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Liu ZW, Chen G, Dong CF, Qiu WR, Zhang SH. Intelligent assistant diagnosis for pediatric inguinal hernia based on a multilayer and unbalanced classification model. Front Physiol 2023; 14:1105891. [PMID: 36998990 PMCID: PMC10043203 DOI: 10.3389/fphys.2023.1105891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 02/27/2023] [Indexed: 03/17/2023] Open
Abstract
As one of the most common diseases in pediatric surgery, an inguinal hernia is usually diagnosed by medical experts based on clinical data collected from magnetic resonance imaging (MRI), computed tomography (CT), or B-ultrasound. The parameters of blood routine examination, such as white blood cell count and platelet count, are often used as diagnostic indicators of intestinal necrosis. Based on the medical numerical data on blood routine examination parameters and liver and kidney function parameters, this paper used machine learning algorithm to assist the diagnosis of intestinal necrosis in children with inguinal hernia before operation. In the work, we used clinical data consisting of 3,807 children with inguinal hernia symptoms and 170 children with intestinal necrosis and perforation caused by the disease. Three different models were constructed according to the blood routine examination and liver and kidney function. Some missing values were replaced by using the RIN-3M (median, mean, or mode region random interpolation) method according to the actual necessity, and the ensemble learning based on the voting principle was used to deal with the imbalanced datasets. The model trained after feature selection yielded satisfactory results with an accuracy of 86.43%, sensitivity of 84.34%, specificity of 96.89%, and AUC value of 0.91. Therefore, the proposed methods may be a potential idea for auxiliary diagnosis of inguinal hernia in children.
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Affiliation(s)
- Zhi-Wen Liu
- Department of General Surgery, Jiangxi Provincial Children’s Hospital, Nanchang, China
| | - Gang Chen
- Computer Department, Jing-De-Zhen Jingdezhen Ceramic Institute, Jingdezhen, China
| | - Chao-Fan Dong
- Department of General Surgery, Jingdezhen No. 1 People’s Hospital, Jingdezhen, China
| | - Wang-Ren Qiu
- Computer Department, Jing-De-Zhen Jingdezhen Ceramic Institute, Jingdezhen, China
- *Correspondence: Wang-Ren Qiu, , ; Shou-Hua Zhang,
| | - Shou-Hua Zhang
- Department of General Surgery, Jiangxi Provincial Children’s Hospital, Nanchang, China
- *Correspondence: Wang-Ren Qiu, , ; Shou-Hua Zhang,
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Statistical Model-Based Classification to Detect Patient-Specific Spike-and-Wave in EEG Signals. COMPUTERS 2020. [DOI: 10.3390/computers9040085] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Spike-and-wave discharge (SWD) pattern detection in electroencephalography (EEG) is a crucial signal processing problem in epilepsy applications. It is particularly important for overcoming time-consuming, difficult, and error-prone manual analysis of long-term EEG recordings. This paper presents a new method to detect SWD, with a low computational complexity making it easily trained with data from standard medical protocols. Precisely, EEG signals are divided into time segments for which the continuous Morlet 1-D wavelet decomposition is computed. The generalized Gaussian distribution (GGD) is fitted to the resulting coefficients and their variance and median are calculated. Next, a k-nearest neighbors (k-NN) classifier is trained to detect the spike-and-wave patterns, using the scale parameter of the GGD in addition to the variance and the median. Experiments were conducted using EEG signals from six human patients. Precisely, 106 spike-and-wave and 106 non-spike-and-wave signals were used for training, and 96 other segments for testing. The proposed SWD classification method achieved 95% sensitivity (True positive rate), 87% specificity (True Negative Rate), and 92% accuracy. These promising results set the path for new research to study the causes underlying the so-called absence epilepsy in long-term EEG recordings.
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Boubchir L. Editorial commentary on special issue of Advances in EEG Signal Processing and Machine Learning for Epileptic Seizure Detection and Prediction. J Biomed Res 2020; 34:149-150. [PMID: 32561694 PMCID: PMC7324273 DOI: 10.7555/jbr.34.20200700] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
This special issue of The Journal of Biomedical Research features novel studies on epileptic seizure detection and prediction based on advanced EEG signal processing and machine learning algorithms. The articles selected present important findings including new experimental results and theoretical studies.
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Affiliation(s)
- Larbi Boubchir
- Laboratoire d'Informatique Avancée de Saint-Denis Research Lab., University of Paris 8, Saint-Denis, Cedex 93526, France
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