Artificial Intelligence and COVID-19: Deep Learning Approaches for Diagnosis and Treatment

Evaluation of effective features in the diagnosis of Covid-19 infection from routine blood tests with multilayer perceptron neural network: A cross-sectional study

Background and Aim

Coronavirus is an infectious disease that is now known as an epidemic, early and accurate diagnosis helps the patient receive more care. The aim of this study is to investigate Covid-19 using blood tests and multilayer perceptron neural network and affective factors in improving and preventing Covid-19.

Methods

This cross-sectional study was performed on 200 patients referred to Sina Hospital, Tehran, Iran, who were confirmed cases of Covid-19 by computerized tomography-scan analysis between 2 March 2020 to 5 April 2020. After verification of lung involvement, blood sampling was done to separate the sera for C-reactive protein (CRP), magnesium (Mg), lymphocyte percentage, and vitamin D analysis in healthy and unhealthy people. Blood samples from healthy and sick people were applied to the multilayer perceptron network for 70% of the data for training and 30% for testing.

Result

By examining the features, it was found that in patients with Covid-19, there was a significant relationship between increased CRP and decreased lymphocyte levels, and increased Mg (p < 0.01). In these patients, the amount of CRP and Mg in women and the number of lymphocytes and vitamin D in men were significantly higher (p < 0.01).

Conclusion

The important advantage of using a multilayer perceptron neural network is to speed up the diagnosis and treatment.

Coronavirus disease (COVID-19) cases analysis using machine-learning applications

Today world thinks about coronavirus disease that which means all even this pandemic disease is not unique. The purpose of this study is to detect the role of machine-learning applications and algorithms in investigating and various purposes that deals with COVID-19. Review of the studies that had been published during 2020 and were related to this topic by seeking in Science Direct, Springer, Hindawi, and MDPI using COVID-19, machine learning, supervised learning, and unsupervised learning as keywords. The total articles obtained were 16,306 overall but after limitation; only 14 researches of these articles were included in this study. Our findings show that machine learning can produce an important role in COVID-19 investigations, prediction, and discrimination. In conclusion, machine learning can be involved in the health provider programs and plans to assess and triage the COVID-19 cases. Supervised learning showed better results than other Unsupervised learning algorithms by having 92.9% testing accuracy. In the future recurrent supervised learning can be utilized for superior accuracy.

Predicting the Severity of COVID-19 from Lung CT Images Using Novel Deep Learning

Purpose

Coronavirus 2019 (COVID-19) had major social, medical, and economic impacts globally. The study aims to develop a deep-learning model that can predict the severity of COVID-19 in patients based on CT images of their lungs.

Methods

COVID-19 causes lung infections, and qRT-PCR is an essential tool used to detect virus infection. However, qRT-PCR is inadequate for detecting the severity of the disease and the extent to which it affects the lung. In this paper, we aim to determine the severity level of COVID-19 by studying lung CT scans of people diagnosed with the virus.

Results

We used images from King Abdullah University Hospital in Jordan; we collected our dataset from 875 cases with 2205 CT images. A radiologist classified the images into four levels of severity: normal, mild, moderate, and severe. We used various deep-learning algorithms to predict the severity of lung diseases. The results show that the best deep-learning algorithm used is Resnet101, with an accuracy score of 99.5% and a data loss rate of 0.03%.

Conclusion

The proposed model assisted in diagnosing and treating COVID-19 patients and helped improve patient outcomes.

Prognosis of COVID-19 patients using lab tests: A data mining approach

Background

The rapid prevalence of coronavirus disease 2019 (COVID-19) has caused a pandemic worldwide and affected the lives of millions. The potential fatality of the disease has led to global public health concerns. Apart from clinical practice, artificial intelligence (AI) has provided a new model for the early diagnosis and prediction of disease based on machine learning (ML) algorithms. In this study, we aimed to make a prediction model for the prognosis of COVID-19 patients using data mining techniques.

Methods

In this study, a data set was obtained from the intelligent management system repository of 19 hospitals at Shahid Beheshti University of Medical Sciences in Iran. All patients admitted had shown positive polymerase chain reaction (PCR) test results. They were hospitalized between February 19 and May 12 in 2020, which were investigated in this study. The extracted data set has 8621 data instances. The data include demographic information and results of 16 laboratory tests. In the first stage, preprocessing was performed on the data. Then, among 15 laboratory tests, four of them were selected. The models were created based on seven data mining algorithms, and finally, the performances of the models were compared with each other.

Results

Based on our results, the Random Forest (RF) and Gradient Boosted Trees models were known as the most efficient methods, with the highest accuracy percentage of 86.45% and 84.80%, respectively. In contrast, the Decision Tree exhibited the least accuracy (75.43%) among the seven models.

Conclusion

Data mining methods have the potential to be used for predicting outcomes of COVID-19 patients with the use of lab tests and demographic features. After validating these methods, they could be implemented in clinical decision support systems for better management and providing care to severe COVID-19 patients.

A comprehensive review on variants of SARS-CoVs-2: Challenges, solutions and open issues

SARS-CoV-2 is an infected disease caused by one of the variants of Coronavirus which emerged in December 2019. It is declared a pandemic by WHO in March 2020. COVID-19 outbreak has put the world on a halt and is a major threat to the public health system. It has shattered the world with its effects on different areas as the pandemic hit the world in a number of waves with different variants and mutations. Each variant and mutation have different transmission and infection rates in the human population. More than 609 million people have tested positive and more than 6.5 million people have died due to this disease as per 14th September 2022. Despite of numerous efforts, precautions and vaccination the infection has grown rapidly in the world. In this paper, we aim to give a holistic overview of COVID-19 its variants, game theory perspective, effects on the different social and economic areas, diagnostic advancements, treatment methods. A taxonomy is made for the proper insight of the work demonstrated in the paper. Finally, we discuss the open issues associated with COVID-19 in different fields and futuristic research trends in the area. The main aim of the paper is to provide comprehensive literature that covers all the areas and provide an expert understanding of the COVID-19 techniques and potentially be further utilized to combat the outbreak of COVID-19.

A hybrid random forest deep learning classifier empowered edge cloud architecture for COVID-19 and pneumonia detection

COVID-19 is a global pandemic that mostly affects patients' respiratory systems, and the only way to protect oneself against the virus at present moment is to diagnose the illness, isolate the patient, and provide immunization. In the present situation, the testing used to predict COVID-19 is inefficient and results in more false positives. This difficulty can be solved by developing a remote medical decision support system that detects illness using CT scans or X-ray images with less manual interaction and is less prone to errors. The state-of-art techniques mainly used complex deep learning architectures which are not quite effective when deployed in resource-constrained edge devices. To overcome this problem, a multi-objective Modified Heat Transfer Search (MOMHTS) optimized hybrid Random Forest Deep learning (HRFDL) classifier is proposed in this paper. The MOMHTS algorithm mainly optimizes the deep learning model in the HRFDL architecture by optimizing the hyperparameters associated with it to support the resource-constrained edge devices. To evaluate the efficiency of this technique, extensive experimentation is conducted on two real-time datasets namely the COVID19 lung CT scan dataset and the Chest X-ray images (Pneumonia) datasets. The proposed methodology mainly offers increased speed for communication between the IoT devices and COVID-19 detection via the MOMHTS optimized HRFDL classifier is modified to support the resources which can only support minimal computation and handle minimum storage. The proposed methodology offers an accuracy of 99% for both the COVID19 lung CT scan dataset and the Chest X-ray images (Pneumonia) datasets with minimal computational time, cost, and storage. Based on the simulation outcomes, we can conclude that the proposed methodology is an appropriate fit for edge computing detection to identify the COVID19 and pneumonia with higher detection accuracy.

Detection of multiple anomalous instances in video surveillance systems

Anomalous event recognition has a complicated definition in the complex background due to the sparse occurrence of anomalies. In this paper, we form a framework for classifying multiple anomalies present in video frames that happen in a context such as the sudden moment of people in various directions and anomalous vehicles in the pedestrian park. An attention U-net model on video frames is utilized to create a binary segmented anomalous image that classifies each anomalous object in the video. White pixels indicate the anomaly, and black pixels serve as the background image. For better segmentation, we have assigned a border to every anomalous object in a binary image. Further to distinguish each anomaly a watershed algorithm is utilized that develops multi-level gray image masks for every anomalous class. This forms a multi-class problem, where each anomalous instance is represented by a different gray color level. We use pixel values, Optical Intensity, entropy values, and Gaussian filter with sigma 5, and 7 to form a feature extraction module for training video images along with their multi-instance gray-level masks. Pixel-level localization and identification of unusual items are done using the feature vectors acquired from the feature extraction module and multi-class stack classifier model. The proposed methodology is evaluated on UCSD Ped1, Ped2 and UMN datasets that obtain pixel-level average accuracy results of 81.15%,87.26% and 82.67% respectively.

Advances Towards Automatic Detection and Classification of Parasites Microscopic Images Using Deep Convolutional Neural Network: Methods, Models and Research Directions

In the developing world, parasites are responsible for causing several serious health problems, with relatively high infections in human beings. The traditional manual light microscopy process of parasite recognition remains the golden standard approach for the diagnosis of parasitic species, but this approach is time-consuming, highly tedious, and also difficult to maintain consistency but essential in parasitological classification for carrying out several experimental observations. Therefore, it is meaningful to apply deep learning to address these challenges. Convolution Neural Network and digital slide scanning show promising results that can revolutionize the clinical parasitology laboratory by automating the process of classification and detection of parasites. Image analysis using deep learning methods have the potential to achieve high efficiency and accuracy. For this review, we have conducted a thorough investigation in the field of image detection and classification of various parasites based on deep learning. Online databases and digital libraries such as ACM, IEEE, ScienceDirect, Springer, and Wiley Online Library were searched to identify sufficient related paper collections. After screening of 200 research papers, 70 of them met our filtering criteria, which became a part of this study. This paper presents a comprehensive review of existing parasite classification and detection methods and models in chronological order, from traditional machine learning based techniques to deep learning based techniques. In this review, we also demonstrate the summary of machine learning and deep learning methods along with dataset details, evaluation metrics, methods limitations, and future scope over the one decade. The majority of the technical publications from 2012 to the present have been examined and summarized. In addition, we have discussed the future directions and challenges of parasites classification and detection to help researchers in understanding the existing research gaps. Further, this review provides support to researchers who require an effective and comprehensive understanding of deep learning development techniques, research, and future trends in the field of parasites detection and classification.

Pre-hospital prediction of adverse outcomes in patients with suspected COVID-19: Development, application and comparison of machine learning and deep learning methods

BACKGROUND

COVID-19 infected millions of people and increased mortality worldwide. Patients with suspected COVID-19 utilised emergency medical services (EMS) and attended emergency departments, resulting in increased pressures and waiting times. Rapid and accurate decision-making is required to identify patients at high-risk of clinical deterioration following COVID-19 infection, whilst also avoiding unnecessary hospital admissions. Our study aimed to develop artificial intelligence models to predict adverse outcomes in suspected COVID-19 patients attended by EMS clinicians.

METHOD

Linked ambulance service data were obtained for 7,549 adult patients with suspected COVID-19 infection attended by EMS clinicians in the Yorkshire and Humber region (England) from 18-03-2020 to 29-06-2020. We used support vector machines (SVM), extreme gradient boosting, artificial neural network (ANN) models, ensemble learning methods and logistic regression to predict the primary outcome (death or need for organ support within 30 days). Models were compared with two baselines: the decision made by EMS clinicians to convey patients to hospital, and the PRIEST clinical severity score.

RESULTS

Of the 7,549 patients attended by EMS clinicians, 1,330 (17.6%) experienced the primary outcome. Machine Learning methods showed slight improvements in sensitivity over baseline results. Further improvements were obtained using stacking ensemble methods, the best geometric mean (GM) results were obtained using SVM and ANN as base learners when maximising sensitivity and specificity.

CONCLUSIONS

These methods could potentially reduce the numbers of patients conveyed to hospital without a concomitant increase in adverse outcomes. Further work is required to test the models externally and develop an automated system for use in clinical settings.

A novel approach for detection of COVID-19 and Pneumonia using only binary classification from chest CT-scans

The novel Coronavirus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) spread all over the world, causing a dramatic shift in circumstances that resulted in a massive pandemic, affecting the world's well-being and stability. It is an RNA virus that can infect both humans as well as animals. Diagnosis of the virus as soon as possible could contain and avoid a serious COVID-19 outbreak. Current pharmaceutical techniques and diagnostic methods tests such as Reverse Transcription-Polymerase Chain Reaction (RT-PCR) and Serology tests are time-consuming, expensive, and require a well-equipped laboratory for analysis, making them restrictive and inaccessible to everyone. Deep Learning has grown in popularity in recent years, and it now plays a crucial role in Image Classification, which also involves Medical Imaging. Using chest CT scans, this study explores the problem statement automation of differentiating COVID-19 contaminated individuals from healthy individuals. Convolutional Neural Networks (CNNs) can be trained to detect patterns in computed tomography scans (CT scans). Hence, different CNN models were used in the current study to identify variations in chest CT scans, with accuracies ranging from 91% to 98%. The Multiclass Classification method is used to build these architectures. This study also proposes a new approach for classifying CT images that use two binary classifications combined to work together, achieving 98.38% accuracy. All of these architectures' performances are compared using different classification metrics.

The Capacity of Artificial Intelligence in COVID-19 Response: A Review in Context of COVID-19 Screening and Diagnosis

Artificial intelligence (AI) has been shown to solve several issues affecting COVID-19 diagnosis. This systematic review research explores the impact of AI in early COVID-19 screening, detection, and diagnosis. A comprehensive survey of AI in the COVID-19 literature, mainly in the context of screening and diagnosis, was observed by applying the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Data sources for the years 2020, 2021, and 2022 were retrieved from google scholar, web of science, Scopus, and PubMed, with target keywords relating to AI in COVID-19 screening and diagnosis. After a comprehensive review of these studies, the results found that AI contributed immensely to improving COVID-19 screening and diagnosis. Some proposed AI models were shown to have comparable (sometimes even better) clinical decision outcomes, compared to experienced radiologists in the screening/diagnosing of COVID-19. Additionally, AI has the capacity to reduce physician work burdens and fatigue and reduce the problems of several false positives, associated with the RT-PCR test (with lower sensitivity of 60-70%) and medical imaging analysis. Even though AI was found to be timesaving and cost-effective, with less clinical errors, it works optimally under the supervision of a physician or other specialists.

Predicting factors affecting the intention to use a 3PL during the COVID-19 pandemic: A machine learning ensemble approach

The COVID-19 pandemic had brought changes to individuals, especially in consumer behavior. As the government of different countries has been implementing safety protocols to mitigate the spread of the virus, people became apprehensive about traveling and going out. This paved way for the emergence of third-party logistics (3PL). Statistics have proven the rapid escalation regarding the use of 3PL in various countries. This study utilized Artificial Neural Network and Random Forest Classifier to validate and justify the factors that affect consumer intention in selecting a 3PL service provider during the COVID-19 pandemic integrating the Service Quality Dimensions and Pro-Environmental Theory of Planned Behavior. The findings of this study revealed that attitude is the most significant factor that affects the consumers' behavioral intention. Other factors such as customer satisfaction, customer perceived value, perceived environmental concern, assurance, responsiveness, empathy, reliability, tangibility, perceived behavioral control, subjective norm, and perceived authority support, are all contributing factors that affect behavioral intention. Machine learning algorithms, specifically ANN and RFC, resulted to be reliable in predicting factors as they obtained accuracy rates of 98.56% and 93%. Results presented that consumers’ attitude, satisfaction, perceived value, assurance by the 3PL, and perceived environmental concerns were highly influential in choosing a 3PL package carrier. It was seen that people would be encouraged to use 3PL service providers if they demonstrate availability and environmental concerns in catering to the customers' needs. Subsequently, 3PL providers must assure safety and convenience before, during, and after providing the service to ensure continuous patronage of consumers. This is considered to be the first study that utilized a machine learning ensemble to measure behavioral intention for the logistic sector. The framework, analysis tools, and findings of this study could be extended and applied among other behavioral intentions regarding transportation worldwide. Managerial insights among service providers are discussed.

LIGHTHOUSE illuminates therapeutics for a variety of diseases including COVID-19

One of the bottlenecks in the application of basic research findings to patients is the enormous cost, time, and effort required for high-throughput screening of potential drugs for given therapeutic targets. Here we have developed LIGHTHOUSE, a graph-based deep learning approach for discovery of the hidden principles underlying the association of small-molecule compounds with target proteins. Without any 3D structural information for proteins or chemicals, LIGHTHOUSE estimates protein-compound scores that incorporate known evolutionary relations and available experimental data. It identified therapeutics for cancer, lifestyle related disease, and bacterial infection. Moreover, LIGHTHOUSE predicted ethoxzolamide as a therapeutic for coronavirus disease 2019 (COVID-19), and this agent was indeed effective against alpha, beta, gamma, and delta variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that are rampant worldwide. We envision that LIGHTHOUSE will help accelerate drug discovery and fill the gap between bench side and bedside.

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LIGHTHOUSE discovers therapeutics solely on the basis of the primary sequence

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The predictions of LIGHTHOUSE against multiple diseases were experimentally correct

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LIGHTHOUSE facilitates optimization of lead compounds as well

AI for COVID-19 Detection from Radiographs: Incisive Analysis of State of the Art Techniques, Key Challenges and Future Directions

Background and objective

In recent years, Artificial Intelligence has had an evident impact on the way research addresses challenges in different domains. It has proven to be a huge asset, especially in the medical field, allowing for time-efficient and reliable solutions. This research aims to spotlight the impact of deep learning and machine learning models in the detection of COVID-19 from medical images. This is achieved by conducting a review of the state-of-the-art approaches proposed by the recent works in this field.

Methods

The main focus of this study is the recent developments of classification and segmentation approaches to image-based COVID-19 detection. The study reviews 140 research papers published in different academic research databases. These papers have been screened and filtered based on specified criteria, to acquire insights prudent to image-based COVID-19 detection.

Results

The methods discussed in this review include different types of imaging modality, predominantly X-rays and CT scans. These modalities are used for classification and segmentation tasks as well. This review seeks to categorize and discuss the different deep learning and machine learning architectures employed for these tasks, based on the imaging modality utilized. It also hints at other possible deep learning and machine learning architectures that can be proposed for better results towards COVID-19 detection. Along with that, a detailed overview of the emerging trends and breakthroughs in Artificial Intelligence-based COVID-19 detection has been discussed as well.

Conclusion

This work concludes by stipulating the technical and non-technical challenges faced by researchers and illustrates the advantages of image-based COVID-19 detection with Artificial Intelligence techniques.

Effective Utilization of Multiple Convolutional Neural Networks for Chest X-Ray Classification

Out of the numerous types of Medical Imaging modalities available, radiography stands out a bit more than others due to its capabilities of diagnosing diseases and conditions, including life-threatening conditions. Its affordability is another main reason for its prevalence. Chest Radiography holds even higher importance, as it focuses a critical area of the human body. However, interpreting a Chest Radiography image can be challenging and usually done by an experienced Radiologist for accurate results. There are two main issues related to this. One is that in some countries, experienced Radiologists are scarce. The other issue is that the inevitability of human errors in diagnoses. Researchers attempt to use Artificial Intelligence to address these two issues. Most of the existing work incorporates Convolutional Neural Networks for this purpose. This paper presents a novel way of parallelizing multiple architectures of Convolutional Neural Networks focusing on Chest X-ray classification. The paper further presents a comprehensive evaluation of the existing architectures with the parallelized results of them using our method. We used four large-scale datasets, including a non-medical one, for the evaluation of our models. We managed to achieve better accuracy for 9 out 13 and 11 out of 14 labels on our two main evaluation datasets. The paper concludes by presenting the limitations and future improvements possible for the system.

Machine learning in the identification, prediction and exploration of environmental toxicology: Challenges and perspectives

Over the past few decades, data-driven machine learning (ML) has distinguished itself from hypothesis-driven studies and has recently received much attention in environmental toxicology. However, the use of ML in environmental toxicology remains in the early stages, with knowledge gaps, technical bottlenecks in data quality, high-dimensional/heterogeneous/small-sample data analysis and model interpretability, and a lack of an in-depth understanding of environmental toxicology. Given the above problems, we review the recent progress in the literature and highlight state-of-the-art toxicological studies using ML (such as learning and predicting toxicity in complicated biosystems and multiple-factor environmental scenarios of long-term and large-scale pollution). Beyond predicting simple biological endpoints by integrating untargeted omics and adverse outcome pathways, ML development should focus on revealing toxicological mechanisms. The integration of data-driven ML with other methods (e.g., omics analysis and adverse outcome pathway frameworks) endows ML with widely promising application in revealing toxicological mechanisms. High-quality databases and interpretable algorithms are urgently needed for toxicology and environmental science. Addressing the core issues and future challenges for ML in this review may narrow the knowledge gap between environmental toxicity and computational science and facilitate the control of environmental risk in the future.

Detection of COVID-19 Infection in CT and X-ray images using transfer learning approach

BACKGROUND

The infection caused by the SARS-CoV-2 (COVID-19) pandemic is a threat to human lives. An early and accurate diagnosis is necessary for treatment.

OBJECTIVE

The study presents an efficient classification methodology for precise identification of infection caused by COVID-19 using CT and X-ray images.

METHODS

The depthwise separable convolution-based model of MobileNet V2 was exploited for feature extraction. The features of infection were supplied to the SVM classifier for training which produced accurate classification results.

RESULT

The accuracies for CT and X-ray images are 99.42% and 98.54% respectively. The MCC score was used to avoid any mislead caused by accuracy and F1 score as it is more mathematically balanced metric. The MCC scores obtained for CT and X-ray were 0.9852 and 0.9657, respectively. The Youden's index showed a significant improvement of more than 2% for both imaging techniques.

CONCLUSION

The proposed transfer learning-based approach obtained the best results for all evaluation metrics and produced reliable results for the accurate identification of COVID-19 symptoms. This study can help in reducing the time in diagnosis of the infection.

Bias in algorithms of AI systems developed for COVID-19: A scoping review

To analyze which ethically relevant biases have been identified by academic literature in artificial intelligence (AI) algorithms developed either for patient risk prediction and triage, or for contact tracing to deal with the COVID-19 pandemic. Additionally, to specifically investigate whether the role of social determinants of health (SDOH) have been considered in these AI developments or not. We conducted a scoping review of the literature, which covered publications from March 2020 to April 2021. ​Studies mentioning biases on AI algorithms developed for contact tracing and medical triage or risk prediction regarding COVID-19 were included. From 1054 identified articles, 20 studies were finally included. We propose a typology of biases identified in the literature based on bias, limitations and other ethical issues in both areas of analysis. Results on health disparities and SDOH were classified into five categories: racial disparities, biased data, socio-economic disparities, unequal accessibility and workforce, and information communication. SDOH needs to be considered in the clinical context, where they still seem underestimated. Epidemiological conditions depend on geographic location, so the use of local data in studies to develop international solutions may increase some biases. Gender bias was not specifically addressed in the articles included. The main biases are related to data collection and management. Ethical problems related to privacy, consent, and lack of regulation have been identified in contact tracing while some bias-related health inequalities have been highlighted. There is a need for further research focusing on SDOH and these specific AI apps.

Two-stage hybrid network for segmentation of COVID-19 pneumonia lesions in CT images: a multicenter study

COVID-19 has been spreading continuously since its outbreak, and the detection of its manifestations in the lung via chest computed tomography (CT) imaging is essential to investigate the diagnosis and prognosis of COVID-19 as an indispensable step. Automatic and accurate segmentation of infected lesions is highly required for fast and accurate diagnosis and further assessment of COVID-19 pneumonia. However, the two-dimensional methods generally neglect the intraslice context, while the three-dimensional methods usually have high GPU memory consumption and calculation cost. To address these limitations, we propose a two-stage hybrid UNet to automatically segment infected regions, which is evaluated on the multicenter data obtained from seven hospitals. Moreover, we train a 3D-ResNet for COVID-19 pneumonia screening. In segmentation tasks, the Dice coefficient reaches 97.23% for lung segmentation and 84.58% for lesion segmentation. In classification tasks, our model can identify COVID-19 pneumonia with an area under the receiver-operating characteristic curve value of 0.92, an accuracy of 92.44%, a sensitivity of 93.94%, and a specificity of 92.45%. In comparison with other state-of-the-art methods, the proposed approach could be implemented as an efficient assisting tool for radiologists in COVID-19 diagnosis from CT images.

An agent-based transmission model of COVID-19 for re-opening policy design

The global pandemic caused by the coronavirus (COVID-19) disease has collapsed the worldwide economy. Elements such as non-obligatory vaccination, new strain variants and lack of discipline to follow social distancing measures suggest the possibility that COVID-19 may continue to exist, exhibiting the behavior of a seasonal disease. As the socio-economic crisis has become unsustainable, all countries are planning strategies to gradually restart their economic and social activities. Initially, several containment measures have been adopted involving social distancing, infection detection tests, and ventilation systems. Despite the implementation of such policies, there exists a lack of evaluation of their performance to reduce the contagion index. This means there are no appropriate indicators to decide which intervention or set of interventions present the most effective result. Under these conditions, the development of models that provide useful information in the design and evaluation of containment measures and re-opening policies is of prime concern. In this paper, a novel approach to model the transmission process of COVID-19 in closed environments is proposed. The proposed model can simulate the effects that result from the complex interaction among individuals when they follow a particular containment measure or re-opening policy. With the proposed model, different hypothetical re-opening policies, that are otherwise impossible to analyze in real conditions, can be tested. Computer experiments demonstrate that the proposed model provides suitable information and realistic predictions, which are appropriate for designing strategies that allow a safe return to economic activities.

Improved disease diagnosis system for COVID-19 with data refactoring and handling methods

The novel coronavirus illness (COVID-19) outbreak, which began in a seafood market in Wuhan, Hubei Province, China, in mid-December 2019, has spread to almost all countries, territories, and places throughout the world. And since the fault in diagnosis of a disease causes a psychological impact, this was very much visible in the spread of COVID-19. This research aims to address this issue by providing a better solution for diagnosis of the COVID-19 disease. The paper also addresses a very important issue of having less data for disease prediction models by elaborating on data handling techniques. Thus, special focus has been given on data processing and handling, with an aim to develop an improved machine learning model for diagnosis of COVID-19. Random Forest (RF), Decision tree (DT), K-Nearest Neighbor (KNN), Logistic Regression (LR), Support vector machine, and Deep Neural network (DNN) models are developed using the Hospital Israelita Albert Einstein (in São Paulo, Brazil) dataset to diagnose COVID-19. The dataset is pre-processed and distributed DT is applied to rank the features. Data augmentation has been applied to generate datasets for improving classification accuracy. The DNN model dominates overall techniques giving the highest accuracy of 96.99%, recall of 96.98%, and precision of 96.94%, which is better than or comparable to other research work. All the algorithms are implemented in a distributed environment on the Spark platform.

A Geospatial Artificial Intelligence and satellite-based earth observation cognitive system in response to COVID-19

The pandemic emergency caused by the spread of COVID-19 has stressed the importance of promptly identifying new epidemic clusters and patterns, to ensure the implementation of local risk containment measures and provide the needed healthcare to the population. In this framework, artificial intelligence, GIS, geospatial analysis and space assets can play a crucial role. Social media analytics can be used to trigger Earth Observation (EO) satellite acquisitions over potential new areas of human aggregation. Similarly, EO satellites can be used jointly with social media analytics to systematically monitor well-known areas of aggregation (green urban areas, public markets, etc.). The information that can be obtained from the Earth Cognitive System 4 COVID-19 (ECO4CO) are both predictive, aiming to identify possible new clusters of outbreaks, and at the same time supervisorial, by monitoring infrastructures (i.e. traffic jams, parking lots) or specific categories (i.e. teenagers, doctors, teachers, etc.). In this perspective, the technologies described in this paper will allow us to detect critical areas where individuals can be involved in risky aggregation clusters. The ECO4CO data lake will be integrated with ad hoc data obtained by health care structures to understand trends and dynamics, to assess criticalities with respect to medical response and supplies, and to test possibilities useful to tackle potential future emergencies. The System will also provide geographical information on the spread of the infection which will allow an appropriate context-specific public health response to the epidemic. This project has been co-funded by the European Space Agency under its Business Applications programme.

MedRDF: A Robust and Retrain-Less Diagnostic Framework for Medical Pretrained Models Against Adversarial Attack

Deep neural networks are discovered to be non-robust when attacked by imperceptible adversarial examples, which is dangerous for it applied into medical diagnostic system that requires high reliability. However, the defense methods that have good effect in natural images may not be suitable for medical diagnostic tasks. The pre-processing methods (e.g., random resizing, compression) may lead to the loss of the small lesions feature in the medical image. Retraining the network on the augmented data set is also not practical for medical models that have already been deployed online. Accordingly, it is necessary to design an easy-to-deploy and effective defense framework for medical diagnostic tasks. In this paper, we propose a Robust and Retrain-Less Diagnostic Framework for Medical pretrained models against adversarial attack (i.e., MedRDF). It acts on the inference time of the pretrained medical model. Specifically, for each test image, MedRDF firstly creates a large number of noisy copies of it, and obtains the output labels of these copies from the pretrained medical diagnostic model. Then, based on the labels of these copies, MedRDF outputs the final robust diagnostic result by majority voting. In addition to the diagnostic result, MedRDF produces the Robust Metric (RM) as the confidence of the result. Therefore, it is convenient and reliable to utilize MedRDF to convert pretrained non-robust diagnostic models into robust ones. The experimental results on COVID-19 and DermaMNIST datasets verify the effectiveness of our MedRDF in improving the robustness of medical diagnostic models.

Integrated COVID-19 Predictor: Differential expression analysis to reveal potential biomarkers and prediction of coronavirus using RNA-Seq profile data

Background

The world has been battling the continuous COVID-19 pandemic spread by the SARS-CoV-2 virus for last two years. The issue of viral disease prediction is constantly a matter of interest in virology and the study of disease transmission over the long years.

Objective

In this study, we aimed to implement genome association studies using RNA-Seq of COVID-19 and reveal highly expressed gene biomarkers and prediction based on the machine learning model of COVID-19 analysis to combat this pandemic.

Method

We collected RNA-Seq gene count data for both healthy (Control) and non-healthy (Treated) COVID-19 cases. In this experiment, a sequence of bioinformatics strategies and statistical techniques, such as fold-change and adjusted p-value, were processed to identify differentially expressed genes (DEGs). We filtered biomarker sets of high DEGs, moderate DEGs, and low DEGs using DESeq2, Limma Trend, and Limma Voom methods based on intersection and union operations and applied machine learning techniques to predict COVID-19.

Result

Through experimental analysis, 67 potential biomarkers were extracted, comprising 49 up-regulated and 18 down-regulated genes, using statistical techniques and a set-theory consensus strategy. We trained the machine learning models on 12 different biomarker sets and found that the SVM model performed better than the other classifiers with 99.07% classification accuracy for moderate DEGs.

Conclusion

Our study revealed that identified differentially expressed genes of the moderate DEGs biomarker set, |log2FC| ≥ 2 with adjusted p-value < 0.05, work significantly as input features to implement a machine learning model using a kernel-based SVM technique to predict COVID-19.

Detecting COVID-19 patients via MLES-Net deep learning models from X-Ray images

Background

Corona Virus Disease 2019 (COVID-19) first appeared in December 2019, and spread rapidly around the world. COVID-19 is a pneumonia caused by novel coronavirus infection in 2019. COVID-19 is highly infectious and transmissible. By 7 May 2021, the total number of cumulative number of deaths is 3,259,033. In order to diagnose the infected person in time to prevent the spread of the virus, the diagnosis method for COVID-19 is extremely important. To solve the above problems, this paper introduces a Multi-Level Enhanced Sensation module (MLES), and proposes a new convolutional neural network model, MLES-Net, based on this module.

Methods

Attention has the ability to automatically focus on the key points in various information, and Attention can realize parallelism, which can replace some recurrent neural networks to a certain extent and improve the efficiency of the model. We used the correlation between global and local features to generate the attention mask. First, the feature map was divided into multiple groups, and the initial attention mask was obtained by the dot product of each feature group and the feature after the global pooling. Then the attention masks were normalized. At the same time, there were two scaling and translating parameters in each group so that the normalize operation could be restored. Then, the final attention mask was obtained through the sigmoid function, and the feature of each location in the original feature group was scaled. Meanwhile, we use different classifiers on the network models with different network layers.

Results

The network uses three classifiers, FC module (fully connected layer), GAP module (global average pooling layer) and GAPFC module (global average pooling layer and fully connected layer), to improve recognition efficiency. GAPFC as a classifier can obtain the best comprehensive effect by comparing the number of parameters, the amount of calculation and the detection accuracy. The experimental results show that the MLES-Net56-GAPFC achieves the best overall accuracy rate (95.27%) and the best recognition rate for COVID-19 category (100%).

Conclusions

MLES-Net56-GAPFC has good classification ability for the characteristics of high similarity between categories of COVID-19 X-Ray images and low intra-category variability. Considering the factors such as accuracy rate, number of network model parameters and calculation amount, we believe that the MLES-Net56-GAPFC network model has better practicability.

Delaunay triangulation based intelligent system for the diagnosis of covid from the low radiation CXR images

Covid-19 is a viral infection that causes a profound impact on the lives of the World population. It is a global pandemic spreading across the world in a faster way. It made a global impact on the health, economy, and education system in all the countries. As it is a rapidly spreading disease, prevention demands a fast and accurate diagnosis system. In a highly densely populated country, the demand for fast and affordable early diagnosis is required to reduce the disaster. Within this diagnosis time, the infection spreads rapidly and worsens the infected person's status. To provide a faster and more affordable early diagnosis of covid, posterior-anterior chest radiographs (CXR) are used. Diagnosis of covid from CXR is challenging due to the images' interclass similarity and intraclass variation. This study proposes a deep learning-based robust early diagnosis method for covid. To balance the intraclass variation and interclass similarity in CXR images, the deep fused Delaunay triangulation (DT) is proposed as the CXR has low radiation and unbalanced quality images. The deep features are to be extracted to increase the robustness of the diagnosis method. Without segmentation, the proposed DT algorithm achieves the accurate visualization of the suspicious region in the CXR. The proposed model is trained and tested by the largest benchmark covid-19 radiology dataset with 3616 covid CXR images and 3500 standard CXR images. The performance of the proposed system is analyzed in terms of accuracy, sensitivity, specificity, and AUC. The proposed system yields the highest validation accuracy.

An Empirical Analysis of an Optimized Pretrained Deep Learning Model for COVID-19 Diagnosis

As a result of the COVID-19 outbreak, which has put the world in an unprecedented predicament, thousands of people have died. Data from structured and unstructured sources are combined to create user-friendly platforms for clinicians and researchers in an integrated bioinformatics approach. The diagnosis and treatment of COVID-19 disease can be accelerated using AI-based platforms. In the battle against the virus, however, researchers and decision-makers must contend with an ever-increasing volume of data, referred to as “big data.” VGG19 and ResNet152V2 pretrained deep learning architectures were used in this study. With these datasets, we could train and fine-tune our model on lung ultrasound frames from healthy people as well as from patients with COVID-19 and pneumonia. In two separate experiments, we evaluated two different classes of predictive models: one against pneumonia and the other against non-COVID-19. COVID-19 can be detected and diagnosed accurately and efficiently using these models, according to the findings. Therefore, the use of these inexpensive and affordable deep learning methods should be considered as a reliable method for the diagnosis of COVID-19.

Body Language Analysis in Healthcare: An Overview

Given the current COVID-19 pandemic, medical research today focuses on epidemic diseases. Innovative technology is incorporated in most medical applications, emphasizing the automatic recognition of physical and emotional states. Most research is concerned with the automatic identification of symptoms displayed by patients through analyzing their body language. The development of technologies for recognizing and interpreting arm and leg gestures, facial features, and body postures is still in its early stage. More extensive research is needed using artificial intelligence (AI) techniques in disease detection. This paper presents a comprehensive survey of the research performed on body language processing. Upon defining and explaining the different types of body language, we justify the use of automatic recognition and its application in healthcare. We briefly describe the automatic recognition framework using AI to recognize various body language elements and discuss automatic gesture recognition approaches that help better identify the external symptoms of epidemic and pandemic diseases. From this study, we found that since there are studies that have proven that the body has a language called body language, it has proven that language can be analyzed and understood by machine learning (ML). Since diseases also show clear and different symptoms in the body, the body language here will be affected and have special features related to a particular disease. From this examination, we discovered that it is possible to specialize the features and language changes of each disease in the body. Hence, ML can understand and detect diseases such as pandemic and epidemic diseases and others.

Digital Twin of a Magnetic Medical Microrobot with Stochastic Model Predictive Controller Boosted by Machine Learning in Cyber-Physical Healthcare Systems

Recently, emerging technologies have assisted the healthcare system in the treatment of a wide range of diseases so considerably that the development of such methods has been regarded as a practical solution to cure many diseases. Accordingly, underestimating the importance of such cyber environments in the medical and healthcare system is not logical, as a combination of such systems with the Metaverse can lead to tremendous applications, particularly after this pandemic, in which the significance of such technologies has been proven. This is why the digital twin of a medical microrobot, which is controlled via a stochastic model predictive controller (MPC) empowered by a system identification based on machine learning (ML), has been rendered in this research. This robot benefits from the technology of magnetic levitation, and the identification approach helps the controller to identify the dynamic of this robot. Considering the size, control system, and specifications of such micro-magnetic mechanisms, it can play an important role in monitoring, drug-delivery, or even some sensitive internal surgeries. Thus, accuracy, robustness, and reliability have been taken into consideration for the design and simulation of this magnetic mechanism. Finally, a second-order statistic noise is added to the plant while the controller is updated by a Kalman filter to deal with this environment. The results prove that the proposed controller will work effectively.

An Overview of Neurological and Psychiatric Complications During Post-COVID Period: A Narrative Review

The coronavirus disease 2019 (COVID-19), induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a multi-organ and multi-system disease with high morbidity and mortality in severe cases due to respiratory failure and severe cardiovascular events. However, the various manifestations of neurological and psychiatric (N/P) systems of COVID-19 should not be neglected. Some clinical studies have reported a high risk of N/P disorders in COVID-19 and post-COVID-19 patients and that their outcomes were positively associated with the disease severity. These clinical manifestations could attribute to direct SARS-CoV-2 invasion into the central nervous system (CNS), which is often complicated by systemic hypoxia, the dysfunctional activity of the renin–angiotensin system and other relevant pathological changes. These changes may remain long term and may even lead to persistent post-COVID consequences on the CNS, such as memory, attention and focus issues, persistent headaches, lingering loss of smell and taste, enduring muscle aches and chronic fatigue. Mild confusion and coma are serious adverse outcomes of neuropathological manifestations in COVID-19 patients, which could be diversiform and vary at different stages of the clinical course. Although lab investigations and neuro-imaging findings may help quantify the disease’s risk, progress and prognosis, large-scale and persistent multicenter clinical cohort studies are needed to evaluate the impact of COVID-19 on the N/P systems. However, we used “Boolean Operators” to search for relevant research articles, reviews and clinical trials from PubMed and the ClinicalTrials dataset for “COVID-19 sequelae of N/P systems during post-COVID periods” with the time frame from December 2019 to April 2022, only found 42 in 254,716 COVID-19-related articles and 2 of 7931 clinical trials involved N/P sequelae during post-COVID periods. Due to the increasing number of infected cases and the incessant mutation characteristics of this virus, diagnostic and therapeutic guidelines for N/P manifestations should be further refined.

Utilization of Random Forest Classifier and Artificial Neural Network for Predicting Factors Influencing the Perceived Usability of COVID-19 Contact Tracing “MorChana” in Thailand

With the constant mutation of COVID-19 variants, the need to reduce the spread should be explored. MorChana is a mobile application utilized in Thailand to help mitigate the spread of the virus. This study aimed to explore factors affecting the actual use (AU) of the application through the use of machine learning algorithms (MLA) such as Random Forest Classifier (RFC) and Artificial Neural Network (ANN). An integrated Protection Motivation Theory (PMT) and the Unified Theory of Acceptance and Use of Technology (UTAUT) were considered. Using convenience sampling, a total of 907 valid responses from those who answered the online survey were voluntarily gathered. With 93.00% and 98.12% accuracy from RFC and ANN, it was seen that hedonic motivation and facilitating conditions were seen to be factors affecting very high AU; while habit and understanding led to high AU. It was seen that when people understand the impact and causes of the COVID-19 pandemic’s aftermath, its severity, and also see a way to reduce it, it would lead to the actual usage of a system. The findings of this study could be used by developers, the government, and stakeholders to capitalize on using the health-related applications with the intention of increasing actual usage. The framework and methodology used presented a way to evaluate health-related technologies. Moreover, the developing trends of using MLA for evaluating human behavior-related studies were further justified in this study. It is suggested that MLA could be utilized to assess factors affecting human behavior and technology used worldwide.

Enhancing medical-imaging artificial intelligence through holistic use of time-tested key imaging and clinical parameters: Future insights

Much of the published literature in Radiology-related Artificial Intelligence (AI) focuses on single tasks, such as identifying the presence or absence or severity of specific lesions. Progress comparable to that achieved for general-purpose computer vision has been hampered by the unavailability of large and diverse radiology datasets containing different types of lesions with possibly multiple kinds of abnormalities in the same image. Also, since a diagnosis is rarely achieved through an image alone, radiology AI must be able to employ diverse strategies that consider all available evidence, not just imaging information. Using key imaging and clinical signs will help improve their accuracy and utility tremendously. Employing strategies that consider all available evidence will be a formidable task; we believe that the combination of human and computer intelligence will be superior to either one alone. Further, unless an AI application is explainable, radiologists will not trust it to be either reliable or bias-free; we discuss some approaches aimed at providing better explanations, as well as regulatory concerns regarding explainability (“transparency”). Finally, we look at federated learning, which allows pooling data from multiple locales while maintaining data privacy to create more generalizable and reliable models, and quantum computing, still prototypical but potentially revolutionary in its computing impact.

DeepRF: A deep learning method for predicting metabolic pathways in organisms based on annotated genomes

The rapid increase of metabolomics has led to an increasing focus on metabolic pathway modeling and reconstruction. In particular, reconstructing an organism's metabolic network based on its genome sequence is a key challenge in systems biology. The method used to address this problem predicts the presence or absence of metabolic pathways from known pathways in a reference database. However, this method is based on manual metabolic pathway construction and cannot be used for large genome sequencing data. To address such problems, we apply a supervised machine learning approach consisting of deep neural networks to learn feature representations of metabolic pathways and feed these representations into random forests to predict metabolic pathways. The supervised learning model, DeepRF, predicts all known and unknown metabolic pathways in an organism. Evaluation of DeepRF on over 318,016 instances shows that the model can predict metabolic pathways with high-performance metrics accuracy (>97%), recall (>95%), and precision (>99%). Comparing DeepRF with other methods in the literature shows that DeepRF produces more reliable results than other methods.

Mortality Analysis of Patients with COVID-19 in Mexico Based on Risk Factors Applying Machine Learning Techniques

The new pandemic caused by the COVID-19 virus has generated an overload in the quality of medical care in clinical centers around the world. Causes that originate this fact include lack of medical personnel, infrastructure, medicines, among others. The rapid and exponential increase in the number of patients infected by COVID-19 has required an efficient and speedy prediction of possible infections and their consequences with the purpose of reducing the health care quality overload. Therefore, intelligent models are developed and employed to support medical personnel, allowing them to give a more effective diagnosis about the health status of patients infected by COVID-19. This paper aims to propose an alternative algorithmic analysis for predicting the health status of patients infected with COVID-19 in Mexico. Different prediction models such as KNN, logistic regression, random forests, ANN and majority vote were evaluated and compared. The models use risk factors as variables to predict the mortality of patients from COVID-19. The most successful scheme is the proposed ANN-based model, which obtained an accuracy of 90% and an F1 score of 89.64%. Data analysis reveals that pneumonia, advanced age and intubation requirement are the risk factors with the greatest influence on death caused by virus in Mexico.

Social impact and governance of AI and neurotechnologies

Advances in artificial intelligence (AI) and brain science are going to have a huge impact on society. While technologies based on those advances can provide enormous social benefits, adoption of new technologies poses various risks. This article first reviews the co-evolution of AI and brain science and the benefits of brain-inspired AI in sustainability, healthcare, and scientific discoveries. We then consider possible risks from those technologies, including intentional abuse, autonomous weapons, cognitive enhancement by brain-computer interfaces, insidious effects of social media, inequity, and enfeeblement. We also discuss practical ways to bring ethical principles into practice. One proposal is to stop giving explicit goals to AI agents and to enable them to keep learning human preferences. Another is to learn from democratic mechanisms that evolved in human society to avoid over-consolidation of power. Finally, we emphasize the importance of open discussions not only by experts, but also including a diverse array of lay opinions.

A Review of the Potential of Artificial Intelligence Approaches to Forecasting COVID-19 Spreading

The spread of SARS-CoV-2 can be considered one of the most complicated patterns with a large number of uncertainties and nonlinearities. Therefore, analysis and prediction of the distribution of this virus are one of the most challenging problems, affecting the planning and managing of its impacts. Although different vaccines and drugs have been proved, produced, and distributed one after another, several new fast-spreading SARS-CoV-2 variants have been detected. This is why numerous techniques based on artificial intelligence (AI) have been recently designed or redeveloped to forecast these variants more effectively. The focus of such methods is on deep learning (DL) and machine learning (ML), and they can forecast nonlinear trends in epidemiological issues appropriately. This short review aims to summarize and evaluate the trustworthiness and performance of some important AI-empowered approaches used for the prediction of the spread of COVID-19. Sixty-five preprints, peer-reviewed papers, conference proceedings, and book chapters published in 2020 were reviewed. Our criteria to include or exclude references were the performance of these methods reported in the documents. The results revealed that although methods under discussion in this review have suitable potential to predict the spread of COVID-19, there are still weaknesses and drawbacks that fall in the domain of future research and scientific endeavors.

Model Establishment of Cross-Disease Course Prediction Using Transfer Learning

In recent years, the development and application of artificial intelligence have both been topics of concern. In the medical field, an important direction of medical technology development is the extraction and use of applicable information from existing medical records to provide more accurate and helpful diagnosis suggestions. Therefore, this paper proposes using the development of diseases with easily discernible symptoms to predict the development of other medically related but distinct diseases that lack similar data. The aim of this study is to improve the ease of assessing the development of diseases in which symptoms are difficult to detect, and to improve the utilization of medical data. First, a time series model was used to capture the continuous manifestations of diseases with symptoms that could be easily found at different time intervals. Then, through transfer learning and attention mechanism, the general features captured were applied to the predictive model of the development of diseases with insufficient data and symptoms that are difficult to detect. Finally, we conducted a comprehensive experimental study based on a dataset collected from the National Health Insurance Research Database in Taiwan. The results demonstrate that the effectiveness of our transfer learning approach outperforms state-of-the-art deep learning prediction models for disease course prediction.

Machine Learning-Based Research for COVID-19 Detection, Diagnosis, and Prediction: A Survey

The year 2020 experienced an unprecedented pandemic called COVID-19, which impacted the whole world. The absence of treatment has motivated research in all fields to deal with it. In Computer Science, contributions mainly include the development of methods for the diagnosis, detection, and prediction of COVID-19 cases. Data science and Machine Learning (ML) are the most widely used techniques in this area. This paper presents an overview of more than 160 ML-based approaches developed to combat COVID-19. They come from various sources like Elsevier, Springer, ArXiv, MedRxiv, and IEEE Xplore. They are analyzed and classified into two categories: Supervised Learning-based approaches and Deep Learning-based ones. In each category, the employed ML algorithm is specified and a number of used parameters is given. The parameters set for each of the algorithms are gathered in different tables. They include the type of the addressed problem (detection, diagnosis, or detection), the type of the analyzed data (Text data, X-ray images, CT images, Time series, Clinical data,...) and the evaluated metrics (accuracy, precision, sensitivity, specificity, F1-Score, and AUC). The study discusses the collected information and provides a number of statistics drawing a picture about the state of the art. Results show that Deep Learning is used in 79% of cases where 65% of them are based on the Convolutional Neural Network (CNN) and 17% use Specialized CNN. On his side, supervised learning is found in only 16% of the reviewed approaches and only Random Forest, Support Vector Machine (SVM) and Regression algorithms are employed.

Time-Dependent Changes of Laboratory Parameters as Independent Predictors of All-Cause Mortality in COVID-19 Patients

Independent predictors of mortality for COVID-19 patients have been identified upon hospital admission; however, how they behave after hospitalization remains unknown. The aim of this study is to identify clinical and laboratory parameters from admission to discharge or death that distinguish survivors and non-survivors of COVID-19, including those with independent ability to predict mortality. In a cohort of 266 adult patients, clinical and laboratory data were analyzed from admission and throughout hospital stay until discharge or death. Upon admission, non-survivors had significantly increased C reactive protein (CRP), neutrophil count, neutrophil to lymphocyte ratio (NLR) (p < 0.0001, each), ferritin (p < 0.001), and AST (aspartate transaminase) (p = 0.009) compared to survivors. During the hospital stay, deceased patients maintained elevated CRP (21.7 mg/dL [admission] vs. 19.3 [hospitalization], p = 0.060), ferritin, neutrophil count and NLR. Conversely, survivors showed significant reductions in CRP (15.8 mg/dL [admission] vs. 9.3 [hospitalization], p < 0.0001], ferritin, neutrophil count and NLR during hospital stay. Upon admission, elevated CRP, ferritin, and diabetes were independent predictors of mortality, as were persistently high CRP, neutrophilia, and the requirement of invasive mechanical ventilation during hospital stay. Inflammatory and clinical parameters distinguishing survivors from non-survivors upon admission changed significantly during hospital stay. These markers warrant close evaluation to monitor and predict patients’ outcome once hospitalized.

MA-Net:Mutex attention network for COVID-19 diagnosis on CT images

COVID-19 is an infectious pneumonia caused by 2019-nCoV. The number of newly confirmed cases and confirmed deaths continues to remain at a high level. RT–PCR is the gold standard for the COVID-19 diagnosis, but the computed tomography (CT) imaging technique is an important auxiliary diagnostic tool. In this paper, a deep learning network mutex attention network (MA-Net) is proposed for COVID-19 auxiliary diagnosis on CT images. Using positive and negative samples as mutex inputs, the proposed network combines mutex attention block (MAB) and fusion attention block (FAB) for the diagnosis of COVID-19. MAB uses the distance between mutex inputs as a weight to make features more distinguishable for preferable diagnostic results. FAB acts to fuse features to obtain more representative features. Particularly, an adaptive weight multiloss function is proposed for better effect. The accuracy, specificity and sensitivity were reported to be as high as 98.17%, 97.25% and 98.79% on the COVID-19 dataset-A provided by the Affiliated Medical College of Qingdao University, respectively. State-of-the-art results have also been achieved on three other public COVID-19 datasets. The results show that compared with other methods, the proposed network can provide effective auxiliary information for the diagnosis of COVID-19 on CT images.

Efficient multimodal deep-learning-based COVID-19 diagnostic system for noisy and corrupted images

INTRODUCTION

In humanity's ongoing fight against its common enemy of COVID-19, researchers have been relentless in finding efficient technologies to support mitigation, diagnosis, management, contact tracing, and ultimately vaccination.

OBJECTIVES

Engineers and computer scientists have deployed the potent properties of deep learning models (DLMs) in COVID-19 detection and diagnosis. However, publicly available datasets are often adulterated during collation, transmission, or storage. Meanwhile, inadequate, and corrupted data are known to impact the learnability and efficiency of DLMs.

METHODS

This study focuses on enhancing previous efforts via two multimodal diagnostic systems to extract required features for COVID-19 detection using adulterated chest X-ray images. Our proposed DLM consists of a hierarchy of convolutional and pooling layers that are combined to support efficient COVID-19 detection using chest X-ray images. Additionally, a batch normalization layer is used to curtail overfitting that usually arises from the convolution and pooling (CP) layers.

RESULTS

In addition to matching the performance of standard techniques reported in the literature, our proposed diagnostic systems attain an average accuracy of 98% in the detection of normal, COVID-19, and viral pneumonia cases using corrupted and noisy images.

CONCLUSIONS

Such robustness is crucial for real-world applications where data is usually unavailable, corrupted, or adulterated.

Statistical Methods with Applications in Data Mining: A Review of the Most Recent Works

The importance of statistical methods in finding patterns and trends in otherwise unstructured and complex large sets of data has grown over the past decade, as the amount of data produced keeps growing exponentially and knowledge obtained from understanding data allows to make quick and informed decisions that save time and provide a competitive advantage. For this reason, we have seen considerable advances over the past few years in statistical methods in data mining. This paper is a comprehensive and systematic review of these recent developments in the area of data mining.

Evaluation and Comparison of the Predictive Value of 4C Mortality Score, NEWS, and CURB-65 in Poor Outcomes in COVID-19 Patients: A Retrospective Study from a Single Center in Romania

To date, the COVID-19 pandemic has caused millions of deaths across the world. Prognostic scores can improve the clinical management of COVID-19 diagnosis and treatment. The objective of this study was to assess the predictive role of 4C Mortality, CURB-65, and NEWS in COVID-19 mortality among the Romanian population. A single-center, retrospective, observational study was conducted on patients with reverse transcriptase-polymerase chain reaction (RT-PCR)-proven COVID-19 admitted to the Municipal Emergency Clinical Hospital of Timisoara, Romania, between 1 October 2020 and 15 March 2021. Receiver operating characteristic (ROC) and area under the curve (AUC) analyses were performed to determine the discrimination accuracy of the three scores. The mean values of the risk scores were higher in the non-survivors group (survivors group vs. non-survivors group: 8 vs. 15 (4C Mortality Score); 3 vs. 8.5 (NEWS); 1 vs. 3 (CURB-65)). In terms of mortality risk prediction, the NEWS performed best, with an AUC of 0.86, and the CURB-65 score performed poorly, with an AUC of 0.80. CURB-65, NEWS, and 4C Mortality scores were significant mortality predictors in the analysis, with acceptable calibration. Among the scores assessed in our study, NEWS had the highest performance in predicting in-hospital mortality in COVID-19 patients. Thus, the findings from this study suggest that the use of NEWS may be beneficial to the early identification of high-risk COVID-19 patients and the provision of more aggressive care to reduce mortality associated with COVID-19.

An edge-driven multi-agent optimization model for infectious disease detection

This research work introduces a new intelligent framework for infectious disease detection by exploring various emerging and intelligent paradigms. We propose new deep learning architectures such as entity embedding networks, long-short term memory, and convolution neural networks, for accurately learning heterogeneous medical data in identifying disease infection. The multi-agent system is also consolidated for increasing the autonomy behaviours of the proposed framework, where each agent can easily share the derived learning outputs with the other agents in the system. Furthermore, evolutionary computation algorithms, such as memetic algorithms, and bee swarm optimization controlled the exploration of the hyper-optimization parameter space of the proposed framework. Intensive experimentation has been established on medical data. Strong results obtained confirm the superiority of our framework against the solutions that are state of the art, in both detection rate, and runtime performance, where the detection rate reaches 98% for handling real use cases.

Design and Fabrication of a Compact Branch-Line Coupler Using Resonators with Wide Harmonics Suppression Band

The branch-line coupler (BLC) is an important device in radio frequency (RF) and microwave (MW) circuits. The main drawbacks of the conventional BLC are as follows: first, the four long quarter-wavelength (λ/4) transmission line sections occupy a large size, especially at the low frequencies, and second, the presence of unwanted harmonics. This research paper presents a compact 750 MHz BLC with harmonics suppression using resonators. The typical BLC consists of four λ/4 branches, two series arms of 35 Ω and two shunt arms of 50 Ω impedances. In the proposed BLC, these long branches are replaced with two types of compact resonators. The proposed resonators have the same responses at the operating frequency of 750 MHz and suppress higher frequencies. The designed BLC is simulated, fabricated and measured. The results show that the proposed BLC has good performance at 750 MHz with a bandwidth of 200 MHz, which provides more than 26% fractional bandwidth (FBW). It has a very compact size, about 84% size reduction, as compared with the typical BLC. Moreover, the fabricated BLC suppresses the 2nd up to 7th unwanted harmonics with a high suppression level.

Review on COVID-19 diagnosis models based on machine learning and deep learning approaches

COVID-19 is the disease evoked by a new breed of coronavirus called the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Recently, COVID-19 has become a pandemic by infecting more than 152 million people in over 216 countries and territories. The exponential increase in the number of infections has rendered traditional diagnosis techniques inefficient. Therefore, many researchers have developed several intelligent techniques, such as deep learning (DL) and machine learning (ML), which can assist the healthcare sector in providing quick and precise COVID-19 diagnosis. Therefore, this paper provides a comprehensive review of the most recent DL and ML techniques for COVID-19 diagnosis. The studies are published from December 2019 until April 2021. In general, this paper includes more than 200 studies that have been carefully selected from several publishers, such as IEEE, Springer and Elsevier. We classify the research tracks into two categories: DL and ML and present COVID-19 public datasets established and extracted from different countries. The measures used to evaluate diagnosis methods are comparatively analysed and proper discussion is provided. In conclusion, for COVID-19 diagnosing and outbreak prediction, SVM is the most widely used machine learning mechanism, and CNN is the most widely used deep learning mechanism. Accuracy, sensitivity, and specificity are the most widely used measurements in previous studies. Finally, this review paper will guide the research community on the upcoming development of machine learning for COVID-19 and inspire their works for future development. This review paper will guide the research community on the upcoming development of ML and DL for COVID-19 and inspire their works for future development.

BEMD-3DCNN-based method for COVID-19 detection

The coronavirus outbreak continues to spread around the world and no one knows when it will stop. Therefore, from the first day of the identification of the virus in Wuhan, China, scientists have launched numerous research projects to understand the nature of the virus, how to detect it, and search for the most effective medicine to help and protect patients. Importantly, a rapid diagnostic and detection system is a priority and should be developed to stop COVID-19 from spreading. Medical imaging techniques have been used for this purpose. Current research is focused on exploiting different backbones like VGG, ResNet, DenseNet, or combining them to detect COVID-19. By using these backbones many aspects cannot be analyzed like the spatial and contextual information in the images, although this information can be useful for more robust detection performance. In this paper, we used 3D representation of the data as input for the proposed 3DCNN-based deep learning model. The process includes using the Bi-dimensional Empirical Mode Decomposition (BEMD) technique to decompose the original image into IMFs, and then building a video of these IMF images. The formed video is used as input for the 3DCNN model to classify and detect the COVID-19 virus. The 3DCNN model consists of a 3D VGG-16 backbone followed by a Context-aware attention (CAA) module, and then fully connected layers for classification. Each CAA module takes the feature maps of different blocks of the backbone, which allows learning from different feature maps. In our experiments, we used 6484 X-ray images, of which 1802 were COVID-19 positive cases, 1910 normal cases, and 2772 pneumonia cases. The experiment results showed that our proposed technique achieved the desired results on the selected dataset. Additionally, the use of the 3DCNN model with contextual information processing exploited CAA networks to achieve better performance.

Ensemble Deep Learning and Internet of Things-Based Automated COVID-19 Diagnosis Framework

Coronavirus disease (COVID-19) is a viral infection caused by SARS-CoV-2. The modalities such as computed tomography (CT) have been successfully utilized for the early stage diagnosis of COVID-19 infected patients. Recently, many researchers have utilized deep learning models for the automated screening of COVID-19 suspected cases. An ensemble deep learning and Internet of Things (IoT) based framework is proposed for screening of COVID-19 suspected cases. Three well-known pretrained deep learning models are ensembled. The medical IoT devices are utilized to collect the CT scans, and automated diagnoses are performed on IoT servers. The proposed framework is compared with thirteen competitive models over a four-class dataset. Experimental results reveal that the proposed ensembled deep learning model yielded 98.98% accuracy. Moreover, the model outperforms all competitive models in terms of other performance metrics achieving 98.56% precision, 98.58% recall, 98.75% F-score, and 98.57% AUC. Therefore, the proposed framework can improve the acceleration of COVID-19 diagnosis.