CNN-O-ELMNet: Optimized Lightweight and Generalized Model for Lung Disease Classification and Severity Assessment.

The high burden of lung diseases on healthcare necessitates effective detection methods. Current Computer-aided design (CAD) systems are limited by their focus on specific diseases and computationally demanding deep learning models. To overcome these challenges, we introduce CNN-O-ELMNet, a lightweight classification model designed to efficiently detect various lung diseases, surpassing the limitations of disease-specific CAD systems and the complexity of deep learning models. This model combines a convolutional neural network for deep feature extraction with an optimized extreme learning machine, utilizing the imperialistic competitive algorithm for enhanced predictions. We then evaluated the effectiveness of CNN-O-ELMNet using benchmark datasets for lung diseases: distinguishing pneumothorax vs. non-pneumothorax, tuberculosis vs. normal, and lung cancer vs. healthy cases. Our findings demonstrate that CNN-O-ELMNet significantly outperformed (p < 0.05) state-of-the-art methods in binary classifications for tuberculosis and cancer, achieving accuracies of 97.85% and 97.70%, respectively, while maintaining low computational complexity with only 2481 trainable parameters. We also extended the model to categorize lung disease severity based on Brixia scores. Achieving a 96.20% accuracy in multi-class assessment for mild, moderate, and severe cases, makes it suitable for deployment in lightweight healthcare devices.

An automatic and personalized recommendation modelling in activity eCoaching with deep learning and ontology.

Electronic coaching (eCoach) facilitates goal-focused development for individuals to optimize certain human behavior. However, the automatic generation of personalized recommendations in eCoaching remains a challenging task. This research paper introduces a novel approach that combines deep learning and semantic ontologies to generate hybrid and personalized recommendations by considering "Physical Activity" as a case study. To achieve this, we employ three methods: time-series forecasting, time-series physical activity level classification, and statistical metrics for data processing. Additionally, we utilize a naïve-based probabilistic interval prediction technique with the residual standard deviation used to make point predictions meaningful in the recommendation presentation. The processed results are integrated into activity datasets using an ontology called OntoeCoach, which facilitates semantic representation and reasoning. To generate personalized recommendations in an understandable format, we implement the SPARQL Protocol and RDF Query Language (SPARQL). We evaluate the performance of standard time-series forecasting algorithms [such as 1D Convolutional Neural Network Model (CNN1D), autoregression, Long Short-Term Memory (LSTM), and Gated Recurrent Units (GRU)] and classifiers [including Multilayer Perceptron (MLP), Rocket, MiniRocket, and MiniRocketVoting] using state-of-the-art metrics. We conduct evaluations on both public datasets (e.g., PMData) and private datasets (e.g., MOX2-5 activity). Our CNN1D model achieves the highest prediction accuracy of 97[Formula: see text], while the MLP model outperforms other classifiers with an accuracy of 74[Formula: see text]. Furthermore, we evaluate the performance of our proposed OntoeCoach ontology model by assessing reasoning and query execution time metrics. The results demonstrate that our approach effectively plans and generates recommendations on both datasets. The rule set of OntoeCoach can also be generalized to enhance interpretability.

Forecasting on Covid-19 infection waves using a rough set filter driven moving average models.

The pandemic outbreak of severe acute respiratory syndrome caused by the Coronavirus 2 disease in 2019, also known as SARS-COV-2 and COVID-19, has claimed over 5.6 million lives till now. The highly infectious nature of the Covid-19 virus has resulted into multiple massive upsurges in counts of new infections termed as 'waves.' These waves consist of numerous rising and falling counts of Covid-19 infection cases with changing dates that confuse analysts and researchers. Due to this confusion, the detection of emergence or drop of Covid waves is currently a subject of intensive research. Hence, we propose an algorithmic framework to forecast the upcoming details of Covid-19 infection waves for a region. The framework consists of a displaced double moving average ( δ DMA) algorithm for forecasting the start, rise, fall, and end of a Covid-19 wave. The forecast is generated by detection of potential dates with specific counts called 'markers.' This detection of markers is guided by decision rules generated through rough set theory. We also propose a novel 'corrected moving average' ( χ SMA) technique to forecast the upcoming count of new infections in a region. We implement our proposed framework on a database of Covid-19 infection specifics fetched from 12 countries, namely: Argentina, Colombia, New Zealand, Australia, Cuba, Jamaica, Belgium, Croatia, Libya, Kenya, Iran, and Myanmar. The database consists of day-wise time series of new and total infection counts from the date of first case till 31st January 2022 in each of the countries mentioned above. The δ DMA algorithm outperforms other baseline techniques in forecasting the rise and fall of Covid-19 waves with a forecast precision of 94.08%. The χ SMA algorithm also surpasses its counterparts in predicting the counts of new Covid-19 infections for the next day with the least mean absolute percentage error (MAPE) of 36.65%. Our proposed framework can be deployed to forecast the upcoming trends and counts of new Covid-19 infection cases under a minimum observation window of 7 days with high accuracy. With no perceptible impact of countermeasures on the pandemic until now, these forecasts will prove supportive to the administration and medical bodies in scaling and allotment of medical infrastructure and healthcare facilities.

ProHealth eCoach: user-centered design and development of an eCoach app to promote healthy lifestyle with personalized activity recommendations.

BACKGROUND: Regular physical activity (PA), healthy habits, and an appropriate diet are recommended guidelines to maintain a healthy lifestyle. A healthy lifestyle can help to avoid chronic diseases and long-term illnesses. A monitoring and automatic personalized lifestyle recommendation system (i.e., automatic electronic coach or eCoach) with considering clinical and ethical guidelines, individual health status, condition, and preferences may successfully help participants to follow recommendations to maintain a healthy lifestyle. As a prerequisite for the prototype design of such a helpful eCoach system, it is essential to involve the end-users and subject-matter experts throughout the iterative design process. METHODS: We used an iterative user-centered design (UCD) approach to understend context of use and to collect qualitative data to develop a roadmap for self-management with eCoaching. We involved researchers, non-technical and technical, health professionals, subject-matter experts, and potential end-users in design process. We designed and developed the eCoach prototype in two stages, adopting different phases of the iterative design process. In design workshop 1, we focused on identifying end-users, understanding the user's context, specifying user requirements, designing and developing an initial low-fidelity eCoach prototype. In design workshop 2, we focused on maturing the low-fidelity solution design and development for the visualization of continuous and discrete data, artificial intelligence (AI)-based interval forecasting, personalized recommendations, and activity goals. RESULTS: The iterative design process helped to develop a working prototype of eCoach system that meets end-user's requirements and expectations towards an effective recommendation visualization, considering diversity in culture, quality of life, and human values. The design provides an early version of the solution, consisting of wearable technology, a mobile app following the "Google Material Design" guidelines, and web content for self-monitoring, goal setting, and lifestyle recommendations in an engaging manner between the eCoach app and end-users. CONCLUSIONS: The adopted iterative design process brings in a design focus on the user and their needs at each phase. Throughout the design process, users have been involved at the heart of the design to create a working research prototype to improve the fit between technology, end-user, and researchers. Furthermore, we performed a technological readiness study of ProHealth eCoach against standard levels set by European Union (EU).

Brain-Machine Interface-Driven Post-Stroke Upper-Limb Functional Recovery Correlates With Beta-Band Mediated Cortical Networks.

Brain-machine interface (BMI)-driven robot-assisted neurorehabilitation intervention has demonstrated improvement in upper-limb (UL) motor function, specifically, with post-stroke hemiparetic patients. However, neurophysiological patterns related to such interventions are not well understood. This paper examined the longitudinal changes in band-limited resting-state (RS) functional connectivity (FC) networks in association with post-stroke UL functional recovery achieved by a multimodal intervention involving motor attempt (MA)-based BMI and robotic hand-exoskeleton. Four adults were rehabilitated with the intervention for a period lasting up to six weeks. RS magnetoencephalography (MEG) signals, Action Research Arm Test (ARAT), and grip strength (GS) measures were recorded at five equispaced sessions over the intervention period. An average post-interventional increase of 100.0% (p=0.00028) and 88.0% was attained for ARAT and GS, respectively. A cluster-based statistical test involving correlation estimates between beta-band (15-26 Hz) RS-MEG FCs and UL functional recovery provided the positively correlated sub-networks in both the contralesional and ipsilesional motor cortices. The frontoparietal FC exhibited hemispheric lateralization wherein the majority of the positively and negatively correlated connections were found in contralesional and ipsilesional hemispheres, respectively. Our findings are consistent with the theory of bilateral motor cortical association with UL recovery and predict novel FC patterns that can be important for higher level cognitive functions.

An EEG-EMG correlation-based brain-computer interface for hand orthosis supported neuro-rehabilitation.

BACKGROUND: Corticomuscular coupling has been investigated for long, to find out the underlying mechanisms behind cortical drives to produce different motor tasks. Although important in rehabilitation perspective, the use of corticomuscular coupling for driving brain-computer interface (BCI)-based neurorehabilitation is much ignored. This is primarily due to the fact that the EEG-EMG coherence popularly used to compute corticomuscular coupling, fails to produce sufficient accuracy in single-trial based prediction of motor tasks in a BCI system. NEW METHOD: In this study, we have introduced a new corticomuscular feature extraction method based on the correlation between band-limited power time-courses (CBPT) associated with EEG and EMG. 16 healthy individuals and 8 hemiplegic patients participated in a BCI-based hand orthosis triggering task, to test the performance of the CBPT method. The healthy population was equally divided into two groups; one experimental group for CBPT-based BCI experiment and another control group for EEG-EMG coherence based BCI experiment. RESULTS: The classification accuracy of the CBPT-based BCI system was found to be 92.81 ±â€¯2.09% for the healthy experimental group and 84.53 ±â€¯4.58% for the patients' group. COMPARISON WITH EXISTING METHOD: The CBPT method significantly (p-value < 0.05) outperformed the conventional EEG-EMG coherence method in terms of classification accuracy. CONCLUSIONS: The experimental results clearly indicate that the EEG-EMG CBPT is a better alternative as a corticomuscular feature to drive a BCI system. Additionally, it is also feasible to use the proposed method to design BCI-based robotic neurorehabilitation paradigms.

Hand-Exoskeleton Assisted Progressive Neurorehabilitation using Impedance Adaptation based Challenge Level Adjustment Method.

This paper presents an underactuated design of a robotic hand exoskeleton and a challenge based neurorehabilitation strategy. The exoskeleton is designed to reproduce natural human fingertip paths during extension and grasping, keeping minimal kinematic complexity. It facilitates an impedance adaptation based trigged assistance control strategy by a switching between active non-assist and passive assistance modes. In active non-assist mode, the exoskeleton motion follows the applied fingertip forces based on an impedance model. If the applied fingertip forces are inadequate, the passive assistance mode is triggered. The impedance parameters are updated at regular intervals based on the user performance, to implement a challenge based rehabilitation strategy. A six-week long hand therapy, conducted on four chronic stroke patients results in significant (p-value<0.05) increase in force generation capacity and decrease (p-value<0.05) in the required assistance. Also, there was a significant (p-value<0.05) increase in the system impedance parameters which adequately challenged the patients. The change in the Action-Research-Arm-Test (ARAT) scores from baseline are also found to be significant (p-value<0.05) and beyond the minimal clinically important difference (MCID) limit. Thus the results prove that the proposed control strategy with has the potential to be a clinically effective solution for personalized rehabilitation of poststroke hand functionality.

Active Physical Practice Followed by Mental Practice Using BCI-Driven Hand Exoskeleton: A Pilot Trial for Clinical Effectiveness and Usability.

Appropriately combining mental practice (MP) and physical practice (PP) in a poststroke rehabilitation is critical for ensuring a substantially positive rehabilitation outcome. Here, we present a rehabilitation protocol incorporating a separate active PP stage followed by MP stage, using a hand exoskeleton and brain-computer interface (BCI). The PP stage was mediated by a force sensor feedback-based assist-as-needed control strategy, whereas the MP stage provided BCI-based multimodal neurofeedback combining anthropomorphic visual feedback and proprioceptive feedback of the impaired hand extension attempt. A six week long clinical trial was conducted on four hemiparetic stroke patients (screened out of 16) with a left-hand disability. The primary outcome, motor functional recovery, was measured in terms of changes in grip-strength (GS) and action research arm test (ARAT) scores; whereas the secondary outcome, usability of the system was measured in terms of changes in mood, fatigue, and motivation on a visual-analog-scale. A positive rehabilitative outcome was found as the group mean changes from the baseline in the GS and ARAT were +6.38 kg and +5.66 accordingly. The VAS scale measurements also showed betterment in mood ( 1.38), increased motivation (+2.10) and reduced fatigue (0.98) as compared to the baseline. Thus, the proposed neurorehabilitation protocol is found to be promising both in terms of clinical effectiveness and usability.

Towards Optimization of Gaze-Controlled Human-Computer Interaction: Application to Hindi Virtual Keyboard for Stroke Patients.

Virtual keyboard applications and alternative communication devices provide new means of communication to assist disabled people. To date, virtual keyboard optimization schemes based on script-specific information along with multimodal input access facility are limited. In this work, we propose a novel method for optimizing the position of the displayed items for gaze-controlled tree-based menu selection systems by considering a combination of letter frequency and command selection time. The optimized graphical user interface (GUI) layout has been designed for a Hindi language virtual keyboard based on a menu wherein 10 commands provide access to type 88 different characters along with additional text editing commands. The system can be controlled in two different modes: eye-tracking alone and eye-tracking with an access soft-switch. Five different keyboard layouts have been presented and evaluated with ten healthy participants. Further, the two best performing keyboard layouts have been evaluated with eye-tracking alone on ten stroke patients. The overall performance analysis demonstrated significantly superior typing performance, high usability (87% SUS score), and low workload (NASA TLX with 17 scores) for the letter frequency and time-based organization with script specific arrangement design. This work represents the first optimized gaze-controlled Hindi virtual keyboard, which can be extended to other languages.

Toward Optimization of Gaze-Controlled Human-Computer Interaction: Application to Hindi Virtual Keyboard for Stroke Patients.

Virtual keyboard applications and alternative communication devices provide new means of communication to assist disabled people. To date, virtual keyboard optimization schemes based on script-specific information, along with multimodal input access facility, are limited. In this paper, we propose a novel method for optimizing the position of the displayed items for gaze-controlled tree-based menu selection systems by considering a combination of letter frequency and command selection time. The optimized graphical user interface layout has been designed for a Hindi language virtual keyboard based on a menu wherein 10 commands provide access to type 88 different characters, along with additional text editing commands. The system can be controlled in two different modes: eye-tracking alone and eye-tracking with an access soft-switch. Five different keyboard layouts have been presented and evaluated with ten healthy participants. Furthermore, the two best performing keyboard layouts have been evaluated with eye-tracking alone on ten stroke patients. The overall performance analysis demonstrated significantly superior typing performance, high usability (87% SUS score), and low workload (NASA TLX with 17 scores) for the letter frequency and time-based organization with script specific arrangement design. This paper represents the first optimized gaze-controlled Hindi virtual keyboard, which can be extended to other languages.

Machine learning-based diagnosis of melanoma using macro images.

Cancer bears a poisoning threat to human society. Melanoma, the skin cancer, originates from skin layers and penetrates deep into subcutaneous layers. There exists an extensive research in melanoma diagnosis using dermatoscopic images captured through a dermatoscope. While designing a diagnostic model for general handheld imaging systems is an emerging trend, this article proposes a computer-aided decision support system for macro images captured by a general-purpose camera. General imaging conditions are adversely affected by nonuniform illumination, which further affects the extraction of relevant information. To mitigate it, we process an image to define a smooth illumination surface using the multistage illumination compensation approach, and the infected region is extracted using the proposed multimode segmentation method. The lesion information is numerated as a feature set comprising geometry, photometry, border series, and texture measures. The redundancy in feature set is reduced using information theory methods, and a classification boundary is modeled to distinguish benign and malignant samples using support vector machine, random forest, neural network, and fast discriminative mixed-membership-based naive Bayesian classifiers. Moreover, the experimental outcome is supported by hypothesis testing and boxplot representation for classification losses. The simulation results prove the significance of the proposed model that shows an improved performance as compared with competing arts.

A multimodal interface to resolve the Midas-Touch problem in gaze controlled wheelchair.

Human-computer interaction (HCI) research has been playing an essential role in the field of rehabilitation. The usability of the gaze controlled powered wheelchair is limited due to Midas-Touch problem. In this work, we propose a multimodal graphical user interface (GUI) to control a powered wheelchair that aims to help upper-limb mobility impaired people in daily living activities. The GUI was designed to include a portable and low-cost eye-tracker and a soft-switch wherein the wheelchair can be controlled in three different ways: 1) with a touchpad 2) with an eye-tracker only, and 3) eye-tracker with soft-switch. The interface includes nine different commands (eight directions and stop) and integrated within a powered wheelchair system. We evaluated the performance of the multimodal interface in terms of lap-completion time, the number of commands, and the information transfer rate (ITR) with eight healthy participants. The analysis of the results showed that the eye-tracker with soft-switch provides superior performance with an ITR of 37.77 bits/min among the three different conditions (p<;0.05). Thus, the proposed system provides an effective and economical solution to the Midas-Touch problem and extended usability for the large population of disabled users.

Towards increasing the number of commands in a hybrid brain-computer interface with combination of gaze and motor imagery.

Non-invasive brain-computer interface (BCI) provides a novel means of communication. This can be achieved by measuring electroencephalogram (EEG) signal over the sensory motor cortex of a person performing motor imagery (MI) tasks. However, the performance of BCI remains currently too low to be of wide practical use. A hybrid BCI system could improve the performance by combining two or more modalities such as eye tracking, and the detection of brain activity responses. In this paper, first, we propose a simultaneous hybrid BCI that combines an event-related de-synchronization (ERD) BCI and an eye tracker. Second, we aim to further improve performance by increasing the number of commands (i.e., the number of choices accessible to the user). In particular, we show a significant improvement in performance for a simultaneous gaze-MI system using a total of eight commands. The experimental task requires subjects to search for spatially located items using gaze, and select an item using MI signals. This experimental task studied visuomotor compatible and incompatible conditions. As incorporating incompatible conditions between gaze direction and MI can increase the number of choices in the hybrid BCI, our experimental task includes single-trial detection for average, compatible and incompatible conditions, using seven different classification methods. The mean accuracy for MI, and the information transfer rate (ITR) for the compatible condition is found to be higher than the average and the incompatible conditions. The results suggest that gaze-MI hybrid BCI systems can increase the number of commands, and the location of the items should be taken into account for designing the system.