The ability of digital breast tomosynthesis to reduce additional examinations in older women.

Aims: To assess the diagnostic performance of digital breast tomosynthesis (DBT) in older women across varying breast densities and to compare its effectiveness for cancer detection with 2D mammography and ultrasound (U/S) for different breast density categories. Furthermore, our study aimed to predict the potential reduction in unnecessary additional examinations among older women due to DBT. Methods: This study encompassed a cohort of 224 older women. Each participant underwent both 2D mammography and digital breast tomosynthesis examinations. Supplementary views were conducted when necessary, including spot compression and magnification, ultrasound, and recommended biopsies. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC) were calculated for 2D mammography, DBT, and ultrasound. The impact of DBT on diminishing the need for supplementary imaging procedures was predicted through binary logistic regression. Results: In dense breast tissue, DBT exhibited notably heightened sensitivity and NPV for lesion detection compared to non-dense breasts (61.9% vs. 49.3%, p < 0.001) and (72.9% vs. 67.9%, p < 0.001), respectively. However, the AUC value of DBT in dense breasts was lower compared with non-dense breasts (0.425 vs. 0.670). Regarding the ability to detect calcifications, DBT demonstrated significantly improved sensitivity and NPV in dense breasts compared to non-dense breasts (100% vs. 99.2%, p < 0.001) and (100% vs. 94.7%, p < 0.001), respectively. On the other hand, the AUC value of DBT was slightly lower in dense breasts compared with non-dense (0.682 vs. 0.711). Regarding lesion detection for all cases between imaging examinations, the highest sensitivity was observed in 2D mammography (91.7%, p < 0.001), followed by DBT (83.7%, p < 0.001), and then ultrasound (60.6%, p < 0.001). In dense breasts, sensitivity for lesion detection was highest in 2D mammography (92.9%, p < 0.001), followed by ultrasound (76.2%, p < 0.001), and the last one was DBT. In non-dense breasts, sensitivities were 91% (p < 0.001) for 2D mammography, 50.7% (p < 0.001) for ultrasound, and 49.3% (p < 0.001) for DBT. In terms of calcification detection, DBT displayed significantly superior sensitivity compared to 2D mammography in both dense and non-dense breasts (100% vs. 91.4%, p < 0.001) and (99.2% vs. 78.5%, p < 0.001), respectively. However, the logistic regression model did not identify any statistically significant relationship (p > 0.05) between DBT and the four dependent variables. Conclusion: Our findings indicate that among older women, DBT does not significantly decrease the requirement for further medical examinations.

Chest Radiograph Severity Scores, Comorbidity Prevalence, and Outcomes of Patients with Coronavirus Disease Treated at the King Abdullah University Hospital in Jordan: A Retrospective Study.

Introduction: Hospitalized patients with coronavirus disease (COVID-19) often undergo chest x-ray (CXR). Utilizing CXR findings could reduce the cost of COVID-19 treatment and the resultant pressure on the Jordanian healthcare system. Methods: We evaluated the association between the CXR severity score, based on the Radiographic Assessment of Lung Edema (RALE) scoring system, and outcomes of patients with COVID-19. The main objective of this work is to assess the role of the RALE scoring system in predicting in-hospital mortality and clinical outcomes of patients with COVID-19. Adults with a positive severe acute respiratory syndrome COVID-19 two reverse-transcription polymerase chain reaction test results and a baseline CXR image, obtained in November 2020, were included. The RALE severity scores were calculated by expert radiologists and categorized as normal, mild, moderate, and severe. Chi-square tests and multivariable logistic regression were used to assess the association between the severity category and admission location and clinical characteristics. Results: Based on the multivariable regression analysis, it has been found that male sex, hypertension, and the RALE severity score were significantly associated with in-hospital mortality. The baseline RALE severity score was associated with the need for critical care (P<0.001), in-hospital mortality (P<0.001), and the admission location (P=0.002). Discussion: The utilization of RALE severity scores helps to predict clinical outcomes and promote prudent use of resources during the COVID-19 pandemic.

Modified Harris Hawks Optimization Algorithm with Exploration Factor and Random Walk Strategy.

One of the most popular population-based metaheuristic algorithms is Harris hawks optimization (HHO), which imitates the hunting mechanisms of Harris hawks in nature. Although HHO can obtain optimal solutions for specific problems, it stagnates in local optima solutions. In this paper, an improved Harris hawks optimization named ERHHO is proposed for solving global optimization problems. Firstly, we introduce tent chaotic map in the initialization stage to improve the diversity of the initialization population. Secondly, an exploration factor is proposed to optimize parameters for improving the ability of exploration. Finally, a random walk strategy is proposed to enhance the exploitation capability of HHO further and help search agent jump out the local optimal. Results from systematic experiments conducted on 23 benchmark functions and the CEC2017 test functions demonstrated that the proposed method can provide a more reliable solution than other well-known algorithms.

Service-Centric Heterogeneous Vehicular Network Modeling for Connected Traffic Environments.

Heterogeneous vehicular communication on the Internet of connected vehicle (IoV) environment is an emerging research theme toward achieving smart transportation. It is an evolution of the existing vehicular ad hoc network architecture due to the increasingly heterogeneous nature of the various existing networks in road traffic environments that need to be integrated. The existing literature on vehicular communication is lacking in the area of network optimization for heterogeneous network environments. In this context, this paper proposes a heterogeneous network model for IoV and service-oriented network optimization. The network model focuses on three key networking entities: vehicular cloud, heterogeneous communication, and smart use cases as clients. Most traffic-related data-oriented computations are performed at cloud servers for making intelligent decisions. The connection component enables handoff-centric network communication in heterogeneous vehicular environments. The use-case-oriented smart traffic services are implemented as clients for the network model. The model is tested for various service-oriented metrics in heterogeneous vehicular communication environments with the aim of affirming several service benefits. Future challenges and issues in heterogeneous IoV environments are also highlighted.

An Efficient 5G Data Plan Approach Based on Partially Distributed Mobility Architecture.

Reaching a flat network is the main target of future evolved packet core for the 5G mobile networks. The current 4th generation core network is centralized architecture, including Serving Gateway and Packet-data-network Gateway; both act as mobility and IP anchors. However, this architecture suffers from non-optimal routing and intolerable latency due to many control messages. To overcome these challenges, we propose a partially distributed architecture for 5th generation networks, such that the control plane and data plane are fully decoupled. The proposed architecture is based on including a node Multi-session Gateway to merge the mobility and IP anchor gateway functionality. This work presented a control entity with the full implementation of the control plane to achieve an optimal flat network architecture. The impact of the proposed evolved packet Core structure in attachment, data delivery, and mobility procedures is validated through simulation. Several experiments were carried out by using NS-3 simulation to validate the results of the proposed architecture. The Numerical analysis is evaluated in terms of total transmission delay, inter and intra handover delay, queuing delay, and total attachment time. Simulation results show that the proposed architecture performance-enhanced end-to-end latency over the legacy architecture.

Enhanced Slime Mould Algorithm for Multilevel Thresholding Image Segmentation Using Entropy Measures.

Image segmentation is a fundamental but essential step in image processing because it dramatically influences posterior image analysis. Multilevel thresholding image segmentation is one of the most popular image segmentation techniques, and many researchers have used meta-heuristic optimization algorithms (MAs) to determine the threshold values. However, MAs have some defects; for example, they are prone to stagnate in local optimal and slow convergence speed. This paper proposes an enhanced slime mould algorithm for global optimization and multilevel thresholding image segmentation, namely ESMA. First, the Levy flight method is used to improve the exploration ability of SMA. Second, quasi opposition-based learning is introduced to enhance the exploitation ability and balance the exploration and exploitation. Then, the superiority of the proposed work ESMA is confirmed concerning the 23 benchmark functions. Afterward, the ESMA is applied in multilevel thresholding image segmentation using minimum cross-entropy as the fitness function. We select eight greyscale images as the benchmark images for testing and compare them with the other classical and state-of-the-art algorithms. Meanwhile, the experimental metrics include the average fitness (mean), standard deviation (Std), peak signal to noise ratio (PSNR), structure similarity index (SSIM), feature similarity index (FSIM), and Wilcoxon rank-sum test, which is utilized to evaluate the quality of segmentation. Experimental results demonstrated that ESMA is superior to other algorithms and can provide higher segmentation accuracy.

Enhancing EEG-Based Mental Stress State Recognition Using an Improved Hybrid Feature Selection Algorithm.

In real-life applications, electroencephalogram (EEG) signals for mental stress recognition require a conventional wearable device. This, in turn, requires an efficient number of EEG channels and an optimal feature set. This study aims to identify an optimal feature subset that can discriminate mental stress states while enhancing the overall classification performance. We extracted multi-domain features within the time domain, frequency domain, time-frequency domain, and network connectivity features to form a prominent feature vector space for stress. We then proposed a hybrid feature selection (FS) method using minimum redundancy maximum relevance with particle swarm optimization and support vector machines (mRMR-PSO-SVM) to select the optimal feature subset. The performance of the proposed method is evaluated and verified using four datasets, namely EDMSS, DEAP, SEED, and EDPMSC. To further consolidate, the effectiveness of the proposed method is compared with that of the state-of-the-art metaheuristic methods. The proposed model significantly reduced the features vector space by an average of 70% compared with the state-of-the-art methods while significantly increasing overall detection performance.