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Abstract Polyp detection is a challenging task in the diagnosis of Colorectal Cancer (CRC), and it demands clinical expertise due to the diverse nature of polyps. The recent years have witnessed the development of automated polyp detection systems to assist the experts in early diagnosis, considerably reducing the time consumption and diagnostic errors. In automated CRC diagnosis, polyp segmentation is an important step which is carried out with deep learning segmentation models. Recently, Vision Transformers (ViT) are slowly replacing these models due to their ability to capture long range dependencies among image patches. However, the existing ViTs for polyp do not harness the inherent self-attention abilities and incorporate complex attention mechanisms. This paper presents Polyp-Vision Transformer (Polyp-ViT), a novel Transformer model based on the conventional Transformer architecture, which is enhanced with adaptive mechanisms for feature extraction and positional embedding. Polyp-ViT is tested on the Kvasir-seg and CVC-Clinic DB Datasets achieving segmentation accuracies of 0.9891 ± 0.01 and 0.9875 ± 0.71 respectively, outperforming state-of-the-art models. Polyp-ViT is a prospective tool for polyp segmentation which can be adapted to other medical image segmentation tasks as well due to its ability to generalize well.

Scoliosis is a medical condition marked by an abnormal lateral curvature of the spine, typically forming a sideways “S” or “C” shape. Mechanically, it manifests as a three-dimensional deformation of the spine, potentially leading to diverse clinical issues such as pain, diminished lung capacity, and postural abnormalities. This research specifically concentrates on the Adolescent Idiopathic Scoliosis (AIS) population, as existing literature indicates a tendency for this type of scoliosis to deteriorate over time. The principal aim of this investigation is to pinpoint the biomechanical factors contributing to the progression of scoliosis by employing Finite Element Analysis (FEA) on computed tomography (CT) data collected from adolescent patients. By accurately modeling the spinal curvature and related deformities, the stresses and strains experienced by vertebral and intervertebral structures under diverse loading conditions can be simulated and quantified. The transient simulation incorporated damping and inertial terms, along with the static stiffness matrix, to enhance comprehension of the response. The findings of this study indicate a significant reduction in the Cobb angle, halving from its initial value, decreasing from 35° to 17°. In degenerative scoliosis, failure was predicted at 109 cycles, with the Polypropylene brace deforming by 10.34 mm, while the Nitinol brace exhibited significantly less deformation at 7.734 mm. This analysis contributes to a better understanding of the biomechanical mechanisms involved in scoliosis development and can assist in the formulation of more effective treatment strategies. The FEA simulation emerges as a valuable supplementary tool for exploring various hypothetical scenarios by applying diverse loads at different locations to enhance comprehension of the effectiveness of proposed interventions.

Scoliosis is a medical condition in which a person's spine has an abnormal curvature and Cobb angle is a measurement used to evaluate the severity of a spinal curvature. Presently, automatic Existing Cobb angle measurement techniques require huge dataset, time-consuming, and needs significant effort. So, it is important to develop an unsupervised method for the measurement of Cobb angle with good accuracy. In this work, an unsupervised local center of mass (LCM) technique is proposed to segment the spine region and further novel Cobb angle measurement method is proposed for accurate measurement. Validation of the proposed method was carried out on 2D X-ray images from the Saudi Arabian population. Segmentation results were compared with GMM-Based Hidden Markov Random Field (GMM-HMRF) segmentation method based on sensitivity, specificity, and dice score. Based on the findings, it can be observed that our proposed segmentation method provides an overall accuracy of 97.3% whereas GMM-HMRF has an accuracy of 89.19%. Also, the proposed method has a higher dice score of 0.54 compared to GMM-HMRF. To further evaluate the effectiveness of the approach in the Cobb angle measurement, the results were compared with Senior Scoliosis Surgeon at Multispecialty Hospital in Saudi Arabia. The findings indicated that the segmentation of the scoliotic spine was nearly flawless, and the Cobb angle measurements obtained through manual examination by the expert and the algorithm were nearly identical, with a discrepancy of only ± 3 degrees. Our proposed method can pave the way for accurate spinal segmentation and Cobb angle measurement among scoliosis patients by reducing observers' variability.

This study introduces a novel deep-learning methodology that is customized to automatically diagnose Alzheimer’s disease (AD) through the analysis of MRI datasets. The process of diagnosing AD via the visual examination of magnetic resonance imaging (MRI) presents considerable challenges. The visual diagnosis of mild to very mild stages of AD is challenging due to the MRI similarities observed between a brain that is aging normally and one that has AD. The detection of AD with extreme precision is critical during its early stages. Deep-learning techniques have recently been shown to be significantly more effective than human detection in identifying various stages of AD, enabling early-stage diagnosis. The aim of this research is to develop a deep-learning approach that utilizes pre-trained convolutional neural networks (CNNs) to accurately detect the severity levels of AD, particularly in situations where the quantity and quality of available datasets are limited. In this approach, the AD dataset is preprocessed via a refined image processing module prior to the training phase. The proposed method was compared to two well-known deep-learning algorithms (VGG16 and ResNet50) using four Kaggle AD datasets: one for the normal stage of the disease and three for the mild, very mild, and moderate stages, respectively. This allowed us to evaluate the effectiveness of the classification results. The three models were compared using six performance metrics. The results achieved with our approach indicate an overall detection accuracy of 99.3%, which is superior to the other existing models.

Mild cognitive impairment (MCI) is the precursor to the advanced stage of Alzheimer’s disease (AD), and it is important to detect the transition to the MCI condition as early as possible. Trends in daily routines/activities provide a measurement of cognitive/functional status, particularly in older adults. In this study, activity data from longitudinal monitoring through in-home ambient sensors are leveraged in predicting the transition to the MCI stage at a future time point. The activity dataset from the Oregon Center for Aging and Technology (ORCATECH) includes measures representing various domains such as walk, sleep, etc. Each sensor-captured activity measure is constructed as a time series, and a variety of summary statistics is computed. The similarity between one individual’s activity time series and that of the remaining individuals is also computed as distance measures. The long short-term memory (LSTM) recurrent neural network is trained with time series statistics and distance measures for the prediction modeling, and performance is evaluated by classification accuracy. The model outcomes are explained using the SHapley Additive exPlanations (SHAP) framework. LSTM model trained using the time series statistics and distance measures outperforms other modeling scenarios, including baseline classifiers, with an overall prediction accuracy of 83.84%. SHAP values reveal that sleep-related features contribute the most to the prediction of the cognitive stage at the future time point, and this aligns with the findings in the literature. Findings from this study not only demonstrate that a practical, less expensive, longitudinal monitoring of older adults’ activity routines can benefit immensely in modeling AD progression but also unveil the most contributing features that are medically applicable and meaningful.

Breast cancer ranks among the leading causes of death for women globally, making it imperative to swiftly and precisely detect the condition to ensure timely treatment and enhanced chances of recovery. This study focuses on transfer learning with 3D U-Net models to classify ductal carcinoma, the most frequent subtype of breast cancer, in histopathology imaging. In this research work, a dataset of 162 microscopic images of breast cancer specimens is utilized for breast histopathology analysis. Preprocessing the original image data includes shrinking the images, standardizing the intensities, and extracting patches of size 50 × 50 pixels. The retrieved patches were employed to construct a basic 3D U-Net model and a refined 3D U-Net model that had been previously trained on an extensive medical image segmentation dataset. The findings revealed that the fine-tuned 3D U-Net model (97%) outperformed the simple 3D U-Net model (87%) in identifying ductal cancer in breast histopathology imaging. The fine-tuned model exhibited a smaller loss (0.003) on the testing data (0.041) in comparison to the simple model. The disparity in the training and testing accuracy reveals that the fine-tuned model may have overfitted to the training data indicating that there is room for improvement. To progress in computer-aided diagnosis, the research study also adopted various data augmentation methodologies. The experimental approach that was put forward achieved state-of-the-art performance, surpassing the benchmark techniques used in previous studies in the same field, and exhibiting greater accuracy. The presented scheme has promising potential for better cancer detection and diagnosis in practical applications of mammography.

Artificial intelligence (AI) is one of the most promising approaches to health innovation. The use of AI in image recognition considerably extends findings beyond the constraints of human sight. The application of AI in medical imaging, which relies on picture interpretation, is beneficial for automatic diagnosis. Diagnostic radiology is evolving from a subjective perceptual talent to a more objective science thanks to AI. Automatic object detection in medical images is an essential AI technology in medicine. The problem of detecting brain tumors at an early stage is well advanced with convolutional neural network (CNN) and deep learning algorithms (DLA). The problem is that those algorithms require a training phase with a big database of more than 500 images and time-consuming with a complex computational and expensive infrastructure. This study proposes a classical automatic segmentation method for detecting brain tumors in the early stage using MRI images. It is based on a multilevel thresholding technique on a harmony search algorithm (HSO); the algorithm was developed to suit MRI brain segmentation, and parameters selection was optimized for the purpose. Multiple thresholds, based on the variance and entropy functions, break the histogram into multiple portions, and different colors are associated with each portion. To eliminate the tiny arias supposed as noise and detect brain tumors, morphological operations followed by a connected component analysis are utilized after segmentation. The brain tumor detection performance is judged using performance parameters such as Accuracy, Dice Coefficient, and Jaccard index. The results are compared to those acquired manually by experts in the field. The results were further compared with different CNN and DLA approaches using Brain Images dataset called the “BraTS 2017 challenge”. The average Dice Index was used as a performance measure for the comparison. The results of the proposed approach were found to be competitive in accuracy to those obtained by CNN and DLA methods and much better in terms of execution time, computational complexity, and data management.

Speech-in-noise tests are used to assess the ability of the human auditory system to perceive speech in a noisy environment. Early diagnosis of hearing deficits helps health professionals to plan for the most appropriate management. However, hospitals and auditory clinics have a shortage of reliable Arabic versions of speech-in-noise tests. Additionally, access to specialized healthcare facilities is associated with socioeconomic status. Hence, individuals with compromised socioeconomic status do not have proper access to healthcare. Thus, In the current study, a mobile and cost-effective Arabic speech-in-noise test was developed and tested on 30 normal-hearing subjects, and their ability to perceive words-in-noise was evaluated. Moreover, a comparison between two different background noises was explored (multi-talker babble noise and white noise). The results revealed a significant difference in the thresholds between the two types of background noises. The percent-correct scores ranged from 100% to 54.17% for the white background noise and 91.57% to 50% for the multi-talker babble background noise. The proposed Arabic word-in-noise screening tool has the potential to be used effectively to screen for deteriorated speech perception abilities, particularly in low-resource settings.

The purpose of this paper was to detect and separate the cluster intensity provided by Iron oxide nanoparticles (IO-NPs), in the MRI images, to investigate the drug delivery effectiveness. IO-NPs were attached to the macrophages and inserted into the eye of the inflamed mouse’s calf. The low resolution of MRI and the tiny dimension of the IO-NPs made the situation challenging. IO-NPs serve as a marker, due to their strong intensity in the MRI, enabling us to follow the track of the macrophages. An image processing procedure was developed to estimate the position and the amount of IO-NPs spreading inside the inflamed mouse leg. A fuzzy Clustering algorithm was adopted to select the region of interest (ROI). A 3D model of the femoral region was used for the detection and then the extraction IO-NPs in the MRI images. The results achieved prove the effectiveness of the proposed method to improve the control process of targeted drug delivered. It helps in optimizing the treatment and opens a promising novel research axis for nanomedicine applications.