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A novel approach for detection of COVID-19 and Pneumonia using only binary classification from chest CT-scans 一种仅使用胸部ct扫描的二元分类来检测COVID-19和肺炎的新方法
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100069
Sanskar Hasija, Peddaputha Akash, Maganti Bhargav Hemanth, Ankit Kumar, Sanjeev Sharma

The novel Coronavirus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) spread all over the world, causing a dramatic shift in circumstances that resulted in a massive pandemic, affecting the world's well-being and stability. It is an RNA virus that can infect both humans as well as animals. Diagnosis of the virus as soon as possible could contain and avoid a serious COVID-19 outbreak. Current pharmaceutical techniques and diagnostic methods tests such as Reverse Transcription-Polymerase Chain Reaction (RT-PCR) and Serology tests are time-consuming, expensive, and require a well-equipped laboratory for analysis, making them restrictive and inaccessible to everyone. Deep Learning has grown in popularity in recent years, and it now plays a crucial role in Image Classification, which also involves Medical Imaging. Using chest CT scans, this study explores the problem statement automation of differentiating COVID-19 contaminated individuals from healthy individuals. Convolutional Neural Networks (CNNs) can be trained to detect patterns in computed tomography scans (CT scans). Hence, different CNN models were used in the current study to identify variations in chest CT scans, with accuracies ranging from 91% to 98%. The Multiclass Classification method is used to build these architectures. This study also proposes a new approach for classifying CT images that use two binary classifications combined to work together, achieving 98.38% accuracy. All of these architectures' performances are compared using different classification metrics.

新型冠状病毒——严重急性呼吸系统综合征冠状病毒2型(SARS-CoV-2)在全球蔓延,导致形势发生巨大变化,导致大规模大流行,影响了世界的福祉和稳定。这是一种RNA病毒,既可以感染人类,也可以感染动物。尽快诊断出该病毒可以控制和避免严重的COVID-19疫情。目前的制药技术和诊断方法测试,如逆转录聚合酶链反应(RT-PCR)和血清学测试,耗时、昂贵,并且需要设备齐全的实验室进行分析,这使得它们具有限制性,并且每个人都无法获得。近年来,深度学习越来越受欢迎,现在它在图像分类中起着至关重要的作用,其中也涉及医学成像。利用胸部CT扫描,本研究探索了区分COVID-19污染个体与健康个体的问题陈述自动化。卷积神经网络(cnn)可以被训练来检测计算机断层扫描(CT扫描)中的模式。因此,在本研究中使用了不同的CNN模型来识别胸部CT扫描的变化,准确率从91%到98%不等。多类分类方法用于构建这些体系结构。本研究还提出了一种新的CT图像分类方法,将两种二值分类组合在一起进行分类,准确率达到98.38%。所有这些体系结构的性能使用不同的分类指标进行比较。
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引用次数: 15
MRI-based brain tumour image detection using CNN based deep learning method 基于CNN的深度学习方法的mri脑肿瘤图像检测
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100060
Arkapravo Chattopadhyay, Mausumi Maitra

Introduction

In modern days, checking the huge number of MRI (magnetic resonance imaging) images and finding a brain tumour manually by a human is a very tedious and inaccurate task. It can affect the proper medical treatment of the patient. Again, it can be a hugely time-consuming task as it involves a huge number of image datasets. There is a good similarity between normal tissue and brain tumour cells in appearance, so segmentation of tumour regions become a difficult task to do. So there is an essentiality for a highly accurate automatic tumour detection method.

Method

In this paper, we proposed an algorithm to segment brain tumours from 2D Magnetic Resonance brain Images (MRI) by a convolutional neural network which is followed by traditional classifiers and deep learning methods. We have taken various MRI images with diverse Tumour sizes, locations, shapes, and different image intensities to train the model well. Furthermore, we have applied SVM classifier and other activation algorithms (softmax, RMSProp, sigmoid, etc) to cross-check our work. We implement our proposed method using “TensorFlow” and “Keras” in “Python” as it is an efficient programming language to perform fast work.

Result

In our work, CNN gained an accuracy of 99.74%, which is better than the state of the result obtained so far.

Conclusion

Our CNN based model will help the doctors to detect brain tumours in MRI images accurately, so that the speed in treatment will increase a lot.

在现代,检查大量的MRI(磁共振成像)图像并由人类手动发现脑肿瘤是一项非常繁琐和不准确的任务。它会影响对病人的适当治疗。同样,这可能是一个非常耗时的任务,因为它涉及大量的图像数据集。正常组织和脑肿瘤细胞在外观上有很好的相似性,因此肿瘤区域的分割成为一项困难的任务。因此,需要一种高精度的肿瘤自动检测方法。方法在传统分类器和深度学习的基础上,提出了一种基于卷积神经网络的二维磁共振脑图像脑肿瘤分割算法。我们已经拍摄了不同肿瘤大小、位置、形状和不同图像强度的各种MRI图像,以很好地训练模型。此外,我们还应用了SVM分类器和其他激活算法(softmax, RMSProp, sigmoid等)来交叉检查我们的工作。我们使用“TensorFlow”和“Keras”在“Python”中实现我们提出的方法,因为它是一种高效的编程语言,可以执行快速工作。结果在我们的工作中,CNN获得了99.74%的准确率,优于目前得到的结果状态。结论我们的基于CNN的模型可以帮助医生准确地在MRI图像中发现脑肿瘤,从而大大提高治疗速度。
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引用次数: 63
Optimal acquisition sequence for AI-assisted brain tumor segmentation under the constraint of largest information gain per additional MRI sequence 以每附加MRI序列信息增益最大为约束的人工智能辅助脑肿瘤分割的最佳采集序列
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100053
Raphael M. Kronberg , Dziugas Meskelevicius , Michael Sabel , Markus Kollmann , Christian Rubbert , Igor Fischer

Purpose

Different imaging sequences (T1 etc.) depict different aspects of a brain tumor. As clinical MRI examinations of the brain might be terminated prematurely, not all sequences may be acquired, decreasing the performance of automated tumor segmentation. We attempt to optimize the order of sequences, to maximize information gain in case of incomplete examination.

Methods

For segmentation we used the winner algorithm of the Brain Tumor Segmentation challenge 2018, trained on the BraTS 2020 dataset, with the objective to segment necrotic core, peritumoral edema, and enhancing tumor. We compared the segmentation performance for all combinations of sequences, using the Dice score (DS) as the primary metric. We compare the results with those which would be obtained by attempting to follow the consensus recommendations for brain tumor imaging [T1, FLAIR, T2, T1CE].

Results

The average segmentation accuracy varies between 0.476 for T1 only and 0.751 for the full set of sequences. T1CE has a high information content, even regarding peritumoral edema and information of T2 and FLAIR were highly redundant. The optimal order of sequences appears to be [T1, T2, T1CE, FLAIR]. Comparing segmentation accuracy after each fully acquired sequence, the first sequence (T1) is the same for both, DS for [T1, T2] (proposed) is 6.2% higher than [T1, FLAIR] (aborted recommendations), and [T1, T2, T1CE] (proposed) is 34.8% higher than [T1, FLAIR, T2] (aborted recommendations).

Conclusion

For the purpose of optimal deep-learning-based segmentation purposes in potentially incomplete MRI examinations, the T1CE sequence should be acquired as early as possible.

不同的成像序列(T1等)描绘脑肿瘤的不同方面。由于大脑的临床MRI检查可能过早终止,因此可能无法获得所有序列,从而降低了自动肿瘤分割的性能。我们试图优化序列的顺序,以在不完全检查的情况下最大化信息增益。方法使用BraTS 2020数据集训练的2018脑肿瘤分割挑战赛优胜者算法进行分割,目的是分割坏死核心、肿瘤周围水肿和增强肿瘤。我们比较了所有序列组合的分割性能,使用Dice分数(DS)作为主要指标。我们将结果与试图遵循一致建议的脑肿瘤成像[T1, FLAIR, T2, T1CE]所获得的结果进行比较。结果该方法的平均分割准确率为0.476 (T1)和0.751(全序列)。T1CE信息含量高,甚至关于肿瘤周围水肿,T2和FLAIR信息高度冗余。序列的最优顺序为[T1, T2, T1CE, FLAIR]。比较每个完全获取序列后的分割精度,两者的第一个序列(T1)的分割精度相同,[T1, T2](建议)的分割精度比[T1, FLAIR](放弃推荐)高6.2%,[T1, T2, T1CE](建议)的分割精度比[T1, FLAIR, T2](放弃推荐)高34.8%。结论为了在可能不完整的MRI检查中实现最佳的深度学习分割目的,应尽早获取T1CE序列。
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引用次数: 6
A deep dive into metacognition: Insightful tool for moral reasoning and emotional maturity 元认知的深入研究:道德推理和情感成熟的深刻工具
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100096
Sunder Kala Negi, Yaisna Rajkumari, Minakshi Rana

The impact of metacognition on pupils' moral ideals and emotional development was investigated as well as it highlights on a collaborative research between metacognition and artificial intelligence that can bridge the gap (emotional, ethical, moral reasoning, common sense) existing in AI. A total of 200 pupils were selected in the study's sample. Participants (100 high metacognitive students and 100 low metacognitive students) were chosen at random and ranged in age from 17 to 21 years old. The influence of metacognition on students' moral ideals and emotional development was studied using a t-test. The outcome reveals that the mean score of moral reasoning on high metacognitive students as 66.77 and for low metacognitive students as 63.08, t value = 3.21, at the 0.01 level, statistically highly significant. The mean emotional maturity score for high metacognitive students was 29.99, while for low metacognitive students was 33.01, t value as 2.81, shows statistically significant at the 0.05 level. This demonstrates that the higher the score, the less emotionally stable the pupils are. The current findings show that metacognitive thinking has a major impact on moral reasoning and emotional maturity, and that as metacognition levels rise, so do moral reasoning and emotional maturity. Metacognition can strengthen the humanistic qualities which are majorly lacking in AI. In addition, there are new avenues being opened in the study of artificial intelligence via metacognitive study which is significant and futuristic.

研究了元认知对学生道德理想和情感发展的影响,重点介绍了元认知与人工智能之间的合作研究,可以弥补人工智能存在的差距(情感、伦理、道德推理、常识)。该研究共选取了200名学生作为样本。参与者(100名高元认知学生和100名低元认知学生)被随机选择,年龄从17岁到21岁不等。采用t检验研究元认知对学生道德理想和情感发展的影响。结果显示,高元认知学生的道德推理平均分为66.77分,低元认知学生的道德推理平均分为63.08分,t值= 3.21,在0.01水平上,具有高度统计学意义。高元认知学生的平均情绪成熟度得分为29.99,低元认知学生的平均情绪成熟度得分为33.01,t值为2.81,在0.05水平上有统计学意义。这表明,分数越高,学生的情绪越不稳定。目前的研究结果表明,元认知思维对道德推理和情感成熟度有重要影响,并且随着元认知水平的提高,道德推理和情感成熟度也会提高。元认知可以增强人工智能所缺乏的人文素质。此外,元认知研究为人工智能的研究开辟了新的途径,具有重要的未来意义。
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引用次数: 3
Multiagent mobility and lifestyle recommender system for individuals with visual impairment 视觉障碍患者多智能体移动和生活方式推荐系统
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100077
Kuo-Pao Tsai , Feng-Chao Yang , Chuan-Yi Tang

Background: Individuals with visual impairment currently rely on walking sticks and guide dogs for mobility. However, both tools require the user to have a mental map of the area and cannot help the user establish detailed information about their surroundings, including weather, location, and businesses.

Purpose and Methods: This study designed a navigation and recommendation system with context awareness for individuals with visual impairment. The study used Process for Agent Societies Specification and Implementation (PASSI), which is a multiagent development methodology that follows the Foundation for Intelligent Physical Agents framework. The model used the Agent Unified Modeling Language (AUML).

Results: The developed system contains a context awareness module and a multiagent system. The context awareness module collects data on user context through sensors and constructs a user profile. The user profile is transferred to the multiagent system for service recommendations. The multiagent system has four agents: a consultant agent, search agent, combination agent, and dispatch agent and integrates machine and deep learning. AUML tools were used to describe the implementation and structure of the system through use-case graphics and kit, sequence, class, and status diagrams.

Conclusions: The developed system understands the needs of the user through the context awareness module and finds services that best meet the user's needs through the agent recommendation mechanism. The system can be used on Android phones and tablets and improves the ease with which individuals with visual impairment can obtain the services they need.

背景:目前有视力障碍的人依靠手杖和导盲犬来行动。然而,这两种工具都要求用户对该地区有一个心理地图,不能帮助用户建立有关其周围环境的详细信息,包括天气、位置和企业。目的与方法:本研究为视障人士设计了一个具有语境感知的导航推荐系统。该研究使用了Agent社团规范和实现过程(PASSI),这是一种遵循智能物理代理基础框架的多Agent开发方法。该模型采用Agent统一建模语言(AUML)。结果:开发的系统包含一个上下文感知模块和一个多智能体系统。上下文感知模块通过传感器采集用户上下文数据,构建用户配置文件。用户配置文件被传输到多代理系统以获得服务建议。多智能体系统有四个智能体:咨询智能体、搜索智能体、组合智能体和调度智能体,并集成了机器学习和深度学习。AUML工具被用来通过用例图形和工具包、序列、类和状态图来描述系统的实现和结构。结论:所开发的系统通过上下文感知模块了解用户的需求,并通过代理推荐机制找到最符合用户需求的服务。该系统可以在安卓手机和平板电脑上使用,提高了视力障碍人士获得所需服务的便利性。
{"title":"Multiagent mobility and lifestyle recommender system for individuals with visual impairment","authors":"Kuo-Pao Tsai ,&nbsp;Feng-Chao Yang ,&nbsp;Chuan-Yi Tang","doi":"10.1016/j.neuri.2022.100077","DOIUrl":"10.1016/j.neuri.2022.100077","url":null,"abstract":"<div><p><em>Background:</em> Individuals with visual impairment currently rely on walking sticks and guide dogs for mobility. However, both tools require the user to have a mental map of the area and cannot help the user establish detailed information about their surroundings, including weather, location, and businesses.</p><p><em>Purpose and Methods:</em> This study designed a navigation and recommendation system with context awareness for individuals with visual impairment. The study used Process for Agent Societies Specification and Implementation (PASSI), which is a multiagent development methodology that follows the Foundation for Intelligent Physical Agents framework. The model used the Agent Unified Modeling Language (AUML).</p><p><em>Results:</em> The developed system contains a context awareness module and a multiagent system. The context awareness module collects data on user context through sensors and constructs a user profile. The user profile is transferred to the multiagent system for service recommendations. The multiagent system has four agents: a consultant agent, search agent, combination agent, and dispatch agent and integrates machine and deep learning. AUML tools were used to describe the implementation and structure of the system through use-case graphics and kit, sequence, class, and status diagrams.</p><p><em>Conclusions:</em> The developed system understands the needs of the user through the context awareness module and finds services that best meet the user's needs through the agent recommendation mechanism. The system can be used on Android phones and tablets and improves the ease with which individuals with visual impairment can obtain the services they need.</p></div>","PeriodicalId":74295,"journal":{"name":"Neuroscience informatics","volume":"2 4","pages":"Article 100077"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772528622000395/pdfft?md5=ac007760f2370fc6e47564130fcaf8d6&pid=1-s2.0-S2772528622000395-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44137219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A systematic review on Data Mining Application in Parkinson's disease 数据挖掘在帕金森病中的应用综述
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100064
Adesh Kumar Srivastava, Klinsega Jeberson, Wilson Jeberson

Data mining techniques have taken a significant role in the diagnosis and prognosis of many health diseases. Still, very little work has been initialized in neurological medical informatics or neurodegenerative disease. Parkinson's Disease (PD) is the second significant neurodegenerative disease (after Alzheimer's), which causes severe complications for patients. PD is a nervous disorder that affects millions of people worldwide. Most of the cases go undetected due to a lack of standard detection methods. This paper attempts to review literature related to PD diagnosis, its stages, and its management using data mining techniques (DMT). The review has been done by exploring the Scopus indexed literature using the query containing the keywords data-mining and Parkinson's disease. This study's focus is to observe how DMT, its applications have developed in PD during the past 16 years. This paper reviews data mining techniques, their applications, and development, through a review of the literature and articles' classification, from 2004 to 2020. We have used keyword indices and article abstracts to identify 273 articles concerning DMT applications from 159 academic journals from Scopus online database. Another objective of this paper is to provide directions to researchers in data mining applications in Parkinson's disease.

数据挖掘技术在许多健康疾病的诊断和预后中发挥了重要作用。然而,在神经医学信息学或神经退行性疾病方面,很少有工作被初始化。帕金森病(PD)是继阿尔茨海默病之后的第二大神经退行性疾病,它会给患者带来严重的并发症。PD是一种神经障碍,影响着全世界数百万人。由于缺乏标准的检测方法,大多数病例未被发现。本文试图回顾与PD诊断,其分期和其管理使用数据挖掘技术(DMT)相关的文献。本综述通过检索Scopus索引文献,使用包含关键字data-mining和Parkinson's disease的查询完成。本研究的重点是观察DMT及其在PD中的应用在过去16年中如何发展。本文通过回顾2004年至2020年的文献和文章分类,回顾了数据挖掘技术及其应用和发展。我们使用关键词索引和文章摘要从Scopus在线数据库的159种学术期刊中识别出273篇关于DMT应用的文章。本文的另一个目的是为数据挖掘在帕金森病中的应用提供指导。
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引用次数: 5
Applied picture fuzzy sets with knowledge reasoning and linguistics in clinical decision support system 将图像模糊集与知识推理和语言学相结合,应用于临床决策支持系统
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100109
Hai Van Pham , Philip Moore , Bui Cong Cuong

Motivation: Healthcare systems globally face significant resource and financial challenges. Moreover, these challenges have resulted in an existential paradigm shift driven by: (i) the growth in the demand for healthcare services is exacerbated by a global population characterised by an ageing demographic with increasingly complex healthcare needs, and (ii) rapid developments in healthcare technologies and drug therapies which can be seen in the new and emerging treatment options. A potential solution to address [or at least mitigate] these challenges is ‘telemedicine’ with nurse-led ‘triage’ systems; however, a limiting factor for ‘telemedicine’ is the management of imprecision and uncertainty in the diagnostic process. Contribution: In this paper we introduce a novel rule-based approach predicated on picture fuzzy sets to enable intelligent clinical decision support system which builds on previous research to create an approach predicated on picture fuzzy sets. Our principal contribution lies in the use of expert clinician preferences in a rule-based system which implements knowledge reasoning along with linguistic information to improve the diagnostic performance. Results: In ‘real-world’ case studies (using ethically approved anonymised patient data) we have investigated heart conditions, kidney stones, and kidney infections. Reported results for the proposed approach demonstrate a high level of accuracy in clinical diagnostic accuracy terms with reported accuracy in the range [92% to 95%] and a high confidence level when compared to alternative diagnostic matching methods.

动机:全球医疗保健系统面临着巨大的资源和财政挑战。此外,这些挑战导致了一种生存模式的转变,其驱动因素是:(i)以人口老龄化和日益复杂的医疗保健需求为特征的全球人口加剧了对医疗保健服务需求的增长,以及(ii)医疗保健技术和药物疗法的迅速发展,这可以从新的和正在出现的治疗方案中看出。解决(或至少减轻)这些挑战的一个潜在解决方案是配备护士主导的“分诊”系统的“远程医疗”;然而,“远程医疗”的一个限制因素是对诊断过程中不精确和不确定性的管理。贡献:在本文中,我们介绍了一种基于规则的基于图像模糊集的预测方法,以实现智能临床决策支持系统,该系统建立在先前研究的基础上,创建了一种基于图像模糊集的预测方法。我们的主要贡献在于在基于规则的系统中使用专家临床医生的偏好,该系统实现了知识推理以及语言信息,以提高诊断性能。结果:在“现实世界”的案例研究中(使用经伦理批准的匿名患者数据),我们调查了心脏病、肾结石和肾脏感染。报告的结果表明,与其他诊断匹配方法相比,该方法在临床诊断准确性方面具有高水平的准确性,报告的准确性在[92%至95%]范围内,并且具有高置信度。
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引用次数: 10
Automatic classification of the cerebral vascular bifurcations using dimensionality reduction and machine learning 基于降维和机器学习的脑血管分叉自动分类
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100108
Ibtissam Essadik , Anass Nouri , Raja Touahni , Romain Bourcier , Florent Autrusseau

This paper presents a method for the automatic labeling of vascular bifurcations along the Circle of Willis (CoW) in 3D images. Our automatic labeling process uses machine learning as well as dimensionality reduction algorithms to map selected bifurcation features to a lower dimensional space and thereafter classify them. Unlike similar studies in the literature, our main goal here is to avoid a classical registration step commonly applied before resorting to classification. In our approach, we aim to collect various geometric features of the bifurcations of interest, and thanks to dimensionality reduction, to discard the irrelevant ones before using classifiers.

In this paper, we apply the proposed method to 50 human brain vascular trees imaged via Magnetic Resonance Angiography (MRA). The constructed classifiers were evaluated using the Leave One Out Cross-Validation approach (LOOCV). The experimental results showed that the proposed method could assign correct labels to bifurcations at 96.8% with the Naive Bayes classifier. We also confirmed its functionality by presenting automatic bifurcation labels on independent images.

提出了一种在三维图像中沿威利斯圆(Circle of Willis, CoW)自动标记血管分叉的方法。我们的自动标记过程使用机器学习和降维算法将选择的分岔特征映射到较低维空间,然后对它们进行分类。与文献中的类似研究不同,我们这里的主要目标是避免在诉诸分类之前通常应用的经典注册步骤。在我们的方法中,我们的目标是收集感兴趣的分岔的各种几何特征,并且由于降维,在使用分类器之前丢弃不相关的特征。在本文中,我们将该方法应用于磁共振血管造影(MRA)成像的50个人脑血管树。使用Leave One Out交叉验证方法(LOOCV)评估构建的分类器。实验结果表明,该方法与朴素贝叶斯分类器对分岔的正确率为96.8%。我们还通过在独立图像上呈现自动分岔标签来确认其功能。
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引用次数: 0
Multistage DPIRef-Net: An effective network for semantic segmentation of arteries and veins from retinal surface 多级DPIRef-Net:一种有效的视网膜表面动静脉语义分割网络
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100074
Geetha Pavani , Birendra Biswal , Tapan Kumar Gandhi

Retinal vascular changes are the early indicators for many progressive diseases like diabetes, hypertension, etc. However, the manual procedure in detecting these vascular changes is a time-consuming process and may cause a large variance, especially when dealing with a large dataset. Therefore, computer-aided diagnosis of the retinal vascular network plays a crucial role in analyzing the patients effectively with high precision. As a result, this paper presents a robust deep learning Multistage Dual-Path Interactive Refinement Network (DPIRef-Net) for segmenting the vascular maps of arteries and veins from the retinal surface. The main novelty of the proposed model lies in segmenting both the regional and edge salient feature maps that will reduce the degeneration problems of pooling and striding. This eventually preserves the edges of vascular branches and suppresses the false positive rate. In addition to this, a novel guided filtering technique is employed to segment the final accurate arteries and veins vascular networks from predicted regional and edge feature maps. The proposed Multistage DPIRef-Net is trained and tested on different benchmark datasets like DRIVE, HRF, AVRDB, INSPIRE AVR, VICAVR, and Dual-Mode datasets. The proposed model illustrated superior performance in segmenting the vascular maps on all datasets by achieving an average accuracy of 97%, a sensitivity of 96%, a specificity of 98%, and a dice coefficient of 98%.

视网膜血管改变是许多进行性疾病如糖尿病、高血压等的早期指标。然而,人工检测这些血管变化是一个耗时的过程,可能会导致很大的差异,特别是在处理大型数据集时。因此,视网膜血管网络的计算机辅助诊断对于有效、高精度地分析患者具有至关重要的作用。因此,本文提出了一种鲁棒的深度学习多阶段双路径交互细化网络(DPIRef-Net),用于从视网膜表面分割动脉和静脉的血管图。该模型的主要新颖之处在于对区域和边缘显著特征图进行分割,减少了池化和跨步的退化问题。这最终保留了血管分支的边缘,并抑制了假阳性率。此外,采用一种新的引导滤波技术,从预测的区域和边缘特征图中分割出最终准确的动脉和静脉血管网络。提出的Multistage DPIRef-Net在不同的基准数据集(如DRIVE、HRF、AVRDB、INSPIRE AVR、VICAVR和Dual-Mode数据集)上进行了训练和测试。该模型在所有数据集上的血管图分割表现优异,平均准确率为97%,灵敏度为96%,特异性为98%,骰子系数为98%。
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引用次数: 6
Factors predicting effective aneurysm early obliteration after flow re-direction endoluminal device placement for unruptured intracranial cerebral aneurysms 预测未破裂颅内脑动脉瘤血流再定向腔内装置置放后早期有效栓塞的因素
Pub Date : 2022-12-01 DOI: 10.1016/j.neuri.2022.100107
Shinichiro Yoshida , Hidetoshi Matsukawa , Kousei Maruyama , Yoshiaki Hama , Hiroya Morita , Yuichiro Ota , Noriaki Tashiro , Fumihiro Hiraoka , Hiroto Kawano , Shigetoshi Yano , Hiroshi Aikawa , Yoshinori Go , Kiyoshi Kazekawa

Objective

There have been few reports of the outcomes of flow re-direction endoluminal device (FRED) treatment for unruptured cerebral aneurysms, and patient factors associated with effective aneurysm obliteration have yet to be determined. Flow diverters also have problems with delayed rupture. The objective of this study was to investigate associations between the cases of early obliteration of aneurysm after FRED treatment and a range of factors.

Method

A retrospective analysis of 75 aneurysms in 72 patients whose response to treatment was evaluated by cerebral angiography 6 months after FRED treatment was conducted. The aneurysm obliteration rate was classified according to the O'Kelly-Marotta grading scale (OKM grade). The patients were classified into those assessed as OKM Grade A or Grade B with poor aneurysm obliteration (poor obliteration), and those assessed as Grade C or Grade D with good aneurysm obliteration (good obliteration). The parameters evaluated were age, sex, medical history, immediate postoperative eclipse sign, P2Y12 reaction units (PRU), aspirin reaction units (ARU), operating time, maximum aneurysm diameter measured on cerebral angiography, and aneurysm location.

Results

At 6 months post-treatment, 19 aneurysms (25.3%) were OKM Grade A, 15 (20%) were Grade B, 10 (13.3%) were Grade C, and 31 (41.3%) were Grade D. Age ≥67.5 years was significantly associated with a poor obliteration [odds ratio (OR): 0.1; 95% confidence interval (95%CI): 0.2-0.4; p=0.002] and intracranial side wall aneurysm [OR: 21.7; 95%CI: 1.6–284.5; p=0.01].

Conclusions

The results of this study demonstrated that age was associated with aneurysm obliteration after FRED treatment. This finding may be useful for further studies investigating factors predictive of the aneurysm obliteration rate and the residual aneurysm rate after FRED treatment.

目的血流再定向腔内装置(FRED)治疗未破裂脑动脉瘤的疗效报道较少,且与动脉瘤有效闭塞相关的患者因素尚未确定。导流器也存在延迟破裂的问题。本研究的目的是探讨FRED治疗后早期动脉瘤闭塞的病例与一系列因素之间的关系。方法回顾性分析72例75个动脉瘤患者,在FRED治疗6个月后行脑血管造影评价治疗效果。动脉瘤闭塞率按照O'Kelly-Marotta分级(OKM分级)进行分级。OKM分级为A级或B级,动脉瘤闭塞性差(闭塞性差);分级为C级或D级,动脉瘤闭塞性好(闭塞性好)。评估参数为年龄、性别、病史、术后即刻食蚀征、P2Y12反应单位(PRU)、阿司匹林反应单位(ARU)、手术时间、脑血管造影测得最大动脉瘤直径、动脉瘤位置。结果治疗6个月后,19个动脉瘤为OKM A级(25.3%),15个动脉瘤为B级(20%),10个动脉瘤为C级(13.3%),31个动脉瘤为d级(41.3%)。年龄≥67.5岁与闭塞性差显著相关[比值比(OR): 0.1;95%置信区间(95% ci): 0.2-0.4;p=0.002]颅内侧壁动脉瘤[OR: 21.7;95%置信区间:1.6—-284.5;p = 0.01)。结论本研究结果表明年龄与FRED治疗后动脉瘤闭塞有关。这一发现可能有助于进一步研究FRED治疗后动脉瘤闭塞率和残留动脉瘤率的预测因素。
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Neuroscience informatics
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