A Human-AI interaction paradigm and its application to rhinocytology.

This article explores Human-Centered Artificial Intelligence (HCAI) in medical cytology, with a focus on enhancing the interaction with AI. It presents a Human-AI interaction paradigm that emphasizes explainability and user control of AI systems. It is an iterative negotiation process based on three interaction strategies aimed to (i) elaborate the system outcomes through iterative steps (Iterative Exploration), (ii) explain the AI system's behavior or decisions (Clarification), and (iii) allow non-expert users to trigger simple retraining of the AI model (Reconfiguration). This interaction paradigm is exploited in the redesign of an existing AI-based tool for microscopic analysis of the nasal mucosa. The resulting tool is tested with rhinocytologists. The article discusses the analysis of the results of the conducted evaluation and outlines lessons learned that are relevant for AI in medicine.

Environmental variables and machine learning models to predict cetacean abundance in the Central-eastern Mediterranean Sea.

Although the Mediterranean Sea is a crucial hotspot in marine biodiversity, it has been threatened by numerous anthropogenic pressures. As flagship species, Cetaceans are exposed to those anthropogenic impacts and global changes. Assessing their conservation status becomes strategic to set effective management plans. The aim of this paper is to understand the habitat requirements of cetaceans, exploiting the advantages of a machine-learning framework. To this end, 28 physical and biogeochemical variables were identified as environmental predictors related to the abundance of three odontocete species in the Northern Ionian Sea (Central-eastern Mediterranean Sea). In fact, habitat models were built using sighting data collected for striped dolphins Stenella coeruleoalba, common bottlenose dolphins Tursiops truncatus, and Risso's dolphins Grampus griseus between July 2009 and October 2021. Random Forest was a suitable machine learning algorithm for the cetacean abundance estimation. Nitrate, phytoplankton carbon biomass, temperature, and salinity were the most common influential predictors, followed by latitude, 3D-chlorophyll and density. The habitat models proposed here were validated using sighting data acquired during 2022 in the study area, confirming the good performance of the strategy. This study provides valuable information to support management decisions and conservation measures in the EU marine spatial planning context.

An intelligent non-invasive system for automated diagnosis of anemia exploiting a novel dataset.

Anemia is a condition in which the oxygen-carrying capacity of red blood cells is insufficient to meet the body's physiological needs. It affects billions of people worldwide. An early diagnosis of this disease could prevent the advancement of other disorders. Traditional methods used to detect anemia consist of venipuncture, which requires a patient to frequently undergo laboratory tests. Therefore, anemia diagnosis using noninvasive and cost-effective methods is an open challenge. The pallor of the fingertips, palms, nail beds, and eye conjunctiva can be observed to establish whether a patient suffers from anemia. This article addresses the above challenges by presenting a novel intelligent system, based on machine learning, that supports the automated diagnosis of anemia. This system is innovative from different points of view. Specifically, it has been trained on a dataset that contains eye conjunctiva photos of Indian and Italian patients. This dataset, which was created using a very strict experimental set, is now made available to the Scientific Community. Moreover, compared to previous systems in the literature, the proposed system uses a low-cost device, which makes it suitable for widespread use. The performance of the learning algorithms utilizing two different areas of the mucous membrane of the eye is discussed. In particular, the RUSBoost algorithm, when appropriately trained on palpebral conjunctiva images, shows good performance in classifying anemic and nonanemic patients. The results are very robust, even when considering different ethnicities.

Detection of iron deficiency anemia by medical images: a comparative study of machine learning algorithms.

BACKGROUND: Anemia is one of the global public health problems that affect children and pregnant women. Anemia occurs when the level of red blood cells within the body decreases or when the structure of the red blood cells is destroyed or when the Hb level in the red blood cell is below the normal threshold, which results from one or more increased red cell destructions, blood loss, defective cell production or a depleted sum of Red Blood Cells. METHODS: The method used in this study is divided into three phases: the datasets were gathered, which is the palm, pre-processed the image, which comprised; Extracted images, and augmented images, segmented the Region of Interest of the images and acquired their various components of the CIE L*a*b* colour space (also referred to as the CIELAB), and finally developed the proposed models for the detection of anemia using the various algorithms, which include CNN, k-NN, Nave Bayes, SVM, and Decision Tree. The experiment utilized 527 initial datasets, rotation, flipping and translation were utilized and augmented the dataset to 2635. We randomly divided the augmented dataset into 70%, 10%, and 20% and trained, validated and tested the models respectively. RESULTS: The results of the study justify that the models performed appropriately when the palm is used to detect anemia, with the Naïve Bayes achieving a 99.96% accuracy while the SVM achieved the lowest accuracy of 96.34%, as the CNN also performed better with an accuracy of 99.92% in detecting anemia. CONCLUSIONS: The invasive method of detecting anemia is expensive and time-consuming; however, anemia can be detected through the use of non-invasive methods such as machine learning algorithms which is efficient, cost-effective and takes less time. In this work, we compared machine learning models such as CNN, k-NN, Decision Tree, Naïve Bayes, and SVM to detect anemia using images of the palm. Finally, the study supports other similar studies on the potency of the Machine Learning Algorithm as a non-invasive method in detecting iron deficiency anemia.

Clinical-chatbot AHP evaluation based on "quality in use" of ISO/IEC 25010.

BACKGROUND: Conversational agents are currently a valid alternative to humans in first-level interviews with users who need information, even in-depth, about services or products. In application domains such as health care, this technology can become pervasive only if the perceived "quality in use" is appropriate. How to measure chatbot quality is an open question. The international standard ISO/IEC 25010 proposes a set of characteristics (effectiveness, efficiency, satisfaction, freedom from risk, and context coverage) to be considered when the "quality in use" of a software system has to be measured. BASIC PROCEDURE: This study proposes a clinical chatbot comparison method based on quality. The proposed approach is based on Analytic Hierarchy Process methodology (AHP). FINDINGS: Our contribution is twofold. First, we propose a set of measures for each characteristic of ISO/IEC 25010 according to three classes of functionality: providing information, providing prescriptions and process management. Moreover a quantitative method is proposed for making homogeneous the pairwise weights when the AHP is used for the "quality-in-use" comparison. As a case study, a comparison of two versions of a chatbot was performed. CONCLUSIONS: The results show that the proposed approach provides an effective reference base for performing quality comparisons of medical chatbots compliant with the ISO/IEC 25010 standard.

A systematic mapping study on machine learning techniques for the prediction of CRISPR/Cas9 sgRNA target cleavage.

CRISPR/Cas9 technology has greatly accelerated genome engineering research. The CRISPR/Cas9 complex, a bacterial immune response system, is widely adopted for RNA-driven targeted genome editing. The systematic mapping study presented in this paper examines the literature on machine learning (ML) techniques employed in the prediction of CRISPR/Cas9 sgRNA on/off-target cleavage, focusing on improving support in sgRNA design activities and identifying areas currently being researched. This area of research has greatly expanded recently, and we found it appropriate to work on a Systematic Mapping Study (SMS), an investigation that has proven to be an effective secondary study method. Unlike a classic review, in an SMS, no comparison of methods or results is made, while this task can instead be the subject of a systematic literature review that chooses one theme among those highlighted in this SMS. The study is illustrated in this paper. To the best of the authors' knowledge, no other SMS studies have been published on this topic. Fifty-seven papers published in the period 2017-2022 (April, 30) were analyzed. This study reveals that the most widely used ML model is the convolutional neural network (CNN), followed by the feedforward neural network (FNN), while the use of other models is marginal. Other interesting information has emerged, such as the wide availability of both open code and platforms dedicated to supporting the activity of researchers or the fact that there is a clear prevalence of public funds that finance research on this topic.

Personal Heart Health Monitoring Based on 1D Convolutional Neural Network.

The automated detection of suspicious anomalies in electrocardiogram (ECG) recordings allows frequent personal heart health monitoring and can drastically reduce the number of ECGs that need to be manually examined by the cardiologists, excluding those classified as normal, facilitating healthcare decision-making and reducing a considerable amount of time and money. In this paper, we present a system able to automatically detect the suspect of cardiac pathologies in ECG signals from personal monitoring devices, with the aim to alert the patient to send the ECG to the medical specialist for a correct diagnosis and a proper therapy. The main contributes of this work are: (a) the implementation of a binary classifier based on a 1D-CNN architecture for detecting the suspect of anomalies in ECGs, regardless of the kind of cardiac pathology; (b) the analysis was carried out on 21 classes of different cardiac pathologies classified as anomalous; and (c) the possibility to classify anomalies even in ECG segments containing, at the same time, more than one class of cardiac pathologies. Moreover, 1D-CNN based architectures can allow an implementation of the system on cheap smart devices with low computational complexity. The system was tested on the ECG signals from the MIT-BIH ECG Arrhythmia Database for the MLII derivation. Two different experiments were carried out, showing remarkable performance compared to other similar systems. The best result showed high accuracy and recall, computed in terms of ECG segments and even higher accuracy and recall in terms of patients alerted, therefore considering the detection of anomalies with respect to entire ECG recordings.

Nasal cytology with deep learning techniques.

BACKGROUND: In recent years, cytological observations in the Rhinology field are being increasingly utilized. This development has taken place over the last two decades and has proven to be fundamental in defining new nosological entities and in driving changes in the previous classification of rhinitis. The simplicity of the technique and its low invasiveness make nasal cytology a practical diagnostic tool for all rhino-allergology services. Furthermore, since it allows the monitoring of responses to treatment, this method plays an important role in guiding a more effective and less expensive diagnostic program. Microscopic observation requires prolonged effort by a specialist, but the modern scanning systems for cytological preparations and the new affordable digital microscopes allow to design a software support system, based on deep learning techniques, to relieve specialist's tiring activity. BASIC PROCEDURE: By means of the system presented in this paper, it is possible to automatically identify and classify cells present on a nasal cytological preparation based on a digital image of the preparation itself. Thus, an interesting diagnostic support has been made available to the rhino-cytologist, who can quickly verify that the cells have been correctly classified by the software system: any few unclassified or incorrectly classified cells can be quickly sorted by the specialist itself, then one or more diagnosis can be suggested by this system, taking into consideration also the anamnesis of each patient. The final diagnosis can be defined by the specialist, also based on the result of the prick test and the observation of the nasal cavity. FINDINGS: In the system presented herein, image processing and image segmentation techniques have been used to find images of cellular elements within the preparation. Cell classification is based on a convolutional neural network composed of three blocks of main layers. Cell identification (first step, image segmentation) exhibits sensitivity greater than 97%, while cell classification (second step, seven cytotypes) attained a mean accuracy of approximately 99% on the test set and 94% on the validation set. CONCLUSIONS: This complete system supports clinicians in the preparation of a rhino-cytogram report.