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AI-Based Automated Recognition and Detection in Healthcare

A special issue of Sensors (ISSN 1424-8220). This special issue belongs to the section "Intelligent Sensors".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 9708

Special Issue Editors


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Guest Editor
Department of Engineering and Mathematics, Sheffield Hallam University, Sheffield S1 1WB, UK
Interests: health monitoring service platform; DL; Internet of Things EEG; electroencephalography; biofeedback; analysis; neuroscience
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
School of Mathematics, University of Southern Queensland, Toowoomba, Australia
Interests: artificial intelligence

Special Issue Information

Dear Colleagues,

AI-based computer-aided diagnosis relies on the recognition and detection of disease symptoms from medical data. Evaluating AI models is crucial for driving progress and fostering competition. While traditional evaluation metrics like accuracy, sensitivity, and specificity are widely understood, they often overlook biases and noise present in the training data. This lack of consideration leads to ambiguity, making it challenging to compare and compete with AI-based solutions. In this Special Issue, we seek papers that surpass standard performance reporting. This can be achieved through preprocessing methods that identify biases and noise in the training data or through post-processing techniques that enhance performance measures with explainability. For this SI, we specify medical data as coming from sensors and taking the form of images and physiological signals.

Dr. Ningrong Lei
Dr. Oliver Faust
Prof. Dr. U Rajendra Acharya
Guest Editors

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Keywords

  • bias and noise
  • explainability
  • computer aided diagnosis
  • artificial intelligence

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Published Papers (6 papers)

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Research

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16 pages, 624 KiB  
Article
Towards the Development of the Clinical Decision Support System for the Identification of Respiration Diseases via Lung Sound Classification Using 1D-CNN
by Syed Waqad Ali, Muhammad Munaf Rashid, Muhammad Uzair Yousuf, Sarmad Shams, Muhammad Asif, Muhammad Rehan and Ikram Din Ujjan
Sensors 2024, 24(21), 6887; https://doi.org/10.3390/s24216887 - 27 Oct 2024
Viewed by 621
Abstract
Respiratory disorders are commonly regarded as complex disorders to diagnose due to their multi-factorial nature, encompassing the interplay between hereditary variables, comorbidities, environmental exposures, and therapies, among other contributing factors. This study presents a Clinical Decision Support System (CDSS) for the early detection [...] Read more.
Respiratory disorders are commonly regarded as complex disorders to diagnose due to their multi-factorial nature, encompassing the interplay between hereditary variables, comorbidities, environmental exposures, and therapies, among other contributing factors. This study presents a Clinical Decision Support System (CDSS) for the early detection of respiratory disorders using a one-dimensional convolutional neural network (1D-CNN) model. The ICBHI 2017 Breathing Sound Database, which contains samples of different breathing sounds, was used in this research. During pre-processing, audio clips were resampled to a uniform rate, and breathing cycles were segmented into individual instances of the lung sound. A One-Dimensional Convolutional Neural Network (1D-CNN) consisting of convolutional layers, max pooling layers, dropout layers, and fully connected layers, was designed to classify the processed clips into four categories: normal, crackles, wheezes, and combined crackles and wheezes. To address class imbalance, the Synthetic Minority Over-sampling Technique (SMOTE) was applied to the training data. Hyperparameters were optimized using grid search with k−fold cross-validation. The model achieved an overall accuracy of 0.95, outperforming state-of-the-art methods. Particularly, the normal and crackles categories attained the highest F1-scores of 0.97 and 0.95, respectively. The model’s robustness was further validated through 5−fold and 10−fold cross-validation experiments. This research highlighted an essential aspect of diagnosing lung sounds through artificial intelligence and utilized the 1D-CNN to classify lung sounds accurately. The proposed advancement of technology shall enable medical care practitioners to diagnose lung disorders in an improved manner, leading to better patient care. Full article
(This article belongs to the Special Issue AI-Based Automated Recognition and Detection in Healthcare)
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19 pages, 46165 KiB  
Article
A Deep-Learning-Based CPR Action Standardization Method
by Yongyuan Li, Mingjie Yin, Wenxiang Wu, Jiahuan Lu, Shangdong Liu and Yimu Ji
Sensors 2024, 24(15), 4813; https://doi.org/10.3390/s24154813 - 24 Jul 2024
Viewed by 844
Abstract
In emergency situations, ensuring standardized cardiopulmonary resuscitation (CPR) actions is crucial. However, current automated external defibrillators (AEDs) lack methods to determine whether CPR actions are performed correctly, leading to inconsistent CPR quality. To address this issue, we introduce a novel method called deep-learning-based [...] Read more.
In emergency situations, ensuring standardized cardiopulmonary resuscitation (CPR) actions is crucial. However, current automated external defibrillators (AEDs) lack methods to determine whether CPR actions are performed correctly, leading to inconsistent CPR quality. To address this issue, we introduce a novel method called deep-learning-based CPR action standardization (DLCAS). This method involves three parts. First, it detects correct posture using OpenPose to recognize skeletal points. Second, it identifies a marker wristband with our CPR-Detection algorithm and measures compression depth, count, and frequency using a depth algorithm. Finally, we optimize the algorithm for edge devices to enhance real-time processing speed. Extensive experiments on our custom dataset have shown that the CPR-Detection algorithm achieves a mAP0.5 of 97.04%, while reducing parameters to 0.20 M and FLOPs to 132.15 K. In a complete CPR operation procedure, the depth measurement solution achieves an accuracy of 90% with a margin of error less than 1 cm, while the count and frequency measurements achieve 98% accuracy with a margin of error less than two counts. Our method meets the real-time requirements in medical scenarios, and the processing speed on edge devices has increased from 8 fps to 25 fps. Full article
(This article belongs to the Special Issue AI-Based Automated Recognition and Detection in Healthcare)
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25 pages, 3406 KiB  
Article
Machine Learning Algorithms for Processing and Classifying Unsegmented Phonocardiographic Signals: An Efficient Edge Computing Solution Suitable for Wearable Devices
by Roberto De Fazio, Lorenzo Spongano, Massimo De Vittorio, Luigi Patrono and Paolo Visconti
Sensors 2024, 24(12), 3853; https://doi.org/10.3390/s24123853 - 14 Jun 2024
Cited by 1 | Viewed by 1002
Abstract
The phonocardiogram (PCG) can be used as an affordable way to monitor heart conditions. This study proposes the training and testing of several classifiers based on SVMs (support vector machines), k-NN (k-Nearest Neighbor), and NNs (neural networks) to perform binary (“Normal”/”Pathologic”) and multiclass [...] Read more.
The phonocardiogram (PCG) can be used as an affordable way to monitor heart conditions. This study proposes the training and testing of several classifiers based on SVMs (support vector machines), k-NN (k-Nearest Neighbor), and NNs (neural networks) to perform binary (“Normal”/”Pathologic”) and multiclass (“Normal”, “CAD” (coronary artery disease), “MVP” (mitral valve prolapse), and “Benign” (benign murmurs)) classification of PCG signals, without heart sound segmentation algorithms. Two datasets of 482 and 826 PCG signals from the Physionet/CinC 2016 dataset are used to train the binary and multiclass classifiers, respectively. Each PCG signal is pre-processed, with spike removal, denoising, filtering, and normalization; afterward, it is divided into 5 s frames with a 1 s shift. Subsequently, a feature set is extracted from each frame to train and test the binary and multiclass classifiers. Concerning the binary classification, the trained classifiers yielded accuracies ranging from 92.4 to 98.7% on the test set, with memory occupations from 92.7 kB to 11.1 MB. Regarding the multiclass classification, the trained classifiers achieved accuracies spanning from 95.3 to 98.6% on the test set, occupying a memory portion from 233 kB to 14.1 MB. The NNs trained and tested in this work offer the best trade-off between performance and memory occupation, whereas the trained k-NN models obtained the best performance at the cost of large memory occupation (up to 14.1 MB). The classifiers’ performance slightly depends on the signal quality, since a denoising step is performed during pre-processing. To this end, the signal-to-noise ratio (SNR) was acquired before and after the denoising, indicating an improvement between 15 and 30 dB. The trained and tested models occupy relatively little memory, enabling their implementation in resource-limited systems. Full article
(This article belongs to the Special Issue AI-Based Automated Recognition and Detection in Healthcare)
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17 pages, 1689 KiB  
Article
Advancing Breast Cancer Diagnosis through Breast Mass Images, Machine Learning, and Regression Models
by Amira J. Zaylaa and Sylva Kourtian
Sensors 2024, 24(7), 2312; https://doi.org/10.3390/s24072312 - 5 Apr 2024
Cited by 1 | Viewed by 2063
Abstract
Breast cancer results from a disruption of certain cells in breast tissue that undergo uncontrolled growth and cell division. These cells most often accumulate and form a lump called a tumor, which may be benign (non-cancerous) or malignant (cancerous). Malignant tumors can spread [...] Read more.
Breast cancer results from a disruption of certain cells in breast tissue that undergo uncontrolled growth and cell division. These cells most often accumulate and form a lump called a tumor, which may be benign (non-cancerous) or malignant (cancerous). Malignant tumors can spread quickly throughout the body, forming tumors in other areas, which is called metastasis. Standard screening techniques are insufficient in the case of metastasis; therefore, new and advanced techniques based on artificial intelligence (AI), machine learning, and regression models have been introduced, the primary aim of which is to automatically diagnose breast cancer through the use of advanced techniques, classifiers, and real images. Real fine-needle aspiration (FNA) images were collected from Wisconsin, and four classifiers were used, including three machine learning models and one regression model: the support vector machine (SVM), naive Bayes (NB), k-nearest neighbors (k-NN), and decision tree (DT)-C4.5. According to the accuracy, sensitivity, and specificity results, the SVM algorithm had the best performance; it was the most powerful computational classifier with a 97.13% accuracy and 97.5% specificity. It also had around a 96% sensitivity for the diagnosis of breast cancer, unlike the models used for comparison, thereby providing an exact diagnosis on the one hand and a clear classification between benign and malignant tumors on the other hand. As a future research prospect, more algorithms and combinations of features can be considered for the precise, rapid, and effective classification and diagnosis of breast cancer images for imperative decisions. Full article
(This article belongs to the Special Issue AI-Based Automated Recognition and Detection in Healthcare)
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12 pages, 1283 KiB  
Communication
Explainable Risk Prediction of Post-Stroke Adverse Mental Outcomes Using Machine Learning Techniques in a Population of 1780 Patients
by Chien Wei Oei, Eddie Yin Kwee Ng, Matthew Hok Shan Ng, Ru-San Tan, Yam Meng Chan, Lai Gwen Chan and Udyavara Rajendra Acharya
Sensors 2023, 23(18), 7946; https://doi.org/10.3390/s23187946 - 17 Sep 2023
Cited by 4 | Viewed by 1883
Abstract
Post-stroke depression and anxiety, collectively known as post-stroke adverse mental outcome (PSAMO) are common sequelae of stroke. About 30% of stroke survivors develop depression and about 20% develop anxiety. Stroke survivors with PSAMO have poorer health outcomes with higher mortality and greater functional [...] Read more.
Post-stroke depression and anxiety, collectively known as post-stroke adverse mental outcome (PSAMO) are common sequelae of stroke. About 30% of stroke survivors develop depression and about 20% develop anxiety. Stroke survivors with PSAMO have poorer health outcomes with higher mortality and greater functional disability. In this study, we aimed to develop a machine learning (ML) model to predict the risk of PSAMO. We retrospectively studied 1780 patients with stroke who were divided into PSAMO vs. no PSAMO groups based on results of validated depression and anxiety questionnaires. The features collected included demographic and sociological data, quality of life scores, stroke-related information, medical and medication history, and comorbidities. Recursive feature elimination was used to select features to input in parallel to eight ML algorithms to train and test the model. Bayesian optimization was used for hyperparameter tuning. Shapley additive explanations (SHAP), an explainable AI (XAI) method, was applied to interpret the model. The best performing ML algorithm was gradient-boosted tree, which attained 74.7% binary classification accuracy. Feature importance calculated by SHAP produced a list of ranked important features that contributed to the prediction, which were consistent with findings of prior clinical studies. Some of these factors were modifiable, and potentially amenable to intervention at early stages of stroke to reduce the incidence of PSAMO. Full article
(This article belongs to the Special Issue AI-Based Automated Recognition and Detection in Healthcare)
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Review

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20 pages, 2541 KiB  
Review
Non-Contact Vision-Based Techniques of Vital Sign Monitoring: Systematic Review
by Linas Saikevičius, Vidas Raudonis, Gintaras Dervinis and Virginijus Baranauskas
Sensors 2024, 24(12), 3963; https://doi.org/10.3390/s24123963 - 19 Jun 2024
Cited by 1 | Viewed by 2426
Abstract
The development of non-contact techniques for monitoring human vital signs has significant potential to improve patient care in diverse settings. By facilitating easier and more convenient monitoring, these techniques can prevent serious health issues and improve patient outcomes, especially for those unable or [...] Read more.
The development of non-contact techniques for monitoring human vital signs has significant potential to improve patient care in diverse settings. By facilitating easier and more convenient monitoring, these techniques can prevent serious health issues and improve patient outcomes, especially for those unable or unwilling to travel to traditional healthcare environments. This systematic review examines recent advancements in non-contact vital sign monitoring techniques, evaluating publicly available datasets and signal preprocessing methods. Additionally, we identified potential future research directions in this rapidly evolving field. Full article
(This article belongs to the Special Issue AI-Based Automated Recognition and Detection in Healthcare)
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