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Ibrahim AU, Dirilenoğlu F, Hacisalihoğlu UP, Ilhan A, Mirzaei O. Classification of H. pylori Infection from Histopathological Images Using Deep Learning. JOURNAL OF IMAGING INFORMATICS IN MEDICINE 2024; 37:1177-1186. [PMID: 38332407 PMCID: PMC11169399 DOI: 10.1007/s10278-024-01021-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 12/09/2023] [Accepted: 12/28/2023] [Indexed: 02/10/2024]
Abstract
Helicobacter pylori (H. pylori) is a widespread pathogenic bacterium, impacting over 4 billion individuals globally. It is primarily linked to gastric diseases, including gastritis, peptic ulcers, and cancer. The current histopathological method for diagnosing H. pylori involves labour-intensive examination of endoscopic biopsies by trained pathologists. However, this process can be time-consuming and may occasionally result in the oversight of small bacterial quantities. Our study explored the potential of five pre-trained models for binary classification of 204 histopathological images, distinguishing between H. pylori-positive and H. pylori-negative cases. These models include EfficientNet-b0, DenseNet-201, ResNet-101, MobileNet-v2, and Xception. To evaluate the models' performance, we conducted a five-fold cross-validation, ensuring the models' reliability across different subsets of the dataset. After extensive evaluation and comparison of the models, ResNet101 emerged as the most promising. It achieved an average accuracy of 0.920, with impressive scores for sensitivity, specificity, positive predictive value, negative predictive value, F1 score, Matthews's correlation coefficient, and Cohen's kappa coefficient. Our study achieved these robust results using a smaller dataset compared to previous studies, highlighting the efficacy of deep learning models even with limited data. These findings underscore the potential of deep learning models, particularly ResNet101, to support pathologists in achieving precise and dependable diagnostic procedures for H. pylori. This is particularly valuable in scenarios where swift and accurate diagnoses are essential.
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Affiliation(s)
- Abdullahi Umar Ibrahim
- Department of Biomedical Engineering, Faculty of Engineering, Near East University, Nicosia, Cyprus.
- Research Centre for Science, Technology and Engineering (BILTEM), Near East University, Nicosia, Cyprus.
| | - Fikret Dirilenoğlu
- Department of Pathology, Faculty of Medicine, Near East University, Nicosia, Cyprus
| | | | - Ahmet Ilhan
- Research Centre for Science, Technology and Engineering (BILTEM), Near East University, Nicosia, Cyprus
- Department of Computer Engineering, Applied Artificial Intelligence Research Centre, Near East University, Nicosia, Cyprus
| | - Omid Mirzaei
- Department of Biomedical Engineering, Faculty of Engineering, Near East University, Nicosia, Cyprus
- Research Centre for Science, Technology and Engineering (BILTEM), Near East University, Nicosia, Cyprus
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Ghaderinia M, Abadijoo H, Mahdavian A, Kousha E, Shakibi R, Taheri SMR, Simaee H, Khatibi A, Moosavi-Movahedi AA, Khayamian MA. Smartphone-based device for point-of-care diagnostics of pulmonary inflammation using convolutional neural networks (CNNs). Sci Rep 2024; 14:6912. [PMID: 38519489 PMCID: PMC10959990 DOI: 10.1038/s41598-024-54939-4] [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: 11/14/2023] [Accepted: 02/19/2024] [Indexed: 03/25/2024] Open
Abstract
In pulmonary inflammation diseases, like COVID-19, lung involvement and inflammation determine the treatment regime. Respiratory inflammation is typically arisen due to the cytokine storm and the leakage of the vessels for immune cells recruitment. Currently, such a situation is detected by the clinical judgment of a specialist or precisely by a chest CT scan. However, the lack of accessibility to the CT machines in many poor medical centers as well as its expensive service, demands more accessible methods for fast and cheap detection of lung inflammation. Here, we have introduced a novel method for tracing the inflammation and lung involvement in patients with pulmonary inflammation, such as COVID-19, by a simple electrolyte detection in their sputum samples. The presence of the electrolyte in the sputum sample results in the fern-like structures after air-drying. These fern patterns are different in the CT positive and negative cases that are detected by an AI application on a smartphone and using a low-cost and portable mini-microscope. Evaluating 160 patient-derived sputum sample images, this method demonstrated an interesting accuracy of 95%, as confirmed by CT-scan results. This finding suggests that the method has the potential to serve as a promising and reliable approach for recognizing lung inflammatory diseases, such as COVID-19.
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Affiliation(s)
- Mohammadreza Ghaderinia
- Institute of Biochemistry and Biophysics, University of Tehran, Tehran, 1417614335, Iran
- Integrated Biophysics and Bioengineering Lab (iBL), Institute of Biochemistry and Biophysics, University of Tehran, Tehran, 1417614335, Iran
- Nano Electronic Center of Excellence, Nano Bio Electronics Devices Lab, School of Electrical and Computer Engineering, University of Tehran, P.O. Box 14395/515, Tehran, Iran
| | - Hamed Abadijoo
- Institute of Biochemistry and Biophysics, University of Tehran, Tehran, 1417614335, Iran
- Integrated Biophysics and Bioengineering Lab (iBL), Institute of Biochemistry and Biophysics, University of Tehran, Tehran, 1417614335, Iran
- Nano Electronic Center of Excellence, Nano Bio Electronics Devices Lab, School of Electrical and Computer Engineering, University of Tehran, P.O. Box 14395/515, Tehran, Iran
| | - Ashkan Mahdavian
- Nano Electronic Center of Excellence, Nano Bio Electronics Devices Lab, School of Electrical and Computer Engineering, University of Tehran, P.O. Box 14395/515, Tehran, Iran
| | - Ebrahim Kousha
- Institute of Biochemistry and Biophysics, University of Tehran, Tehran, 1417614335, Iran
- Integrated Biophysics and Bioengineering Lab (iBL), Institute of Biochemistry and Biophysics, University of Tehran, Tehran, 1417614335, Iran
- Nano Electronic Center of Excellence, Nano Bio Electronics Devices Lab, School of Electrical and Computer Engineering, University of Tehran, P.O. Box 14395/515, Tehran, Iran
| | - Reyhaneh Shakibi
- Department of Biophysics, Faculty of Biological Sciences, Tarbiat Modares University, Tehran, Iran
| | - S Mohammad-Reza Taheri
- Groningen university, University medical center Groningen, Antonius Deusinglaan 1, 9713AW, Groningen, The Netherlands
- Condensed Matter National Laboratory, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran
| | - Hossein Simaee
- Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Khatibi
- Department of Biotechnology, Faculty of Biological Sciences, Alzahra University, Tehran, Iran
| | | | - Mohammad Ali Khayamian
- Institute of Biochemistry and Biophysics, University of Tehran, Tehran, 1417614335, Iran.
- Integrated Biophysics and Bioengineering Lab (iBL), Institute of Biochemistry and Biophysics, University of Tehran, Tehran, 1417614335, Iran.
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Li G, Togo R, Ogawa T, Haseyama M. Boosting automatic COVID-19 detection performance with self-supervised learning and batch knowledge ensembling. Comput Biol Med 2023; 158:106877. [PMID: 37019015 PMCID: PMC10063457 DOI: 10.1016/j.compbiomed.2023.106877] [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: 12/15/2022] [Revised: 03/15/2023] [Accepted: 03/30/2023] [Indexed: 04/03/2023]
Abstract
PROBLEM Detecting COVID-19 from chest X-ray (CXR) images has become one of the fastest and easiest methods for detecting COVID-19. However, the existing methods usually use supervised transfer learning from natural images as a pretraining process. These methods do not consider the unique features of COVID-19 and the similar features between COVID-19 and other pneumonia. AIM In this paper, we want to design a novel high-accuracy COVID-19 detection method that uses CXR images, which can consider the unique features of COVID-19 and the similar features between COVID-19 and other pneumonia. METHODS Our method consists of two phases. One is self-supervised learning-based pertaining; the other is batch knowledge ensembling-based fine-tuning. Self-supervised learning-based pretraining can learn distinguished representations from CXR images without manually annotated labels. On the other hand, batch knowledge ensembling-based fine-tuning can utilize category knowledge of images in a batch according to their visual feature similarities to improve detection performance. Unlike our previous implementation, we introduce batch knowledge ensembling into the fine-tuning phase, reducing the memory used in self-supervised learning and improving COVID-19 detection accuracy. RESULTS On two public COVID-19 CXR datasets, namely, a large dataset and an unbalanced dataset, our method exhibited promising COVID-19 detection performance. Our method maintains high detection accuracy even when annotated CXR training images are reduced significantly (e.g., using only 10% of the original dataset). In addition, our method is insensitive to changes in hyperparameters. CONCLUSION The proposed method outperforms other state-of-the-art COVID-19 detection methods in different settings. Our method can reduce the workloads of healthcare providers and radiologists.
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Affiliation(s)
- Guang Li
- Graduate School of Information Science and Technology, Hokkaido University, N-14, W-9, Kita-Ku, Sapporo, 060-0814, Japan.
| | - Ren Togo
- Faculty of Information Science and Technology, Hokkaido University, N-14, W-9, Kita-Ku, Sapporo, 060-0814, Japan.
| | - Takahiro Ogawa
- Faculty of Information Science and Technology, Hokkaido University, N-14, W-9, Kita-Ku, Sapporo, 060-0814, Japan.
| | - Miki Haseyama
- Faculty of Information Science and Technology, Hokkaido University, N-14, W-9, Kita-Ku, Sapporo, 060-0814, Japan.
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Irkham I, Ibrahim AU, Nwekwo CW, Al-Turjman F, Hartati YW. Current Technologies for Detection of COVID-19: Biosensors, Artificial Intelligence and Internet of Medical Things (IoMT): Review. SENSORS (BASEL, SWITZERLAND) 2022; 23:426. [PMID: 36617023 PMCID: PMC9824404 DOI: 10.3390/s23010426] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Revised: 12/14/2022] [Accepted: 12/21/2022] [Indexed: 06/17/2023]
Abstract
Despite the fact that COVID-19 is no longer a global pandemic due to development and integration of different technologies for the diagnosis and treatment of the disease, technological advancement in the field of molecular biology, electronics, computer science, artificial intelligence, Internet of Things, nanotechnology, etc. has led to the development of molecular approaches and computer aided diagnosis for the detection of COVID-19. This study provides a holistic approach on COVID-19 detection based on (1) molecular diagnosis which includes RT-PCR, antigen-antibody, and CRISPR-based biosensors and (2) computer aided detection based on AI-driven models which include deep learning and transfer learning approach. The review also provide comparison between these two emerging technologies and open research issues for the development of smart-IoMT-enabled platforms for the detection of COVID-19.
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Affiliation(s)
- Irkham Irkham
- Department of Chemistry, Faculty of Mathematics and Natural Sciences, Padjadjaran University, Bandung 40173, Indonesia
| | | | - Chidi Wilson Nwekwo
- Department of Biomedical Engineering, Near East University, Mersin 99138, Turkey
| | - Fadi Al-Turjman
- Research Center for AI and IoT, Faculty of Engineering, University of Kyrenia, Mersin 99138, Turkey
- Artificial Intelligence Engineering Department, AI and Robotics Institute, Near East University, Mersin 99138, Turkey
| | - Yeni Wahyuni Hartati
- Department of Chemistry, Faculty of Mathematics and Natural Sciences, Padjadjaran University, Bandung 40173, Indonesia
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Umar Ibrahim A, Al-Turjman F, Ozsoz M, Serte S. Computer aided detection of tuberculosis using two classifiers. BIOMED ENG-BIOMED TE 2022; 67:513-524. [PMID: 36165698 DOI: 10.1515/bmt-2021-0310] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 09/13/2022] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Tuberculosis caused by Mycobacterium tuberculosis have been a major challenge for medical and healthcare sectors in many underdeveloped countries with limited diagnosis tools. Tuberculosis can be detected from microscopic slides and chest X-ray but as a result of the high cases of tuberculosis, this method can be tedious for both microbiologist and Radiologist and can lead to miss-diagnosis. The main objective of this study is to addressed these challenges by employing Computer Aided Detection (CAD) using Artificial Intelligence-driven models which learn features based on convolution and result in an output with high accuracy. METHOD In this paper, we described automated discrimination of X-ray and microscopic slide images of tuberculosis into positive and negative cases using pretrained AlexNet Models. The study employed Chest X-ray dataset made available on Kaggle repository and microscopic slide images from both Near East university hospital and Kaggle repository. RESULTS For classification of tuberculosis and healthy microscopic slide using AlexNet+Softmax, the model achieved accuracy of 98.14%. For classification of tuberculosis and healthy microscopic slide using AlexNet+SVM, the model achieved 98.73% accuracy. For classification of tuberculosis and healthy chest X-ray images using AlexNet+Softmax, the model achieved accuracy of 98.19%. For classification of tuberculosis and healthy chest X-ray images using AlexNet+SVM, the model achieved 98.38% accuracy. CONCLUSION The result obtained has shown to outperformed several studies in the current literature. Future studies will attempt to integrate Internet of Medical Things (IoMT) for the design of IoMT/AI-enabled platform for detection of Tuberculosis from both X-ray and Microscopic slide images.
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Affiliation(s)
| | - Fadi Al-Turjman
- Department of Artificial Intelligence, Research Center for AI and IoT, Near East University, Nicosia, Turkey
| | - Mehmet Ozsoz
- Department of Biomedical Engineering, Near East University, Nicosia, Turkey
| | - Sertan Serte
- Department of Electrical and Electronics Engineering, Near East University, Nicosia, Turkey
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Zhu Z, Li J, Huang J, Li Z, Zhang H, Chen S, Zhong Q, Xie Y, Hu S, Wang Y, Wang D, Yu G. An intelligent prediagnosis system for disease prediction and examination recommendation based on electronic medical record and a medical-semantic-aware convolution neural network (MSCNN) for pediatric chronic cough. Transl Pediatr 2022; 11:1216-1233. [PMID: 35958012 PMCID: PMC9360821 DOI: 10.21037/tp-22-275] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 07/10/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Due to the phenotypic similarities among different pediatric respiratory diseases with chronic cough, primary doctors often misdiagnose and the misuse of examinations is prevalent. In the pre-diagnosis stage, the patients' chief complaints and other information in the electronic medical record (EMR) provide a powerful reference for respiratory experts to make preliminary disease judgment and examination plan. In this paper, we proposed an intelligent prediagnosis system to predict disease diagnosis and recommend examinations based on EMR text. METHODS We examined the clinical notes of 178,293 children with chronic cough symptoms from retrospective EMR data. The dataset is split into 7:3 for training and testing. From the testing set, we also extract 5% of samples for validation. We proposed a medical-semantic-aware convolution neural network (MSCNN) framework that can accomplish two downstream tasks from the same medical language model through transfer learning. First, a medical language model based on the word2vec algorithm was built to generate embeddings for the text data. Then, text convolutional neural network (TextCNN) was used to build models for disease prediction and examination recommendation. RESULTS We implemented 5 algorithms for disease prediction. In the disease prediction task, our algorithm outperformed the baseline methods on all metrics, with a top-1 accuracy (AC) of 0.68 and a top-3 AC of 0.923 on the testing set. By adding data enhancement, the top-3 AC reached 0.926. In the examination recommendation task, the overall AC on the testing set was 0.93 and the macro average (MA) F1-score was 0.88. The average area under the curve (AUC) on the training set was 0.97 while on the testing set it was 0.86. CONCLUSIONS We constructed an intelligent prediagnosis system with an MSCNN framework that can predict diseases and make examination recommendations based on EMR data. Our approach achieved good results on a retrospective clinical dataset and thus has great potential for the application of automated diagnosis assist in clinical practice during pre-diagnosis stage, which will provide help for primary level doctors or doctors in basic-level hospitals. Due to the generality of the proposed framework, it can be straight forwardly extended to prediagnosis for other diseases.
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Affiliation(s)
- Zhu Zhu
- Department of Data and Information, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.,National Clinical Research Center for Child Health, Hangzhou, China
| | - Jing Li
- Department of Data and Information, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.,National Clinical Research Center for Child Health, Hangzhou, China
| | - Jian Huang
- Department of Data and Information, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.,National Clinical Research Center for Child Health, Hangzhou, China
| | - Zheming Li
- Department of Data and Information, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.,National Clinical Research Center for Child Health, Hangzhou, China
| | | | - Siyu Chen
- Avain (Hangzhou) Technology Co., Ltd., Hangzhou, China
| | - Qianhui Zhong
- Avain (Hangzhou) Technology Co., Ltd., Hangzhou, China
| | - Yulan Xie
- Avain (Hangzhou) Technology Co., Ltd., Hangzhou, China
| | - Shasha Hu
- Department of Data and Information, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.,National Clinical Research Center for Child Health, Hangzhou, China
| | - Yinshuo Wang
- National Clinical Research Center for Child Health, Hangzhou, China.,Department of Pulmonology, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Dejian Wang
- Department of R&D, Hangzhou Healink Technology, Hangzhou, China
| | - Gang Yu
- Department of Data and Information, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.,National Clinical Research Center for Child Health, Hangzhou, China.,Polytechnic Institute, Zhejiang University, Hangzhou, China
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