Classification of Arrhythmia by Using Deep Learning with 2-D ECG Spectral Image Representation

The electrocardiogram (ECG) is one of the most extensively employed signals used in the diagnosis and prediction of cardiovascular diseases (CVDs). The ECG signals can capture the heart's rhythmic irregularities, commonly known as arrhythmias. A careful study of ECG signals is crucial for precise diagnoses of patients' acute and chronic heart conditions. In this study, we propose a two-dimensional (2-D) convolutional neural network (CNN) model for the classification of ECG signals into eight classes; namely, normal beat, premature ventricular contraction beat, paced beat, right bundle branch block beat, left bundle branch block beat, atrial premature contraction beat, ventricular flutter wave beat, and ventricular escape beat. The one-dimensional ECG time series signals are transformed into 2-D spectrograms through short-time Fourier transform. The 2-D CNN model consisting of four convolutional layers and four pooling layers is designed for extracting robust features from the input spectrograms. Our proposed methodology is evaluated on a publicly available MIT-BIH arrhythmia dataset. We achieved a state-of-the-art average classification accuracy of 99.11\%, which is better than those of recently reported results in classifying similar types of arrhythmias. The performance is significant in other indices as well, including sensitivity and specificity, which indicates the success of the proposed method.Comment: 14 pages, 5 figures, accepted for future publication in Remote Sensing MDPI Journa

Towards Integration of Artificial Intelligence into Medical Devices as a Real-Time Recommender System for Personalised Healthcare:State-of-the-Art and Future Prospects

In the era of big data, artificial intelligence (AI) algorithms have the potential to revolutionize healthcare by improving patient outcomes and reducing healthcare costs. AI algorithms have frequently been used in health care for predictive modelling, image analysis and drug discovery. Moreover, as a recommender system, these algorithms have shown promising impacts on personalized healthcare provision. A recommender system learns the behaviour of the user and predicts their current preferences (recommends) based on their previous preferences. Implementing AI as a recommender system improves this prediction accuracy and solves cold start and data sparsity problems. However, most of the methods and algorithms are tested in a simulated setting which cannot recapitulate the influencing factors of the real world. This review article systematically reviews prevailing methodologies in recommender systems and discusses the AI algorithms as recommender systems specifically in the field of healthcare. It also provides discussion around the most cutting-edge academic and practical contributions present in the literature, identifies performance evaluation matrices, challenges in the implementation of AI as a recommender system, and acceptance of AI-based recommender systems by clinicians. The findings of this article direct researchers and professionals to comprehend currently developed recommender systems and the future of medical devices integrated with real-time recommender systems for personalized healthcare

Addendum to Informatics for Health 2017: Advancing both science and practice

This article presents presentation and poster abstracts that were mistakenly omitted from the original publication

Autoencoder-based Image Recommendation for Lung Cancer Characterization

Neste projeto, temos como objetivo desenvolver um sistema de IA que recomende um conjunto de casos relativos (passados) para orientar a tomada de decisão do médico. Objetivo: A ambição é desenvolver um modelo de aprendizado baseado em IA para caracterização de câncer de pulmão, a fim de auxiliar na rotina clínica. Considerando a complexidade dos fenômenos biológicos que ocorrem durante o desenvolvimento do câncer, as relações entre eles e as manifestações visuais capturadas pela tomografia computadorizada (CT) têm sido exploradas nos últimos anos. No entanto, devido à falta de robustez dos métodos atuais de aprendizado profundo, essas correlações são frequentemente consideradas espúrias e se perdem quando confrontadas com dados coletados a partir de distribuições alteradas: diferentes instituições, características demográficas ou até mesmo estágios de desenvolvimento do câncer.In this project, we aim to develop an AI system that recommends a set of relative (past) cases to guide the decision-making of the clinician. Objective: The ambition is to develop an AI-based learning model for lung cancer characterization in order to assist in clinical routine. Considering the complexity of the biological phenomenat hat occur during cancer development, relationships between these and visual manifestations captured by CT have been explored in recent years; however, given the lack of robustness of current deep learning methods, these correlations are often found spurious and get lost when facing data collected from shifted distributions: different institutions, demographics or even stages of cancer development

Intelligent doctor patient matching: how José Mello saude experiments towards data-driven and patient-centric decision making

While data-driven decision-making is generally accepted as a fundamental capability of a competitive firm, many firms are facing difficulties in developing this capability. This case demonstrates how a private healthcare organization, José de Mello Saúde, engages in collaboration with a global university-led program for such capability building, in a pilot project of intelligent doctor-patient matching. The case walks the reader through the entire data science pipeline, from project scoping to data curation, modelling, prototype testing, until implementation. It enables discussions on how to overcome managerial challenges and build the needed capabilities to successfully integrate advanced analytics into the organization’s operations

Recommender System for the Efficient Treatment of COVID-19 Using a Convolutional Neural Network Model and Image Similarity

Background: Hospitals face a significant problem meeting patients' medical needs during epidemics, especially when the number of patients increases rapidly, as seen during the recent COVID-19 pandemic. This study designs a treatment recommender system (RS) for the efficient management of human capital and resources such as doctors, medicines, and resources in hospitals. We hypothesize that a deep learning framework, when combined with search paradigms in an image framework, can make the RS very efficient. Methodology: This study uses a Convolutional neural network (CNN) model for the feature extraction of the images and discovers the most similar patients. The input queries patients from the hospital database with similar chest X-ray images. It uses a similarity metric for the similarity computation of the images. Results: This methodology recommends the doctors, medicines, and resources associated with similar patients to a COVID-19 patients being admitted to the hospital. The performance of the proposed RS is verified with five different feature extraction CNN models and four similarity measures. The proposed RS with a ResNet-50 CNN feature extraction model and Maxwell-Boltzmann similarity is found to be a proper framework for treatment recommendation with a mean average precision of more than 0.90 for threshold similarities in the range of 0.7 to 0.9 and an average highest cosine similarity of more than 0.95. Conclusions: Overall, an RS with a CNN model and image similarity is proven as an efficient tool for the proper management of resources during the peak period of pandemics and can be adopted in clinical settings

Analyzing Digital Image by Deep Learning for Melanoma Diagnosis

Image classi cation is an important task in many medical applications, in order to achieve an adequate diagnostic of di erent le- sions. Melanoma is a frequent kind of skin cancer, which most of them can be detected by visual exploration. Heterogeneity and database size are the most important di culties to overcome in order to obtain a good classi cation performance. In this work, a deep learning based method for accurate classi cation of wound regions is proposed. Raw images are fed into a Convolutional Neural Network (CNN) producing a probability of being a melanoma or a non-melanoma. Alexnet and GoogLeNet were used due to their well-known e ectiveness. Moreover, data augmentation was used to increase the number of input images. Experiments show that the compared models can achieve high performance in terms of mean ac- curacy with very few data and without any preprocessing.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech