Mult Scler. 2024 May 13:13524585241249422. doi: 10.1177/13524585241249422. Online ahead of print.

ABSTRACT

Artificial intelligence (AI) is the branch of science aiming at creating algorithms able to carry out tasks that typically require human intelligence. In medicine, there has been a tremendous increase in AI applications thanks to increasingly powerful computers and the emergence of big data repositories. Multiple sclerosis (MS) is a chronic autoimmune condition affecting the central nervous system with a complex pathogenesis, a challenging diagnostic process strongly relying on magnetic resonance imaging (MRI) and a high and largely unexplained variability across patients. Therefore, AI applications in MS have the great potential of helping us better support the diagnosis, find markers for prognosis to eventually design more powerful randomised clinical trials and improve patient management in clinical practice and eventually understand the mechanisms of the disease. This topical review aims to summarise the recent advances in AI applied to MRI data in MS to illustrate its achievements, limitations and future directions.

PMID:38738527 | DOI:10.1177/13524585241249422

J Thorac Dis. 2024 Apr 30;16(4):2644-2653. doi: 10.21037/jtd-23-1659. Epub 2024 Apr 24.

ABSTRACT

BACKGROUND AND OBJECTIVE: Machine learning (ML) is increasingly being utilized to provide data driven solutions to challenges in medicine. Within the field of cardiac surgery, ML methods have been employed as risk stratification tools to predict a variety of operative outcomes. However, the clinical utility of ML in this domain is unclear. The aim of this review is to provide an overview of ML in cardiac surgery, particularly with regards to its utility in predictive analytics and implications for use in clinical decision support.

METHODS: We performed a narrative review of relevant articles indexed in PubMed since 2000 using the MeSH terms "Machine Learning", "Supervised Machine Learning", "Deep Learning", or "Artificial Intelligence" and "Cardiovascular Surgery" or "Thoracic Surgery".

KEY CONTENT AND FINDINGS: ML methods have been widely used to generate pre-operative risk profiles, consistently resulting in the accurate prediction of clinical outcomes in cardiac surgery. However, improvement in predictive performance over traditional risk metrics has proven modest and current applications in the clinical setting remain limited.

CONCLUSIONS: Studies utilizing high volume, multidimensional data such as that derived from electronic health record (EHR) data appear to best demonstrate the advantages of ML methods. Models trained on post cardiac surgery intensive care unit data demonstrate excellent predictive performance and may provide greater clinical utility if incorporated as clinical decision support tools. Further development of ML models and their integration into EHR's may result in dynamic clinical decision support strategies capable of informing clinical care and improving outcomes in cardiac surgery.

PMID:38738250 | PMC:PMC11087616 | DOI:10.21037/jtd-23-1659

Proc IEEE Int Symp Biomed Imaging. 2023 Apr;2023. doi: 10.1109/isbi53787.2023.10230471. Epub 2023 Sep 1.

ABSTRACT

Model-based deep learning methods that combine imaging physics with learned regularization priors have been emerging as powerful tools for parallel MRI acceleration. The main focus of this paper is to determine the utility of the monotone operator learning (MOL) framework in the parallel MRI setting. The MOL algorithm alternates between a gradient descent step using a monotone convolutional neural network (CNN) and a conjugate gradient algorithm to encourage data consistency. The benefits of this approach include similar guarantees as compressive sensing algorithms including uniqueness, convergence, and stability, while being significantly more memory efficient than unrolled methods. We validate the proposed scheme by comparing it with different unrolled algorithms in the context of accelerated parallel MRI for static and dynamic settings.

PMID:38738185 | PMC:PMC11087020 | DOI:10.1109/isbi53787.2023.10230471

Cureus. 2024 Apr 10;16(4):e57959. doi: 10.7759/cureus.57959. eCollection 2024 Apr.

ABSTRACT

INTRODUCTION: With rising cases of renal cell carcinoma (RCC), precise identification of tumor subtypes is essential, particularly for detecting small, heterogenous lesions often overlooked in traditional histopathological examinations. This study demonstrates the non-invasive use of deep learning for Histopathological differentiation of renal tumors through quadriphasic multidetector computed tomography (MDCT).

PATIENTS AND METHODS: This prospective longitudinal study includes 50 subjects (32 males, 18 females) with suspected renal tumors. A deep neural network (DNN) is developed to predict RCC subtypes using peak attenuation values measured in Hounsfield Units (HUs) obtained from quadriphasic MDCT scans. The network then generates confidence scores for each of the four primary subtypes of renal tumors, effectively distinguishing between benign oncocytoma and various malignant subtypes.

RESULTS: Our neural network accurately distinguishes Renal tumor subtypes, including clear cell, papillary, chromophobe, and benign oncocytoma, with a confidence score of 68% with the network's diagnosis aligning with Histopathological examinations. Our network was also able to accurately classify RCC subtypes on a synthetically generated dataset with 20,000 samples.

CONCLUSION: We developed an artificial intelligence-based RCC subtype classification technique. Our approach is non-invasive and has the potential to transform the methodology in Renal oncology by providing accurate and timely diagnostic information and enhancing clinical decisions.

PMID:38738077 | PMC:PMC11084856 | DOI:10.7759/cureus.57959

Mob Netw Appl. 2023;28(3):873-888. doi: 10.1007/s11036-023-02185-9. Epub 2023 Jul 29.

ABSTRACT

In the global epidemic, distance learning occupies an increasingly important place in teaching and learning because of its great potential. This paper proposes a web-based app that includes a proposed 8-layered lightweight, customized convolutional neural network (LCCNN) for COVID-19 recognition. Five-channel data augmentation is proposed and used to help the model avoid overfitting. The LCCNN achieves an accuracy of 91.78%, which is higher than the other eight state-of-the-art methods. The results show that this web-based app provides a valuable diagnostic perspective on the patients and is an excellent way to facilitate medical education. Our LCCNN model is explainable for both radiologists and distance education users. Heat maps are generated where the lesions are clearly spotted. The LCCNN can detect from CT images the presence of lesions caused by COVID-19. This web-based app has a clear and simple interface, which is easy to use. With the help of this app, teachers can provide distance education and guide students clearly to understand the damage caused by COVID-19, which can increase interaction with students and stimulate their interest in learning.

PMID:38737734 | PMC:PMC11083135 | DOI:10.1007/s11036-023-02185-9

Front Cardiovasc Med. 2024 Apr 26;11:1397921. doi: 10.3389/fcvm.2024.1397921. eCollection 2024.

ABSTRACT

Medicine is entering a new era in which artificial intelligence (AI) and deep learning have a measurable impact on patient care. This impact is especially evident in cardiovascular medicine. While the purpose of this short opinion paper is not to provide an in-depth review of the many applications of AI in cardiovascular medicine, we summarize some of the important advances that have taken place in this domain.

PMID:38737711 | PMC:PMC11082327 | DOI:10.3389/fcvm.2024.1397921

BJR Open. 2024 May 8;6(1):tzae006. doi: 10.1093/bjro/tzae006. eCollection 2024 Jan.

ABSTRACT

OBJECTIVES: We validated an auto-contouring algorithm for heart substructures in lung cancer patients, aiming to establish its accuracy and reliability for radiotherapy (RT) planning. We focus on contouring an amalgamated set of subregions in the base of the heart considered to be a new organ at risk, the cardiac avoidance area (CAA), to enable maximum dose limit implementation in lung RT planning.

METHODS: The study validates a deep-learning model specifically adapted for auto-contouring the CAA (which includes the right atrium, aortic valve root, and proximal segments of the left and right coronary arteries). Geometric, dosimetric, quantitative, and qualitative validation measures are reported. Comparison with manual contours, including assessment of interobserver variability, and robustness testing over 198 cases are also conducted.

RESULTS: Geometric validation shows that auto-contouring performance lies within the expected range of manual observer variability despite being slightly poorer than the average of manual observers (mean surface distance for CAA of 1.6 vs 1.2 mm, dice similarity coefficient of 0.86 vs 0.88). Dosimetric validation demonstrates consistency between plans optimized using auto-contours and manual contours. Robustness testing confirms acceptable contours in all cases, with 80% rated as "Good" and the remaining 20% as "Useful."

CONCLUSIONS: The auto-contouring algorithm for heart substructures in lung cancer patients demonstrates acceptable and comparable performance to human observers.

ADVANCES IN KNOWLEDGE: Accurate and reliable auto-contouring results for the CAA facilitate the implementation of a maximum dose limit to this region in lung RT planning, which has now been introduced in the routine setting at our institution.

PMID:38737623 | PMC:PMC11087931 | DOI:10.1093/bjro/tzae006

J Med Imaging (Bellingham). 2024 May;11(3):037502. doi: 10.1117/1.JMI.11.3.037502. Epub 2024 May 11.

ABSTRACT

PURPOSE: Immune checkpoint inhibitors (ICIs) are now one of the standards of care for patients with lung cancer and have greatly improved both progression-free and overall survival, although <20% of the patients respond to the treatment, and some face acute adverse events. Although a few predictive biomarkers have integrated the clinical workflow, they require additional modalities on top of whole-slide images and lack efficiency or robustness. In this work, we propose a biomarker of immunotherapy outcome derived solely from the analysis of histology slides.

APPROACH: We develop a three-step framework, combining contrastive learning and nonparametric clustering to distinguish tissue patterns within the slides, before exploiting the adjacencies of previously defined regions to derive features and train a proportional hazards model for survival analysis. We test our approach on an in-house dataset of 193 patients from 5 medical centers and compare it with the gold standard tumor proportion score (TPS) biomarker.

RESULTS: On a fivefold cross-validation (CV) of the entire dataset, the whole-slide image-based survival analysis for patients treated with immunotherapy (WhARIO) features are able to separate a low- and a high-risk group of patients with a hazard ratio (HR) of 2.29 (CI95=1.48 to 3.56), whereas the TPS 1% reference threshold only reaches a HR of 1.81 (CI95=1.21 to 2.69). Combining the two yields a higher HR of 2.60 (CI95=1.72 to 3.94). Additional experiments on the same dataset, where one out of five centers is excluded from the CV and used as a test set, confirm these trends.

CONCLUSIONS: Our uniquely designed WhARIO features are an efficient predictor of survival for lung cancer patients who received ICI treatment. We achieve similar performance to the current gold standard biomarker, without the need to access other imaging modalities, and show that both can be used together to reach even better results.

PMID:38737491 | PMC:PMC11088447 | DOI:10.1117/1.JMI.11.3.037502

Heliyon. 2024 Apr 16;10(9):e29583. doi: 10.1016/j.heliyon.2024.e29583. eCollection 2024 May 15.

ABSTRACT

The importance of identifying plant diseases has risen recently due to the adverse effect they have on agricultutal production. Plant diseases have been a big concern in agriculture, as they affect crop production, and constitute a major threat to global food security. In the domain of modern agriculture, effective plant disease management is vital to ensure healthy crop yields and sustainable practices. Traditional means of identifying plant disease are faced with lots of challenges and the need for better and efficient detection methods cannot be overemphazised. The emergence of advanced technologies, particularly deep learning and content-based filtering techniques, if integrated together can changed the way plant diseases are identified and treated. Such as speedy and correct identification of plant diseases and efficient treatment recommendations which are keys for sustainable food production. In this work, We try to investigate the current state of research, identified gaps and limitations in knowledge, and suggests future directions for researchers, experts and farmers that could help to provide better ways of mitigating plant disease problems.

PMID:38737274 | PMC:PMC11088271 | DOI:10.1016/j.heliyon.2024.e29583

Med Image Comput Comput Assist Interv. 2023 Oct;14229:419-427. doi: 10.1007/978-3-031-43999-5_40. Epub 2023 Oct 1.

ABSTRACT

We propose an unsupervised deep learning algorithm for the motion-compensated reconstruction of 5D cardiac MRI data from 3D radial acquisitions. Ungated free-breathing 5D MRI simplifies the scan planning, improves patient comfort, and offers several clinical benefits over breath-held 2D exams, including isotropic spatial resolution and the ability to reslice the data to arbitrary views. However, the current reconstruction algorithms for 5D MRI take very long computational time, and their outcome is greatly dependent on the uniformity of the binning of the acquired data into different physiological phases. The proposed algorithm is a more data-efficient alternative to current motion-resolved reconstructions. This motion-compensated approach models the data in each cardiac/respiratory bin as Fourier samples of the deformed version of a 3D image template. The deformation maps are modeled by a convolutional neural network driven by the physiological phase information. The deformation maps and the template are then jointly estimated from the measured data. The cardiac and respiratory phases are estimated from 1D navigators using an auto-encoder. The proposed algorithm is validated on 5D bSSFP datasets acquired from two subjects.

PMID:38737212 | PMC:PMC11087022 | DOI:10.1007/978-3-031-43999-5_40

Int J Numer Method Biomed Eng. 2024 May 12:e3824. doi: 10.1002/cnm.3824. Online ahead of print.

ABSTRACT

Thyroid nodules are commonly diagnosed with ultrasonography, which includes internal characteristics, varying looks, and hazy boundaries, making it challenging for a clinician to differentiate between malignant and benign forms based only on visual identification. The advancement of AI, particularly DL, provides significant breakthroughs in the domain of medical image identification. Yet, there are certain obstacles to achieving accuracy as well as efficacy in thyroid nodule detection. The thyroid nodules in this study are detected and classified using an inventive hybrid deep learning-assisted multi-classification method. The median blur method is applied in this work to eliminate the salt and pepper noise from the image. Then MPIU-Net-based segmentation is utilized to segment the image. The LGBPNP-based features are retrieved from the segmented image to obtain a single histogram sequence of the LGBP pattern in addition to other features like extraction of multi-texton and LTP-based features. After the feature extraction, the data augmentation process is applied and then the features are fed to the hybrid classification-based nodule classification model that comprises Deep Maxout and CNN, this hybrid classification trains the features and predicts the thyroid nodule. Additionally, the TIRADS score classification is used for the projected malignant thyroid nodule coupled with statistical features collected from the segmented. The DBNAAF with transfer learning model is employed to classify the grading of malignant thyroid nodules, where the weights of the model are learned with transfer learning. The MCC of the Hybrid Model is 0.9445, whereas the DCNN is 0.6858, YOLOV3-DMRF is 0.7229, CNN is 0.7780, DBN is 0.7601, Bi-GRU is 0.7038, Deep Maxout is 0.7528, and RNN is 0.8522, respectively.

PMID:38736034 | DOI:10.1002/cnm.3824

J Cheminform. 2024 May 12;16(1):52. doi: 10.1186/s13321-024-00844-x.

ABSTRACT

Protein-ligand binding affinity plays a pivotal role in drug development, particularly in identifying potential ligands for target disease-related proteins. Accurate affinity predictions can significantly reduce both the time and cost involved in drug development. However, highly precise affinity prediction remains a research challenge. A key to improve affinity prediction is to capture interactions between proteins and ligands effectively. Existing deep-learning-based computational approaches use 3D grids, 4D tensors, molecular graphs, or proximity-based adjacency matrices, which are either resource-intensive or do not directly represent potential interactions. In this paper, we propose atomic-level distance features and attention mechanisms to capture better specific protein-ligand interactions based on donor-acceptor relations, hydrophobicity, and π -stacking atoms. We argue that distances encompass both short-range direct and long-range indirect interaction effects while attention mechanisms capture levels of interaction effects. On the very well-known CASF-2016 dataset, our proposed method, named Distance plus Attention for Affinity Prediction (DAAP), significantly outperforms existing methods by achieving Correlation Coefficient (R) 0.909, Root Mean Squared Error (RMSE) 0.987, Mean Absolute Error (MAE) 0.745, Standard Deviation (SD) 0.988, and Concordance Index (CI) 0.876. The proposed method also shows substantial improvement, around 2% to 37%, on five other benchmark datasets. The program and data are publicly available on the website https://gitlab.com/mahnewton/daap. Scientific Contribution StatementThis study innovatively introduces distance-based features to predict protein-ligand binding affinity, capitalizing on unique molecular interactions. Furthermore, the incorporation of protein sequence features of specific residues enhances the model's proficiency in capturing intricate binding patterns. The predictive capabilities are further strengthened through the use of a deep learning architecture with attention mechanisms, and an ensemble approach, averaging the outputs of five models, is implemented to ensure robust and reliable predictions.

PMID:38735985 | DOI:10.1186/s13321-024-00844-x

BMC Oral Health. 2024 May 12;24(1):553. doi: 10.1186/s12903-024-04254-1.

ABSTRACT

BACKGROUND: Deep learning, as an artificial intelligence method has been proved to be powerful in analyzing images. The purpose of this study is to construct a deep learning-based model (ToothNet) for the simultaneous detection of dental caries and fissure sealants in intraoral photos.

METHODS: A total of 1020 intraoral photos were collected from 762 volunteers. Teeth, caries and sealants were annotated by two endodontists using the LabelMe tool. ToothNet was developed by modifying the YOLOX framework for simultaneous detection of caries and fissure sealants. The area under curve (AUC) in the receiver operating characteristic curve (ROC) and free-response ROC (FROC) curves were used to evaluate model performance in the following aspects: (i) classification accuracy of detecting dental caries and fissure sealants from a photograph (image-level); and (ii) localization accuracy of the locations of predicted dental caries and fissure sealants (tooth-level). The performance of ToothNet and dentist with 1year of experience (1-year dentist) were compared at tooth-level and image-level using Wilcoxon test and DeLong test.

RESULTS: At the image level, ToothNet achieved an AUC of 0.925 (95% CI, 0.880-0.958) for caries detection and 0.902 (95% CI, 0.853-0.940) for sealant detection. At the tooth level, with a confidence threshold of 0.5, the sensitivity, precision, and F1-score for caries detection were 0.807, 0.814, and 0.810, respectively. For fissure sealant detection, the values were 0.714, 0.750, and 0.731. Compared with ToothNet, the 1-year dentist had a lower F1 value (0.599, p < 0.0001) and AUC (0.749, p < 0.0001) in caries detection, and a lower F1 value (0.727, p = 0.023) and similar AUC (0.829, p = 0.154) in sealant detection.

CONCLUSIONS: The proposed deep learning model achieved multi-task simultaneous detection in intraoral photos and showed good performance in the detection of dental caries and fissure sealants. Compared with 1-year dentist, the model has advantages in caries detection and is equivalent in fissure sealants detection.

PMID:38735954 | DOI:10.1186/s12903-024-04254-1

Radiat Oncol. 2024 May 12;19(1):55. doi: 10.1186/s13014-024-02448-z.

ABSTRACT

BACKGROUND: Currently, automatic esophagus segmentation remains a challenging task due to its small size, low contrast, and large shape variation. We aimed to improve the performance of esophagus segmentation in deep learning by applying a strategy that involves locating the object first and then performing the segmentation task.

METHODS: A total of 100 cases with thoracic computed tomography scans from two publicly available datasets were used in this study. A modified CenterNet, an object location network, was employed to locate the center of the esophagus for each slice. Subsequently, the 3D U-net and 2D U-net_coarse models were trained to segment the esophagus based on the predicted object center. A 2D U-net_fine model was trained based on the updated object center according to the 3D U-net model. The dice similarity coefficient and the 95% Hausdorff distance were used as quantitative evaluation indexes for the delineation performance. The characteristics of the automatically delineated esophageal contours by the 2D U-net and 3D U-net models were summarized. Additionally, the impact of the accuracy of object localization on the delineation performance was analyzed. Finally, the delineation performance in different segments of the esophagus was also summarized.

RESULTS: The mean dice coefficient of the 3D U-net, 2D U-net_coarse, and 2D U-net_fine models were 0.77, 0.81, and 0.82, respectively. The 95% Hausdorff distance for the above models was 6.55, 3.57, and 3.76, respectively. Compared with the 2D U-net, the 3D U-net has a lower incidence of delineating wrong objects and a higher incidence of missing objects. After using the fine object center, the average dice coefficient was improved by 5.5% in the cases with a dice coefficient less than 0.75, while that value was only 0.3% in the cases with a dice coefficient greater than 0.75. The dice coefficients were lower for the esophagus between the orifice of the inferior and the pulmonary bifurcation compared with the other regions.

CONCLUSION: The 3D U-net model tended to delineate fewer incorrect objects but also miss more objects. Two-stage strategy with accurate object location could enhance the robustness of the segmentation model and significantly improve the esophageal delineation performance, especially for cases with poor delineation results.

PMID:38735947 | DOI:10.1186/s13014-024-02448-z

Genome Biol Evol. 2024 May 13:evae093. doi: 10.1093/gbe/evae093. Online ahead of print.

ABSTRACT

A fundamental goal in evolutionary biology and population genetics is to understand how selection shapes the fate of new mutations. Here we test the null hypothesis that insertion-deletion events (indels) in protein coding regions occur randomly with respect to secondary structures. We identified indels across 11,444 sequence alignments in mouse, rat, human, chimp, and dog genomes, then quantified their overlap with four different types of secondary structure - alpha helices, beta strands, protein bends, and protein turns - predicted by deep-learning methods of AlphaFold2. Indels overlapped secondary structures 54% as much as expected, and were especially under-represented over beta strands, which tend to form internal, stable regions of proteins. In contrast, indels were enriched by 155% over regions without any predicted secondary structures. These skews were stronger in the rodent lineages compared to the primate lineages, consistent with population genetic theory predicting that natural selection will be more efficient in species with larger effective population sizes. Nonsynonymous substitutions were also less common in regions of protein secondary structure, although not as strongly reduced as in indels. In a complementary analysis of thousands of human genomes, we showed that indels overlapping secondary structure segregated at significantly lower frequency than indels outside of secondary structure. Taken together, our study shows that indels are selected against if they overlap secondary structure, presumably because they disrupt the tertiary structure and function of a protein.

PMID:38735759 | DOI:10.1093/gbe/evae093

J Dent. 2024 May 10:105043. doi: 10.1016/j.jdent.2024.105043. Online ahead of print.

ABSTRACT

OBJECTIVES: Three-dimensional (3D) facial symmetry analysis is based on the 3D symmetry reference plane (SRP). Artificial intelligence is widely used in the dental and oral sciences. This study developed a novel deep learning model called the facial planar reflective symmetry net (FPRS-Net) to automatically construct an SRP and established a method for defining a 3D point-cloud region of interest (ROI) and high-dimensional feature computations suitable for this network model.

METHODS: Overall, 240 patients were enrolled. The deep learning model was trained and predicted using 200 samples, and its clinical suitability was evaluated with 40 samples. Four FPRS-Net models were prepared, each using supervised and unsupervised learning approaches based on full facial and ROI data (FPRS-NetS, FPRS-NetSR, FPRS-NetU, and FPRS-NetUR). These models were trained on 160 3D facial datasets, validated on 20 cases, and tested on another 20 cases. The model predictions were evaluated using an additional 40 clinical 3D facial datasets by comparing the mean square error of the SRP between the parameters predicted by the four FPRS-Net models and the truth plane. The clinical suitability of FPRS-Net models was evaluated by measuring the angle error between the predicted and ground-truth planes; experts evaluated the predicted SRP of the four FPRS-Net models using the visual analogue scales (VAS) method.

RESULTS: The FPRS-NetSR and FPRS-NetU models achieved an average angle error of 0.84° and 0.99° in predicting 3D facial SRP, respectively, with a VAS value of >8. Using the four FPRS-Net models to create an SRP in 40 cases of 3D facial data required <4 s.

CONCLUSIONS: Our study demonstrated a new solution for automatically constructing oral clinical 3D facial SRPs.

CLINICAL SIGNIFICANCE: This study proposes an innovative deep learning algorithm (FPRS-Net) to construct a symmetry reference plane that can reduce workload, shorten the time required for digital design, reduce dependence on expert experience, and improve therapeutic efficiency and effectiveness in dental clinics.

PMID:38735469 | DOI:10.1016/j.jdent.2024.105043

J Dent. 2024 May 10:105063. doi: 10.1016/j.jdent.2024.105063. Online ahead of print.

ABSTRACT

OBJECTIVE: The imbalanced nature of real-world datasets is an ongoing challenge in the field of machine and deep learning. In medicine and in dentistry, most data samples represent patients not affected by pathologies, and on imagery, pathologic image areas are often smaller than healthy ones. Selecting suitable loss functions during deep learning is essential and may help to overcome the resulting imbalance. We assessed six different loss functions for one exemplary task, tooth structure segmentation on bitewing radiographs, for their performance.

METHODS: Six different loss functions (Focal Loss, Dice Loss, Tversky Loss and hybrid losses of Cross-Entropy and Dice Loss, Focal and Dice Loss, Focal and Generalized Dice Loss) were compared on a tooth structure segmentation task of 1,625 bitewing radiographs. Training was performed using three different model architectures (U-Net, Linknet, DeepLavbV3+) over a 5-fold cross-validation. Tooth structures consisted of the classes (occurrence in % of samples/captures areas measured on pixel level) enamel (100%/25%), dentin (100%/50%), root canal (100%/10%), filling (81%/8%) and crown (28%/5%).

RESULTS: Hybrid loss functions significantly outperformed standalone ones and provided robust results over the different architectures for the classes enamel, dentin, root canal and filling. Specifically, the Dice Focal loss reached high performance to conquer both image level and pixel level class imbalance, respectively.

CLINICAL SIGNIFICANCE: In dental use cases it is often important to predict minority classes such as pathologies accurately. Using specific loss function may be an effective strategy to overcome data imbalance when training deep learning models.

PMID:38735467 | DOI:10.1016/j.jdent.2024.105063

Environ Res. 2024 May 10:119133. doi: 10.1016/j.envres.2024.119133. Online ahead of print.

ABSTRACT

Phosphorus in wastewater poses a significant environmental threat, leading to water pollution and eutrophication. However, it plays a crucial role in the water-energy-resource recovery-environment (WERE) nexus. Recovering Phosphorus from wastewater can close the phosphorus loop, supporting circular economy principles by reusing it as fertilizer or in industrial applications. Despite the recognized importance of phosphorus recovery, there is a lack of analysis of the cyber-physical framework concerning the WERE nexus. Advanced methods like automatic control, optimal process technologies, artificial intelligence (AI), and life cycle assessment (LCA) have emerged to enhance wastewater treatment plants (WWTPs) operations focusing on improving effluent quality, energy efficiency, resource recovery, and reducing greenhouse gas (GHG) emissions. Providing insights into implementing modeling and simulation platforms, control, and optimization systems for Phosphorus recovery in WERE (P-WERE) in WWTPs is extremely important in WWTPs. This review highlights the valuable applications of AI algorithms, such as machine learning, deep learning, and explainable AI, for predicting phosphorus (P) dynamics in WWTPs. It emphasizes the importance of using AI to analyze microbial communities and optimize WWTPs for different various objectives. Additionally, it discusses the benefits of integrating mechanistic and data-driven models into plant-wide frameworks, which can enhance GHG simulation and enable simultaneous nitrogen (N) and Phosphorus (P) removal. The review underscores the significance of prioritizing recovery actions to redirect Phosphorus from effluent to reusable products for future considerations.

PMID:38735379 | DOI:10.1016/j.envres.2024.119133

Comput Biol Med. 2024 May 9;176:108587. doi: 10.1016/j.compbiomed.2024.108587. Online ahead of print.

ABSTRACT

BACKGROUND: Recent advancements in deep learning models have demonstrated their potential in the field of medical imaging, achieving remarkable performance surpassing human capabilities in tasks such as classification and segmentation. However, these modern state-of-the-art network architectures often demand substantial computational resources, which limits their practical application in resource-constrained settings. This study aims to propose an efficient diagnostic deep learning model specifically designed for the classification of intracranial hemorrhage in brain CT scans.

METHOD: Our proposed model utilizes a combination of depthwise separable convolutions and a multi-receptive field mechanism to achieve a trade-off between performance and computational efficiency. The model was trained on RSNA datasets and validated on CQ500 dataset and PhysioNet dataset.

RESULT: Through a comprehensive comparison with state-of-the-art models, our model achieves an average AUROC score of 0.952 on RSNA datasets and exhibits robust generalization capabilities, comparable to SE-ResNeXt, across other open datasets. Furthermore, the parameter count of our model is just 3 % of that of MobileNet V3.

CONCLUSION: This study presents a diagnostic deep-learning model that is optimized for classifying intracranial hemorrhages in brain CT scans. The efficient characteristics make our proposed model highly promising for broader applications in medical settings.

PMID:38735238 | DOI:10.1016/j.compbiomed.2024.108587

Artif Intell Med. 2024 Apr 30;153:102887. doi: 10.1016/j.artmed.2024.102887. Online ahead of print.

ABSTRACT

In the contemporary era, the applications of data mining and machine learning have permeated extensively into medical research, significantly contributing to areas such as HIV studies. By reviewing 38 articles published in the past 15 years, the study presents a roadmap based on seven different aspects, utilizing various machine learning techniques for both novice researchers and experienced researchers seeking to comprehend the current state of the art in this area. While traditional regression modeling techniques have been commonly used, researchers are increasingly adopting more advanced fully supervised machine learning and deep learning techniques, which often outperform the traditional methods in predictive performance. Additionally, the study identifies nine new open research issues and outlines possible future research plans to enhance the outcomes of HIV infection risk research. This review is expected to be an insightful guide for researchers, illuminating current practices and suggesting advancements in the field.

PMID:38735156 | DOI:10.1016/j.artmed.2024.102887