Charge-ordering breakdown dynamics and ferromagnetic resonance studies ofB-site Cu diluted Pr1‒xSrxMnO3

Here, we report the influence of Jahn-Teller active Cu substitution on the charge-ordering (CO) characteristics of one of the well-known manganite Pr0.45Sr0.55MnO3(S55) with a distorted tetragonal structure. Magnetization studies unveil a complex magnetic phase diagram for S55, showing distinct temperature ranges corresponding to various magnetic phases: a ferromagnetic phase dominated by the Double Exchange interaction withTC∼ 220.5 K, an antiferromagnetic phase belowTN∼ 207.6 K induced by CO with a transition temperature ofTCO∼ 210 K consistent with the specific heatCP(T) data, and a mixed phase in the rangeTNTN(T Collapse

Key Words

• Jahn-Teller effect
• antiferromagnetism
• charge-ordering
• ferromagnetic resonance
• manganites
• perovskites

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MESH Headings Collapse

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US2Mask: Image-to-mask generation learning via a conditional GAN for cardiac ultrasound image segmentation

Cardiac ultrasound (US) image segmentation is vital for evaluating clinical indices, but it often demands a large dataset and expert annotations, resulting in high costs for deep learning algorithms. To address this, our study presents a framework utilizing artificial intelligence generation technology to produce multi-class RGB masks for cardiac US image segmentation. The proposed approach directly performs semantic segmentation of the heart's main structures in US images from various scanning modes. Additionally, we introduce a novel learning approach based on conditional generative adversarial networks (CGAN) for cardiac US image segmentation, incorporating a conditional input and paired RGB masks. Experimental results from three cardiac US image datasets with diverse scan modes demonstrate that our approach outperforms several state-of-the-art models, showcasing improvements in five commonly used segmentation metrics, with lower noise sensitivity. Source code is available at https://github.com/energy588/US2mask.

Fuzzy kernel evidence Random Forest for identifying pseudouridine sites

Pseudouridine is an RNA modification that is widely distributed in both prokaryotes and eukaryotes, and plays a critical role in numerous biological activities. Despite its importance, the precise identification of pseudouridine sites through experimental approaches poses significant challenges, requiring substantial time and resources.Therefore, there is a growing need for computational techniques that can reliably and quickly identify pseudouridine sites from vast amounts of RNA sequencing data. In this study, we propose fuzzy kernel evidence Random Forest (FKeERF) to identify pseudouridine sites. This method is called PseU-FKeERF, which demonstrates high accuracy in identifying pseudouridine sites from RNA sequencing data. The PseU-FKeERF model selected four RNA feature coding schemes with relatively good performance for feature combination, and then input them into the newly proposed FKeERF method for category prediction. FKeERF not only uses fuzzy logic to expand the original feature space, but also combines kernel methods that are easy to interpret in general for category prediction. Both cross-validation tests and independent tests on benchmark datasets have shown that PseU-FKeERF has better predictive performance than several state-of-the-art methods. This new method not only improves the accuracy of pseudouridine site identification, but also provides a certain reference for disease control and related drug development in the future.

Document-level Relation Extraction with Relation Correlations

Document-level relation extraction faces two often overlooked challenges: long-tail problem and multi-label problem. Previous work focuses mainly on obtaining better contextual representations for entity pairs, hardly address the above challenges. In this paper, we analyze the co-occurrence correlation of relations, and introduce it into the document-level relation extraction task for the first time. We argue that the correlations can not only transfer knowledge between data-rich relations and data-scarce ones to assist in the training of long-tailed relations, but also reflect semantic distance guiding the classifier to identify semantically close relations for multi-label entity pairs. Specifically, we use relation embedding as a medium, and propose two co-occurrence prediction sub-tasks from both coarse- and fine-grained perspectives to capture relation correlations. Finally, the learned correlation-aware embeddings are used to guide the extraction of relational facts. Substantial experiments on two popular datasets (i.e., DocRED and DWIE) are conducted, and our method achieves superior results compared to baselines. Insightful analysis also demonstrates the potential of relation correlations to address the above challenges. The data and code are released at https://github.com/RidongHan/DocRE-Co-Occur.

DCNet: A Self-supervised EEG Classification Framework for Improving Cognitive Computing-enabled Smart Healthcare

Cognitive computing explores brain mechanisms and develops brain-like computing models for cognitive processes. EEG measures brain activity, and EEG classification identifies patterns using machine learning algorithms. Combining EEG classification with cognitive computing offers insights into cognitive processes, brainmachine interfaces, and cognitive state monitoring. We propose (DreamCatcher Network) DCNet, a self-supervised learning method for diagnosing sleep disorders using EEG. DCNet autonomously learns comprehensive representations through contrast learning, reducing annotation time. The training process involves feature learning, classification, time-series contrast learning, and data enhancement. Experimental results on the Sleep-EDF dataset achieved 81.28% average accuracy. Validation on the HAR dataset showed model efficiency and scalability, with 92.51% accuracy on the test set. DCNet has the potential to revolutionize sleep disorder diagnosis and enhance the development of cognitive computing-enabled smart healthcare systems.

AttentionMGT-DTA: A multi-modal drug-target affinity prediction using graph transformer and attention mechanism

The accurate prediction of drug-target affinity (DTA) is a crucial step in drug discovery and design. Traditional experiments are very expensive and time-consuming. Recently, deep learning methods have achieved notable performance improvements in DTA prediction. However, one challenge for deep learning-based models is appropriate and accurate representations of drugs and targets, especially the lack of effective exploration of target representations. Another challenge is how to comprehensively capture the interaction information between different instances, which is also important for predicting DTA. In this study, we propose AttentionMGT-DTA, a multi-modal attention-based model for DTA prediction. AttentionMGT-DTA represents drugs and targets by a molecular graph and binding pocket graph, respectively. Two attention mechanisms are adopted to integrate and interact information between different protein modalities and drug-target pairs. The experimental results showed that our proposed model outperformed state-of-the-art baselines on two benchmark datasets. In addition, AttentionMGT-DTA also had high interpretability by modeling the interaction strength between drug atoms and protein residues. Our code is available at https://github.com/JK-Liu7/AttentionMGT-DTA.

A survey on few-shot class-incremental learning

Large deep learning models are impressive, but they struggle when real-time data is not available. Few-shot class-incremental learning (FSCIL) poses a significant challenge for deep neural networks to learn new tasks from just a few labeled samples without forgetting the previously learned ones. This setup can easily leads to catastrophic forgetting and overfitting problems, severely affecting model performance. Studying FSCIL helps overcome deep learning model limitations on data volume and acquisition time, while improving practicality and adaptability of machine learning models. This paper provides a comprehensive survey on FSCIL. Unlike previous surveys, we aim to synthesize few-shot learning and incremental learning, focusing on introducing FSCIL from two perspectives, while reviewing over 30 theoretical research studies and more than 20 applied research studies. From the theoretical perspective, we provide a novel categorization approach that divides the field into five subcategories, including traditional machine learning methods, meta learning-based methods, feature and feature space-based methods, replay-based methods, and dynamic network structure-based methods. We also evaluate the performance of recent theoretical research on benchmark datasets of FSCIL. From the application perspective, FSCIL has achieved impressive achievements in various fields of computer vision such as image classification, object detection, and image segmentation, as well as in natural language processing and graph. We summarize the important applications. Finally, we point out potential future research directions, including applications, problem setups, and theory development. Overall, this paper offers a comprehensive analysis of the latest advances in FSCIL from a methodological, performance, and application perspective.

Reentrant canonical spin-glass dynamics and tunable field-induced transitions in (GeMn)Co2O4Kagomé lattice

We report on the reentrant canonical semi spin-glass characteristics and controllable field-induced transitions in distorted Kagomé symmetry of (GeMn)Co2O4. ThisB-site spinel exhibits complicated, yet interesting magnetic behaviour in which the longitudinal ferrimagnetic (FiM) order sets in below the Néel temperatureTFN∼ 77 K due to uneven moments of divalent Co (↑ 5.33μB) and tetravalent Mn (↓ 3.87μB) which coexists with transverse spin-glass state below 72.85 K. Such complicated magnetic behaviour is suggested to result from the competing anisotropic superexchange interactions (JAB/kB∼ 4.3 K,JAA/kB∼ -6.2 K andJBB/kB∼ -3.3 K) between the cations, which is extracted following the Néel's expression for the two-sublattice model of FiM. Dynamical susceptibility (χac(f, T)) and relaxation of thermoremanent magnetization,MTRM(t) data have been analysed by means of the empirical scaling-laws such as Vogel-Fulcher law and Power law of critical slowing down. Both of which reveal the reentrant spin-glass like character which evolves through a number of intermediate metastable states. The magnitude of Mydosh parameter (Ω ∼ 0.002), critical exponentzυ= (6.7 ± 0.07), spin relaxation timeτ0= (2.33 ± 0.1) × 10-18s, activation energyEa/kB= (69.8 ± 0.95) K and interparticle interaction strength (T0= 71.6 K) provide the experimental evidences for canonical spin-glass state below the spin freezing temperatureTF= 72.85 K. The field dependence ofTFobtained fromχac(T) follows the irreversibility in terms of de Almeida-Thouless mean-field instability in which the magnitude of crossover scaling exponent Φ turns out to be ∼2.9 for the (Ge0.8Mn0.2)Co2O4. Isothermal magnetization plots reveal two field-induced transitions across 9.52 kOe (HSF1) and 45.6 kOe (HSF2) associated with the FiM domains and spin-flip transition, respectively. Analysis of the inverse paramagnetic susceptibilityχp-1χp=χ-χ0after subtracting the temperature independent diamagnetic termχ0(=-3 × 10-3emu mol-1Oe-1) results in the effective magnetic momentμeff= 7.654μB/f.u. This agrees well with the theoretically obtainedμeff= 7.58μB/f.u. resulting the cation distributionMn0.24+↓A[Co22+↑]BO4in support of the Hund's ground state spin configurationS=3/2andS= 1/2of Mn4+and Co2+, respectively. TheH-Tphase diagram has been established by analysing all the parameters (TF(H),TFN(H),HSF1(T) andHSF2(T)) extracted from various magnetization measurements. This diagram enables clear differentiation among the different phases of the (GeMn)Co2O4and also illustrates the demarcation between short-range and long-range ordered regions.

Quantum conditional generative adversarial network based on patch method for abnormal electrocardiogram generation

To address the scarcity and class imbalance of abnormal electrocardiogram (ECG) databases, which are crucial in AI-driven diagnostic tools for potential cardiovascular disease detection, this study proposes a novel quantum conditional generative adversarial algorithm (QCGAN-ECG) for generating abnormal ECG signals. The QCGAN-ECG constructs a quantum generator based on patch method. In this method, each sub-generator generates distinct features of abnormal heartbeats in different segments. This patch-based generative algorithm conserves quantum resources and makes QCGAN-ECG practical for near-term quantum devices. Additionally, QCGAN-ECG introduces quantum registers as control conditions. It encodes information about the types and probability distributions of abnormal heartbeats into quantum registers, rendering the entire generative process controllable. Simulation experiments on Pennylane demonstrated that the QCGAN-ECG could generate completely abnormal heartbeats with an average accuracy of 88.8%. Moreover, the QCGAN-ECG can accurately fit the probability distribution of various abnormal ECG data. In the anti-noise experiments, the QCGAN-ECG showcased outstanding robustness across various levels of quantum noise interference. These results demonstrate the effectiveness and potential applicability of the QCGAN-ECG for generating abnormal ECG signals, which will further promote the development of AI-driven cardiac disease diagnosis systems. The source code is available at github.com/VanSWK/QCGAN_ECG.

Leveraging Quantitative Imaging and Machine Learning to Differentiate Radionecrosis from Disease Recurrence in Patients with Brain Metastases

PURPOSE/OBJECTIVE(S)

Radiation necrosis can be difficult to non-invasively discern from tumor progression after stereotactic radiosurgery (SRS). In this work, we investigate the utility of radiomics (computerized features) and machine learning to capture per-voxel lesion heterogeneity on routine MRI scans, to differentiate radionecrosis from tumor recurrence in patients with brain metastases treated with SRS.

MATERIALS/METHODS

A retrospective analysis was conducted of patients with brain metastases treated with SRS. Eighty-three lesions (n = 56 intact; n = 27 surgical cavity) from 69 patients were identified with median age 68.8 years (range 40.2 - 91.0), of whom 53.6% were male and 33.3% received prior whole-brain radiotherapy (WBRT). Lesion histology included lung (60.2%), renal cell (15.7%), melanoma (10.8%), breast (9.6%), and other (3.6%). Pathologic confirmation was available in 73.5% of lesions. Both intact and resection cavity lesions were included and individually segmented. Image preprocessing and radiomic feature extraction were done using ANTsPy and open-source software. A total of 210 features were extracted from post-contrast T1-weighted (T1w) and T2/FLAIR MRIs. Highly correlated features were removed. Univariate logistic regression was conducted on the remaining T1w and T2/FLAIR features as well as on clinical variables. Multivariate analysis was implemented with various classifiers (Random Forest, Ridge, Lasso, Support Vector Machine [SVM]) on the top-performing features found on univariate logistic regression. Models were assessed using cross-validation to select the best model by area under ROC curve (AUC). Specificity and sensitivity were calculated.

RESULTS

On univariate analysis, the top 10 radiomics features consisted of 6 T1w features and 4 T2/FLAIR features (4 GLCM, 3 first order, 1 GLSZM, 1 GLRLM, and 1 shape feature). Age, gender, disease site, prior WBRT, prior fractionated SRS, planning tumor volume, brain-GTV V12 Gy, and immunotherapy before or after SRS were not predictive (AUC less than 62.0%) on univariate analysis compared to radiomic features. Multivariate analysis of top performing radiomic features on both intact and surgical cavities yielded an AUC of 72.0% (standard deviation [SD] ±8.8%). Multivariate analysis of top features on intact lesions alone improved the AUC to 80.5% (SD ±10.8%), with sensitivity of 77.8%, specificity of 72.4%, and positive likelihood ratio of 2.82 in differentiating radionecrosis from recurrence.

CONCLUSION

Radiomics and machine learning tools may improve diagnostic ability of distinguishing radiation necrosis from tumor recurrence after SRS. Further work is needed to deploy this in a larger multi-institutional cohort and prospectively evaluate its efficacy as a decision-support tool to personalize care in patients with brain metastases.

Unsupervised feature selection based on variance-covariance subspace distance

Subspace distance is an invaluable tool exploited in a wide range of feature selection methods. The power of subspace distance is that it can identify a representative subspace, including a group of features that can efficiently approximate the space of original features. On the other hand, employing intrinsic statistical information of data can play a significant role in a feature selection process. Nevertheless, most of the existing feature selection methods founded on the subspace distance are limited in properly fulfilling this objective. To pursue this void, we propose a framework that takes a subspace distance into account which is called "Variance-Covariance subspace distance". The approach gains advantages from the correlation of information included in the features of data, thus determines all the feature subsets whose corresponding Variance-Covariance matrix has the minimum norm property. Consequently, a novel, yet efficient unsupervised feature selection framework is introduced based on the Variance-Covariance distance to handle both the dimensionality reduction and subspace learning tasks. The proposed framework has the ability to exclude those features that have the least variance from the original feature set. Moreover, an efficient update algorithm is provided along with its associated convergence analysis to solve the optimization side of the proposed approach. An extensive number of experiments on nine benchmark datasets are also conducted to assess the performance of our method from which the results demonstrate its superiority over a variety of state-of-the-art unsupervised feature selection methods. The source code is available at https://github.com/SaeedKarami/VCSDFS.

Wide-awake local anesthesia and no tourniquet (WALANT) in upper limb fractures

Wide-awake local anesthesia and no tourniquet (WALANT), first used for hand surgery, has been sparingly described for use in fracture fixation of the upper limb. We present our experience using this technique. 26 patients with upper limb fractures (3 distal radius, 6 radial shaft, 11 ulnar shaft, and 6 olecranon fractures) were operated on using WALANT by three orthopedic surgeons. We used 35-40ml of 2% Lignocaine with 1:80000 Adrenaline(7mg/kg) diluted with normal saline. Numeric Pain Rating (NPR) scoring was done during injection and per-operatively, and the Likert scale was used for the surgeon's satisfaction. The average NPR score was reported as 0.65 (1-3) during injection and 0.15 (0-2) preoperatively. All three surgeons reported excellent satisfaction in all the cases operated on. No complication occurred due to anesthesia. WALANT is a much simpler option and can be safely used in place of general anesthesia or regional blocks for fixation of fractures of the upper limb, with added advantages of no need for a tourniquet and better intraoperative assessment of fracture fixation.

Knowledge-enhanced Graph Topic Transformer for Explainable Biomedical Text Summarization

Given the overwhelming and rapidly increasing volumes of the published biomedical literature, automatic biomedical text summarization has long been a highly important task. Recently, great advances in the performance of biomedical text summarization have been facilitated by pre-trained language models (PLMs) based on fine-tuning. However, existing summarization methods based on PLMs do not capture domain-specific knowledge. This can result in generated summaries with low coherence, including redundant sentences, or excluding important domain knowledge conveyed in the full-text document. Furthermore, the black-box nature of the transformers means that they lack explainability, i.e. it is not clear to users how and why the summary was generated. The domain-specific knowledge and explainability are crucial for the accuracy and transparency of biomedical text summarization methods. In this article, we aim to address these issues by proposing a novel domain knowledge-enhanced graph topic transformer (DORIS) for explainable biomedical text summarization. The model integrates the graph neural topic model and the domain-specific knowledge from the Unified Medical Language System (UMLS) into the transformer-based PLM, to improve the explainability and accuracy. Experimental results on four biomedical literature datasets show that our model outperforms existing state-of-the-art (SOTA) PLM-based summarization methods on biomedical extractive summarization. Furthermore, our use of graph neural topic modeling means that our model possesses the desirable property of being explainable, i.e. it is straightforward for users to understand how and why the model selects particular sentences for inclusion in the summary. The domain-specific knowledge helps our model to learn more coherent topics, to better explain the performance.

DTQFL: A Digital Twin-Assisted Quantum Federated Learning Algorithm for Intelligent Diagnosis in 5G Mobile Network

Smart healthcare aims to revolutionize med-ical services by integrating artificial intelligence (AI). The limitations of classical machine learning include privacy concerns that prevent direct data sharing among medical institutions, untimely updates, and long training times. To address these issues, this study proposes a digital twin-assisted quantum federated learning algorithm (DTQFL). By leveraging the 5G mobile network, digital twins (DT) of patients can be created instantly using data from various Internet of Medical Things (IoMT) devices and simultane-ously reduce communication time in federated learning (FL) at the same time. DTQFL generates DT for patients with specific diseases, allowing for synchronous training and updating of the variational quantum neural network (VQNN) without disrupting the VQNN in the real world. This study utilized DTQFL to train its own personalized VQNN for each hospital, considering privacy security and training speed. Simultaneously, the personalized VQNN of each hospital was obtained through further local iterations of the final global parameters. The results indicate that DTQFL can train a good VQNN without collecting local data while achieving accuracy comparable to that of data-centralized algorithms. In addition, after personalized train-ing, the VQNN can achieve higher accuracy than that with-out personalized training.

IoMT-based smart healthcare detection system driven by quantum blockchain and quantum neural network

Electrocardiogram (ECG) is the main criterion for arrhythmia detection. As a means of identification, ECG leakage seems to be a common occurrence due to the development of the Internet of Medical Things (IoMT). The advent of the quantum era makes it difficult for classical blockchain technology to provide security for ECG data storage. Therefore, from the perspective of safety and practicality, this article proposes a quantum arrhythmia detection system named QADS, which achieves secure storage and sharing of ECG data based on quantum blockchain technology. Furthermore, a quantum neural network is used in QADS to recognize abnormal ECG data, which contributes to further cardiovascular disease diagnosis. Each quantum block stores the hash of the current and previous block to construct a quantum block network. The new quantum blockchain algorithm introduces a controlled quantum walk hash function and a quantum authentication protocol to guarantee legitimacy and security while creating new blocks. In addition, this article constructs a hybrid quantum convolutional neural network nameded HQCNN to extract the temporal features of ECG to detect abnormal heartbeats. The simulation experimental results show that HQCNN achieves an average training and testing accuracy of 94.7% and 93.6%. And the detection stability is much higher than classical CNN with the same structure. HQCNN also has certain robustness under the perturbation of quantum noise. Besides, this article demonstrates through mathematical analysis that the proposed quantum blockchain algorithm has strong security and can effectively resist various quantum attacks, such as external attacks, Entanglement-Measure attack and Interception-Measurement-Repeat attack.

Energy-efficient Online Continual Learning for Time Series Classification in Nanorobot-based Smart Health

Nanorobots have been used in smart health to collect time series data such as electrocardiograms and electroencephalograms. Real-time classification of dynamic time series signals in nanorobots is a challenging task. Nanorobots in the nanoscale range require a classification algorithm with low computational complexity. First, the classification algorithm should be able to dynamically analyze time series signals and update itself to process the concept drifts (CD). Second, the classification algorithm should have the ability to handle catastrophic forgetting (CF) and classify historical data. Most importantly, the classification algorithm should be energy-efficient to use less computing power and memory to classify signals in real-time on a smart nanorobot. To solve these challenges, we design an algorithm that can Prevent Concept Drift in Online continual Learning for time series classification (PCDOL). The prototype suppression item in PCDOL can reduce the impact caused by CD. It also solves the CF problem through the replay feature. The computation per second and the memory consumed by PCDOL are only 3.572M and 1KB, respectively. The experimental results show that PCDOL is better than several state-of-the-art methods for dealing with CD and CF in energy-efficient nanorobots.

Explainable Graph Neural Networks for Atherosclerotic Cardiovascular Disease

Understanding the aspects of progression for atherosclerotic cardiovascular disease and treatment is key to building reliable clinical decision-support systems. To promote system trust, one step is to make the machine learning models (used by the decision support systems) explainable for clinicians, developers, and researchers. Recently, working with longitudinal clinical trajectories using Graph Neural Networks (GNNs) has attracted attention among machine learning researchers. Although GNNs are seen as black-box methods, promising explainable AI (XAI) methods for GNNs have lately been proposed. In this paper, which describes initial project stages, we aim at utilizing GNNs for modeling, predicting, and exploring the model explainability of the low-density lipoprotein cholesterol level in long-term atherosclerotic cardiovascular disease progression and treatment.

DRLBTS: deep reinforcement learning-aware blockchain-based healthcare system

Industrial Internet of Things (IIoT) is the new paradigm to perform different healthcare  applications with different services in daily life. Healthcare applications based on IIoT paradigm are widely used to track patients health status using remote healthcare technologies. Complex biomedical sensors exploit wireless technologies, and remote services in terms of industrial workflow applications to perform different healthcare tasks, such as like heartbeat, blood pressure and others. However, existing industrial healthcare technoloiges still has to deal with many problems, such as security, task scheduling, and the cost of processing tasks in IIoT based healthcare paradigms. This paper proposes a new solution to the above-mentioned issues and presents the deep reinforcement learning-aware blockchain-based task scheduling (DRLBTS) algorithm framework with different goals. DRLBTS provides security and makespan efficient scheduling for the healthcare applications. Then, it shares secure and valid data between connected network nodes after the initial assignment and data validation. Statistical results show that DRLBTS is adaptive and meets the security, privacy, and makespan requirements of healthcare applications in the distributed network.

Few-Shot Class-Incremental Learning for Medical Time Series Classification

Continuously analyzing medical time series as new classes emerge is meaningful for health monitoring and medical decision-making. Few-shot class-incremental learning (FSCIL) explores the classification of few-shot new classes without forgetting old classes. However, little of the existing research on FSCIL focuses on medical time series classification, which is more challenging to learn due to its large intra-class variability. In this paper, we propose a framework, the Meta self-Attention Prototype Incrementer (MAPIC) to address these problems. MAPIC contains three main modules: an embedding encoder for feature extraction, a prototype enhancement module for increasing inter-class variation, and a distance-based classifier for reducing intra-class variation. To mitigate catastrophic forgetting, MAPIC adopts a parameter protection strategy in which the parameters of the embedding encoder module are frozen at incremental stages after being trained in the base stage. The prototype enhancement module is proposed to enhance the expressiveness of prototypes by perceiving inter-class relations using a self-attention mechanism. We design a composite loss function containing the sample classification loss, the prototype non-overlapping loss, and the knowledge distillation loss, which work together to reduce intra-class variations and resist catastrophic forgetting. Experimental results on three different time series datasets show that MAPIC significantly outperforms state-of-the-art approaches by 27.99%, 18.4%, and 3.95%, respectively.

Efficacy of Radial Endobronchial Ultrasound (R-EBUS) guided transbronchial cryobiopsy for peripheral pulmonary lesions (PPL...s): A systematic review and meta-analysis

BACKGROUND

Transbronchial lung cryobiopsy (TBLC) is frequently described for the diagnosis of diffuse parenchymal lung diseases (DPLD). A few studies have reported transbronchial cryobiopsy for the diagnosis of peripheral pulmonary lesions (PPL...s). We aimed to study the utility and safety of transbronchial cryobiopsy for the diagnosis of PPL...s.

METHODS

We performed a systematic search of the PubMed and Embase databases to extract the relevant studies. We then performed a meta-analysis to calculate the diagnostic yields of transbronchial cryobiopsy and bronchoscopic forceps biopsy.

RESULTS

Following a systematic search, we identified nine relevant studies (300 patients undergoing cryobiopsy). All used Radial Endobronchial Ultrasound (R-EBUS) for PPL localization. The pooled diagnostic yield of transbronchial cryobiopsy was 77% (95% CI, 71%...84%) (I^2=38.72%, p=0.11). The diagnostic yield of forceps biopsy was 72% (95% CI, 60%...83%) (I^2=78.56%, p<0.01). The diagnostic yield of cryobiopsy and forceps biopsy was similar (RR 1.05, 95% CI 0.96...1.15), with a 5% risk difference for diagnostic yield (95% CI, ...6% to 15%). There was significant heterogeneity (I^2=57.2%, p=0.017), and no significant publication bias. One severe bleeding and three pneumothoraxes requiring intercostal drain (ICD) placement (major complication rate 4/122, 1.8%) were reported with transbronchial cryobiopsy.

CONCLUSIONS

R-EBUS guided transbronchial cryobiopsy is a safe and efficacious modality. The diagnostic yields of TBLC and forceps biopsy are similar. More extensive multicentre randomized trials are required for the further evaluation and standardization of transbronchial cryobiopsy for PPL...s.

IoT-cloud based healthcare model for COVID-19 detection: an enhanced k-Nearest Neighbour classifier based approach

COVID - 19 affected severely worldwide. The pandemic has caused many causalities in a very short span. The IoT-cloud-based healthcare model requirement is utmost in this situation to provide a better decision in the covid-19 pandemic. In this paper, an attempt has been made to perform predictive analytics regarding the disease using a machine learning classifier. This research proposed an enhanced KNN (k NearestNeighbor) algorithm eKNN, which did not randomly choose the value of k. However, it used a mathematical function of the dataset’s sample size while determining the k value. The enhanced KNN algorithm eKNN has experimented on 7 benchmark COVID-19 datasets of different size, which has been gathered from standard data cloud of different countries (Brazil, Mexico, etc.). It appeared that the enhanced KNN classifier performs significantly better than ordinary KNN. The second research question augmented the enhanced KNN algorithm with feature selection using ACO (Ant Colony Optimization). Results indicated that the enhanced KNN classifier along with the feature selection mechanism performed way better than enhanced KNN without feature selection. This paper involves proposing an improved KNN attempting to find an optimal value of k and studying IoT-cloud-based COVID - 19 detection.

Impact of quarantine on fractional order dynamical model of Covid-19

In this paper, a Covid-19 dynamical transmission model of a coupled non-linear fractional differential equation in the Atangana-Baleanu Caputo sense is proposed. The basic dynamical transmission features of the proposed system are briefly discussed. The qualitative as well as quantitative results on the existence and uniqueness of the solutions are evaluated through the fixed point theorem. The Ulam-Hyers stability analysis of the suggested system is established. The two-step Adams-Bashforth-Moulton (ABM) numerical method is employed to find its numerical solution. The numerical simulation is performed to accesses the impact of various biological parameters on the dynamics of Covid-19 disease.

Towards Explainable Dialogue System using Two-Stage Response Generation

In recent years, neural networks have achieved impressive performance on dialogue response generation. However, most of these models still suffer from some shortcomings, such as yielding uninformative responses and lacking explainable ability. The paper proposes a Two-Stage Dialogue Response Generation model (TSRG), which specifies a method to generate diverse and informative responses based on an interpretable procedure between stages. TSRG involves a two-stage framework that generates a candidate response first and then instantiates it as the final response. The positional information and a resident token are injected into the candidate response to stabilize the multi-stage framework, alleviating the shortcomings in the multi-stage framework. Additionally, TSRG allows adjusting and interpreting the interaction pattern between the two generation stages, making the generation response somewhat explainable and controllable. We evaluate the proposed model on three dialogue datasets that contain millions of single-turn message-response pairs between web users. The results show that, compared with the previous multi-stage dialogue generation models, TSRG can produce more diverse and informative responses and maintain fluency and relevance.

Federated learning-based AI approaches in smart healthcare: concepts, taxonomies, challenges and open issues

Federated Learning (FL), Artificial Intelligence (AI), and Explainable Artificial Intelligence (XAI) are the most trending and exciting technology in the intelligent healthcare field. Traditionally, the healthcare system works based on centralized agents sharing their raw data. Therefore, huge vulnerabilities and challenges are still existing in this system. However, integrating with AI, the system would be multiple agent collaborators who are capable of communicating with their desired host efficiently. Again, FL is another interesting feature, which works decentralized manner; it maintains the communication based on a model in the preferred system without transferring the raw data. The combination of FL, AI, and XAI techniques can be capable of minimizing several limitations and challenges in the healthcare system. This paper presents a complete analysis of FL using AI for smart healthcare applications. Initially, we discuss contemporary concepts of emerging technologies such as FL, AI, XAI, and the healthcare system. We integrate and classify the FL-AI with healthcare technologies in different domains. Further, we address the existing problems, including security, privacy, stability, and reliability in the healthcare field. In addition, we guide the readers to solving strategies of healthcare using FL and AI. Finally, we address extensive research areas as well as future potential prospects regarding FL-based AI research in the healthcare management system.

Stable and Discriminatory Radiomic Features from the Tumor and Its Habitat Associated with Progression-Free Survival in Glioblastoma: A Multi-Institutional Study

BACKGROUND AND PURPOSE

Glioblastoma is an aggressive brain tumor, with no validated prognostic biomarkers for survival before surgical resection. Although recent approaches have demonstrated the prognostic ability of tumor habitat (constituting necrotic core, enhancing lesion, T2/FLAIR hyperintensity subcompartments) derived radiomic features for glioblastoma survival on treatment-naive MR imaging scans, radiomic features are known to be sensitive to MR imaging acquisitions across sites and scanners. In this study, we sought to identify the radiomic features that are both stable across sites and discriminatory of poor and improved progression-free survival in glioblastoma tumors.

MATERIALS AND METHODS

We used 150 treatment-naive glioblastoma MR imaging scans (Gadolinium-T1w, T2w, FLAIR) obtained from 5 sites. For every tumor subcompartment (enhancing tumor, peritumoral FLAIR-hyperintensities, necrosis), a total of 316 three-dimensional radiomic features were extracted. The training cohort constituted studies from 4 sites (n = 93) to select the most stable and discriminatory radiomic features for every tumor subcompartment. These features were used on a hold-out cohort (n = 57) to evaluate their ability to discriminate patients with poor survival from those with improved survival.

RESULTS

Incorporating the most stable and discriminatory features within a linear discriminant analysis classifier yielded areas under the curve of 0.71, 0.73, and 0.76 on the test set for distinguishing poor and improved survival compared with discriminatory features alone (areas under the curve of 0.65, 0.54, 0.62) from the necrotic core, enhancing tumor, and peritumoral T2/FLAIR hyperintensity, respectively.

CONCLUSIONS

Incorporating stable and discriminatory radiomic features extracted from tumors and associated habitats across multisite MR imaging sequences may yield robust prognostic classifiers of patient survival in glioblastoma tumors.

Federated-Learning Based Privacy Preservation and Fraud-Enabled Blockchain IoMT System for Healthcare

These days, the usage of machine-learning-enabled dynamic Internet of Medical Things (IoMT) systems with multiple technologies for digital healthcare applications has been growing progressively in practice. Machine learning plays a vital role in the IoMT system to balance the load between delay and energy. However, the traditional learning models fraud on the data in the distributed IoMT system for healthcare applications are still a critical research problem in practice. The study devises a federated learning-based blockchain-enabled task scheduling (FL-BETS) framework with different dynamic heuristics. The study considers the different healthcare applications that have both hard constraint (e.g., deadline) and resource energy consumption (e.g., soft constraint) during execution on the distributed fog and cloud nodes. The goal of FL-BETS is to identify and ensure the privacy preservation and fraud of data at various levels, such as local fog nodes and remote clouds, with minimum energy consumption and delay, and to satisfy the deadlines of healthcare workloads. The study introduces the mathematical model. In the performance evaluation, FLBETS outperforms all existing machine learning and blockchain mechanisms in fraud analysis, data validation, energy and delay constraints for healthcare applications.

IoMT: A COVID-19 Healthcare System driven by Federated Learning and Blockchain

Internet of medical things (IoMT) has made it possible to collect applications and medical devices for improving healthcare information technology. Today, limitations in technology enable COVID-19 call centers to restrict the number of calls per day. To this end, the unprecedented virality of COVID-19 makes call centers to be likely overstressed. Thus, people who are tested for COVID-19 virus may not get adequate guidance to manage and minimize both its risk and transmission. In addition, lack of patients privacy has restricted the sharing of COVID-19 data among health institutions. To resolve the above mentioned limitations, this paper proposes privacy infrastructure based on federated learning and blockchain technology. The proposed infrastructure has the potentials to enhance public communication and deliver alternative methods to disseminate COVID-19 information. Also, the proposed infrastructure can effectively resolve the issue of large data silos and provide a shared model while preserving the privacy of data owners. Furthermore, information security and privacy analyses show that the proposed infrastructure is robust against information security related attacks.

Attribute-Based Adaptive Homomorphic Encryption for Big Data Security

There is a drastic increase in Internet usage across the globe, thanks to mobile phone penetration. This extreme Internet usage generates huge volumes of data, in other terms, big data. Security and privacy are the main issues to be considered in big data management. Hence, in this article, Attribute-based Adaptive Homomorphic Encryption (AAHE) is developed to enhance the security of big data. In the proposed methodology, Oppositional Based Black Widow Optimization (OBWO) is introduced to select the optimal key parameters by following the AAHE method. By considering oppositional function, Black Widow Optimization (BWO) convergence analysis was enhanced. The proposed methodology has different processes, namely, process setup, encryption, and decryption processes. The researcher evaluated the proposed methodology with non-abelian rings and the homomorphism process in ciphertext format. Further, it is also utilized in improving one-way security related to the conjugacy examination issue. Afterward, homomorphic encryption is developed to secure the big data. The study considered two types of big data such as adult datasets and anonymous Microsoft web datasets to validate the proposed methodology. With the help of performance metrics such as encryption time, decryption time, key size, processing time, downloading, and uploading time, the proposed method was evaluated and compared against conventional cryptography techniques such as Rivest-Shamir-Adleman (RSA) and Elliptic Curve Cryptography (ECC). Further, the key generation process was also compared against conventional methods such as BWO, Particle Swarm Optimization (PSO), and Firefly Algorithm (FA). The results established that the proposed method is supreme than the compared methods and can be applied in real time in near future.

Pixel and Feature Transfer Fusion for Unsupervised Cross-Dataset Person Reidentification

Recently, unsupervised cross-dataset person reidentification (Re-ID) has attracted more and more attention, which aims to transfer knowledge of a labeled source domain to an unlabeled target domain. There are two common frameworks: one is pixel-alignment of transferring low-level knowledge, and the other is feature-alignment of transferring high-level knowledge. In this article, we propose a novel recurrent autoencoder (RAE) framework to unify these two kinds of methods and inherit their merits. Specifically, the proposed RAE includes three modules, i.e., a feature-transfer (FT) module, a pixel-transfer (PT) module, and a fusion module. The FT module utilizes an encoder to map source and target images to a shared feature space. In the space, not only features are identity-discriminative but also the gap between source and target features is reduced. The PT module takes a decoder to reconstruct original images with its features. Here, we hope that the images reconstructed from target features are in the source style. Thus, the low-level knowledge can be propagated to the target domain. After transferring both high- and low-level knowledge with the two proposed modules above, we design another bilinear pooling layer to fuse both kinds of knowledge. Extensive experiments on Market-1501, DukeMTMC-ReID, and MSMT17 datasets show that our method significantly outperforms either pixel-alignment or feature-alignment Re-ID methods and achieves new state-of-the-art results.

COVID-Transformer: Interpretable COVID-19 Detection Using Vision Transformer for Healthcare

In the recent pandemic, accurate and rapid testing of patients remained a critical task in the diagnosis and control of COVID-19 disease spread in the healthcare industry. Because of the sudden increase in cases, most countries have faced scarcity and a low rate of testing. Chest X-rays have been shown in the literature to be a potential source of testing for COVID-19 patients, but manually checking X-ray reports is time-consuming and error-prone. Considering these limitations and the advancements in data science, we proposed a Vision Transformer-based deep learning pipeline for COVID-19 detection from chest X-ray-based imaging. Due to the lack of large data sets, we collected data from three open-source data sets of chest X-ray images and aggregated them to form a 30 K image data set, which is the largest publicly available collection of chest X-ray images in this domain to our knowledge. Our proposed transformer model effectively differentiates COVID-19 from normal chest X-rays with an accuracy of 98% along with an AUC score of 99% in the binary classification task. It distinguishes COVID-19, normal, and pneumonia patient's X-rays with an accuracy of 92% and AUC score of 98% in the Multi-class classification task. For evaluation on our data set, we fine-tuned some of the widely used models in literature, namely, EfficientNetB0, InceptionV3, Resnet50, MobileNetV3, Xception, and DenseNet-121, as baselines. Our proposed transformer model outperformed them in terms of all metrics. In addition, a Grad-CAM based visualization is created which makes our approach interpretable by radiologists and can be used to monitor the progression of the disease in the affected lungs, assisting healthcare.

An optimal cascaded recurrent neural network for intelligent COVID-19 detection using Chest X-ray images

In recent times, COVID-19, has a great impact on the healthcare sector and results in a wide range of respiratory illnesses. It is a type of Ribonucleic acid (RNA) virus, which affects humans as well as animals. Though several artificial intelligence-based COVID-19 diagnosis models have been presented in the literature, most of the works have not focused on the hyperparameter tuning process. Therefore, this paper proposes an intelligent COVID-19 diagnosis model using a barnacle mating optimization (BMO) algorithm with a cascaded recurrent neural network (CRNN) model, named BMO-CRNN. The proposed BMO-CRNN model aims to detect and classify the existence of COVID-19 from Chest X-ray images. Initially, pre-processing is applied to enhance the quality of the image. Next, the CRNN model is used for feature extraction, followed by hyperparameter tuning of CRNN via the BMO algorithm to improve the classification performance. The BMO algorithm determines the optimal values of the CRNN hyperparameters namely learning rate, batch size, activation function, and epoch count. The application of CRNN and hyperparameter tuning using the BMO algorithm shows the novelty of this work. A comprehensive simulation analysis is carried out to ensure the better performance of the BMO-CRNN model, and the experimental outcome is investigated using several performance metrics. The simulation results portrayed that the BMO-CRNN model has showcased optimal performance with an average sensitivity of 97.01%, specificity of 98.15%, accuracy of 97.31%, and F-measure of 97.73% compared to state-of-the-art methods.

Assessing the optimal imaging modality in the diagnosis of jaw osteomyelitis. A meta-analysis

Osteomyelitis is an inflammatory infectious disease that affects bone and bone marrow. Histopathology remains the gold standard method for diagnosis, but imaging modalities also play an important role. We systematically reviewed five articles with comparative studies on plain films, computed tomography (CT) scan, magnetic resonance imaging (MRI), cone beam computed tomography (CBCT), positron emission tomography (PET), single photon-emission computed tomography (SPECT), scintigraphy, and SPECT/CT. Scintigraphy and SPECT/CT has the highest sensitivity of 100%. PET is only to be used in cases of follow up. Orthopantomography (OPG) is the most common initial diagnostic tool despite its low sensitivity. CT provides the necessary specificity needed for radionuclide imaging, which has the highest negative predictive value of 100% and a positive predictive value >95%. SPECT/CT with 100% sensitivity and 85% specificity can be considered as the imaging modality of choice for initial diagnosis and follow up.

Res-CovNet: an internet of medical health things driven COVID-19 framework using transfer learning

Major countries are globally facing difficult situations due to this pandemic disease, COVID-19. There are high chances of getting false positives and false negatives identifying the COVID-19 symptoms through existing medical practices such as PCR (polymerase chain reaction) and RT-PCR (reverse transcription-polymerase chain reaction). It might lead to a community spread of the disease. The alternative of these tests can be CT (Computer Tomography) imaging or X-rays of the lungs to identify the patient with COVID-19 symptoms more accurately. Furthermore, by using feasible and usable technology to automate the identification of COVID-19, the facilities can be improved. This notion became the basic framework, Res-CovNet, of the implemented methodology, a hybrid methodology to bring different platforms into a single platform. This basic framework is incorporated into IoMT based framework, a web-based service to identify and classify various forms of pneumonia or COVID-19 utilizing chest X-ray images. For the front end, the.NET framework along with C# language was utilized, MongoDB was utilized for the storage aspect, Res-CovNet was utilized for the processing aspect. Deep learning combined with the notion forms a comprehensive implementation of the framework, Res-CovNet, to classify the COVID-19 affected patients from pneumonia-affected patients as both lung imaging looks similar to the naked eye. The implemented framework, Res-CovNet, developed with the technique, transfer learning in which ResNet-50 used as a pre-trained model and then extended with classification layers. The work implemented using the data of X-ray images collected from the various trustable sources that include cases such as normal, bacterial pneumonia, viral pneumonia, and COVID-19, with the overall size of the data is about 5856. The accuracy of the model implemented is about 98.4% in identifying COVID-19 against the normal cases. The accuracy of the model is about 96.2% in the case of identifying COVID-19 against all other cases, as mentioned.

Deep learning and evolutionary intelligence with fusion-based feature extraction for detection of COVID-19 from chest X-ray images

In recent times, COVID-19 infection gets increased exponentially with the existence of a restricted number of rapid testing kits. Several studies have reported the COVID-19 diagnosis model from chest X-ray images. But the diagnosis of COVID-19 patients from chest X-ray images is a tedious process as the bilateral modifications are considered an ill-posed problem. This paper presents a new metaheuristic-based fusion model for COVID-19 diagnosis using chest X-ray images. The proposed model comprises different preprocessing, feature extraction, and classification processes. Initially, the Weiner filtering (WF) technique is used for the preprocessing of images. Then, the fusion-based feature extraction process takes place by the incorporation of gray level co-occurrence matrix (GLCM), gray level run length matrix (GLRM), and local binary patterns (LBP). Afterward, the salp swarm algorithm (SSA) selected the optimal feature subset. Finally, an artificial neural network (ANN) is applied as a classification process to classify infected and healthy patients. The proposed model's performance has been assessed using the Chest X-ray image dataset, and the results are examined under diverse aspects. The obtained results confirmed the presented model's superior performance over the state of art methods.