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Szekely-Kohn AC, Castellani M, Espino DM, Baronti L, Ahmed Z, Manifold WGK, Douglas M. Machine learning for refining interpretation of magnetic resonance imaging scans in the management of multiple sclerosis: a narrative review. ROYAL SOCIETY OPEN SCIENCE 2025; 12:241052. [PMID: 39845718 PMCID: PMC11750376 DOI: 10.1098/rsos.241052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2024] [Revised: 10/23/2024] [Accepted: 11/17/2024] [Indexed: 01/24/2025]
Abstract
Multiple sclerosis (MS) is an autoimmune disease of the brain and spinal cord with both inflammatory and neurodegenerative features. Although advances in imaging techniques, particularly magnetic resonance imaging (MRI), have improved the process of diagnosis, its cause is unknown, a cure remains elusive and the evidence base to guide treatment is lacking. Computational techniques like machine learning (ML) have started to be used to understand MS. Published MS MRI-based computational studies can be divided into five categories: automated diagnosis; differentiation between lesion types and/or MS stages; differential diagnosis; monitoring and predicting disease progression; and synthetic MRI dataset generation. Collectively, these approaches show promise in assisting with MS diagnosis, monitoring of disease activity and prediction of future progression, all potentially contributing to disease management. Analysis quality using ML is highly dependent on the dataset size and variability used for training. Wider public access would mean larger datasets for experimentation, resulting in higher-quality analysis, permitting for more conclusive research. This narrative review provides an outline of the fundamentals of MS pathology and pathogenesis, diagnostic techniques and data types in computational analysis, as well as collating literature pertaining to the application of computational techniques to MRI towards developing a better understanding of MS.
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Affiliation(s)
- Adam C. Szekely-Kohn
- School of Engineering, University of Birmingham, Edgbaston, BirminghamB15 2TT, UK
| | - Marco Castellani
- School of Engineering, University of Birmingham, Edgbaston, BirminghamB15 2TT, UK
| | - Daniel M. Espino
- School of Engineering, University of Birmingham, Edgbaston, BirminghamB15 2TT, UK
| | - Luca Baronti
- School of Computer Science, University of Birmingham, Edgbaston, BirminghamB15 2TT, UK
| | - Zubair Ahmed
- University Hospitals Birmingham NHS Foundation Trust, Edgbaston, BirminghamB15 2GW, UK
- Institute of Inflammation and Ageing, University of Birmingham, Edgbaston, BirminghamB15 2TT, UK
| | | | - Michael Douglas
- University Hospitals Birmingham NHS Foundation Trust, Edgbaston, BirminghamB15 2GW, UK
- Institute of Inflammation and Ageing, University of Birmingham, Edgbaston, BirminghamB15 2TT, UK
- Department of Neurology, Dudley Group NHS Foundation Trust, Russells Hall Hospital, BirminghamDY1 2HQ, UK
- School of Life and Health Sciences, Aston University, Birmingham, UK
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Wang L, Chen C, Xiao Y, Gong R, Shen J, Lu M. Personalized optimization strategy for electrode array layout in TTFields of glioblastoma. INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING 2024; 40:e3859. [PMID: 39154656 DOI: 10.1002/cnm.3859] [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: 04/08/2024] [Revised: 07/16/2024] [Accepted: 08/05/2024] [Indexed: 08/20/2024]
Abstract
Tumor treating fields (TTFields) is a novel therapeutic approach for the treatment of glioblastoma. The electric field intensity is a critical factor in the therapeutic efficacy of TTFields, as stronger electric field can more effectively impede the proliferation and survival of tumor cells. In this study, we aimed to improve the therapeutic effectiveness of TTFields by optimizing the position of electrode arrays, resulting in an increased electric field intensity at the tumor. Three representative head models of real glioblastoma patients were used as the research subjects in this study. The improved subtraction-average-based optimization (ISABO) algorithm based on circle chaos mapping, opposition-based learning and golden sine strategy, was employed to optimize the positions of the four sets of electrode arrays on the scalp. The electrode positions are dynamically adjusted through iterative search to maximize the electric field intensity at the tumor. The experimental results indicate that, in comparison to the conventional layout, the positions of the electrode arrays obtained by the ISABO algorithm can achieve average electric field intensity of 1.7887, 2.0058, and 1.3497 V/cm at the tumor of three glioblastoma patients, which are 23.6%, 29.4%, and 8.5% higher than the conventional layout, respectively. This study demonstrates that optimizing the location of the TTFields electrode array using the ISABO algorithm can effectively enhance the electric field intensity and treatment coverage in the tumor area, offering a more effective approach for personalized TTFields treatment.
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Affiliation(s)
- Liang Wang
- Department of Biomedical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, China
| | - Chunxiao Chen
- Department of Biomedical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, China
| | - Yueyue Xiao
- Department of Biomedical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, China
| | - Rongfang Gong
- Department of Mathematics, Nanjing University of Aeronautics and Astronautics, Nanjing, China
| | - Jun Shen
- Department of Mathematics, Nanjing University of Aeronautics and Astronautics, Nanjing, China
| | - Ming Lu
- Department of Radiology, GuiQian International General Hospital, Guiyang, China
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Rath A, Mohanty DK, Mishra BSP, Bagal DK. A Bibliometric Review: Brain Tumor Magnetic Resonance Imagings Using Different Convolutional Neural Network Architectures. World Neurosurg 2023; 170:e681-e694. [PMID: 36442778 DOI: 10.1016/j.wneu.2022.11.091] [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] [Received: 08/08/2022] [Revised: 11/20/2022] [Accepted: 11/21/2022] [Indexed: 11/27/2022]
Abstract
BACKGROUND Numerous scientists and researchers have been developing advanced procedures and methods for diagnosing the kind and phase of a human tumor. Brain tumors, which are neoplastic and abnormal developments of brain cells, are one of the most prominent causes of death. Brain tumors, also known as lesions or neoplasia, may be roughly classified as either primary or metastatic. Primary brain tumors arise from brain tissue and its surrounding environment. The recognition of brain tumors using magnetic resonance images via a deep learning technique such as convolutional neural network (CNN) has garnered significant academic interest over the last few decades. METHODS In this study, a detailed evaluation based on bibliometrics is considered in order to synthesize and organize the available academic literature and to identify current research trends and hotspots. We used bibliometric methodologies and a literature review for the CNN-based brain tumor to synthesize and evaluate prior studies. RESULTS For this bibliometric analysis, we applied the Visualization of Similarity Viewer program to classify the major publications, notable journals, financial sponsors, and affiliations. CONCLUSIONS In conclusion, we suggest that one of the next paths of study will be the incorporation of other databases to advance CNN-based brain tumor identification from magnetic resonance images. No drug dosages are applied in this work.
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Affiliation(s)
- Arati Rath
- School of Computer Engineering, KIIT Deemed to be University, Odisha, India.
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Kaveh M, Mesgari MS. Application of Meta-Heuristic Algorithms for Training Neural Networks and Deep Learning Architectures: A Comprehensive Review. Neural Process Lett 2022; 55:1-104. [PMID: 36339645 PMCID: PMC9628382 DOI: 10.1007/s11063-022-11055-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/11/2022] [Indexed: 12/02/2022]
Abstract
The learning process and hyper-parameter optimization of artificial neural networks (ANNs) and deep learning (DL) architectures is considered one of the most challenging machine learning problems. Several past studies have used gradient-based back propagation methods to train DL architectures. However, gradient-based methods have major drawbacks such as stucking at local minimums in multi-objective cost functions, expensive execution time due to calculating gradient information with thousands of iterations and needing the cost functions to be continuous. Since training the ANNs and DLs is an NP-hard optimization problem, their structure and parameters optimization using the meta-heuristic (MH) algorithms has been considerably raised. MH algorithms can accurately formulate the optimal estimation of DL components (such as hyper-parameter, weights, number of layers, number of neurons, learning rate, etc.). This paper provides a comprehensive review of the optimization of ANNs and DLs using MH algorithms. In this paper, we have reviewed the latest developments in the use of MH algorithms in the DL and ANN methods, presented their disadvantages and advantages, and pointed out some research directions to fill the gaps between MHs and DL methods. Moreover, it has been explained that the evolutionary hybrid architecture still has limited applicability in the literature. Also, this paper classifies the latest MH algorithms in the literature to demonstrate their effectiveness in DL and ANN training for various applications. Most researchers tend to extend novel hybrid algorithms by combining MHs to optimize the hyper-parameters of DLs and ANNs. The development of hybrid MHs helps improving algorithms performance and capable of solving complex optimization problems. In general, the optimal performance of the MHs should be able to achieve a suitable trade-off between exploration and exploitation features. Hence, this paper tries to summarize various MH algorithms in terms of the convergence trend, exploration, exploitation, and the ability to avoid local minima. The integration of MH with DLs is expected to accelerate the training process in the coming few years. However, relevant publications in this way are still rare.
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Affiliation(s)
- Mehrdad Kaveh
- Department of Geodesy and Geomatics, K. N. Toosi University of Technology, Tehran, 19967-15433 Iran
| | - Mohammad Saadi Mesgari
- Department of Geodesy and Geomatics, K. N. Toosi University of Technology, Tehran, 19967-15433 Iran
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De Falco I, De Pietro G, Sannino G. A Two-Step Approach for Classification in Alzheimer’s Disease. SENSORS 2022; 22:s22113966. [PMID: 35684587 PMCID: PMC9183018 DOI: 10.3390/s22113966] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 05/19/2022] [Accepted: 05/20/2022] [Indexed: 12/16/2022]
Abstract
The classification of images is of high importance in medicine. In this sense, Deep learning methodologies show excellent performance with regard to accuracy. The drawback of these methodologies is the fact that they are black boxes, so no explanation is given to users on the reasons underlying their choices. In the medical domain, this lack of transparency and information, typical of black box models, brings practitioners to raise concerns, and the result is a resistance to the use of deep learning tools. In order to overcome this problem, a different Machine Learning approach to image classification is used here that is based on interpretability concepts thanks to the use of an evolutionary algorithm. It relies on the application of two steps in succession. The first receives a set of images in the inut and performs image filtering on them so that a numerical data set is generated. The second is a classifier, the kernel of which is an evolutionary algorithm. This latter, at the same time, classifies and automatically extracts explicit knowledge as a set of IF–THEN rules. This method is investigated with respect to a data set of MRI brain imagery referring to Alzheimer’s disease. Namely, a two-class data set (non-demented and moderate demented) and a three-class data set (non-demented, mild demented, and moderate demented) are extracted. The methodology shows good results in terms of accuracy (100% for the best run over the two-class problem and 91.49% for the best run over the three-class one), F_score (1.0000 and 0.9149, respectively), and Matthews Correlation Coefficient (1.0000 and 0.8763, respectively). To ascertain the quality of these results, they are contrasted against those from a wide set of well-known classifiers. The outcome of this comparison is that, in both problems, the methodology achieves the best results in terms of accuracy and F_score, whereas, for the Matthews Correlation Coefficient, it has the best result over the two-class problem and the second over the three-class one.
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