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1.
Sci Rep ; 13(1): 20927, 2023 11 27.
Artigo em Inglês | MEDLINE | ID: mdl-38017008

RESUMO

The utilization of mechanical ventilation is of utmost importance in the management of individuals afflicted with severe pulmonary conditions. During periods of a pandemic, it becomes imperative to build ventilators that possess the capability to autonomously adapt parameters over the course of treatment. In order to fulfil this requirement, a research investigation was undertaken with the aim of forecasting the magnitude of pressure applied on the patient by the ventilator. The aforementioned forecast was derived from a comprehensive analysis of many variables, including the ventilator's characteristics and the patient's medical state. This analysis was conducted utilizing a sophisticated computational model referred to as Long Short-Term Memory (LSTM). To enhance the predictive accuracy of the LSTM model, the researchers utilized the Chimp Optimization method (ChoA) method. The integration of LSTM and ChoA led to the development of the LSTM-ChoA model, which successfully tackled the issue of hyperparameter selection for the LSTM model. The experimental results revealed that the LSTM-ChoA model exhibited superior performance compared to alternative optimization algorithms, namely whale grey wolf optimizer (GWO), optimization algorithm (WOA), and particle swarm optimization (PSO). Additionally, the LSTM-ChoA model outperformed regression models, including K-nearest neighbor (KNN) Regressor, Random and Forest (RF) Regressor, and Support Vector Machine (SVM) Regressor, in accurately predicting ventilator pressure. The findings indicate that the suggested predictive model, LSTM-ChoA, demonstrates a reduced mean square error (MSE) value. Specifically, when comparing ChoA with GWO, the MSE fell by around 14.8%. Furthermore, when comparing ChoA with PSO and WOA, the MSE decreased by approximately 60%. Additionally, the analysis of variance (ANOVA) findings revealed that the p-value for the LSTM-ChoA model was 0.000, which is less than the predetermined significance level of 0.05. This indicates that the results of the LSTM-ChoA model are statistically significant.


Assuntos
Algoritmos , Ventiladores Mecânicos , Humanos , Animais , Respiração Artificial , Algoritmo Florestas Aleatórias , Análise de Variância , Cetáceos , Pan troglodytes
2.
Comput Intell Neurosci ; 2022: 6364102, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36210968

RESUMO

Overall prediction of oral cavity squamous cell carcinoma (OCSCC) remains inadequate, as more than half of patients with oral cavity cancer are detected at later stages. It is generally accepted that the differential diagnosis of OCSCC is usually difficult and requires expertise and experience. Diagnosis from biopsy tissue is a complex process, and it is slow, costly, and prone to human error. To overcome these problems, a computer-aided diagnosis (CAD) approach was proposed in this work. A dataset comprising two categories, normal epithelium of the oral cavity (NEOR) and squamous cell carcinoma of the oral cavity (OSCC), was used. Feature extraction was performed from this dataset using four deep learning (DL) models (VGG16, AlexNet, ResNet50, and Inception V3) to realize artificial intelligence of medial things (AIoMT). Binary Particle Swarm Optimization (BPSO) was used to select the best features. The effects of Reinhard stain normalization on performance were also investigated. After the best features were extracted and selected, they were classified using the XGBoost. The best classification accuracy of 96.3% was obtained when using Inception V3 with BPSO. This approach significantly contributes to improving the diagnostic efficiency of OCSCC patients using histopathological images while reducing diagnostic costs.


Assuntos
Carcinoma de Células Escamosas , Neoplasias de Cabeça e Pescoço , Neoplasias Bucais , Inteligência Artificial , Carcinoma de Células Escamosas/diagnóstico por imagem , Carcinoma de Células Escamosas/patologia , Humanos , Neoplasias Bucais/diagnóstico por imagem , Neoplasias Bucais/patologia , Redes Neurais de Computação , Carcinoma de Células Escamosas de Cabeça e Pescoço
3.
Sensors (Basel) ; 22(10)2022 May 19.
Artigo em Inglês | MEDLINE | ID: mdl-35632254

RESUMO

Sarcoidosis is frequently misdiagnosed as tuberculosis (TB) and consequently mistreated due to inherent limitations in radiological presentations. Clinically, to distinguish sarcoidosis from TB, physicians usually employ biopsy tissue diagnosis and blood tests; this approach is painful for patients, time-consuming, expensive, and relies on techniques prone to human error. This study proposes a computer-aided diagnosis method to address these issues. This method examines seven EfficientNet designs that were fine-tuned and compared for their abilities to categorize X-ray images into three categories: normal, TB-infected, and sarcoidosis-infected. Furthermore, the effects of stain normalization on performance were investigated using Reinhard's and Macenko's conventional stain normalization procedures. This procedure aids in improving diagnostic efficiency and accuracy while cutting diagnostic costs. A database of 231 sarcoidosis-infected, 563 TB-infected, and 1010 normal chest X-ray images was created using public databases and information from several national hospitals. The EfficientNet-B4 model attained accuracy, sensitivity, and precision rates of 98.56%, 98.36%, and 98.67%, respectively, when the training X-ray images were normalized by the Reinhard stain approach, and 97.21%, 96.9%, and 97.11%, respectively, when normalized by Macenko's approach. Results demonstrate that Reinhard stain normalization can improve the performance of EfficientNet -B4 X-ray image classification. The proposed framework for identifying pulmonary sarcoidosis may prove valuable in clinical use.


Assuntos
Sarcoidose , Tuberculose Pulmonar , Tuberculose , Humanos , Radiografia , Sarcoidose/diagnóstico por imagem , Coloração e Rotulagem , Tuberculose Pulmonar/diagnóstico por imagem , Raios X
4.
Math Biosci Eng ; 18(6): 8933-8950, 2021 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-34814329

RESUMO

In this work, Deep Bidirectional Recurrent Neural Networks (BRNNs) models were implemented based on both Long Short-Term Memory (LSTM) and Gated Recurrent Unit (GRU) cells in order to distinguish between genome sequence of SARS-CoV-2 and other Corona Virus strains such as SARS-CoV and MERS-CoV, Common Cold and other Acute Respiratory Infection (ARI) viruses. An investigation of the hyper-parameters including the optimizer type and the number of unit cells, was also performed to attain the best performance of the BRNN models. Results showed that the GRU BRNNs model was able to discriminate between SARS-CoV-2 and other classes of viruses with a higher overall classification accuracy of 96.8% as compared to that of the LSTM BRNNs model having a 95.8% overall classification accuracy. The best hyper-parameters producing the highest performance for both models was obtained when applying the SGD optimizer and an optimum number of unit cells of 80 in both models. This study proved that the proposed GRU BRNN model has a better classification ability for SARS-CoV-2 thus providing an efficient tool to help in containing the disease and achieving better clinical decisions with high precision.


Assuntos
COVID-19 , Coronavírus da Síndrome Respiratória do Oriente Médio , Genoma Viral , Humanos , Redes Neurais de Computação , SARS-CoV-2
5.
Sensors (Basel) ; 21(19)2021 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-34640700

RESUMO

The sudden increase in patients with severe COVID-19 has obliged doctors to make admissions to intensive care units (ICUs) in health care practices where capacity is exceeded by the demand. To help with difficult triage decisions, we proposed an integration system Xtreme Gradient Boosting (XGBoost) classifier and Analytic Hierarchy Process (AHP) to assist health authorities in identifying patients' priorities to be admitted into ICUs according to the findings of the biological laboratory investigation for patients with COVID-19. The Xtreme Gradient Boosting (XGBoost) classifier was used to decide whether or not they should admit patients into ICUs, before applying them to an AHP for admissions' priority ranking for ICUs. The 38 commonly used clinical variables were considered and their contributions were determined by the Shapley's Additive explanations (SHAP) approach. In this research, five types of classifier algorithms were compared: Support Vector Machine (SVM), Decision Tree (DT), K-Nearest Neighborhood (KNN), Random Forest (RF), and Artificial Neural Network (ANN), to evaluate the XGBoost performance, while the AHP system compared its results with a committee formed from experienced clinicians. The proposed (XGBoost) classifier achieved a high prediction accuracy as it could discriminate between patients with COVID-19 who need ICU admission and those who do not with accuracy, sensitivity, and specificity rates of 97%, 96%, and 96% respectively, while the AHP system results were close to experienced clinicians' decisions for determining the priority of patients that need to be admitted to the ICU. Eventually, medical sectors can use the suggested framework to classify patients with COVID-19 who require ICU admission and prioritize them based on integrated AHP methodologies.


Assuntos
COVID-19 , Pandemias , Cuidados Críticos , Humanos , SARS-CoV-2 , Triagem
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