RESUMEN

BACKGROUND: Machine learning (ML) efficiently processes large datasets, showing promise in enhancing clinical practice within physical therapy. OBJECTIVE: The aim of this scoping review is to provide an overview of studies using ML approaches in clinical settings of physical therapy. DATA SOURCES: A scoping review was performed in PubMed, EMBASE, PEDro, Cochrane, Web of Science, and Scopus. SELECTION CRITERIA: We included studies utilizing ML methods. ML was defined as the utilization of computational systems to encode patterns and relationships, enabling predictions or classifications with minimal human interference. DATA EXTRACTION AND DATA SYNTHESIS: Data were extracted regarding methods, data types, performance metrics, and model availability. RESULTS: Forty-two studies were included. The majority were published after 2020 (n = 25). Fourteen studies (33.3%) were in the musculoskeletal physical therapy field, nine (21.4%) in neurological, and eight (19%) in sports physical therapy. We identified 44 different ML models, with random forest being the most used. Three studies reported on model availability. We identified several clinical applications for ML-based tools, including diagnosis (n = 14), prognosis (n = 7), treatment outcomes prediction (n = 7), clinical decision support (n = 5), movement analysis (n = 4), patient monitoring (n = 3), and personalized care plan (n = 2). LIMITATION: Model performance metrics, costs, model interpretability, and explainability were not reported. CONCLUSION: This scope review mapped the emerging landscape of machine learning applications in physical therapy. Despite the growing interest, the field still lacks high-quality studies on validation, model availability, and acceptability to advance from research to clinical practice.

RESUMEN

Promoters, which are short (50-1500 base-pair) in DNA regions, have emerged to play a critical role in the regulation of gene transcription. Numerous dangerous diseases, likewise cancer, cardiovascular, and inflammatory bowel diseases, are caused by genetic variations in promoters. Consequently, the correct identification and characterization of promoters are significant for the discovery of drugs. However, experimental approaches to recognizing promoters and their strengths are challenging in terms of cost, time, and resources. Therefore, computational techniques are highly desirable for the correct characterization of promoters from unannotated genomic data. Here, we designed a powerful bi-layer deep-learning based predictor named "PROCABLES", which discriminates DNA samples as promoters in the first-phase and strong or weak promoters in the second-phase respectively. The proposed method utilizes five distinct features, such as word2vec, k-spaced nucleotide pairs, trinucleotide propensity-based features, trinucleotide composition, and electron-ion interaction pseudopotentials, to extract the hidden patterns from the DNA sequence. Afterwards, a stacked framework is formed by integrating a convolutional neural network (CNN) with bidirectional long-short-term memory (LSTM) using multi-view attributes to train the proposed model. The PROCABLES model achieved an accuracy of 0.971 and 0.920 and the MCC 0.940 and 0.840 for the first and second-layer using the ten-fold cross-validation test, respectively. The predicted results anticipate that the proposed PROCABLES protocol outperformed the advanced computational predictors targeting promoters and their types. In summary, this research will provide useful hints for the recognition of large-scale promoters in particular and other DNA problems in general.

Asunto(s)

RESUMEN

Background: Retinitis pigmentosa (RP) is an inherited retinal dystrophy characterized by progressive vision loss due to photoreceptor degeneration. Complicated cataract formation, particularly posterior subcapsular cataract (PSC), frequently occurs in RP and exacerbates the visual impairment. Cataract surgery may improve vision; however, the distinctive challenges of RP require specific considerations. This mini-review aims to provide a comprehensive overview of the RP-related cataract. Methods: A comprehensive literature review was conducted via PubMed/MEDLINE, spanning the period from January 1976 to June 2024, using the keywords "cataract," "cataract surgery," "cystoid macular edema," "hereditary retinal dystrophy," "retinitis pigmentosa," "posterior subcapsular cataract," "posterior capsular opacification," "zonular weakness," and "artificial intelligence." We aimed to evaluate cataract surgery in patients with RP, focusing on cataract formation, its surgical management, postoperative complications, patient follow-up, and visual outcomes. Relevant review articles, clinical trials, and case reports with related reference lists of these articles were included. Results: A total of 53 articles were examined in detail, including those identified through focused keyword searches and the reference lists of these articles. Cataract surgery in patients with RP generally results in substantial visual improvement. However, surgery can be complicated, particularly by zonular weakness and subluxation of the crystalline lens. These risks can be reduced by using capsular tension rings and employing meticulous surgical technique. Furthermore, postoperative complications, such as cystoid macular edema and posterior capsular opacification, are common. Despite these challenges, regular postoperative follow-up and appropriate management can help mitigate complications. Integrity of the ellipsoid zone and external limiting membrane on preoperative optical coherence tomographic examination are the main predictors of visual outcomes following cataract surgery; however, outcomes can vary. Though many patients experience significant visual improvement, some may experience limited benefits due to pre-existing advanced retinal degeneration. Conclusions: Cataract surgery may offer meaningful visual benefits in patients with RP; however, careful preoperative evaluation and meticulous surgical technique are required to address the possible challenges. Attentive postoperative care and follow-up are essential to optimize visual outcomes. Early surgical intervention can significantly improve the quality of life in selected candidates, and tailored approaches are necessary in patients with RP requiring cataract surgery. Further studies on the potential application of artificial intelligence to monitor postoperative recovery and detect complications may improve surgical outcomes and enhance patient care.

RESUMEN

Background: Keratoconus (KCN) is characterized by gradual thinning and steepening of the cornea, which can lead to significant vision problems owing to high astigmatism, corneal scarring, or even corneal perforation. The detection of KCN in its early stages is crucial for effective treatment. In this review, we describe current advances in the diagnosis and treatment of KCN. Methods: This narrative review focuses on recent advancements in the diagnosis and treatment of KCN, especially evolving approaches and strategies. To ensure the inclusion of the most recent literature, relevant publications discussing advanced imaging techniques and treatment options for KCN were extensively gathered from the PubMed/MEDLINE and Google Scholar databases. The following index terms and keywords were used for the online search: keratoconus, diagnosis of keratoconus, advances in the diagnosis of keratoconus, topography or tomography, anterior segment optical coherence tomography, treatment of keratoconus, advances in the treatment of keratoconus, collagen crosslinking, intrastromal ring, keratoplasty, and new techniques in keratoconus. Results: Various screening methods such as corneal topography, tomography, anterior segment optical coherence tomography, and assessment of corneal biomechanics have been developed to identify KCN in its early stages. After diagnosis, KCN management focuses on preventing disease progression. Corneal collagen crosslinking is a minimally invasive treatment that can slow or stop the progression of the condition. Recent research has also explored the use of copper sulfate eye drops (IVMED-80) as a noninvasive treatment to prevent the progression of KCN. Current treatment options for visual improvement include scleral lenses, intracorneal ring segments, corneal allogeneic intrastromal ring segments, and deep anterior lamellar keratoplasty. Recently, novel alternative procedures, such as isolated Bowman layer transplantation, either as a corneal stromal inlay or onlay, have demonstrated encouraging outcomes. Artificial intelligence has gained acceptance for providing best practices for the diagnosis and management of KCN, and the science of its application is contentiously debated; however, it may not have been sufficiently developed. Conclusions: Early detection and advancements in screening methods using current imaging modalities have improved diagnosis of KCN. Improvement in the accuracy of current screening or diagnostic tests and comparison of their validities are achievable by well-designed, large-scale, prospective studies. The safety and effectiveness of emerging treatments for KCN are currently being investigated. There is an ongoing need for studies to track progress and evaluate clinicians' knowledge and practices in treating patients with KCN. Artificial intelligence capabilities in management approach considering the currently available imaging modalities and treatment options would best benefit the patient.

RESUMEN

BACKGROUND: The development and application of Artificial Intelligence (AI) and Machine Learning (ML) in healthcare have gained attention as a promising and powerful resource to change the landscape of healthcare. The potential of these technologies for injury prediction, performance analysis, personalized training, and treatment comes with challenges related to the complexity of sports dynamics and the multidimensional aspects of athletic performance. OBJECTIVES: We aimed to present the current state of AI and ML applications in sports science, specifically in the areas of injury prediction, performance enhancement, and rehabilitation. We also examine the challenges of incorporating AI and ML into sports and suggest directions for future research. METHOD: We conducted a comprehensive literature review, focusing on publications related to AI and ML applications in sports. This review encompassed studies on injury prediction, performance analysis, and personalized training, emphasizing the AI and ML models applied in sports. RESULTS: The findings highlight significant advancements in injury prediction accuracy, performance analysis precision, and the customization of training programs through AI and ML. However, future studies need to address challenges such as ethical considerations, data quality, interpretability of ML models, and the integration of complex data. CONCLUSION: AI and ML may be useful for the prevention, detection, diagnosis, and treatment of health conditions. In this Masterclass paper, we introduce AI and ML concepts, outline recent breakthroughs in AI technologies and their applications, identify the challenges for further progress of AI systems, and discuss ethical issues, clinical and research opportunities, and future perspectives.

Asunto(s)

RESUMEN

Recent advancements in computational intelligence, deep learning, and computer-aided detection have had a significant impact on the field of medical imaging. The task of image segmentation, which involves accurately interpreting and identifying the content of an image, has garnered much attention. The main objective of this task is to separate objects from the background, thereby simplifying and enhancing the significance of the image. However, existing methods for image segmentation have their limitations when applied to certain types of images. This survey paper aims to highlight the importance of image segmentation techniques by providing a thorough examination of their advantages and disadvantages. The accurate detection of cancer regions in medical images is crucial for ensuring effective treatment. In this study, we have also extensive analysis of Computer-Aided Diagnosis (CAD) systems for cancer identification, with a focus on recent research advancements. The paper critically assesses various techniques for cancer detection and compares their effectiveness. Convolutional neural networks (CNNs) have attracted particular interest due to their ability to segment and classify medical images in large datasets, thanks to their capacity for self- learning and decision-making.

Asunto(s)

RESUMEN

Introduction: Algorithmic decision-making systems are widely used in various sectors, including criminal justice, employment, and education. While these systems are celebrated for their potential to enhance efficiency and objectivity, they also pose risks of perpetuating and amplifying societal biases and discrimination. This paper aims to provide an indepth analysis of the types of algorithmic discrimination, exploring both the challenges and potential solutions. Methods: The methodology includes a systematic literature review, analysis of legal documents, and comparative case studies across different geographic regions and sectors. This multifaceted approach allows for a thorough exploration of the complexity of algorithmic bias and its regulation. Results: We identify five primary types of algorithmic bias: bias by algorithmic agents, discrimination based on feature selection, proxy discrimination, disparate impact, and targeted advertising. The analysis of the U.S. legal and regulatory framework reveals a landscape of principled regulations, preventive controls, consequential liability, self-regulation, and heteronomy regulation. A comparative perspective is also provided by examining the status of algorithmic fairness in the EU, Canada, Australia, and Asia. Conclusion: Real-world impacts are demonstrated through case studies focusing on criminal risk assessments and hiring algorithms, illustrating the tangible effects of algorithmic discrimination. The paper concludes with recommendations for interdisciplinary research, proactive policy development, public awareness, and ongoing monitoring to promote fairness and accountability in algorithmic decision-making. As the use of AI and automated systems expands globally, this work highlights the importance of developing comprehensive, adaptive approaches to combat algorithmic discrimination and ensure the socially responsible deployment of these powerful technologies.

RESUMEN

The accurate detection of brain tumors through medical imaging is paramount for precise diagnoses and effective treatment strategies. In this study, we introduce an innovative and robust methodology that capitalizes on the transformative potential of the Swin Transformer architecture for meticulous brain tumor image classification. Our approach handles the classification of brain tumors across four distinct categories: glioma, meningioma, non-tumor, and pituitary, leveraging a dataset comprising 2,870 images. Employing the Swin Transformer architecture, our method intricately integrates a multifaceted pipeline encompassing sophisticated preprocessing, intricate feature extraction mechanisms, and a highly nuanced classification framework. Utilizing 21 matrices for performance evaluation across all four classes, these matrices provide a detailed insight into the model's behavior throughout the learning process, furthermore showcasing a graphical representation of confusion matrix, training and validation loss and accuracy. The standout performance parameter, accuracy, stands at an impressive 97%. This achievement outperforms established models like CNN, DCNN, ViT, and their variants in brain tumor classification. Our methodology's robustness and exceptional accuracy showcase its potential as a pioneering model in this domain, promising substantial advancements in accurate tumor identification and classification, thereby contributing significantly to the landscape of medical image analysis.

RESUMEN

With widespread cultivation, Cucurbita moschata stands out for the carotenoid content of its fruits such as ß and α-carotene, components with pronounced provitamin A function and antioxidant activity. C. moschata seed oil has a high monounsaturated fatty acid content and vitamin E, constituting a lipid source of high chemical-nutritional quality. The present study evaluates the agronomic and chemical-nutritional aspects of 91 accessions of C. moschata kept at the BGH-UFV and propose the establishment of a core collection based on multivariate approaches and on the implementation of Artificial Neural Networks (ANNs). ANNs was more efficient in identifying similarity patterns and in organizing the distance between the genotypes in the groups. The averages and variances of traits in the CC formed using a 15% sampling of accessions, were closer to those of the complete collection, particularly for accumulated degree days for flowering, the mass of seeds per fruit, and seed and oil productivity. Establishing the 15% CC, based on the broad characterization of this germplasm, will be crucial to optimize the evaluation and use of promising accessions from this collection in C. moschata breeding programs, especially for traits of high chemical-nutritional importance such as the carotenoid content and the fatty acid profile.

Asunto(s)

RESUMEN

Characterizations in terms of fractals are typically employed for systems with complex and multiscale descriptions. A prominent example of such systems is provided by the human brain, which can be idealized as a complex dynamical system made of many interacting subunits. The human brain can be modeled in terms of observable variables together with their spatio-temporal-functional relations. Computational intelligence is a research field bridging many nature-inspired computational methods, such as artificial neural networks, fuzzy systems, and evolutionary and swarm intelligence optimization techniques. Typical problems faced by means of computational intelligence methods include those of recognition, such as classification and prediction. Although historically conceived to operate in some vector space, such methods have been recently extended to the so-called nongeometric spaces, considering labeled graphs as the most general example of such patterns. Here, we suggest that fractal analysis and computational intelligence methods can be exploited together in neuroscience research. Fractal characterizations can be used to (i) assess scale-invariant properties and (ii) offer numeric, feature-based representations to complement the usually more complex pattern structures encountered in neurosciences. Computational intelligence methods could be used to exploit such fractal characterizations, considering also the possibility to perform data-driven analysis of nongeometric input spaces, therby overcoming the intrinsic limits related to Euclidean geometry.

Asunto(s)

RESUMEN

BACKGROUND/AIMS: This study aims to compare polyp detection performance of "Deep-GI," a newly developed artificial intelligence (AI) model, to a previously validated AI model computer-aided polyp detection (CADe) using various false positive (FP) thresholds and determining the best threshold for each model. METHODS: Colonoscopy videos were collected prospectively and reviewed by three expert endoscopists (gold standard), trainees, CADe (CAD EYE; Fujifilm Corp.), and Deep-GI. Polyp detection sensitivity (PDS), polyp miss rates (PMR), and false-positive alarm rates (FPR) were compared among the three groups using different FP thresholds for the duration of bounding boxes appearing on the screen. RESULTS: In total, 170 colonoscopy videos were used in this study. Deep-GI showed the highest PDS (99.4% vs. 85.4% vs. 66.7%, p<0.01) and the lowest PMR (0.6% vs. 14.6% vs. 33.3%, p<0.01) when compared to CADe and trainees, respectively. Compared to CADe, Deep-GI demonstrated lower FPR at FP thresholds of ≥0.5 (12.1 vs. 22.4) and ≥1 second (4.4 vs. 6.8) (both p<0.05). However, when the threshold was raised to ≥1.5 seconds, the FPR became comparable (2 vs. 2.4, p=0.3), while the PMR increased from 2% to 10%. CONCLUSION: Compared to CADe, Deep-GI demonstrated a higher PDS with significantly lower FPR at ≥0.5- and ≥1-second thresholds. At the ≥1.5-second threshold, both systems showed comparable FPR with increased PMR.

RESUMEN

This study presents the K-means clustering-based grey wolf optimizer, a new algorithm intended to improve the optimization capabilities of the conventional grey wolf optimizer in order to address the problem of data clustering. The process that groups similar items within a dataset into non-overlapping groups. Grey wolf hunting behaviour served as the model for grey wolf optimizer, however, it frequently lacks the exploration and exploitation capabilities that are essential for efficient data clustering. This work mainly focuses on enhancing the grey wolf optimizer using a new weight factor and the K-means algorithm concepts in order to increase variety and avoid premature convergence. Using a partitional clustering-inspired fitness function, the K-means clustering-based grey wolf optimizer was extensively evaluated on ten numerical functions and multiple real-world datasets with varying levels of complexity and dimensionality. The methodology is based on incorporating the K-means algorithm concept for the purpose of refining initial solutions and adding a weight factor to increase the diversity of solutions during the optimization phase. The results show that the K-means clustering-based grey wolf optimizer performs much better than the standard grey wolf optimizer in discovering optimal clustering solutions, indicating a higher capacity for effective exploration and exploitation of the solution space. The study found that the K-means clustering-based grey wolf optimizer was able to produce high-quality cluster centres in fewer iterations, demonstrating its efficacy and efficiency on various datasets. Finally, the study demonstrates the robustness and dependability of the K-means clustering-based grey wolf optimizer in resolving data clustering issues, which represents a significant advancement over conventional techniques. In addition to addressing the shortcomings of the initial algorithm, the incorporation of K-means and the innovative weight factor into the grey wolf optimizer establishes a new standard for further study in metaheuristic clustering algorithms. The performance of the K-means clustering-based grey wolf optimizer is around 34% better than the original grey wolf optimizer algorithm for both numerical test problems and data clustering problems.

RESUMEN

BACKGROUND: Five computational intelligence approaches, namely Gaussian process regression (GPR), artificial neural network (ANN), decision tree (DT), ensemble of trees (EoT) and support vector machine (SVM), were used to describe the evolution of moisture during the dehydration process of glutinous rice. The hyperparameters of the models were optimized with three strategies: Bayesian optimization, grid search and random search. To understand the parameters that facilitate intelligence model adaptation to the dehydration process, global sensitivity analysis (GSA) was used to compute the impact of the input variables on the model output. RESULT: The result shows that the optimum computational intelligence techniques include the 3-9-1 topology trained with Bayesian regulation function for ANN, Gaussian kernel function for SVM, Matérn covariance function combined with zero mean function for GPR, boosting method for EoT and 4 minimum leaf size for DT. GPR has the highest performance with R2 of 100% and 99.71% during calibration and testing of the model, respectively. GSA reveals that all the models significantly rely on the variation in time as the main factor that affects the model outputs. CONCLUSION: Therefore, the computational intelligence models, especially GPR, can be applied for an effective description of moisture evolution during small-scale and industrial dehydration of glutinous rice. © 2024 Society of Chemical Industry.

Asunto(s)

RESUMEN

The present work offers a comprehensive overview of methods related to condition assessment of bridges through Structural Health Monitoring (SHM) procedures, with a particular interest on aspects of seismic assessment. Established techniques pertaining to different levels of the SHM hierarchy, reflecting increasing detail and complexity, are first outlined. A significant portion of this review work is then devoted to the overview of computational intelligence schemes across various aspects of bridge condition assessment, including sensor placement and health tracking. The paper concludes with illustrative examples of two long-span suspension bridges, in which several instrumentation aspects and assessments of seismic response issues are discussed.

RESUMEN

With the rapid development of medical imaging technology and computer technology, the medical imaging artificial intelligence of computer-aided diagnosis based on machine learning has become an important part of modern medical diagnosis. With the application of medical image security technology, people realize that the difficulty of its development is the inherent defect of advanced image processing technology. This paper introduces the background of colorectal cancer diagnosis and monitoring, and then carries out academic research on the medical imaging artificial intelligence of colorectal cancer diagnosis and monitoring and machine learning, and finally summarizes it with the advanced computational intelligence system for the application of safe medical imaging.In the experimental part, this paper wants to carry out the staging preparation stage. It was concluded that the staging preparation stage of group Y was higher than that of group X and the difference was statistically significant. Then the overall accuracy rate of multimodal medical image fusion was 69.5% through pathological staging comparison. Finally, the diagnostic rate, the number of patients with effective treatment and satisfaction were analyzed. Finally, the average diagnostic rate of the new diagnosis method was 8.75% higher than that of the traditional diagnosis method. With the development of computer science and technology, the application field was expanding constantly. Computer aided diagnosis technology combining computer and medical images has become a research hotspot.

Asunto(s)

RESUMEN

This article exclusively formulates and presents three innovative hypotheses related to the execution of share buybacks, employing Genetic Algorithms (GAs) and mathematical optimization techniques. Drawing on the foundational contributions of scholars such as Osterrieder, Seigne, Masters, and Guéant, we articulate hypotheses that aim to bring a fresh perspective to share buyback strategies. The first hypothesis examines the potential of GAs to mimic trading schedules, the second posits the optimization of buyback execution as a mathematical problem, and the third underlines the role of optionality in improving performance. These hypotheses do not only offer theoretical insights but also set the stage for empirical examination and practical application, contributing to broader financial innovation. The article does not contain new data or extensive reviews but focuses purely on presenting these original, untested hypotheses, sparking intrigue for future research and exploration. JEL Classification: G00.

RESUMEN

This research is of great importance because it applies artificial intelligence methods, more specifically the Random Forest algorithm and the Anfis method to research the key factors that influence the success of students in vocational schools. Identifying these influencing factors is not only useful for improving curriculum and practice but also provides valuable guidance to help students master the material more effectively. The main goal of this research is to penetrate deeply into the core of the factors that influence the success of students in vocational schools, using two different methods. Each of the factors represented as input is mutually independent and does not affect each other, but each of them affects the output variable. The parameters considered as input variables are prior programming knowledge and pretest requirements. Then, by finding one factor that has the greatest influence, the factor of pre-exam obligation was investigated in more detail, using the Anfis method, which was broken down into several input parameters. These results emphasize the importance of the combination of the Random Forest algorithm and the ANFIS method in the statistical evaluation and assessment of student achievement in vocational schools. This study provides useful guidelines for improving education and practice in vocational schools to optimize educational outcomes.

RESUMEN

The word disease is a common word and there are many diseases like heart disease, diabetes, breast cancer, COVID-19, and kidney disease that threaten humans. Data-mining methods are proving to be increasingly beneficial in the present day, especially in the field of medical applications; through the use of machine-learning methods, that are used to extract valuable information from healthcare data, which can then be used to predict and treat diseases early, reducing the risk of human life. Machine-learning techniques are useful especially in the field of health care in extracting information from healthcare data. These data are very much helpful in predicting the disease early and treating the patients to reduce the risk of human life. For classification and decision-making, data mining is very much suitable. In this paper, a comprehensive study on several diseases and diverse machine-learning approaches that are functional to predict those diseases and also the different datasets used in prediction and making decisions are discussed in detail. The drawbacks of the models from various research papers have been observed and reveal countless computational intelligence approaches. Naïve Bayes, logistic regression (LR), SVM, and random forest are able to produce the best accuracy. With further optimization algorithms like genetic algorithm, particle swarm optimization, and ant colony optimization combined with machine learning, better performance can be achieved in terms of accuracy, specificity, precision, recall, and specificity.

RESUMEN

Human activity recognition is an application of machine learning with the aim of identifying activities from the gathered activity raw data acquired by different sensors. In medicine, human gait is commonly analyzed by doctors to detect abnormalities and determine possible treatments for the patient. Monitoring the patient's activity is paramount in evaluating the treatment's evolution. This type of classification is still not enough precise, which may lead to unfavorable reactions and responses. A novel methodology that reduces the complexity of extracting features from multimodal sensors is proposed to improve human activity classification based on accelerometer data. A sliding window technique is used to demarcate the first dominant spectral amplitude, decreasing dimensionality and improving feature extraction. In this work, we compared several state-of-art machine learning classifiers evaluated on the HuGaDB dataset and validated on our dataset. Several configurations to reduce features and training time were analyzed using multimodal sensors: all-axis spectrum, single-axis spectrum, and sensor reduction.

Asunto(s)