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Zheng J, Fu G, Abudayyeh I, Yacoub M, Chang A, Feaster WW, Ehwerhemuepha L, El-Askary H, Du X, He B, Feng M, Yu Y, Wang B, Liu J, Yao H, Chu H, Rakovski C. A High-Precision Machine Learning Algorithm to Classify Left and Right Outflow Tract Ventricular Tachycardia. Front Physiol 2021; 12:641066. [PMID: 33716788 PMCID: PMC7947246 DOI: 10.3389/fphys.2021.641066] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Accepted: 01/18/2021] [Indexed: 12/03/2022] Open
Abstract
Introduction Multiple algorithms based on 12-lead ECG measurements have been proposed to identify the right ventricular outflow tract (RVOT) and left ventricular outflow tract (LVOT) locations from which ventricular tachycardia (VT) and frequent premature ventricular complex (PVC) originate. However, a clinical-grade machine learning algorithm that automatically analyzes characteristics of 12-lead ECGs and predicts RVOT or LVOT origins of VT and PVC is not currently available. The effective ablation sites of RVOT and LVOT, confirmed by a successful ablation procedure, provide evidence to create RVOT and LVOT labels for the machine learning model. Methods We randomly sampled training, validation, and testing data sets from 420 patients who underwent successful catheter ablation (CA) to treat VT or PVC, containing 340 (81%), 38 (9%), and 42 (10%) patients, respectively. We iteratively trained a machine learning algorithm supplied with 1,600,800 features extracted via our proprietary algorithm from 12-lead ECGs of the patients in the training cohort. The area under the curve (AUC) of the receiver operating characteristic curve was calculated from the internal validation data set to choose an optimal discretization cutoff threshold. Results The proposed approach attained the following performance: accuracy (ACC) of 97.62 (87.44–99.99), weighted F1-score of 98.46 (90–100), AUC of 98.99 (96.89–100), sensitivity (SE) of 96.97 (82.54–99.89), and specificity (SP) of 100 (62.97–100). Conclusions The proposed multistage diagnostic scheme attained clinical-grade precision of prediction for LVOT and RVOT locations of VT origin with fewer applicability restrictions than prior studies.
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Zhang X, Lin X, Zhang Z, Dong L, Sun X, Sun D, Yuan K. Artificial Intelligence Medical Ultrasound Equipment: Application of Breast Lesions Detection. ULTRASONIC IMAGING 2020; 42:191-202. [PMID: 32546066 DOI: 10.1177/0161734620928453] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Breast cancer ranks first among cancers affecting women's health. Our work aims to realize the intelligence of the medical ultrasound equipment with limited computational capability, which is used for the assistant detection of breast lesions. We embed the high-computational deep learning algorithm into the medical ultrasound equipment with limited computational capability by two techniques: (1) lightweight neural network: considering the limited computational capability of ultrasound equipment, a lightweight neural network is designed, which greatly reduces the amount of calculation. And we use the technique of knowledge distillation to train the low-precision network helped with the high-precision network; (2) asynchronous calculations: consider four frames of ultrasound images as a group; the image of the first frame of each group is used as the input of the network, and the result is respectively fused with the images of the fourth to seventh frames. An amount of computation of 30 GFLO/frame is required for the proposed lightweight neural network, about 1/6 of that of the large high-precision network. After trained from scratch using the knowledge distillation technique, the detection performance of the lightweight neural network (sensitivity = 89.25%, specificity = 96.33%, the average precision [AP] = 0.85) is close to that of the high-precision network (sensitivity = 98.3%, specificity = 88.33%, AP = 0.91). By asynchronous calculation, we achieve real-time automatic detection of 24 fps (frames per second) on the ultrasound equipment. Our work proposes a method to realize the intelligence of the low-computation-power ultrasonic equipment, and successfully achieves the real-time assistant detection of breast lesions. The significance of the study is as follows: (1) The proposed method is of practical significance in assisting doctors to detect breast lesions; (2) our method provides some practical and theoretical support for the development and engineering of intelligent equipment based on artificial intelligence algorithms.
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Graewingholt A, Rossi PG. Retrospective analysis of the effect on interval cancer rate of adding an artificial intelligence algorithm to the reading process for two-dimensional full-field digital mammography. J Med Screen 2021; 28:369-371. [PMID: 33435812 DOI: 10.1177/0969141320988049] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Interval cancers are a commonly seen problem in organized breast cancer screening programs and their rate is measured for quality assurance. Artificial intelligence algorithms have been proposed to improve mammography sensitivity, in which case it is likely that the interval cancer rate would decrease and the quality of the screening system could be improved. Interval cancers from negative screening in 2011 and 2012 of one regional unit of the national German breast cancer screening program were classified by a group of radiologists, categorizing the screening digital mammography with diagnostic images as true interval, minimal signs, false negative and occult cancer. Screening mammograms were processed using a detection algorithm based on deep learning. Of the 29 cancer cases available, artificial intelligence identified eight out of nine of those classified as minimal signs, all six false negatives and none of the true interval and occult cancers. Sensitivity for lesions judged to be already present in screening mammogram was 93% (95% confidence interval 68-100) and sensitivity for any interval cancer was 48% (95% confidence interval 29-67). Using an artificial intelligence algorithm as an additional reading tool has the potential to reduce interval cancers. How and if this theoretical advantage can be reached without a negative effect on recall rate is a challenge for future research.
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Jang JY, Kim JH, Kim MW, Kim SH, Yong SY. Study of the Efficacy of Artificial Intelligence Algorithm-Based Analysis of the Functional and Anatomical Improvement in Polynucleotide Treatment in Knee Osteoarthritis Patients: A Prospective Case Series. J Clin Med 2022; 11:2845. [PMID: 35628972 PMCID: PMC9148053 DOI: 10.3390/jcm11102845] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 05/15/2022] [Accepted: 05/16/2022] [Indexed: 12/19/2022] Open
Abstract
Knee osteoarthritis (OA) is one of the most common degenerative diseases in old age. Recent studies have suggested new treatment approaches dealing with subchondral remodeling, which is a typical feature of OA progression. However, diagnostic tools or therapeutic approaches related to such a process are still being researched. The automated artificial intelligence (AI) algorithm-based texture analysis is a new method used for OA-progression detection. We designed a prospective case series study to examine the efficacy of the AI algorithm-based texture analysis in detecting the restoration of the subchondral remodeling process, which is expected to follow therapeutic intervention. In this study, we used polynucleotide (PN) filler injections as the therapeutic modality and the treatment outcome was verified by symptom improvement, as well as by the induction of subchondral microstructural changes. We used AI algorithm-based texture analysis to observe these changes in the subchondral bone with the bone structure value (BSV). A total of 51 participants diagnosed with knee OA were enrolled in this study. Intra-articular PN filler (HP cell Vitaran J) injections were administered once a week and five times in total. Knee X-rays and texture analyses with BSVs were performed during the screening visit and the last visit three months after screening. The Visual Analogue Scale (VAS) and Korean-Western Ontario MacMaster (K-WOMAC) measurements were used at the screening visit, the fifth intra-articular injection visit, and the last visit. The VAS and K-WOMAC scores decreased after PN treatment and lasted for three months after the final injection. The BSV changed in the middle and deep layers of tibial bone after PN injection. This result could imply that there were microstructural changes in the subchondral bone after PN treatment, and that this change could be detected using the AI algorithm-based texture analysis. In conclusion, the AI- algorithm-based texture analysis could be a promising tool for detecting and assessing the therapeutic outcome in knee OA.
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Xie N, Zhou H, Yu L, Huang S, Tian C, Li K, Jiang Y, Hu ZY, Ouyang Q. Artificial intelligence scale-invariant feature transform algorithm-based system to improve the calculation accuracy of Ki-67 index in invasive breast cancer: a multicenter retrospective study. ANNALS OF TRANSLATIONAL MEDICINE 2022; 10:1067. [PMID: 36330383 PMCID: PMC9622502 DOI: 10.21037/atm-22-4254] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 09/27/2022] [Indexed: 09/02/2023]
Abstract
BACKGROUND Ki-67 is a key indicator of the proliferation activity of tumors. However, no standardized criterion has been established for Ki-67 index calculation. Scale-invariant feature transform (SIFT) algorithm can identify the robust invariant features to rotation, translation, scaling and linear intensity changes for matching and registration in computer vision. Thus, this study aimed to develop a SIFT-based computer-aided system for Ki-67 calculation in breast cancer. METHODS Hematoxylin and eosin (HE)-stained and Ki-67-stained slides were scanned and whole slide images (WSIs) were obtained. The regions of breast cancer (BC) tissues and non-BC tissues were labeled by experienced pathologists. All the labeled WSIs were randomly divided into the training set, verification set, and test set according to a fixed ratio of 7:2:1. The algorithm for identification of cancerous regions was developed by a ResNet network. The registration process between paired consecutive HE-stained WSIs and Ki-67-stained WSIs was based on a pyramid model using the feature matching method of SIFT. After registration, we counted the nuclear-stained Ki-67-positive cells in each identified invasive cancerous region using color deconvolution. To assess the accuracy, the AI-assisted result for each slice was compared with the manual diagnosis result of pathologists. If the difference of the two positive rate values is not greater than 10%, it was a consistent result; otherwise, it was an inconsistent result. RESULTS The accuracy of the AI-based algorithm in identifying breast cancer tissues in HE-stained slides was 93%, with an area under the curve (AUC) of 0.98. After registration, we succeeded in identifying Ki-67-positive cells among cancerous cells across the entire WSIs and calculated the Ki-67 index, with an accuracy rate of 91.5%, compared to the gold standard pathological reports. Using this system, it took about 1 hour to complete the evaluation of all the tested 771 pairs of HE- and Ki-67-stained slides. Each Ki-67 result took less than 2 seconds. CONCLUSIONS Using a pyramid model and the SIFT feature matching method, we developed an AI-based automatic cancer identification and Ki-67 index calculation system, which could improve the accuracy of Ki-67 index calculation and make the data repeatable among different hospitals and centers.
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Zheng J, Fu G, Abudayyeh I, Yacoub M, Chang A, Feaster WW, Ehwerhemuepha L, El-Askary H, Du X, He B, Feng M, Yu Y, Wang B, Liu J, Yao H, Chu H, Rakovski C. A High-Precision Machine Learning Algorithm to Classify Left and Right Outflow Tract Ventricular Tachycardia. Front Physiol 2021. [PMID: 33716788 DOI: 10.6084/m9.figshare.c.4668086.v2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Introduction Multiple algorithms based on 12-lead ECG measurements have been proposed to identify the right ventricular outflow tract (RVOT) and left ventricular outflow tract (LVOT) locations from which ventricular tachycardia (VT) and frequent premature ventricular complex (PVC) originate. However, a clinical-grade machine learning algorithm that automatically analyzes characteristics of 12-lead ECGs and predicts RVOT or LVOT origins of VT and PVC is not currently available. The effective ablation sites of RVOT and LVOT, confirmed by a successful ablation procedure, provide evidence to create RVOT and LVOT labels for the machine learning model. Methods We randomly sampled training, validation, and testing data sets from 420 patients who underwent successful catheter ablation (CA) to treat VT or PVC, containing 340 (81%), 38 (9%), and 42 (10%) patients, respectively. We iteratively trained a machine learning algorithm supplied with 1,600,800 features extracted via our proprietary algorithm from 12-lead ECGs of the patients in the training cohort. The area under the curve (AUC) of the receiver operating characteristic curve was calculated from the internal validation data set to choose an optimal discretization cutoff threshold. Results The proposed approach attained the following performance: accuracy (ACC) of 97.62 (87.44-99.99), weighted F1-score of 98.46 (90-100), AUC of 98.99 (96.89-100), sensitivity (SE) of 96.97 (82.54-99.89), and specificity (SP) of 100 (62.97-100). Conclusions The proposed multistage diagnostic scheme attained clinical-grade precision of prediction for LVOT and RVOT locations of VT origin with fewer applicability restrictions than prior studies.
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Li W, Min R, Zheng D, Long Y, Xiao K, Wang Z, Guo M, Chen Q, Liu L, Li X, Li Z. Wearable Photonic Artificial Throat for Silent Communication and Speech Recognition. ACS APPLIED MATERIALS & INTERFACES 2025; 17:11126-11143. [PMID: 39918278 DOI: 10.1021/acsami.4c21754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/21/2025]
Abstract
Advocating for the voices of the disabled, particularly through wearable artificial throats, has garnered significant attention recently. Such devices necessitate sensors with stretchability, high sensitivity, and excellent skin conformability. In this study, an intelligent photonic artificial throat has been developed. It features a sandwich-structured optical fiber sensor encapsulated in Dragon Skin 20, which has an elastic modulus similar to human tissue and is integrated with sensitivity-enhancing rings and fabric for enhanced wearability. With ultrafast response (response time: 10 ms, recovery time: 32 ms) and high sensitivity (1.92 μW/mN), it detects throat area vibrations and muscle contractions, accurately identifying tones in Mandarin, vowels, words, and sentences in English, achieving accurate bilingual detection. It also distinguishes animal sounds (horse neighing and cuckoo's call) and pop songs when mounted on speakers. Furthermore, the artificial throat can accurately detect subtle movements of the head and neck, and by combining nodding actions with the MORSE code, silent communication between individuals has been successfully achieved. Integrated with an advanced artificial intelligence (AI) algorithm, it recognizes tones (97.50%), vowel letters (97.00%), common words (98.00%) and sentences (96.52%), opening prospects for biomedical applications, language education, speech recognition, motion monitoring, and more.
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Kong L, Huang M, Zhang L, Chan LWC. Enhancing Diagnostic Images to Improve the Performance of the Segment Anything Model in Medical Image Segmentation. Bioengineering (Basel) 2024; 11:270. [PMID: 38534543 DOI: 10.3390/bioengineering11030270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 03/06/2024] [Accepted: 03/07/2024] [Indexed: 03/28/2024] Open
Abstract
Medical imaging serves as a crucial tool in current cancer diagnosis. However, the quality of medical images is often compromised to minimize the potential risks associated with patient image acquisition. Computer-aided diagnosis systems have made significant advancements in recent years. These systems utilize computer algorithms to identify abnormal features in medical images, assisting radiologists in improving diagnostic accuracy and achieving consistency in image and disease interpretation. Importantly, the quality of medical images, as the target data, determines the achievable level of performance by artificial intelligence algorithms. However, the pixel value range of medical images differs from that of the digital images typically processed via artificial intelligence algorithms, and blindly incorporating such data for training can result in suboptimal algorithm performance. In this study, we propose a medical image-enhancement scheme that integrates generic digital image processing and medical image processing modules. This scheme aims to enhance medical image data by endowing them with high-contrast and smooth characteristics. We conducted experimental testing to demonstrate the effectiveness of this scheme in improving the performance of a medical image segmentation algorithm.
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Chang R, Li T, Ma X. Application value of artificial intelligence algorithm-based magnetic resonance multi-sequence imaging in staging diagnosis of cervical cancer. Open Life Sci 2024; 19:20220733. [PMID: 38867922 PMCID: PMC11167709 DOI: 10.1515/biol-2022-0733] [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: 07/10/2023] [Revised: 08/11/2023] [Accepted: 08/28/2023] [Indexed: 06/14/2024] Open
Abstract
The aim of this research is to explore the application value of Deep residual network model (DRN) for deep learning-based multi-sequence magnetic resonance imaging (MRI) in the staging diagnosis of cervical cancer (CC). This research included 90 patients diagnosed with CC between August 2019 and May 2021 at the hospital. After undergoing MRI examination, the clinical staging and surgical pathological staging of patients were conducted. The research then evaluated the results of clinical staging and MRI staging to assess their diagnostic accuracy and correlation. In the staging diagnosis of CC, the feature enhancement layer was added to the DRN model, and the MRI imaging features of CC were used to enhance the image information. The precision, specificity, and sensitivity of the constructed model were analyzed, and then the accuracy of clinical diagnosis staging and MRI staging were compared. As the model constructed DRN in this research was compared with convolutional neural network (CNN) and the classic deep neural network visual geometry group (VGG), the precision was 67.7, 84.9, and 93.6%, respectively. The sensitivity was 70.4, 82.5, and 91.2%, while the specificity was 68.5, 83.8, and 92.2%, respectively. The precision, sensitivity, and specificity of the model were remarkably higher than those of CNN and VGG models (P < 0.05). As the clinical staging and MRI staging of CC were compared, the diagnostic accuracy of MRI was 100%, while that of clinical diagnosis was 83.7%, showing a significant difference between them (P < 0.05). Multi-sequence MRI under intelligent algorithm had a high diagnostic rate for CC staging, deserving a good clinical application value.
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Ma X, Chen D, Qu Q, Liao S, Wang M, Wang H, Chen Z, Zhang T, Wang F, Liu Y. Directional Characteristic Enhancement of an Omnidirectional Detection Sensor Enabled by Strain Partitioning Effects in a Periodic Composite Hole Substrate. ACS Sens 2024; 9:5802-5814. [PMID: 39431947 DOI: 10.1021/acssensors.4c01097] [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] [Indexed: 10/22/2024]
Abstract
An omnidirectional stretchable strain sensor with high resolution is a critical component for motion detection and human-machine interaction. It is the current dominant solution to integrate several consistent units into the omnidirectional sensor based on a certain geometric structure. However, the excessive similarity in orientation characteristics among sensing units restricts orientation recognition due to their closely matched strain sensitivity. In this study, based on strain partition modulation (SPM), a sensitivity anisotropic amplification strategy is proposed for resistive strain sensors. The stress distribution of a sensitive conductive network is modulated by structural parameters of the customized periodic hole array introduced underneath the elastomer substrate. Meanwhile, the strain isolation structures are designed on both sides of the sensing unit for stress interference immune. The optimized sensors exhibit excellent sensitivity (19 for 0-80%; 109 for 80%-140%; 368 for 140%-200%), with nearly a 7-fold improvement in the 140%-200% interval compared to bare elastomer sensors. More importantly, a sensing array composed of multiple units with different hole configurations can highlight orientation characteristics with amplitude difference between channels reaching up to 29 times. For the 48-class strain-orientation decoupling task, the recognition rate of the sensitivity-differentiated layout sensor with the lightweight deep learning network is as high as 96.01%, superior to that of 85.7% for the sensitivity-consistent layout. Furthermore, the application of the sensor to the fitness field demonstrates an accurate recognition of the wrist flexion direction (98.4%) and spinal bending angle (83.4%). Looking forward, this methodology provides unique prospects for broader applications such as tactile sensors, soft robotics, and health monitoring technologies.
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Kim DK, Kim BS, Kim YJ, Kim S, Yoon D, Lee DK, Jeong J, Jo YH. Development and validation of an artificial intelligence algorithm for detecting vocal cords in video laryngoscopy. Medicine (Baltimore) 2023; 102:e36761. [PMID: 38134083 PMCID: PMC10735139 DOI: 10.1097/md.0000000000036761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2023] [Accepted: 12/01/2023] [Indexed: 12/24/2023] Open
Abstract
Airway procedures in life-threatening situations are vital for saving lives. Video laryngoscopy (VL) is commonly performed during endotracheal intubation (ETI) in the emergency department. Artificial intelligence (AI) is widely used in the medical field, particularly to detect anatomical structures. This study aimed to develop an AI algorithm that detects vocal cords from VL images acquired during emergent situations. This retrospective study used VL images acquired in the emergency department to facilitate the ETI. The vocal cord image was labeled with a ground-truth bounding box. The dataset was divided into training and validation datasets. The algorithm was developed from a training dataset using the YOLOv4 model. The performance of the algorithm was evaluated using a test set. The test set was further divided into specific environments during the ETI for clinical subgroup analysis. In total, 20,161 images from 84 patients were used in this study. A total of 10,287, 5766, and 4108 images were used for the model training, validation, and test sets, respectively. The developed algorithm achieved F1 score 0.906, sensitivity 0.963, and specificity 0.842 in the validation set. The performance in the test set was F1 score 0.808, sensitivity 0.823, and specificity 0.804. We developed and validated an AI algorithm to detect vocal cords in VL. This algorithm demonstrated a high performance. The algorithm can be used to determine the vocal cord to ensure safe ETI.
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Schelde-Olesen B, Koulaouzidis A, Deding U, Toth E, Dabos KJ, Eliakim A, Carretero C, González-Suárez B, Dray X, de Lange T, Beaumont H, Rondonotti E, Kopylov U, Ellul P, Pérez-Cuadrado-Robles E, Robertson A, Stenfors I, Bojorquez A, Piccirelli S, Raabe GG, Margalit-Yehuda R, Barba I, Scardino G, Ouazana S, Bjørsum-Meyer T. Bowel cleansing quality evaluation in colon capsule endoscopy: what is the reference standard? Therap Adv Gastroenterol 2024; 17:17562848241290256. [PMID: 39449979 PMCID: PMC11500223 DOI: 10.1177/17562848241290256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Accepted: 09/21/2024] [Indexed: 10/26/2024] Open
Abstract
BACKGROUND The diagnostic accuracy of colon capsule endoscopy (CCE) depends on a well-cleansed bowel. Evaluating the cleansing quality can be difficult with a substantial interobserver variation. OBJECTIVES Our primary aim was to establish a standard of agreement for bowel cleansing in CCE based on evaluations by expert readers. Then, we aimed to investigate the interobserver agreement on bowel cleansing. DESIGN We conducted an interobserver agreement study on bowel cleansing quality. METHODS Readers with different experience levels in CCE and colonoscopy evaluated bowel cleansing quality on the Leighton-Rex scale and Colon Capsule CLEansing Assessment and Report (CC-CLEAR), respectively. All evaluations were reported on an image level. A total of 24 readers rated 500 images on each scale. RESULTS An expert opinion-based agreement standard could be set for poor and excellent cleansing but not for the spectrum in between, as the experts agreed on only a limited number of images representing fair and good cleansing. The overall interobserver agreement on the Leighton-Rex full scale was good (intraclass correlation coefficient (ICC) 0.84, 95% CI (0.82-0.85)) and remained good when stratified by experience level. On the full CC-CLEAR scale, the overall agreement was moderate (ICC 0.62, 95% CI (0.59-0.65)) and remained so when stratified by experience level. CONCLUSION The interobserver agreement was good for the Leighton-Rex scale and moderate for CC-CLEAR, irrespective of the reader's experience level. It was not possible to establish an expert-opinion standard of agreement for cleansing quality in CCE images. Dedicated training in using the scales may improve agreement and enable future algorithm calibration for artificial intelligence supported cleansing evaluation. TRIAL REGISTRATION All included images were derived from the CAREforCOLON 2015 trial (Registered with The Regional Health Research Ethics Committee (Registration number: S-20190100), the Danish data protection agency (Ref. 19/29858), and ClinicalTrials.gov (registration number: NCT04049357)).
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Liu J, Li M, Chen Y, Islam SMN, Crespi N. Variational Channel Estimation with Tempering: An Artificial Intelligence Algorithm for Wireless Intelligent Networks. SENSORS 2020; 20:s20205939. [PMID: 33096632 PMCID: PMC7589180 DOI: 10.3390/s20205939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 10/13/2020] [Accepted: 10/18/2020] [Indexed: 11/16/2022]
Abstract
With the rapid development of wireless sensor networks (WSNs) technology, a growing number of applications and services need to acquire the states of channels or sensors, especially in order to use these states for monitoring, object tracking, motion detection, etc. A critical issue in WSNs is the ability to estimate the source parameters from the readings of a distributed sensor network. Although there are several studies on channel estimation (CE) algorithms, existing algorithms are all flawed with their high complexity, inability to scale, inability to ensure the convergence to a local optimum, low speed of convergence, etc. In this work, we turn to variational inference (VI) with tempering to solve the channel estimation problem due to its ability to reduce complexity, ability to generalize and scale, and guarantee of local optimum. To the best of our knowledge we are the first to use VI with tempering for advanced channel estimation. The parameters that we consider in the channel estimation problem include pilot signal and channel coefficients, assuming there is orthogonal access between different sensors (or users) and the data fusion center (or receiving center). By formulating the channel estimation problem into a probabilistic graphical model, the proposed Channel Estimation Variational Tempering Inference (CEVTI) approach can estimate the channel coefficient and the transmitted signal in a low-complexity manner while guaranteeing convergence. CEVTI can find out the optimal hyper-parameters of channels with fast convergence rate, and can be applied to the case of code division multiple access (CDMA) and uplink massive multi-input-multi-output (MIMO) easily. Simulations show that CEVTI has higher accuracy than state-of-the-art algorithms under different noise variance and signal-to-noise ratio. Furthermore, the results show that the more parameters are considered in each iteration, the faster the convergence rate and the lower the non-degenerate bit error rate with CEVTI. Analysis shows that CEVTI has satisfying computational complexity, and guarantees a better local optimum. Therefore, the main contribution of the paper is the development of a new efficient, simple and reliable algorithm for channel estimation in WSNs.
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Sui Y, Zhang L, Sun Z, Yi W, Wang M. Research on Coal and Gangue Recognition Based on the Improved YOLOv7-Tiny Target Detection Algorithm. SENSORS (BASEL, SWITZERLAND) 2024; 24:456. [PMID: 38257549 PMCID: PMC10818889 DOI: 10.3390/s24020456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 01/08/2024] [Accepted: 01/09/2024] [Indexed: 01/24/2024]
Abstract
The recognition technology of coal and gangue is one of the key technologies of intelligent mine construction. Aiming at the problems of the low accuracy of coal and gangue recognition models and the difficult recognition of small-target coal and gangue caused by low-illumination and high-dust environments in the coal mine working face, a coal and gangue recognition model based on the improved YOLOv7-tiny target detection algorithm is proposed. This paper proposes three model improvement methods. The coordinate attention mechanism is introduced to improve the feature expression ability of the model. The contextual transformer module is added after the spatial pyramid pooling structure to improve the feature extraction ability of the model. Based on the idea of the weighted bidirectional feature pyramid, the four branch modules in the high-efficiency layer aggregation network are weighted and cascaded to improve the recognition ability of the model for useful features. The experimental results show that the average precision mean of the improved YOLOv7-tiny model is 97.54%, and the FPS is 24.73 f·s-1. Compared with the Faster-RCNN, YOLOv3, YOLOv4, YOLOv4-VGG, YOLOv5s, YOLOv7, and YOLOv7-tiny models, the improved YOLOv7-tiny model has the highest recognition rate and the fastest recognition speed. Finally, the improved YOLOv7-tiny model is verified by field tests in coal mines, which provides an effective technical means for the accurate identification of coal and gangue.
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Song Y, Park H, Thirumalaraju P, Kovilakath N, Hardie JM, Bigdeli A, Bai Y, Chang S, Yoo J, Kanakasabapathy MK, Kim S, Chun J, Chen H, Li JZ, Tsibris AM, Kuritzkes DR, Shafiee H. Deactivated Cas9-Engineered Magnetic Micromotors toward a Point-of-Care Digital Viral RNA Assay. ACS NANO 2025; 19:8646-8660. [PMID: 40017424 DOI: 10.1021/acsnano.4c14913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/01/2025]
Abstract
Digital nucleic acid assays, known for their high sensitivity and specificity, typically rely on fluorescent readouts and expensive and complex nanowell manufacturing, which constrain their broader use in point-of-care (POC) application. Here, we introduce an alternative digital molecular diagnostics, termed dCRISTOR, by seamlessly integrating deactivated Cas9 (dCas9)-engineered micromotors, extraction-free loop-mediated isothermal amplification (LAMP), low-cost bright field microscopy, and deep learning-enabled image processing. The micromotor, composed of a polystyrene sphere attached to a magnetic bead, incorporates a dCas9 ribonucleoprotein complex. The presence of human immunodeficiency virus-1 (HIV-1) RNA in a sample results in the formation of large-sized amplicons that can be specifically captured by the micromotors, reducing their velocity induced by an external magnetic field. The micromotor is propelled by an external magnetic field, which eliminates the need for chemical fuels, reducing system complexity, and allowing for precise control over micromotor movement, enhancing accuracy and reliability. A convolutional neural network classification-based multiobject tracking algorithm, CNN-MOT, accurately measures the change in micromotor motion, facilitating the binary digital assay format ("1" or "0") for simplified result interpretation without user bias. Incorporating an extraction-free LAMP assay streamlines the dCRISTOR workflow, enabling qualitative HIV-1 detection in spiked plasma (n = 21) that demonstrates 100% sensitivity and specificity and achieves a limit of detection (LOD) of 0.96 copies/μL. The assay also achieved 100% correlation with reverse transcription-quantitative polymerase chain reaction (RT-qPCR) in clinical patient samples (n = 9). The dCRISTOR assay, a label-free digital nucleic acid testing system that eliminates the need for fluorescence readouts, absorbance measurements, or expensive manufacturing processes, represents a substantial advancement in digital viral RNA diagnostics.
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Research Support, N.I.H., Extramural |
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Tao Y, Zhang D, Tan C, Wang Y, Shi L, Chi H, Geng S, Ma Z, Hong S, Liu XP. An artificial intelligence-enabled electrocardiogram algorithm for the prediction of left atrial low-voltage areas in persistent atrial fibrillation. J Cardiovasc Electrophysiol 2024; 35:1849-1858. [PMID: 39054663 DOI: 10.1111/jce.16373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2024] [Revised: 06/19/2024] [Accepted: 07/07/2024] [Indexed: 07/27/2024]
Abstract
OBJECTIVES We aimed to construct an artificial intelligence-enabled electrocardiogram (ECG) algorithm that can accurately predict the presence of left atrial low-voltage areas (LVAs) in patients with persistent atrial fibrillation. METHODS The study included 587 patients with persistent atrial fibrillation who underwent catheter ablation procedures between March 2012 and December 2023 and 942 scanned images of 12-lead ECGs obtained before the ablation procedures were performed. Artificial intelligence-based algorithms were used to construct models for predicting the presence of LVAs. The DR-FLASH and APPLE clinical scores for LVA prediction were calculated. We used a receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis to evaluate model performance. RESULTS The data obtained from the participants were split into training (n = 469), validation (n = 58), and test sets (n = 60). LVAs were detected in 53.7% of all participants. Using ECG alone, the deep learning algorithm achieved an area under the ROC curve (AUROC) of 0.752, outperforming both the DR-FLASH score (AUROC = 0.610) and the APPLE score (AUROC = 0.510). The random forest classification model, which integrated a probabilistic deep learning model and clinical features, showed a maximum AUROC of 0.759. Moreover, the ECG-based deep learning algorithm for predicting extensive LVAs achieved an AUROC of 0.775, with a sensitivity of 0.816 and a specificity of 0.896. The random forest classification model for predicting extensive LVAs achieved an AUROC of 0.897, with a sensitivity of 0.862, and a specificity of 0.935. CONCLUSION The deep learning model based exclusively on ECG data and the machine learning model that combined a probabilistic deep learning model and clinical features both predicted the presence of LVAs with a higher degree of accuracy than the DR-FLASH and the APPLE risk scores.
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Validation Study |
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Zhou J, Mao Q, Yang F, Zhang J, Shi M, Hu Z. Development and Assessment of Artificial Intelligence-Empowered Gait Monitoring System Using Single Inertial Sensor. SENSORS (BASEL, SWITZERLAND) 2024; 24:5998. [PMID: 39338743 PMCID: PMC11436140 DOI: 10.3390/s24185998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2024] [Revised: 09/12/2024] [Accepted: 09/13/2024] [Indexed: 09/30/2024]
Abstract
Gait instability is critical in medicine and healthcare, as it has associations with balance disorder and physical impairment. With the development of sensor technology, despite the fact that numerous wearable gait detection and recognition systems have been designed to monitor users' gait patterns, they commonly spend a lot of time and effort to extract gait metrics from signal data. This study aims to design an artificial intelligence-empowered and economic-friendly gait monitoring system. A pair of intelligent shoes with a single inertial sensor and a smartphone application were developed as a gait monitoring system to detect users' gait cycle, stand phase time, swing phase time, stride length, and foot clearance. We recruited 30 participants (24.09 ± 1.89 years) to collect gait data and used the Vicon motion capture system to verify the accuracy of the gait metrics. The results show that the gait monitoring system performs better on the assessment of the gait metrics. The accuracy of stride length and foot clearance is 96.17% and 92.07%, respectively. The artificial intelligence-empowered gait monitoring system holds promising potential for improving gait analysis and monitoring in the medical and healthcare fields.
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Liang X, Hong C, Zhou W, Yang M. Air travel demand forecasting based on big data: A struggle against public anxiety. Front Psychol 2022; 13:1017875. [PMID: 36544456 PMCID: PMC9760879 DOI: 10.3389/fpsyg.2022.1017875] [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: 08/12/2022] [Accepted: 11/15/2022] [Indexed: 12/12/2022] Open
Abstract
It is of great significance to accurately grasp the demand for air travel to promote the revival of long-distance travel and alleviate public anxiety. The main purpose of this study is to build a high-precision air travel demand forecasting framework by introducing effective Internet data. In the age of big data, passengers before traveling often look for reference groups in search engines and make travel decisions under their informational influence. The big data generated based on these behaviors can reflect the overall passenger psychology and travel demand. Therefore, based on big data mining technology, this study designed a strict dual data preprocessing method and an ensemble forecasting framework, introduced search engine data into the air travel demand forecasting process, and conducted empirical research based on the dataset composed of air travel volume of Shanghai Pudong International Airport. The results show that effective search engine data is helpful to air travel demand forecasting. This research provides a theoretical basis for the application of big data mining technology and data spatial information in air travel demand forecasting and tourism management, and provides a new idea for alleviating public anxiety.
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