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Showing papers in "Computational and Mathematical Methods in Medicine in 2018"


Journal ArticleDOI
TL;DR: An enhanced fuzzy k-nearest neighbor (FKNN) method for the early detection of PD based upon vocal measurements was developed, and simulation results indicated the proposed approach outperformed the other five FKNN models based on BFO, particle swarm optimization, Genetic algorithms, fruit fly optimization, and firefly algorithm.
Abstract: Parkinson's disease (PD) is a common neurodegenerative disease, which has attracted more and more attention. Many artificial intelligence methods have been used for the diagnosis of PD. In this study, an enhanced fuzzy k-nearest neighbor (FKNN) method for the early detection of PD based upon vocal measurements was developed. The proposed method, an evolutionary instance-based learning approach termed CBFO-FKNN, was developed by coupling the chaotic bacterial foraging optimization with Gauss mutation (CBFO) approach with FKNN. The integration of the CBFO technique efficiently resolved the parameter tuning issues of the FKNN. The effectiveness of the proposed CBFO-FKNN was rigorously compared to those of the PD datasets in terms of classification accuracy, sensitivity, specificity, and AUC (area under the receiver operating characteristic curve). The simulation results indicated the proposed approach outperformed the other five FKNN models based on BFO, particle swarm optimization, Genetic algorithms, fruit fly optimization, and firefly algorithm, as well as three advanced machine learning methods including support vector machine (SVM), SVM with local learning-based feature selection, and kernel extreme learning machine in a 10-fold cross-validation scheme. The method presented in this paper has a very good prospect, which will bring great convenience to the clinicians to make a better decision in the clinical diagnosis.

97 citations


Journal ArticleDOI
TL;DR: The experimental results on biomedical text benchmarks indicate that swarm-optimized LDA yields better predictive performance compared to the conventional LDA, and the proposed multiple classifier system outperforms the conventional classification algorithms, ensemble learning, and ensemble pruning methods.
Abstract: Text mining is an important research direction, which involves several fields, such as information retrieval, information extraction, and text categorization In this paper, we propose an efficient multiple classifier approach to text categorization based on swarm-optimized topic modelling The Latent Dirichlet allocation (LDA) can overcome the high dimensionality problem of vector space model, but identifying appropriate parameter values is critical to performance of LDA Swarm-optimized approach estimates the parameters of LDA, including the number of topics and all the other parameters involved in LDA The hybrid ensemble pruning approach based on combined diversity measures and clustering aims to obtain a multiple classifier system with high predictive performance and better diversity In this scheme, four different diversity measures (namely, disagreement measure, Q-statistics, the correlation coefficient, and the double fault measure) among classifiers of the ensemble are combined Based on the combined diversity matrix, a swarm intelligence based clustering algorithm is employed to partition the classifiers into a number of disjoint groups and one classifier (with the highest predictive performance) from each cluster is selected to build the final multiple classifier system The experimental results based on five biomedical text benchmarks have been conducted In the swarm-optimized LDA, different metaheuristic algorithms (such as genetic algorithms, particle swarm optimization, firefly algorithm, cuckoo search algorithm, and bat algorithm) are considered In the ensemble pruning, five metaheuristic clustering algorithms are evaluated The experimental results on biomedical text benchmarks indicate that swarm-optimized LDA yields better predictive performance compared to the conventional LDA In addition, the proposed multiple classifier system outperforms the conventional classification algorithms, ensemble learning, and ensemble pruning methods

94 citations


Journal ArticleDOI
TL;DR: The present work focuses on extracting the deterministic characteristics of docking interactions from their dynamic properties, which is important for understanding biological functions and determining which amino acid residues are crucial to docking interactions.
Abstract: Protein-ligand interactions are a necessary prerequisite for signal transduction, immunoreaction, and gene regulation. Protein-ligand interaction studies are important for understanding the mechanisms of biological regulation, and they provide a theoretical basis for the design and discovery of new drug targets. In this study, we analyzed the molecular interactions of protein-ligand which was docked by AutoDock 4.2 software. In AutoDock 4.2 software, we used a new search algorithm, hybrid algorithm of random drift particle swarm optimization and local search (LRDPSO), and the classical Lamarckian genetic algorithm (LGA) as energy optimization algorithms. The best conformations of each docking algorithm were subjected to molecular dynamic (MD) simulations to further analyze the molecular mechanisms of protein-ligand interactions. Here, we analyze the binding energy between protein receptors and ligands, the interactions of salt bridges and hydrogen bonds in the docking region, and the structural changes during complex unfolding. Our comparison of these complexes highlights differences in the protein-ligand interactions between the two docking methods. It also shows that salt bridge and hydrogen bond interactions play a crucial role in protein-ligand stability. The present work focuses on extracting the deterministic characteristics of docking interactions from their dynamic properties, which is important for understanding biological functions and determining which amino acid residues are crucial to docking interactions.

91 citations


Journal ArticleDOI
TL;DR: The results show that OAO method of SVM outperforms all other classifiers by achieving an accuracy rate of 81.11% when used with 80/20 data split and 92.07% using 90/10 data split option.
Abstract: Arrhythmia is considered a life-threatening disease causing serious health issues in patients, when left untreated. An early diagnosis of arrhythmias would be helpful in saving lives. This study is conducted to classify patients into one of the sixteen subclasses, among which one class represents absence of disease and the other fifteen classes represent electrocardiogram records of various subtypes of arrhythmias. The research is carried out on the dataset taken from the University of California at Irvine Machine Learning Data Repository. The dataset contains a large volume of feature dimensions which are reduced using wrapper based feature selection technique. For multiclass classification, support vector machine (SVM) based approaches including one-against-one (OAO), one-against-all (OAA), and error-correction code (ECC) are employed to detect the presence and absence of arrhythmias. The SVM method results are compared with other standard machine learning classifiers using varying parameters and the performance of the classifiers is evaluated using accuracy, kappa statistics, and root mean square error. The results show that OAO method of SVM outperforms all other classifiers by achieving an accuracy rate of 81.11% when used with 80/20 data split and 92.07% using 90/10 data split option.

73 citations


Journal ArticleDOI
TL;DR: Three type skin diseases such as herpes, dermatitis, and psoriasis skin disease could be identified by a new recognition method using the support vector machine (SVM) classification method.
Abstract: Skin diseases have a serious impact on people's life and health. Current research proposes an efficient approach to identify singular type of skin diseases. It is necessary to develop automatic methods in order to increase the accuracy of diagnosis for multitype skin diseases. In this paper, three type skin diseases such as herpes, dermatitis, and psoriasis skin disease could be identified by a new recognition method. Initially, skin images were preprocessed to remove noise and irrelevant background by filtering and transformation. Then the method of grey-level co-occurrence matrix (GLCM) was introduced to segment images of skin disease. The texture and color features of different skin disease images could be obtained accurately. Finally, by using the support vector machine (SVM) classification method, three types of skin diseases were identified. The experimental results demonstrate the effectiveness and feasibility of the proposed method.

69 citations


Journal ArticleDOI
TL;DR: A novel method for classification of various types of arrhythmia using morphological and dynamic features is presented and resulted in an improved average accuracy of 99.75% and 99.84% for class- and subject-oriented scheme, respectively.
Abstract: Automatic detection and classification of life-threatening arrhythmia plays an important part in dealing with various cardiac conditions. In this paper, a novel method for classification of various types of arrhythmia using morphological and dynamic features is presented. Discrete wavelet transform (DWT) is applied on each heart beat to obtain the morphological features. It provides better time and frequency resolution of the electrocardiogram (ECG) signal, which helps in decoding important information of a quasiperiodic ECG using variable window sizes. RR interval information is used as a dynamic feature. The nonlinear dynamics of RR interval are captured using Teager energy operator, which improves the arrhythmia classification. Moreover, to remove redundancy, DWT subbands are subjected to dimensionality reduction using independent component analysis, and a total of twelve coefficients are selected as morphological features. These hybrid features are combined and fed to a neural network to classify arrhythmia. The proposed algorithm has been tested over MIT-BIH arrhythmia database using 13724 beats and MIT-BIH supraventricular arrhythmia database using 22151 beats. The proposed methodology resulted in an improved average accuracy of 99.75% and 99.84% for class- and subject-oriented scheme, respectively, using three-fold cross validation.

61 citations


Journal ArticleDOI
TL;DR: Comprehensive experimental evidence on the dataset verifies the effectiveness and efficiency of the proposed TKCSP approach over several state-of-the-art methods to learn a domain-invariant kernel by directly matching distributions of source subjects and target subjects.
Abstract: Motor-imagery-based brain-computer interfaces (BCIs) commonly use the common spatial pattern (CSP) as preprocessing step before classification. The CSP method is a supervised algorithm. Therefore a lot of time-consuming training data is needed to build the model. To address this issue, one promising approach is transfer learning, which generalizes a learning model can extract discriminative information from other subjects for target classification task. To this end, we propose a transfer kernel CSP (TKCSP) approach to learn a domain-invariant kernel by directly matching distributions of source subjects and target subjects. The dataset IVa of BCI Competition III is used to demonstrate the validity by our proposed methods. In the experiment, we compare the classification performance of the TKCSP against CSP, CSP for subject-to-subject transfer (CSP SJ-to-SJ), regularizing CSP (RCSP), stationary subspace CSP (ssCSP), multitask CSP (mtCSP), and the combined mtCSP and ssCSP (ss + mtCSP) method. The results indicate that the superior mean classification performance of TKCSP can achieve 81.14%, especially in case of source subjects with fewer number of training samples. Comprehensive experimental evidence on the dataset verifies the effectiveness and efficiency of the proposed TKCSP approach over several state-of-the-art methods.

54 citations


Journal ArticleDOI
TL;DR: An ensemble logistic regression model for detecting depression (ELRDD), which was superior in recognition of depression, was selected as the base classifier and ELRDD provided better classification results than the other compared classifiers.
Abstract: Early intervention for depression is very important to ease the disease burden, but current diagnostic methods are still limited. This study investigated automatic depressed speech classification in a sample of 170 native Chinese subjects (85 healthy controls and 85 depressed patients). The classification performances of prosodic, spectral, and glottal speech features were analyzed in recognition of depression. We proposed an ensemble logistic regression model for detecting depression (ELRDD) in speech. The logistic regression, which was superior in recognition of depression, was selected as the base classifier. This ensemble model extracted many speech features from different aspects and ensured diversity of the base classifier. ELRDD provided better classification results than the other compared classifiers. A technique for identifying depression based on ELRDD, ELRDD-E, was here suggested and tested. It offered encouraging outcomes, revealing a high accuracy level of 75.00% for females and 81.82% for males, as well as an advantageous sensitivity/specificity ratio of 79.25%/70.59% for females and 78.13%/85.29% for males.

54 citations


Journal ArticleDOI
TL;DR: The experimental results and analysis show that the algorithm of gray and color image fusion is about 34% and 10% higher than the contrast algorithm in the edge information transfer factor QAB/F index, and the performance of the fusion result is better than the existing algorithm.
Abstract: The clinical assistant diagnosis has a high requirement for the visual effect of medical images. However, the low frequency subband coefficients obtained by the NSCT decomposition are not sparse, which is not conducive to maintaining the details of the source image. To solve these problems, a medical image fusion algorithm combined with sparse representation and pulse coupling neural network is proposed. First, the source image is decomposed into low and high frequency subband coefficients by NSCT transform. Secondly, the K singular value decomposition (K-SVD) method is used to train the low frequency subband coefficients to get the overcomplete dictionary , and the orthogonal matching pursuit (OMP) algorithm is used to sparse the low frequency subband coefficients to complete the fusion of the low frequency subband sparse coefficients. Then, the pulse coupling neural network (PCNN) is excited by the spatial frequency of the high frequency subband coefficients, and the fusion coefficients of the high frequency subband coefficients are selected according to the number of ignition times. Finally, the fusion medical image is reconstructed by NSCT inverter. The experimental results and analysis show that the algorithm of gray and color image fusion is about 34% and 10% higher than the contrast algorithm in the edge information transfer factor QAB/F index, and the performance of the fusion result is better than the existing algorithm.

42 citations


Journal ArticleDOI
TL;DR: Stochastic effects on the SEIQR epidemic model with quarantine-adjusted incidence and the imperfect vaccination are investigated and it is shown there is a unique stationary distribution of the stochastic system and it has an ergodic property, which implies that the stoChastic disturbance is conducive to epidemic diseases control.
Abstract: This paper considers a high-dimensional stochastic SEIQR (susceptible-exposed-infected-quarantined-recovered) epidemic model with quarantine-adjusted incidence and the imperfect vaccination. The main aim of this study is to investigate stochastic effects on the SEIQR epidemic model and obtain its thresholds. We first obtain the sufficient condition for extinction of the disease of the stochastic system. Then, by using the theory of Hasminskii and the Lyapunov analysis methods, we show there is a unique stationary distribution of the stochastic system and it has an ergodic property, which means the infectious disease is prevalent. This implies that the stochastic disturbance is conducive to epidemic diseases control. At last, computer numerical simulations are carried out to illustrate our theoretical results.

42 citations


Journal ArticleDOI
TL;DR: A novel approach based on an adaptive neuro-fuzzy inference system (ANFIS) is presented for identification of the gait of patients with neurodegenerative (ND) disease, which combines neural network adaptive capabilities and the fuzzy logic qualitative approach.
Abstract: A common feature that is typical of the patients with neurodegenerative (ND) disease is the impairment of motor function, which can interrupt the pathway from cerebrum to the muscle and thus cause movement disorders. For patients with amyotrophic lateral sclerosis disease (ALS), the impairment is caused by the loss of motor neurons. While for patients with Parkinson’s disease (PD) and Huntington’s disease (HD), it is related to the basal ganglia dysfunction. Previously studies have demonstrated the usage of gait analysis in characterizing the ND patients for the purpose of disease management. However, most studies focus on extracting characteristic features that can differentiate ND gait from normal gait. Few studies have demonstrated the feasibility of modelling the nonlinear gait dynamics in characterizing the ND gait. Therefore, in this study, a novel approach based on an adaptive neuro-fuzzy inference system (ANFIS) is presented for identification of the gait of patients with ND disease. The proposed ANFIS model combines neural network adaptive capabilities and the fuzzy logic qualitative approach. Gait dynamics such as stride intervals, stance intervals, and double support intervals were used as the input variables to the model. The particle swarm optimization (PSO) algorithm was utilized to learn the parameters of the ANFIS model. The performance of the system was evaluated in terms of sensitivity, specificity, and accuracy using the leave-one-out cross-validation method. The competitive classification results on a dataset of 13 ALS patients, 15 PD patients, 20 HD patients, and 16 healthy control subjects indicated the effectiveness of our approach in representing the gait characteristics of ND patients.

Journal ArticleDOI
TL;DR: Numerical simulation of the optimal problem demonstrates that the best strategy to control bacterial meningitis is to combine vaccination with other interventions (such as treatment and public health education), and stakeholders should press hard for the production of existing/new vaccines and antibiotics.
Abstract: Vaccination and treatment are the most effective ways of controlling the transmission of most infectious diseases. While vaccination helps susceptible individuals to build either a long-term immunity or short-term immunity, treatment reduces the number of disease-induced deaths and the number of infectious individuals in a community/nation. In this paper, a nonlinear deterministic model with time-dependent controls has been proposed to describe the dynamics of bacterial meningitis in a population. The model is shown to exhibit a unique globally asymptotically stable disease-free equilibrium , when the effective reproduction number , and a globally asymptotically stable endemic equilibrium , when ; and it exhibits a transcritical bifurcation at . Carriers have been shown (by Tornado plot) to have a higher chance of spreading the infection than those with clinical symptoms who will sometimes be bound to bed during the acute phase of the infection. In order to find the best strategy for minimizing the number of carriers and ill individuals and the cost of control implementation, an optimal control problem is set up by defining a Lagrangian function to be minimized subject to the proposed model. Numerical simulation of the optimal problem demonstrates that the best strategy to control bacterial meningitis is to combine vaccination with other interventions (such as treatment and public health education). Additionally, this research suggests that stakeholders should press hard for the production of existing/new vaccines and antibiotics and their disbursement to areas that are most affected by bacterial meningitis, especially Sub-Saharan Africa; furthermore, individuals who live in communities where the environment is relatively warm (hot/moisture) are advised to go for vaccination against bacterial meningitis.

Journal ArticleDOI
TL;DR: The pilot data showed a reduced PI but unchanged GI, SI, and AI during walking compared to resting seated position based on the raw data, which suggests less short-term HRA may underline the belief that vagal tone is withdrawn during low-intensity exercise and reduced SI and AI based on detrended data suggest that they may capture both short- and long- term HRA features.
Abstract: The acceleration and deceleration patterns in heartbeat fluctuations distribute asymmetrically, which is known as heart rate asymmetry (HRA). It is hypothesized that HRA reflects the balancing regulation of the sympathetic and parasympathetic nervous systems. This study was designed to examine whether altered autonomic balance during exercise can lead to HRA changes. Sixteen healthy college students were enrolled, and each student undertook two 5-min ECG measurements: one in a resting seated position and another while walking on a treadmill at a regular speed of 5 km/h. The two measurements were conducted in a randomized order, and a 30-min rest was required between them. RR interval time series were extracted from the 5-min ECG data, and HRA (short-term) was estimated using four established metrics, that is, Porta’s index (PI), Guzik’s index (GI), slope index (SI), and area index (AI), from both raw RR interval time series and the time series after wavelet detrending that removes the low-frequency component of <~0.03 Hz. Our pilot data showed a reduced PI but unchanged GI, SI, and AI during walking compared to resting seated position based on the raw data. Based on the wavelet-detrended data, reduced PI, SI, and AI were observed while GI still showed no significant changes. The reduced PI during walking based on both raw and detrended data which suggests less short-term HRA may underline the belief that vagal tone is withdrawn during low-intensity exercise. GI may not be sensitive to short-term HRA. The reduced SI and AI based on detrended data suggest that they may capture both short- and long-term HRA features and that the expected change in short-term HRA is amplified after removing the trend that is supposed to link to long-term component. Further studies with more subjects and longer measurements are warranted to validate our observations and to examine these additional hypotheses.

Journal ArticleDOI
TL;DR: From the analysis, it is found that there is a significant reduction in the total hospitalization time needed to treat the illness and the main contribution is determining the role of dengue vaccination in the model.
Abstract: The dengue disease is caused by dengue virus, and there is no specific treatment. The medical care by experienced physicians and nurses will save life and will lower the mortality rate. A dengue vaccine to control the disease is available in Thailand since late 2016. A mathematical model would be an important way to analyze the effects of the vaccination on the transmission of the disease. We have formulated an SIR (susceptible-infected-recovered) model of the transmission of the disease which includes the effect of vaccination and used standard dynamical modelling methods to analyze the effects. The equilibrium states and their stabilities are investigated. The trajectories of the numerical solutions plotted into the 2D planes and 3D spaces are presented. The main contribution is determining the role of dengue vaccination in the model. From the analysis, we find that there is a significant reduction in the total hospitalization time needed to treat the illness.

Journal ArticleDOI
TL;DR: The authors' artificial intelligence system distinguished between expert and novice surgeons among surgeons with unknown skill levels using an artificial intelligence network consisting of a three-layer chaos neural network.
Abstract: This study investigated whether parameters derived from hand motions of expert and novice surgeons accurately and objectively reflect laparoscopic surgical skill levels using an artificial intelligence system consisting of a three-layer chaos neural network. Sixty-seven surgeons (23 experts and 44 novices) performed a laparoscopic skill assessment task while their hand motions were recorded using a magnetic tracking sensor. Eight parameters evaluated as measures of skill in a previous study were used as inputs to the neural network. Optimization of the neural network was achieved after seven trials with a training dataset of 38 surgeons, with a correct judgment ratio of 0.99. The neural network that prospectively worked with the remaining 29 surgeons had a correct judgment rate of 79% for distinguishing between expert and novice surgeons. In conclusion, our artificial intelligence system distinguished between expert and novice surgeons among surgeons with unknown skill levels.

Journal ArticleDOI
TL;DR: Review of computer-aided leukaemia diagnosis systems regarding their methodologies that include enhancement, segmentation, feature extraction, classification, and accuracy are presented.
Abstract: Leukaemia is a form of blood cancer which affects the white blood cells and damages the bone marrow. Usually complete blood count (CBC) and bone marrow aspiration are used to diagnose the acute lymphoblastic leukaemia. It can be a fatal disease if not diagnosed at the earlier stage. In practice, manual microscopic evaluation of stained sample slide is used for diagnosis of leukaemia. But manual diagnostic methods are time-consuming, less accurate, and prone to errors due to various human factors like stress, fatigue, and so forth. Therefore, different automated systems have been proposed to wrestle the glitches in the manual diagnostic methods. In recent past, some computer-aided leukaemia diagnosis methods are presented. These automated systems are fast, reliable, and accurate as compared to manual diagnosis methods. This paper presents review of computer-aided diagnosis systems regarding their methodologies that include enhancement, segmentation, feature extraction, classification, and accuracy.

Journal ArticleDOI
TL;DR: The proposed improved FastICA algorithm based on the overrelaxation factor, while maintaining the rate of convergence, relaxes the requirement of initial weight vector, avoids the unbalanced convergence, reduces the number of iterations, and improves the convergence performance.
Abstract: Objective. The fast fixed-point algorithm for independent component analysis (FastICA) has been widely used in fetal electrocardiogram (ECG) extraction. However, the FastICA algorithm is sensitive to the initial weight vector, which affects the convergence of the algorithm. In order to solve this problem, an improved FastICA method was proposed to extract fetal ECG. Methods. First, the maternal abdominal mixed signal was centralized and whitened, and the overrelaxation factor was incorporated into Newton’s iterative algorithm to process the initial weight vector randomly generated. The improved FastICA algorithm was used to separate the source components, selected the best maternal ECG from the separated source components, and detected the R-wave location of the maternal ECG. Finally, the maternal ECG component in each channel was removed by the singular value decomposition (SVD) method to obtain a clean fetal ECG signal. Results. An annotated clinical fetal ECG database was used to evaluate the improved algorithm and the conventional FastICA algorithm. The average number of iterations of the algorithm was reduced from 35 before the improvement to 13. Correspondingly, the average running time was reduced from 1.25 s to 1.04 s when using the improved algorithm. The signal-to-noise ratio (SNR) based on eigenvalues of the improved algorithm was 1.55, as compared to 0.99 of the conventional FastICA algorithm. The SNR based on cross-correlation coefficients of the conventional algorithm was also improved from 0.59 to 2.02. The sensitivity, positive predictive accuracy, and harmonic mean ( ) of the improved method were 99.37%, 99.00%, and 99.19%, respectively, while these metrics of the conventional FastICA method were 99.03%, 98.53%, and 98.78%, respectively. Conclusions. The proposed improved FastICA algorithm based on the overrelaxation factor, while maintaining the rate of convergence, relaxes the requirement of initial weight vector, avoids the unbalanced convergence, reduces the number of iterations, and improves the convergence performance.

Journal ArticleDOI
TL;DR: The application of t-distributed stochastic neighbor embedding (t-SNE), which is a machine learning algorithm for nonlinear dimensionality reduction and data visualization, for the problem of discriminating neurologically healthy individuals from those suffering from PD (treated with levodopa and DBS).
Abstract: Parkinson’s disease (PD) is a neurodegenerative disorder that remains incurable. The available treatments for the disorder include pharmacologic therapies and deep brain stimulation (DBS). These approaches may cause distinct side effects and motor responses. This work presents the application of t-distributed stochastic neighbor embedding (t-SNE), which is a machine learning algorithm for nonlinear dimensionality reduction and data visualization, for the problem of discriminating neurologically healthy individuals from those suffering from PD (treated with levodopa and DBS). Furthermore, the assessment of classification methods is presented. Inertial and electromyographic data were collected while the subjects executed a sequence of four motor tasks. The results were focused on the comparison of the classification performance of a support vector machine (SVM) while discriminating two-dimensional feature sets estimated from Principal Component Analysis (PCA), Sammon’s mapping, and t-SNE. The results showed visual and statistical differences for all three investigated groups. Classification accuracy for PCA, Sammon’s mapping, and t-SNE was, respectively, 73.5%, 78.6%, and 96.9% for the training set and 67.8%, 74.1%, and 76.6% for the test set. The possibility of discriminating healthy individuals from those with PD treated with levodopa and DBS highlights the fact that each treatment method produces distinct motor behavior. The scatter plots resulting from t-SNE could be used in the clinical practice as an objective tool for measuring the discrepancy between normal and abnormal motor behaviors, being thus useful for the adjustment of treatments and the follow-up of the disorder.

Journal ArticleDOI
TL;DR: This paper will review recent research on the image processing-based extraction techniques of the quantitative retinal microvascular feature and mainly focuses on features associated with the early symptom of transient ischemic attack or sharp stroke.
Abstract: Digital image processing is one of the most widely used computer vision technologies in biomedical engineering. In the present modern ophthalmological practice, biomarkers analysis through digital fundus image processing analysis greatly contributes to vision science. This further facilitates developments in medical imaging, enabling this robust technology to attain extensive scopes in biomedical engineering platform. Various diagnostic techniques are used to analyze retinal microvasculature image to enable geometric features measurements such as vessel tortuosity, branching angles, branching coefficient, vessel diameter, and fractal dimension. These extracted markers or characterized fundus digital image features provide insights and relates quantitative retinal vascular topography abnormalities to various pathologies such as diabetic retinopathy, macular degeneration, hypertensive retinopathy, transient ischemic attack, neovascular glaucoma, and cardiovascular diseases. Apart from that, this noninvasive research tool is automated, allowing it to be used in large-scale screening programs, and all are described in this present review paper. This paper will also review recent research on the image processing-based extraction techniques of the quantitative retinal microvascular feature. It mainly focuses on features associated with the early symptom of transient ischemic attack or sharp stroke.

Journal ArticleDOI
TL;DR: A wearable ECG monitor integrated with a self-designed wireless sensor for ECG signal acquisition that is used with a native purposely designed smartphone application, based on machine learning techniques, for automated classification of captured ECG beats from aged people.
Abstract: Mobile electrocardiogram (ECG) monitoring is an emerging area that has received increasing attention in recent years, but still real-life validation for elderly residing in low and middle-income countries is scarce. We developed a wearable ECG monitor that is integrated with a self-designed wireless sensor for ECG signal acquisition. It is used with a native purposely designed smartphone application, based on machine learning techniques, for automated classification of captured ECG beats from aged people. When tested on 100 older adults, the monitoring system discriminated normal and abnormal ECG signals with a high degree of accuracy (97%), sensitivity (100%), and specificity (96.6%). With further verification, the system could be useful for detecting cardiac abnormalities in the home environment and contribute to prevention, early diagnosis, and effective treatment of cardiovascular diseases, while keeping costs down and increasing access to healthcare services for older persons.

Journal ArticleDOI
TL;DR: An effective feature selection method, called supervised locally linear embedding and Spearman's rank correlation coefficient (SLLE-SC2), is proposed which is based on the concept of locally linear embeddedding and correlation coefficient algorithms.
Abstract: The selection of feature genes with high recognition ability from the gene expression profiles has gained great significance in biology However, most of the existing methods have a high time complexity and poor classification performance Motivated by this, an effective feature selection method, called supervised locally linear embedding and Spearman's rank correlation coefficient (SLLE-SC2), is proposed which is based on the concept of locally linear embedding and correlation coefficient algorithms Supervised locally linear embedding takes into account class label information and improves the classification performance Furthermore, Spearman's rank correlation coefficient is used to remove the coexpression genes The experiment results obtained on four public tumor microarray datasets illustrate that our method is valid and feasible

Journal ArticleDOI
TL;DR: A deep neural net, consisting of a fully convolutional net (FCN) and a fully connected net, is proposed to solve the material decomposition problem and results have shown the strong function fitting ability of the deep neural network.
Abstract: Background Dual-energy computed tomography (DECT) has been widely used due to improved substances identification from additional spectral information The quality of material-specific image produced by DECT attaches great importance to the elaborated design of the basis material decomposition method Objective The aim of this work is to develop and validate a data-driven algorithm for the image-based decomposition problem Methods A deep neural net, consisting of a fully convolutional net (FCN) and a fully connected net, is proposed to solve the material decomposition problem The former net extracts the feature representation of input reconstructed images, and the latter net calculates the decomposed basic material coefficients from the joint feature vector The whole model was trained and tested using a modified clinical dataset Results The proposed FCN delivers image with about 60% smaller bias and 70% lower standard deviation than the competing algorithms, suggesting its better material separation capability Moreover, FCN still yields excellent performance in case of photon noise Conclusions Our deep cascaded network features high decomposition accuracies and noise robust property The experimental results have shown the strong function fitting ability of the deep neural network Deep learning paradigm could be a promising way to solve the nonlinear problem in DECT

Journal ArticleDOI
TL;DR: This paper presents a marker-controlled watershed algorithm for simultaneously extracting the two types of blood cells to simplify operations and reduce computing time, and demonstrates that the proposed method is fast, robust, and efficient.
Abstract: The density or quantity of leukocytes and erythrocytes in a unit volume of blood, which can be automatically measured through a computer-based microscopic image analysis system, is frequently considered an indicator of diseases. The segmentation of blood cells, as a basis of quantitative statistics, plays an important role in the system. However, many conventional methods must firstly distinguish blood cells into two types (i.e., leukocyte and erythrocyte) and segment them in independent procedures. In this paper, we present a marker-controlled watershed algorithm for simultaneously extracting the two types of blood cells to simplify operations and reduce computing time. The method consists of two steps, that is, cell nucleus segmentation and blood cell segmentation. An image enhancement technique is used to obtain the leukocyte marker. Two marker-controlled watershed algorithms are based on distance transformation and edge gradient information to acquire blood cell contour. The segmented leukocytes and erythrocytes are obtained simultaneously by classification. Experimental results demonstrate that the proposed method is fast, robust, and efficient.

Journal ArticleDOI
TL;DR: This review presents a summary and evolution of research approaches that use eye tracking technology and computational analysis to measure and compare eye movements under different tasks and experiments and describes the progress in technology that can enhance the analysis of eye movements everywhere while subjects perform their daily activities.
Abstract: An opportune early diagnosis of Alzheimer's disease (AD) would help to overcome symptoms and improve the quality of life for AD patients. Research studies have identified early manifestations of AD that occur years before the diagnosis. For instance, eye movements of people with AD in different tasks differ from eye movements of control subjects. In this review, we present a summary and evolution of research approaches that use eye tracking technology and computational analysis to measure and compare eye movements under different tasks and experiments. Furthermore, this review is targeted to the feasibility of pioneer work on developing computational tools and techniques to analyze eye movements under naturalistic scenarios. We describe the progress in technology that can enhance the analysis of eye movements everywhere while subjects perform their daily activities and give future research directions to develop tools to support early AD diagnosis through analysis of eye movements.

Journal ArticleDOI
TL;DR: A novel reversible digital watermarking technique for medical images to achieve high level of secrecy, tamper detection, and blind recovery of the original image is proposed and ensures high security due to four keys used in chaotic map.
Abstract: A novel reversible digital watermarking technique for medical images to achieve high level of secrecy, tamper detection, and blind recovery of the original image is proposed. The technique selects some of the pixels from the host image using chaotic key for embedding a chaotically generated watermark. The rest of the pixels are converted to residues by using the Residue Number System (RNS). The chaotically selected pixels are represented by the polynomial. A primitive polynomial of degree four is chosen that divides the message polynomial and consequently the remainder is obtained. The obtained remainder is XORed with the watermark and appended along with the message. The decoder receives the appended message and divides it by the same primitive polynomial and calculates the remainder. The authenticity of watermark is done based on the remainder that is valid, if it is zero and invalid otherwise. On the other hand, residue is divided with a primitive polynomial of degree 3 and the obtained remainder is appended with residue. The secrecy of proposed system is considerably high. It will be almost impossible for the intruder to find out which pixels are watermarked and which are just residue. Moreover, the proposed system also ensures high security due to four keys used in chaotic map. Effectiveness of the scheme is validated through MATLAB simulations and comparison with a similar technique.

Journal ArticleDOI
TL;DR: The experimental results show that Adaboost algorithm produces better classification results than the decision tree model in the test set, and the prediction results of these classification models are sufficient.
Abstract: The focus of this study is the use of machine learning methods that combine feature selection and imbalanced process (SMOTE algorithm) to classify and predict diabetes follow-up control satisfaction data. After the feature selection and unbalanced process, diabetes follow-up data of the New Urban Area of Urumqi, Xinjiang, was used as input variables of support vector machine (SVM), decision tree, and integrated learning model (Adaboost and Bagging) for modeling and prediction. The experimental results show that Adaboost algorithm produces better classification results. For the test set, the G-mean was 94.65%, the area under the ROC curve (AUC) was 0.9817, and the important variables in the classification process, fasting blood glucose, age, and BMI were given. The performance of the decision tree model in the test set is relatively lower than that of the support vector machine and the ensemble learning model. The prediction results of these classification models are sufficient. Compared with a single classifier, ensemble learning algorithms show different degrees of increase in classification accuracy. The Adaboost algorithm can be used for the prediction of diabetes follow-up and control satisfaction data.

Journal ArticleDOI
TL;DR: The true random number generation from bioelectrical signals like EEG, EMG, and EOG and physical signals, such as blood volume pulse, GSR, and respiration is presented.
Abstract: It is possible to generate personally identifiable random numbers to be used in some particular applications, such as authentication and key generation. This study presents the true random number generation from bioelectrical signals like EEG, EMG, and EOG and physical signals, such as blood volume pulse, GSR (Galvanic Skin Response), and respiration. The signals used in the random number generation were taken from BNCIHORIZON2020 databases. Random number generation was performed from fifteen different signals (four from EEG, EMG, and EOG and one from respiration, GSR, and blood volume pulse datasets). For this purpose, each signal was first normalized and then sampled. The sampling was achieved by using a nonperiodic and chaotic logistic map. Then, XOR postprocessing was applied to improve the statistical properties of the sampled numbers. NIST SP 800-22 was used to observe the statistical properties of the numbers obtained, the scale index was used to determine the degree of nonperiodicity, and the autocorrelation tests were used to monitor the 0-1 variation of numbers. The numbers produced from bioelectrical and physical signals were successful in all tests. As a result, it has been shown that it is possible to generate personally identifiable real random numbers from both bioelectrical and physical signals.

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TL;DR: A method for automatically calculating the basal and bolus insulin doses for patients with type-1 diabetes using reinforcement learning with feedforward controller is proposed to keep the blood glucose stable and directly compensate for the external events such as food intake.
Abstract: Background. Type-1 diabetes is a condition caused by the lack of insulin hormone, which leads to an excessive increase in blood glucose level. The glucose kinetics process is difficult to control due to its complex and nonlinear nature and with state variables that are difficult to measure. Methods. This paper proposes a method for automatically calculating the basal and bolus insulin doses for patients with type-1 diabetes using reinforcement learning with feedforward controller. The algorithm is designed to keep the blood glucose stable and directly compensate for the external events such as food intake. Its performance was assessed using simulation on a blood glucose model. The usage of the Kalman filter with the controller was demonstrated to estimate unmeasurable state variables. Results. Comparison simulations between the proposed controller with the optimal reinforcement learning and the proportional-integral-derivative controller show that the proposed methodology has the best performance in regulating the fluctuation of the blood glucose. The proposed controller also improved the blood glucose responses and prevented hypoglycemia condition. Simulation of the control system in different uncertain conditions provided insights on how the inaccuracies of carbohydrate counting and meal-time reporting affect the performance of the control system. Conclusion. The proposed controller is an effective tool for reducing postmeal blood glucose rise and for countering the effects of external known events such as meal intake and maintaining blood glucose at a healthy level under uncertainties.

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TL;DR: The dynamics of the pelvic floor observed in this study during Valsalva manoeuvre is associated with urethral-bladder hypermobility, greater levator plate angulation, and positive Q-tip test which are observed in incontinent females.
Abstract: After menopause, decreased levels of estrogen and progesterone remodel the collagen of the soft tissues thereby reducing their stiffness. Stress urinary incontinence is associated with involuntary urine leakage due to pathological movement of the pelvic organs resulting from lax suspension system, fasciae, and ligaments. This study compares the changes in the orientation and position of the female pelvic organs due to weakened fasciae, ligaments, and their combined laxity. A mixture theory weighted by respective volume fraction of elastin-collagen fibre compound (5%), adipose tissue (85%), and smooth muscle (5%) is adopted to characterize the mechanical behaviour of the fascia. The load carrying response (other than the functional response to the pelvic organs) of each fascia component, pelvic organs, muscles, and ligaments are assumed to be isotropic, hyperelastic, and incompressible. Finite element simulations are conducted during Valsalva manoeuvre with weakened tissues modelled by reduced tissue stiffness. A significant dislocation of the urethrovesical junction is observed due to weakness of the fascia (13.89 mm) compared to the ligaments (5.47 mm). The dynamics of the pelvic floor observed in this study during Valsalva manoeuvre is associated with urethral-bladder hypermobility, greater levator plate angulation, and positive Q-tip test which are observed in incontinent females.

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TL;DR: An electroencephalogram- (EEG-) based scheme that is able to automatically classify sleep stages is proposed and the results demonstrate that the proposed scheme is less affected by the sleep segments.
Abstract: Sleep staging is considered as an effective indicator for auxiliary diagnosis of sleep diseases and related psychiatric diseases, so it attracts a lot of attention from sleep researchers Nevertheless, sleep staging based on visual inspection of tradition is subjective, time-consuming, and error-prone due to the large bulk of data which have to be processed Therefore, automatic sleep staging is essential in order to solve these problems In this article, an electroencephalogram- (EEG-) based scheme that is able to automatically classify sleep stages is proposed Firstly, EEG data are preprocessed to remove artifacts, extract features, and normalization Secondly, the normalized features and other context information are stored using an ontology-based model (OBM) Thirdly, an improved method of self-adaptive correlation analysis is designed to select the most effective EEG features Based on these EEG features and weighting features analysis, the improved random forest (RF) is considered as the classifier to achieve the classification of sleep stages To investigate the classification ability of the proposed method, several sets of experiments are designed and conducted to classify the sleep stages into two, three, four, and five states The accuracy of five-state classification is 8937%, which is improved compared to the accuracy using unimproved RF (8437%) or previously reported classifiers In addition, a set of controlled experiments is executed to verify the effect of the number of sleep segments (epochs) on the classification, and the results demonstrate that the proposed scheme is less affected by the sleep segments