Feasibility of integrating canine olfaction with chemical and microbial profiling of urine to detect lethal prostate cancer.

Prostate cancer is the second leading cause of cancer death in men in the developed world. A more sensitive and specific detection strategy for lethal prostate cancer beyond serum prostate specific antigen (PSA) population screening is urgently needed. Diagnosis by canine olfaction, using dogs trained to detect cancer by smell, has been shown to be both specific and sensitive. While dogs themselves are impractical as scalable diagnostic sensors, machine olfaction for cancer detection is testable. However, studies bridging the divide between clinical diagnostic techniques, artificial intelligence, and molecular analysis remains difficult due to the significant divide between these disciplines. We tested the clinical feasibility of a cross-disciplinary, integrative approach to early prostate cancer biosensing in urine using trained canine olfaction, volatile organic compound (VOC) analysis by gas chromatography-mass spectroscopy (GC-MS) artificial neural network (ANN)-assisted examination, and microbial profiling in a double-blinded pilot study. Two dogs were trained to detect Gleason 9 prostate cancer in urine collected from biopsy-confirmed patients. Biopsy-negative controls were used to assess canine specificity as prostate cancer biodetectors. Urine samples were simultaneously analyzed for their VOC content in headspace via GC-MS and urinary microbiota content via 16S rDNA Illumina sequencing. In addition, the dogs' diagnoses were used to train an ANN to detect significant peaks in the GC-MS data. The canine olfaction system was 71% sensitive and between 70-76% specific at detecting Gleason 9 prostate cancer. We have also confirmed VOC differences by GC-MS and microbiota differences by 16S rDNA sequencing between cancer positive and biopsy-negative controls. Furthermore, the trained ANN identified regions of interest in the GC-MS data, informed by the canine diagnoses. Methodology and feasibility are established to inform larger-scale studies using canine olfaction, urinary VOCs, and urinary microbiota profiling to develop machine olfaction diagnostic tools. Scalable multi-disciplinary tools may then be compared to PSA screening for earlier, non-invasive, more specific and sensitive detection of clinically aggressive prostate cancers in urine samples.

Cycles of insanity and creativity within contemplative neural systems.

Random connection weight disturbances within an assembly of artificial neural networks (ANN) drive a progression of activation patterns that are tantamount to the memories and ideas nucleating within the brain's cortex. The numerical evaluation of these pattern-based notions by another, more placid system of ANNs governs the magnitude of weight disturbances administered to the former assembly, that perturbative intensity in turn controlling the novelty of the resulting ideational stream as well as the retention of newly formed concepts. In search of solution patterns to posed problems, such collaborating neural systems autonomously cycle between two extremes in mean synaptic perturbation level. The higher limit, characterized by chaos and inattentiveness to exogenous input patterns, is the regime in which ideas first form and incubate. The lower bound, marked by relative synaptic tranquility, is favorable to the reactivation and reinforcement of concepts first seeded during heightened perturbation. When considering this synthetic neural architecture as a cognitive model, the proposed source of such synaptic fluctuations is volume neurotransmitter release within cortex where both ideational and critic nets are commingled. As a result of their overlap, not only are the generative cortical networks suffused with neurotransmitters, but also those functioning in a critic role, leading to altered 'opinions' about the perturbation-driven stream of consciousness that then govern the injection of neurotransmitters into cortex. The likely effect of such chemical feedback is that the brain constantly cycles between states of idea generating chaos and perception stabilizing tranquility in much the same way that creative artificial neural systems do. Postulating that ideas are potentially useful or interesting false memories born within such turmoil, creativity appears to take place through a cyclic process consisting of alternating phases of (1) cognitive incapacitation, during which confabulatory notions incubate, and (2) synaptic calm when these incubated thoughts reemerge and reinforce themselves as they are then recognized for their value by a lucid perceptual apparatus. Extremes in such cycling, especially within the former dysfunctional phase, would be problematic from a mental health perspective. Whereas the literature is replete with findings linking creativity and various psychopathologies, the main hypothesis advanced herein is that the neurodynamics of both phenomena are the same. If vindicated, this theory may lead to advanced treatments that could potentially boost creativity as well as safeguard against the associated cognitive and psychological disorders, all through control of just one parameter, the difference between cortical concentrations of excitatory and inhibitory neurotransmitters.

Digital Family History Data Mining with Neural Networks: A Pilot Study.

Following the passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, electronic health records were widely adopted by eligible physicians and hospitals in the United States. Stage 2 meaningful use menu objectives include a digital family history but no stipulation as to how that information should be used. A variety of data mining techniques now exist for these data, which include artificial neural networks (ANNs) for supervised or unsupervised machine learning. In this pilot study, we applied an ANN-based simulation to a previously reported digital family history to mine the database for trends. A graphical user interface was created to display the input of multiple conditions in the parents and output as the likelihood of diabetes, hypertension, and coronary artery disease in male and female offspring. The results of this pilot study show promise in using ANNs to data mine digital family histories for clinical and research purposes.