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Fionda B, Placidi E, de Ridder M, Strigari L, Patarnello S, Tanderup K, Hannoun-Levi JM, Siebert FA, Boldrini L, Antonietta Gambacorta M, De Spirito M, Sala E, Tagliaferri L. Artificial intelligence in interventional radiotherapy (brachytherapy): Enhancing patient-centered care and addressing patients' needs. Clin Transl Radiat Oncol 2024; 49:100865. [PMID: 39381628 PMCID: PMC11459626 DOI: 10.1016/j.ctro.2024.100865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Revised: 09/11/2024] [Accepted: 09/20/2024] [Indexed: 10/10/2024] Open
Abstract
This review explores the integration of artificial intelligence (AI) in interventional radiotherapy (IRT), emphasizing its potential to streamline workflows and enhance patient care. Through a systematic analysis of 78 relevant papers spanning from 2002 to 2024, we identified significant advancements in contouring, treatment planning, outcome prediction, and quality assurance. AI-driven approaches offer promise in reducing procedural times, personalizing treatments, and improving treatment outcomes for oncological patients. However, challenges such as clinical validation and quality assurance protocols persist. Nonetheless, AI presents a transformative opportunity to optimize IRT and meet evolving patient needs.
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Affiliation(s)
- Bruno Fionda
- Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy
| | - Elisa Placidi
- Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy
| | - Mischa de Ridder
- Department of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Lidia Strigari
- Department of Medical Physics, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - Stefano Patarnello
- Real World Data Facility, Gemelli Generator, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy
| | - Kari Tanderup
- Department of Oncology, Aarhus University Hospital, Aarhus, Denmark
- Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Jean-Michel Hannoun-Levi
- Department of Radiation Oncology, Antoine Lacassagne Cancer Centre, University of Côte d’Azur, Nice, France
| | - Frank-André Siebert
- Clinic of Radiotherapy (Radiooncology), University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - Luca Boldrini
- Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy
| | - Maria Antonietta Gambacorta
- Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy
- Istituto di Radiologia, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Marco De Spirito
- Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy
- Dipartimento di Neuroscienze, Sezione di Fisica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Evis Sala
- Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy
- Istituto di Radiologia, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Luca Tagliaferri
- Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy
- Istituto di Radiologia, Università Cattolica del Sacro Cuore, Rome, Italy
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Hoffer O, Cohen M, Gerstein M, Shkalim Zemer V, Reichenberg Y, Bykhovsky D, Hoshen M, Cohen HA. Novel Diagnostic Approach for Acute Pharyngitis: Combining Machine Learning With Thermal Imaging. JOURNAL OF BIOPHOTONICS 2024:e202400219. [PMID: 39396931 DOI: 10.1002/jbio.202400219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Revised: 07/18/2024] [Accepted: 08/29/2024] [Indexed: 10/15/2024]
Abstract
We evaluated the effect of infrared thermography (IRT) on the clinical assessment of bacterial and viral pharyngitis and its impact on the predictive value of the McIsaac score algorithm for streptococcal pharyngitis in children. We also investigated if IRT could distinguish between bacterial and viral pharyngitis. The study included children aged 2-17 years presenting with sore throat and fever over 38°C from November 1, 2021, to April 30, 2022. Of the 76 assessed children, 16 were excluded due to missing data or technical issues, leaving 60 children (32 males, 28 females) divided into three groups: Group A with streptococcal pharyngitis (N = 30), viral pharyngitis (N = 16), and healthy controls (N = 14). McIsaac score and IRT imaging showed a 90% positive predictive value for streptococcal pharyngitis. While IRT alone could not distinguish between bacterial and viral infections, it significantly increased the predictive value when combined with the McIsaac score.
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Affiliation(s)
- Oshrit Hoffer
- School of Electrical Engineering, Afeka Tel Aviv, Academic College of Engineering, Tel Aviv, Israel
| | - Moriya Cohen
- Statistics Department, Ariel University, Ariel, Israel
| | - Maya Gerstein
- Statistics Department, Ariel University, Ariel, Israel
- Pediatric Ambulatory Community Clinic, Petah Tikva, Israel
| | - Vered Shkalim Zemer
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Dan-Petach Tikva District, Clalit Health Services, Tel Aviv, Israel
| | - Yael Reichenberg
- Dan-Petach Tikva District, Clalit Health Services, Tel Aviv, Israel
| | - Dima Bykhovsky
- Electrical and Electronics Engineering Department, Shamoon College of Engineering, Be'er-Sheva, Israel
| | - Moshe Hoshen
- Department of Bioinformatics, Jerusalem College of Technology, Jerusalem, Israel
| | - Herman Avner Cohen
- Pediatric Ambulatory Community Clinic, Petah Tikva, Israel
- Dan-Petach Tikva District, Clalit Health Services, Tel Aviv, Israel
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Hoffer O, Brzezinski RY, Ganim A, Shalom P, Ovadia-Blechman Z, Ben-Baruch L, Lewis N, Peled R, Shimon C, Naftali-Shani N, Katz E, Zimmer Y, Rabin N. Smartphone-based detection of COVID-19 and associated pneumonia using thermal imaging and a transfer learning algorithm. JOURNAL OF BIOPHOTONICS 2024:e202300486. [PMID: 38253344 DOI: 10.1002/jbio.202300486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 12/28/2023] [Accepted: 12/31/2023] [Indexed: 01/24/2024]
Abstract
COVID-19-related pneumonia is typically diagnosed using chest x-ray or computed tomography images. However, these techniques can only be used in hospitals. In contrast, thermal cameras are portable, inexpensive devices that can be connected to smartphones. Thus, they can be used to detect and monitor medical conditions outside hospitals. Herein, a smartphone-based application using thermal images of a human back was developed for COVID-19 detection. Image analysis using a deep learning algorithm revealed a sensitivity and specificity of 88.7% and 92.3%, respectively. The findings support the future use of noninvasive thermal imaging in primary screening for COVID-19 and associated pneumonia.
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Affiliation(s)
- Oshrit Hoffer
- School of Electrical Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv, Israel
| | - Rafael Y Brzezinski
- Neufeld Cardiac Research Institute, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Tamman Cardiovascular Research Institute, Leviev Heart Center, Sheba Medical Center Tel Hashomer, Ramat Gan, Israel
- Internal Medicine "C" and "E", Tel Aviv Medical Center, Tel Aviv, Israel
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Adam Ganim
- School of Electrical Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv, Israel
| | - Perry Shalom
- School of Software Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv, Israel
| | - Zehava Ovadia-Blechman
- School of Medical Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv, Israel
| | - Lital Ben-Baruch
- School of Electrical Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv, Israel
| | - Nir Lewis
- Neufeld Cardiac Research Institute, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Tamman Cardiovascular Research Institute, Leviev Heart Center, Sheba Medical Center Tel Hashomer, Ramat Gan, Israel
| | - Racheli Peled
- Neufeld Cardiac Research Institute, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Tamman Cardiovascular Research Institute, Leviev Heart Center, Sheba Medical Center Tel Hashomer, Ramat Gan, Israel
| | - Carmi Shimon
- School of Electrical Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv, Israel
| | - Nili Naftali-Shani
- Neufeld Cardiac Research Institute, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Tamman Cardiovascular Research Institute, Leviev Heart Center, Sheba Medical Center Tel Hashomer, Ramat Gan, Israel
| | - Eyal Katz
- School of Electrical Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv, Israel
| | - Yair Zimmer
- School of Medical Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv, Israel
| | - Neta Rabin
- Department of Industrial Engineering, Tel-Aviv University, Tel Aviv, Israel
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Fink N, Bogomilsky S, Raz A, Hoffer O, Scheinowitz M. Thermographic Changes following Short-Term High-Intensity Anaerobic Exercise. Life (Basel) 2023; 13:2175. [PMID: 38004315 PMCID: PMC10671906 DOI: 10.3390/life13112175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 10/30/2023] [Accepted: 10/30/2023] [Indexed: 11/26/2023] Open
Abstract
Current studies report thermographic changes following aerobic or resistance exercise but not short, vigorous anaerobic exercise. Therefore, we investigated body surface temperature changes using thermal imaging following a short session of anaerobic exercise. We studied three different regions of interest (ROIs): the legs, chest, and forehead. Thermal imaging for each participant was performed before and immediately after completing a Wingate anaerobic test and every minute during a 15 min recovery period. Immediately after the test, the maximum temperature was significantly higher in all ROIs (legs, p = 0.0323; chest, p = 0.0455; forehead, p = 0.0444) compared to pre-test values. During the recovery period, both legs showed a significant and continuous temperature increase (right leg, p = 0.0272; left leg, p = 0.0382), whereas a non-significant drop was noted in the chest and forehead temperatures. Additionally, participants with a lower anaerobic capacity exhibited a higher delta increase in surface leg temperature than participants with higher anaerobic capacities, with a minimal change in surface leg temperature. This is the first study to demonstrate body surface temperature changes following the Wingate anaerobic test. This temperature increase is attributed to the high anaerobic mechanical power outputs achieved by the leg muscles and the time taken for temperature reduction post-exercise.
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Affiliation(s)
- Nir Fink
- Sylvan Adams Sports Institute, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Shai Bogomilsky
- Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Avi Raz
- Sylvan Adams Sports Institute, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Oshrit Hoffer
- School of Electrical Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv 6910717, Israel
| | - Mickey Scheinowitz
- Sylvan Adams Sports Institute, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
- Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv 6997801, Israel
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Oliveira LM, Meglinski I, Tuchin VV. 1st Spring Biophotonics Conference in Porto. JOURNAL OF BIOPHOTONICS 2023; 16:e202380001. [PMID: 36511845 DOI: 10.1002/jbio.202380001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/12/2022] [Indexed: 06/17/2023]
Affiliation(s)
| | - Igor Meglinski
- College of Engineering and Physical Sciences, Aston University, Birmingham, UK
| | - Valery V Tuchin
- Science Medical Center, Saratov State University, Saratov, Russia
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