A Belief Rule Based Expert System to Assess Tuberculosis under Uncertainty

An Evolutionary Federated Learning Approach to Diagnose Alzheimer's Disease Under Uncertainty

Background: Alzheimer's disease (AD) leads to severe cognitive impairment and functional decline in patients, and its exact cause remains unknown. Early diagnosis of AD is imperative to enable timely interventions that can slow the progression of the disease. This research tackles the complexity and uncertainty of AD by employing a multimodal approach that integrates medical imaging and demographic data. Methods: To scale this system to larger environments, such as hospital settings, and to ensure the sustainability, security, and privacy of sensitive data, this research employs both deep learning and federated learning frameworks. MRI images are pre-processed and fed into a convolutional neural network (CNN), which generates a prediction file. This prediction file is then combined with demographic data and distributed among clients for local training. Training is conducted both locally and globally using a belief rule base (BRB), which effectively integrates various data sources into a comprehensive diagnostic model. Results: The aggregated data values from local training are collected on a central server. Various aggregation methods are evaluated to assess the performance of the federated learning model, with results indicating that FedAvg outperforms other methods, achieving a global accuracy of 99.9%. Conclusions: The BRB effectively manages the uncertainty associated with AD data, providing a robust framework for integrating and analyzing diverse information. This research not only advances AD diagnostics by integrating multimodal data but also underscores the potential of federated learning for scalable, privacy-preserving healthcare solutions.

A bipolar intuitionistic fuzzy decision-making model for selection of effective diagnosis method of tuberculosis

OBJECTIVES

Tuberculosis (TB) is a contagious illness caused by Mycobacterium tuberculosis. The initial symptoms of TB are similar to other respiratory illnesses, posing diagnostic challenges. Therefore, the primary goal of this study is to design a novel decision-support system under a bipolar intuitionistic fuzzy environment to examine an effective TB diagnosing method.

METHODS

To achieve the aim, a novel fuzzy decision support system is derived by integrating PROMETHEE and ARAS techniques. This technique evaluates TB diagnostic methods under the bipolar intuitionistic fuzzy context. Moreover, the defuzzification algorithm is proposed to convert the bipolar intuitionistic fuzzy score into crisp score.

RESULTS

The proposed method found that the sputum test (T3) is the most accurate in diagnosing TB. Additionally, comparative and sensitivity analyses are derived to show the proposed method's efficiency.

CONCLUSION

The proposed bipolar intuitionistic fuzzy sets, combined with the PROMETHEE-ARAS techniques, proved to be a valuable tool for assessing effective TB diagnosing methods.

Computer-aided diagnosis of primary membranous nephropathy using expert system

BACKGROUND

The diagnosis of primary membranous nephropathy (PMN) often depends on invasive renal biopsy, and the diagnosis based on clinical manifestations and target antigens may not be completely reliable as it could be affected by uncertain factors. Moreover, different experts could even have different diagnosis results due to their different experiences, which could further impact the reliability of the diagnosis. Therefore, how to properly integrate the knowledge of different experts to provide more reliable and comprehensive PMN diagnosis has become an urgent issue.

METHODS

This paper develops a belief rule-based system for PMN diagnosis. The belief rule base is constructed based on the knowledge of the experts, with 9 biochemical indicators selected as the input variables. The belief rule-based system is developed of three layers: (1) input layer; (2) belief rule base layer; and (3) output layer, where 9 biochemical indicators are selected as the input variables and the diagnosis result is provided as the conclusion. The belief rule base layer is constructed based on the knowledge of the experts. The final validation was held with gold pattern clinical cases, i.e., with known and clinically confirmed diagnoses.

RESULTS

134 patients are used in this study, and the proposed method is defined by its sensitivity, specificity, accuracy and area under curve (AUC), which are 98.0%, 96.9%, 97.8% and 0.93, respectively. The results of this study present a novel and effective way for PMN diagnosis without the requirement of renal biopsy.

CONCLUSIONS

Through analysis of the diagnosis results and comparisons with other methods, it can be concluded that the developed system could help diagnose PMN based on biochemical indicators with relatively high accuracy.

A new method for disease diagnosis based on hierarchical BRB with power set

Disease diagnosis occupies an important position in the medical field. The diagnosis of the disease is the basis for choosing the right treatment plan. Doctors must first diagnose what the patient has based on the clinical characteristics of various diseases, and then they can administer the right medicine. When building models for disease diagnosis, models are required to be able to handle various uncertainty information. The belief rule base (BRB) can effectively handle various information under uncertainty by introducing belief distributions. However, in current research, BRB-based disease diagnosis models still have problems of combinatorial rule explosion and inability to deal with local ignorance effectively. Therefore, a hierarchical BRB with power set (H-BRBp)-based disease diagnosis model is proposed in this paper. First, the physiological indexes and data of the patients were analyzed, and the data were preprocessed using the principal component regression (PCR) algorithm. Second, the H-BRBp disease diagnosis model was constructed to solve the deficiencies in the above BRB disease diagnosis model. Finally, the validity and advantages of the model were verified by experiments on lumbar spine disease diagnosis and a large number of comparison experiments.

An Integrated Deep Learning and Belief Rule Base Intelligent System to Predict Survival of COVID-19 Patient under Uncertainty

The novel Coronavirus-induced disease COVID-19 is the biggest threat to human health at the present time, and due to the transmission ability of this virus via its conveyor, it is spreading rapidly in almost every corner of the globe. The unification of medical and IT experts is required to bring this outbreak under control. In this research, an integration of both data and knowledge-driven approaches in a single framework is proposed to assess the survival probability of a COVID-19 patient. Several neural networks pre-trained models: Xception, InceptionResNetV2, and VGG Net, are trained on X-ray images of COVID-19 patients to distinguish between critical and non-critical patients. This prediction result, along with eight other significant risk factors associated with COVID-19 patients, is analyzed with a knowledge-driven belief rule-based expert system which forms a probability of survival for that particular patient. The reliability of the proposed integrated system has been tested by using real patient data and compared with expert opinion, where the performance of the system is found promising.

An Integrated Neural Network and SEIR Model to Predict COVID-19

A novel coronavirus (COVID-19), which has become a great concern for the world, was identified first in Wuhan city in China. The rapid spread throughout the world was accompanied by an alarming number of infected patients and increasing number of deaths gradually. If the number of infected cases can be predicted in advance, it would have a large contribution to controlling this pandemic in any area. Therefore, this study introduces an integrated model for predicting the number of confirmed cases from the perspective of Bangladesh. Moreover, the number of quarantined patients and the change in basic reproduction rate (the R0-value) can also be evaluated using this model. This integrated model combines the SEIR (Susceptible, Exposed, Infected, Removed) epidemiological model and neural networks. The model was trained using available data from 250 days. The accuracy of the prediction of confirmed cases is almost between 90% and 99%. The performance of this integrated model was evaluated by showing the difference in accuracy between the integrated model and the general SEIR model. The result shows that the integrated model is more accurate than the general SEIR model while predicting the number of confirmed cases in Bangladesh.

Fuzzy logic approach for infectious disease diagnosis: A methodical evaluation, literature and classification

This paper presents a systematic review of the literature and the classification of fuzzy logic application in an infectious disease. Although the emergence of infectious diseases and their subsequent spread have a significant impact on global health and economics, a comprehensive literature evaluation of this topic has yet to be carried out. Thus, the current study encompasses the first systematic, identifiable and comprehensive academic literature evaluation and classification of the fuzzy logic methods in infectious diseases. 40 papers on this topic, which have been published from 2005 to 2019 and related to the human infectious diseases were evaluated and analyzed. The findings of this evaluation clearly show that the fuzzy logic methods are vastly used for diagnosis of diseases such as dengue fever, hepatitis and tuberculosis. The key fuzzy logic methods used for the infectious disease are the fuzzy inference system; the rule-based fuzzy logic, Adaptive Neuro-Fuzzy Inference System (ANFIS) and fuzzy cognitive map. Furthermore, the accuracy, sensitivity, specificity and the Receiver Operating Characteristic (ROC) curve were universally applied for a performance evaluation of the fuzzy logic techniques. This thesis will also address the various needs between the different industries, practitioners and researchers to encourage more research regarding the more overlooked areas, and it will conclude with several suggestions for the future infectious disease researches.

Artificial Intelligence in Clinical Decision Support: a Focused Literature Survey

OBJECTIVES

This survey analyses the latest literature contributions to clinical decision support systems (DSSs) on a two-year period (2017-2018), focusing on the approaches that adopt Artificial Intelligence (AI) techniques in a broad sense. The goal is to analyse the distribution of data-driven AI approaches with respect to "classical" knowledge-based ones, and to consider the issues raised and their possible solutions.

METHODS

We included PubMed and Web of ScienceTM publications, focusing on contributions describing clinical DSSs that adopted one or more AI methodologies.

RESULTS

We selected 75 papers, 49 of which describe approaches in the data-driven AI area, 20 present purely knowledge-based DSSs, and 6 adopt hybrid approaches relying on both formalized knowledge and data.

CONCLUSIONS

Recent studies in the clinical DSS area demonstrate a prevalence of data-driven AI, which can be adopted autonomously in purely data-driven systems, or in cooperation with domain knowledge in hybrid systems. Such hybrid approaches, able to conjugate all available knowledge sources through proper knowledge integration steps, represent an interesting example of synergy between the two AI categories. This synergy can lead to the resolution of some existing issues, such as the need for transparency and explainability, nowadays recognized as central themes to be addressed by both AI and medical informatics research.