FEATURE SELECTION APPLIED TO THE TIME-FREQUENCY REPRESENTATION OF MUSCLE NEAR-INFRARED SPECTROSCOPY (NIRS) SIGNALS: CHARACTERIZATION OF DIABETIC OXYGENATION PATTERNS

Diabetic patients might present peripheral microcirculation impairment and might benefit from physical training. Thirty-nine diabetic patients underwent the monitoring of the tibialis anterior muscle oxygenation during a series of voluntary ankle flexo-extensions by near-infrared spectroscopy (NIRS). NIRS signals were acquired before and after training protocols. Sixteen control subjects were tested with the same protocol. Time-frequency distributions of the Cohen's class were used to process the NIRS signals relative to the concentration changes of oxygenated and reduced hemoglobin. A total of 24 variables were measured for each subject and the most discriminative were selected by using four feature selection algorithms: QuickReduct, Genetic Rough-Set Attribute Reduction, Ant Rough-Set Attribute Reduction, and traditional ANOVA. Artificial neural networks were used to validate the discriminative power of the selected features. Results showed that different algorithms extracted different sets of variables, but all the combinations were discriminative. The best classification accuracy was about 70%. The oxygenation variables were selected when comparing controls to diabetic patients or diabetic patients before and after training. This preliminary study showed the importance of feature selection techniques in NIRS assessment of diabetic peripheral vascular impairmen

Neuropathy Classification of Corneal Nerve Images Using Artificial Intelligence

Nerve variations in the human cornea have been associated with alterations in the neuropathy state of a patient suffering from chronic diseases. For some diseases, such as diabetes, detection of neuropathy prior to visible symptoms is important, whereas for others, such as multiple sclerosis, early prediction of disease worsening is crucial. As current methods fail to provide early diagnosis of neuropathy, in vivo corneal confocal microscopy enables very early insight into the nerve damage by illuminating and magnifying the human cornea. This non-invasive method captures a sequence of images from the corneal sub-basal nerve plexus. Current practices of manual nerve tracing and classification impede the advancement of medical research in this domain. Since corneal nerve analysis for neuropathy is in its initial stages, there is a dire need for process automation. To address this limitation, we seek to automate the two stages of this process: nerve segmentation and neuropathy classification of images. For nerve segmentation, we compare the performance of two existing solutions on multiple datasets to select the appropriate method and proceed to the classification stage. Consequently, we approach neuropathy classification of the images through artificial intelligence using Adaptive Neuro-Fuzzy Inference System, Support Vector Machines, Naïve Bayes and k-nearest neighbors. We further compare the performance of machine learning classifiers with deep learning. We ascertained that nerve segmentation using convolutional neural networks provided a significant improvement in sensitivity and false negative rate by at least 5% over the state-of-the-art software. For classification, ANFIS yielded the best classification accuracy of 93.7% compared to other classifiers. Furthermore, for this problem, machine learning approaches performed better in terms of classification accuracy than deep learning

Classification of Corneal Nerve Images Using Machine Learning Techniques

Recent research shows that small nerve fiber damage is an early detector of neuropathy. These small nerve fibers are present in the human cornea and can be visualized through the use of a corneal confocal microscope. A series of images can be acquired from the subbasal nerve plexus of the cornea. Before the images can be quantified for nerve loss, a human expert manually traces the nerves in the image and then classifies the image as having neuropathy or not. Some nerve tracing algorithms are available in the literature, but none of them are reported as being used in clinical practice. An alternate practice is to visually classify the image for neuropathy without quantification. In this paper, we evaluate the potential of various machine learning techniques for automating corneal nerve image classification. First, the images are down-sampled using discrete wavelet transform, filtering and a number of morphological operations. The resulting binary image is used for extracting characteristic features of the image. This is followed by training the classifier on the extracted features. The trained classifier is then used for predicting the state of the nerves in the images. Our experiments yield a classification accuracy of 0.91 reflecting the effectiveness of the proposed method

Automatic segmentation of plantar thermograms using adaptive C means technique

Diabetic foot ulcer (DFU) is one of the major concern of diabetes and it is rapidly increasing, in worst case scenario this may lead to amputation. The DFU can be avoided by the early detection and proper diagnosis. Many of the studies carried out highlights that, thermography is the most useful technique to measure the changes in the temperature of plantar surface and alerts to indicate the risk associated with DFU. The distribution of temperature does not have a fixed pattern across the patients, hence it makes the difficulty in measuring the appropriate changes. This gap will provide a scope to improve the analysis technique so as to measure the plantar surface temperature effectively and identify any abnormal changes. In this paper, the segmentation algorithm namely adaptive C means (ACM) for the image segmentation is discussed. ACM is based on the spatial information and this method includes the two stage implementation. In the first stage, nonlocal spatial information is added and in the second stage, spatial shape information is used in order to refine the constraint of local spatial. Outcome of the proposed method shows that ACM is very much effective and it outperforms the other existing methods

Decision trees and multi-level ensemble classifiers for neurological diagnostics

Cardiac autonomic neuropathy (CAN) is a well known complication of diabetes leading to impaired regulation of blood pressure and heart rate, and increases the risk of cardiac associated mortality of diabetes patients. The neurological diagnostics of CAN progression is an important problem that is being actively investigated. This paper uses data collected as part of a large and unique Diabetes Screening Complications Research Initiative (DiScRi) in Australia with data from numerous tests related to diabetes to classify CAN progression. The present paper is devoted to recent experimental investigations of the effectiveness of applications of decision trees, ensemble classifiers and multi-level ensemble classifiers for neurological diagnostics of CAN. We present the results of experiments comparing the effectiveness of ADTree, J48, NBTree, RandomTree, REPTree and SimpleCart decision tree classifiers. Our results show that SimpleCart was the most effective for the DiScRi data set in classifying CAN. We also investigated and compared the effectiveness of AdaBoost, Bagging, MultiBoost, Stacking, Decorate, Dagging, and Grading, based on Ripple Down Rules as examples of ensemble classifiers. Further, we investigated the effectiveness of these ensemble methods as a function of the base classifiers, and determined that Random Forest performed best as a base classifier, and AdaBoost, Bagging and Decorate achieved the best outcomes as meta-classifiers in this setting. Finally, we investigated the meta-classifiers that performed best in their ability to enhance the performance further within the framework of a multi-level classification paradigm. Experimental results show that the multi-level paradigm performed best when Bagging and Decorate were combined in the construction of a multi-level ensemble classifier

A possibilistic approach to latent structure analysis for symmetric fuzzy data.

In many situations the available amount of data is huge and can be intractable. When the data set is single valued, latent structure models are recognized techniques, which provide a useful compression of the information. This is done by considering a regression model between observed and unobserved (latent) fuzzy variables. In this paper, an extension of latent structure analysis to deal with fuzzy data is proposed. Our extension follows the possibilistic approach, widely used both in the cluster and regression frameworks. In this case, the possibilistic approach involves the formulation of a latent structure analysis for fuzzy data by optimization. Specifically, a non-linear programming problem in which the fuzziness of the model is minimized is introduced. In order to show how our model works, the results of two applications are given.Latent structure analysis, symmetric fuzzy data set, possibilistic approach.

Diabetes Prediction Using Artificial Neural Network

Diabetes is one of the most common diseases worldwide where a cure is not found for it yet. Annually it cost a lot of money to care for people with diabetes. Thus the most important issue is the prediction to be very accurate and to use a reliable method for that. One of these methods is using artificial intelligence systems and in particular is the use of Artificial Neural Networks (ANN). So in this paper, we used artificial neural networks to predict whether a person is diabetic or not. The criterion was to minimize the error function in neural network training using a neural network model. After training the ANN model, the average error function of the neural network was equal to 0.01 and the accuracy of the prediction of whether a person is diabetics or not was 87.3

Subthreshold white noise vibration alters trembling sway in older adults

Background Somatosensory deficit is a significant contributor to falls in older adults. Stochastic resonance has shown promise in recent studies of somatosensation-based balance disorders, improving many measures of stability both inside and outside of the clinic. However, our understanding of this effect from a physiological perspective is poorly understood. Therefore, the primary goal of this study is to explore the influence of subthreshold vibratory stimulation on sway under the rambling-trembling framework. Methods 10 Healthy older adults (60–65 years) volunteered to participate in this study. Each participant underwent two randomized testing sessions on separate days, one experimental and one placebo. During each session, the participants' baseline sway was captured during one 90-s quiet standing trial. Their sensation threshold was then captured using a custom vibratory mat and 4–2-1 vibration perception threshold test. Finally, participants completed another 90-s quiet standing trial while the vibratory mat vibrated at 90% of their measured threshold (if experimental) or with the mat off (if placebo). While they completed these trials, an AMTI force plate collected force and moment data in the anteroposterior (AP) and mediolateral (ML), from which the center of pressure (COP), rambling (RM), and trembling (TR) time series were calculated. From each of these time series, range, variability (root-mean-square), and predictability (sample entropy) were extracted. One-tailed paired t-tests were used to compare baseline and during-vibration measures. Results No significant differences were found during the placebo session. For the experimental session, significant increases were found in AP TR range, ML TR RMS, AP COP predictability, and AP & ML TR predictability. The TR time series was particularly sensitive to vibration, suggesting a strong influence on peripheral/spinal mechanisms of postural control. Significance Though it is unclear whether observed effects are indicative of “improvements” or not, it does suggest that there was a measurable effect of subthreshold vibration on sway. This knowledge should be utilized in future studies of stochastic resonance, potentially acting as a mode of customization, tailoring vibration location, duration, magnitude, and frequency content to achieve the desired effect. One day, this work may aid in our ability to treat somatosensation-based balance deficits, ultimately reducing the incidence and severity of falls in older adults

A fully automatic nerve segmentation and morphometric parameter quantification system for early diagnosis of diabetic neuropathy in corneal images

Diabetic Peripheral Neuropathy (DPN) is one of the most common types of diabetes that can affect the cornea. An accurate analysis of the nerve structures can assist the early diagnosis of this disease. This paper proposes a robust, fast and fully automatic nerve segmentation and morphometric parameter quantification system for corneal confocal microscope images. The segmentation part consists of three main steps. First, a preprocessing step is applied to enhance the visibility of the nerves and remove noise using anisotropic diffusion filtering, specifically a Coherence filter followed by Gaussian filtering. Second, morphological operations are applied to remove unwanted objects in the input image such as epithelial cells and small nerve segments. Finally, an edge detection step is applied to detect all the nerves in the input image. In this step, an efficient algorithm for connecting discontinuous nerves is proposed. In the morphometric parameters quantification part, a number of features are extracted, including thickness, tortuosity and length of nerve, which may be used for the early diagnosis of diabetic polyneuropathy and when planning Laser-Assisted in situ Keratomileusis (LASIK) or Photorefractive keratectomy (PRK). The performance of the proposed segmentation system is evaluated against manually traced ground-truth images based on a database consisting of 498 corneal sub-basal nerve images (238 are normal and 260 are abnormal). In addition, the robustness and efficiency of the proposed system in extracting morphometric features with clinical utility was evaluated in 919 images taken from healthy subjects and diabetic patients with and without neuropathy. We demonstrate rapid (13 seconds/image), robust and effective automated corneal nerve quantification. The proposed system will be deployed as a useful clinical tool to support the expertise of ophthalmologists and save the clinician time in a busy clinical setting