This study proposed a hybrid decision support method (ANN and Fuzzy_AHP) for heart failure prediction.The performance of the proposed method was examined using three performance metrics.From the evaluations results, the proposed method performed better than the conventional ANN approachThe proposed method would provide improved and realistic result for efficient therapy administration. Heart failure (HF) has been considered as one of the deadliest human diseases worldwide and the accurate prediction of HF risks would be vital for HF prevention and treatment. To predict HF risks, decision support systems based on artificial neural networks (ANN) have been widely proposed in previous studies. Generally, these existing ANN-based systems usually assumed that HF attributes have equal risk contribution to the HF diagnosis. However, several previous investigations have shown that the risk contributions of the attributes would be different. Thus the equal risk assumption concept associated with existing ANN methods would not properly reflect the diagnosis status of HF patients. In this study, the commonly used 13 HF attributes were considered and their contributions were determined by an experienced cardiac clinician. And Fuzzy analytic hierarchy process (Fuzzy_AHP) technique was used to compute the global weights for the attributes based on their individual contribution. Then the global weights that represent the contributions of the attributes were applied to train an ANN classifier for the prediction of HF risks in patients. The performance of the newly proposed decision support system based on the integration of ANN and Fuzzy_AHP methods was evaluated by using online clinical dataset of 297 HF patients and compared with that of the conventional ANN method. Our result shows that the proposed method could achieve an average prediction accuracy of 91.10%, which is 4.40% higher in comparison to that of the conventional ANN method. In addition, the newly proposed method also had better performance than seven previous methods that reported prediction accuracies in the range of 57.85-89.01%. The improvement of the HF risk prediction in the current study might be due to both the various contributions of the HF attributes and the proposed hybrid method. These findings suggest that the proposed method could be used to accurately predict HF risks in the clinic.

An integrated decision support system based on ANN and Fuzzy_AHP for heart failure risk prediction

Ultrasound (US) imaging is the most commonly performed cross-sectional diagnostic imaging modality in the practice of medicine. It is low-cost, non-ionizing, portable, and capable of real-time image acquisition and display. US is a rapidly evolving technology with significant challenges and opportunities. Challenges include high inter- and intra-operator variability and limited image quality control. Tremendous opportunities have arisen in the last decade as a result of exponential growth in available computational power coupled with progressive miniaturization of US devices. As US devices become smaller, enhanced computational capability can contribute significantly to decreasing variability through advanced image processing. In this paper, we review leading machine learning (ML) approaches and research directions in US, with an emphasis on recent ML advances. We also present our outlook on future opportunities for ML techniques to further improve clinical workflow and US-based disease diagnosis and characterization.

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Machine learning for medical ultrasound: status, methods, and future opportunities.

Automated stratification of liver disease in ultrasound

Computer-aided diagnosis of psoriasis skin images with HOS, texture and color features

This paper proposes a computer-aided cirrhosis diagnosis system to diagnose cirrhosis based on ultrasound images. We first propose a method to extract a liver capsule on an ultrasound image, then, based on the extracted liver capsule, we fine-tune a deep convolutional neural network (CNN) model to extract features from the image patches cropped around the liver capsules. Finally, a trained support vector machine (SVM) classifier is applied to classify the sample into normal or abnormal cases. Experimental results show that the proposed method can effectively extract the liver capsules and accurately classify the ultrasound images.

Learning to Diagnose Cirrhosis with Liver Capsule Guided Ultrasound Image Classification.

The preliminary study presented within this paper shows a comparative study of various texture features extracted from liver ultrasonic images by employing Multilayer Perceptron (MLP), a type of artificial neural network, to study the presence of disease conditions. An ultrasound (US) image shows echo-texture patterns, which defines the organ characteristics. Ultrasound images of liver disease conditions such as “fatty liver,” “cirrhosis,” and “hepatomegaly” produce distinctive echo patterns. However, various ultrasound imaging artifacts and speckle noise make these echo-texture patterns difficult to identify and often hard to distinguish visually. Here, based on the extracted features from the ultrasonic images, we employed an artificial neural network for the diagnosis of disease conditions in liver and finding of the best classifier that distinguishes between abnormal and normal conditions of the liver. Comparison of the overall performance of all the feature classifiers concluded that “mixed feature set” is the best feature set. It showed an excellent rate of accuracy for the training data set. The gray level run length matrix (GLRLM) feature shows better results when the network was tested against unknown data.

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Mukund Joshi

Papers

Artificial Neural Network Application in the Diagnosis of Disease Conditions with Liver Ultrasound Images

Contrast-Enhanced Ultrasound of Focal Liver Lesions.