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Binson VA, Thomas S, Subramoniam M, Arun J, Naveen S, Madhu S. A Review of Machine Learning Algorithms for Biomedical Applications. Ann Biomed Eng 2024; 52:1159-1183. [PMID: 38383870 DOI: 10.1007/s10439-024-03459-3] [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: 12/30/2023] [Accepted: 01/24/2024] [Indexed: 02/23/2024]
Abstract
As the amount and complexity of biomedical data continue to increase, machine learning methods are becoming a popular tool in creating prediction models for the underlying biomedical processes. Although all machine learning methods aim to fit models to data, the methodologies used can vary greatly and may seem daunting at first. A comprehensive review of various machine learning algorithms per biomedical applications is presented. The key concepts of machine learning are supervised and unsupervised learning, feature selection, and evaluation metrics. Technical insights on the major machine learning methods such as decision trees, random forests, support vector machines, and k-nearest neighbors are analyzed. Next, the dimensionality reduction methods like principal component analysis and t-distributed stochastic neighbor embedding methods, and their applications in biomedical data analysis were reviewed. Moreover, in biomedical applications predominantly feedforward neural networks, convolutional neural networks, and recurrent neural networks are utilized. In addition, the identification of emerging directions in machine learning methodology will serve as a useful reference for individuals involved in biomedical research, clinical practice, and related professions who are interested in understanding and applying machine learning algorithms in their research or practice.
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Affiliation(s)
- V A Binson
- Department of Electronics Engineering, Saintgits College of Engineering, Kottayam, India
| | - Sania Thomas
- Department of Computer Science and Engineering, Saintgits College of Engineering, Kottayam, India
| | - M Subramoniam
- Department of Electronics Engineering, Sathyabama Institute of Science and Technology, Chennai, Tamil Nadu, India
| | - J Arun
- Centre for Waste Management-International Research Centre, Sathyabama Institute of Science and Technology, Chennai, 600119, India
| | - S Naveen
- Department of Automobile Engineering, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - S Madhu
- Department of Automobile Engineering, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.
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2
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Özen F. Random forest regression for prediction of Covid-19 daily cases and deaths in Turkey. Heliyon 2024; 10:e25746. [PMID: 38370220 PMCID: PMC10869860 DOI: 10.1016/j.heliyon.2024.e25746] [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: 12/22/2023] [Revised: 01/18/2024] [Accepted: 02/01/2024] [Indexed: 02/20/2024] Open
Abstract
During pandemic periods, there is an intense flow of patients to hospitals. Depending on the disease, many patients may require hospitalization. In some cases, these patients must be taken to intensive care units and emergency interventions must be performed. However, finding a sufficient number of hospital beds or intensive care units during pandemic periods poses a big problem. In these periods, fast and effective planning is more important than ever. Another problem experienced during pandemic periods is the burial of the dead in case the number of deaths increases. This is also a situation that requires due planning. We can learn some lessons from Covid 19 pandemic and be prepared for the future ones. In this paper, statistical properties of the daily cases and daily deaths in Turkey, which is one of the most affected countries by the pandemic in the World, are studied. It is found that the characteristics are nonstationary. Then, random forest regression is applied to predict Covid-19 daily cases and deaths. In addition, seven other machine learning models, namely bagging, AdaBoost, gradient boosting, XGBoost, decision tree, LSTM and ARIMA regressors are built for comparison. The performance of the models are measured using accuracy, coefficient of variation, root-mean-square score and relative error metrics. When random forest regressors are employed, test data related to daily cases are predicted with an accuracy of 92.30% and with an r2 score of 0.9893. Besides, daily deaths are predicted with an accuracy of 91.39% and with an r2 score of 0.9834. The closest rival in predictions is the bagging regressor. Nevertheless, the results provided by this algoritm changed in different runs and this fact is shown in the study, as well. Comparisons are based on test data. Comparisons with the earlier works are also provided.
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Affiliation(s)
- Figen Özen
- Department of Electrical and Electronics Engineering, Haliç University, Istanbul, Turkey
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3
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Zhang Q, Sheng J, Zhang Q, Wang L, Yang Z, Xin Y. Enhanced Harris hawks optimization-based fuzzy k-nearest neighbor algorithm for diagnosis of Alzheimer's disease. Comput Biol Med 2023; 165:107392. [PMID: 37669585 DOI: 10.1016/j.compbiomed.2023.107392] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 07/30/2023] [Accepted: 08/25/2023] [Indexed: 09/07/2023]
Abstract
In order to stop deterioration and give patients with Alzheimer's disease (AD) early therapy, it is crucial to correctly diagnose AD and its early stage, mild cognitive impairment (MCI). A framework for diagnosing AD is presented in this paper, which includes magnetic resonance imaging (MRI) image preprocessing, feature extraction, and the Fuzzy k-nearest neighbor algorithm (FKNN) model. In particular, the framework's novelty lies in the use of an improved Harris Hawks Optimization (HHO) algorithm named SSFSHHO, which integrates the Sobol sequence and Stochastic Fractal Search (SFS) mechanisms for optimizing the parameters of FKNN. The HHO method improves the quality of the initial population overall by incorporating the Sobol sequence, and the SFS mechanism increases the algorithm's capacity to get out of the local optimum solution. Comparisons with other classical meta-heuristic algorithms, state-of-the-art HHO variants in low and high dimensions, and enhanced meta-heuristic algorithms on 30 typical IEEE CEC2014 benchmark test problems show that the overall performance of SSFSHHO is significantly better than other comparative algorithms. Moreover, the created framework based on the SSFSHHO-FKNN model is employed to classify AD and MCI using MRI scans from the ADNI dataset, achieving high classification performance for 6 representative cases. Experimental findings indicate that the proposed algorithm performs better than a number of high-performance optimization algorithms and classical machine learning algorithms, thus offering a promising approach for AD classification. Additionally, the proposed strategy can successfully identify relevant features and enhance classification performance for AD diagnosis.
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Affiliation(s)
- Qian Zhang
- College of Computer Science and Technology, Hangzhou Dianzi University, Hangzhou, Zhejiang, 310018, China; Key Laboratory of Intelligent Image Analysis for Sensory and Cognitive Health, Ministry of Industry and Information Technology of China, Hangzhou, Zhejiang, 310018, China; School of Data Science and Artificial Intelligence, Wenzhou University of Technology, Wenzhou, Zhejiang, 325035, China
| | - Jinhua Sheng
- College of Computer Science and Technology, Hangzhou Dianzi University, Hangzhou, Zhejiang, 310018, China; Key Laboratory of Intelligent Image Analysis for Sensory and Cognitive Health, Ministry of Industry and Information Technology of China, Hangzhou, Zhejiang, 310018, China.
| | - Qiao Zhang
- Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China
| | - Luyun Wang
- College of Computer Science and Technology, Hangzhou Dianzi University, Hangzhou, Zhejiang, 310018, China; Key Laboratory of Intelligent Image Analysis for Sensory and Cognitive Health, Ministry of Industry and Information Technology of China, Hangzhou, Zhejiang, 310018, China
| | - Ze Yang
- College of Computer Science and Technology, Hangzhou Dianzi University, Hangzhou, Zhejiang, 310018, China; Key Laboratory of Intelligent Image Analysis for Sensory and Cognitive Health, Ministry of Industry and Information Technology of China, Hangzhou, Zhejiang, 310018, China
| | - Yu Xin
- College of Computer Science and Technology, Hangzhou Dianzi University, Hangzhou, Zhejiang, 310018, China; Key Laboratory of Intelligent Image Analysis for Sensory and Cognitive Health, Ministry of Industry and Information Technology of China, Hangzhou, Zhejiang, 310018, China
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4
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Bu S, Zheng H, Chen S, Wu Y, He C, Yang D, Wu C, Zhou Y. An optimized machine learning model for predicting hospitalization for COVID-19 infection in the maintenance dialysis population. Comput Biol Med 2023; 165:107410. [PMID: 37672928 DOI: 10.1016/j.compbiomed.2023.107410] [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: 05/23/2023] [Revised: 08/17/2023] [Accepted: 08/27/2023] [Indexed: 09/08/2023]
Abstract
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.
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Affiliation(s)
- Shuangshan Bu
- Department of Nephrology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
| | - HuanHuan Zheng
- Department of Nephrology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
| | - Shanshan Chen
- Department of Nephrology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
| | - Yuemeng Wu
- Department of Nephrology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
| | - Chenlei He
- Department of Nephrology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
| | - Deshu Yang
- Key Laboratory of Intelligent Informatics for Safety & Emergency of Zhejiang Province, Wenzhou University, Wenzhou, 325035, China.
| | - Chengwen Wu
- Key Laboratory of Intelligent Informatics for Safety & Emergency of Zhejiang Province, Wenzhou University, Wenzhou, 325035, China.
| | - Ying Zhou
- Department of Nephrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325035, China.
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Qureshi AA, Ahmad M, Ullah S, Yasir MN, Rustam F, Ashraf I. Performance evaluation of machine learning models on large dataset of android applications reviews. MULTIMEDIA TOOLS AND APPLICATIONS 2023:1-23. [PMID: 37362743 PMCID: PMC10024295 DOI: 10.1007/s11042-023-14713-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 06/06/2022] [Accepted: 02/04/2023] [Indexed: 06/28/2023]
Abstract
With an ever-increasing number of mobile users, the development of mobile applications (apps) has become a potential market during the past decade. Billions of users download mobile apps for divergent use from Google Play Store, fulfill tasks and leave comments about their experience. Such reviews are replete with a variety of feedback that serves as a guide for the improvement of existing apps and intuition for novel mobile apps. However, application reviews are challenging and very broad to approach. Such reviews, when segregated into different classes guide the user in the selection of suitable apps. This study proposes a framework for analyzing the sentiment of reviews for apps of eight different categories like shopping, sports, casual, etc. A large dataset is scrapped comprising 251661 user reviews with the help of 'Regular Expression' and 'Beautiful Soup'. The framework follows the use of different machine learning models along with the term frequency-inverse document frequency (TF-IDF) for feature extraction. Extensive experiments are performed using preprocessing steps, as well as, the stats feature of app reviews to evaluate the performance of the models. Results indicate that combining the stats feature with TF-IDF shows better performance and the support vector machine obtains the highest accuracy. Experimental results can potentially be used by other researchers to select appropriate models for the analysis of app reviews. In addition, the provided dataset is large, diverse, and balanced with eight categories and 59 app reviews and provides the opportunity to analyze reviews using state-of-the-art approaches.
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Affiliation(s)
- Ali Adil Qureshi
- Department of Computer Science, Khwaja Fareed University of Engineering and Information Technology, Rahim Yar Khan, 64200 Pakistan
| | - Maqsood Ahmad
- Department of Information Security, The Islamia University of Bahawalpur, Bahawalpur, Punjab 63100 Pakistan
| | - Saleem Ullah
- Department of Computer Science, Khwaja Fareed University of Engineering and Information Technology, Rahim Yar Khan, 64200 Pakistan
| | | | - Furqan Rustam
- School of Computer Science, University College Dublin, Belfield, Dublin 4 Ireland
| | - Imran Ashraf
- Information and Communication Engineering, Yeungnam University, Gyeongsan, 38541 Korea
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Li Y, Zhao D, Xu Z, Heidari AA, Chen H, Jiang X, Liu Z, Wang M, Zhou Q, Xu S. bSRWPSO-FKNN: A boosted PSO with fuzzy K-nearest neighbor classifier for predicting atopic dermatitis disease. Front Neuroinform 2023; 16:1063048. [PMID: 36726405 PMCID: PMC9884708 DOI: 10.3389/fninf.2022.1063048] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 12/05/2022] [Indexed: 01/18/2023] Open
Abstract
Introduction Atopic dermatitis (AD) is an allergic disease with extreme itching that bothers patients. However, diagnosing AD depends on clinicians' subjective judgment, which may be missed or misdiagnosed sometimes. Methods This paper establishes a medical prediction model for the first time on the basis of the enhanced particle swarm optimization (SRWPSO) algorithm and the fuzzy K-nearest neighbor (FKNN), called bSRWPSO-FKNN, which is practiced on a dataset related to patients with AD. In SRWPSO, the Sobol sequence is introduced into particle swarm optimization (PSO) to make the particle distribution of the initial population more uniform, thus improving the population's diversity and traversal. At the same time, this study also adds a random replacement strategy and adaptive weight strategy to the population updating process of PSO to overcome the shortcomings of poor convergence accuracy and easily fall into the local optimum of PSO. In bSRWPSO-FKNN, the core of which is to optimize the classification performance of FKNN through binary SRWPSO. Results To prove that the study has scientific significance, this paper first successfully demonstrates the core advantages of SRWPSO in well-known algorithms through benchmark function validation experiments. Secondly, this article demonstrates that the bSRWPSO-FKNN has practical medical significance and effectiveness through nine public and medical datasets. Discussion The 10 times 10-fold cross-validation experiments demonstrate that bSRWPSO-FKNN can pick up the key features of AD, including the content of lymphocytes (LY), Cat dander, Milk, Dermatophagoides Pteronyssinus/Farinae, Ragweed, Cod, and Total IgE. Therefore, the established bSRWPSO-FKNN method practically aids in the diagnosis of AD.
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Affiliation(s)
- Yupeng Li
- College of Computer Science and Technology, Changchun Normal University, Changchun, Jilin, China
| | - Dong Zhao
- College of Computer Science and Technology, Changchun Normal University, Changchun, Jilin, China,*Correspondence: Dong Zhao,
| | - Zhangze Xu
- College of Computer Science and Artificial Intelligence, Wenzhou University, Wenzhou, China
| | - Ali Asghar Heidari
- School of Surveying and Geospatial Engineering, College of Engineering, University of Tehran, Tehran, Iran
| | - Huiling Chen
- College of Computer Science and Artificial Intelligence, Wenzhou University, Wenzhou, China,Huiling Chen,
| | - Xinyu Jiang
- Department of Dermatology, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China,School of Medicine, Ningbo University, Ningbo, Zhejiang, China
| | - Zhifang Liu
- Department of Dermatology, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China,School of Medicine, Ningbo University, Ningbo, Zhejiang, China
| | - Mengmeng Wang
- Department of Dermatology, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China,School of Medicine, Ningbo University, Ningbo, Zhejiang, China
| | - Qiongyan Zhou
- Department of Dermatology, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China
| | - Suling Xu
- Department of Dermatology, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China,Suling Xu,
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7
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Mosa DT, Mahmoud A, Zaki J, Sorour SE, El-Sappagh S, Abuhmed T. Henry gas solubility optimization double machine learning classifier for neurosurgical patients. PLoS One 2023; 18:e0285455. [PMID: 37167226 PMCID: PMC10174516 DOI: 10.1371/journal.pone.0285455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 04/24/2023] [Indexed: 05/13/2023] Open
Abstract
This study aims to predict head trauma outcome for Neurosurgical patients in children, adults, and elderly people. As Machine Learning (ML) algorithms are helpful in healthcare field, a comparative study of various ML techniques is developed. Several algorithms are utilized such as k-nearest neighbor, Random Forest (RF), C4.5, Artificial Neural Network, and Support Vector Machine (SVM). Their performance is assessed using anonymous patients' data. Then, a proposed double classifier based on Henry Gas Solubility Optimization (HGSO) is developed with Aquila optimizer (AQO). It is implemented for feature selection to classify patients' outcome status into four states. Those are mortality, morbidity, improved, or the same. The double classifiers are evaluated via various performance metrics including recall, precision, F-measure, accuracy, and sensitivity. Another contribution of this research is the original use of hybrid technique based on RF-SVM and HGSO to predict patient outcome status with high accuracy. It determines outcome status relationship with age and mode of trauma. The algorithm is tested on more than 1000 anonymous patients' data taken from a Neurosurgical unit of Mansoura International Hospital, Egypt. Experimental results show that the proposed method has the highest accuracy of 99.2% (with population size = 30) compared with other classifiers.
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Affiliation(s)
- Diana T Mosa
- Department of Information Systems, Faculty of Computers and Information, Kafrelsheikh University, Kafr El-Shaikh, Egypt
| | - Amena Mahmoud
- Department of Computer Sciences, Faculty of Computers and Information, Kafrelsheikh University, Kafr El-Shaikh, Egypt
| | - John Zaki
- Department of Computer and Systems, Faculty of Engineering, Mansoura University, Mansoura, Egypt
| | - Shaymaa E Sorour
- Preparation- Computer Science and Education, Faculty of Specific Education, Kafrelsheikh University, Kafr El-Shaikh, Egypt
| | - Shaker El-Sappagh
- Faculty of Computer Science and Engineering, Galala University, Suez, Egypt
- Faculty of Computers & Artificial Intelligence, Benha University, Banha, Egypt
- College of computing and informatics, Sungkyunkwan University, Seoul, Republic of Korea
| | - Tamer Abuhmed
- College of computing and informatics, Sungkyunkwan University, Seoul, Republic of Korea
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Subash Chandra Bose S, Vinoth Kumar A, Premkumar A, Deepika M, Gokilavani M. Biserial targeted feature projection based radial kernel regressive deep belief neural learning for covid-19 prediction. Soft comput 2023; 27:1651-1662. [PMID: 35378723 PMCID: PMC8968782 DOI: 10.1007/s00500-022-06943-x] [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] [Accepted: 02/21/2022] [Indexed: 01/31/2023]
Abstract
Coronavirus disease 2019 (COVID-19) is a highly infectious viral disease caused by the novel SARS-CoV-2 virus. Different prediction techniques have been developed to predict the coronavirus disease's existence in patients. However, the accurate prediction was not improved and time consumption was not minimized. In order to address these existing problems, a novel technique called Biserial Targeted Feature Projection-based Radial Kernel Regressive Deep Belief Neural Learning (BTFP-RKRDBNL) is introduced to perform accurate disease prediction with lesser time consumption. The BTFP-RKRDBNL techniques perform disease prediction with the help of different layers such as two visible layers namely input and layer and two hidden layers. Initially, the features and data are collected from the dataset and transmitted to the input layer. The Point Biserial Correlative Target feature projection is used to select relevant features and other irrelevant features are removed with minimizing the disease prediction time. Then the relevant features are sent to the hidden layer 2. Next, Radial Kernel Regression is applied to analyze the training features and testing disease features to identify the disease with higher accuracy and a lesser false positive rate. Experimental analysis is planned to measure the prediction accuracy, sensitivity, and specificity, and prediction time for different numbers of patients. The result illustrates that the method increases the prediction accuracy, sensitivity, and specificity by 10, 6, and 21% and reduces the prediction time by 10% as compared to state-of-the-art works.
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Affiliation(s)
- S. Subash Chandra Bose
- Department of Information Technology, Guru Nanak College, Velachery, Chennai, Tamil Nadu India
| | - A. Vinoth Kumar
- grid.444354.60000 0004 1774 1403Department of Electronics and Communication Engineering, Dr MGR Educational and Research Institute, Chennai, Tamil Nadu India
| | - Anitha Premkumar
- grid.412537.60000 0004 1768 2925Department of Computer Science, Presidency University, Bangalore, 560064 India
| | - M. Deepika
- Computer Science and Engineering, ASIET, Kalady, Kerala India
| | - M. Gokilavani
- grid.449504.80000 0004 1766 2457Computer Science and Engineering, KL University, Guntur, Andra Pradesh India
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Annamalai B, Saravanan P, Varadharajan I. ABOA-CNN: auction-based optimization algorithm with convolutional neural network for pulmonary disease prediction. Neural Comput Appl 2023; 35:7463-7474. [PMID: 36788792 PMCID: PMC9910772 DOI: 10.1007/s00521-022-08033-3] [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: 11/30/2021] [Accepted: 11/04/2022] [Indexed: 02/12/2023]
Abstract
Nowadays, deep learning plays a vital role behind many of the emerging technologies. Few applications of deep learning include speech recognition, virtual assistant, healthcare, entertainment, and so on. In healthcare applications, deep learning can be used to predict diseases effectively. It is a type of computer model that learns in conducting classification tasks directly from text, sound, or images. It also provides better accuracy and sometimes outdoes human performance. We presented a novel approach that makes use of the deep learning method in our proposed work. The prediction of pulmonary disease can be performed with the aid of convolutional neural network (CNN) incorporated with auction-based optimization algorithm (ABOA) and DSC process. The traditional CNN ignores the dominant features from the X-ray images while performing the feature extraction process. This can be effectively circumvented by the adoption of ABOA, and the DSC is used to classify the pulmonary disease types such as fibrosis, pneumonia, cardiomegaly, and normal from the X-ray images. We have taken two datasets, namely the NIH Chest X-ray dataset and ChestX-ray8. The performances of the proposed approach are compared with deep learning-based state-of-art works such as BPD, DL, CSS-DL, and Grad-CAM. From the performance analyses, it is confirmed that the proposed approach effectively extracts the features from the X-ray images, and thus, the prediction of pulmonary diseases is more accurate than the state-of-art approaches.
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Affiliation(s)
- Balaji Annamalai
- School of Computing Science and Engineering (SCSE), VIT Bhopal University, Bhopal, MP India
| | - Prabakeran Saravanan
- Department of Networking and Communications, School of Computing, SRM Institute of Science & Technology (SRMIST), Kattankulathur, Tamil Nadu India
| | - Indumathi Varadharajan
- Department of Computational Intelligence School of Computing, SRM Institute of Science and Technology (SRMIST), Kattankulathur, Tamil Nadu India
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10
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Houssein EH, Hosney ME, Mohamed WM, Ali AA, Younis EMG. Fuzzy-based hunger games search algorithm for global optimization and feature selection using medical data. Neural Comput Appl 2022; 35:5251-5275. [PMID: 36340595 PMCID: PMC9628476 DOI: 10.1007/s00521-022-07916-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 09/30/2022] [Indexed: 11/06/2022]
Abstract
Feature selection (FS) is one of the basic data preprocessing steps in data mining and machine learning. It is used to reduce feature size and increase model generalization. In addition to minimizing feature dimensionality, it also enhances classification accuracy and reduces model complexity, which are essential in several applications. Traditional methods for feature selection often fail in the optimal global solution due to the large search space. Many hybrid techniques have been proposed depending on merging several search strategies which have been used individually as a solution to the FS problem. This study proposes a modified hunger games search algorithm (mHGS), for solving optimization and FS problems. The main advantages of the proposed mHGS are to resolve the following drawbacks that have been raised in the original HGS; (1) avoiding the local search, (2) solving the problem of premature convergence, and (3) balancing between the exploitation and exploration phases. The mHGS has been evaluated by using the IEEE Congress on Evolutionary Computation 2020 (CEC'20) for optimization test and ten medical and chemical datasets. The data have dimensions up to 20000 features or more. The results of the proposed algorithm have been compared to a variety of well-known optimization methods, including improved multi-operator differential evolution algorithm (IMODE), gravitational search algorithm, grey wolf optimization, Harris Hawks optimization, whale optimization algorithm, slime mould algorithm and hunger search games search. The experimental results suggest that the proposed mHGS can generate effective search results without increasing the computational cost and improving the convergence speed. It has also improved the SVM classification performance.
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Affiliation(s)
- Essam H. Houssein
- Faculty of Computers and Information, Minia University, Minia, Egypt
| | - Mosa E. Hosney
- Faculty of Computers and Information, Luxor University, Luxor, Egypt
| | - Waleed M. Mohamed
- Faculty of Computers and Information, Minia University, Minia, Egypt
| | - Abdelmgeid A. Ali
- Faculty of Computers and Information, Minia University, Minia, Egypt
| | - Eman M. G. Younis
- Faculty of Computers and Information, Minia University, Minia, Egypt
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Abstract
The Harris hawk optimizer is a recent population-based metaheuristics algorithm that simulates the hunting behavior of hawks. This swarm-based optimizer performs the optimization procedure using a novel way of exploration and exploitation and the multiphases of search. In this review research, we focused on the applications and developments of the recent well-established robust optimizer Harris hawk optimizer (HHO) as one of the most popular swarm-based techniques of 2020. Moreover, several experiments were carried out to prove the powerfulness and effectivness of HHO compared with nine other state-of-art algorithms using Congress on Evolutionary Computation (CEC2005) and CEC2017. The literature review paper includes deep insight about possible future directions and possible ideas worth investigations regarding the new variants of the HHO algorithm and its widespread applications.
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12
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Luo Z, Jin S, Li Z, Huang H, Xiao L, Chen H, Heidari AA, Hu J, Chen C, Chen P, Hu Z. Hierarchical Harris hawks optimization for epileptic seizure classification. Comput Biol Med 2022; 145:105397. [DOI: 10.1016/j.compbiomed.2022.105397] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 03/08/2022] [Accepted: 03/09/2022] [Indexed: 01/15/2023]
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13
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Yang X, Zhao D, Yu F, Heidari AA, Bano Y, Ibrohimov A, Liu Y, Cai Z, Chen H, Chen X. An optimized machine learning framework for predicting intradialytic hypotension using indexes of chronic kidney disease-mineral and bone disorders. Comput Biol Med 2022; 145:105510. [DOI: 10.1016/j.compbiomed.2022.105510] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 04/07/2022] [Accepted: 04/07/2022] [Indexed: 11/03/2022]
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El-Shafai W, D. Algarni A, M. El Banby G, E. Abd El-Samie F, F. Soliman N. Classification Framework for COVID-19 Diagnosis Based on Deep CNN Models. INTELLIGENT AUTOMATION & SOFT COMPUTING 2022; 31:1561-1575. [DOI: 10.32604/iasc.2022.020386] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Accepted: 07/11/2021] [Indexed: 09/02/2023]
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15
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Nivedhitha V, Thirumurugan P, Gopi Saminathan A, Eswaramoorthy V. Combination of improved Harris’s hawk optimization with fuzzy to improve clustering in wireless sensor network. JOURNAL OF INTELLIGENT & FUZZY SYSTEMS 2021. [DOI: 10.3233/jifs-202098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
A Wireless Sensor Network (WSN) is divided into groups of sensor nodes for efficient transmission of data from the point of measuring to sink. By performing clustering, the network remains energy-efficient and stable. An intelligent mechanism is needed to cluster the sensors and find an organizer node, the cluster head. The organizer node assembles data from its constituent nodes called member nodes, finds an optimal route to the sink of the network, and transfers the same. The nomination of cluster head is crucial since energy utilization is a major challenge of sensor nodes deployed over a hostile environment. In this paper, a fuzzy-based Improved Harris’s Hawk Optimization Algorithm (IHHO) is proposed to select an able cluster head for data communication. The fuzzy inference model ponders balance energy, distance from self to sink node, and vicinity of nodes from cluster head as input factors and decides if a candidate node is eligible for becoming a cluster head. The IHHO tunes the logic into an energy-efficient network with less complexity and more ease. The novelty of the paper lies in applying the hawk-pack technique based on fuzzy rules. Simulations show that the combination of Fuzzy based IHHO reduces the death of nodes through which network lifetime is enhanced.
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Affiliation(s)
- V. Nivedhitha
- Department of Computer Science and Engineering, SSM Institute of Engineering and Technology, Dindigul, TamilNadu, India
| | - P. Thirumurugan
- Department of Electronics and Communication Engineering, PSNA College of Engineering and Technology, Dindigul, Tamil Nadu, India
| | - A. Gopi Saminathan
- Department of Electronics and Communication Engineering, NPR College of Engineering and Technology, Natham, Dindigul, Tamil Nadu, India
| | - V. Eswaramoorthy
- Department of Information Technology, Bannari Amman Institute of Technology, Erode, TamilNadu, India
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Hu J, Han Z, Heidari AA, Shou Y, Ye H, Wang L, Huang X, Chen H, Chen Y, Wu P. Detection of COVID-19 severity using blood gas analysis parameters and Harris hawks optimized extreme learning machine. Comput Biol Med 2021; 142:105166. [PMID: 35077935 PMCID: PMC8701842 DOI: 10.1016/j.compbiomed.2021.105166] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Revised: 12/20/2021] [Accepted: 12/20/2021] [Indexed: 01/08/2023]
Abstract
Coronavirus disease-2019 (COVID-19) has made the world more cautious about widespread viruses, and a tragic pandemic that was caused by a novel coronavirus has harmed human beings in recent years. The new coronavirus pneumonia outbreak is spreading rapidly worldwide. We collect arterial blood samples from 51 patients with a COVID-19 diagnosis. Blood gas analysis is performed using a Siemens RAPID Point 500 blood gas analyzer. To accurately determine the factors that play a decisive role in the early recognition and discrimination of COVID-19 severity, a prediction framework that is based on an improved binary Harris hawk optimization (HHO) algorithm in combination with a kernel extreme learning machine is proposed in this paper. This method uses specular reflection learning to improve the original HHO algorithm and is referred to as HHOSRL. The experimental results show that the selected indicators, such as age, partial pressure of oxygen, oxygen saturation, sodium ion concentration, and lactic acid, are essential for the early accurate assessment of COVID-19 severity by the proposed feature selection method. The simulation results show that the established methodlogy can achieve promising performance. We believe that our proposed model provides an effective strategy for accurate early assessment of COVID-19 and distinguishing disease severity. The codes of HHO will be updated in https://aliasgharheidari.com/HHO.html.
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Luo XQ, Yan P, Zhang NY, Luo B, Wang M, Deng YH, Wu T, Wu X, Liu Q, Wang HS, Wang L, Kang YX, Duan SB. Machine learning for early discrimination between transient and persistent acute kidney injury in critically ill patients with sepsis. Sci Rep 2021; 11:20269. [PMID: 34642418 PMCID: PMC8511088 DOI: 10.1038/s41598-021-99840-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 09/30/2021] [Indexed: 12/29/2022] Open
Abstract
Acute kidney injury (AKI) is commonly present in critically ill patients with sepsis. Early prediction of short-term reversibility of AKI is beneficial to risk stratification and clinical treatment decision. The study sought to use machine learning methods to discriminate between transient and persistent sepsis-associated AKI. Septic patients who developed AKI within the first 48 h after ICU admission were identified from the Medical Information Mart for Intensive Care III database. AKI was classified as transient or persistent according to the Acute Disease Quality Initiative workgroup consensus. Five prediction models using logistic regression, random forest, support vector machine, artificial neural network and extreme gradient boosting were constructed, and their performance was evaluated by out-of-sample testing. A simplified risk prediction model was also derived based on logistic regression and features selected by machine learning algorithms. A total of 5984 septic patients with AKI were included, 3805 (63.6%) of whom developed persistent AKI. The artificial neural network and logistic regression models achieved the highest area under the receiver operating characteristic curve (AUC) among the five machine learning models (0.76, 95% confidence interval [CI] 0.74-0.78). The simplified 14-variable model showed adequate discrimination, with the AUC being 0.76 (95% CI 0.73-0.78). At the optimal cutoff of 0.63, the sensitivity and specificity of the simplified model were 63% and 76% respectively. In conclusion, a machine learning-based simplified prediction model including routine clinical variables could be used to differentiate between transient and persistent AKI in critically ill septic patients. An easy-to-use risk calculator can promote its widespread application in daily clinical practice.
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Affiliation(s)
- Xiao-Qin Luo
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Ping Yan
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Ning-Ya Zhang
- Information Center, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
| | - Bei Luo
- Department of Information Systems, City University of Hong Kong, Tat Chee Avenue, Kowloon, 999077, Hong Kong SAR, China
| | - Mei Wang
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Ying-Hao Deng
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Ting Wu
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Xi Wu
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Qian Liu
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Hong-Shen Wang
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Lin Wang
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Yi-Xin Kang
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China
| | - Shao-Bin Duan
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011, Hunan, China.
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18
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Towards Precision Fertilization: Multi-Strategy Grey Wolf Optimizer Based Model Evaluation and Yield Estimation. ELECTRONICS 2021. [DOI: 10.3390/electronics10182183] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Precision fertilization is a major constraint in consistently balancing the contradiction between land resources, ecological environment, and population increase. Even more, it is a popular technology used to maintain sustainable development. Nitrogen (N), phosphorus (P), and potassium (K) are the main sources of nutrient income on farmland. The traditional fertilizer effect function cannot meet the conditional agrochemical theory’s conditional extremes because the soil is influenced by various factors and statistical errors in harvest and yield. In order to find more accurate scientific ratios, it has been proposed a multi-strategy-based grey wolf optimization algorithm (SLEGWO) to solve the fertilizer effect function in this paper, using the “3414” experimental field design scheme, taking the experimental field in Nongan County, Jilin Province as the experimental site to obtain experimental data, and using the residuals of the ternary fertilizer effect function of Nitrogen, phosphorus, and potassium as the target function. The experimental results showed that the SLEGWO algorithm could improve the fitting degree of the fertilizer effect equation and then reasonably predict the accurate fertilizer application ratio and improve the yield. It is a more accurate precision fertilization modeling method. It provides a new means to solve the problem of precision fertilizer and soil testing and fertilization.
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Abbasi A, Firouzi B, Sendur P, Heidari AA, Chen H, Tiwari R. Multi-strategy Gaussian Harris hawks optimization for fatigue life of tapered roller bearings. ENGINEERING WITH COMPUTERS 2021; 38:4387-4413. [PMID: 34366525 PMCID: PMC8330823 DOI: 10.1007/s00366-021-01442-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 06/04/2021] [Indexed: 05/24/2023]
Abstract
Bearing is one of the most fundamental components of rotary machinery, and its fatigue life is a crucial factor in designing. The design optimization of tapered roller bearing (TRB) is a complex design problem because various arrays of designing parameters and functional requirements should be fulfilled. Since there are many design variables and nonlinear constraints, presenting an optimal design of TRBs poses some challenges for metaheuristic algorithms. The Harris hawks optimization (HHO) algorithm is a robust nature-inspired method with unique exploitation and exploration phases due to its time-varying structure. However, this metaheuristic algorithm may still converge to local optima for more challenging problems such as the design of TRBs. Therefore, this study aims to improve the accuracy and efficiency of the shortcomings of this algorithm. The performance of the proposed algorithm is first evaluated for the TRB optimization problem. The TRB optimization design has nine design variables and 26 constraints because of geometrical dimensions and strength conditions. The productivity of the proposed method is compared with diverse metaheuristic algorithms in the literature. The results demonstrate the significant development of dynamic load capacity in comparison to the standard value. Furthermore, the enhanced version of the HHO algorithm presented in this study is benchmarked with various well-known engineering problems. For supplementary materials regarding algorithms in this research, readers can refer to https://aliasgharheidari.com.
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Affiliation(s)
- Ahmad Abbasi
- Vibrations and Acoustics Laboratory (VAL), Mechanical Engineering Department, Ozyegin University, Istanbul, Turkey
| | - Behnam Firouzi
- Vibrations and Acoustics Laboratory (VAL), Mechanical Engineering Department, Ozyegin University, Istanbul, Turkey
| | - Polat Sendur
- Vibrations and Acoustics Laboratory (VAL), Mechanical Engineering Department, Ozyegin University, Istanbul, Turkey
| | - Ali Asghar Heidari
- School of Surveying and Geospatial Engineering, College of Engineering, University of Tehran, 1417466191 Tehran, Iran
| | - Huiling Chen
- Department of Computer Science and Artificial Intelligence, Wenzhou University, Wenzhou, 325035 China
| | - Rajiv Tiwari
- Department of Mechanical Engineering, Indian Institute of Technology Guwahati, Guwahati, 781 039 India
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20
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Ant colony optimization with Cauchy and greedy Levy mutations for multilevel COVID 19 X-ray image segmentation. Comput Biol Med 2021; 136:104609. [PMID: 34293587 PMCID: PMC8254401 DOI: 10.1016/j.compbiomed.2021.104609] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 06/22/2021] [Accepted: 06/22/2021] [Indexed: 01/22/2023]
Abstract
This paper focuses on the study of multilevel COVID-19 X-ray image segmentation based on swarm intelligence optimization to improve the diagnostic level of COVID-19. We present a new ant colony optimization with the Cauchy mutation and the greedy Levy mutation, termed CLACO, for continuous domains. Specifically, the Cauchy mutation is applied to the end phase of ant foraging in CLACO to enhance its searchability and to boost its convergence rate. The greedy Levy mutation is applied to the optimal ant individuals to confer an improved ability to jump out of the local optimum. Furthermore, this paper develops a novel CLACO-based multilevel image segmentation method, termed CLACO-MIS. Using 2D Kapur's entropy as the CLACO fitness function based on 2D histograms consisting of non-local mean filtered images and grayscale images, CLACO-MIS was successfully applied to the segmentation of COVID-19 X-ray images. A comparison of CLACO with some relevant variants and other excellent peers on 30 benchmark functions from IEEE CEC2014 demonstrates the superior performance of CLACO in terms of search capability, and convergence speed as well as ability to jump out of the local optimum. Moreover, CLACO-MIS was shown to have a better segmentation effect and a stronger adaptability at different threshold levels than other methods in performing segmentation experiments of COVID-19 X-ray images. Therefore, CLACO-MIS has great potential to be used for improving the diagnostic level of COVID-19. This research will host a webservice for any question at https://aliasgharheidari.com.
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21
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Wu P, Ye H, Cai X, Li C, Li S, Chen M, Wang M, Heidari AA, Chen M, Li J, Chen H, Huang X, Wang L. An Effective Machine Learning Approach for Identifying Non-Severe and Severe Coronavirus Disease 2019 Patients in a Rural Chinese Population: The Wenzhou Retrospective Study. IEEE ACCESS : PRACTICAL INNOVATIONS, OPEN SOLUTIONS 2021; 9:45486-45503. [PMID: 34786313 PMCID: PMC8545214 DOI: 10.1109/access.2021.3067311] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Accepted: 03/15/2021] [Indexed: 06/13/2023]
Abstract
This paper has proposed an effective intelligent prediction model that can well discriminate and specify the severity of Coronavirus Disease 2019 (COVID-19) infection in clinical diagnosis and provide a criterion for clinicians to weigh scientific and rational medical decision-making. With indicators as the age and gender of the patients and 26 blood routine indexes, a severity prediction framework for COVID-19 is proposed based on machine learning techniques. The framework consists mainly of a random forest and a support vector machine (SVM) model optimized by a slime mould algorithm (SMA). When the random forest was used to identify the key factors, SMA was employed to train an optimal SVM model. Based on the COVID-19 data, comparative experiments were conducted between RF-SMA-SVM and several well-known machine learning algorithms performed. The results indicate that the proposed RF-SMA-SVM not only achieves better classification performance and higher stability on four metrics, but also screens out the main factors that distinguish severe COVID-19 patients from non-severe ones. Therefore, there is a conclusion that the RF-SMA-SVM model can provide an effective auxiliary diagnosis scheme for the clinical diagnosis of COVID-19 infection.
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Affiliation(s)
- Peiliang Wu
- Department of Pulmonary and Critical Care MedicineThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhou325000China
| | - Hua Ye
- Department of Pulmonary and Critical Care MedicineAffiliated Yueqing Hospital, Wenzhou Medical UniversityYueqing325600China
| | - Xueding Cai
- Department of Pulmonary and Critical Care MedicineThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhou325000China
| | - Chengye Li
- Department of Pulmonary and Critical Care MedicineThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhou325000China
| | - Shimin Li
- College of Computer Science and Artificial IntelligenceWenzhou UniversityWenzhou325035China
| | - Mengxiang Chen
- Department of Information TechnologyWenzhou Vocational College of Science and TechnologyWenzhou325006China
| | - Mingjing Wang
- College of Computer Science and Artificial IntelligenceWenzhou UniversityWenzhou325035China
| | - Ali Asghar Heidari
- School of Surveying and Geospatial Engineering, College of EngineeringUniversity of TehranTehran1417466191Iran
- Department of Computer ScienceSchool of ComputingNational University of SingaporeSingapore117417
| | - Mayun Chen
- Department of Pulmonary and Critical Care MedicineThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhou325000China
| | - Jifa Li
- Department of Pulmonary and Critical Care MedicineAffiliated Yueqing Hospital, Wenzhou Medical UniversityYueqing325600China
| | - Huiling Chen
- College of Computer Science and Artificial IntelligenceWenzhou UniversityWenzhou325035China
| | - Xiaoying Huang
- Department of Pulmonary and Critical Care MedicineThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhou325000China
| | - Liangxing Wang
- Department of Pulmonary and Critical Care MedicineThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhou325000China
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