LungNet: A hybrid deep-CNN model for lung cancer diagnosis using CT and wearable sensor-based medical IoT data

Flamingo Search Sailfish Optimizer Based SqueezeNet for Detection of Breast Cancer Using MRI Images

Breast cancer with increased risk in women is identified with Breast Magnetic Resonance Imaging (Breast MRI) and this helps in evaluating treatment therapies. Breast MRI is time time-consuming process that involves the assessment of current imaging. This research work depends on the detection of breast cancer at the earlier stages. Among various cancers, breast cancer in women occurs in larger accounts for almost 30% of estimated cancer cases. In this research, many steps are followed for breast cancer detection like pre-processing, segmentation, augmentation, extraction of features, and cancer detection. Here, the median filter is utilized for pre-processing, as well as segmentation is followed after pre-processing, which is done by Psi-Net. Moreover, the process of augmentation like shearing, translation, and cropping are followed after segmentation. Also, the segmented image tends to process feature extraction, where features like shape features, Completed Local Binary Pattern (CLBP), Pyramid Histogram of Oriented Gradients (PHOG), and statistical features are extracted. Finally, breast cancer is detected using the DL model, SqueezeNet. Here, the newly devised Flamingo Search SailFish Optimizer (FSSFO) is used in training Psi-Net as well as SqueezeNet. Furthermore, FSSFO is the combination of both the Flamingo Search Algorithm (FSA) and SailFish Optimizer (SFO).

Integrating multi-omics and machine learning survival frameworks to build a prognostic model based on immune function and cell death patterns in a lung adenocarcinoma cohort

Introduction

The programmed cell death (PCD) plays a key role in the development and progression of lung adenocarcinoma. In addition, immune-related genes also play a crucial role in cancer progression and patient prognosis. However, further studies are needed to investigate the prognostic significance of the interaction between immune-related genes and cell death in LUAD.

Methods

In this study, 10 clustering algorithms were applied to perform molecular typing based on cell death-related genes, immune-related genes, methylation data and somatic mutation data. And a powerful computational framework was used to investigate the relationship between immune genes and cell death patterns in LUAD patients. A total of 10 commonly used machine learning algorithms were collected and subsequently combined into 101 unique combinations, and we constructed an immune-associated programmed cell death model (PIGRS) using the machine learning model that exhibited the best performance. Finally, based on a series of in vitro experiments used to explore the role of PSME3 in LUAD.

Results

We used 10 clustering algorithms and multi-omics data to categorize TCGA-LUAD patients into three subtypes. patients with the CS3 subtype had the best prognosis, whereas patients with the CS1 and CS2 subtypes had a poorer prognosis. PIGRS, a combination of 15 high-impact genes, showed strong prognostic performance for LUAD patients. PIGRS has a very strong prognostic efficacy compared to our collection. In conclusion, we found that PSME3 has been little studied in lung adenocarcinoma and may be a novel prognostic factor in lung adenocarcinoma.

Discussion

Three LUAD subtypes with different molecular features and clinical significance were successfully identified by bioinformatic analysis, and PIGRS was constructed using a powerful machine learning framework. and investigated PSME3, which may affect apoptosis in lung adenocarcinoma cells through the PI3K/AKT/Bcl-2 signaling pathway.

A depth analysis of recent innovations in non-invasive techniques using artificial intelligence approach for cancer prediction

The fight against cancer, a relentless global health crisis, emphasizes the urgency for efficient and automated early detection methods. To address this critical need, this review assesses recent advances in non-invasive cancer prediction techniques, comparing conventional machine learning (CML) and deep neural networks (DNNs). Focusing on these seven major cancers, we analyze 310 publications spanning the years 2018 to 2024, focusing on detection accuracy as the key metric to identify the most effective predictive models, highlighting critical gaps in current methodologies, and suggesting directions for future research. We further delved into factors like datasets, features, and modalities to gain a comprehensive understanding of each approach's performance. Separate review tables for each cancer type and approach facilitated comparisons between top performers (accuracy exceeding 99%) and low performers (65.83 to 85.8%). Our exploration of public databases and commonly used classifiers revealed that optimal combinations of features, datasets, and models can achieve up to 100% accuracy for both CML and DNN. However, significant variations in accuracy (up to 35%) were observed, particularly when optimization was lacking. Notably, colorectal cancer exhibited the lowest accuracy (DNN 69%, CML 65.83%). A five-point comparative analysis (best/worst models, performance gap, average accuracy, and research trends) revealed that while DNN research is gaining momentum, CML approaches remain competitive, even outperforming DNN in some cases. This study presents an in-depth comparative analysis of CML and DNN techniques for cancer detection. This knowledge can inform future research directions and contribute to the development of increasingly accurate and reliable cancer detection tools.

Optimizing lung cancer prediction: leveraging Kernel PCA with dendritic neural models

Lung cancer is considered a cause of increased mortality rate due to delays in diagnostics. There is an urgent need to develop an effective lung cancer prediction model that will help in the early diagnosis of cancer and save patients from unnecessary treatments. The objective of the current paper is to meet the extensiveness measure by using collaborative feature selection and feature extraction methods to enhance the dendritic neural model (DNM) in comparison to traditional machine learning (ML) models with minimum features and boost the accuracy, precision, and sensitivity of lung cancer prediction. Comprehensive experiments on a dataset comprising 1000 lung cancer patients and 23 features obtained from Kaggle. Crucial features are identified, and the proposed method's effectiveness is evaluated using metrics such as accuracy, precision, F1 score, sensitivity, specificity, and confusion matrix against other ML models. Feature extraction techniques including Principal Component Analysis (PCA), Kernel PCA (K-PCA), and Uniform Manifold Approximation and Projection (UMAP) are employed to optimize model performance. PCA evaluated the DNM accuracy at 96.50%, precision at 96.64% and 97.45% sensitivity. K-PCA explained the DNM accuracy of 98.50%, precision rate of 99.42%, and 98.84% sensitivity and UMAP elaborated the DNM accuracy of 98%, precision of 98.82%, and 98.82% sensitivity. The K-PCA approach showed outstanding performance in enhancing the DNM model. Highlighting the DNM's accurate prediction of lung cancer. These results emphasize the potential of the DNM model to contribute positively to healthcare research by providing better predictive outcomes.

An Improved Archimedes Optimization-aided Multi-scale Deep Learning Segmentation with dilated ensemble CNN classification for detecting lung cancer using CT images

Early detection of lung cancer is necessary to prevent deaths caused by lung cancer. But, the identification of cancer in lungs using Computed Tomography (CT) scan based on some deep learning algorithms does not provide accurate results. A novel adaptive deep learning is developed with heuristic improvement. The proposed framework constitutes three sections as (a) Image acquisition, (b) Segmentation of Lung nodule, and (c) Classifying lung cancer. The raw CT images are congregated through standard data sources. It is then followed by nodule segmentation process, which is conducted by Adaptive Multi-Scale Dilated Trans-Unet3+. For increasing the segmentation accuracy, the parameters in this model is optimized by proposing Modified Transfer Operator-based Archimedes Optimization (MTO-AO). At the end, the segmented images are subjected to classification procedure, namely, Advanced Dilated Ensemble Convolutional Neural Networks (ADECNN), in which it is constructed with Inception, ResNet and MobileNet, where the hyper parameters is tuned by MTO-AO. From the three networks, the final result is estimated by high ranking-based classification. Hence, the performance is investigated using multiple measures and compared among different approaches. Thus, the findings of model demonstrate to prove the system's efficiency of detecting cancer and help the patient to get the appropriate treatment.

ConvCoroNet: a deep convolutional neural network optimized with iterative thresholding algorithm for Covid-19 detection using chest X-ray images

Covid-19 is a global pandemic. Early and accurate detection of positive cases prevent the further spread of this epidemic and help to treat rapidly the infected patients. During the peak of this epidemic, there was an insufficiency of Covid-19 test kits. In addition, this technique takes a considerable time in the diagnosis. Hence the need to find fast, accurate and low-cost method to replace or supplement RT PCR-based methods. Covid-19 is a respiratory disease, chest X-ray images are often used to diagnose pneumonia. From this perspective, these images can play an important role in the Covid-19 detection. In this article, we propose ConvCoroNet, a deep convolutional neural network model optimized with new method based on iterative thresholding algorithm to detect coronavirus automatically from chest X-ray images. ConvCoroNet is trained on a dataset prepared by collecting chest X-ray images of Covid-19, pneumonia and normal cases from publically datasets. The experimental results of our proposed model show a high accuracy of 99.50%, sensitivity of 98.80% and specificity of 99.85% when detecting Covid-19 from chest X-ray images. ConvCoroNet achieves promising results in the automatic detection of Covid-19 from chest X-ray images. It may be able to help radiologists in the Covid-19 detection by reducing the examination time of X-ray images.Communicated by Ramaswamy H. Sarma.

Histological Subtype Classification of Non-Small Cell Lung Cancer with Radiomics and 3D Convolutional Neural Networks

Non-small cell lung carcinoma (NSCLC) is the most common type of pulmonary cancer, one of the deadliest malignant tumors worldwide. Given the increased emphasis on the precise management of lung cancer, identifying various subtypes of NSCLC has become pivotal for enhancing diagnostic standards and patient prognosis. In response to the challenges presented by traditional clinical diagnostic methods for NSCLC pathology subtypes, which are invasive, rely on physician experience, and consume medical resources, we explore the potential of radiomics and deep learning to automatically and non-invasively identify NSCLC subtypes from computed tomography (CT) images. An integrated model is proposed that investigates both radiomic features and deep learning features and makes comprehensive decisions based on the combination of these two features. To extract deep features, a three-dimensional convolutional neural network (3D CNN) is proposed to fully utilize the 3D nature of CT images while radiomic features are extracted by radiomics. These two types of features are combined and classified with multi-head attention (MHA) in our proposed model. To our knowledge, this is the first work that integrates different learning methods and features from varied sources in histological subtype classification of lung cancer. Experiments are organized on a mixed dataset comprising NSCLC Radiomics and Radiogenomics. The results show that our proposed model achieves 0.88 in accuracy and 0.89 in the area under the receiver operating characteristic curve (AUC) when distinguishing lung adenocarcinoma (ADC) and lung squamous cell carcinoma (SqCC), indicating the potential of being a non-invasive way for predicting histological subtypes of lung cancer.

A review of big data technology and its application in cancer care

The development of modern medical devices and information technology has led to a rapid growth in the amount of data available for health protection information, with the concept of medical big data emerging globally, along with significant advances in cancer care relying on data-driven approaches. However, outstanding issues such as fragmented data governance, low-quality data specification, and data lock-in still make sharing challenging. Big data technology provides solutions for managing massive heterogeneous data while combining artificial intelligence (AI) techniques such as machine learning (ML) and deep learning (DL) to better mine the intrinsic connections between data. This paper surveys and organizes recent articles on big data technology and its applications in cancer, dividing them into three different types to outline their primary content and summarize their critical role in assisting cancer care. It then examines the latest research directions in big data technology in cancer and evaluates the current state of development of each type of application. Finally, current challenges and opportunities are discussed, and recommendations are made for the further integration of big data technology into the medical industry in the future.

DeepChestGNN: A Comprehensive Framework for Enhanced Lung Disease Identification through Advanced Graphical Deep Features

Lung diseases are the third-leading cause of mortality in the world. Due to compromised lung function, respiratory difficulties, and physiological complications, lung disease brought on by toxic substances, pollution, infections, or smoking results in millions of deaths every year. Chest X-ray images pose a challenge for classification due to their visual similarity, leading to confusion among radiologists. To imitate those issues, we created an automated system with a large data hub that contains 17 datasets of chest X-ray images for a total of 71,096, and we aim to classify ten different disease classes. For combining various resources, our large datasets contain noise and annotations, class imbalances, data redundancy, etc. We conducted several image pre-processing techniques to eliminate noise and artifacts from images, such as resizing, de-annotation, CLAHE, and filtering. The elastic deformation augmentation technique also generates a balanced dataset. Then, we developed DeepChestGNN, a novel medical image classification model utilizing a deep convolutional neural network (DCNN) to extract 100 significant deep features indicative of various lung diseases. This model, incorporating Batch Normalization, MaxPooling, and Dropout layers, achieved a remarkable 99.74% accuracy in extensive trials. By combining graph neural networks (GNNs) with feedforward layers, the architecture is very flexible when it comes to working with graph data for accurate lung disease classification. This study highlights the significant impact of combining advanced research with clinical application potential in diagnosing lung diseases, providing an optimal framework for precise and efficient disease identification and classification.

AI-powered COVID-19 forecasting: a comprehensive comparison of advanced deep learning methods

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic continues to pose significant challenges to the public health sector, including that of the United Arab Emirates (UAE). The objective of this study was to assess the efficiency and accuracy of various deep-learning models in forecasting COVID-19 cases within the UAE, thereby aiding the nation's public health authorities in informed decision-making.

METHODS

This study utilized a comprehensive dataset encompassing confirmed COVID-19 cases, demographic statistics, and socioeconomic indicators. Several advanced deep learning models, including long short-term memory (LSTM), bidirectional LSTM, convolutional neural network (CNN), CNN-LSTM, multilayer perceptron, and recurrent neural network (RNN) models, were trained and evaluated. Bayesian optimization was also implemented to fine-tune these models.

RESULTS

The evaluation framework revealed that each model exhibited different levels of predictive accuracy and precision. Specifically, the RNN model outperformed the other architectures even without optimization. Comprehensive predictive and perspective analytics were conducted to scrutinize the COVID-19 dataset.

CONCLUSION

This study transcends academic boundaries by offering critical insights that enable public health authorities in the UAE to deploy targeted data-driven interventions. The RNN model, which was identified as the most reliable and accurate for this specific context, can significantly influence public health decisions. Moreover, the broader implications of this research validate the capability of deep learning techniques in handling complex datasets, thus offering the transformative potential for predictive accuracy in the public health and healthcare sectors.

MENet: A Mitscherlich function based ensemble of CNN models to classify lung cancer using CT scans

Lung cancer is one of the leading causes of cancer-related deaths worldwide. To reduce the mortality rate, early detection and proper treatment should be ensured. Computer-aided diagnosis methods analyze different modalities of medical images to increase diagnostic precision. In this paper, we propose an ensemble model, called the Mitscherlich function-based Ensemble Network (MENet), which combines the prediction probabilities obtained from three deep learning models, namely Xception, InceptionResNetV2, and MobileNetV2, to improve the accuracy of a lung cancer prediction model. The ensemble approach is based on the Mitscherlich function, which produces a fuzzy rank to combine the outputs of the said base classifiers. The proposed method is trained and tested on the two publicly available lung cancer datasets, namely Iraq-Oncology Teaching Hospital/National Center for Cancer Diseases (IQ-OTH/NCCD) and LIDC-IDRI, both of these are computed tomography (CT) scan datasets. The obtained results in terms of some standard metrics show that the proposed method performs better than state-of-the-art methods. The codes for the proposed work are available at https://github.com/SuryaMajumder/MENet.

Deep learning network selection and optimized information fusion for enhanced COVID‐19 detection

This study proposes a wrapper‐based technique to improve the classification performance of chest infection (including COVID‐19) detection using X‐rays. Deep features were extracted using pretrained deep learning models. Ten optimization techniques, including poor and rich optimization, path finder algorithm, Henry gas solubility optimization, Harris hawks optimization, atom search optimization, manta‐ray foraging optimization, equilibrium optimizer, slime mold algorithm, generalized normal distribution optimization, and marine predator algorithm, were used to determine the optimal features using a support vector machine. Moreover, a network selection technique was used to select the deep learning models. An online chest infection detection X‐ray scan dataset was used to validate the proposed approach. The results suggest that the proposed wrapper‐based automatic deep learning network selection and feature optimization framework has a high classification rate of 97.7%. The comparative analysis further validates the credibility of the framework in COVID‐19 and other chest infection classifications, suggesting that the proposed approach can help doctors in clinical practice.

Prediction of Tuberculosis From Lung Tissue Images of Diversity Outbred Mice Using Jump Knowledge Based Cell Graph Neural Network

Tuberculosis (TB), primarily affecting the lungs, is caused by the bacterium Mycobacterium tuberculosis and poses a significant health risk. Detecting acid-fast bacilli (AFB) in stained samples is critical for TB diagnosis. Whole Slide (WS) Imaging allows for digitally examining these stained samples. However, current deep-learning approaches to analyzing large-sized whole slide images (WSIs) often employ patch-wise analysis, potentially missing the complex spatial patterns observed in the granuloma essential for accurate TB classification. To address this limitation, we propose an approach that models cell characteristics and interactions as a graph, capturing both cell-level information and the overall tissue micro-architecture. This method differs from the strategies in related cell graph-based works that rely on edge thresholds based on sparsity/density in cell graph construction, emphasizing a biologically informed threshold determination instead. We introduce a cell graph-based jumping knowledge neural network (CG-JKNN) that operates on the cell graphs where the edge thresholds are selected based on the length of the mycobacteria's cords and the activated macrophage nucleus's size to reflect the actual biological interactions observed in the tissue. The primary process involves training a Convolutional Neural Network (CNN) to segment AFBs and macrophage nuclei, followed by converting large (42831*41159 pixels) lung histology images into cell graphs where an activated macrophage nucleus/AFB represents each node within the graph and their interactions are denoted as edges. To enhance the interpretability of our model, we employ Integrated Gradients and Shapely Additive Explanations (SHAP). Our analysis incorporated a combination of 33 graph metrics and 20 cell morphology features. In terms of traditional machine learning models, Extreme Gradient Boosting (XGBoost) was the best performer, achieving an F1 score of 0.9813 and an Area under the Precision-Recall Curve (AUPRC) of 0.9848 on the test set. Among graph-based models, our CG-JKNN was the top performer, attaining an F1 score of 0.9549 and an AUPRC of 0.9846 on the held-out test set. The integration of graph-based and morphological features proved highly effective, with CG-JKNN and XGBoost showing promising results in classifying instances into AFB and activated macrophage nucleus. The features identified as significant by our models closely align with the criteria used by pathologists in practice, highlighting the clinical applicability of our approach. Future work will explore knowledge distillation techniques and graph-level classification into distinct TB progression categories.

Enhancing pancreatic cancer classification through dynamic weighted ensemble: a game theory approach

The significant research carried out on medical healthcare networks is giving computing innovations lots of space to produce the most recent innovations. Pancreatic cancer, which ranks among of the most common tumors that are thought to be fatal and unsuspected since it is positioned in the region of the abdomen beyond the stomach and can't be adequately treated once diagnosed. In radiological imaging, such as MRI and CT, computer-aided diagnosis (CAD), quantitative evaluations, and automated pancreatic cancer classification approaches are routinely provided. This study provides a dynamic weighted ensemble framework for pancreatic cancer classification inspired by game theory. Grey Level Co-occurrence Matrix (GLCM) is utilized for feature extraction, together with Gaussian kernel-based fuzzy rough sets theory (GKFRST) for feature reduction and the Random Forest (RF) classifier for categorization. The ResNet50 and VGG16 are used in the transfer learning (TL) paradigm. The combination of the outcomes from the TL paradigm and the RF classifier paradigm is suggested using an innovative ensemble classifier that relies on the game theory method. When compared with the current models, the ensemble technique considerably increases the pancreatic cancer classification accuracy and yields exceptional performance. The study improves the categorization of pancreatic cancer by using game theory, a mathematical paradigm that simulates strategic interactions. Because game theory has been not frequently used in the discipline of cancer categorization, this research is distinctive in its methodology.

Healthcare As a Service (HAAS): CNN-based cloud computing model for ubiquitous access to lung cancer diagnosis

The field of automated lung cancer diagnosis using Computed Tomography (CT) scans has been significantly advanced by the precise predictions offered by Convolutional Neural Network (CNN)-based classifiers. Critical areas of study include improving image quality, optimizing learning algorithms, and enhancing diagnostic accuracy. To facilitate a seamless transition from research laboratories to real-world applications, it is crucial to improve the technology's usability-a factor often neglected in current state-of-the-art research. Yet, current state-of-the-art research in this field frequently overlooks the need for expediting this process. This paper introduces Healthcare-As-A-Service (HAAS), an innovative concept inspired by Software-As-A-Service (SAAS) within the cloud computing paradigm. As a comprehensive lung cancer diagnosis service system, HAAS has the potential to reduce lung cancer mortality rates by providing early diagnosis opportunities to everyone. We present HAASNet, a cloud-compatible CNN that boasts an accuracy rate of 96.07%. By integrating HAASNet predictions with physio-symptomatic data from the Internet of Medical Things (IoMT), the proposed HAAS model generates accurate and reliable lung cancer diagnosis reports. Leveraging IoMT and cloud technology, the proposed service is globally accessible via the Internet, transcending geographic boundaries. This groundbreaking lung cancer diagnosis service achieves average precision, recall, and F1-scores of 96.47%, 95.39%, and 94.81%, respectively.

A comprehensive analysis of recent advancements in cancer detection using machine learning and deep learning models for improved diagnostics

PURPOSE

There are millions of people who lose their life due to several types of fatal diseases. Cancer is one of the most fatal diseases which may be due to obesity, alcohol consumption, infections, ultraviolet radiation, smoking, and unhealthy lifestyles. Cancer is abnormal and uncontrolled tissue growth inside the body which may be spread to other body parts other than where it has originated. Hence it is very much required to diagnose the cancer at an early stage to provide correct and timely treatment. Also, manual diagnosis and diagnostic error may cause of the death of many patients hence much research are going on for the automatic and accurate detection of cancer at early stage.

METHODS

In this paper, we have done the comparative analysis of the diagnosis and recent advancement for the detection of various cancer types using traditional machine learning (ML) and deep learning (DL) models. In this study, we have included four types of cancers, brain, lung, skin, and breast and their detection using ML and DL techniques. In extensive review we have included a total of 130 pieces of literature among which 56 are of ML-based and 74 are from DL-based cancer detection techniques. Only the peer reviewed research papers published in the recent 5-year span (2018-2023) have been included for the analysis based on the parameters, year of publication, feature utilized, best model, dataset/images utilized, and best accuracy. We have reviewed ML and DL-based techniques for cancer detection separately and included accuracy as the performance evaluation metrics to maintain the homogeneity while verifying the classifier efficiency.

RESULTS

Among all the reviewed literatures, DL techniques achieved the highest accuracy of 100%, while ML techniques achieved 99.89%. The lowest accuracy achieved using DL and ML approaches were 70% and 75.48%, respectively. The difference in accuracy between the highest and lowest performing models is about 28.8% for skin cancer detection. In addition, the key findings, and challenges for each type of cancer detection using ML and DL techniques have been presented. The comparative analysis between the best performing and worst performing models, along with overall key findings and challenges, has been provided for future research purposes. Although the analysis is based on accuracy as the performance metric and various parameters, the results demonstrate a significant scope for improvement in classification efficiency.

CONCLUSION

The paper concludes that both ML and DL techniques hold promise in the early detection of various cancer types. However, the study identifies specific challenges that need to be addressed for the widespread implementation of these techniques in clinical settings. The presented results offer valuable guidance for future research in cancer detection, emphasizing the need for continued advancements in ML and DL-based approaches to improve diagnostic accuracy and ultimately save more lives.

Advanced slime mould algorithm incorporating differential evolution and Powell mechanism for engineering design

The slime mould algorithm (SMA) is a population-based swarm intelligence optimization algorithm that simulates the oscillatory foraging behavior of slime moulds. To overcome its drawbacks of slow convergence speed and premature convergence, this paper proposes an improved algorithm named PSMADE, which integrates the differential evolution algorithm (DE) and the Powell mechanism. PSMADE utilizes crossover and mutation operations of DE to enhance individual diversity and improve global search capability. Additionally, it incorporates the Powell mechanism with a taboo table to strengthen local search and facilitate convergence toward better solutions. The performance of PSMADE is evaluated by comparing it with 14 metaheuristic algorithms (MA) and 15 improved MAs on the CEC 2014 benchmarks, as well as solving four constrained real-world engineering problems. Experimental results demonstrate that PSMADE effectively compensates for the limitations of SMA and exhibits outstanding performance in solving various complex problems, showing potential as an effective problem-solving tool.

Face Image Segmentation Using Boosted Grey Wolf Optimizer

Image segmentation methods have received widespread attention in face image recognition, which can divide each pixel in the image into different regions and effectively distinguish the face region from the background for further recognition. Threshold segmentation, a common image segmentation method, suffers from the problem that the computational complexity shows exponential growth with the increase in the segmentation threshold level. Therefore, in order to improve the segmentation quality and obtain the segmentation thresholds more efficiently, a multi-threshold image segmentation framework based on a meta-heuristic optimization technique combined with Kapur's entropy is proposed in this study. A meta-heuristic optimization method based on an improved grey wolf optimizer variant is proposed to optimize the 2D Kapur's entropy of the greyscale and nonlocal mean 2D histograms generated by image computation. In order to verify the advancement of the method, experiments compared with the state-of-the-art method on IEEE CEC2020 and face image segmentation public dataset were conducted in this paper. The proposed method has achieved better results than other methods in various tests at 18 thresholds with an average feature similarity of 0.8792, an average structural similarity of 0.8532, and an average peak signal-to-noise ratio of 24.9 dB. It can be used as an effective tool for face segmentation.

An enhanced decision-making framework for predicting future trends of sharing economy

This work aims to provide a reliable and intelligent prediction model for future trends in sharing economy. Moreover, it presents valuable insights for decision-making and policy development by relevant governmental bodies. Furthermore, the study introduces a predictive system that incorporates an enhanced Harris Hawk Optimization (HHO) algorithm and a K-Nearest Neighbor (KNN) forecasting framework. The method utilizes an improved simulated annealing mechanism and a Gaussian bare bone structure to improve the original HHO, termed SGHHO. To achieve optimal prediction performance and identify essential features, a refined simulated annealing mechanism is employed to mitigate the susceptibility of the original HHO algorithm to local optima. The algorithm employs a mechanism that boosts its global search ability by generating fresh solution sets at a specific likelihood. This mechanism dynamically adjusts the equilibrium between the exploration and exploitation phases, incorporating the Gaussian bare bone strategy. The best classification model (SGHHO-KNN) is developed to mine the key features with the improvement of both strategies. To assess the exceptional efficacy of the SGHHO algorithm, this investigation conducted a series of comparative trials employing the function set of IEEE CEC 2014. The outcomes of these experiments unequivocally demonstrate that the SGHHO algorithm outperforms the original HHO algorithm on 96.7% of the functions, substantiating its remarkable superiority. The algorithm can achieve the optimal value of the function on 67% of the tested functions and significantly outperforms other competing algorithms. In addition, the key features selected by the SGHHO-KNN model in the prediction experiment, including " Form of sharing economy in your region " and " Attitudes to the sharing economy ", are important for predicting the future trends of the sharing economy in this study. The results of the prediction demonstrate that the proposed model achieves an accuracy rate of 99.70% and a specificity rate of 99.38%. Consequently, the SGHHO-KNN model holds great potential as a reliable tool for forecasting the forthcoming trajectory of the sharing economy.

Synergizing the enhanced RIME with fuzzy K-nearest neighbor for diagnose of pulmonary hypertension

Pulmonary hypertension (PH) is an uncommon yet severe condition characterized by sustained elevation of blood pressure in the pulmonary arteries. The delaying treatment can result in disease progression, right ventricular failure, increased risk of complications, and even death. Early recognition and timely treatment are crucial in halting PH progression, improving cardiac function, and reducing complications. Within this study, we present a highly promising hybrid model, known as bERIME_FKNN, which constitutes a feature selection approach integrating the enhanced rime algorithm (ERIME) and fuzzy K-nearest neighbor (FKNN) technique. The ERIME introduces the triangular game search strategy, which augments the algorithm's capacity for global exploration by judiciously electing distinct search agents across the exploratory domain. This approach fosters both competitive rivalry and collaborative synergy among these agents. Moreover, an random follower search strategy is incorporated to bestow a novel trajectory upon the principal search agent, thereby enriching the spectrum of search directions. Initially, ERIME is meticulously compared to 11 state-of-the-art algorithms using the IEEE CEC2017 benchmark functions across diverse dimensionalities such as 10, 30, 50, and 100, ultimately validating its exceptional optimization capability within the model. Subsequently, employing the color moment and grayscale co-occurrence matrix methodologies, a total of 118 features are extracted from 63 PH patients' and 60 healthy individuals' images, alongside an analysis of 14,514 recordings obtained from these patients utilizing the developed bERIME_FKNN model. The outcomes manifest that the bERIME_FKNN model exhibits a conspicuous prowess in the realm of PH classification, attaining an accuracy and specificity exceeding 99%. This implies that the model serves as a valuable computer-aided tool, delivering an advanced warning system for diagnosis and prognosis evaluation of PH.

Classification of lung cancer computed tomography images using a 3-dimensional deep convolutional neural network with multi-layer filter

Lung cancer creates pulmonary nodules in the patient's lung, which may be diagnosed early on using computer-aided diagnostics. A novel automated pulmonary nodule diagnosis technique using three-dimensional deep convolutional neural networks and multi-layered filter has been presented in this paper. For the suggested automated diagnosis of lung nodule, volumetric computed tomographic images are employed. The proposed approach generates three-dimensional feature layers, which retain the temporal links between adjacent slices of computed tomographic images. The use of several activation functions at different levels of the proposed network results in increased feature extraction and efficient classification. The suggested approach divides lung volumetric computed tomography pictures into malignant and benign categories. The suggested technique's performance is evaluated using three commonly used datasets in the domain: LUNA 16, LIDC-IDRI, and TCIA. The proposed method outperforms the state-of-the-art in terms of accuracy, sensitivity, specificity, F-1 score, false-positive rate, false-negative rate, and error rate.

FP-CNN: Fuzzy pooling-based convolutional neural network for lung ultrasound image classification with explainable AI

The COVID-19 pandemic wreaks havoc on healthcare systems all across the world. In pandemic scenarios like COVID-19, the applicability of diagnostic modalities is crucial in medical diagnosis, where non-invasive ultrasound imaging has the potential to be a useful biomarker. This research develops a computer-assisted intelligent methodology for ultrasound lung image classification by utilizing a fuzzy pooling-based convolutional neural network FP-CNN with underlying evidence of particular decisions. The fuzzy-pooling method finds better representative features for ultrasound image classification. The FPCNN model categorizes ultrasound images into one of three classes: covid, disease-free (normal), and pneumonia. Explanations of diagnostic decisions are crucial to ensure the fairness of an intelligent system. This research has used Shapley Additive Explanation (SHAP) to explain the prediction of the FP-CNN models. The prediction of the black-box model is illustrated using the SHAP explanation of the intermediate layers of the black-box model. To determine the most effective model, we have tested different state-of-the-art convolutional neural network architectures with various training strategies, including fine-tuned models, single-layer fuzzy pooling models, and fuzzy pooling at all pooling layers. Among different architectures, the Xception model with all pooling layers having fuzzy pooling achieves the best classification results of 97.2% accuracy. We hope our proposed method will be helpful for the clinical diagnosis of covid-19 from lung ultrasound (LUS) images.

An optimized machine learning model for predicting hospitalization for COVID-19 infection in the maintenance dialysis population

COVID-19 has a high rate of infection in dialysis patients and poses a serious risk to human health. Currently, there are no dialysis centers in China that have analyzed the prevalence of COVID-19 infection in dialysis patients and the mortality rate. Although machine learning-based disease prediction methods have proven to be effective, redundant attributes in the data and the interpretability of the predictive models are still worth investigating. Therefore, this paper proposed a wrapper feature selection classification model to achieve the prediction of the risk of COVID-19 infection in dialysis patients. The method was used to optimize the feature set of the sample through an enhanced JAYA optimization algorithm based on the dispersed foraging strategy and the greedy levy mutation strategy. Then, the proposed method combines fuzzy K-nearest neighbor for classification prediction. IEEE CEC2014 benchmark function experiments as well as prediction experiments on the uremia dataset are used to validate the proposed model. The experimental results showed that the proposed method has a high prediction accuracy of 95.61% for the prevalence risk of COVID-19 infection in dialysis patients. Furthermore, it was shown that proalbumin, CRP, direct bilirubin, hemoglobin, albumin, and phosphorus are of great value for clinical diagnosis. Therefore, the proposed method can be considered as a promising method.

Anti-sine-cosine atom search optimization (ASCASO): a novel approach for parameter estimation of PV models

Nowadays, solar power generation has gradually become a part of electric energy sharing. How to effectively enhance the energy conversion efficiency of solar cells and components has gradually emerged as a focal point of research. This paper presents a boosted atomic search optimization (ASO) with a new anti-sine-cosine mechanism (ASCASO) to realize the parameter estimation of photovoltaic (PV) models. The anti-sine-cosine mechanism is inspired by the update principle of sine cosine algorithm (SCA) and the mutation strategy of linear population size reduction adaptive differential evolution (LSHADE). The working principle of anti-sine-cosine mechanism is to utilize two mutation formulas containing arcsine and arccosine functions to further update the position of atoms. The introduction of anti-sine-cosine mechanism achieves the populations' random handover and promotes the neighbors' information communication. For better evaluation, the proposed ASCASO is devoted to estimate parameters of three PV models of R.T.C France, one Photowat-PWP201 PV module model, and two commercial polycrystalline PV panels including STM6-40/36 and STM6-120/36 with monocrystalline cells. The proposed ASCASO is compared with nine reported comparative algorithms to assess the performance. The results of parameter estimation for different PV models of various methods demonstrate that ASCASO performs more accurately and reliably than other reported comparative methods. Thus, ASCASO can be considered a highly effective approach for accurately estimating the parameters of PV models.

Multi-omics immune regulatory mechanisms in lung adenocarcinoma metastasis and survival time

Lung adenocarcinoma (LUAD) is the most common type of lung cancer. Despite previous research on immune mechanisms and related molecules in LUAD, the specific regulatory mechanisms of these molecules in the immune microenvironment remain unclear. Furthermore, the impact of regulatory genes or RNA on LUAD metastasis and survival time is yet to be understood. To address these gaps, we collected a substantial amount of data, including 17,226 gene expression profiles from 1,018 samples, 370,640 methylation sites from 461 samples, and 248 miRNAs from 513 samples. Our aim was to explore the genes, miRNAs, and methylation sites associated with LUAD progression. Leveraging the regulatory functions of miRNAs and methylation sites, we identified target and regulated genes. Through the utilization of LASSO and survival analysis, we pinpointed 22 key genes that play pivotal roles in the immune regulatory mechanism of LUAD. Notably, the expression levels of these 22 genes demonstrated significant discriminatory power in predicting LUAD patient survival time. Additionally, our deep learning model accurately predicted distant metastasis in LUAD patients using the expression levels of these genes. Further pathway enrichment analysis revealed that these 22 genes are significantly enriched in pathways closely linked to LUAD progression. Through Immune Infiltration Assay, we observed that T cell CD4 memory resting, monocytes, and macrophages.M2 were the three most abundant cell types in the immune microenvironment of LUAD. These cells are known to play crucial roles in tumor growth, invasion, and metastasis. Single-cell data analysis further validated the functional significance of these genes, indicating their involvement not only in immune cells but also in epithelial cells, showcasing significant differential expression. Overall, this study sheds light on the regulatory mechanisms underlying the immune microenvironment of LUAD by identifying key genes associated with LUAD progression. The findings provide insights into potential prognostic markers and therapeutic targets.

Classification of metastatic hepatic carcinoma and hepatocellular carcinoma lesions using contrast-enhanced CT based on EI-CNNet

BACKGROUND

For hepatocellular carcinoma and metastatic hepatic carcinoma, imaging is one of the main diagnostic methods. In clinical practice, diagnosis mainly relied on experienced imaging physicians, which was inefficient and cannot met the demand for rapid and accurate diagnosis. Therefore, how to efficiently and accurately classify the two types of liver cancer based on imaging is an urgent problem to be solved at present.

PURPOSE

The purpose of this study was to use the deep learning classification model to help radiologists classify the single metastatic hepatic carcinoma and hepatocellular carcinoma based on the enhanced features of enhanced CT (Computer Tomography) portal phase images of the liver site.

METHODS

In this retrospective study, 52 patients with metastatic hepatic carcinoma and 50 patients with hepatocellular carcinoma were among the patients who underwent preoperative enhanced CT examinations from 2017-2020. A total of 565 CT slices from these patients were used to train and validate the classification network (EI-CNNet, training/validation: 452/113). First, the EI block was used to extract edge information from CT slices to enrich fine-grained information and classify them. Then, ROC (Receiver Operating Characteristic) curve was used to evaluate the performance, accuracy, and recall of the EI-CNNet. Finally, the classification results of EI-CNNet were compared with popular classification models.

RESULTS

By utilizing 80% data for model training and 20% data for model validation, the average accuracy of this experiment was 98.2% ± 0.62 (mean ± standard deviation (SD)), the recall rate was 97.23% ± 2.77, the precision rate was 98.02% ± 2.07, the network parameters were 11.83 MB, and the validation time was 9.83 s/sample. The classification accuracy was improved by 20.98% compared to the base CNN network and the validation time was 10.38 s/sample. Compared with other classification networks, the InceptionV3 network showed improved classification results, but the number of parameters was increased and the validation time was 33 s/sample, and the classification accuracy was improved by 6.51% using this method.

CONCLUSION

EI-CNNet demonstrated promised diagnostic performance and has potential to reduce the workload of radiologists and may help distinguish whether the tumor is primary or metastatic in time; otherwise, it may be missed or misjudged.

Improved Colony Predation Algorithm Optimized Convolutional Neural Networks for Electrocardiogram Signal Classification

Recently, swarm intelligence algorithms have received much attention because of their flexibility for solving complex problems in the real world. Recently, a new algorithm called the colony predation algorithm (CPA) has been proposed, taking inspiration from the predatory habits of groups in nature. However, CPA suffers from poor exploratory ability and cannot always escape solutions known as local optima. Therefore, to improve the global search capability of CPA, an improved variant (OLCPA) incorporating an orthogonal learning strategy is proposed in this paper. Then, considering the fact that the swarm intelligence algorithm can go beyond the local optimum and find the global optimum solution, a novel OLCPA-CNN model is proposed, which uses the OLCPA algorithm to tune the parameters of the convolutional neural network. To verify the performance of OLCPA, comparison experiments are designed to compare with other traditional metaheuristics and advanced algorithms on IEEE CEC 2017 benchmark functions. The experimental results show that OLCPA ranks first in performance compared to the other algorithms. Additionally, the OLCPA-CNN model achieves high accuracy rates of 97.7% and 97.8% in classifying the MIT-BIH Arrhythmia and European ST-T datasets.

Automated classification of urine biomarkers to diagnose pancreatic cancer using 1-D convolutional neural networks

BACKGROUND

Early diagnosis of Pancreatic Ductal Adenocarcinoma (PDAC) is the main key to surviving cancer patients. Urine proteomic biomarkers which are creatinine, LYVE1, REG1B, and TFF1 present a promising non-invasive and inexpensive diagnostic method of the PDAC. Recent utilization of both microfluidics technology and artificial intelligence techniques enables accurate detection and analysis of these biomarkers. This paper proposes a new deep-learning model to identify urine biomarkers for the automated diagnosis of pancreatic cancers. The proposed model is composed of one-dimensional convolutional neural networks (1D-CNNs) and long short-term memory (LSTM). It can categorize patients into healthy pancreas, benign hepatobiliary disease, and PDAC cases automatically.

RESULTS

Experiments and evaluations have been successfully done on a public dataset of 590 urine samples of three classes, which are 183 healthy pancreas samples, 208 benign hepatobiliary disease samples, and 199 PDAC samples. The results demonstrated that our proposed 1-D CNN + LSTM model achieved the best accuracy score of 97% and the area under curve (AUC) of 98% versus the state-of-the-art models to diagnose pancreatic cancers using urine biomarkers.

CONCLUSION

A new efficient 1D CNN-LSTM model has been successfully developed for early PDAC diagnosis using four proteomic urine biomarkers of creatinine, LYVE1, REG1B, and TFF1. This developed model showed superior performance on other machine learning classifiers in previous studies. The main prospect of this study is the laboratory realization of our proposed deep classifier on urinary biomarker panels for assisting diagnostic procedures of pancreatic cancer patients.

Glucose metabolism continuous deteriorating in male patients with human immunodeficiency virus accepted antiretroviral therapy for 156 weeks

BACKGROUND

The dynamic characteristics of glucose metabolism and its risk factors in patients living with human immunodeficiency virus (PLWH) who accepted primary treatment with the efavirenz (EFV) plus lamivudine (3TC) plus tenofovir (TDF) (EFV + 3TC + TDF) regimen are unclear and warrant investigation.

AIM

To study the long-term dynamic characteristics of glucose metabolism and its contributing factors in male PLWH who accepted primary treatment with the EFV + 3TC + TDF regimen for 156 wk.

METHODS

This study was designed using a follow-up design. Sixty-one male treatment-naive PLWH, including 50 cases with normal glucose tolerance and 11 cases with prediabetes, were treated with the EFV + 3TC + TDF regimen for 156 wk. The glucose metabolism dynamic characteristics, the main risk factors and the differences among the three CD4+ count groups were analyzed.

RESULTS

In treatment-naive male PLWH, regardless of whether glucose metabolism disorder was present at baseline, who accepted treatment with the EFV + 3TC + TDF regimen for 156 wk, a continuous increase in the fasting plasma glucose (FPG) level, the rate of impaired fasting glucose (IFG) and the glycosylated hemoglobin (HbA1c) level were found. These changes were not due to insulin resistance but rather to significantly reduced islet β cell function, according to the homeostasis model assessment of β cell function (HOMA-β). Moreover, the lower the baseline CD4+ T-cell count was, the higher the FPG level and the lower the HOMA-β value. Furthermore, the main risk factors for the FPG levels were the CD3+CD8+ cell count and viral load (VL), and the factors contributing to the HOMA-β values were the alanine aminotransferase level, VL and CD3+CD8+ cell count.

CONCLUSION

These findings provide guidance to clinicians who are monitoring FPG levels closely and are concerned about IFG and decreased islet β cell function during antiretroviral therapy with the EFV + 3TC + TDF regimen for long-term application.

Sadiq A, Farhan AK. Optimization System Based on Convolutional Neural Network and Internet of Medical Things for Early Diagnosis of Lung Cancer

Recently, deep learning and the Internet of Things (IoT) have been widely used in the healthcare monitoring system for decision making. Disease prediction is one of the emerging applications in current practices. In the method described in this paper, lung cancer prediction is implemented using deep learning and IoT, which is a challenging task in computer-aided diagnosis (CAD). Because lung cancer is a dangerous medical disease that must be identified at a higher detection rate, disease-related information is obtained from IoT medical devices and transmitted to the server. The medical data are then processed and classified into two categories, benign and malignant, using a multi-layer CNN (ML-CNN) model. In addition, a particle swarm optimization method is used to improve the learning ability (loss and accuracy). This step uses medical data (CT scan and sensor information) based on the Internet of Medical Things (IoMT). For this purpose, sensor information and image information from IoMT devices and sensors are gathered, and then classification actions are taken. The performance of the proposed technique is compared with well-known existing methods, such as the Support Vector Machine (SVM), probabilistic neural network (PNN), and conventional CNN, in terms of accuracy, precision, sensitivity, specificity, F-score, and computation time. For this purpose, two lung datasets were tested to evaluate the performance: Lung Image Database Consortium (LIDC) and Linear Imaging and Self-Scanning Sensor (LISS) datasets. Compared to alternative methods, the trial outcomes showed that the suggested technique has the potential to help the radiologist make an accurate and efficient early lung cancer diagnosis. The performance of the proposed ML-CNN was analyzed using Python, where the accuracy (2.5–10.5%) was high when compared to the number of instances, precision (2.3–9.5%) was high when compared to the number of instances, sensitivity (2.4–12.5%) was high when compared to several instances, the F-score (2–30%) was high when compared to the number of cases, the error rate (0.7–11.5%) was low compared to the number of cases, and the computation time (170 ms to 400 ms) was low compared to how many cases were computed for the proposed work, including previous known methods. The proposed ML-CNN architecture shows that this technique outperforms previous works.

Medical Image Classifications for 6G IoT-Enabled Smart Health Systems

As day-to-day-generated data become massive in the 6G-enabled Internet of medical things (IoMT), the process of medical diagnosis becomes critical in the healthcare system. This paper presents a framework incorporated into the 6G-enabled IoMT to improve prediction accuracy and provide a real-time medical diagnosis. The proposed framework integrates deep learning and optimization techniques to render accurate and precise results. The medical computed tomography images are preprocessed and fed into an efficient neural network designed for learning image representations and converting each image to a feature vector. The extracted features from each image are then learned using a MobileNetV3 architecture. Furthermore, we enhanced the performance of the arithmetic optimization algorithm (AOA) based on the hunger games search (HGS). In the developed method, named AOAHG, the operators of the HGS are applied to enhance the AOA's exploitation ability while allocating the feasible region. The developed AOAG selects the most relevant features and ensures the overall model classification improvement. To assess the validity of our framework, we conducted evaluation experiments on four datasets, including ISIC-2016 and PH2 for skin cancer detection, white blood cell (WBC) detection, and optical coherence tomography (OCT) classification, using different evaluation metrics. The framework showed remarkable performance compared to currently existing methods in the literature. In addition, the developed AOAHG provided results better than other FS approaches according to the obtained accuracy, precision, recall, and F1-score as performance measures. For example, AOAHG had 87.30%, 96.40%, 88.60%, and 99.69% for the ISIC, PH2, WBC, and OCT datasets, respectively.

Multi-Layered Non-Local Bayes Model for Lung Cancer Early Diagnosis Prediction with the Internet of Medical Things

The Internet of Things (IoT) has been influential in predicting major diseases in current practice. The deep learning (DL) technique is vital in monitoring and controlling the functioning of the healthcare system and ensuring an effective decision-making process. In this study, we aimed to develop a framework implementing the IoT and DL to identify lung cancer. The accurate and efficient prediction of disease is a challenging task. The proposed model deploys a DL process with a multi-layered non-local Bayes (NL Bayes) model to manage the process of early diagnosis. The Internet of Medical Things (IoMT) could be useful in determining factors that could enable the effective sorting of quality values through the use of sensors and image processing techniques. We studied the proposed model by analyzing its results with regard to specific attributes such as accuracy, quality, and system process efficiency. In this study, we aimed to overcome problems in the existing process through the practical results of a computational comparison process. The proposed model provided a low error rate (2%, 5%) and an increase in the number of instance values. The experimental results led us to conclude that the proposed model can make predictions based on images with high sensitivity and better precision values compared to other specific results. The proposed model achieved the expected accuracy (81%, 95%), the expected specificity (80%, 98%), and the expected sensitivity (80%, 99%). This model is adequate for real-time health monitoring systems in the prediction of lung cancer and can enable effective decision-making with the use of DL techniques.

A Review of Emerging Technologies for IoT-Based Smart Cities

Smart cities can be complemented by fusing various components and incorporating recent emerging technologies. IoT communications are crucial to smart city operations, which are designed to support the concept of a "Smart City" by utilising the most cutting-edge communication technologies to enhance city administration and resident services. Smart cities have been outfitted with numerous IoT-based gadgets; the Internet of Things is a modular method to integrate various sensors with all ICT technologies. This paper provides an overview of smart cities' concepts, characteristics, and applications. We thoroughly investigate smart city applications, challenges, and possibilities with solutions in recent technological trends and perspectives, such as machine learning and blockchain. We discuss cloud and fog IoT ecosystems in the in capacity of IoT devices, architectures, and machine learning approaches. In addition we integrate security and privacy aspects, including blockchain applications, towards more trustworthy and resilient smart cities. We also highlight the concepts, characteristics, and applications of smart cities and provide a conceptual model of the smart city mega-events framework. Finally, we outline the impact of recent emerging technologies' implications on challenges, applications, and solutions for futuristic smart cities.

A novel Parametric Flatten-p Mish activation function based deep CNN model for brain tumor classification

The brain tumor is one of the deadliest diseases of all cancers. Influenced by the recent developments of convolutional neural networks (CNNs) in medical imaging, we have formed a CNN based model called BMRI-Net for brain tumor classification. As the activation function is one of the important modules of CNN, we have proposed a novel parametric activation function named Parametric Flatten-p Mish (PFpM) to improve the performance. PFpM can tackle the significant disadvantages of the pre-existing activation functions like neuron death and bias shift effect. The parametric approach of PFpM also offers the model some extra flexibility to learn the complex patterns more accurately from the data. To validate our proposed methodology, we have used two brain tumor datasets namely Figshare and Br35H. We have compared the performance of our model with state-of-the-art deep CNN models like DenseNet201, InceptionV3, MobileNetV2, ResNet50 and VGG19. Further, the comparative performance of PFpM has been presented with various activation functions like ReLU, Leaky ReLU, GELU, Swish and Mish. We have performed record-wise and subject-wise (patient-level) experiments for Figshare dataset whereas only record-wise experiments have been performed in case of Br35H dataset due to unavailability of subject-wise information. Further, the model has been validated using hold-out and 5-fold cross-validation techniques. On Figshare dataset, our model has achieved 99.57% overall accuracy with hold-out validation and 98.45% overall accuracy with 5-fold cross validation in case of record-wise data split. On the other hand, the model has achieved 97.91% overall accuracy with hold-out validation and 97.26% overall accuracy with 5-fold cross validation in case of subject-wise data split. Similarly, for Br35H dataset, our model has attained 99% overall accuracy with hold-out validation and 98.33% overall accuracy with 5-fold cross validation using record-wise data split. Hence, our findings can introduce a secondary procedure in the clinical diagnosis of brain tumors.

Open Source Repository and Online Calculator of Prediction Models for Diagnosis and Prognosis in Oncology

(1) Background: The main aim was to develop a prototype application that would serve as an open-source repository for a curated subset of predictive and prognostic models regarding oncology, and provide a user-friendly interface for the included models to allow online calculation. The focus of the application is on providing physicians and health professionals with patient-specific information regarding treatment plans, survival rates, and side effects for different expected treatments. (2) Methods: The primarily used models were the ones developed by our research group in the past. This selection was completed by a number of models, addressing the same cancer types but focusing on other outcomes that were selected based on a literature search in PubMed and Medline databases. All selected models were publicly available and had been validated TRIPOD (Transparent Reporting of studies on prediction models for Individual Prognosis Or Diagnosis) type 3 or 2b. (3) Results: The open source repository currently incorporates 18 models from different research groups, evaluated on datasets from different countries. Model types included logistic regression, Cox regression, and recursive partition analysis (decision trees). (4) Conclusions: An application was developed to enable physicians to complement their clinical judgment with user-friendly patient-specific predictions using models that have received internal/external validation. Additionally, this platform enables researchers to display their work, enhancing the use and exposure of their models.

Novel Internet of Things based approach toward diabetes prediction using deep learning models

The integration of the Internet of Things with machine learning in different disciplines has benefited from recent technological advancements. In medical IoT, the fusion of these two disciplines can be extremely beneficial as it allows the creation of a receptive and interconnected environment and offers a variety of services to medical professionals and patients. Doctors can make early decisions to save a patient's life when disease forecasts are made early. IoT sensor captures the data from the patients, and machine learning techniques are used to analyze the data and predict the presence of the fatal disease i.e., diabetes. The goal of this research is to make a smart patient's health monitoring system based on machine learning that helps to detect the presence of a chronic disease in patient early and accurately. For the implementation, the diabetic dataset has been used. In order to detect the presence of the fatal disease, six different machine learning techniques are used i.e., Support Vector Machine (SVM), Logistic Regression, Artificial Neural Network (ANN), Convolutional Neural Network (CNN), Recurrent Neural Network (RNN), and Long Short-Term Memory (LSTM). The performance of the proposed model is evaluated by using four evaluation metrics i.e., accuracy, precision, recall, and F1-Score. The RNN outperformed remaining algorithms in terms of accuracy (81%), precision (75%), and F1-Score (65%). However, the recall (56%) for ANN was higher as compared to SVM and logistic regression, CNN, RNN, and LSTM. With the help of this proposed patient's health monitoring system, doctors will be able to diagnose the presence of the disease earlier.

TG-Net: Combining transformer and GAN for nasopharyngeal carcinoma tumor segmentation based on total-body uEXPLORER PET/CT scanner

Nasopharyngeal carcinoma (NPC) is a malignant tumor, and the main treatment is radiotherapy. Accurate delineation of the target tumor is essential for radiotherapy of NPC. NPC tumors are small in size and vary widely in shape and structure, making it a time-consuming and laborious task for even experienced radiologists to manually outline tumors. However, the segmentation performance of current deep learning models is not satisfactory, mainly manifested by poor segmentation boundaries. To solve this problem, this paper proposes a segmentation method for nasopharyngeal carcinoma based on dynamic PET-CT image data, whose input data include CT, PET, and parametric images (Ki images). This method uses a generative adversarial network with a modified UNet integrated with a Transformer as the generator (TG-Net) to achieve automatic segmentation of NPC on combined CT-PET-Ki images. In the coding stage, TG-Net uses moving windows to replace traditional pooling operations to obtain patches of different sizes, which can reduce information loss in the coding process. Moreover, the introduction of Transformer can make the network learn more representative features and improve the discriminant ability of the model, especially for tumor boundaries. Finally, the results of fivefold cross validation with an average Dice similarity coefficient score of 0.9135 show that our method has good segmentation performance. Comparative experiments also show that our network structure is superior to the most advanced methods in the segmentation of NPC. In addition, this work is the first to use Ki images to assist tumor segmentation. We also demonstrated the usefulness of adding Ki images to aid in tumor segmentation.