2051
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Melin P, Monica JC, Sanchez D, Castillo O. Analysis of Spatial Spread Relationships of Coronavirus (COVID-19) Pandemic in the World using Self Organizing Maps. CHAOS, SOLITONS, AND FRACTALS 2020; 138:109917. [PMID: 32501376 PMCID: PMC7241408 DOI: 10.1016/j.chaos.2020.109917] [Citation(s) in RCA: 50] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 05/17/2020] [Accepted: 05/18/2020] [Indexed: 05/09/2023]
Abstract
We describe in this paper an analysis of the spatial evolution of coronavirus pandemic around the world by using a particular type of unsupervised neural network, which is called self-organizing maps. Based on the clustering abilities of self-organizing maps we are able to spatially group together countries that are similar according to their coronavirus cases, in this way being able to analyze which countries are behaving similarly and thus can benefit by using similar strategies in dealing with the spread of the virus. Publicly available datasets of coronavirus cases around the globe from the last months have been used in the analysis. Interesting conclusions have been obtained, that could be helpful in deciding the best strategies in dealing with this virus. Most of the previous papers dealing with data of the Coronavirus have viewed the problem on temporal aspect, which is also important, but this is mainly concerned with the forecast of the numeric information. However, we believe that the spatial aspect is also important, so in this view the main contribution of this paper is the use of unsupervised self-organizing maps for grouping together similar countries in their fight against the Coronavirus pandemic, and thus proposing that strategies for similar countries could be established accordingly.
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2052
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Panwar H, Gupta PK, Siddiqui MK, Morales-Menendez R, Singh V. Application of deep learning for fast detection of COVID-19 in X-Rays using nCOVnet. CHAOS, SOLITONS, AND FRACTALS 2020; 138:109944. [PMID: 32536759 PMCID: PMC7254021 DOI: 10.1016/j.chaos.2020.109944] [Citation(s) in RCA: 232] [Impact Index Per Article: 58.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2020] [Accepted: 05/26/2020] [Indexed: 05/18/2023]
Abstract
Presently, COVID-19 has posed a serious threat to researchers, scientists, health professionals, and administrations around the globe from its detection to its treatment. The whole world is witnessing a lockdown like situation because of COVID-19 pandemic. Persistent efforts are being made by the researchers to obtain the possible solutions to control this pandemic in their respective areas. One of the most common and effective methods applied by the researchers is the use of CT-Scans and X-rays to analyze the images of lungs for COVID-19. However, it requires several radiology specialists and time to manually inspect each report which is one of the challenging tasks in a pandemic. In this paper, we have proposed a deep learning neural network-based method nCOVnet, an alternative fast screening method that can be used for detecting the COVID-19 by analyzing the X-rays of patients which will look for visual indicators found in the chest radiography imaging of COVID-19 patients.
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Affiliation(s)
- Harsh Panwar
- Department of Computer Science and Engineering, Jaypee University of Information Technology, Waknaghat, Solan, HP, 173 234, India
| | - P K Gupta
- Department of Computer Science and Engineering, Jaypee University of Information Technology, Waknaghat, Solan, HP, 173 234, India
| | | | | | - Vaishnavi Singh
- Department of Computer Science and Engineering, Jaypee University of Information Technology, Waknaghat, Solan, HP, 173 234, India
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2053
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A Survey on Deep Transfer Learning to Edge Computing for Mitigating the COVID-19 Pandemic. JOURNAL OF SYSTEMS ARCHITECTURE 2020; 108. [PMCID: PMC7326453 DOI: 10.1016/j.sysarc.2020.101830] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Presented a systematic study of Deep Learning (DL), Deep Transfer Learning (DTL) and Edge Computing (EC) to mitigate COVID-19. Surveyed on existing DL, DTL, EC, and Dataset to mitigate pandemics with potentialities and challenges. Drawn a precedent pipeline model of DTL over EC for a future scope to mitigate any outbreaks. Given brief analyses and challenges wherever relevant in perspective of COVID-19.
Global Health sometimes faces pandemics as are currently facing COVID-19 disease. The spreading and infection factors of this disease are very high. A huge number of people from most of the countries are infected within six months from its first report of appearance and it keeps spreading. The required systems are not ready up to some stages for any pandemic; therefore, mitigation with existing capacity becomes necessary. On the other hand, modern-era largely depends on Artificial Intelligence(AI) including Data Science; and Deep Learning(DL) is one of the current flag-bearer of these techniques. It could use to mitigate COVID-19 like pandemics in terms of stop spread, diagnosis of the disease, drug & vaccine discovery, treatment, patient care, and many more. But this DL requires large datasets as well as powerful computing resources. A shortage of reliable datasets of a running pandemic is a common phenomenon. So, Deep Transfer Learning(DTL) would be effective as it learns from one task and could work on another task. In addition, Edge Devices(ED) such as IoT, Webcam, Drone, Intelligent Medical Equipment, Robot, etc. are very useful in a pandemic situation. These types of equipment make the infrastructures sophisticated and automated which helps to cope with an outbreak. But these are equipped with low computing resources, so, applying DL is also a bit challenging; therefore, DTL also would be effective there. This article scholarly studies the potentiality and challenges of these issues. It has described relevant technical backgrounds and reviews of the related recent state-of-the-art. This article also draws a pipeline of DTL over Edge Computing as a future scope to assist the mitigation of any pandemic.
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2054
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Ito R, Iwano S, Naganawa S. A review on the use of artificial intelligence for medical imaging of the lungs of patients with coronavirus disease 2019. Diagn Interv Radiol 2020; 26:443-448. [PMID: 32436845 PMCID: PMC7490030 DOI: 10.5152/dir.2019.20294] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 05/01/2020] [Accepted: 05/03/2020] [Indexed: 12/23/2022]
Abstract
The results of research on the use of artificial intelligence (AI) for medical imaging of the lungs of patients with coronavirus disease 2019 (COVID-19) has been published in various forms. In this study, we reviewed the AI for diagnostic imaging of COVID-19 pneumonia. PubMed, arXiv, medRxiv, and Google scholar were used to search for AI studies. There were 15 studies of COVID-19 that used AI for medical imaging. Of these, 11 studies used AI for computed tomography (CT) and 4 used AI for chest radiography. Eight studies presented independent test data, 5 used disclosed data, and 4 disclosed the AI source codes. The number of datasets ranged from 106 to 5941, with sensitivities ranging from 0.67-1.00 and specificities ranging from 0.81-1.00 for prediction of COVID-19 pneumonia. Four studies with independent test datasets showed a breakdown of the data ratio and reported prediction of COVID-19 pneumonia with sensitivity, specificity, and area under the curve (AUC). These 4 studies showed very high sensitivity, specificity, and AUC, in the range of 0.9-0.98, 0.91-0.96, and 0.96-0.99, respectively.
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Affiliation(s)
- Rintaro Ito
- From the Department of Innovative Biomedical Visualization (R.I. ), Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan; Department of Radiology (S.I., S.N.), Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan
| | - Shingo Iwano
- From the Department of Innovative Biomedical Visualization (R.I. ), Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan; Department of Radiology (S.I., S.N.), Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan
| | - Shinji Naganawa
- From the Department of Innovative Biomedical Visualization (R.I. ), Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan; Department of Radiology (S.I., S.N.), Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan
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2055
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Swapnarekha H, Behera HS, Nayak J, Naik B. Role of intelligent computing in COVID-19 prognosis: A state-of-the-art review. CHAOS, SOLITONS, AND FRACTALS 2020; 138:109947. [PMID: 32836916 PMCID: PMC7256553 DOI: 10.1016/j.chaos.2020.109947] [Citation(s) in RCA: 56] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 05/26/2020] [Indexed: 05/09/2023]
Abstract
The World Health Organization (WHO) declared novel coronavirus 2019 (COVID-19), an infectious epidemic caused by SARS-CoV-2, as Pandemic in March 2020. It has affected more than 40 million people in 216 countries. Almost in all the affected countries, the number of infected and deceased patients has been enhancing at a distressing rate. As the early prediction can reduce the spread of the virus, it is highly desirable to have intelligent prediction and diagnosis tools. The inculcation of efficient forecasting and prediction models may assist the government in implementing better design strategies to prevent the spread of virus. In this paper, a state-of-the-art analysis of the ongoing machine learning (ML) and deep learning (DL) methods in the diagnosis and prediction of COVID-19 has been done. Moreover, a comparative analysis on the impact of machine learning and other competitive approaches like mathematical and statistical models on COVID-19 problem has been conducted. In this study, some factors such as type of methods(machine learning, deep learning, statistical & mathematical) and the impact of COVID research on the nature of data used for the forecasting and prediction of pandemic using computing approaches has been presented. Finally some important research directions for further research on COVID-19 are highlighted which may facilitate the researchers and technocrats to develop competent intelligent models for the prediction and forecasting of COVID-19 real time data.
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Affiliation(s)
- H Swapnarekha
- Department of Information Technology, Veer Surendra Sai University of Technology (VSSUT), Burla, Sambalpur-768018, Odisha, India
| | - Himansu Sekhar Behera
- Department of Information Technology, Veer Surendra Sai University of Technology (VSSUT), Burla, Sambalpur-768018, Odisha, India
| | - Janmenjoy Nayak
- Department of Computer Science and Engineering, Aditya Institute of Technology and Management (AITAM), Tekkali, Andhra Pradesh 532201, India
| | - Bighnaraj Naik
- Department of Computer Application, Veer Surendra Sai University of Technology (VSSUT), Burla, Sambalpur-768018, Odisha, India
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2056
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Abstract
The emergence and outbreak of the novel coronavirus (COVID-19) had a devasting effect on global health, the economy, and individuals’ daily lives. Timely diagnosis of COVID-19 is a crucial task, as it reduces the risk of pandemic spread, and early treatment will save patients’ life. Due to the time-consuming, complex nature, and high false-negative rate of the gold-standard RT-PCR test used for the diagnosis of COVID-19, the need for an additional diagnosis method has increased. Studies have proved the significance of X-ray images for the diagnosis of COVID-19. The dissemination of deep-learning techniques on X-ray images can automate the diagnosis process and serve as an assistive tool for radiologists. In this study, we used four deep-learning models—DenseNet121, ResNet50, VGG16, and VGG19—using the transfer-learning concept for the diagnosis of X-ray images as COVID-19 or normal. In the proposed study, VGG16 and VGG19 outperformed the other two deep-learning models. The study achieved an overall classification accuracy of 99.3%.
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2057
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Abstract
The 2019 novel coronavirus (COVID-19) has spread rapidly all over the world. The standard test for screening COVID-19 patients is the polymerase chain reaction test. As this method is time consuming, as an alternative, chest X-rays may be considered for quick screening. However, specialization is required to read COVID-19 chest X-ray images as they vary in features. To address this, we present a multi-channel pre-trained ResNet architecture to facilitate the diagnosis of COVID-19 chest X-ray. Three ResNet-based models were retrained to classify X-rays in a one-against-all basis from (a) normal or diseased, (b) pneumonia or non-pneumonia, and (c) COVID-19 or non-COVID19 individuals. Finally, these three models were ensembled and fine-tuned using X-rays from 1579 normal, 4245 pneumonia, and 184 COVID-19 individuals to classify normal, pneumonia, and COVID-19 cases in a one-against-one framework. Our results show that the ensemble model is more accurate than the single model as it extracts more relevant semantic features for each class. The method provides a precision of 94% and a recall of 100%. It could potentially help clinicians in screening patients for COVID-19, thus facilitating immediate triaging and treatment for better outcomes.
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2058
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Ahuja S, Panigrahi BK, Dey N, Rajinikanth V, Gandhi TK. Deep transfer learning-based automated detection of COVID-19 from lung CT scan slices. APPL INTELL 2020; 51:571-585. [PMID: 34764547 PMCID: PMC7440966 DOI: 10.1007/s10489-020-01826-w] [Citation(s) in RCA: 117] [Impact Index Per Article: 29.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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2059
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2060
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Elgendi M, Nasir MU, Tang Q, Fletcher RR, Howard N, Menon C, Ward R, Parker W, Nicolaou S. The Performance of Deep Neural Networks in Differentiating Chest X-Rays of COVID-19 Patients From Other Bacterial and Viral Pneumonias. Front Med (Lausanne) 2020; 7:550. [PMID: 33015100 PMCID: PMC7461795 DOI: 10.3389/fmed.2020.00550] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 07/31/2020] [Indexed: 12/31/2022] Open
Abstract
Chest radiography is a critical tool in the early detection, management planning, and follow-up evaluation of COVID-19 pneumonia; however, in smaller clinics around the world, there is a shortage of radiologists to analyze large number of examinations especially performed during a pandemic. Limited availability of high-resolution computed tomography and real-time polymerase chain reaction in developing countries and regions of high patient turnover also emphasizes the importance of chest radiography as both a screening and diagnostic tool. In this paper, we compare the performance of 17 available deep learning algorithms to help identify imaging features of COVID19 pneumonia. We utilize an existing diagnostic technology (chest radiography) and preexisting neural networks (DarkNet-19) to detect imaging features of COVID-19 pneumonia. Our approach eliminates the extra time and resources needed to develop new technology and associated algorithms, thus aiding the front-line healthcare workers in the race against the COVID-19 pandemic. Our results show that DarkNet-19 is the optimal pre-trained neural network for the detection of radiographic features of COVID-19 pneumonia, scoring an overall accuracy of 94.28% over 5,854 X-ray images. We also present a custom visualization of the results that can be used to highlight important visual biomarkers of the disease and disease progression.
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Affiliation(s)
- Mohamed Elgendi
- School of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada
- Department of Obstetrics & Gynaecology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
- BC Children's & Women's Hospital, Vancouver, BC, Canada
- School of Mechatronic Systems Engineering, Simon Fraser University, Burnaby, BC, Canada
- Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom
| | - Muhammad Umer Nasir
- Department of Emergency and Trauma Radiology, Vancouver General Hospital, Vancouver, BC, Canada
| | - Qunfeng Tang
- School of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada
| | | | - Newton Howard
- Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom
| | - Carlo Menon
- School of Mechatronic Systems Engineering, Simon Fraser University, Burnaby, BC, Canada
| | - Rabab Ward
- School of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada
| | - William Parker
- Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Savvas Nicolaou
- Department of Emergency and Trauma Radiology, Vancouver General Hospital, Vancouver, BC, Canada
- Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
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2061
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Islam MZ, Islam MM, Asraf A. A combined deep CNN-LSTM network for the detection of novel coronavirus (COVID-19) using X-ray images. INFORMATICS IN MEDICINE UNLOCKED 2020; 20:100412. [PMID: 32835084 DOI: 10.1101/2020.06.18.20134718] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 08/07/2020] [Accepted: 08/07/2020] [Indexed: 05/27/2023] Open
Abstract
Nowadays, automatic disease detection has become a crucial issue in medical science due to rapid population growth. An automatic disease detection framework assists doctors in the diagnosis of disease and provides exact, consistent, and fast results and reduces the death rate. Coronavirus (COVID-19) has become one of the most severe and acute diseases in recent times and has spread globally. Therefore, an automated detection system, as the fastest diagnostic option, should be implemented to impede COVID-19 from spreading. This paper aims to introduce a deep learning technique based on the combination of a convolutional neural network (CNN) and long short-term memory (LSTM) to diagnose COVID-19 automatically from X-ray images. In this system, CNN is used for deep feature extraction and LSTM is used for detection using the extracted feature. A collection of 4575 X-ray images, including 1525 images of COVID-19, were used as a dataset in this system. The experimental results show that our proposed system achieved an accuracy of 99.4%, AUC of 99.9%, specificity of 99.2%, sensitivity of 99.3%, and F1-score of 98.9%. The system achieved desired results on the currently available dataset, which can be further improved when more COVID-19 images become available. The proposed system can help doctors to diagnose and treat COVID-19 patients easily.
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Affiliation(s)
- Md Zabirul Islam
- Department of Computer Science and Engineering, Khulna University of Engineering & Technology, Khulna, 9203, Bangladesh
| | - Md Milon Islam
- Department of Computer Science and Engineering, Khulna University of Engineering & Technology, Khulna, 9203, Bangladesh
| | - Amanullah Asraf
- Department of Computer Science and Engineering, Khulna University of Engineering & Technology, Khulna, 9203, Bangladesh
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2062
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Islam MZ, Islam MM, Asraf A. A combined deep CNN-LSTM network for the detection of novel coronavirus (COVID-19) using X-ray images. INFORMATICS IN MEDICINE UNLOCKED 2020; 20:100412. [PMID: 32835084 PMCID: PMC7428728 DOI: 10.1016/j.imu.2020.100412] [Citation(s) in RCA: 205] [Impact Index Per Article: 51.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 08/07/2020] [Accepted: 08/07/2020] [Indexed: 12/15/2022] Open
Abstract
Nowadays, automatic disease detection has become a crucial issue in medical science due to rapid population growth. An automatic disease detection framework assists doctors in the diagnosis of disease and provides exact, consistent, and fast results and reduces the death rate. Coronavirus (COVID-19) has become one of the most severe and acute diseases in recent times and has spread globally. Therefore, an automated detection system, as the fastest diagnostic option, should be implemented to impede COVID-19 from spreading. This paper aims to introduce a deep learning technique based on the combination of a convolutional neural network (CNN) and long short-term memory (LSTM) to diagnose COVID-19 automatically from X-ray images. In this system, CNN is used for deep feature extraction and LSTM is used for detection using the extracted feature. A collection of 4575 X-ray images, including 1525 images of COVID-19, were used as a dataset in this system. The experimental results show that our proposed system achieved an accuracy of 99.4%, AUC of 99.9%, specificity of 99.2%, sensitivity of 99.3%, and F1-score of 98.9%. The system achieved desired results on the currently available dataset, which can be further improved when more COVID-19 images become available. The proposed system can help doctors to diagnose and treat COVID-19 patients easily.
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Affiliation(s)
- Md Zabirul Islam
- Department of Computer Science and Engineering, Khulna University of Engineering & Technology, Khulna, 9203, Bangladesh
| | - Md Milon Islam
- Department of Computer Science and Engineering, Khulna University of Engineering & Technology, Khulna, 9203, Bangladesh
| | - Amanullah Asraf
- Department of Computer Science and Engineering, Khulna University of Engineering & Technology, Khulna, 9203, Bangladesh
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2063
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Metcalfe PE. Low dose radiation therapy for COVID-19 pneumonia: brief review of the evidence. Phys Eng Sci Med 2020; 43:761-763. [PMID: 32776317 PMCID: PMC7416591 DOI: 10.1007/s13246-020-00915-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 07/30/2020] [Indexed: 12/14/2022]
Affiliation(s)
- Peter E Metcalfe
- Centre for Medical Radiation Physics and School of Physics, University of Wollongong, Wollongong, NSW, Australia.
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2064
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Kario K. Management of Hypertension in the Digital Era: Small Wearable Monitoring Devices for Remote Blood Pressure Monitoring. Hypertension 2020; 76:640-650. [PMID: 32755418 PMCID: PMC7418935 DOI: 10.1161/hypertensionaha.120.14742] [Citation(s) in RCA: 93] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Out-of-office blood pressure measurement is an essential part of diagnosing and managing hypertension. In the era of advanced digital health information technology, the approach to achieving this is shifting from traditional methods (ambulatory and home blood pressure monitoring) to wearable devices and technology. Wearable blood pressure monitors allow frequent blood pressure measurements (ideally continuous beat-by-beat monitoring of blood pressure) with minimal stress on the patient. It is expected that wearable devices will dramatically change the quality of detection and management of hypertension by increasing the number of measurements in different situations, allowing accurate detection of phenotypes that have a negative impact on cardiovascular prognosis, such as masked hypertension and abnormal blood pressure variability. Frequent blood pressure measurements and the addition of new features such as monitoring of environmental conditions allows interpretation of blood pressure data in the context of daily stressors and different situations. This new digital approach to hypertension contributes to anticipation medicine, which refers to strategies designed to identify increasing risk and predict the onset of cardiovascular events based on a series of data collected over time, allowing proactive interventions to reduce risk. To achieve this, further research and validation is required to develop wearable blood pressure monitoring devices that provide the same accuracy as current approaches and can effectively contribute to personalized medicine.
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Affiliation(s)
- Kazuomi Kario
- From the Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan; and the Hypertension Cardiovascular Outcome Prevention and Evidence in Asia (HOPE Asia) Network
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2065
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Oh Y, Park S, Ye JC. Deep Learning COVID-19 Features on CXR Using Limited Training Data Sets. IEEE TRANSACTIONS ON MEDICAL IMAGING 2020; 39:2688-2700. [PMID: 32396075 DOI: 10.1109/tmi.2020.2993291] [Citation(s) in RCA: 349] [Impact Index Per Article: 87.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Under the global pandemic of COVID-19, the use of artificial intelligence to analyze chest X-ray (CXR) image for COVID-19 diagnosis and patient triage is becoming important. Unfortunately, due to the emergent nature of the COVID-19 pandemic, a systematic collection of CXR data set for deep neural network training is difficult. To address this problem, here we propose a patch-based convolutional neural network approach with a relatively small number of trainable parameters for COVID-19 diagnosis. The proposed method is inspired by our statistical analysis of the potential imaging biomarkers of the CXR radiographs. Experimental results show that our method achieves state-of-the-art performance and provides clinically interpretable saliency maps, which are useful for COVID-19 diagnosis and patient triage.
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2066
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Karanam S, Li R, Yang F, Hu W, Chen T, Wu Z. Towards Contactless Patient Positioning. IEEE TRANSACTIONS ON MEDICAL IMAGING 2020; 39:2701-2710. [PMID: 32365022 DOI: 10.1109/tmi.2020.2991954] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
The ongoing COVID-19 pandemic, caused by the highly contagious SARS-CoV-2 virus, has overwhelmed healthcare systems worldwide, putting medical professionals at a high risk of getting infected themselves due to a global shortage of personal protective equipment. This has in-turn led to understaffed hospitals unable to handle new patient influx. To help alleviate these problems, we design and develop a contactless patient positioning system that can enable scanning patients in a completely remote and contactless fashion. Our key design objective is to reduce the physical contact time with a patient as much as possible, which we achieve with our contactless workflow. Our system comprises automated calibration, positioning, and multi-view synthesis components that enable patient scan without physical proximity. Our calibration routine ensures system calibration at all times and can be executed without any manual intervention. Our patient positioning routine comprises a novel robust dynamic fusion (RDF) algorithm for accurate 3D patient body modeling. With its multi-modal inference capability, RDF can be trained once and used across different applications (without re-training) having various sensor choices, a key feature to enable system deployment at scale. Our multi-view synthesizer ensures multi-view positioning visualization for the technician to verify positioning accuracy prior to initiating the patient scan. We conduct extensive experiments with publicly available and proprietary datasets to demonstrate efficacy. Our system has already been used, and had a positive impact on, hospitals and technicians on the front lines of the COVID-19 pandemic, and we expect to see its use increase substantially globally.
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2067
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Latif S, Usman M, Manzoor S, Iqbal W, Qadir J, Tyson G, Castro I, Razi A, Boulos MNK, Weller A, Crowcroft J. Leveraging Data Science to Combat COVID-19: A Comprehensive Review. IEEE TRANSACTIONS ON ARTIFICIAL INTELLIGENCE 2020; 1:85-103. [PMID: 37982070 PMCID: PMC8545032 DOI: 10.1109/tai.2020.3020521] [Citation(s) in RCA: 54] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 07/07/2020] [Accepted: 08/26/2020] [Indexed: 11/17/2023]
Abstract
COVID-19, an infectious disease caused by the SARS-CoV-2 virus, was declared a pandemic by the World Health Organisation (WHO) in March 2020. By mid-August 2020, more than 21 million people have tested positive worldwide. Infections have been growing rapidly and tremendous efforts are being made to fight the disease. In this paper, we attempt to systematise the various COVID-19 research activities leveraging data science, where we define data science broadly to encompass the various methods and tools-including those from artificial intelligence (AI), machine learning (ML), statistics, modeling, simulation, and data visualization-that can be used to store, process, and extract insights from data. In addition to reviewing the rapidly growing body of recent research, we survey public datasets and repositories that can be used for further work to track COVID-19 spread and mitigation strategies. As part of this, we present a bibliometric analysis of the papers produced in this short span of time. Finally, building on these insights, we highlight common challenges and pitfalls observed across the surveyed works. We also created a live resource repository at https://github.com/Data-Science-and-COVID-19/Leveraging-Data-Science-To-Combat-COVID-19-A-Comprehensive-Review that we intend to keep updated with the latest resources including new papers and datasets.
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Affiliation(s)
- Siddique Latif
- University of Southern QueenslandSpringfieldQueensland4300Australia
- Distributed Sensing Systems Group, Data61CSIROPullenvaleQLD4069Australia
| | - Muhammad Usman
- Seoul National UniversitySeoul08700South Korea
- Center for Artificial Intelligence in Medicine and Imaging, HealthHub Company Ltd.Seoul06524South Korea
| | - Sanaullah Manzoor
- Center for Artificial Intelligence in Medicine and Imaging, HealthHub Company Ltd.Seoul06524South Korea
| | - Waleed Iqbal
- Information Technology UniversityPunjab5400Pakistan
| | | | - Gareth Tyson
- Queen Mary University of LondonLondonE1 4NSU.K.
- Queen Mary University of LondonLondonE1 4NSU.K.
| | | | | | - Maged N. Kamel Boulos
- Turner Institute for Brain and Mental Health & Monash Biomedical Imaging, Monash UniversityMelbourne3800Australia
| | - Adrian Weller
- the School of Information Management, Sun Yat-sen UniversityGuangzhou510006China
- University of CambridgeCambridgeCB2 1PZU.K.
| | - Jon Crowcroft
- Alan Turing InstituteLondonNW1 2DBU.K.
- University of CambridgeCambridgeCB2 1TNU.K.
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2068
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Shibly KH, Dey SK, Islam MTU, Rahman MM. COVID faster R-CNN: A novel framework to Diagnose Novel Coronavirus Disease (COVID-19) in X-Ray images. INFORMATICS IN MEDICINE UNLOCKED 2020; 20:100405. [PMID: 32835082 PMCID: PMC7395610 DOI: 10.1016/j.imu.2020.100405] [Citation(s) in RCA: 66] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 07/20/2020] [Accepted: 07/25/2020] [Indexed: 12/23/2022] Open
Abstract
COVID-19 or novel coronavirus disease, which has already been declared as a worldwide pandemic, at first had an outbreak in a large city of China, named Wuhan. More than two hundred countries around the world have already been affected by this severe virus as it spreads by human interaction. Moreover, the symptoms of novel coronavirus are quite similar to the general seasonal flu. Screening of infected patients is considered as a critical step in the fight against COVID-19. As there are no distinctive COVID-19 positive case detection tools available, the need for supporting diagnostic tools has increased. Therefore, it is highly relevant to recognize positive cases as early as possible to avoid further spreading of this epidemic. However, there are several methods to detect COVID-19 positive patients, which are typically performed based on respiratory samples and among them, a critical approach for treatment is radiologic imaging or X-Ray imaging. Recent findings from X-Ray imaging techniques suggest that such images contain relevant information about the SARS-CoV-2 virus. Application of Deep Neural Network (DNN) techniques coupled with radiological imaging can be helpful in the accurate identification of this disease, and can also be supportive in overcoming the issue of a shortage of trained physicians in remote communities. In this article, we have introduced a VGG-16 (Visual Geometry Group, also called OxfordNet) Network-based Faster Regions with Convolutional Neural Networks (Faster R-CNN) framework to detect COVID-19 patients from chest X-Ray images using an available open-source dataset. Our proposed approach provides a classification accuracy of 97.36%, 97.65% of sensitivity, and a precision of 99.28%. Therefore, we believe this proposed method might be of assistance for health professionals to validate their initial assessment towards COVID-19 patients.
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Affiliation(s)
- Kabid Hassan Shibly
- Department of Computer Science and Engineering (CSE), Dhaka International University (DIU), Dhaka, 1205, Bangladesh
| | - Samrat Kumar Dey
- Department of Computer Science and Engineering (CSE), Dhaka International University (DIU), Dhaka, 1205, Bangladesh
| | - Md Tahzib-Ul Islam
- Department of Computer Science and Engineering (CSE), Dhaka International University (DIU), Dhaka, 1205, Bangladesh
| | - Md Mahbubur Rahman
- Department of Computer Science and Engineering (CSE), Military Institute of Science and Technology (MIST), Mirpur Cantonment, Dhaka, 1216, Bangladesh
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2069
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Tsiknakis N, Trivizakis E, Vassalou EE, Papadakis GZ, Spandidos DA, Tsatsakis A, Sánchez-García J, López-González R, Papanikolaou N, Karantanas AH, Marias K. Interpretable artificial intelligence framework for COVID-19 screening on chest X-rays. Exp Ther Med 2020; 20:727-735. [PMID: 32742318 PMCID: PMC7388253 DOI: 10.3892/etm.2020.8797] [Citation(s) in RCA: 58] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 05/27/2020] [Indexed: 02/07/2023] Open
Abstract
COVID-19 has led to an unprecedented healthcare crisis with millions of infected people across the globe often pushing infrastructures, healthcare workers and entire economies beyond their limits. The scarcity of testing kits, even in developed countries, has led to extensive research efforts towards alternative solutions with high sensitivity. Chest radiological imaging paired with artificial intelligence (AI) can offer significant advantages in diagnosis of novel coronavirus infected patients. To this end, transfer learning techniques are used for overcoming the limitations emanating from the lack of relevant big datasets, enabling specialized models to converge on limited data, as in the case of X-rays of COVID-19 patients. In this study, we present an interpretable AI framework assessed by expert radiologists on the basis on how well the attention maps focus on the diagnostically-relevant image regions. The proposed transfer learning methodology achieves an overall area under the curve of 1 for a binary classification problem across a 5-fold training/testing dataset.
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Affiliation(s)
- Nikos Tsiknakis
- Computational Biomedicine Laboratory (CBML), Foundation for Research and Technology Hellas (FORTH), 70013 Heraklion, Greece
| | - Eleftherios Trivizakis
- Computational Biomedicine Laboratory (CBML), Foundation for Research and Technology Hellas (FORTH), 70013 Heraklion, Greece
- Department of Radiology, Medical School, University of Crete, 71003 Heraklion, Greece
| | - Evangelia E. Vassalou
- Department of Medical Imaging, University Hospital of Heraklion, 71110 Heraklion, Greece
- Department of Radiology, District Hospital, 72300 Lasithi, Greece
| | - Georgios Z. Papadakis
- Computational Biomedicine Laboratory (CBML), Foundation for Research and Technology Hellas (FORTH), 70013 Heraklion, Greece
- Department of Radiology, Medical School, University of Crete, 71003 Heraklion, Greece
| | - Demetrios A. Spandidos
- Laboratory of Clinical Virology, Medical School, University of Crete, 71003 Heraklion, Greece
| | - Aristidis Tsatsakis
- Department of Forensic Sciences and Toxicology, Medical School, University of Crete, 71003 Heraklion, Greece
| | | | | | - Nikolaos Papanikolaou
- Computational Biomedicine Laboratory (CBML), Foundation for Research and Technology Hellas (FORTH), 70013 Heraklion, Greece
- Computational Clinical Imaging Group, Centre for the Unknown, Champalimaud Foundation, 1400-038 Lisbon, Portugal
| | - Apostolos H. Karantanas
- Computational Biomedicine Laboratory (CBML), Foundation for Research and Technology Hellas (FORTH), 70013 Heraklion, Greece
- Department of Radiology, Medical School, University of Crete, 71003 Heraklion, Greece
- Department of Medical Imaging, University Hospital of Heraklion, 71110 Heraklion, Greece
| | - Kostas Marias
- Computational Biomedicine Laboratory (CBML), Foundation for Research and Technology Hellas (FORTH), 70013 Heraklion, Greece
- Department of Electrical and Computer Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece
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2070
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Zhu J, Shen B, Abbasi A, Hoshmand-Kochi M, Li H, Duong TQ. Deep transfer learning artificial intelligence accurately stages COVID-19 lung disease severity on portable chest radiographs. PLoS One 2020; 15:e0236621. [PMID: 32722697 PMCID: PMC7386587 DOI: 10.1371/journal.pone.0236621] [Citation(s) in RCA: 76] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 07/10/2020] [Indexed: 12/12/2022] Open
Abstract
This study employed deep-learning convolutional neural networks to stage lung disease severity of Coronavirus Disease 2019 (COVID-19) infection on portable chest x-ray (CXR) with radiologist score of disease severity as ground truth. This study consisted of 131 portable CXR from 84 COVID-19 patients (51M 55.1±14.9yo; 29F 60.1±14.3yo; 4 missing information). Three expert chest radiologists scored the left and right lung separately based on the degree of opacity (0-3) and geographic extent (0-4). Deep-learning convolutional neural network (CNN) was used to predict lung disease severity scores. Data were split into 80% training and 20% testing datasets. Correlation analysis between AI-predicted versus radiologist scores were analyzed. Comparison was made with traditional and transfer learning. The average opacity score was 2.52 (range: 0-6) with a standard deviation of 0.25 (9.9%) across three readers. The average geographic extent score was 3.42 (range: 0-8) with a standard deviation of 0.57 (16.7%) across three readers. The inter-rater agreement yielded a Fleiss' Kappa of 0.45 for opacity score and 0.71 for extent score. AI-predicted scores strongly correlated with radiologist scores, with the top model yielding a correlation coefficient (R2) of 0.90 (range: 0.73-0.90 for traditional learning and 0.83-0.90 for transfer learning) and a mean absolute error of 8.5% (ranges: 17.2-21.0% and 8.5%-15.5, respectively). Transfer learning generally performed better. In conclusion, deep-learning CNN accurately stages disease severity on portable chest x-ray of COVID-19 lung infection. This approach may prove useful to stage lung disease severity, prognosticate, and predict treatment response and survival, thereby informing risk management and resource allocation.
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Affiliation(s)
- Jocelyn Zhu
- Department of Radiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, United States of America
| | - Beiyi Shen
- Department of Radiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, United States of America
| | - Almas Abbasi
- Department of Radiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, United States of America
| | - Mahsa Hoshmand-Kochi
- Department of Radiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, United States of America
| | - Haifang Li
- Department of Radiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, United States of America
| | - Tim Q. Duong
- Department of Radiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York, United States of America
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2071
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Farhat H, Sakr GE, Kilany R. Deep learning applications in pulmonary medical imaging: recent updates and insights on COVID-19. MACHINE VISION AND APPLICATIONS 2020; 31:53. [PMID: 32834523 PMCID: PMC7386599 DOI: 10.1007/s00138-020-01101-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 06/21/2020] [Accepted: 07/07/2020] [Indexed: 05/07/2023]
Abstract
Shortly after deep learning algorithms were applied to Image Analysis, and more importantly to medical imaging, their applications increased significantly to become a trend. Likewise, deep learning applications (DL) on pulmonary medical images emerged to achieve remarkable advances leading to promising clinical trials. Yet, coronavirus can be the real trigger to open the route for fast integration of DL in hospitals and medical centers. This paper reviews the development of deep learning applications in medical image analysis targeting pulmonary imaging and giving insights of contributions to COVID-19. It covers more than 160 contributions and surveys in this field, all issued between February 2017 and May 2020 inclusively, highlighting various deep learning tasks such as classification, segmentation, and detection, as well as different pulmonary pathologies like airway diseases, lung cancer, COVID-19 and other infections. It summarizes and discusses the current state-of-the-art approaches in this research domain, highlighting the challenges, especially with COVID-19 pandemic current situation.
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Affiliation(s)
- Hanan Farhat
- Saint Joseph University of Beirut, Mar Roukos, Beirut, Lebanon
| | - George E. Sakr
- Saint Joseph University of Beirut, Mar Roukos, Beirut, Lebanon
| | - Rima Kilany
- Saint Joseph University of Beirut, Mar Roukos, Beirut, Lebanon
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2072
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Kron T, Metcalfe P, Baldock C. Should ACPSEM develop its own position papers or just adopt those of the AAPM? Phys Eng Sci Med 2020; 43:749-753. [PMID: 32696436 PMCID: PMC7373210 DOI: 10.1007/s13246-020-00900-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Tomas Kron
- Department of Physical Sciences, Peter MacCallum Cancer Centre, Melbourne, VIC 3000 Australia
- Centre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW 2500 Australia
- Sir Peter MacCallum Department of Oncology, University of Melbourne, Parkville, VIC 3010 Australia
| | - Peter Metcalfe
- Centre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW 2500 Australia
| | - Clive Baldock
- School of Engineering, College of Science and Engineering, University of Tasmania, Sandy Bay, TAS 7005 Australia
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2073
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Augustine R, Hasan A, Das S, Ahmed R, Mori Y, Notomi T, Kevadiya BD, S. Thakor A. Loop-Mediated Isothermal Amplification (LAMP): A Rapid, Sensitive, Specific, and Cost-Effective Point-of-Care Test for Coronaviruses in the Context of COVID-19 Pandemic. BIOLOGY 2020; 9:E182. [PMID: 32707972 PMCID: PMC7464797 DOI: 10.3390/biology9080182] [Citation(s) in RCA: 123] [Impact Index Per Article: 30.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 07/01/2020] [Accepted: 07/07/2020] [Indexed: 12/21/2022]
Abstract
The rampant spread of COVID-19 and the worldwide prevalence of infected cases demand a rapid, simple, and cost-effective Point of Care Test (PoCT) for the accurate diagnosis of this pandemic. The most common molecular tests approved by regulatory bodies across the world for COVID-19 diagnosis are based on Polymerase Chain Reaction (PCR). While PCR-based tests are highly sensitive, specific, and remarkably reliable, they have many limitations ranging from the requirement of sophisticated laboratories, need of skilled personnel, use of complex protocol, long wait times for results, and an overall high cost per test. These limitations have inspired researchers to search for alternative diagnostic methods that are fast, economical, and executable in low-resource laboratory settings. The discovery of Loop-mediated isothermal Amplification (LAMP) has provided a reliable substitute platform for the accurate detection of low copy number nucleic acids in the diagnosis of several viral diseases, including epidemics like Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). At present, a cocktail of LAMP assay reagents along with reverse transcriptase enzyme (Reverse Transcription LAMP, RT-LAMP) can be a robust solution for the rapid and cost-effective diagnosis for COVID-19, particularly in developing, and low-income countries. In summary, the development of RT-LAMP based diagnostic tools in a paper/strip format or the integration of this method into a microfluidic platform such as a Lab-on-a-chip may revolutionize the concept of PoCT for COVID-19 diagnosis. This review discusses the principle, technology and past research underpinning the success for using this method for diagnosing MERS and SARS, in addition to ongoing research, and the prominent prospect of RT-LAMP in the context of COVID-19 diagnosis.
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Affiliation(s)
- Robin Augustine
- Department of Mechanical and Industrial Engineering, College of Engineering, Qatar University, Doha 2713, Qatar;
- Biomedical Research Center (BRC), Qatar University, Doha PO Box 2713, Qatar
| | - Anwarul Hasan
- Department of Mechanical and Industrial Engineering, College of Engineering, Qatar University, Doha 2713, Qatar;
- Biomedical Research Center (BRC), Qatar University, Doha PO Box 2713, Qatar
| | - Suvarthi Das
- Department of Medicine, Stanford University Medical Center, Palo Alto, CA 94304, USA;
| | - Rashid Ahmed
- Department of Mechanical and Industrial Engineering, College of Engineering, Qatar University, Doha 2713, Qatar;
- Biomedical Research Center (BRC), Qatar University, Doha PO Box 2713, Qatar
| | - Yasuyoshi Mori
- Eiken Chemical Co., Ltd., Research and Development Division, Taito-ku 110-8408, Japan; (Y.M.); (T.N.)
| | - Tsugunori Notomi
- Eiken Chemical Co., Ltd., Research and Development Division, Taito-ku 110-8408, Japan; (Y.M.); (T.N.)
| | - Bhavesh D. Kevadiya
- Interventional Regenerative Medicine and Imaging Laboratory, Department of Radiology, School of Medicine, Stanford University, Palo Alto, CA 94304, USA; (B.D.K.); (A.S.T.)
| | - Avnesh S. Thakor
- Interventional Regenerative Medicine and Imaging Laboratory, Department of Radiology, School of Medicine, Stanford University, Palo Alto, CA 94304, USA; (B.D.K.); (A.S.T.)
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2074
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Raheel A, Majid M, Alnowami M, Anwar SM. Physiological Sensors Based Emotion Recognition While Experiencing Tactile Enhanced Multimedia. SENSORS 2020; 20:s20144037. [PMID: 32708056 PMCID: PMC7411620 DOI: 10.3390/s20144037] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 05/12/2020] [Accepted: 05/14/2020] [Indexed: 12/18/2022]
Abstract
Emotion recognition has increased the potential of affective computing by getting an instant feedback from users and thereby, have a better understanding of their behavior. Physiological sensors have been used to recognize human emotions in response to audio and video content that engages single (auditory) and multiple (two: auditory and vision) human senses, respectively. In this study, human emotions were recognized using physiological signals observed in response to tactile enhanced multimedia content that engages three (tactile, vision, and auditory) human senses. The aim was to give users an enhanced real-world sensation while engaging with multimedia content. To this end, four videos were selected and synchronized with an electric fan and a heater, based on timestamps within the scenes, to generate tactile enhanced content with cold and hot air effect respectively. Physiological signals, i.e., electroencephalography (EEG), photoplethysmography (PPG), and galvanic skin response (GSR) were recorded using commercially available sensors, while experiencing these tactile enhanced videos. The precision of the acquired physiological signals (including EEG, PPG, and GSR) is enhanced using pre-processing with a Savitzky-Golay smoothing filter. Frequency domain features (rational asymmetry, differential asymmetry, and correlation) from EEG, time domain features (variance, entropy, kurtosis, and skewness) from GSR, heart rate and heart rate variability from PPG data are extracted. The K nearest neighbor classifier is applied to the extracted features to classify four (happy, relaxed, angry, and sad) emotions. Our experimental results show that among individual modalities, PPG-based features gives the highest accuracy of 78.57% as compared to EEG- and GSR-based features. The fusion of EEG, GSR, and PPG features further improved the classification accuracy to 79.76% (for four emotions) when interacting with tactile enhanced multimedia.
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Affiliation(s)
- Aasim Raheel
- Department of Computer Engineering, University of Engineering and Technology, Taxila 47050, Pakistan;
| | - Muhammad Majid
- Department of Computer Engineering, University of Engineering and Technology, Taxila 47050, Pakistan;
- Correspondence:
| | - Majdi Alnowami
- Department of Nuclear Engineering, King Abdulaziz University, Jeddah 21589, Saudi Arabia;
| | - Syed Muhammad Anwar
- Department of Software Engineering, University of Engineering and Technology, Taxila 47050, Pakistan;
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2075
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Non-Invasive Risk Stratification of Hypertension: A Systematic Comparison of Machine Learning Algorithms. JOURNAL OF SENSOR AND ACTUATOR NETWORKS 2020. [DOI: 10.3390/jsan9030034] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
One of the most important physiological parameters of the cardiovascular circulatory system is Blood Pressure. Several diseases are related to long-term abnormal blood pressure, i.e., hypertension; therefore, the early detection and assessment of this condition are crucial. The identification of hypertension, and, even more the evaluation of its risk stratification, by using wearable monitoring devices are now more realistic thanks to the advancements in Internet of Things, the improvements of digital sensors that are becoming more and more miniaturized, and the development of new signal processing and machine learning algorithms. In this scenario, a suitable biomedical signal is represented by the PhotoPlethysmoGraphy (PPG) signal. It can be acquired by using a simple, cheap, and wearable device, and can be used to evaluate several aspects of the cardiovascular system, e.g., the detection of abnormal heart rate, respiration rate, blood pressure, oxygen saturation, and so on. In this paper, we take into account the Cuff-Less Blood Pressure Estimation Data Set that contains, among others, PPG signals coming from a set of subjects, as well as the Blood Pressure values of the latter that is the hypertension level. Our aim is to investigate whether or not machine learning methods applied to these PPG signals can provide better results for the non-invasive classification and evaluation of subjects’ hypertension levels. To this aim, we have availed ourselves of a wide set of machine learning algorithms, based on different learning mechanisms, and have compared their results in terms of the effectiveness of the classification obtained.
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2076
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Pham QV, Nguyen DC, Huynh-The T, Hwang WJ, Pathirana PN. Artificial Intelligence (AI) and Big Data for Coronavirus (COVID-19) Pandemic: A Survey on the State-of-the-Arts. IEEE ACCESS : PRACTICAL INNOVATIONS, OPEN SOLUTIONS 2020; 8:130820-130839. [PMID: 34812339 DOI: 10.13140/rg.2.2.23518.38727] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 07/11/2020] [Indexed: 05/24/2023]
Abstract
The very first infected novel coronavirus case (COVID-19) was found in Hubei, China in Dec. 2019. The COVID-19 pandemic has spread over 214 countries and areas in the world, and has significantly affected every aspect of our daily lives. At the time of writing this article, the numbers of infected cases and deaths still increase significantly and have no sign of a well-controlled situation, e.g., as of 13 July 2020, from a total number of around 13.1 million positive cases, 571,527 deaths were reported in the world. Motivated by recent advances and applications of artificial intelligence (AI) and big data in various areas, this paper aims at emphasizing their importance in responding to the COVID-19 outbreak and preventing the severe effects of the COVID-19 pandemic. We firstly present an overview of AI and big data, then identify the applications aimed at fighting against COVID-19, next highlight challenges and issues associated with state-of-the-art solutions, and finally come up with recommendations for the communications to effectively control the COVID-19 situation. It is expected that this paper provides researchers and communities with new insights into the ways AI and big data improve the COVID-19 situation, and drives further studies in stopping the COVID-19 outbreak.
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Affiliation(s)
- Quoc-Viet Pham
- Research Institute of Computer, Information and CommunicationPusan National University Busan 46241 South Korea
| | - Dinh C Nguyen
- School of EngineeringDeakin University Waurn Ponds VIC 3216 Australia
| | - Thien Huynh-The
- ICT Convergence Research CenterKumoh National Institute of Technology Gumi 39177 South Korea
| | - Won-Joo Hwang
- Department of Biomedical Convergence EngineeringPusan National University Busan 46241 South Korea
- Department of Information Convergence Engineering (Artificial Intelligence)Pusan National University Busan 46241 South Korea
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2077
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Pham QV, Nguyen DC, Huynh-The T, Hwang WJ, Pathirana PN. Artificial Intelligence (AI) and Big Data for Coronavirus (COVID-19) Pandemic: A Survey on the State-of-the-Arts. IEEE ACCESS : PRACTICAL INNOVATIONS, OPEN SOLUTIONS 2020; 8:130820-130839. [PMID: 34812339 PMCID: PMC8545324 DOI: 10.1109/access.2020.3009328] [Citation(s) in RCA: 66] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 07/11/2020] [Indexed: 05/18/2023]
Abstract
The very first infected novel coronavirus case (COVID-19) was found in Hubei, China in Dec. 2019. The COVID-19 pandemic has spread over 214 countries and areas in the world, and has significantly affected every aspect of our daily lives. At the time of writing this article, the numbers of infected cases and deaths still increase significantly and have no sign of a well-controlled situation, e.g., as of 13 July 2020, from a total number of around 13.1 million positive cases, 571,527 deaths were reported in the world. Motivated by recent advances and applications of artificial intelligence (AI) and big data in various areas, this paper aims at emphasizing their importance in responding to the COVID-19 outbreak and preventing the severe effects of the COVID-19 pandemic. We firstly present an overview of AI and big data, then identify the applications aimed at fighting against COVID-19, next highlight challenges and issues associated with state-of-the-art solutions, and finally come up with recommendations for the communications to effectively control the COVID-19 situation. It is expected that this paper provides researchers and communities with new insights into the ways AI and big data improve the COVID-19 situation, and drives further studies in stopping the COVID-19 outbreak.
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Affiliation(s)
- Quoc-Viet Pham
- Research Institute of Computer, Information and CommunicationPusan National UniversityBusan46241South Korea
| | - Dinh C. Nguyen
- School of EngineeringDeakin UniversityWaurn PondsVIC3216Australia
| | - Thien Huynh-The
- ICT Convergence Research CenterKumoh National Institute of TechnologyGumi39177South Korea
| | - Won-Joo Hwang
- Department of Biomedical Convergence EngineeringPusan National UniversityBusan46241South Korea
- Department of Information Convergence Engineering (Artificial Intelligence)Pusan National UniversityBusan46241South Korea
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2078
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Mohamadou Y, Halidou A, Kapen PT. A review of mathematical modeling, artificial intelligence and datasets used in the study, prediction and management of COVID-19. APPL INTELL 2020; 50:3913-3925. [PMID: 34764546 PMCID: PMC7335662 DOI: 10.1007/s10489-020-01770-9] [Citation(s) in RCA: 140] [Impact Index Per Article: 35.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
In the past few months, several works were published in regards to the dynamics and early detection of COVID-19 via mathematical modeling and Artificial intelligence (AI). The aim of this work is to provide the research community with comprehensive overview of the methods used in these studies as well as a compendium of available open source datasets in regards to COVID-19. In all, 61 journal articles, reports, fact sheets, and websites dealing with COVID-19 were studied and reviewed. It was found that most mathematical modeling done were based on the Susceptible-Exposed-Infected-Removed (SEIR) and Susceptible-infected-recovered (SIR) models while most of the AI implementations were Convolutional Neural Network (CNN) on X-ray and CT images. In terms of available datasets, they include aggregated case reports, medical images, management strategies, healthcare workforce, demography, and mobility during the outbreak. Both Mathematical modeling and AI have both shown to be reliable tools in the fight against this pandemic. Several datasets concerning the COVID-19 have also been collected and shared open source. However, much work is needed to be done in the diversification of the datasets. Other AI and modeling applications in healthcare should be explored in regards to this COVID-19.
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Affiliation(s)
- Youssoufa Mohamadou
- University Institute of Technology, University of Ngaoundere, P.O Box 454, Ngaoundere, Cameroon
- BEEMo Lab, ISST, Université des Montagnes, P.O. Box 208, Bangangté, Cameroon
| | - Aminou Halidou
- Department of Computer Science, University of Yaounde I, 812 Yaounde, Cameroon
| | - Pascalin Tiam Kapen
- BEEMo Lab, ISST, Université des Montagnes, P.O. Box 208, Bangangté, Cameroon
- URISIE, University Institute of Technology Fotso Victor, University of Dschang, P.O Box 134, Bandjoun, Cameroon
- UR2MSP, Department of Physics, University of Dschang, P.O Box 67 Dschang, Cameroon
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2079
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Investigation of thermal aspects of high-speed drilling of bone by theoretical and experimental approaches. Phys Eng Sci Med 2020; 43:959-972. [DOI: 10.1007/s13246-020-00892-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Accepted: 06/26/2020] [Indexed: 10/23/2022]
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2080
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Narayan Das N, Kumar N, Kaur M, Kumar V, Singh D. Automated Deep Transfer Learning-Based Approach for Detection of COVID-19 Infection in Chest X-rays. Ing Rech Biomed 2020; 43:114-119. [PMID: 32837679 PMCID: PMC7333623 DOI: 10.1016/j.irbm.2020.07.001] [Citation(s) in RCA: 96] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Revised: 06/24/2020] [Accepted: 07/01/2020] [Indexed: 12/28/2022]
Abstract
The most widely used novel coronavirus (COVID-19) detection technique is a real-time polymerase chain reaction (RT-PCR). However, RT-PCR kits are costly and take 6-9 hours to confirm infection in the patient. Due to less sensitivity of RT-PCR, it provides high false-negative results. To resolve this problem, radiological imaging techniques such as chest X-rays and computed tomography (CT) are used to detect and diagnose COVID-19. In this paper, chest X-rays is preferred over CT scan. The reason behind this is that X-rays machines are available in most of the hospitals. X-rays machines are cheaper than the CT scan machine. Besides this, X-rays has low ionizing radiations than CT scan. COVID-19 reveals some radiological signatures that can be easily detected through chest X-rays. For this, radiologists are required to analyze these signatures. However, it is a time-consuming and error-prone task. Hence, there is a need to automate the analysis of chest X-rays. The automatic analysis of chest X-rays can be done through deep learning-based approaches, which may accelerate the analysis time. These approaches can train the weights of networks on large datasets as well as fine-tuning the weights of pre-trained networks on small datasets. However, these approaches applied to chest X-rays are very limited. Hence, the main objective of this paper is to develop an automated deep transfer learning-based approach for detection of COVID-19 infection in chest X-rays by using the extreme version of the Inception (Xception) model. Extensive comparative analyses show that the proposed model performs significantly better as compared to the existing models.
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Affiliation(s)
- N Narayan Das
- Department of Information Technology, School of Computing and Information Technology, Manipal University Jaipur, Jaipur, Rajasthan, 303007, India
| | - N Kumar
- Department Of Computer Science and Engineering, Maharaja Surajmal Institute of Technology, Janakpuri, New Delhi, 110058, India
| | - M Kaur
- Department of Computer and Communication Engineering, School of Computing and Information Technology, Manipal University Jaipur, Jaipur, Rajasthan, 303007, India
| | - V Kumar
- Department of Computer Science and Engineering, National Institute of Technology Hamirpur, Hamirpur, Himachal Pradesh, 177005, India
| | - D Singh
- Department of Computer Science and Engineering, School of Computing and Information Technology, Manipal University Jaipur, Jaipur, Rajasthan, 303007, India
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2081
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Brinati D, Campagner A, Ferrari D, Locatelli M, Banfi G, Cabitza F. Detection of COVID-19 Infection from Routine Blood Exams with Machine Learning: A Feasibility Study. J Med Syst 2020. [PMID: 32607737 DOI: 10.1101/2020.04.22.20075143] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
The COVID-19 pandemia due to the SARS-CoV-2 coronavirus, in its first 4 months since its outbreak, has to date reached more than 200 countries worldwide with more than 2 million confirmed cases (probably a much higher number of infected), and almost 200,000 deaths. Amplification of viral RNA by (real time) reverse transcription polymerase chain reaction (rRT-PCR) is the current gold standard test for confirmation of infection, although it presents known shortcomings: long turnaround times (3-4 hours to generate results), potential shortage of reagents, false-negative rates as large as 15-20%, the need for certified laboratories, expensive equipment and trained personnel. Thus there is a need for alternative, faster, less expensive and more accessible tests. We developed two machine learning classification models using hematochemical values from routine blood exams (namely: white blood cells counts, and the platelets, CRP, AST, ALT, GGT, ALP, LDH plasma levels) drawn from 279 patients who, after being admitted to the San Raffaele Hospital (Milan, Italy) emergency-room with COVID-19 symptoms, were screened with the rRT-PCR test performed on respiratory tract specimens. Of these patients, 177 resulted positive, whereas 102 received a negative response. We have developed two machine learning models, to discriminate between patients who are either positive or negative to the SARS-CoV-2: their accuracy ranges between 82% and 86%, and sensitivity between 92% e 95%, so comparably well with respect to the gold standard. We also developed an interpretable Decision Tree model as a simple decision aid for clinician interpreting blood tests (even off-line) for COVID-19 suspect cases. This study demonstrated the feasibility and clinical soundness of using blood tests analysis and machine learning as an alternative to rRT-PCR for identifying COVID-19 positive patients. This is especially useful in those countries, like developing ones, suffering from shortages of rRT-PCR reagents and specialized laboratories. We made available a Web-based tool for clinical reference and evaluation (This tool is available at https://covid19-blood-ml.herokuapp.com/ ).
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Affiliation(s)
- Davide Brinati
- DISCo, Università degli Studi di Milano-Bicocca, Viale Sarca 336, Milano, 20126, Italy
| | - Andrea Campagner
- DISCo, Università degli Studi di Milano-Bicocca, Viale Sarca 336, Milano, 20126, Italy
| | - Davide Ferrari
- SCVSA Department, University of Parma, Parco Area delle Science 11/a, 43124, Parman, Italy
| | - Massimo Locatelli
- Laboratory Medicine Service, San Raffaele Hospital, Via Olgettina, 60, 20132, Milano, Italy
| | - Giuseppe Banfi
- IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161, Milano, Italy
| | - Federico Cabitza
- DISCo, Università degli Studi di Milano-Bicocca, Viale Sarca 336, Milano, 20126, Italy.
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2082
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Brinati D, Campagner A, Ferrari D, Locatelli M, Banfi G, Cabitza F. Detection of COVID-19 Infection from Routine Blood Exams with Machine Learning: A Feasibility Study. J Med Syst 2020; 44:135. [PMID: 32607737 PMCID: PMC7326624 DOI: 10.1007/s10916-020-01597-4] [Citation(s) in RCA: 132] [Impact Index Per Article: 33.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 06/02/2020] [Indexed: 12/15/2022]
Abstract
The COVID-19 pandemia due to the SARS-CoV-2 coronavirus, in its first 4 months since its outbreak, has to date reached more than 200 countries worldwide with more than 2 million confirmed cases (probably a much higher number of infected), and almost 200,000 deaths. Amplification of viral RNA by (real time) reverse transcription polymerase chain reaction (rRT-PCR) is the current gold standard test for confirmation of infection, although it presents known shortcomings: long turnaround times (3-4 hours to generate results), potential shortage of reagents, false-negative rates as large as 15-20%, the need for certified laboratories, expensive equipment and trained personnel. Thus there is a need for alternative, faster, less expensive and more accessible tests. We developed two machine learning classification models using hematochemical values from routine blood exams (namely: white blood cells counts, and the platelets, CRP, AST, ALT, GGT, ALP, LDH plasma levels) drawn from 279 patients who, after being admitted to the San Raffaele Hospital (Milan, Italy) emergency-room with COVID-19 symptoms, were screened with the rRT-PCR test performed on respiratory tract specimens. Of these patients, 177 resulted positive, whereas 102 received a negative response. We have developed two machine learning models, to discriminate between patients who are either positive or negative to the SARS-CoV-2: their accuracy ranges between 82% and 86%, and sensitivity between 92% e 95%, so comparably well with respect to the gold standard. We also developed an interpretable Decision Tree model as a simple decision aid for clinician interpreting blood tests (even off-line) for COVID-19 suspect cases. This study demonstrated the feasibility and clinical soundness of using blood tests analysis and machine learning as an alternative to rRT-PCR for identifying COVID-19 positive patients. This is especially useful in those countries, like developing ones, suffering from shortages of rRT-PCR reagents and specialized laboratories. We made available a Web-based tool for clinical reference and evaluation (This tool is available at https://covid19-blood-ml.herokuapp.com/ ).
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Affiliation(s)
- Davide Brinati
- DISCo, Università degli Studi di Milano-Bicocca, Viale Sarca 336, Milano, 20126, Italy
| | - Andrea Campagner
- DISCo, Università degli Studi di Milano-Bicocca, Viale Sarca 336, Milano, 20126, Italy
| | - Davide Ferrari
- SCVSA Department, University of Parma, Parco Area delle Science 11/a, 43124, Parman, Italy
| | - Massimo Locatelli
- Laboratory Medicine Service, San Raffaele Hospital, Via Olgettina, 60, 20132, Milano, Italy
| | - Giuseppe Banfi
- IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161, Milano, Italy
| | - Federico Cabitza
- DISCo, Università degli Studi di Milano-Bicocca, Viale Sarca 336, Milano, 20126, Italy.
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2083
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Khaleghi A, Mohammadi MR, Pirzad Jahromi G, Zarafshan H. New Ways to Manage Pandemics: Using Technologies in the Era of COVID-19: A Narrative Review. IRANIAN JOURNAL OF PSYCHIATRY 2020; 15:236-242. [PMID: 33193772 PMCID: PMC7603586 DOI: 10.18502/ijps.v15i3.3816] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 07/01/2020] [Accepted: 07/04/2020] [Indexed: 12/19/2022]
Abstract
Objective: Health care systems and professionals worldwide are relying on technology as an essential partner to manage the COVID-19 epidemic. This paper explains how digital technologies can benefit the public, medical workers, and health care systems. Method: This nonsystematic literature review was conducted on different technologies and their impact and applications in the COVID-19 epidemic using proper search keywords on the PubMed, Google Scholar, and Science Direct databases. Results: We found various helpful technologies, which can help us to appropriately contain and manage the COVID-19 pandemic through broad areas of clinical care, logistics, maintenance of socioeconomic activities, and inspection. However, main challenges still need to be addressed for obtaining the full capacities of the technologies to support health care systems. Conclusion: Technologies can offer many innovative ideas and solutions against global and local emergencies. In this time of great vagueness and danger, we require all the resources we can collect to rescue ourselves and our patients. Barriers and challenges, such as lack of technology proficiency, confidentiality requirements, and reimbursement matters, need to be recognized and resolved rapidly, accurately, and compassionately.
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Affiliation(s)
- Ali Khaleghi
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Reza Mohammadi
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Gila Pirzad Jahromi
- Neuroscience Research Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Hadi Zarafshan
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
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2084
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Mahmud T, Rahman MA, Fattah SA. CovXNet: A multi-dilation convolutional neural network for automatic COVID-19 and other pneumonia detection from chest X-ray images with transferable multi-receptive feature optimization. Comput Biol Med 2020; 122:103869. [PMID: 32658740 PMCID: PMC7305745 DOI: 10.1016/j.compbiomed.2020.103869] [Citation(s) in RCA: 199] [Impact Index Per Article: 49.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 06/18/2020] [Accepted: 06/18/2020] [Indexed: 12/23/2022]
Abstract
With the recent outbreak of COVID-19, fast diagnostic testing has become one of the major challenges due to the critical shortage of test kit. Pneumonia, a major effect of COVID-19, needs to be urgently diagnosed along with its underlying reasons. In this paper, deep learning aided automated COVID-19 and other pneumonia detection schemes are proposed utilizing a small amount of COVID-19 chest X-rays. A deep convolutional neural network (CNN) based architecture, named as CovXNet, is proposed that utilizes depthwise convolution with varying dilation rates for efficiently extracting diversified features from chest X-rays. Since the chest X-ray images corresponding to COVID-19 caused pneumonia and other traditional pneumonias have significant similarities, at first, a large number of chest X-rays corresponding to normal and (viral/bacterial) pneumonia patients are used to train the proposed CovXNet. Learning of this initial training phase is transferred with some additional fine-tuning layers that are further trained with a smaller number of chest X-rays corresponding to COVID-19 and other pneumonia patients. In the proposed method, different forms of CovXNets are designed and trained with X-ray images of various resolutions and for further optimization of their predictions, a stacking algorithm is employed. Finally, a gradient-based discriminative localization is integrated to distinguish the abnormal regions of X-ray images referring to different types of pneumonia. Extensive experimentations using two different datasets provide very satisfactory detection performance with accuracy of 97.4% for COVID/Normal, 96.9% for COVID/Viral pneumonia, 94.7% for COVID/Bacterial pneumonia, and 90.2% for multiclass COVID/normal/Viral/Bacterial pneumonias. Hence, the proposed schemes can serve as an efficient tool in the current state of COVID-19 pandemic. All the architectures are made publicly available at: https://github.com/Perceptron21/CovXNet.
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Affiliation(s)
- Tanvir Mahmud
- Department of EEE, BUET, ECE Building, West Palashi, Dhaka 1205, Bangladesh.
| | - Md Awsafur Rahman
- Department of EEE, BUET, ECE Building, West Palashi, Dhaka 1205, Bangladesh.
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2085
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Shaikh F, Andersen MB, Sohail MR, Mulero F, Awan O, Dupont-Roettger D, Kubassova O, Dehmeshki J, Bisdas S. Current Landscape of Imaging and the Potential Role for Artificial Intelligence in the Management of COVID-19. Curr Probl Diagn Radiol 2020; 50:430-435. [PMID: 32703538 PMCID: PMC7320858 DOI: 10.1067/j.cpradiol.2020.06.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 06/23/2020] [Indexed: 02/06/2023]
Abstract
The clinical management of COVID-19 is challenging. Medical imaging plays a critical role in the early detection, clinical monitoring and outcomes assessment of this disease. Chest x-ray radiography and computed tomography) are the standard imaging modalities used for the structural assessment of the disease status, while functional imaging (namely, positron emission tomography) has had limited application. Artificial intelligence can enhance the predictive power and utilization of these imaging approaches and new approaches focusing on detection, stratification and prognostication are showing encouraging results. We review the current landscape of these imaging modalities and artificial intelligence approaches as applied in COVID-19 management.
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Affiliation(s)
- Faiq Shaikh
- Image Analysis Group, Philadelphia, PA, USA.
| | - Michael Brun Andersen
- Aarhus University, Aarhus, Denmark; Herlev Gentofte Hospital, The Capital Region, Denmark
| | | | | | - Omer Awan
- University of Maryland, Baltimore, MD
| | | | | | - Jamshid Dehmeshki
- Image Analysis Group, Philadelphia, PA, USA; Kingston University, Kingston-upon-Thames, UK
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2086
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Imran A, Posokhova I, Qureshi HN, Masood U, Riaz MS, Ali K, John CN, Hussain MI, Nabeel M. AI4COVID-19: AI enabled preliminary diagnosis for COVID-19 from cough samples via an app. INFORMATICS IN MEDICINE UNLOCKED 2020; 20:100378. [PMID: 32839734 PMCID: PMC7318970 DOI: 10.1016/j.imu.2020.100378] [Citation(s) in RCA: 215] [Impact Index Per Article: 53.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 06/19/2020] [Accepted: 06/19/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND The inability to test at scale has become humanity's Achille's heel in the ongoing war against the COVID-19 pandemic. A scalable screening tool would be a game changer. Building on the prior work on cough-based diagnosis of respiratory diseases, we propose, develop and test an Artificial Intelligence (AI)-powered screening solution for COVID-19 infection that is deployable via a smartphone app. The app, named AI4COVID-19 records and sends three 3-s cough sounds to an AI engine running in the cloud, and returns a result within 2 min. METHODS Cough is a symptom of over thirty non-COVID-19 related medical conditions. This makes the diagnosis of a COVID-19 infection by cough alone an extremely challenging multidisciplinary problem. We address this problem by investigating the distinctness of pathomorphological alterations in the respiratory system induced by COVID-19 infection when compared to other respiratory infections. To overcome the COVID-19 cough training data shortage we exploit transfer learning. To reduce the misdiagnosis risk stemming from the complex dimensionality of the problem, we leverage a multi-pronged mediator centered risk-averse AI architecture. RESULTS Results show AI4COVID-19 can distinguish among COVID-19 coughs and several types of non-COVID-19 coughs. The accuracy is promising enough to encourage a large-scale collection of labeled cough data to gauge the generalization capability of AI4COVID-19. AI4COVID-19 is not a clinical grade testing tool. Instead, it offers a screening tool deployable anytime, anywhere, by anyone. It can also be a clinical decision assistance tool used to channel clinical-testing and treatment to those who need it the most, thereby saving more lives.
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Affiliation(s)
- Ali Imran
- AI4Networks Research Center, Dept. of Electrical & Computer Engineering, University of Oklahoma, USA
- AI4Lyf LLC, USA
| | | | - Haneya N Qureshi
- AI4Networks Research Center, Dept. of Electrical & Computer Engineering, University of Oklahoma, USA
| | - Usama Masood
- AI4Networks Research Center, Dept. of Electrical & Computer Engineering, University of Oklahoma, USA
| | - Muhammad Sajid Riaz
- AI4Networks Research Center, Dept. of Electrical & Computer Engineering, University of Oklahoma, USA
| | - Kamran Ali
- Dept. of Computer Science & Engineering, Michigan State University, USA
| | - Charles N John
- AI4Networks Research Center, Dept. of Electrical & Computer Engineering, University of Oklahoma, USA
| | | | - Muhammad Nabeel
- AI4Networks Research Center, Dept. of Electrical & Computer Engineering, University of Oklahoma, USA
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2087
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Elaziz MA, Hosny KM, Salah A, Darwish MM, Lu S, Sahlol AT. New machine learning method for image-based diagnosis of COVID-19. PLoS One 2020; 15:e0235187. [PMID: 32589673 PMCID: PMC7319603 DOI: 10.1371/journal.pone.0235187] [Citation(s) in RCA: 187] [Impact Index Per Article: 46.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 06/10/2020] [Indexed: 12/03/2022] Open
Abstract
COVID-19 is a worldwide epidemic, as announced by the World Health Organization (WHO) in March 2020. Machine learning (ML) methods can play vital roles in identifying COVID-19 patients by visually analyzing their chest x-ray images. In this paper, a new ML-method proposed to classify the chest x-ray images into two classes, COVID-19 patient or non-COVID-19 person. The features extracted from the chest x-ray images using new Fractional Multichannel Exponent Moments (FrMEMs). A parallel multi-core computational framework utilized to accelerate the computational process. Then, a modified Manta-Ray Foraging Optimization based on differential evolution used to select the most significant features. The proposed method evaluated using two COVID-19 x-ray datasets. The proposed method achieved accuracy rates of 96.09% and 98.09% for the first and second datasets, respectively.
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Affiliation(s)
- Mohamed Abd Elaziz
- Faculty of Science, Zagazig University, Zagazig, Egypt
- School of Cyber Science and Engineering, Huazhong University of Science and Technology, Wuhan, China
| | - Khalid M. Hosny
- Faculty of Computers and Informatics, Zagazig University, Zagazig, Egypt
| | - Ahmad Salah
- Faculty of Computers and Informatics, Zagazig University, Zagazig, Egypt
| | | | - Songfeng Lu
- School of Cyber Science and Engineering, Huazhong University of Science and Technology, Wuhan, China
| | - Ahmed T. Sahlol
- Faculty of Specific Education, Damietta University, Damietta, Egypt
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2088
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Truncated inception net: COVID-19 outbreak screening using chest X-rays. Phys Eng Sci Med 2020; 43:915-925. [PMID: 32588200 PMCID: PMC7315909 DOI: 10.1007/s13246-020-00888-x] [Citation(s) in RCA: 120] [Impact Index Per Article: 30.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 06/11/2020] [Indexed: 12/23/2022]
Abstract
Since December 2019, the Coronavirus Disease (COVID-19) pandemic has caused world-wide turmoil in a short period of time, and the infection, caused by SARS-CoV-2, is spreading rapidly. AI-driven tools are used to identify Coronavirus outbreaks as well as forecast their nature of spread, where imaging techniques are widely used, such as CT scans and chest X-rays (CXRs). In this paper, motivated by the fact that X-ray imaging systems are more prevalent and cheaper than CT scan systems, a deep learning-based Convolutional Neural Network (CNN) model, which we call Truncated Inception Net, is proposed to screen COVID-19 positive CXRs from other non-COVID and/or healthy cases. To validate our proposal, six different types of datasets were employed by taking the following CXRs: COVID-19 positive, Pneumonia positive, Tuberculosis positive, and healthy cases into account. The proposed model achieved an accuracy of 99.96% (AUC of 1.0) in classifying COVID-19 positive cases from combined Pneumonia and healthy cases. Similarly, it achieved an accuracy of 99.92% (AUC of 0.99) in classifying COVID-19 positive cases from combined Pneumonia, Tuberculosis, and healthy CXRs. To the best of our knowledge, as of now, the achieved results outperform the existing AI-driven tools for screening COVID-19 using the acquired CXRs, and proves the viability of using the proposed Truncated Inception Net as a screening tool.
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2089
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Ramadass L, Arunachalam S, Z. S. Applying deep learning algorithm to maintain social distance in public place through drone technology. INTERNATIONAL JOURNAL OF PERVASIVE COMPUTING AND COMMUNICATIONS 2020. [DOI: 10.1108/ijpcc-05-2020-0046] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of this paper is to inspect whether the people in a public place maintain social distancing. It also checks whether every individual is wearing face mask. If both are not done, the drone sends alarm signal to nearby police station and also give alarm to the public. In addition, it also carries masks and drop them to the needed people. Nearby, traffic police will also be identified and deliver water packet and mask to them if needed.
Design/methodology/approach
The proposed system uses an automated drone which is used to perform the inspection process. First, the drone is being constructed by considering the parameters such as components selection, payload calculation and then assembling the drone components and connecting the drone with the mission planner software for calibrating the drone for its stability. The trained yolov3 algorithm with the custom data set is being embedded in the drone’s camera. The drone camera runs the yolov3 algorithm and detects the social distance is maintained or not and whether the people in public is wearing masks. This process is carried out by the drone automatically.
Findings
The proposed system delivers masks to people who are not wearing masks and tells importance of masks and social distancing. Thus, this proposed system would work in an efficient manner after the lockdown period ends and helps in easy social distance inspection in an automatic manner. The algorithm can be embedded in public cameras and then details can be fetched to the camera unit same as the drone unit which receives details from the drone location details and store it in database. Thus, the proposed system favours the society by saving time and helps in lowering the spread of corona virus.
Practical implications
It can be implemented practically after lockdown to inspect people in public gatherings, shopping malls, etc.
Social implications
Automated inspection reduces manpower to inspect the public and also can be used in any place.
Originality/value
This is the original project done with the help of under graduate students of third year B.E. CSE. The system was tested and validated for accuracy with real data.
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2090
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COVID-19 Pandemic Prediction for Hungary; A Hybrid Machine Learning Approach. MATHEMATICS 2020. [DOI: 10.3390/math8060890] [Citation(s) in RCA: 92] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Several epidemiological models are being used around the world to project the number of infected individuals and the mortality rates of the COVID-19 outbreak. Advancing accurate prediction models is of utmost importance to take proper actions. Due to the lack of essential data and uncertainty, the epidemiological models have been challenged regarding the delivery of higher accuracy for long-term prediction. As an alternative to the susceptible-infected-resistant (SIR)-based models, this study proposes a hybrid machine learning approach to predict the COVID-19, and we exemplify its potential using data from Hungary. The hybrid machine learning methods of adaptive network-based fuzzy inference system (ANFIS) and multi-layered perceptron-imperialist competitive algorithm (MLP-ICA) are proposed to predict time series of infected individuals and mortality rate. The models predict that by late May, the outbreak and the total morality will drop substantially. The validation is performed for 9 days with promising results, which confirms the model accuracy. It is expected that the model maintains its accuracy as long as no significant interruption occurs. This paper provides an initial benchmarking to demonstrate the potential of machine learning for future research.
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2091
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Evolution of clinical radiotherapy physics practice under COVID-19 constraints. Radiother Oncol 2020; 148:274-278. [PMID: 32474126 PMCID: PMC7256544 DOI: 10.1016/j.radonc.2020.05.034] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Revised: 05/09/2020] [Accepted: 05/17/2020] [Indexed: 12/14/2022]
Abstract
As the COVID-19 spread continues to challenge the societal and professional norms, radiotherapy around the globe is pushed into an unprecedented transformation. We will discuss how clinical physics has transformed to ascertain safety and quality standards across four facilities around the world through diversity of action, innovation, and scientific flexibility.
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2092
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Abd-alrazaq A, Alajlani M, Alhuwail D, Schneider J, Al-kuwari S, Shah Z, Hamdi M, Househ M. Artificial Intelligence in the Fight Against COVID-19: Scoping Review (Preprint).. [DOI: 10.2196/preprints.20756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
BACKGROUND
In December 2019, COVID-19 broke out in Wuhan, China, leading to national and international disruptions in health care, business, education, transportation, and nearly every aspect of our daily lives. Artificial intelligence (AI) has been leveraged amid the COVID-19 pandemic; however, little is known about its use for supporting public health efforts.
OBJECTIVE
This scoping review aims to explore how AI technology is being used during the COVID-19 pandemic, as reported in the literature. Thus, it is the first review that describes and summarizes features of the identified AI techniques and data sets used for their development and validation.
METHODS
A scoping review was conducted following the guidelines of PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews). We searched the most commonly used electronic databases (eg, MEDLINE, EMBASE, and PsycInfo) between April 10 and 12, 2020. These terms were selected based on the target intervention (ie, AI) and the target disease (ie, COVID-19). Two reviewers independently conducted study selection and data extraction. A narrative approach was used to synthesize the extracted data.
RESULTS
We considered 82 studies out of the 435 retrieved studies. The most common use of AI was diagnosing COVID-19 cases based on various indicators. AI was also employed in drug and vaccine discovery or repurposing and for assessing their safety. Further, the included studies used AI for forecasting the epidemic development of COVID-19 and predicting its potential hosts and reservoirs. Researchers used AI for patient outcome–related tasks such as assessing the severity of COVID-19, predicting mortality risk, its associated factors, and the length of hospital stay. AI was used for infodemiology to raise awareness to use water, sanitation, and hygiene. The most prominent AI technique used was convolutional neural network, followed by support vector machine.
CONCLUSIONS
The included studies showed that AI has the potential to fight against COVID-19. However, many of the proposed methods are not yet clinically accepted. Thus, the most rewarding research will be on methods promising value beyond COVID-19. More efforts are needed for developing standardized reporting protocols or guidelines for studies on AI.
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2093
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Rahimzadeh M, Attar A. A modified deep convolutional neural network for detecting COVID-19 and pneumonia from chest X-ray images based on the concatenation of Xception and ResNet50V2. INFORMATICS IN MEDICINE UNLOCKED 2020; 19:100360. [PMID: 32501424 PMCID: PMC7255267 DOI: 10.1016/j.imu.2020.100360] [Citation(s) in RCA: 199] [Impact Index Per Article: 49.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 05/19/2020] [Accepted: 05/21/2020] [Indexed: 12/17/2022] Open
Abstract
In this paper, we have trained several deep convolutional networks with introduced training techniques for classifying X-ray images into three classes: normal, pneumonia, and COVID-19, based on two open-source datasets. Our data contains 180 X-ray images that belong to persons infected with COVID-19, and we attempted to apply methods to achieve the best possible results. In this research, we introduce some training techniques that help the network learn better when we have an unbalanced dataset (fewer cases of COVID-19 along with more cases from other classes). We also propose a neural network that is a concatenation of the Xception and ResNet50V2 networks. This network achieved the best accuracy by utilizing multiple features extracted by two robust networks. For evaluating our network, we have tested it on 11302 images to report the actual accuracy achievable in real circumstances. The average accuracy of the proposed network for detecting COVID-19 cases is 99.50%, and the overall average accuracy for all classes is 91.4%.
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Affiliation(s)
- Mohammad Rahimzadeh
- School of Computer Engineering, Iran University of Science and Technology, Iran
| | - Abolfazl Attar
- Department of Electrical Engineering Sharif University of Technology, Iran
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2094
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Crowe SB, Bennett J, Lathouras M, Lancaster CM, Sylvander SR, Chua B, Bettington CS, Lin CY, Kairn T. Impact of radiopacified bone cement on radiotherapy dose calculation. PHYSICS & IMAGING IN RADIATION ONCOLOGY 2020; 14:12-16. [PMID: 33458308 PMCID: PMC7807530 DOI: 10.1016/j.phro.2020.04.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 04/22/2020] [Accepted: 04/29/2020] [Indexed: 11/27/2022]
Abstract
Background and purpose Radiopacifiers are introduced to bone cements to provide the appearance of bone in kilovoltage (kV) radiographic images. For higher energy megavoltage (MV) radiotherapy treatment beams, however, these radiopacifiers do not cause a bone-like perturbation of dose. This study therefore aimed to determine the impact of the barium-contrasted plastic-based cement materials on radiotherapy dose calculations. Materials and methods The radiological properties of a physical sample of bone cement were characterised by computed tomography (CT) imaging and transmission measurements. Monte Carlo simulations of percentage depth-dose profiles were performed to determine the possible dose error for MV treatment beams. Dose differences were then investigated for clinical volumetric modulated radiotherapy treatment plans, with and without density overrides applied. Results Differences of up to 7% were observed at the downstream interface of a 0.6 cm thick bone cement layer, compared to bone. Differences in planning target volume dose-volume metrics varied between −0.5% and 2.0%. Conclusion Before planning radiotherapy treatments for patients who have undergone cranioplasty, every effort should be made to identify whether a radiopacified bone cement has been implanted. Density overrides should be applied to minimise dose calculation errors, whenever bone cement is used.
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Affiliation(s)
- Scott B Crowe
- Cancer Care Services, Royal Brisbane & Women's Hospital, Herston, QLD 4029, Australia.,Science and Engineering Faculty, Queensland University of Technology, Brisbane, QLD 4000, Australia.,Herston Biofabrication Institute, Herston, QLD 4029, Australia
| | - Jane Bennett
- Cancer Care Services, Royal Brisbane & Women's Hospital, Herston, QLD 4029, Australia
| | - Marika Lathouras
- Cancer Care Services, Royal Brisbane & Women's Hospital, Herston, QLD 4029, Australia
| | - Craig M Lancaster
- Cancer Care Services, Royal Brisbane & Women's Hospital, Herston, QLD 4029, Australia
| | - Steven R Sylvander
- Cancer Care Services, Royal Brisbane & Women's Hospital, Herston, QLD 4029, Australia
| | - Benjamin Chua
- Cancer Care Services, Royal Brisbane & Women's Hospital, Herston, QLD 4029, Australia.,Faculty of Medicine, University of Queensland, St. Lucia, QLD 4072, Australia
| | - Catherine S Bettington
- Cancer Care Services, Royal Brisbane & Women's Hospital, Herston, QLD 4029, Australia.,Faculty of Medicine, University of Queensland, St. Lucia, QLD 4072, Australia
| | - Charles Y Lin
- Cancer Care Services, Royal Brisbane & Women's Hospital, Herston, QLD 4029, Australia.,Faculty of Medicine, University of Queensland, St. Lucia, QLD 4072, Australia
| | - Tanya Kairn
- Cancer Care Services, Royal Brisbane & Women's Hospital, Herston, QLD 4029, Australia.,Science and Engineering Faculty, Queensland University of Technology, Brisbane, QLD 4000, Australia
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2095
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Apostolopoulos ID, Aznaouridis SI, Tzani MA. Extracting Possibly Representative COVID-19 Biomarkers from X-ray Images with Deep Learning Approach and Image Data Related to Pulmonary Diseases. J Med Biol Eng 2020; 40:462-469. [PMID: 32412551 PMCID: PMC7221329 DOI: 10.1007/s40846-020-00529-4] [Citation(s) in RCA: 118] [Impact Index Per Article: 29.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 05/06/2020] [Indexed: 01/03/2023]
Abstract
Purpose While the spread of COVID-19 is increased, new, automatic, and reliable methods for accurate detection are essential to reduce the exposure of the medical experts to the outbreak. X-ray imaging, although limited to specific visualizations, may be helpful for the diagnosis. In this study, the problem of automatic classification of pulmonary diseases, including the recently emerged COVID-19, from X-ray images, is considered. Methods Deep Learning has proven to be a remarkable method to extract massive high-dimensional features from medical images. Specifically, in this paper, the state-of-the-art Convolutional Neural Network called Mobile Net is employed and trained from scratch to investigate the importance of the extracted features for the classification task. A large-scale dataset of 3905 X-ray images, corresponding to 6 diseases, is utilized for training MobileNet v2, which has been proven to achieve excellent results in related tasks. Results Training the CNNs from scratch outperforms the other transfer learning techniques, both in distinguishing the X-rays between the seven classes and between Covid-19 and non-Covid-19. A classification accuracy between the seven classes of 87.66% is achieved. Besides, this method achieves 99.18% accuracy, 97.36% Sensitivity, and 99.42% Specificity in the detection of COVID-19. Conclusion The results suggest that training CNNs from scratch may reveal vital biomarkers related but not limited to the COVID-19 disease, while the top classification accuracy suggests further examination of the X-ray imaging potential.
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Affiliation(s)
| | - Sokratis I Aznaouridis
- 2Department of Computer Engineering and Informatics, University of Patras, 26504 Patras, Greece
| | - Mpesiana A Tzani
- 3Computer Technology Institute and Press "Diophantus", 26504 Patras, Greece
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2096
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Evaluation of Novel Entropy-Based Complex Wavelet Sub-bands Measures of PPG in an Emotion Recognition System. J Med Biol Eng 2020. [DOI: 10.1007/s40846-020-00526-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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2097
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Automated detection of COVID-19 cases using deep neural networks with X-ray images. Comput Biol Med 2020; 121:103792. [PMID: 32568675 PMCID: PMC7187882 DOI: 10.1016/j.compbiomed.2020.103792] [Citation(s) in RCA: 929] [Impact Index Per Article: 232.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2020] [Revised: 04/21/2020] [Accepted: 04/26/2020] [Indexed: 02/06/2023]
Abstract
The novel coronavirus 2019 (COVID-2019), which first appeared in Wuhan city of China in December 2019, spread rapidly around the world and became a pandemic. It has caused a devastating effect on both daily lives, public health, and the global economy. It is critical to detect the positive cases as early as possible so as to prevent the further spread of this epidemic and to quickly treat affected patients. The need for auxiliary diagnostic tools has increased as there are no accurate automated toolkits available. Recent findings obtained using radiology imaging techniques suggest that such images contain salient information about the COVID-19 virus. Application of advanced artificial intelligence (AI) techniques coupled with radiological imaging can be helpful for the accurate detection of this disease, and can also be assistive to overcome the problem of a lack of specialized physicians in remote villages. In this study, a new model for automatic COVID-19 detection using raw chest X-ray images is presented. The proposed model is developed to provide accurate diagnostics for binary classification (COVID vs. No-Findings) and multi-class classification (COVID vs. No-Findings vs. Pneumonia). Our model produced a classification accuracy of 98.08% for binary classes and 87.02% for multi-class cases. The DarkNet model was used in our study as a classifier for the you only look once (YOLO) real time object detection system. We implemented 17 convolutional layers and introduced different filtering on each layer. Our model (available at (https://github.com/muhammedtalo/COVID-19)) can be employed to assist radiologists in validating their initial screening, and can also be employed via cloud to immediately screen patients. Proposed deep model for early detection of COVID-19 cases using X-ray images. Obtained accuracy of 98.08% and 87.02% for binary and multi-classes. Proposed heatmaps can help the radiologists to locate the affected regions on chest X-rays. DarkCovidNet model can assist the clinicians to make faster and accurate diagnosis.
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2098
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Quasi-simultaneous 3D printing of muscle-, lung- and bone-equivalent media: a proof-of-concept study. Phys Eng Sci Med 2020; 43:701-710. [DOI: 10.1007/s13246-020-00864-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2020] [Accepted: 03/28/2020] [Indexed: 01/26/2023]
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2099
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Wynants L, Van Calster B, Collins GS, Riley RD, Heinze G, Schuit E, Bonten MMJ, Dahly DL, Damen JAA, Debray TPA, de Jong VMT, De Vos M, Dhiman P, Haller MC, Harhay MO, Henckaerts L, Heus P, Kammer M, Kreuzberger N, Lohmann A, Luijken K, Ma J, Martin GP, McLernon DJ, Andaur Navarro CL, Reitsma JB, Sergeant JC, Shi C, Skoetz N, Smits LJM, Snell KIE, Sperrin M, Spijker R, Steyerberg EW, Takada T, Tzoulaki I, van Kuijk SMJ, van Bussel B, van der Horst ICC, van Royen FS, Verbakel JY, Wallisch C, Wilkinson J, Wolff R, Hooft L, Moons KGM, van Smeden M. Prediction models for diagnosis and prognosis of covid-19: systematic review and critical appraisal. BMJ 2020; 369:m1328. [PMID: 32265220 PMCID: PMC7222643 DOI: 10.1136/bmj.m1328] [Citation(s) in RCA: 1622] [Impact Index Per Article: 405.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/31/2020] [Indexed: 12/12/2022]
Abstract
OBJECTIVE To review and appraise the validity and usefulness of published and preprint reports of prediction models for diagnosing coronavirus disease 2019 (covid-19) in patients with suspected infection, for prognosis of patients with covid-19, and for detecting people in the general population at increased risk of covid-19 infection or being admitted to hospital with the disease. DESIGN Living systematic review and critical appraisal by the COVID-PRECISE (Precise Risk Estimation to optimise covid-19 Care for Infected or Suspected patients in diverse sEttings) group. DATA SOURCES PubMed and Embase through Ovid, up to 1 July 2020, supplemented with arXiv, medRxiv, and bioRxiv up to 5 May 2020. STUDY SELECTION Studies that developed or validated a multivariable covid-19 related prediction model. DATA EXTRACTION At least two authors independently extracted data using the CHARMS (critical appraisal and data extraction for systematic reviews of prediction modelling studies) checklist; risk of bias was assessed using PROBAST (prediction model risk of bias assessment tool). RESULTS 37 421 titles were screened, and 169 studies describing 232 prediction models were included. The review identified seven models for identifying people at risk in the general population; 118 diagnostic models for detecting covid-19 (75 were based on medical imaging, 10 to diagnose disease severity); and 107 prognostic models for predicting mortality risk, progression to severe disease, intensive care unit admission, ventilation, intubation, or length of hospital stay. The most frequent types of predictors included in the covid-19 prediction models are vital signs, age, comorbidities, and image features. Flu-like symptoms are frequently predictive in diagnostic models, while sex, C reactive protein, and lymphocyte counts are frequent prognostic factors. Reported C index estimates from the strongest form of validation available per model ranged from 0.71 to 0.99 in prediction models for the general population, from 0.65 to more than 0.99 in diagnostic models, and from 0.54 to 0.99 in prognostic models. All models were rated at high or unclear risk of bias, mostly because of non-representative selection of control patients, exclusion of patients who had not experienced the event of interest by the end of the study, high risk of model overfitting, and unclear reporting. Many models did not include a description of the target population (n=27, 12%) or care setting (n=75, 32%), and only 11 (5%) were externally validated by a calibration plot. The Jehi diagnostic model and the 4C mortality score were identified as promising models. CONCLUSION Prediction models for covid-19 are quickly entering the academic literature to support medical decision making at a time when they are urgently needed. This review indicates that almost all pubished prediction models are poorly reported, and at high risk of bias such that their reported predictive performance is probably optimistic. However, we have identified two (one diagnostic and one prognostic) promising models that should soon be validated in multiple cohorts, preferably through collaborative efforts and data sharing to also allow an investigation of the stability and heterogeneity in their performance across populations and settings. Details on all reviewed models are publicly available at https://www.covprecise.org/. Methodological guidance as provided in this paper should be followed because unreliable predictions could cause more harm than benefit in guiding clinical decisions. Finally, prediction model authors should adhere to the TRIPOD (transparent reporting of a multivariable prediction model for individual prognosis or diagnosis) reporting guideline. SYSTEMATIC REVIEW REGISTRATION Protocol https://osf.io/ehc47/, registration https://osf.io/wy245. READERS' NOTE This article is a living systematic review that will be updated to reflect emerging evidence. Updates may occur for up to two years from the date of original publication. This version is update 3 of the original article published on 7 April 2020 (BMJ 2020;369:m1328). Previous updates can be found as data supplements (https://www.bmj.com/content/369/bmj.m1328/related#datasupp). When citing this paper please consider adding the update number and date of access for clarity.
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Affiliation(s)
- Laure Wynants
- Department of Epidemiology, CAPHRI Care and Public Health Research Institute, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, Netherlands
- Department of Development and Regeneration, KU Leuven, Leuven, Belgium
| | - Ben Van Calster
- Department of Development and Regeneration, KU Leuven, Leuven, Belgium
- Department of Biomedical Data Sciences, Leiden University Medical Centre, Leiden, Netherlands
| | - Gary S Collins
- Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Musculoskeletal Sciences, University of Oxford, Oxford, UK
- NIHR Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK
| | - Richard D Riley
- Centre for Prognosis Research, School of Primary, Community and Social Care, Keele University, Keele, UK
| | - Georg Heinze
- Section for Clinical Biometrics, Centre for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria
| | - Ewoud Schuit
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Marc M J Bonten
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Department of Medical Microbiology, University Medical Centre Utrecht, Utrecht, Netherlands
| | - Darren L Dahly
- HRB Clinical Research Facility, Cork, Ireland
- School of Public Health, University College Cork, Cork, Ireland
| | - Johanna A A Damen
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Thomas P A Debray
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Valentijn M T de Jong
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Maarten De Vos
- Department of Development and Regeneration, KU Leuven, Leuven, Belgium
- Department of Electrical Engineering, ESAT Stadius, KU Leuven, Leuven, Belgium
| | - Paul Dhiman
- Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Musculoskeletal Sciences, University of Oxford, Oxford, UK
- NIHR Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK
| | - Maria C Haller
- Section for Clinical Biometrics, Centre for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria
- Ordensklinikum Linz, Hospital Elisabethinen, Department of Nephrology, Linz, Austria
| | - Michael O Harhay
- Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
- Palliative and Advanced Illness Research Center and Division of Pulmonary and Critical Care Medicine, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Liesbet Henckaerts
- Department of Microbiology, Immunology and Transplantation, KU Leuven-University of Leuven, Leuven, Belgium
- Department of General Internal Medicine, KU Leuven-University Hospitals Leuven, Leuven, Belgium
| | - Pauline Heus
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Michael Kammer
- Section for Clinical Biometrics, Centre for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria
- Department of Nephrology, Medical University of Vienna, Vienna, Austria
| | - Nina Kreuzberger
- Evidence-Based Oncology, Department I of Internal Medicine and Centre for Integrated Oncology Aachen Bonn Cologne Dusseldorf, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
| | - Anna Lohmann
- Department of Clinical Epidemiology, Leiden University Medical Centre, Leiden, Netherlands
| | - Kim Luijken
- Department of Clinical Epidemiology, Leiden University Medical Centre, Leiden, Netherlands
| | - Jie Ma
- NIHR Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK
| | - Glen P Martin
- Division of Informatics, Imaging and Data Science, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - David J McLernon
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - Constanza L Andaur Navarro
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Johannes B Reitsma
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Jamie C Sergeant
- Centre for Biostatistics, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
- Centre for Epidemiology Versus Arthritis, Centre for Musculoskeletal Research, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
| | - Chunhu Shi
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK
| | - Nicole Skoetz
- Department of Nephrology, Medical University of Vienna, Vienna, Austria
| | - Luc J M Smits
- Department of Epidemiology, CAPHRI Care and Public Health Research Institute, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, Netherlands
| | - Kym I E Snell
- Centre for Prognosis Research, School of Primary, Community and Social Care, Keele University, Keele, UK
| | - Matthew Sperrin
- Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
| | - René Spijker
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Amsterdam UMC, University of Amsterdam, Amsterdam Public Health, Medical Library, Netherlands
| | - Ewout W Steyerberg
- Department of Biomedical Data Sciences, Leiden University Medical Centre, Leiden, Netherlands
| | - Toshihiko Takada
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Ioanna Tzoulaki
- Department of Epidemiology and Biostatistics, Imperial College London School of Public Health, London, UK
- Department of Hygiene and Epidemiology, University of Ioannina Medical School, Ioannina, Greece
| | - Sander M J van Kuijk
- Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre+, Maastricht, Netherlands
| | - Bas van Bussel
- Department of Epidemiology, CAPHRI Care and Public Health Research Institute, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, Netherlands
- Department of Intensive Care, Maastricht University Medical Centre+, Maastricht University, Maastricht, Netherlands
| | - Iwan C C van der Horst
- Department of Intensive Care, Maastricht University Medical Centre+, Maastricht University, Maastricht, Netherlands
| | - Florien S van Royen
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Jan Y Verbakel
- EPI-Centre, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - Christine Wallisch
- Section for Clinical Biometrics, Centre for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria
- Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
- Berlin Institute of Health, Berlin, Germany
| | - Jack Wilkinson
- Division of Informatics, Imaging and Data Science, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | | | - Lotty Hooft
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Karel G M Moons
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
- Cochrane Netherlands, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
| | - Maarten van Smeden
- Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
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2100
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Noninvasive Blood Pressure Classification Based on Photoplethysmography Using K-Nearest Neighbors Algorithm: A Feasibility Study. INFORMATION 2020. [DOI: 10.3390/info11020093] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Blood pressure (BP) is an important parameter for the early detection of heart disease because it is associated with symptoms of hypertension or hypotension. A single photoplethysmography (PPG) method for the classification of BP can automatically analyze BP symptoms. Users can immediately know the condition of their BP to ensure early detection. In recent years, deep learning methods have presented outstanding performance in classification applications. However, there are two main problems in deep learning classification methods: classification accuracy and time consumption during training. We attempt to address these limitations and propose a method for the classification of BP using the K-nearest neighbors (KNN) algorithm based on PPG. We collected data for 121 subjects from the PPG–BP figshare database. We divided the subjects into three classification levels, namely normotension, prehypertension, and hypertension, according to the BP levels of the Joint National Committee report. The F1 scores of these three classification trials were 100%, 100%, and 90.80%, respectively. Hence, it is validated that the proposed method can achieve improved classification accuracy without additional manual pre-processing of PPG. Our proposed method achieves higher accuracy than convolutional neural networks (deep learning), bagged tree, logistic regression, and AdaBoost tree.
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