introduces a novel approach for preparing training data for AI systems that detect osteosarcoma using X-rays. Traditional methods label tumor areas as a single entity; however, our new approach divides tumor regions into three distinct classes: intramedullary, cortical, and extramedullary. This three-class annotation method enables AI systems to learn more effectively from limited datasets by incorporating detailed anatomical knowledge. This new approach to data preparation resulted in more robust AI models that could detect subtle tumor changes at lower threshold values, demonstrating how strategic data annotation methods can enhance AI performance even with limited training samples. This methodological innovation in data preparation offers a new paradigm for developing AI systems for rare diseases, for which traditional data-driven approaches often fall short. Background/Objectives: Developing high-performance artificial intelligence (AI) models for rare diseases is challenging owing to limited data availability. This study aimed to evaluate whether a novel three-class annotation method for preparing training data could enhance AI model performance in detecting osteosarcoma on plain radiographs compared to conventional single-class annotation. Methods: We developed two annotation methods for the same dataset of 468 osteosarcoma X-rays and 378 normal radiographs: a conventional single-class annotation (1C model) and a novel three-class annotation method (3C model) that separately labeled intramedullary, cortical, and extramedullary tumor components. Both models used identical U-Net-based architectures, differing only in their annotation approaches. Performance was evaluated using an independent validation dataset. Results: Although both models achieved high diagnostic accuracy (AUC: 0.99 vs. 0.98), the 3C model demonstrated superior operational characteristics. At a standardized cutoff value of 0.2, the 3C model maintained balanced performance (sensitivity: 93.28%, specificity: 92.21%), whereas the 1C model showed compromised specificity (83.58%) despite high sensitivity (98.88%). Notably, at the 25th percentile threshold, both models showed identical false-negative rates despite significantly different cutoff values (3C: 0.661 vs. 1C: 0.985), indicating the ability of the 3C model to maintain diagnostic accuracy at substantially lower thresholds. Conclusions: This study demonstrated that anatomically informed three-class annotation can enhance AI model performance for rare disease detection without requiring additional training data. The improved stability at lower thresholds suggests that thoughtful annotation strategies can optimize the AI model training, particularly in contexts where training data are limited. [ABSTRACT FROM AUTHOR]

Objective: We aim to construct an artificial intelligence (AI)-assisted nasal endoscopy diagnostic system capable of preliminary differentiation and identification of nasal neoplasia properties, as well as intraoperative tracking, providing an important basis for nasal endoscopic surgery. Methods: We retrospectively analyzed 1050 video data of nasal endoscopic surgeries involving four types of nasal neoplasms. Using Deep Snake, U-Net, and Att-Res2-UNet, we developed a nasal neoplastic detection network based on endoscopic images. After deep learning, the optimal network was selected as the initialization model and trained to optimize the SiamMask online tracking algorithm. Results: The Att-Res2-UNet network demonstrated the highest accuracy and precision, with the most accurate recognition results. The overall accuracy of the model established by us achieved an overall accuracy similar to that of residents (0.9707 ± 0.00984), while slightly lower than that of rhinologists (0.9790 ± 0.00348). SiamMask's segmentation range was consistent with rhinologists, with a 99% compliance rate and a neoplasm probability value ≥ 0.5. Conclusions: This study successfully established an AI-assisted nasal endoscopic diagnostic system that can preliminarily identify nasal neoplasms from endoscopic images and automatically track them in real time during surgery, enhancing the efficiency of endoscopic diagnosis and surgery. [ABSTRACT FROM AUTHOR]

Background: Computer-aided diagnosis (CAD) methods have become of great interest for diagnosing macular diseases over the past few decades. Artificial intelligence (AI)-based CADs offer several benefits, including speed, objectivity, and thoroughness. They are utilized as an assistance system in various ways, such as highlighting relevant disease indicators to doctors, providing diagnosis suggestions, and presenting similar past cases for comparison. Methods: Much specifically, retinal AI-CADs have been developed to assist ophthalmologists in analyzing optical coherence tomography (OCT) images and making retinal diagnostics simpler and more accurate than before. Retinal AI-CAD technology could provide a new insight for the health care of humans who do not have access to a specialist doctor. AI-based classification methods are critical tools in developing improved retinal AI-CAD technology. The Isfahan AI-2023 challenge has organized a competition to provide objective formal evaluations of alternative tools in this area. In this study, we describe the challenge and those methods that had the most successful algorithms. Results: A dataset of OCT images, acquired from normal subjects, patients with diabetic macular edema, and patients with other macular disorders, was provided in a documented format. The dataset, including the labeled training set and unlabeled test set, was made accessible to the participants. The aim of this challenge was to maximize the performance measures for the test labels. Researchers tested their algorithms and competed for the best classification results. Conclusions: The competition is organized to evaluate the current AI-based classification methods in macular pathology detection. We received several submissions to our posted datasets that indicate the growing interest in AI-CAD technology. The results demonstrated that deep learning-based methods can learn essential features of pathologic images, but much care has to be taken in choosing and adapting appropriate models for imbalanced small datasets. [ABSTRACT FROM AUTHOR]

Early detection of autism spectrum disorder (ASD) is particularly important given its insidious qualities and the high cost of the diagnostic process. Currently, static functional connectivity studies have achieved significant results in the field of ASD detection. However, with the deepening of clinical research, more and more evidence suggests that dynamic functional connectivity analysis can more comprehensively reveal the complex and variable characteristics of brain networks and their underlying mechanisms, thus providing more solid scientific support for computer-aided diagnosis of ASD. To overcome the lack of time-scale information in static functional connectivity analysis, in this paper, we proposes an innovative GNN-LSTM model, which combines the advantages of long short-term memory (LSTM) and graph neural networks (GNNs). The model captures the spatial features in fMRI data by GNN and aggregates the temporal information of dynamic functional connectivity using LSTM to generate a more comprehensive spatio-temporal feature representation of fMRI data. Further, a dynamic graph pooling method is proposed to extract the final node representations from the dynamic graph representations for classification tasks. To address the variable dependence of dynamic feature connectivity on time scales, the model introduces a jump connection mechanism to enhance information extraction between internal units and capture features at different time scales. The model achieves remarkable results on the ABIDE dataset, with accuracies of 80.4% on the ABIDE I and 79.63% on the ABIDE II, which strongly demonstrates the effectiveness and potential of the model for ASD detection. This study not only provides new perspectives and methods for computer-aided diagnosis of ASD but also provides useful references for research in related fields. [ABSTRACT FROM AUTHOR]

Accurate diagnosis of pancreatic cancer using CT scan images is critical for early detection and treatment, potentially saving numerous lives globally. Manual identification of pancreatic tumors by radiologists is challenging and time-consuming due to the complex nature of CT scan images and variations in tumor shape, size, and location of the pancreatic tumor also make it challenging to detect and classify different types of tumors. Thus, to address this challenge we proposed a four-stage framework of computer-aided diagnosis systems. In the preprocessing stage, the input image resizes into 227 × 227 dimensions then converts the RGB image into a grayscale image, and enhances the image by removing noise without blurring edges by applying anisotropic diffusion filtering. In the segmentation stage, the preprocessed grayscale image a binary image is created based on a threshold, highlighting the edges by Sobel filtering, and watershed segmentation to segment the tumor region and we also implement the U-Net method for segmentation. Then refine the geometric structure of the image using morphological operation and extracting the texture features from the image using a gray-level co-occurrence matrix computed by analyzing the spatial relationship of pixel intensities in the refined image, counting the occurrences of pixel pairs with specific intensity values and spatial relationships. The detection stage analyzes the tumor region's extracted features characteristics by labeling the connected components and selecting the region with the highest density to locate the tumor area, achieving a good accuracy of 99.64%. In the classification stage, the system classifies the detected tumor into the normal, pancreatic tumor, then into benign, pre-malignant, or malignant using a proposed reduced 11-layer AlexNet model. The classification stage attained an accuracy level of 98.72%, an AUC of 0.9979, and an overall system average processing time of 1.51 seconds, demonstrating the capability of the system to effectively and efficiently identify and classify pancreatic cancers. [ABSTRACT FROM AUTHOR]

Attention mechanism is very important in the task of medical image classification. In medical image classification, different types of images may have different lesion morphology and size, and lesion characteristics are not obvious; however, the existing attention mechanism has the problem of insufficient feature diversity and ignoring small lesions, which seriously affects the classification performance. In order to solve these problems, Triple Fusion Attention (TFA) was proposed. Through convolutional fusion, attention fusion and adaptive fusion, TFA improves the model's perception ability of subtle structures and features in medical images, suppresses the noise in the image, and enhances the representation of key features, which can effectively solve the problem of insufficient sensitivity of important features in medical images. Experiments have shown that TFA enables the model to focus on the lesion area more accurately, so that multi-scale features can be fused and classified, which significantly improves the overall performance and outperforms other attention mechanisms. In addition, TFA is able to improve training efficiency and ease of deployment while maintaining good performance, while improving the accuracy and effectiveness of computer-aided diagnosis. [ABSTRACT FROM AUTHOR]

The paper presents a comprehensive computer-aided diagnosis (CAD) system designed for early detection of knee Osteoarthritis (OA) utilizing knee medical imaging and machine learning algorithms. Osteoarthritis is a prevalent chronic disease affecting various joints, primarily the fingers, thumbs, spine, hips, knees, and big toes, with secondary occurrences linked to pre-existing joint anomalies. Although more common among older individuals, OA can develop in adults of any age, characterized by degenerative changes in joints. Traditional diagnosis involves examining joint scans, typically through X-ray analyses being conducted by trained radiologists and orthopaedists, which can be timeconsuming and subject to precision loss due to manual segmentation. Automatic segmentation and interpretation of joint X-ray scans are thus necessary to enhance clinical outcomes and bone calculation precision. The advent of deep learning technologies in medical systems has facilitated such transition, enabling efficient processing of large data volumes with improved accuracy. In particular, Convolutional Neural Networks (CNNs) being among the deep learning methods, have proven effectiveness in automating X-ray scan segmentation. The paper provides an overview of various deep learning and image processing techniques employed for automatic segmentation and interpretation of X-ray scans, facilitating disease diagnosis based on image data along with a proposed improved model of Visual Geometry Group VGG-16 with edge detection using X-ray images. A classification algorithm based on CNN and image edge detection is proposed demonstrating promising results, achieving predictive accuracies exceeding 90% across all suggested models. Particularly is the performance of the proposed VGG-16 after training with edge detection, which attained a training accuracy of 100% and a testing accuracy of 98.2%. This highlights the efficacy of deep learning approaches in enhancing diagnostic accuracy and efficiency in knee OA detection. A comparative evaluation of the proposed algorithm against other techniques based on performance metrics is reported. [ABSTRACT FROM AUTHOR]

The last decades have brought an interest in ultrasound applications in dermatology. Especially in the case of atopic dermatitis, where the formation of a subepidermal low echogenic band (SLEB) may serve as an independent indicator of the effects of treatment, the use of ultrasound is of particular interest. This study proposes and evaluates the computer-aided diagnosis method for assessing atopic dermatitis (AD). The fully automated image processing framework combines advanced machine learning techniques for fast, reliable, and repeatable HFUS image analysis, supporting clinical decisions. The proposed methodology comprises accurate SLEB segmentation followed by a classification step. The data set includes 20 MHz images of 80 patients diagnosed with AD according to Hanifin and Rajka criteria, which were evaluated before and after treatment. The ground true labels- clinical evaluation based on Investigator Global Assessment index (IGA score) together with ultrasound skin examination was performed. For reliable analysis, in further experiments, two experts annotated the HFUS images twice in two-week intervals. The analysis aimed to verify whether the fully automated method can classify the HFUS images at the expert level. The Dice coefficient values for segmentation reached 0.908 for SLEB and 0.936 for the entry echo layer. The accuracy of SLEB presence detection results (IGA0) is equal to 98% and slightly outperforms the experts' assessment, which reaches 96%. The overall accuracy of the AD assessment was equal to 69% (Cohen's kappa 0.78) and was comparable with the experts' assessment, ranging between 64% and 70% (Cohen's kappa 0.73–0.79). The results indicate that the automated method can be applied to AD assessment, and its combination with standard diagnosis may benefit repeatable analysis and a better understanding of the processes that take place within the skin and aid treatment monitoring. [ABSTRACT FROM AUTHOR]

With the rapid advancement of deep learning, computer-aided diagnosis and treatment have become crucial in medicine. UNet is a widely used architecture for medical image segmentation, and various methods for improving UNet have been extensively explored. One popular approach is incorporating transformers, though their quadratic computational complexity poses challenges. Recently, State-Space Models (SSMs), exemplified by Mamba, have gained significant attention as a promising alternative due to their linear computational complexity. Another approach, neural memory Ordinary Differential Equations (nmODEs), exhibits similar principles and achieves good results. In this paper, we explore the respective strengths and weaknesses of nmODEs and SSMs and propose a novel architecture, the nmSSM decoder, which combines the advantages of both approaches. This architecture possesses powerful nonlinear representation capabilities while retaining the ability to preserve input and process global information. We construct nmSSM-UNet using the nmSSM decoder and conduct comprehensive experiments on the PH2, ISIC2018, and BU-COCO datasets to validate its effectiveness in medical image segmentation. The results demonstrate the promising application value of nmSSM-UNet. Additionally, we conducted ablation experiments to verify the effectiveness of our proposed improvements on SSMs and nmODEs. [ABSTRACT FROM AUTHOR]

Medical image classification is one of the most significant tasks in computer-aided diagnosis. In the era of modern healthcare, the progress of digitalized medical images has led to a crucial role in analyzing medical image analysis. Recently, accurate disease recognition from medical Computed Tomography (CT) images remains a challenging scenario which is important in rendering effective treatment to patients. The infectious COVID-19 disease is highly contagious and leads to a rapid increase in infected individuals. Some drawbacks noticed with RT-PCR kits are high false negative rate (FNR) and a shortage in the number of test kits. Hence, a Chest CT scan is introduced instead of RT-PCR which plays an important role in diagnosing and screening COVID-19 infections. However, manual examination of CT scans performed by radiologists can be time-consuming, and a manual review of each individual CT image may not be feasible in emergencies. Therefore, there is a need to perform automated COVID-19 detection with the advances in AI-based models. This work presents effective and automatic Deep Learning (DL)-based COVID-19 detection using Chest CT images. Initially, the data is gathered and pre-processed through Spatial Weighted Bilateral Filter (SWBF) to eradicate unwanted distortions. The extraction of deep features is processed using Fine_Dense Convolutional Network (Fine_DenseNet). For classification, the Softmax layer of Fine_DenseNet is replaced using Improved Generative Adversarial Network_Artificial Hummingbird (IGAN_AHb) model in order to train the data on the labeled and unlabeled dataset. The loss in the network model is optimized using Artificial Hummingbird (AHb) optimization algorithm. Here, the proposed DL model (Fine_DenseIGANet) is used to perform automated multi-class classification of COVID-19 using CT scan images and attained a superior classification accuracy of 95.73% over other DL models. [ABSTRACT FROM AUTHOR]

Mammography imaging is one of the most successful techniques for breast cancer screening and detecting breast lesions. Detection of the Region of Interest (ROI) (where the possible abnormalities could be present) is the backbone for the success of any Computer-Aided Detection or Diagnosis (CADx) system. In this paper, to assist the CADx system, one computational model is proposed to detect breast mass lesions from mammogram images. At the beginning of the process, pectoral muscles from the mammograms are removed as a pre-processing step. Then by applying an automatic thresholding scheme with the required image processing techniques, different regions of breast tissues are ranked to detect the possible suspected region to refine the further segmentation task. One seeded region growing approach is proposed with an automatic seed selection criterion to detect the suspected region to segment the ROI. The proposed model has very less user intervention as maximum of the parameters are computed automatically. To evaluate the performance of the proposed model, it is compared with four different methods with six different evaluation metrics viz., Jaccard & Dice co-efficient, relative error, segmentation accuracy, error and Fowlkes–Mallows index (FMI). On the proposed model, 57 mammogram images are tested, consisting of four different cases that are collected from the publicly available benchmark database. The qualitative and quantitative analyses are performed to evaluate the proposed model. The best dice co-efficient, Jaccard co-efficient, accuracy, error and FMI values observed are 0.9506, 0.9471, 95.62%, 4.38% and 0.932, respectively. The superiority of the model over six state-of-the-art compared methods is well evident from the experimental results. [ABSTRACT FROM AUTHOR]

Objective: To explore the technology-based tools available for supporting the identification of victims of domestic abuse and modern slavery in remote services and consider the benefits and challenges posed by the existing tools. Methods: We searched six academic databases. Studies were considered for inclusion if they were published in English between 2000 and 2023. The QuADS quality appraisal tool was used to assess the methodological quality of included studies. A narrative synthesis was conducted using the convergent integrated approach. Results: Twenty-four studies were included, of which two were professional guidelines; each reported on a distinct technology-based tool for remote services. All tools related to domestic abuse and 21 focused on screening for intimate partner violence among young and mid-life women (18–65) in high-income countries. The review did not identify tools that support the identification of victims of modern slavery. We identified eight common themes of tool strengths, highlighting that the remote approach to screening was practical, acceptable to victims, and, in some circumstances, elicited better outcomes than face-to-face approaches. Five themes pointed to tool challenges, such as concerns around privacy and safety, and the inability of computerised tools to provide empathy and emotional support. Conclusions: Available technology-based tools may support the identification of victims of domestic abuse by health and social care practitioners in remote services. However, it is important to be mindful of the limitations of such tools and the effects individuals' screening preferences can have on outcomes. Future research should focus on developing tools to support the identification of victims of modern slavery, as well as empirically validating tools for screening during remote consultations. [ABSTRACT FROM AUTHOR]

Atherosclerosis causes heart disease by forming plaques in arterial walls. IVUS imaging provides a high-resolution cross-sectional view of coronary arteries and plaque morphology. Healthcare professionals diagnose and quantify atherosclerosis physically or using VH-IVUS software. Since manual or VH-IVUS software-based diagnosis is time-consuming, automated plaque characterization tools are essential for accurate atherosclerosis detection and classification. Recently, deep learning (DL) and computer vision (CV) approaches are promising tools for automatically classifying plaques on IVUS images. With this motivation, this manuscript proposes an automated atherosclerotic plaque classification method using a hybrid Ant Lion Optimizer with Deep Learning (AAPC-HALODL) technique on IVUS images. The AAPC-HALODL technique uses the faster regional convolutional neural network (Faster RCNN)-based segmentation approach to identify diseased regions in the IVUS images. Next, the ShuffleNet-v2 model generates a useful set of feature vectors from the segmented IVUS images, and its hyperparameters can be optimally selected by using the HALO technique. Finally, an average ensemble classification process comprising a stacked autoencoder (SAE) and deep extreme learning machine (DELM) model can be utilized. The MICCAI Challenge 2011 dataset was used for AAPC-HALODL simulation analysis. A detailed comparative study showed that the AAPC-HALODL approach outperformed other DL models with a maximum accuracy of 98.33%, precision of 97.87%, sensitivity of 98.33%, and F score of 98.10%. [ABSTRACT FROM AUTHOR]

Part 2 explores the transformative potential of artificial intelligence (AI) in addressing the complexities of headache disorders through innovative approaches, including digital twin models, wearable healthcare technologies and biosensors, and AI-driven drug discovery. Digital twins, as dynamic digital representations of patients, offer opportunities for personalized headache management by integrating diverse datasets such as neuroimaging, multiomics, and wearable sensor data to advance headache research, optimize treatment, and enable virtual trials. In addition, AI-driven wearable devices equipped with next-generation biosensors combined with multi-agent chatbots could enable real-time physiological and biochemical monitoring, diagnosing, facilitating early headache attack forecasting and prevention, disease tracking, and personalized interventions. Furthermore, AI-driven advances in drug discovery leverage machine learning and generative AI to accelerate the identification of novel therapeutic targets and optimize treatment strategies for migraine and other headache disorders. Despite these advances, challenges such as data standardization, model explainability, and ethical considerations remain pivotal. Collaborative efforts between clinicians, biomedical and biotechnological engineers, AI scientists, legal representatives and bioethics experts are essential to overcoming these barriers and unlocking AI's full potential in transforming headache research and healthcare. This is a call to action in proposing novel frameworks for integrating AI-based technologies into headache care. [ABSTRACT FROM AUTHOR]

Objective: Rapid on-site evaluation (ROSE) of respiratory cytology specimens is a critical technique for accurate and timely diagnosis of lung cancer. However, in China, limited familiarity with the Diff-Quik staining method and a shortage of trained cytopathologists hamper utilization of ROSE. Therefore, developing an improved deep learning model to assist clinicians in promptly and accurately evaluating Diff-Quik stained cytology samples during ROSE has important clinical value. Methods: Retrospectively, 116 digital images of Diff-Quik stained cytology samples were obtained from whole slide scans. These included 6 diagnostic categories - carcinoid, normal cells, adenocarcinoma, squamous cell carcinoma, non-small cell carcinoma, and small cell carcinoma. All malignant diagnoses were confirmed by histopathology and immunohistochemistry. The test image set was presented to 3 cytopathologists from different hospitals with varying levels of experience, as well as an artificial intelligence system, as single-choice questions. Results: The diagnostic accuracy of the cytopathologists correlated with their years of practice and hospital setting. The AI model demonstrated proficiency comparable to the humans. Importantly, all combinations of AI assistance and human cytopathologist increased diagnostic efficiency to varying degrees. Conclusions: This deep learning model shows promising capability as an aid for on-site diagnosis of respiratory cytology samples. However, human expertise remains essential to the diagnostic process. [ABSTRACT FROM AUTHOR]

Congenital heart disease (Cl-ID) is one of the common birth defects, affecting -1% of live births, and is the highest birth defect-related contributor to infant mortality in developing countries. Prenatal diagnoses of critical CHD allow delivery planning for optimal neonatal intervention and medical care, decision-making, and family preparation. Children with prenatal diagnoses are less preoperative brain injury, lower morbidity, more-robust microstructural brain development, and lower mortality for some lesions than those with postnatal diagnoses of CI ID. Moresuccessful prognoses and better treatment are dependent on earlier detection during the phase of embryonie development. Lately Deep Learning and Machine Learning methods are most comnionly used for automatic detection and classification of CHD. This manuscript offers the design of HPOHDL-CHDDF - Hunter Prey Optimization with Hybrid Deep Learning-based Congenital Heart Disease Detection of Fetus (HPOHDL-CHDDF) technique. The goal of the 1-IPOHDL-CHDDF technique is to improve the accuracy and efficiency of C+ID detection. To accomplish this, the presented Hunter Prey Optimization with Hybrid Deep Learning-based Congenital Heart Disease Detection of Fetus technique follows two major phases of operations such as Hybrid Deep Learning-based classification and hyperparameter tuning. At the initial stage. the Hunter Prey Optimization with Hybrid Deep Learning-based Congenital Heart Disease Detection of Fetus system involves the design of Convolutional Neural Network with Long Short rerm Memory' algorithm for classification purposes. Next, in the second stage. the Llunter Prey Optimization with Hybrid Deep Learning-based Congenital Heart Disease Detection of Fetus technique employs the HPO algorithm for optimal selection of the hyperparameter values of the Convolutional Neural Network -Long Short-Term Memory (CNN-LSTM) system. The perforniance validation of the Hunter Prey Optimization with Hybrid Deep Learning-based Congenital Heart Disease Detection of Fetus algorithm is tested on medical datasets. The experimental values stated that the Hunter Prey Optimization with Hybrid Deep Learning-based Congenital Heart Disease Detection of Fetus technique reaches enhanced performance over other baseline models. [ABSTRACT FROM AUTHOR]

Oral mucosal lesions are associated with a variety of pathological conditions. Most deep-learning-based convolutional neural network (CNN) systems for computer-aided diagnosis of oral lesions have typically concentrated on determining limited aspects of differential diagnosis. This study aimed to develop a CNN-based diagnostic model capable of classifying clinical photographs of oral ulcerative and associated lesions into five different diagnoses, thereby assisting clinicians in making accurate differential diagnoses. A set of clinical images were selected, including 506 images of five different diagnoses. The images were pre-processed and randomly divided into two sets for training and testing the CNN model. The model architecture was composed of convolutional layers, batch normalization layers, max pooling layers, the dropout layer and fully-connected layers. Evaluation metrics included weighted-precision, weighted-recall, weighted-F1 score, average specificity, Cohen's Kappa coefficient, normalized confusion matrix and AUC. The overall performance for the image classification showed a weighted-precision of 88.8%, a weighted-recall of 88.2%, a weighted-F1 score of 0.878, an average pecificity of 97.0%, a Kappa coefficient of 0.851, and an average AUC of 0.985. The model achieved a decent classification performance (overall AUC=0.985), showing the capacity to discern between benign and malignant potential lesions, and laid the foundation of a novel tool that can help clinical differential diagnosis of oral mucosal lesions. The main challenges were the small and imbalanced dataset. Enlarging the minority classes, incorporating more oral mucosal lesion diagnoses, employing transfer learning and cross-validation might be included in future works to optimize the image classification model. [ABSTRACT FROM AUTHOR]

Background: In hospitalized patients, QT/QTc (heart rate corrected) prolongation on the electrocardiogram (ECG) increases the risk of torsade de pointes. Manual measurements are time-consuming and often inaccurate. Some bedside monitors automatically and continuously measure QT/QTc; however, the agreement between computerized versus nurse-measured values has not been evaluated. Objective: The aim of this study was to examine the agreement between computerized QT/QTc and bedside and expert nurses who used electronic calipers. Methods: This was a prospective observational study in 3 intensive care units. Up to 2 QT/QTc measurements (milliseconds) per patient were collected. Bland-Altman test was used to analyze measurement agreement. Results: A total of 54 QT/QTc measurements from 34 patients admitted to the ICU were included. The mean difference (bias) for QT comparisons was as follows: computerized versus expert nurses, −11.04 ± 4.45 milliseconds (95% confidence interval [CI], −2.3 to −19.8; P =.016), and computerized versus bedside nurses, −13.72 ± 6.70 (95% CI, −0.70 to −26.8; P =.044). The mean bias for QTc comparisons was as follows: computerized versus expert nurses, −12.46 ± 5.80 (95% CI, −1.1 to −23.8; P =.035), and computerized versus bedside nurses, −18.49 ± 7.90 (95% CI, −3.0 to −33.9; P =.022). Conclusion: Computerized QT/QTc measurements calculated by bedside monitor software and measurements performed by nurses were in close agreement; statistically significant differences were found, but differences were less than 20 milliseconds (on-half of a small box), indicating no clinical significance. Computerized measurements may be a suitable alternative to nurse-measured QT/QTc. This could reduce inaccuracies and nurse burden while increasing adherence to practice recommendations. Further research comparing computerized QT/QTc from bedside monitoring to standard 12-lead electrocardiogram in a larger sample, including non-ICU patients, is needed. [ABSTRACT FROM AUTHOR]

Manual labeling of lesions in medical image analysis presents a significant challenge due to its labor-intensive and inefficient nature, which ultimately strains essential medical resources and impedes the advancement of computer-aided diagnosis. This paper introduces a novel medical image-segmentation framework named Efficient Generative-Adversarial U-Net (EGAUNet), designed to facilitate rapid and accurate multi-organ labeling. To enhance the model's capability to comprehend spatial information, we propose the Global Spatial-Channel Attention Mechanism (GSCA). This mechanism enables the model to concentrate more effectively on regions of interest. Additionally, we have integrated Efficient Mapping Convolutional Blocks (EMCB) into the feature-learning process, allowing for the extraction of multi-scale spatial information and the adjustment of feature map channels through optimized weight values. Moreover, the proposed framework progressively enhances its performance by utilizing a generative-adversarial learning strategy, which contributes to improvements in segmentation accuracy. Consequently, EGAUNet demonstrates exemplary segmentation performance on public multi-organ datasets while maintaining high efficiency. For instance, in evaluations on the CHAOS T2SPIR dataset, EGAUNet achieves approximately 2 % higher performance on the Jaccard metric, 1 % higher on the Dice metric, and nearly 3 % higher on the precision metric in comparison to advanced networks such as Swin-Unet and TransUnet. [ABSTRACT FROM AUTHOR]

Limb Length Discrepancy (LLD) is a common condition that can result in gait abnormalities, pain, and an increased risk of early degenerative osteoarthritis in the lower extremities. Epidemiological studies indicate that mild LLD, defined as a discrepancy of 10 mm or less, affects approximately 60–90% of the population. While more severe cases are less frequent, they are associated with secondary conditions such as low back pain, scoliosis, and osteoarthritis of the hip or knee. LLD not only impacts daily activities, but may also lead to long-term complications, making early detection and precise measurement essential. Current LLD measurement methods include physical examination and imaging techniques, with physical exams being simple and non-invasive but prone to operator-dependent errors. To address these limitations and reduce measurement errors, we have developed an AI-based automated lower-limb length measurement system. This method employs semantic segmentation to accurately identify the positions of the femur and tibia and extracts key anatomical landmarks, achieving a margin of error within 4 mm. By automating the measurement process, this system reduces the time and effort required for manual measurements, enabling clinicians to focus more on treatment and improving the overall quality of care. [ABSTRACT FROM AUTHOR]

Purpose: Automated prostate disease classification on multi-parametric MRI has recently shown promising results with the use of convolutional neural networks (CNNs). The vision transformer (ViT) is a convolutional free architecture which only exploits the self-attention mechanism and has surpassed CNNs in some natural imaging classification tasks. However, these models are not very robust to textural shifts in the input space. In MRI, we often have to deal with textural shift arising from varying acquisition protocols. Here, we focus on the ability of models to generalise well to new magnet strengths for MRI. Method: We propose a new framework to improve the robustness of vision transformer-based models for disease classification by constructing discrete representations of the data using vector quantisation. We sample a subset of the discrete representations to form the input into a transformer-based model. We use cross-attention in our transformer model to combine the discrete representations of T2-weighted and apparent diffusion coefficient (ADC) images. Results: We analyse the robustness of our model by training on a 1.5 T scanner and test on a 3 T scanner and vice versa. Our approach achieves SOTA performance for classification of lesions on prostate MRI and outperforms various other CNN and transformer-based models in terms of robustness to domain shift and perturbations in the input space. Conclusion: We develop a method to improve the robustness of transformer-based disease classification of prostate lesions on MRI using discrete representations of the T2-weighted and ADC images. [ABSTRACT FROM AUTHOR]

Accurate and interpretable segmentation of medical images is crucial for computer-aided diagnosis and image-guided interventions. This study explores the integration of semantic segmentation and explainable AI techniques on the MnMs-2 Cardiac MRI dataset. We propose a segmentation model that achieves competitive dice scores (nearly 90 %) and Hausdorff distance (less than 70), demonstrating its effectiveness for cardiac MRI analysis. Furthermore, we leverage Grad-CAM, and Feature Ablation, explainable AI techniques, to visualise the regions of interest guiding the model predictions for a target class. This integration enhances interpretability, allowing us to gain insights into the model decision-making process and build trust in its predictions. [ABSTRACT FROM AUTHOR]

Background/Aim: Costal cartilage fractures are associated with poor prognosis in patients with blunt chest trauma. A Computer-Aided Detection (CAD) system for detecting rib fractures has been used in practice, but it is unclear whether this system recognizes costal cartilage fractures. This study investigated whether the CAD system for rib fracture can detect costal cartilage fractures. Patients and Methods: A total of 89 patients with costal cartilage fractures from participating hospitals over an 18-year period were included in the study. The presence of a costal cartilage fracture was determined by three radiologists. We reviewed fracture location, cartilage calcification, dislocation, and callus formation. The percentage of agreement between the radiologists and the CAD system (Rib fracture CAD, Fujifilm Medical Co., Ltd) was assessed. Results: We detected 246 costal cartilage fractures in 89 patients. The costal cartilage of rib 7 was injured most frequently. Costal cartilage fractures were categorized as either mid-chondral, costochondral, or chondro-sternal. The CAD system detected 33 lesions; 16 were consistent with the costal cartilage fractures determined by the radiologists (costochondral junction 13, mid-chondral 2, chondro-sternal 1). Conclusion: The CAD system for rib fracture can detect costal cartilage fractures at the costochondral junction but is not sufficiently sensitive to detect costal cartilage fractures without calcification. The CAD system for rib fracture needs further development before it can be used to detect rib cartilage fractures. [ABSTRACT FROM AUTHOR]

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Background and Objectives: The increasing prevalence of skin cancer highlights the urgency for early intervention, emphasizing the need for advanced diagnostic tools. Computer-assisted diagnosis (CAD) offers a promising avenue to streamline skin cancer screening and alleviate associated costs. Methods: This study endeavors to develop an automatic segmentation system employing deep neural networks, seamlessly integrating data manipulation into the learning process. Utilizing an encoder-decoder architecture rooted in U-Net and augmented by wavelet transform, our methodology facilitates the generation of high-resolution feature maps, thus bolstering the precision of the deep learning model. Results: Performance evaluation metrics including sensitivity, accuracy, dice coefficient, and Jaccard similarity confirm the superior efficacy of our model compared to conventional methodologies. The results showed a accuracy of %96.89 for skin lesions in PH2 Database and %95.8 accuracy for ISIC 2017 database findings, which offers promising results compared to the results of other studies. Additionally, this research shows significant improvements in three metrics: sensitivity, Dice, and Jaccard. For the PH database, the values are 96, 96.40, and 95.40, respectively. For the ISIC database, the values are 92.85, 96.32, and 95.24, respectively. Conclusion: In image processing and analysis, numerous solutions have emerged to aid dermatologists in their diagnostic endeavors The proposed algorithm was evaluated using two PH datasets, and the results were compared to recent studies. Impressively, the proposed algorithm demonstrated superior performance in terms of accuracy, sensitivity, Dice coefficient, and Jaccard Similarity scores when evaluated on the same database images compared to other methods. [ABSTRACT FROM AUTHOR]

Deep learning analysis of electrocardiography (ECG) may predict cardiovascular outcomes. We present a novel multi-task deep learning model, the ECG-MACE, which predicts the one-year first-ever major adverse cardiovascular events (MACE) using 2,821,889 standard 12-lead ECGs, including training (n = 984,895), validation (n = 422,061), and test (n = 1,414,933) sets, from Chang Gung Memorial Hospital database in Taiwan. Data from another independent medical center (n = 113,224) was retrieved for external validation. The model's performance achieves AUROCs of 0.90 for heart failure (HF), 0.85 for myocardial infarction (MI), 0.76 for ischemic stroke (IS), and 0.89 for mortality. Furthermore, it outperforms the Framingham risk score at 5-year MACEs and 10-year mortality prediction. Over 10-year follow-ups, the model-predicted-positive group exhibits significantly higher MACE incidences than the model-predicted-negative group (relative incidence ratio: HF: 15.28; MI: 7.87; IS: 4.74; mortality: 13.18). Using solely ECGs, ECG-MACE effectively predicts one-year events and exhibits long-term anticipation. It provides potential applications in preventive medicine. [ABSTRACT FROM AUTHOR]

Skin cancer is most top three critical kinds of cancer due to damaged DNA, which is cause death. This damaged DNA begins cells for growing uncontrollably and currently it can be obtaining improved quickly. It is several researches on the computerized examination of malignancy from the skin cancer image. But, study of these images are very difficult taking several troublesome issues such as light reflections on the skin surface, differences from the color illumination, sizes of lesions, and distinct shapes. Thus, the outcome, evidential automatic detection of skin cancer are appreciated for developing the accuracy and efficiency of pathologists at the beginning phases. This manuscript develops a Stacked Ensemble Machine Learning based Skin Cancer Detection and Classification (SEML-SKCDC) approach. The presented SEML-SKCDC technique majorly aims to offer ensemble of three ML models for skin cancer classification. In the presented SEML-SKCDC technique, median filtering and contrast enhancement is performed at the pre-processing stage. To generate feature vectors, the honey badger algorithm (HBA) with EfficientNet method has been exploited in this work. At last, an ensemble of k-nearest neighbor (KNN), random forest (RF), and feed forward neural network (FFNN) approaches are applied for skin cancer classification. The simulation evaluation of the SEML-SKCDC system on skin cancer database depicts the developments of the SEML-SKCDC algorithm with recent methods. [ABSTRACT FROM AUTHOR]

Lower back pain is one of the most common medical problems in the world and it is experienced by a huge percentage of people everywhere. Due to its ability to produce a detailed view of the soft tissues, including the spinal cord, nerves, intervertebral discs, and vertebrae, Magnetic Resonance Imaging is thought to be the most effective method for imaging the spine. The semantic segmentation of vertebrae plays a major role in the diagnostic process of lumbar diseases. It is difficult to semantically partition the vertebrae in Magnetic Resonance Images from the surrounding variety of tissues, including muscles, ligaments, and intervertebral discs. U-Net is a powerful deep-learning architecture to handle the challenges of medical image analysis tasks and achieves high segmentation accuracy. This work proposes a modified U-Net architecture namely MU-Net, consisting of the Meijering convolutional layer that incorporates the Meijering filter to perform the semantic segmentation of lumbar vertebrae L1 to L5 and sacral vertebra S1. Pseudo-colour mask images were generated and used as ground truth for training the model. The work has been carried out on 1312 images expanded from T1-weighted mid-sagittal MRI images of 515 patients in the Lumbar Spine MRI Dataset publicly available from Mendeley Data. The proposed MU-Net model for the semantic segmentation of the lumbar vertebrae gives better performance with 98.79% of pixel accuracy (PA), 98.66% of dice similarity coefficient (DSC), 97.36% of Jaccard coefficient, and 92.55% mean Intersection over Union (mean IoU) metrics using the mentioned dataset. [ABSTRACT FROM AUTHOR]

Chimp optimization algorithm (CHOA) is a recently developed nature-inspired technique that mimics the swarm intelligence of chimpanzee colonies. However, the original CHOA suffers from slow convergence and a tendency to reach local optima when dealing with multidimensional problems. To address these limitations, we propose TASR-CHOA, a twofold adaptive stochastic reinforced variant. The TASR-CHOA algorithm integrates two novel methodologies: a stochastic approach to improve the speed at which convergence is achieved and a dual adaptive weighting approach to optimize the exploration of early patterns, which refer to initial trends or behaviors in the algorithm's convergence process during the early stages of iterations and the exploitation of subsequent tendencies, indicating how these initial trends develop over time as the algorithm iterates and refines its search. To evaluate TASR-CHOA, we apply it to 29 conventional optimization benchmark functions, 10 IEEE CEC-06 benchmarks, 30 complicated IEEE CEC-BC benchmark functions, and ten well-known benchmark real-world challenges. We evaluate TASR-CHOA against 4 categorical optimization techniques as well as 18 top IEEE CEC-BC algorithms. Based on our broad investigation done using three statistical tests, we claim that TASR-CHOA outperforms the majority of the algorithms since within a position takes the best place, 54 out of 73 evaluation functions and engineering problems. In other cases, the results are almost the same as those of SHADE and CMA-ES over several comparisons. As an illustrative application of this joint approach, a computer-aided fire detection task is performed using a deep convolutional neural network combined with TASR-CHOA. We also outline the algorithm executed in steps, indicating computational complexity, which is O(NI×NV) + O(NI×NV×6) + O(NI×NV + 2×NI×NV) as a function of number of individuals (NI) and dimensions (NV). [ABSTRACT FROM AUTHOR]

Computer-aided detection (CAD) systems have been developed to aid in the detection of pulmonary nodules on MRI scans. However, the diagnostic accuracy of these systems varies widely, and their impact on the detection rate of pulmonary nodules in clinical practice is uncertain. The aim was to evaluate the effect of a deep learning-based CAD system on the detection rate of pulmonary nodules in MRI scans. This randomized controlled trial was conducted in participants undergoing lung cancer screening with low-dose MRI scans. Participants were randomly assigned to either the intervention or control group in a 1:1 ratio. The primary outcome, the detection rate of pulmonary nodules, was significantly higher in the intervention group compared to the control group (70% vs. 50%, p=0.03). The use of a deep learning-based CAD system in addition to standard radiologist interpretation improves the detection rate of pulmonary nodules on low-dose MRI scans in participants undergoing lung cancer screening. [ABSTRACT FROM AUTHOR]

Background and Objective: Vitiligo is a chronic skin damage disease, triggered by differential melanocyte death. Vitiligo (0.5%–1% of the population) is one of the most severe skin conditions. In general, the foundation of the condition of vitiligo remains gradual patchy loss of skin pigmentation, overlying blood, and sometimes mucus. This paper provides a systematic review of the relevant publications and conference papers based on the subject of vitiligo diagnosis and confirmation through computer‐aided machine learning (ML) techniques. Materials and Methods: A search was conducted using a predetermined set of keywords across three databases, namely, Science Direct, PubMed, and IEEE Xplore. The selection process involved the application of eligibility criteria, which led to the inclusion of research published in reputable journals and conference proceedings up until June 2024. These selected papers were then subjected to full‐text screening for additional analysis. Research publications that involved application of ML techniques with targeted population of vitiligo were selected for further systematic review. Results: Ten selected and screened studies are included in this systematic review after applying eligibility criteria along with inclusion and exclusion criteria applied on initial search result which was 244 studies based on vitiligo. Priority is given to those studies only which use ML techniques to perform detection and diagnosis on vitiligo‐targeted population. Data analysis was carried out only from the selected and screened research articles that were published in authentic journals and conference proceedings. Conclusion: The importance of applying ML techniques in the clinical diagnosis of vitiligo can give more accurate results and at the same also eliminate the need of biased human judgement. Based on a comprehensive examination of the research, encompassing the methodologies employed and the metrics utilized to assess outcomes, it was determined that there is a need for further research and investigation regarding the application of ML algorithm for the detection and diagnosis of vitiligo with different datasets and more feature extraction. [ABSTRACT FROM AUTHOR]

Background: Osteoarthritis (OA) of the knee is a prevalent chronic degenerative joint condition that is having a growing impact on a global scale., posing a challenge in diagnosis which is often reliant on time-consuming and error-prone visual analysis by physicians. There is a critical need for an automated, efficient, and accurate diagnostic method to improve early detection and treatment. Methods: We developed a novel Convolutional Neural Network (CNN) module, Dense Multi-Scale (DMS), an advancement over Multi-Scale Convolution (MSC). This module utilizes dense connections in convolutions of varying sizes (1 × 1, 3 × 3, 5 × 5) and across layers, enhancing feature reuse and complexity recognition, thereby improving recognition capabilities. Dense connections also facilitate deeper network architecture and mitigate gradient vanishing problems. We compared our model with a standard baseline model and validated it using an unseen-data test set. Results: The DMS model exhibited exceptional performance in unseen-data tests, achieving 73.00% average accuracy (ACC) and 92.73% area under the curve (AUC), surpassing the baseline model's (DenseNet) 63.52% ACC and 88.76% AUC. This highlights the DMS model's superior predictive capability for knee OA. Conclusion: The DMS model presents a significant advancement in predicting and grading knee OA, holding substantial clinical importance. It promises to aid radiologists in accurate diagnosis and grading, and in choosing appropriate treatments, thereby reducing misdiagnosis and patient burden. [ABSTRACT FROM AUTHOR]

Introduction: The integration of AI into healthcare is widely anticipated to revolutionize medical diagnostics, enabling earlier, more accurate disease detection and personalized care. Methods: In this study, we developed and validated an AI-assisted diagnostic support tool using only routinely ordered and broadly available blood tests to predict the presence of major chronic and acute diseases as well as rare disorders. Results: Our model was tested on both retrospective and prospective datasets comprising over one million patients. We evaluated the diagnostic performance by (1) implementing ensemble learning (mean ROC-AUC.9293 and mean DOR 63.96); (2) assessing the model's sensitivity via risk scores to simulate its screening effectiveness; (3) analyzing the potential for early disease detection (30–270 days before clinical diagnosis) through creating historical patient timelines and (4) conducting validation on real-world clinical data in collaboration with Synlab Hungary, to assess the tool's performance in clinical setting. Discussion: Uniquely, our model not only considers stable blood values but also tracks changes from baseline across 15 years of patient history. Our AI-driven automated diagnostic tool can significantly enhance clinical practice by recognizing patterns in common and rare diseases, including malignancies. The models' ability to detect diseases 1–9 months earlier than traditional clinical diagnosis could contribute to reduced healthcare costs and improved patient outcomes. The automated evaluation also reduces evaluation time of healthcare providers, which accelerates diagnostic processes. By utilizing only routine blood tests and ensemble methods, the tool demonstrates high efficacy across independent laboratories and hospitals, making it an exceptionally valuable screening resource for primary care physicians. [ABSTRACT FROM AUTHOR]

This study evaluated the impact of differing false positive (FP) rates in two computer-aided detection (CADe) systems on the clinical effectiveness of artificial intelligence (AI)-assisted colonoscopy. The primary outcomes were adenoma detection rate (ADR) and adenomas per colonoscopy (APC). The ADR in the control, system A (3.2% FP rate), and system B (0.6% FP rate) groups were 44.3%, 43.4%, and 50.4%, respectively, with system B showing a significantly higher ADR than the control group. The APC for the control, A, and B groups were 0.75, 0.83, and 0.90, respectively, with system B also showing a higher APC than the control. The non-true lesion resection rates were 23.8%, 29.2%, and 21.3%, with system B having the lowest. The system with lower FP rates demonstrated improved ADR and APC without increasing the resection of non-neoplastic lesions. These findings suggest that higher FP rates negatively affect the clinical performance of AI-assisted colonoscopy. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to design an auxiliary segmentation model for thyroid nodules to increase diagnostic accuracy and efficiency, thereby reducing the workload of medical personnel. Methods: This study proposes a Dual-Path Attention Mechanism (DPAM)-UNet++ model, which can automatically segment thyroid nodules in ultrasound images. Specifically, the model incorporates dual-path attention modules into the skip connections of the UNet++ network to capture global contextual information in feature maps. The model's performance was evaluated using Intersection over Union (IoU), F1_score, accuracy, etc. Additionally, a new integrated loss function was designed for the DPAM-UNet++ network. Results: Comparative experiments with classical segmentation models revealed that the DPAM-UNet++ model achieved an IoU of 0.7451, an F1_score of 0.8310, an accuracy of 0.9718, a precision of 0.8443, a recall of 0.8702, an Area Under Curve (AUC) of 0.9213, and an HD95 of 35.31. Except for the precision metric, this model outperformed the other models on all the indicators and achieved a segmentation effect that was more similar to that of the ground truth labels. Additionally, ablation experiments verified the effectiveness and necessity of the dual-path attention mechanism and the integrated loss function. Conclusion: The segmentation model proposed in this study can effectively capture global contextual information in ultrasound images and accurately identify the locations of nodule areas. The model yields excellent segmentation results, especially for small and multiple nodules. Additionally, the integrated loss function improves the segmentation of nodule edges, enhancing the model's accuracy in segmenting edge details. [ABSTRACT FROM AUTHOR]

Background: Alzheimer's Disease is a neurodegenerative condition leading to irreversible and progressive brain damage, with possible features such as structural atrophy. Effective precision diagnosis is crucial for slowing disease progression and reducing the incidence rate and morbidity. Traditional computer-aided diagnostic methods using structural MRI data often focus on capturing such features but face challenges, like overfitting with 3D image analysis and insufficient feature capture with 2D slices, potentially missing multi-planar information, and the complementary nature of features across different orientations. Methods: The study introduces MHAGuideNet, a classification method incorporating a guidance network utilizing multi-head attention. The model utilizes a pre-trained 3D convolutional neural network to direct the feature extraction of multi-planar 2D slices, specifically targeting the detection of features like structural atrophy. Additionally, a hybrid 2D slice-level network combining 2D CNN and 2D Swin Transformer is employed to capture the interrelations between the atrophy in different brain structures associated with Alzheimer's Disease. Results: The proposed MHAGuideNet is tested using two datasets: the ADNI and OASIS datasets. The model achieves an accuracy of 97.58%, specificity of 99.89%, F1 score of 93.98%, and AUC of 99.31% on the ADNI test dataset, demonstrating superior performance in distinguishing between Alzheimer's Disease and cognitively normal subjects. Furthermore, testing on the independent OASIA test dataset yields an accuracy of 96.02%, demonstrating the model's robust performance across different datasets. Conclusion: MHAGuideNet shows great promise as an effective tool for the computer-aided diagnosis of Alzheimer's Disease. Within the guidance of information from the 3D pre-trained CNN, the ability to leverage multi-planar information and capture subtle brain changes, including the interrelations between different structural atrophies, underscores its potential for clinical application. [ABSTRACT FROM AUTHOR]

Shape analysis provides methods for understanding anatomical structures extracted from medical images. However, the underlying notions of shape spaces that are frequently employed come with strict assumptions prohibiting the analysis of incomplete and/or topologically varying shapes. This work aims to alleviate these limitations by adapting the concept of functional maps. Further, we present a graph-based learning approach for morphometric classification of disease states that uses novel shape descriptors based on this concept. We demonstrate the performance of the derived classifier on the open-access ADNI database differentiating normal controls and subjects with Alzheimer's disease. Notably, the experiments show that our approach can improve over state-of-the-art from geometric deep learning. [ABSTRACT FROM AUTHOR]

Background: Mammography for the diagnosis of early breast cancer (BC) relies heavily on the identification of breast masses. However, in the early stages, it might be challenging to ascertain whether a breast mass is benign or malignant. Consequently, many deep learning (DL)-based computer-aided diagnosis (CAD) approaches for BC classification have been developed. Methods: Recently, the transformer model has emerged as a method for overcoming the constraints of convolutional neural networks (CNN). Thus, our primary goal was to determine how well an improved transformer model could distinguish between benign and malignant breast tissues. In this instance, we drew on the Mendeley data repository's INbreast dataset, which includes benign and malignant breast types. Additionally, the segmentation anything model (SAM) method was used to generate the optimized cutoff for region of interest (ROI) extraction from all mammograms. We implemented a successful architecture modification at the bottom layer of a pyramid transformer (PTr) to identify BC from mammography images. Results: The proposed PTr model using a transfer learning (TL) approach with a segmentation technique achieved the best accuracy of 99.96% for binary classifications with an area under the curve (AUC) score of 99.98%, respectively. We also compared the performance of the proposed model with other transformer model vision transformers (ViT) and DL models, MobileNetV3 and EfficientNetB7, respectively. Conclusions: In this study, a modified transformer model is proposed for BC prediction and mammography image classification using segmentation approaches. Data segmentation techniques accurately identify the regions affected by BC. Finally, the proposed transformer model accurately classified benign and malignant breast tissues, which is vital for radiologists to guide future treatment. [ABSTRACT FROM AUTHOR]