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Zheng B, Zhao Z, Zheng P, Liu Q, Li S, Jiang X, Huang X, Ye Y, Wang H. The current state of MRI-based radiomics in pituitary adenoma: promising but challenging. Front Endocrinol (Lausanne) 2024; 15:1426781. [PMID: 39371931 PMCID: PMC11449739 DOI: 10.3389/fendo.2024.1426781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2024] [Accepted: 08/30/2024] [Indexed: 10/08/2024] Open
Abstract
In the clinical diagnosis and treatment of pituitary adenomas, MRI plays a crucial role. However, traditional manual interpretations are plagued by inter-observer variability and limitations in recognizing details. Radiomics, based on MRI, facilitates quantitative analysis by extracting high-throughput data from images. This approach elucidates correlations between imaging features and pituitary tumor characteristics, thereby establishing imaging biomarkers. Recent studies have demonstrated the extensive application of radiomics in differential diagnosis, subtype identification, consistency evaluation, invasiveness assessment, and treatment response in pituitary adenomas. This review succinctly presents the general workflow of radiomics, reviews pertinent literature with a summary table, and provides a comparative analysis with traditional methods. We further elucidate the connections between radiological features and biological findings in the field of pituitary adenoma. While promising, the clinical application of radiomics still has a considerable distance to traverse, considering the issues with reproducibility of imaging features and the significant heterogeneity in pituitary adenoma patients.
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Affiliation(s)
- Baoping Zheng
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Zhen Zhao
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Pingping Zheng
- Department of Neurosurgery, People’s Hospital of Biyang County, Zhumadian, China
| | - Qiang Liu
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Shuang Li
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xiaobing Jiang
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xing Huang
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Youfan Ye
- Department of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Haijun Wang
- Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Kiran L, Zeb A, Rehman QNU, Rahman T, Shehzad Khan M, Ahmad S, Irfan M, Naeem M, Huda S, Mahmoud H. An enhanced pattern detection and segmentation of brain tumors in MRI images using deep learning technique. Front Comput Neurosci 2024; 18:1418280. [PMID: 38988988 PMCID: PMC11233794 DOI: 10.3389/fncom.2024.1418280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Accepted: 05/27/2024] [Indexed: 07/12/2024] Open
Abstract
Neuroscience is a swiftly progressing discipline that aims to unravel the intricate workings of the human brain and mind. Brain tumors, ranging from non-cancerous to malignant forms, pose a significant diagnostic challenge due to the presence of more than 100 distinct types. Effective treatment hinges on the precise detection and segmentation of these tumors early. We introduce a cutting-edge deep-learning approach employing a binary convolutional neural network (BCNN) to address this. This method is employed to segment the 10 most prevalent brain tumor types and is a significant improvement over current models restricted to only segmenting four types. Our methodology begins with acquiring MRI images, followed by a detailed preprocessing stage where images undergo binary conversion using an adaptive thresholding method and morphological operations. This prepares the data for the next step, which is segmentation. The segmentation identifies the tumor type and classifies it according to its grade (Grade I to Grade IV) and differentiates it from healthy brain tissue. We also curated a unique dataset comprising 6,600 brain MRI images specifically for this study. The overall performance achieved by our proposed model is 99.36%. The effectiveness of our model is underscored by its remarkable performance metrics, achieving 99.40% accuracy, 99.32% precision, 99.45% recall, and a 99.28% F-Measure in segmentation tasks.
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Affiliation(s)
- Lubna Kiran
- Qurtuba University of Science and Information Technology, Peshawar, Pakistan
| | - Asim Zeb
- Abbottabad University of Science and Technology, Abbottabad, Pakistan
| | | | - Taj Rahman
- Qurtuba University of Science and Information Technology, Peshawar, Pakistan
| | | | - Shafiq Ahmad
- Department of Industrial Engineering, College of Engineering, King Saud University, Riyadh, Saudi Arabia
| | - Muhammad Irfan
- Department of Computer Science, Kohat University of Science and Technology, Kohat, Pakistan
| | - Muhammad Naeem
- Abbottabad University of Science and Technology, Abbottabad, Pakistan
| | - Shamsul Huda
- School of Information Technology, Deakin University, Burwood, VIC, Australia
| | - Haitham Mahmoud
- Department of Industrial Engineering, College of Engineering, King Saud University, Riyadh, Saudi Arabia
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3
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Silva Santana L, Borges Camargo Diniz J, Mothé Glioche Gasparri L, Buccaran Canto A, Batista Dos Reis S, Santana Neville Ribeiro I, Gadelha Figueiredo E, Paulo Mota Telles J. Application of Machine Learning for Classification of Brain Tumors: A Systematic Review and Meta-Analysis. World Neurosurg 2024; 186:204-218.e2. [PMID: 38580093 DOI: 10.1016/j.wneu.2024.03.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Revised: 03/25/2024] [Accepted: 03/26/2024] [Indexed: 04/07/2024]
Abstract
BACKGROUND Classifying brain tumors accurately is crucial for treatment and prognosis. Machine learning (ML) shows great promise in improving tumor classification accuracy. This study evaluates ML algorithms for differentiating various brain tumor types. METHODS A systematic review and meta-analysis were conducted, searching PubMed, Embase, and Web of Science up to March 14, 2023. Studies that only investigated image segmentation accuracy or brain tumor detection instead of classification were excluded. We extracted binary diagnostic accuracy data, constructing contingency tables to derive sensitivity and specificity. RESULTS Fifty-one studies were included. The pooled area under the curve for glioblastoma versus lymphoma and low-grade versus high-grade gliomas were 0.99 (95% confidence interval [CI]: 0.98-1.00) and 0.89, respectively. The pooled sensitivity and specificity for benign versus malignant tumors were 0.90 (95% CI: 0.85-0.93) and 0.93 (95% CI: 0.90-0.95), respectively. The pooled sensitivity and specificity for low-grade versus high-grade gliomas were 0.99 (95% CI: 0.97-1.00) and 0.94, (95% CI: 0.79-0.99), respectively. Primary versus metastatic tumor identification yields sensitivity and specificity of 0.89, (95% CI: 0.83-0.93) and 0.87 (95% CI: 0.82-0.91), correspondingly. The differentiation of gliomas from pituitary tumors yielded the highest results among primary brain tumor classifications: sensitivity of 0.99 (95% CI: 0.99-1.00) and specificity of 0.99 (95% CI: 0.98-1.00). CONCLUSIONS ML demonstrated excellent performance in classifying brain tumor images, with near-maximum area under the curves, sensitivity, and specificity.
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Affiliation(s)
| | | | | | | | | | - Iuri Santana Neville Ribeiro
- Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | - Eberval Gadelha Figueiredo
- Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | - João Paulo Mota Telles
- Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
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Mokhtarpour K, Akbarzadehmoallemkolaei M, Rezaei N. A viral attack on brain tumors: the potential of oncolytic virus therapy. J Neurovirol 2024; 30:229-250. [PMID: 38806994 DOI: 10.1007/s13365-024-01209-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 04/17/2024] [Accepted: 04/18/2024] [Indexed: 05/30/2024]
Abstract
Managing malignant brain tumors remains a significant therapeutic hurdle that necessitates further research to comprehend their treatment potential fully. Oncolytic viruses (OVs) offer many opportunities for predicting and combating tumors through several mechanisms, with both preclinical and clinical studies demonstrating potential. OV therapy has emerged as a potent and effective method with a dual mechanism. Developing innovative and effective strategies for virus transduction, coupled with immune checkpoint inhibitors or chemotherapy drugs, strengthens this new technique. Furthermore, the discovery and creation of new OVs that can seamlessly integrate gene therapy strategies, such as cytotoxic, anti-angiogenic, and immunostimulatory, are promising advancements. This review presents an overview of the latest advancements in OVs transduction for brain cancer, focusing on the safety and effectiveness of G207, G47Δ, M032, rQNestin34.5v.2, C134, DNX-2401, Ad-TD-nsIL12, NSC-CRAd-S-p7, TG6002, and PVSRIPO. These are evaluated in both preclinical and clinical models of various brain tumors.
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Affiliation(s)
- Kasra Mokhtarpour
- Animal Model Integrated Network (AMIN), Universal Scientific Education and Research Network (USERN), Tehran, 1419733151, Iran
| | - Milad Akbarzadehmoallemkolaei
- Animal Model Integrated Network (AMIN), Universal Scientific Education and Research Network (USERN), Tehran, 1419733151, Iran
- Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Dr. Gharib St, Keshavarz Blvd, Tehran, 1419733151, Iran
| | - Nima Rezaei
- Animal Model Integrated Network (AMIN), Universal Scientific Education and Research Network (USERN), Tehran, 1419733151, Iran.
- Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Dr. Gharib St, Keshavarz Blvd, Tehran, 1419733151, Iran.
- Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, 1417653761, Iran.
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5
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Satheesh Kumar J, Vinoth Kumar V, Mahesh TR, Alqahtani MS, Prabhavathy P, Manikandan K, Guluwadi S. Detection of Marchiafava Bignami disease using distinct deep learning techniques in medical diagnostics. BMC Med Imaging 2024; 24:100. [PMID: 38684964 PMCID: PMC11059769 DOI: 10.1186/s12880-024-01283-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Accepted: 04/25/2024] [Indexed: 05/02/2024] Open
Abstract
PURPOSE To detect the Marchiafava Bignami Disease (MBD) using a distinct deep learning technique. BACKGROUND Advanced deep learning methods are becoming more crucial in contemporary medical diagnostics, particularly for detecting intricate and uncommon neurological illnesses such as MBD. This rare neurodegenerative disorder, sometimes associated with persistent alcoholism, is characterized by the loss of myelin or tissue death in the corpus callosum. It poses significant diagnostic difficulties owing to its infrequency and the subtle signs it exhibits in its first stages, both clinically and on radiological scans. METHODS The novel method of Variational Autoencoders (VAEs) in conjunction with attention mechanisms is used to identify MBD peculiar diseases accurately. VAEs are well-known for their proficiency in unsupervised learning and anomaly detection. They excel at analyzing extensive brain imaging datasets to uncover subtle patterns and abnormalities that traditional diagnostic approaches may overlook, especially those related to specific diseases. The use of attention mechanisms enhances this technique, enabling the model to concentrate on the most crucial elements of the imaging data, similar to the discerning observation of a skilled radiologist. Thus, we utilized the VAE with attention mechanisms in this study to detect MBD. Such a combination enables the prompt identification of MBD and assists in formulating more customized and efficient treatment strategies. RESULTS A significant breakthrough in this field is the creation of a VAE equipped with attention mechanisms, which has shown outstanding performance by achieving accuracy rates of over 90% in accurately differentiating MBD from other neurodegenerative disorders. CONCLUSION This model, which underwent training using a diverse range of MRI images, has shown a notable level of sensitivity and specificity, significantly minimizing the frequency of false positive results and strengthening the confidence and dependability of these sophisticated automated diagnostic tools.
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Affiliation(s)
- J Satheesh Kumar
- Department of Electronics and Instrumentation Engineering, Dayananda Sagar College of Engineering, Bangalore, India
| | - V Vinoth Kumar
- School of Computer Science Engineering and Information Systems, Vellore Institute of Technology, Vellore, India
| | - T R Mahesh
- Department of Computer Science and Engineering, JAIN (Deemed-to-Be University), Bengaluru, 562112, India
| | - Mohammed S Alqahtani
- Radiological Sciences Department, College of Applied Medical Sciences, King Khalid University, 61421, Abha, Saudi Arabia
| | - P Prabhavathy
- School of Computer Science Engineering and Information Systems, Vellore Institute of Technology, Vellore, India
| | - K Manikandan
- School of Computer Science and Engineering (SCOPE), Vellore Institute of Technology (VIT), Vellore, India
| | - Suresh Guluwadi
- Adama Science and Technology University, 302120, Adama, Ethiopia.
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6
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Thayumanavan M, Ramasamy A. A robust genetic algorithm-based optimal feature predictor model for brain tumour classification from MRI data. NETWORK (BRISTOL, ENGLAND) 2024:1-28. [PMID: 38647219 DOI: 10.1080/0954898x.2024.2343340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 04/07/2024] [Indexed: 04/25/2024]
Abstract
Brain tumour can be cured if it is initially screened and given timely treatment to the patients. This proposed idea suggests a transform- and windowing-based optimization strategy for exposing and segmenting the tumour region in brain pictures. The processes of image processing that are included in the proposed idea include preprocessing, transformation, feature extraction, feature optimization, classification, and segmentation. In order to convert the pixels connected to the spatial domain into a multi-resolution domain, the Gabor transform is first applied to the brain test image. The Gabor converted brain image is then used to extract the parameters of the multi-level features. After that, the Genetic Algorithm (GA) is used to optimize the extracted features, and Neuro Fuzzy System (NFS) is used to classify the optimistic prominent section. Finally, the tumour region in brain images is found and segmented using the normalized segmentation algorithm. The effective detection and classification of brain tumours by the characteristics of sensitivity, specificity, and accuracy are described by the suggested GA-based NFS classification approach. The trial findings are displayed with an average of 99.37% sensitivity, 98.9% specificity, 99.21% accuracy, 97.8% PPV, 91.8% NPV, 96.8% FPR, and 90.4% FNR.
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Affiliation(s)
- Meenal Thayumanavan
- Department of Electronics and Communication Engineering, Kongunadu College of Engineering and Technology, Trichy, Tamilnadu, India
| | - Asokan Ramasamy
- Department of Electronics and Communication Engineering, Kongunadu College of Engineering and Technology, Trichy, Tamilnadu, India
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7
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Sharif M, Tanvir U, Munir EU, Khan MA, Yasmin M. Brain tumor segmentation and classification by improved binomial thresholding and multi-features selection. JOURNAL OF AMBIENT INTELLIGENCE AND HUMANIZED COMPUTING 2024; 15:1063-1082. [DOI: 10.1007/s12652-018-1075-x] [Citation(s) in RCA: 21] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2018] [Accepted: 09/27/2018] [Indexed: 08/25/2024]
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8
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Ahamed MF, Hossain MM, Nahiduzzaman M, Islam MR, Islam MR, Ahsan M, Haider J. A review on brain tumor segmentation based on deep learning methods with federated learning techniques. Comput Med Imaging Graph 2023; 110:102313. [PMID: 38011781 DOI: 10.1016/j.compmedimag.2023.102313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 11/13/2023] [Accepted: 11/13/2023] [Indexed: 11/29/2023]
Abstract
Brain tumors have become a severe medical complication in recent years due to their high fatality rate. Radiologists segment the tumor manually, which is time-consuming, error-prone, and expensive. In recent years, automated segmentation based on deep learning has demonstrated promising results in solving computer vision problems such as image classification and segmentation. Brain tumor segmentation has recently become a prevalent task in medical imaging to determine the tumor location, size, and shape using automated methods. Many researchers have worked on various machine and deep learning approaches to determine the most optimal solution using the convolutional methodology. In this review paper, we discuss the most effective segmentation techniques based on the datasets that are widely used and publicly available. We also proposed a survey of federated learning methodologies to enhance global segmentation performance and ensure privacy. A comprehensive literature review is suggested after studying more than 100 papers to generalize the most recent techniques in segmentation and multi-modality information. Finally, we concentrated on unsolved problems in brain tumor segmentation and a client-based federated model training strategy. Based on this review, future researchers will understand the optimal solution path to solve these issues.
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Affiliation(s)
- Md Faysal Ahamed
- Department of Computer Science & Engineering, Rajshahi University of Engineering & Technology, Rajshahi 6204, Bangladesh
| | - Md Munawar Hossain
- Department of Electrical & Computer Engineering, Rajshahi University of Engineering & Technology, Rajshahi 6204, Bangladesh
| | - Md Nahiduzzaman
- Department of Electrical & Computer Engineering, Rajshahi University of Engineering & Technology, Rajshahi 6204, Bangladesh
| | - Md Rabiul Islam
- Department of Computer Science & Engineering, Rajshahi University of Engineering & Technology, Rajshahi 6204, Bangladesh
| | - Md Robiul Islam
- Department of Electrical & Computer Engineering, Rajshahi University of Engineering & Technology, Rajshahi 6204, Bangladesh
| | - Mominul Ahsan
- Department of Computer Science, University of York, Deramore Lane, Heslington, York YO10 5GH, UK
| | - Julfikar Haider
- Department of Engineering, Manchester Metropolitan University, Chester St, Manchester M1 5GD, UK.
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9
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Chougala RD, Havaldar R H. Systematic assessment and review of techniques based on tumour detection in brain using MRI. COMPUTER METHODS IN BIOMECHANICS AND BIOMEDICAL ENGINEERING: IMAGING & VISUALIZATION 2023. [DOI: 10.1080/21681163.2023.2181020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
Affiliation(s)
- Raviraj D. Chougala
- Electronics and communication engineering, Angadi Institute of Technology & Management, Karnataka
| | - Havaldar R H
- Department of Biomedical Engineering, KLE Technological University's Dr. M.S. Sheshgiri College of Engineering and Technology, Udyambag, Belgaum, Karnataka, India
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Reddy KR, Dhuli R. A Novel Lightweight CNN Architecture for the Diagnosis of Brain Tumors Using MR Images. Diagnostics (Basel) 2023; 13:diagnostics13020312. [PMID: 36673122 PMCID: PMC9858139 DOI: 10.3390/diagnostics13020312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 12/22/2022] [Accepted: 01/11/2023] [Indexed: 01/18/2023] Open
Abstract
Over the last few years, brain tumor-related clinical cases have increased substantially, particularly in adults, due to environmental and genetic factors. If they are unidentified in the early stages, there is a risk of severe medical complications, including death. So, early diagnosis of brain tumors plays a vital role in treatment planning and improving a patient's condition. There are different forms, properties, and treatments of brain tumors. Among them, manual identification and classification of brain tumors are complex, time-demanding, and sensitive to error. Based on these observations, we developed an automated methodology for detecting and classifying brain tumors using the magnetic resonance (MR) imaging modality. The proposed work includes three phases: pre-processing, classification, and segmentation. In the pre-processing, we started with the skull-stripping process through morphological and thresholding operations to eliminate non-brain matters such as skin, muscle, fat, and eyeballs. Then we employed image data augmentation to improve the model accuracy by minimizing the overfitting. Later in the classification phase, we developed a novel lightweight convolutional neural network (lightweight CNN) model to extract features from skull-free augmented brain MR images and then classify them as normal and abnormal. Finally, we obtained infected tumor regions from the brain MR images in the segmentation phase using a fast-linking modified spiking cortical model (FL-MSCM). Based on this sequence of operations, our framework achieved 99.58% classification accuracy and 95.7% of dice similarity coefficient (DSC). The experimental results illustrate the efficiency of the proposed framework and its appreciable performance compared to the existing techniques.
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Variational Autoencoders-BasedSelf-Learning Model for Tumor Identification and Impact Analysis from 2-D MRI Images. JOURNAL OF HEALTHCARE ENGINEERING 2023; 2023:1566123. [PMID: 36704578 PMCID: PMC9873460 DOI: 10.1155/2023/1566123] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 12/13/2022] [Accepted: 01/07/2023] [Indexed: 01/19/2023]
Abstract
Over the past few years, a tremendous change has occurred in computer-aided diagnosis (CAD) technology. The evolution of numerous medical imaging techniques has enhanced the accuracy of the preliminary analysis of several diseases. Magnetic resonance imaging (MRI) is a prevalent technology extensively used in evaluating the progress of the spread of malignant tissues or abnormalities in the human body. This article aims to automate a computationally efficient mechanism that can accurately identify the tumor from MRI images and can analyze the impact of the tumor. The proposed model is robust enough to classify the tumors with minimal training data. The generative variational autoencoder models are efficient in reconstructing the images identical to the original images, which are used in adequately training the model. The proposed self-learning algorithm can learn from the insights from the autogenerated images and the original images. Incorporating long short-term memory (LSTM) is faster processing of the high dimensional imaging data, making the radiologist's task and the practitioners more comfortable assessing the tumor's progress. Self-learning models need comparatively less data for the training, and the models are more resource efficient than the various state-of-art models. The efficiency of the proposed model has been assessed using various benchmark metrics, and the obtained results have exhibited an accuracy of 89.7%. The analysis of the progress of tumor growth is presented in the current study. The obtained accuracy is not pleasing in the healthcare domain, yet the model is reasonably fair in dealing with a smaller size dataset by making use of an image generation mechanism. The study would outline the role of an autoencoder in self-learning models. Future technologies may include sturdy feature engineering models and optimized activation functions that would yield a better result.
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Ranjbarzadeh R, Caputo A, Tirkolaee EB, Jafarzadeh Ghoushchi S, Bendechache M. Brain tumor segmentation of MRI images: A comprehensive review on the application of artificial intelligence tools. Comput Biol Med 2023; 152:106405. [PMID: 36512875 DOI: 10.1016/j.compbiomed.2022.106405] [Citation(s) in RCA: 28] [Impact Index Per Article: 28.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Revised: 11/06/2022] [Accepted: 12/03/2022] [Indexed: 12/12/2022]
Abstract
BACKGROUND Brain cancer is a destructive and life-threatening disease that imposes immense negative effects on patients' lives. Therefore, the detection of brain tumors at an early stage improves the impact of treatments and increases the patients survival rates. However, detecting brain tumors in their initial stages is a demanding task and an unmet need. METHODS The present study presents a comprehensive review of the recent Artificial Intelligence (AI) methods of diagnosing brain tumors using MRI images. These AI techniques can be divided into Supervised, Unsupervised, and Deep Learning (DL) methods. RESULTS Diagnosing and segmenting brain tumors usually begin with Magnetic Resonance Imaging (MRI) on the brain since MRI is a noninvasive imaging technique. Another existing challenge is that the growth of technology is faster than the rate of increase in the number of medical staff who can employ these technologies. It has resulted in an increased risk of diagnostic misinterpretation. Therefore, developing robust automated brain tumor detection techniques has been studied widely over the past years. CONCLUSION The current review provides an analysis of the performance of modern methods in this area. Moreover, various image segmentation methods in addition to the recent efforts of researchers are summarized. Finally, the paper discusses open questions and suggests directions for future research.
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Affiliation(s)
- Ramin Ranjbarzadeh
- School of Computing, Faculty of Engineering and Computing, Dublin City University, Ireland.
| | - Annalina Caputo
- School of Computing, Faculty of Engineering and Computing, Dublin City University, Ireland.
| | | | | | - Malika Bendechache
- Lero & ADAPT Research Centres, School of Computer Science, University of Galway, Ireland.
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13
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Ramasubramanian B, Reddy VS, Chellappan V, Ramakrishna S. Emerging Materials, Wearables, and Diagnostic Advancements in Therapeutic Treatment of Brain Diseases. BIOSENSORS 2022; 12:1176. [PMID: 36551143 PMCID: PMC9775999 DOI: 10.3390/bios12121176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 12/07/2022] [Accepted: 12/07/2022] [Indexed: 06/17/2023]
Abstract
Among the most critical health issues, brain illnesses, such as neurodegenerative conditions and tumors, lower quality of life and have a significant economic impact. Implantable technology and nano-drug carriers have enormous promise for cerebral brain activity sensing and regulated therapeutic application in the treatment and detection of brain illnesses. Flexible materials are chosen for implantable devices because they help reduce biomechanical mismatch between the implanted device and brain tissue. Additionally, implanted biodegradable devices might lessen any autoimmune negative effects. The onerous subsequent operation for removing the implanted device is further lessened with biodegradability. This review expands on current developments in diagnostic technologies such as magnetic resonance imaging, computed tomography, mass spectroscopy, infrared spectroscopy, angiography, and electroencephalogram while providing an overview of prevalent brain diseases. As far as we are aware, there hasn't been a single review article that addresses all the prevalent brain illnesses. The reviewer also looks into the prospects for the future and offers suggestions for the direction of future developments in the treatment of brain diseases.
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Affiliation(s)
- Brindha Ramasubramanian
- Department of Mechanical Engineering, Center for Nanofibers & Nanotechnology, National University of Singapore, Singapore 117574, Singapore
- Institute of Materials Research and Engineering (IMRE), Agency for Science, Technology and Research (A*STAR), #08-03, 2 Fusionopolis Way, Innovis, Singapore 138634, Singapore
| | - Vundrala Sumedha Reddy
- Department of Mechanical Engineering, Center for Nanofibers & Nanotechnology, National University of Singapore, Singapore 117574, Singapore
| | - Vijila Chellappan
- Institute of Materials Research and Engineering (IMRE), Agency for Science, Technology and Research (A*STAR), #08-03, 2 Fusionopolis Way, Innovis, Singapore 138634, Singapore
| | - Seeram Ramakrishna
- Department of Mechanical Engineering, Center for Nanofibers & Nanotechnology, National University of Singapore, Singapore 117574, Singapore
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14
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Samee NA, Ahmad T, Mahmoud NF, Atteia G, Abdallah HA, Rizwan A. Clinical Decision Support Framework for Segmentation and Classification of Brain Tumor MRIs Using a U-Net and DCNN Cascaded Learning Algorithm. Healthcare (Basel) 2022; 10:healthcare10122340. [PMID: 36553864 PMCID: PMC9777942 DOI: 10.3390/healthcare10122340] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 11/11/2022] [Accepted: 11/15/2022] [Indexed: 11/23/2022] Open
Abstract
Brain tumors (BTs) are an uncommon but fatal kind of cancer. Therefore, the development of computer-aided diagnosis (CAD) systems for classifying brain tumors in magnetic resonance imaging (MRI) has been the subject of many research papers so far. However, research in this sector is still in its early stage. The ultimate goal of this research is to develop a lightweight effective implementation of the U-Net deep network for use in performing exact real-time segmentation. Moreover, a simplified deep convolutional neural network (DCNN) architecture for the BT classification is presented for automatic feature extraction and classification of the segmented regions of interest (ROIs). Five convolutional layers, rectified linear unit, normalization, and max-pooling layers make up the DCNN's proposed simplified architecture. The introduced method was verified on multimodal brain tumor segmentation (BRATS 2015) datasets. Our experimental results on BRATS 2015 acquired Dice similarity coefficient (DSC) scores, sensitivity, and classification accuracy of 88.8%, 89.4%, and 88.6% for high-grade gliomas. When it comes to segmenting BRATS 2015 BT images, the performance of our proposed CAD framework is on par with existing state-of-the-art methods. However, the accuracy achieved in this study for the classification of BT images has improved upon the accuracy reported in prior studies. Image classification accuracy for BRATS 2015 BT has been improved from 88% to 88.6%.
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Affiliation(s)
- Nagwan Abdel Samee
- Department of Information Technology, College of Computer and Information Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
| | - Tahir Ahmad
- Department of Computer Science, COMSATS University Islamabad, Attock Campus, Attock 43600, Pakistan
| | - Noha F. Mahmoud
- Rehabilitation Sciences Department, Health and Rehabilitation Sciences College, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
- Correspondence: (N.F.M.); (G.A.); (A.R.)
| | - Ghada Atteia
- Department of Information Technology, College of Computer and Information Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
- Correspondence: (N.F.M.); (G.A.); (A.R.)
| | - Hanaa A. Abdallah
- Department of Information Technology, College of Computer and Information Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
| | - Atif Rizwan
- Department of Computer Engineering, Jeju National University, Jejusi 63243, Republic of Korea
- Correspondence: (N.F.M.); (G.A.); (A.R.)
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15
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Popat M, Patel S. Research perspective and review towards brain tumour segmentation and classification using different image modalities. COMPUTER METHODS IN BIOMECHANICS AND BIOMEDICAL ENGINEERING: IMAGING & VISUALIZATION 2022. [DOI: 10.1080/21681163.2022.2124546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Mayuri Popat
- U & P.U. Patel Department of Computer Engineering, Chandubhai S Patel Institute of Technology (CSPIT), Charotar University of Science and Technology (CHARUSAT), Gujarat, India
| | - Sanskruti Patel
- Smt. Chandaben Mohanbhai Patel Institute of Computer Applications (CMPICA), Charotar University of Science and Technology (CHARUSAT), Gujarat, India
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16
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Zhu S, Kong W, Zhu J, Huang L, Wang S, Bi S, Xie Z. The genetic algorithm-aided three-stage ensemble learning method identified a robust survival risk score in patients with glioma. Brief Bioinform 2022; 23:6694808. [DOI: 10.1093/bib/bbac344] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 07/14/2022] [Accepted: 07/25/2022] [Indexed: 02/07/2023] Open
Abstract
Abstract
Ensemble learning is a kind of machine learning method which can integrate multiple basic learners together and achieve higher accuracy. Recently, single machine learning methods have been established to predict survival for patients with cancer. However, it still lacked a robust ensemble learning model with high accuracy to pick out patients with high risks. To achieve this, we proposed a novel genetic algorithm-aided three-stage ensemble learning method (3S score) for survival prediction. During the process of constructing the 3S score, double training sets were used to avoid over-fitting; the gene-pairing method was applied to reduce batch effect; a genetic algorithm was employed to select the best basic learner combination. When used to predict the survival state of glioma patients, this model achieved the highest C-index (0.697) as well as area under the receiver operating characteristic curve (ROC-AUCs) (first year = 0.705, third year = 0.825 and fifth year = 0.839) in the combined test set (n = 1191), compared with 12 other baseline models. Furthermore, the 3S score can distinguish survival significantly in eight cohorts among the total of nine independent test cohorts (P < 0.05), achieving significant improvement of ROC-AUCs. Notably, ablation experiments demonstrated that the gene-pairing method, double training sets and genetic algorithm make sure the robustness and effectiveness of the 3S score. The performance exploration on pan-cancer showed that the 3S score has excellent ability on survival prediction in five kinds of cancers, which was verified by Cox regression, survival curves and ROC curves together. To enable its clinical adoption, we implemented the 3S score and other two clinical factors as an easy-to-use web tool for risk scoring and therapy stratification in glioma patients.
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Affiliation(s)
- Sujie Zhu
- Institute of Translational Medicine, The Affiliated Hospital of Qingdao University, College of Medicine, Qingdao University , Qingdao, China
| | - Weikaixin Kong
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki , Finland
- Institute Sanqu Technology (Hangzhou) Co., Ltd. , Hangzhou, China
| | - Jie Zhu
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki , Finland
| | - Liting Huang
- Institute of Translational Medicine, The Affiliated Hospital of Qingdao University, College of Medicine, Qingdao University , Qingdao, China
| | - Shixin Wang
- Institute of Translational Medicine, The Affiliated Hospital of Qingdao University, College of Medicine, Qingdao University , Qingdao, China
| | - Suzhen Bi
- Institute of Translational Medicine, The Affiliated Hospital of Qingdao University, College of Medicine, Qingdao University , Qingdao, China
| | - Zhengwei Xie
- Peking University International Cancer Institute and Department of Pharmacology, School of Basic Medical Sciences, Peking University , Beijing, China
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A new brain tumor diagnostic model: Selection of textural feature extraction algorithms and convolution neural network features with optimization algorithms. Comput Biol Med 2022; 148:105857. [PMID: 35868050 DOI: 10.1016/j.compbiomed.2022.105857] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 06/17/2022] [Accepted: 06/17/2022] [Indexed: 11/22/2022]
Abstract
Brain tumors are one of the most dangerous diseases that affect human health and maybe result in death. Detection of brain tumors can be made by using biopsy. However, this is an invasive procedure. It is an extremely dangerous procedure because it can cause bleeding and damage certain brain functions. For this reason, the type and the stage of the disease can be determined after a detailed examination by medical imaging techniques made by field experts. In this study, a computer-based hybrid diagnostic model with high accuracy rate is proposed to diagnose normal brain and brain having types of tumors from brain images obtained by magnetic resonance imaging (MRI) techniques. This diagnostic model consists of three stages. In the first stage, the features of the images were obtained with two different traditional methods, which are widely used in the literature, and the results were examined. In the second stage, different convolutional neural networks that can learn comprehensive information about images were used and the results were tested by obtaining the features of the images. In the third stage, all the feature sets that are obtained were combined, and genetic algorithms, particle swarm optimization technique and artificial bee colony optimization techniques were used for feature selection. The common features of the optimization techniques were used only once. Thus, metaheuristic optimization algorithms were used for feature selection and distinctive features of the images appeared. Feature sets were classified using support vector machine kernels. The proposed diagnostic model is better than the directly used methods with an accuracy rate of 98.22%. Consequently, this method can also be used in clinic service to diagnose tumor by using images of brain MRI.
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18
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Improved Watershed Algorithm-Based Microscopic Images Combined with Meibomian Gland Microprobe in the Treatment of Demodectic Blepharitis. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:4389659. [PMID: 35720025 PMCID: PMC9200586 DOI: 10.1155/2022/4389659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/09/2022] [Accepted: 05/16/2022] [Indexed: 11/24/2022]
Abstract
The objective of the study was to explore microscopic images under a watershed segmentation algorithm combined with meibomian gland microprobe in the treatment of demodectic blepharitis. For segmenting the connected target objects in the image, the watershed algorithm was utilized first to obtain the target region in the image, and then, the fuzzy C-means (FCM) clustering algorithm was used to cluster the targets. The different grayscale regions in the microscopic images were segmented. 90 patients with demodectic blepharitis-related dry eyes were selected, and they were divided into experimental group 1 (group E1, n = 30), experimental group 2 (group E2, n = 30), and control group (group CG, n = 30). The breakup time (BUT) of the tear film, the subjective score of clinical symptoms, and the number of mites were compared among the three groups before and after treatment. The results showed that after treatment, the indicators of group E1 and group E2 were significantly lower than those before treatment, and the differences were statistically significant (P < 0.05). The treatment effect of group E1 was significantly better than that of the other two groups (P < 0.05). The subjective clinical symptom scores of groups E1, E2, and CG were 13.43 ± 1.41, 13.51 ± 1.41, and 13.64 ± 0.84, respectively, before treatment, and those after treatment were 3.1 ± 1.841, 5.4 ± 0.661, and 13.4 ± 0.841, respectively. The clinical sign scores of the groups E1 and E2 after treatment were remarkably different from those before treatment (P < 0.05). Compared with the scores of clinical signs and clinical symptoms after treatment, those of group E1 showed the largest differences, indicating the best treatment effect. In conclusion, the treatment effect of blepharitis could be promoted with the improved watershed algorithm, and the microscopic images combined with meibomian gland microprobe gave the better effect in the treatment of demodectic blepharitis than the conventional drug heat compress.
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Ali TM, Nawaz A, Ur Rehman A, Ahmad RZ, Javed AR, Gadekallu TR, Chen CL, Wu CM. A Sequential Machine Learning-cum-Attention Mechanism for Effective Segmentation of Brain Tumor. Front Oncol 2022; 12:873268. [PMID: 35719987 PMCID: PMC9202559 DOI: 10.3389/fonc.2022.873268] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 04/18/2022] [Indexed: 12/21/2022] Open
Abstract
Magnetic resonance imaging is the most generally utilized imaging methodology that permits radiologists to look inside the cerebrum using radio waves and magnets for tumor identification. However, it is tedious and complex to identify the tumorous and nontumorous regions due to the complexity in the tumorous region. Therefore, reliable and automatic segmentation and prediction are necessary for the segmentation of brain tumors. This paper proposes a reliable and efficient neural network variant, i.e., an attention-based convolutional neural network for brain tumor segmentation. Specifically, an encoder part of the UNET is a pre-trained VGG19 network followed by the adjacent decoder parts with an attention gate for segmentation noise induction and a denoising mechanism for avoiding overfitting. The dataset we are using for segmentation is BRATS’20, which comprises four different MRI modalities and one target mask file. The abovementioned algorithm resulted in a dice similarity coefficient of 0.83, 0.86, and 0.90 for enhancing, core, and whole tumors, respectively.
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Affiliation(s)
- Tahir Mohammad Ali
- Department of Computer Science, GULF University for Science and Technology, Mishref, Kuwait
| | - Ali Nawaz
- Department of Computer Science, GULF University for Science and Technology, Mishref, Kuwait
| | - Attique Ur Rehman
- Department of Computer Science, GULF University for Science and Technology, Mishref, Kuwait.,Department of Software Engineering, University of Sialkot, Sialkot, Pakistan
| | - Rana Zeeshan Ahmad
- Department of Information Technology, University of Sialkot, Sialkot, Pakistan
| | | | - Thippa Reddy Gadekallu
- School of Information Technology and Engineering, Vellore Institute of Technology, Vellore, India
| | - Chin-Ling Chen
- School of Information Engineering, Changchun Sci-Tech University, Changchun, China.,School of Computer and Information Engineering, Xiamen University of Technology, Xiamen, China.,Department of Computer Science and Information Engineering, Chaoyang University of Technology, Taichung, Taiwan
| | - Chih-Ming Wu
- School of Civil Engineering and Architecture, Xiamen University of Technology, Xiamen, China
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20
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Modified Artificial Bee Colony Algorithm-Based Strategy for Brain Tumor Segmentation. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2022; 2022:5465279. [PMID: 35602633 PMCID: PMC9117055 DOI: 10.1155/2022/5465279] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 04/09/2022] [Accepted: 04/27/2022] [Indexed: 11/18/2022]
Abstract
Medical image segmentation is a technique for detecting boundaries in a 2D or 3D image automatically or semiautomatically. The enormous range of the medical image is a considerable challenge for image segmentation. Magnetic resonance imaging (MRI) scans to aid in the detection and existence of brain tumors. This approach, however, requires exact delineation of the tumor location inside the brain scan. To solve this, an optimization algorithm will be one of the most successful techniques for distinguishing pixels of interest from the background, but its performance is reliant on the starting values of the centroids. The primary goal of this work is to segment tumor areas within brain MRI images. After converting the gray MRI image to a color image, a multiobjective modified ABC algorithm is utilized to separate the tumor from the brain. The intensity determines the RGB color generated in the image. The simulation results are assessed in terms of performance metrics such as accuracy, precision, specificity, recall, F-measure, and the time in seconds required by the system to segment the tumor from the brain. The performance of the proposed algorithm is computed with other algorithms like the single-objective ABC algorithm and multiobjective ABC algorithm. The results prove that the proposed multiobjective modified ABC algorithm is efficient in analyzing and segmenting the tumor from brain images.
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21
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Early Diagnosis of Brain Tumour MRI Images Using Hybrid Techniques between Deep and Machine Learning. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:8330833. [PMID: 35633922 PMCID: PMC9132638 DOI: 10.1155/2022/8330833] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 04/15/2022] [Accepted: 04/23/2022] [Indexed: 01/01/2023]
Abstract
Cancer is considered one of the most aggressive and destructive diseases that shortens the average lives of patients. Misdiagnosed brain tumours lead to false medical intervention, which reduces patients' chance of survival. Accurate early medical diagnoses of brain tumour are an essential point for starting treatment plans that improve the survival of patients with brain tumours. Computer-aided diagnostic systems have provided consecutive successes for helping medical doctors make accurate diagnoses and have conducted positive strides in the field of deep and machine learning. Deep convolutional layers extract strong distinguishing features from the regions of interest compared with those extracted using traditional methods. In this study, different experiments are performed for brain tumour diagnosis by combining deep learning and traditional machine learning techniques. AlexNet and ResNet-18 are used with the support vector machine (SVM) algorithm for brain tumour classification and diagnosis. Brain tumour magnetic resonance imaging (MRI) images are enhanced using the average filter technique. Then, deep learning techniques are applied to extract robust and important deep features via deep convolutional layers. The process of combining deep and machine learning techniques starts, where features are extracted using deep learning techniques, namely, AlexNet and ResNet-18. These features are then classified using SoftMax and SVM. The MRI dataset contains 3,060 images divided into four classes, which are three tumours and one normal. All systems have achieved superior results. Specifically, the AlexNet+SVM hybrid technique exhibits the best performance, with 95.10% accuracy, 95.25% sensitivity, and 98.50% specificity.
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22
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Abstract
Brain tumors (BTs) are spreading very rapidly across the world. Every year, thousands of people die due to deadly brain tumors. Therefore, accurate detection and classification are essential in the treatment of brain tumors. Numerous research techniques have been introduced for BT detection as well as classification based on traditional machine learning (ML) and deep learning (DL). The traditional ML classifiers require hand-crafted features, which is very time-consuming. On the contrary, DL is very robust in feature extraction and has recently been widely used for classification and detection purposes. Therefore, in this work, we propose a hybrid deep learning model called DeepTumorNet for three types of brain tumors (BTs)—glioma, meningioma, and pituitary tumor classification—by adopting a basic convolutional neural network (CNN) architecture. The GoogLeNet architecture of the CNN model was used as a base. While developing the hybrid DeepTumorNet approach, the last 5 layers of GoogLeNet were removed, and 15 new layers were added instead of these 5 layers. Furthermore, we also utilized a leaky ReLU activation function in the feature map to increase the expressiveness of the model. The proposed model was tested on a publicly available research dataset for evaluation purposes, and it obtained 99.67% accuracy, 99.6% precision, 100% recall, and a 99.66% F1-score. The proposed methodology obtained the highest accuracy compared with the state-of-the-art classification results obtained with Alex net, Resnet50, darknet53, Shufflenet, GoogLeNet, SqueezeNet, ResNet101, Exception Net, and MobileNetv2. The proposed model showed its superiority over the existing models for BT classification from the MRI images.
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23
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Yu Z, Zhou S, Tan Z, Lu G. Expression Level of IL-17 in Peripheral Blood of Patients with Late Pregnancy and Diagnosis of Maternal-Fetal Tolerance Based on Brain MRI Image Segmentation Algorithm. Pak J Med Sci 2021; 37:1553-1557. [PMID: 34712281 PMCID: PMC8520365 DOI: 10.12669/pjms.37.6-wit.4828] [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: 05/03/2021] [Revised: 06/06/2021] [Accepted: 07/03/2021] [Indexed: 11/23/2022] Open
Abstract
Objectives: To study the expression of IL-17 in peripheral blood and its effect on maternal-fetal tolerance in patients with eclampsia in late pregnancy using MRI image segmentation algorithm. Methods: Thirty-nine patients with severe preeclampsia and eclampsia with brain symptoms were examined by cranial MRI. Pregnant women with 32 weeks of pregnancy were selected to detect the percentage of Th17 and Treg cells in CD4 + T lymphocytes and the expression of cytokines IL-17 and IL-10 in peripheral blood. Results: MRI examination was normal in 26 cases, 9 cases showed reversible posterior encephalopathy syndrome, three cases were cerebral hemorrhage, and one case was intracranial cavernous sinus thrombosis. two. Compared with the mild preeclampsia group, the relative number of Thl7 cells increased and that of Treg cells decreased in the severe preeclampsia group (P>0.05). Conclusion: The major types of cerebrovascular diseases (CVD) in severe preeclampsia and eclampsia were reversible posterior encephalopathy syndrome and cerebral hemorrhage. It was speculated that the damage to the blood-brain barrier may play an important role in the pathogenesis. The balance of the number of Th17 cells/the number of Treg cells was more inclined to the Th17 cell-mediated pro-inflammatory state, Treg cell-mediated immune tolerance decreases, and it becomes more obvious with the worsening of the disease.
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Affiliation(s)
- Zenying Yu
- Zenying Yu, Bachelor's Degrees. Department of Gynaecology and Obstetrics, The Third People's Hospital of Linyi, Linyi 276023, China
| | - Shengyan Zhou
- Shengyan Zhou, Bachelor's Degrees. Department of Gynaecology and Obstetrics, Lanling County People's Hospital of Linyi, Linyi 277000, China
| | - Zhen Tan
- Zhen Tan, Master of Medicine. Department of Pathology, The Third People's Hospital of Linyi, Linyi 276023, China
| | - Guangmin Lu
- Guangmin Lu, Bachelor's Degrees. Department of Endocrinology and Metablism, The Third People's Hospital of Linyi, Linyi 276023, China
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24
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Saeidifar M, Yazdi M, Zolghadrasli A. Performance Improvement in Brain Tumor Detection in MRI Images Using a Combination of Evolutionary Algorithms and Active Contour Method. J Digit Imaging 2021; 34:1209-1224. [PMID: 34561783 DOI: 10.1007/s10278-021-00514-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 08/23/2021] [Accepted: 08/31/2021] [Indexed: 10/20/2022] Open
Abstract
The process of treating brain cancer depends on the experience and knowledge of the physician, which may be associated with eye errors or may vary from person to person. For this reason, it is important to utilize an automatic tumor detection algorithm to assist radiologists and physicians for brain tumor diagnosis. The aim of the present study is to automatically detect the location of the tumor in a brain MRI image with high accuracy. For this end, in the proposed algorithm, first, the skull is separated from the brain using morphological operators. The image is then segmented by six evolutionary algorithms, i.e., Particle Swarm Optimization (PSO), Artificial Bee Colony (ABC), Genetic Algorithm (GA), Differential Evolution (DE), Harmony Search (HS), and Gray Wolf Optimization (GWO), as well as two other frequently-used techniques in the literature, i.e., K-means and Otsu thresholding algorithms. Afterwards, the tumor area is isolated from the brain using the four features extracted from the main tumor. Evaluation of the segmented area revealed that the PSO has the best performance compared with the other approaches. The segmented results of the PSO are then used as the initial curve for the Active contour to precisely specify the tumor boundaries. The proposed algorithm is applied on fifty images with two different types of tumors. Experimental results on T1-weighted brain MRI images show a better performance of the proposed algorithm compared to other evolutionary algorithms, K-means, and Otsu thresholding methods.
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Affiliation(s)
- Mahtab Saeidifar
- School of Electrical and Computer Engineering, Shiraz University, Shiraz, Iran
| | - Mehran Yazdi
- School of Electrical and Computer Engineering, Shiraz University, Shiraz, Iran.
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25
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A Survey of Soft Computing Approaches in Biomedical Imaging. JOURNAL OF HEALTHCARE ENGINEERING 2021; 2021:1563844. [PMID: 34394885 PMCID: PMC8356006 DOI: 10.1155/2021/1563844] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 07/11/2021] [Accepted: 07/21/2021] [Indexed: 12/11/2022]
Abstract
Medical imaging is an essential technique for the diagnosis and treatment of diseases in modern clinics. Soft computing plays a major role in the recent advances in medical imaging. It handles uncertainties and improves the qualities of an image. Until now, various soft computing approaches have been proposed for medical applications. This paper discusses various medical imaging modalities and presents a short review of soft computing approaches such as fuzzy logic, artificial neural network, genetic algorithm, machine learning, and deep learning. We also studied and compared each approach used for other imaging modalities based on the certain parameter used for the system evaluation. Finally, based on comparative analysis, the possible research strategies for further development are proposed. As far as we know, no previous work examined this issue.
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26
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27
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An improved framework for brain tumor analysis using MRI based on YOLOv2 and convolutional neural network. COMPLEX INTELL SYST 2021. [DOI: 10.1007/s40747-021-00310-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
AbstractBrain tumor is a group of anomalous cells. The brain is enclosed in a more rigid skull. The abnormal cell grows and initiates a tumor. Detection of tumor is a complicated task due to irregular tumor shape. The proposed technique contains four phases, which are lesion enhancement, feature extraction and selection for classification, localization, and segmentation. The magnetic resonance imaging (MRI) images are noisy due to certain factors, such as image acquisition, and fluctuation in magnetic field coil. Therefore, a homomorphic wavelet filer is used for noise reduction. Later, extracted features from inceptionv3 pre-trained model and informative features are selected using a non-dominated sorted genetic algorithm (NSGA). The optimized features are forwarded for classification after which tumor slices are passed to YOLOv2-inceptionv3 model designed for the localization of tumor region such that features are extracted from depth-concatenation (mixed-4) layer of inceptionv3 model and supplied to YOLOv2. The localized images are passed toMcCulloch'sKapur entropy method to segment actual tumor region. Finally, the proposed technique is validated on three benchmark databases BRATS 2018, BRATS 2019, and BRATS 2020 for tumor detection. The proposed method achieved greater than 0.90 prediction scores in localization, segmentation and classification of brain lesions. Moreover, classification and segmentation outcomes are superior as compared to existing methods.
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28
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Liu T, Yuan Z, Wu L, Badami B. An optimal brain tumor detection by convolutional neural network and Enhanced Sparrow Search Algorithm. Proc Inst Mech Eng H 2021; 235:459-469. [PMID: 33435847 DOI: 10.1177/0954411920987964] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Precise and timely detection of brain tumor area has a very high effect on the selection of medical care, its success rate and following the disease process during treatment. Existing algorithms for brain tumor diagnosis have problems in terms of better performance on various brain images with different qualities, low sensitivity of the results to the parameters introduced in the algorithm and also reliable diagnosis of tumors in the early stages of formation. A computer aided system is proposed in this research for automatic brain tumors diagnosis. The method includes four main parts: pre-processing and segmentation techniques, features extraction and final categorization. Gray-level co-occurrence matrix (GLCM) and Discrete Wavelet Transform (DWT) were applied for characteristic extraction of the MR images which are then injected to an optimized convolutional neural network (CNN) for the final diagnosis. The CNN is optimized by a new design of Sparrow Search Algorithm classification (ESSA). Finally, a comparison of the results of the method with three state of the art technique on the Whole Brain Atlas (WBA) database to show its higher efficiency.
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Affiliation(s)
- Tingting Liu
- Department of Oncology – Cardiology, Affiliated Tumor Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Zhi Yuan
- Engineering Research Center of Renewable Energy Power Generation and Grid-Connected Control, Ministry of Education, Xinjiang University, Urumqi, Xinjiang, China
| | - Li Wu
- Department of Oncology – Cardiology, Affiliated Tumor Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
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29
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Lu SY, Wang SH, Zhang YD. A classification method for brain MRI via MobileNet and feedforward network with random weights. Pattern Recognit Lett 2020. [DOI: 10.1016/j.patrec.2020.10.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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30
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Ghasemi M, Kelarestaghi M, Eshghi F, Sharifi A. AFDL: a new adaptive fuzzy dictionary learning for medical image classification. Pattern Anal Appl 2020. [DOI: 10.1007/s10044-020-00909-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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31
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Gaussian hybrid fuzzy clustering and radial basis neural network for automatic brain tumor classification in MRI images. EVOLUTIONARY INTELLIGENCE 2020. [DOI: 10.1007/s12065-020-00433-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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32
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Lu S, Wang SH, Zhang YD. Detection of abnormal brain in MRI via improved AlexNet and ELM optimized by chaotic bat algorithm. Neural Comput Appl 2020. [DOI: 10.1007/s00521-020-05082-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Zucchelli A, Marengoni A, Rizzuto D, Calderón-Larrañaga A, Zucchelli M, Bernabei R, Onder G, Fratiglioni L, Vetrano DL. Using a genetic algorithm to derive a highly predictive and context-specific frailty index. Aging (Albany NY) 2020; 12:7561-7575. [PMID: 32343260 PMCID: PMC7202492 DOI: 10.18632/aging.103118] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Accepted: 04/08/2020] [Indexed: 11/25/2022]
Abstract
The frailty index (FI) is one of the most widespread tools used to predict poor, health-related outcomes in older persons. The selection of clinical and functional deficits to include in a FI is mostly based on the users’ clinical experience. However, this approach may not be sufficiently accurate to predict health outcomes in particular subgroups of individuals. In this study, we implemented an optimization algorithm, the genetic algorithm, to create a highly performant (FI) based on our prediction goals, rather than on a predetermined clinical selection of deficits, using data from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K) and 109 potential deficits identified in the dataset. The algorithm was personalized to obtain a FI with high discrimination ability in the prediction of mortality. The resulting FI included 40 deficits and showed areas under the curve consistently higher than 0.80 (range 0.81-0.90) in the prediction of 3-year and 6-year mortality in the whole sample and in sex and age subgroups. This methodology represents a promising opportunity to optimize the exploitation of medical and administrative databases in the construction of clinically relevant frailty indices.
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Affiliation(s)
- Alberto Zucchelli
- Aging Research Center, Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm 17165, Sweden.,Department of Information Engineering, University of Brescia, Brescia 25123, Italy
| | - Alessandra Marengoni
- Aging Research Center, Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm 17165, Sweden.,Department of Clinical and Experimental Sciences, University of Brescia, Brescia 25123, Italy
| | - Debora Rizzuto
- Aging Research Center, Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm 17165, Sweden.,Stockholm Gerontology Research Center, Aldrecentrum, Stockholm 11346, Sweden
| | - Amaia Calderón-Larrañaga
- Aging Research Center, Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm 17165, Sweden
| | | | - Roberto Bernabei
- Department of Geriatrics, Fondazione Policlinico "A. Gemelli" IRCCS and Catholic University of Rome, Rome 00168, Italy
| | - Graziano Onder
- Department of Cardiovascular, Endocrine-metabolic Diseases and Aging, Istituto Superiore di Sanità, Rome 00161, Italy
| | - Laura Fratiglioni
- Aging Research Center, Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm 17165, Sweden.,Stockholm Gerontology Research Center, Aldrecentrum, Stockholm 11346, Sweden
| | - Davide Liborio Vetrano
- Aging Research Center, Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm 17165, Sweden.,Department of Geriatrics, Fondazione Policlinico "A. Gemelli" IRCCS and Catholic University of Rome, Rome 00168, Italy
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