Artificial-Intelligence-Driven Algorithms for Predicting Response to Corticosteroid Treatment in Patients with Post-Acute COVID-19.

Pulmonary fibrosis is one of the most severe long-term consequences of COVID-19. Corticosteroid treatment increases the chances of recovery; unfortunately, it can also have side effects. Therefore, we aimed to develop prediction models for a personalized selection of patients benefiting from corticotherapy. The experiment utilized various algorithms, including Logistic Regression, k-NN, Decision Tree, XGBoost, Random Forest, SVM, MLP, AdaBoost, and LGBM. In addition easily human-interpretable model is presented. All algorithms were trained on a dataset consisting of a total of 281 patients. Every patient conducted an examination at the start and three months after the post-COVID treatment. The examination comprised a physical examination, blood tests, functional lung tests, and an assessment of health state based on X-ray and HRCT. The Decision tree algorithm achieved balanced accuracy (BA) of 73.52%, ROC-AUC of 74.69%, and 71.70% F1 score. Other algorithms achieving high accuracy included Random Forest (BA 70.00%, ROC-AUC 70.62%, 67.92% F1 score) and AdaBoost (BA 70.37%, ROC-AUC 63.58%, 70.18% F1 score). The experiments prove that information obtained during the initiation of the post-COVID-19 treatment can be used to predict whether the patient will benefit from corticotherapy. The presented predictive models can be used by clinicians to make personalized treatment decisions.

A vision transformer based approach for analysis of plasmodium vivax life cycle for malaria prediction using thin blood smear microscopic images.

BACKGROUND AND OBJECTIVES: Microscopic images are an important part for haematologists in diagnosing various diseases in the blood cell. Changes in blood cells are caused by malaria disease, and early diagnosis can prevent the disease from entering its severe stage. METHODS: In this paper, an automated non-invasive and efficient deep learning-based framework is developed for multi-class plasmodium vivax life cycle classification and malaria diagnosis. A multi-class microscopic blood cell of different plasmodium vivax life cycle stage dataset is analysed, and a diagnostic framework is designed. Several stages of the disease are examined and augmented through various techniques to make the framework robust in real-time. Generative adversarial network is specially designed to generate extended training samples of various life cycle stages to increase robustness of the resulting model. A special transformer-based neural network vision transformer is designed to improve generalisation capabilities. Microscopic images are classified into multi classes of plasmodium vivax life cycle stage, where the keystone transformer layers extract relevant disease features from microscopic colour images, and the extracted relevant features are used to make predictive diagnostic decisions. RESULTS: The capabilities of the vision transformer are computed and analysed by statistical parameters, and the performance of the vision transformer model is compared with baseline architectures, where it was evident that the performance of the vision transformer was significantly better, reaching 90.03% accuracy. CONCLUSIONS: A comprehensive comparison of the proposed framework to the state-of-the-art methods proves its efficiency in the classification of plasmodium vivax life cycle for malaria disease identification through thin blood smear microscopic images.

Cardi-Net: A deep neural network for classification of cardiac disease using phonocardiogram signal.

BACKGROUND AND OBJECTIVES: The lack of medical facilities in isolated areas makes many patients remain aloof from quick and timely diagnosis of cardiovascular diseases, leading to high mortality rates. A deep learning based method for automatic diagnosis of multiple cardiac diseases from Phonocardiogram (PCG) signals is proposed in this paper. METHODS: The proposed system is a combination of deep learning based convolutional neural network (CNN) and power spectrogram Cardi-Net, which can extract deep discriminating features of PCG signals from the power spectrogram to identify the diseases. The choice of Power Spectral Density (PSD) makes the model extract highly discriminatory features significant for the multi-classification of four common cardiac disorders. RESULTS: Data augmentation techniques are applied to make the model robust, and the model undergoes 10-fold cross-validation to yield an overall accuracy of 98.879% on the test dataset to diagnose multi heart diseases from PCG signals. CONCLUSION: The proposed model is completely automatic, where signal pre-processing and feature engineering are not required. The conversion time of power spectrogram from PCG signals is very low range from 0.10 s to 0.11 s. This reduces the complexity of the model, making it highly reliable and robust for real-time applications. The proposed architecture can be deployed on cloud and a low cost processor, desktop, android app leading to proper access to the dispensaries in remote areas.

Deep learning based microscopic cell images classification framework using multi-level ensemble.

BACKGROUND AND OBJECTIVES: Advancement of the ultra-fast microscopic images acquisition and generation techniques give rise to the automated artificial intelligence (AI)-based microscopic images classification systems. The earlier cell classification systems classify the cell images of a specific type captured using a specific microscopy technique, therefore the motivation behind the present study is to develop a generic framework that can be used for the classification of cell images of multiple types captured using a variety of microscopic techniques. METHODS: The proposed framework for microscopic cell images classification is based on the transfer learning-based multi-level ensemble approach. The ensemble is made by training the same base model with different optimisation methods and different learning rates. An important contribution of the proposed framework lies in its ability to capture different granularities of features extracted from multiple scales of an input microscopic cell image. The base learners used in the proposed ensemble encapsulates the aggregation of low-level coarse features and high-level semantic features, thus, represent the different granular microscopic cell image features present at different scales of input cell images. The batch normalisation layer has been added to the base models for the fast convergence in the proposed ensemble for microscopic cell images classification. RESULTS: The general applicability of the proposed framework for microscopic cell image classification has been tested with five different public datasets. The proposed method has outperformed the experimental results obtained in several other similar works. CONCLUSIONS: The proposed framework for microscopic cell classification outperforms the other state-of-the-art classification methods in the same domain with a comparatively lesser amount of training data.

Ensemble based machine learning approach for prediction of glioma and multi-grade classification.

Glioma is the most pernicious cancer of the nervous system, with histological grade influencing the survival of patients. Despite many studies on the multimodal treatment approach, survival time remains brief. In this study, a novel two-stage ensemble of an ensemble-type machine learning-based predictive framework for glioma detection and its histograde classification is proposed. In the proposed framework, five characteristics belonging to 135 subjects were considered: human telomerase reverse transcriptase (hTERT), chitinase-like protein (YKL-40), interleukin 6 (IL-6), tissue inhibitor of metalloproteinase-1 (TIMP-1) and neutrophil/lymphocyte ratio (NLR). These characteristics were examined using distinctive ensemble-based machine learning classifiers and combination strategies to develop a computer-aided diagnostic system for the non-invasive prediction of glioma cases and their grade. In the first stage, the analysis was conducted to classify glioma cases and control subjects. Machine learning approaches were applied in the second stage to classify the recognised glioma cases into three grades, from grade II, which has a good prognosis, to grade IV, which is also known as glioblastoma. All experiments were evaluated with a five-fold cross-validation method, and the classification results were analysed using different statistical parameters. The proposed approach obtained a high value of accuracy and other statistical parameters compared with other state-of-the-art machine learning classifiers. Therefore, the proposed framework can be utilised for designing other intervention strategies for the prediction of glioma cases and their grades.

Automated detection of bioimages using novel deep feature fusion algorithm and effective high-dimensional feature selection approach.

The classification of bioimages plays an important role in several biological studies, such as subcellular localisation, phenotype identification and other types of histopathological examinations. The objective of the present study was to develop a computer-aided bioimage classification method for the classification of bioimages across nine diverse benchmark datasets. A novel algorithm was developed, which systematically fused the features extracted from nine different convolution neural network architectures. A systematic fusion of features boosts the performance of a classifier but at the cost of the high dimensionality of the fused feature set. Therefore, non-discriminatory and redundant features need to be removed from a high-dimensional fused feature set to improve the classification performance and reduce the time complexity. To achieve this aim, a method based on analysis of variance and evolutionary feature selection was developed to select an optimal set of discriminatory features from the fused feature set. The proposed method was evaluated on nine different benchmark datasets. The experimental results showed that the proposed method achieved superior performance, with a significant reduction in the dimensionality of the fused feature set for most bioimage datasets. The performance of the proposed feature selection method was better than that of some of the most recent and classical methods used for feature selection. Thus, the proposed method was desirable because of its superior performance and high compression ratio, which significantly reduced the computational complexity.

Cytokine gene variants and socio-demographic characteristics as predictors of cervical cancer: A machine learning approach.

Cervical cancer is still one of the most prevalent cancers in women and a significant cause of mortality. Cytokine gene variants and socio-demographic characteristics have been reported as biomarkers for determining the cervical cancer risk in the Indian population. This study was designed to apply a machine learning-based model using these risk factors for better prognosis and prediction of cervical cancer. This study includes the dataset of cytokine gene variants, clinical and socio-demographic characteristics of normal healthy control subjects, and cervical cancer cases. Different risk factors, including demographic details and cytokine gene variants, were analysed using different machine learning approaches. Various statistical parameters were used for evaluating the proposed method. After multi-step data processing and random splitting of the dataset, machine learning methods were applied and evaluated with 5-fold cross-validation and also tested on the unseen data records of a collected dataset for proper evaluation and analysis. The proposed approaches were verified after analysing various performance metrics. The logistic regression technique achieved the highest average accuracy of 82.25% and the highest average F1-score of 82.58% among all the methods. Ridge classifiers and the Gaussian Naïve Bayes classifier achieved the highest sensitivity-85%. The ridge classifier surpasses most of the machine learning classifiers with 84.78% accuracy and 97.83% sensitivity. The risk factors analysed in this study can be taken as biomarkers in developing a cervical cancer diagnosis system. The outcomes demonstrate that the machine learning assisted analysis of cytokine gene variants and socio-demographic characteristics can be utilised effectively for predicting the risk of developing cervical cancer.

A deep learning-based COVID-19 automatic diagnostic framework using chest X-ray images.

The lethal novel coronavirus disease 2019 (COVID-19) pandemic is affecting the health of the global population severely, and a huge number of people may have to be screened in the future. There is a need for effective and reliable systems that perform automatic detection and mass screening of COVID-19 as a quick alternative diagnostic option to control its spread. A robust deep learning-based system is proposed to detect the COVID-19 using chest X-ray images. Infected patient's chest X-ray images reveal numerous opacities (denser, confluent, and more profuse) in comparison to healthy lungs images which are used by a deep learning algorithm to generate a model to facilitate an accurate diagnostics for multi-class classification (COVID vs. normal vs. bacterial pneumonia vs. viral pneumonia) and binary classification (COVID-19 vs. non-COVID). COVID-19 positive images have been used for training and model performance assessment from several hospitals of India and also from countries like Australia, Belgium, Canada, China, Egypt, Germany, Iran, Israel, Italy, Korea, Spain, Taiwan, USA, and Vietnam. The data were divided into training, validation and test sets. The average test accuracy of 97.11 ± 2.71% was achieved for multi-class (COVID vs. normal vs. pneumonia) and 99.81% for binary classification (COVID-19 vs. non-COVID). The proposed model performs rapid disease detection in 0.137 s per image in a system equipped with a GPU and can reduce the workload of radiologists by classifying thousands of images on a single click to generate a probabilistic report in real-time.

Efficient Multi-Object Detection and Smart Navigation Using Artificial Intelligence for Visually Impaired People.

Visually impaired people face numerous difficulties in their daily life, and technological interventions may assist them to meet these challenges. This paper proposes an artificial intelligence-based fully automatic assistive technology to recognize different objects, and auditory inputs are provided to the user in real time, which gives better understanding to the visually impaired person about their surroundings. A deep-learning model is trained with multiple images of objects that are highly relevant to the visually impaired person. Training images are augmented and manually annotated to bring more robustness to the trained model. In addition to computer vision-based techniques for object recognition, a distance-measuring sensor is integrated to make the device more comprehensive by recognizing obstacles while navigating from one place to another. The auditory information that is conveyed to the user after scene segmentation and obstacle identification is optimized to obtain more information in less time for faster processing of video frames. The average accuracy of this proposed method is 95.19% and 99.69% for object detection and recognition, respectively. The time complexity is low, allowing a user to perceive the surrounding scene in real time.

Automatic diagnosis of multiple cardiac diseases from PCG signals using convolutional neural network.

BACKGROUND AND OBJECTIVES: Cardiovascular diseases are critical diseases and need to be diagnosed as early as possible. There is a lack of medical professionals in remote areas to diagnose these diseases. Artificial intelligence-based automatic diagnostic tools can help to diagnose cardiac diseases. This work presents an automatic classification method using machine learning to diagnose multiple cardiac diseases from phonocardiogram signals. METHODS: The proposed system involves a convolutional neural network (CNN) model because of its high accuracy and robustness to automatically diagnose the cardiac disorders from the heart sounds. To improve the accuracy in a noisy environment and make the method robust, the proposed method has used data augmentation techniques for training and multi-classification of multiple cardiac diseases. RESULTS: The model has been validated both heart sound data and augmented data using n-fold cross-validation. Results of all fold have been shown reported in this work. The model has achieved accuracy on the test set up to 98.60% to diagnose multiple cardiac diseases. CONCLUSIONS: The proposed model can be ported to any computing devices like computers, single board computing processors, android handheld devices etc. To make a stand-alone diagnostic tool that may be of help in remote primary health care centres. The proposed method is non-invasive, efficient, robust, and has low time complexity making it suitable for real-time applications.

Machine learning-based identification of radiofrequency electromagnetic radiation (RF-EMR) effect on brain morphology: a preliminary study.

The brain of a human and other organisms is affected by the electromagnetic field (EMF) radiations, emanating from the cell phones and mobile towers. Prolonged exposure to EMF radiations may cause neurological changes in the brain, which in turn may bring chemical as well as morphological changes in the brain. Conventionally, the identification of EMF radiation effect on the brain is performed using cellular-level analysis. In the present work, an automatic image processing-based approach is used where geometric features extracted from the segmented brain region has been analyzed for identifying the effect of EMF radiation on the morphology of a brain, using drosophila as a specimen. Genetic algorithm-based evolutionary feature selection algorithm has been used to select an optimal set of geometrical features, which, when fed to the machine learning classifiers, result in their optimal performance. The best classification accuracy has been obtained with the neural network with an optimally selected subset of geometrical features. A statistical test has also been performed to prove that the increase in the performance of classifier post-feature selection is statistically significant. This machine learning-based study indicates that there exists discrimination between the microscopic brain images of the EMF-exposed drosophila and non-exposed drosophila. Graphical abstract Proposed Methodology for identification of radiofrequency electromagnetic radiation (RF-EMR) effect on the morphology of brain of Drosophila.

An automated computer vision based preliminary study for the identification of a heavy metal (Hg) exposed fish-channa punctatus.

Fishes available in the market may be cultured either in fresh or contaminated water bodies. Heavy metals are one of those contaminants which may cause menace to fish health and thereby affect the health of living beings consuming them. The identification of heavy metal residues in fish samples is a challenging task and may require expensive and sophisticated instruments and testing. This paper investigates visual changes which may be used as benchmark for differentiating between fresh water and heavy metal exposed fishes. The proposed method is an automated non-destructive image processing method for identifying visual changes which can be used to differentiate between controlled (untreated) and heavy metals exposed (treated) fishes. The eye of the fish from digital images is considered as focal tissue that was automatically segmented using the Circular Hough Transform and adaptive intensity thresholding. Post segmentation, a potential feature is identified and transformed into mathematical parameters for classification of a fish sample as fresh or heavy metal exposed water fish. The proposed method can identify and translate the potential visual feature for ease of understanding. The accuracy of the proposed method is high, and computation time elapsed indicates the possibility of using such algorithm for real time detection in related field.

Automated Framework for Screening of Glaucoma Through Cloud Computing.

In recent times, the use of computer aided diagnosis for detection of Glaucoma from fundus images has been prevalent. In the proposed work, a cloud based system is proposed for automatic and real-time screening of Glaucoma with the use of automatic image processing techniques. The proposed system offers scalability to the developers and easy accessibility to the consumers. The proposed system is device and location independent. The input digital image is analyzed and a comprehensive diagnostic report is generated consisting of detailed analysis of indicative medical parameters like optic-cup-to-disc ratio, optic neuro-retinal rim, ISNT rules making the report informative and clinically significant. With recent advances in the field of communication technologies, the internet facilities are available that make the proposed system an efficient and economical method for initial screening and offer preventive and diagnostic steps in early disease intervention and management. The proposed system can perform an initial screening test in an average time of 6 s on high resolution fundus images. The proposed system has been tested on a fundus database and an average sensitivity of 93.7% has been achieved for Glaucoma cases. In places where there is scarcity of trained ophthalmologists and lack of awareness of such diseases, the cloud based system can be used as an effective diagnostic assistive tool.

An automated and robust image processing algorithm for glaucoma diagnosis from fundus images using novel blood vessel tracking and bend point detection.

Glaucoma is an ocular disease which can cause irreversible blindness. The disease is currently identified using specialized equipment operated by optometrists manually. The proposed work aims to provide an efficient imaging solution which can help in automating the process of Glaucoma diagnosis using computer vision techniques from digital fundus images. The proposed method segments the optic disc using a geometrical feature based strategic framework which improves the detection accuracy and makes the algorithm invariant to illumination and noise. Corner thresholding and point contour joining based novel methods are proposed to construct smooth contours of Optic Disc. Based on a clinical approach as used by ophthalmologist, the proposed algorithm tracks blood vessels inside the disc region and identifies the points at which first vessel bend from the optic disc boundary and connects them to obtain the contours of Optic Cup. The proposed method has been compared with the ground truth marked by the medical experts and the similarity parameters, used to determine the performance of the proposed method, have yield a high similarity of segmentation. The proposed method has achieved a macro-averaged f-score of 0.9485 and accuracy of 97.01% in correctly classifying fundus images. The proposed method is clinically significant and can be used for Glaucoma screening over a large population which will work in a real time.

Imperceptible watermarking for security of fundus images in tele-ophthalmology applications and computer-aided diagnosis of retina diseases.

BACKGROUND AND OBJECTIVES: The authentication and integrity verification of medical images is a critical and growing issue for patients in e-health services. Accurate identification of medical images and patient verification is an essential requirement to prevent error in medical diagnosis. The proposed work presents an imperceptible watermarking system to address the security issue of medical fundus images for tele-ophthalmology applications and computer aided automated diagnosis of retinal diseases. METHODS: In the proposed work, patient identity is embedded in fundus image in singular value decomposition domain with adaptive quantization parameter to maintain perceptual transparency for variety of fundus images like healthy fundus or disease affected image. In the proposed method insertion of watermark in fundus image does not affect the automatic image processing diagnosis of retinal objects & pathologies which ensure uncompromised computer-based diagnosis associated with fundus image. Patient ID is correctly recovered from watermarked fundus image for integrity verification of fundus image at the diagnosis centre. RESULTS: The proposed watermarking system is tested in a comprehensive database of fundus images and results are convincing. EXPERIMENTAL: results indicate that proposed watermarking method is imperceptible and it does not affect computer vision based automated diagnosis of retinal diseases. CONCLUSIONS: Correct recovery of patient ID from watermarked fundus image makes the proposed watermarking system applicable for authentication of fundus images for computer aided diagnosis and Tele-ophthalmology applications.

Classification of the trabecular bone structure of osteoporotic patients using machine vision.

Osteoporosis is a common bone disease which often leads to fractures. Clinically, the major challenge for the automatic diagnosis of osteoporosis is the complex architecture of bones. The clinical diagnosis of osteoporosis is conventionally done using Dual-energy X-ray Absorptiometry (DXA). This method has specific limitations, however, such as the large size of the instrument, a relatively high cost and limited availability. The method proposed here is based on the automatic processing of X-ray images. The bone X-ray image was statistically processed and strategically reformed to extract discriminatory statistical features of different orders. These features were used for machine learning for the classification of two populations composed of osteoporotic and healthy subjects. Four classifiers - support vector machine (SVM), k-nearest neighbors, Naïve Bayes and artificial neural network - were used to test the performance of the proposed method. Tests were performed on X-ray images of the calcaneus bone collected from the hospital of Orleans. The results are significant in terms of accuracy and time complexity. Experimental results indicate a classification rate of 98% using an SVM classifier which is encouraging for automatic osteoporosis diagnosis using bone X-ray images. The low time complexity of the proposed method makes it suitable for real time applications.

Unique identification code for medical fundus images using blood vessel pattern for tele-ophthalmology applications.

BACKGROUND AND OBJECTIVE: Identification of fundus images during transmission and storage in database for tele-ophthalmology applications is an important issue in modern era. The proposed work presents a novel accurate method for generation of unique identification code for identification of fundus images for tele-ophthalmology applications and storage in databases. Unlike existing methods of steganography and watermarking, this method does not tamper the medical image as nothing is embedded in this approach and there is no loss of medical information. METHODS: Strategic combination of unique blood vessel pattern and patient ID is considered for generation of unique identification code for the digital fundus images. Segmented blood vessel pattern near the optic disc is strategically combined with patient ID for generation of a unique identification code for the image. RESULTS: The proposed method of medical image identification is tested on the publically available DRIVE and MESSIDOR database of fundus image and results are encouraging. CONCLUSIONS: Experimental results indicate the uniqueness of identification code and lossless recovery of patient identity from unique identification code for integrity verification of fundus images.

Image processing based automatic diagnosis of glaucoma using wavelet features of segmented optic disc from fundus image.

Glaucoma is a disease of the retina which is one of the most common causes of permanent blindness worldwide. This paper presents an automatic image processing based method for glaucoma diagnosis from the digital fundus image. In this paper wavelet feature extraction has been followed by optimized genetic feature selection combined with several learning algorithms and various parameter settings. Unlike the existing research works where the features are considered from the complete fundus or a sub image of the fundus, this work is based on feature extraction from the segmented and blood vessel removed optic disc to improve the accuracy of identification. The experimental results presented in this paper indicate that the wavelet features of the segmented optic disc image are clinically more significant in comparison to features of the whole or sub fundus image in the detection of glaucoma from fundus image. Accuracy of glaucoma identification achieved in this work is 94.7% and a comparison with existing methods of glaucoma detection from fundus image indicates that the proposed approach has improved accuracy of classification.

An adaptive threshold based image processing technique for improved glaucoma detection and classification.

Glaucoma is an optic neuropathy which is one of the main causes of permanent blindness worldwide. This paper presents an automatic image processing based method for detection of glaucoma from the digital fundus images. In this proposed work, the discriminatory parameters of glaucoma infection, such as cup to disc ratio (CDR), neuro retinal rim (NRR) area and blood vessels in different regions of the optic disc has been used as features and fed as inputs to learning algorithms for glaucoma diagnosis. These features which have discriminatory changes with the occurrence of glaucoma are strategically used for training the classifiers to improve the accuracy of identification. The segmentation of optic disc and cup based on adaptive threshold of the pixel intensities lying in the optic nerve head region. Unlike existing methods the proposed algorithm is based on an adaptive threshold that uses local features from the fundus image for segmentation of optic cup and optic disc making it invariant to the quality of the image and noise content which may find wider acceptability. The experimental results indicate that such features are more significant in comparison to the statistical or textural features as considered in existing works. The proposed work achieves an accuracy of 94.11% with a sensitivity of 100%. A comparison of the proposed work with the existing methods indicates that the proposed approach has improved accuracy of classification glaucoma from a digital fundus which may be considered clinically significant.