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1.
Comput Biol Med ; 136: 104744, 2021 09.
Article in English | MEDLINE | ID: mdl-34388465

ABSTRACT

COVID-19 is a respiratory disease that, as of July 15th, 2021, has infected more than 187 million people worldwide and is responsible for more than 4 million deaths. An accurate diagnosis of COVID-19 is essential for the treatment and control of the disease. The use of computed tomography (CT) has shown to be promising for evaluating patients suspected of COVID-19 infection. The analysis of a CT examination is complex, and requires attention from a specialist. This paper presents a methodology for detecting COVID-19 from CT images. We first propose a convolutional neural network architecture to extract features from CT images, and then optimize the hyperparameters of the network using a tree Parzen estimator to choose the best parameters. Following this, we apply a selection of features using a genetic algorithm. Finally, classification is performed using four classifiers with different approaches. The proposed methodology achieved an accuracy of 0.997, a kappa index of 0.995, an AUROC of 0.997, and an AUPRC of 0.997 on the SARS-CoV-2 CT-Scan dataset, and an accuracy of 0.987, a kappa index of 0.975, an AUROC of 0.989, and an AUPRC of 0.987 on the COVID-CT dataset, using our CNN after optimization of the hyperparameters, the selection of features and the multi-layer perceptron classifier. Compared with pretrained CNNs and related state-of-the-art works, the results achieved by the proposed methodology were superior. Our results show that the proposed method can assist specialists in screening and can aid in diagnosing patients with suspected COVID-19.


Subject(s)
COVID-19 , Deep Learning , Algorithms , Humans , Neural Networks, Computer , SARS-CoV-2 , Tomography, X-Ray Computed
2.
Artif Intell Med ; 105: 101845, 2020 05.
Article in English | MEDLINE | ID: mdl-32505426

ABSTRACT

Currently, breast cancer diagnosis is an extensively researched topic. An effective method to diagnose breast cancer is to use histopathological images. However, extracting features from these images is a challenging task. Thus, we propose a method that uses phylogenetic diversity indexes to characterize images for creating a model to classify histopathological breast images into four classes - invasive carcinoma, in situ carcinoma, normal tissue, and benign lesion. The classifiers used were the most robust ones according to the existing literature: XGBoost, random forest, multilayer perceptron, and support vector machine. Moreover, we performed content-based image retrieval to confirm the classification results and suggest a ranking for sets of images that were not labeled. The results obtained were considerably robust and proved to be effective for the composition of a CADx system to help specialists at large medical centers.


Subject(s)
Breast Neoplasms , Breast/diagnostic imaging , Breast Neoplasms/diagnostic imaging , Female , Humans , Neural Networks, Computer , Phylogeny , Support Vector Machine
3.
Comput Methods Programs Biomed ; 173: 1-14, 2019 May.
Article in English | MEDLINE | ID: mdl-31046984

ABSTRACT

BACKGROUND AND OBJECTIVE: Leukaemia is a disease found worldwide; it is a type of cancer that originates in the bone marrow and is characterised by an abnormal proliferation of white blood cells (leukocytes). In order to correctly identify this abnormality, haematologists examine blood smears from patients. A diagnosis obtained by this method may be influenced by factors such as the experience and level of fatigue of the haematologist, resulting in non-standard reports and even errors. In the literature, several methods have been proposed that involve algorithms to diagnose this disease. However, no reviews or surveys have been conducted. This paper therefore presents an empirical investigation of computational methods focusing on the segmentation of leukocytes. METHODS: In our study, 15 segmentation methods were evaluated using five public image databases: ALL-IDB2, BloodSeg, Leukocytes, JTSC Database and CellaVision. Following the standard methodology for literature evaluation, we conducted a pixel-level segmentation evaluation by comparing the segmented image with its corresponding ground truth. In order to identify the strengths and weaknesses of these methods, we performed an evaluation using six evaluation metrics: accuracy, specificity, precision, recall, kappa, Dice, and true positive rate. RESULTS: The segmentation algorithms performed significantly differently for different image databases, and for each database, a different algorithm achieved the best results. Moreover, the two best methods achieved average accuracy values higher than 97%, with an excellent kappa index. Also, the average Dice index indicated that the similarity between the segmented leukocyte and its ground truth was higher than 0.85 for these two methods This result confirms the high level of similarity between these images but does not guarantee that a method has segmented all leukocyte nuclei. We also found that the method that performed best segmented only 58.44% of all leukocytes. CONCLUSIONS: Of the techniques used to segment leukocytes, we note that clustering algorithms, the Otsu threshold, simple arithmetic operations and region growing are the approaches most widely used for this purpose. However, these computational methods have not yet overcome all the challenges posed by this problem.


Subject(s)
Cell Nucleus/metabolism , Leukocytes/cytology , Algorithms , Cluster Analysis , Color , Cytological Techniques , Databases, Factual , Deep Learning , False Positive Reactions , Humans , Image Processing, Computer-Assisted/methods , Medical Informatics/methods , Models, Theoretical
4.
Comput Med Imaging Graph ; 72: 13-21, 2019 03.
Article in English | MEDLINE | ID: mdl-30763802

ABSTRACT

Ninety years after its invention, the Pap test continues to be the most used method for the early identification of cervical precancerous lesions. In this test, the cytopathologists look for microscopic abnormalities in and around the cells, which is a time-consuming and prone to human error task. This paper introduces computational tools for cytological analysis that incorporate cell segmentation deep learning techniques. These techniques are capable of processing both free-lying and clumps of abnormal cells with a high overlapping rate from digitized images of conventional Pap smears. Our methodology employs a preprocessing step that discards images with a low probability of containing abnormal cells without prior segmentation and, therefore, performs faster when compared with the existing methods. Also, it ranks outputs based on the likelihood of the images to contain abnormal cells. We evaluate our methodology on an image database of conventional Pap smears from real scenarios, with 108 fields-of-view containing at least one abnormal cell and 86 containing only normal cells, corresponding to millions of cells. Our results show that the proposed approach achieves accurate results (MAP = 0.936), runs faster than existing methods, and it is robust to the presence of white blood cells, and other contaminants.


Subject(s)
Deep Learning , Image Processing, Computer-Assisted/methods , Algorithms , Female , Humans , Neural Networks, Computer , Papanicolaou Test , Uterine Cervical Neoplasms/pathology
5.
Int J Med Inform ; 94: 1-7, 2016 10.
Article in English | MEDLINE | ID: mdl-27573306

ABSTRACT

BACKGROUND: Preauthorisation is a control mechanism that is used by Health Insurance Providers (HIPs) to minimise wastage of resources through the denial of the procedures that were unduly requested. However, an efficient preauthorisation process requires the round-the-clock presence of a preauthorisation reviewer, which increases the operating expenses of the HIP. In this context, the aim of this study was to learn the preauthorisation process using the dental set from an existing database of a non-profit HIP. METHODS: Pre-processing data techniques as filtering algorithms, random under-sample and imputation were used to mitigate problems that arise from the selection of relevant attributes, class balancing and filling unknown data. The performance of classifiers Random Tree, Naive bayes, Support Vector Machine and Nearest Neighbor was evaluated according to kappa index and the best classifiers were combined by using ensembles. RESULTS: The number of attributes were reduced from 164 to 15 and also were created 12 new attributes from existing discrete data associated with the beneficiary's history. The final result was the development of a decision support mechanism that yielded hit rates above 96%. CONCLUSIONS: It is possible to create a tool based on computational intelligence techniques to evaluate the requests of test/procedure with a high accuracy. This tool can be used to support the activities of the professionals and automatically evaluate less complex cases, like requests not involving risk to the life of patients.


Subject(s)
Algorithms , Artificial Intelligence , Clinical Decision-Making , Health Personnel , Machine Learning , Bayes Theorem , Humans , Support Vector Machine
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