A Review on Computer Aided Diagnosis of Acute Brain Stroke.

Amongst the most common causes of death globally, stroke is one of top three affecting over 100 million people worldwide annually. There are two classes of stroke, namely ischemic stroke (due to impairment of blood supply, accounting for ~70% of all strokes) and hemorrhagic stroke (due to bleeding), both of which can result, if untreated, in permanently damaged brain tissue. The discovery that the affected brain tissue (i.e., 'ischemic penumbra') can be salvaged from permanent damage and the bourgeoning growth in computer aided diagnosis has led to major advances in stroke management. Abiding to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines, we have surveyed a total of 177 research papers published between 2010 and 2021 to highlight the current status and challenges faced by computer aided diagnosis (CAD), machine learning (ML) and deep learning (DL) based techniques for CT and MRI as prime modalities for stroke detection and lesion region segmentation. This work concludes by showcasing the current requirement of this domain, the preferred modality, and prospective research areas

Artificial Intelligence, Smart Class Rooms and Online Education in the 21st Century: Implications for Human Development.

While the advent of Artificial Intelligence (AI) technologies in the education sector has largely taken over conventional class rooms and revolutionize the way education is conducted in the 21st century to the admiration of many, there are scholars who believe it is too early to celebrate the benefits of AI in the education sector, since modern AI teaching systems now raises long‐term issues about the place of the teacher in AI education. The Marxist Alienation theory was considered for this paper. The Ex‐post factor method of analysis and Deidra’s critical analytic method was utilized for attaining the objectives of the paper. The paper faults recent attempts at eulogizing the impact of AI in the education sector and on human development. Extensive research is proposed as necessary for contemporary scholars in the field of AI and education technology before proper appropriation is made of its gains in education and human development

An Artist’s Expert System: second order cybernetics for matching users to bespoke books

All books should be intelligent, but how can books be produced which use computerised systems and analytical methods, processes more commonly deployed in business intelligence or medicine, to analyse readers and learn from them? This paper investigates the use of an Expert System for matching users to bespoke books. The author’s artistic practice is concerned with the interface of technology and storytelling, the work presented here is used as a case study,investigating the limits and possibilities of Good Old Fashioned Artificial Intelligence and its presence within an art and design context, as well as outlining the process and intentions of developing an intelligent system for matching users to books

Computational Intelligence in Healthcare

This book is a printed edition of the Special Issue Computational Intelligence in Healthcare that was published in Electronic

Computational Intelligence in Healthcare

The number of patient health data has been estimated to have reached 2314 exabytes by 2020. Traditional data analysis techniques are unsuitable to extract useful information from such a vast quantity of data. Thus, intelligent data analysis methods combining human expertise and computational models for accurate and in-depth data analysis are necessary. The technological revolution and medical advances made by combining vast quantities of available data, cloud computing services, and AI-based solutions can provide expert insight and analysis on a mass scale and at a relatively low cost. Computational intelligence (CI) methods, such as fuzzy models, artificial neural networks, evolutionary algorithms, and probabilistic methods, have recently emerged as promising tools for the development and application of intelligent systems in healthcare practice. CI-based systems can learn from data and evolve according to changes in the environments by taking into account the uncertainty characterizing health data, including omics data, clinical data, sensor, and imaging data. The use of CI in healthcare can improve the processing of such data to develop intelligent solutions for prevention, diagnosis, treatment, and follow-up, as well as for the analysis of administrative processes. The present Special Issue on computational intelligence for healthcare is intended to show the potential and the practical impacts of CI techniques in challenging healthcare applications

Performance Evaluation of Smart Decision Support Systems on Healthcare

Medical activity requires responsibility not only from clinical knowledge and skill but also on the management of an enormous amount of information related to patient care. It is through proper treatment of information that experts can consistently build a healthy wellness policy. The primary objective for the development of decision support systems (DSSs) is to provide information to specialists when and where they are needed. These systems provide information, models, and data manipulation tools to help experts make better decisions in a variety of situations. Most of the challenges that smart DSSs face come from the great difficulty of dealing with large volumes of information, which is continuously generated by the most diverse types of devices and equipment, requiring high computational resources. This situation makes this type of system susceptible to not recovering information quickly for the decision making. As a result of this adversity, the information quality and the provision of an infrastructure capable of promoting the integration and articulation among different health information systems (HIS) become promising research topics in the field of electronic health (e-health) and that, for this same reason, are addressed in this research. The work described in this thesis is motivated by the need to propose novel approaches to deal with problems inherent to the acquisition, cleaning, integration, and aggregation of data obtained from different sources in e-health environments, as well as their analysis. To ensure the success of data integration and analysis in e-health environments, it is essential that machine-learning (ML) algorithms ensure system reliability. However, in this type of environment, it is not possible to guarantee a reliable scenario. This scenario makes intelligent SAD susceptible to predictive failures, which severely compromise overall system performance. On the other hand, systems can have their performance compromised due to the overload of information they can support. To solve some of these problems, this thesis presents several proposals and studies on the impact of ML algorithms in the monitoring and management of hypertensive disorders related to pregnancy of risk. The primary goals of the proposals presented in this thesis are to improve the overall performance of health information systems. In particular, ML-based methods are exploited to improve the prediction accuracy and optimize the use of monitoring device resources. It was demonstrated that the use of this type of strategy and methodology contributes to a significant increase in the performance of smart DSSs, not only concerning precision but also in the computational cost reduction used in the classification process. The observed results seek to contribute to the advance of state of the art in methods and strategies based on AI that aim to surpass some challenges that emerge from the integration and performance of the smart DSSs. With the use of algorithms based on AI, it is possible to quickly and automatically analyze a larger volume of complex data and focus on more accurate results, providing high-value predictions for a better decision making in real time and without human intervention.A atividade médica requer responsabilidade não apenas com base no conhecimento e na habilidade clínica, mas também na gestão de uma enorme quantidade de informações relacionadas ao atendimento ao paciente. É através do tratamento adequado das informações que os especialistas podem consistentemente construir uma política saudável de bem-estar. O principal objetivo para o desenvolvimento de sistemas de apoio à decisão (SAD) é fornecer informações aos especialistas onde e quando são necessárias. Esses sistemas fornecem informações, modelos e ferramentas de manipulação de dados para ajudar os especialistas a tomar melhores decisões em diversas situações. A maioria dos desafios que os SAD inteligentes enfrentam advêm da grande dificuldade de lidar com grandes volumes de dados, que é gerada constantemente pelos mais diversos tipos de dispositivos e equipamentos, exigindo elevados recursos computacionais. Essa situação torna este tipo de sistemas suscetível a não recuperar a informação rapidamente para a tomada de decisão. Como resultado dessa adversidade, a qualidade da informação e a provisão de uma infraestrutura capaz de promover a integração e a articulação entre diferentes sistemas de informação em saúde (SIS) tornam-se promissores tópicos de pesquisa no campo da saúde eletrônica (e-saúde) e que, por essa mesma razão, são abordadas nesta investigação. O trabalho descrito nesta tese é motivado pela necessidade de propor novas abordagens para lidar com os problemas inerentes à aquisição, limpeza, integração e agregação de dados obtidos de diferentes fontes em ambientes de e-saúde, bem como sua análise. Para garantir o sucesso da integração e análise de dados em ambientes e-saúde é importante que os algoritmos baseados em aprendizagem de máquina (AM) garantam a confiabilidade do sistema. No entanto, neste tipo de ambiente, não é possível garantir um cenário totalmente confiável. Esse cenário torna os SAD inteligentes suscetíveis à presença de falhas de predição que comprometem seriamente o desempenho geral do sistema. Por outro lado, os sistemas podem ter seu desempenho comprometido devido à sobrecarga de informações que podem suportar. Para tentar resolver alguns destes problemas, esta tese apresenta várias propostas e estudos sobre o impacto de algoritmos de AM na monitoria e gestão de transtornos hipertensivos relacionados com a gravidez (gestação) de risco. O objetivo das propostas apresentadas nesta tese é melhorar o desempenho global de sistemas de informação em saúde. Em particular, os métodos baseados em AM são explorados para melhorar a precisão da predição e otimizar o uso dos recursos dos dispositivos de monitorização. Ficou demonstrado que o uso deste tipo de estratégia e metodologia contribui para um aumento significativo do desempenho dos SAD inteligentes, não só em termos de precisão, mas também na diminuição do custo computacional utilizado no processo de classificação. Os resultados observados buscam contribuir para o avanço do estado da arte em métodos e estratégias baseadas em inteligência artificial que visam ultrapassar alguns desafios que advêm da integração e desempenho dos SAD inteligentes. Como o uso de algoritmos baseados em inteligência artificial é possível analisar de forma rápida e automática um volume maior de dados complexos e focar em resultados mais precisos, fornecendo previsões de alto valor para uma melhor tomada de decisão em tempo real e sem intervenção humana

Biomedical Applications of Mid-Infrared Spectroscopic Imaging and Multivariate Data Analysis: Contribution to the Understanding of Diabetes Pathogenesis

Diabetic retinopathy (DR) is a microvascular complication of diabetes and a leading cause of adult vision loss. Although a great deal of progress has been made in ophthalmological examinations and clinical approaches to detect the signs of retinopathy in patients with diabetes, there still remain outstanding questions regarding the molecular and biochemical changes involved. To discover the biochemical mechanisms underlying the development and progression of changes in the retina as a result of diabetes, a more comprehensive understanding of the bio-molecular processes, in individual retinal cells subjected to hyperglycemia, is required. Animal models provide a suitable resource for temporal detection of the underlying pathophysiological and biochemical changes associated with DR, which is not fully attainable in human studies. In the present study, I aimed to determine the nature of diabetes-induced, highly localized biochemical changes in the retinal tissue from Ins2Akita/+ (Akita/+; a model of Type I diabetes) male mice with different duration of diabetes. Employing label-free, spatially resolved Fourier transform infrared (FT-IR) imaging engaged with chemometric tools enabled me to identify temporal-dependent reproducible biomarkers of the diabetic retinal tissue from mice with 6 or 12 weeks, and 6 or 10 months of diabetes. I report, for the first time, the origin of molecular changes in the biochemistry of individual retinal layers with different duration of diabetes. A robust classification between distinctive retinal layers - namely photoreceptor layer (PRL), outer plexiform layer (OPL), inner nuclear layer (INL), and inner plexiform layer (IPL) - and associated temporal-dependent spectral biomarkers, were delineated. Spatially-resolved super resolution chemical images revealed oxidative stress-induced structural and morphological alterations within the nucleus of the photoreceptors. Comparison among the PRL, OPL, INL, and IPL suggested that the photoreceptor layer is the most susceptible layer to the oxidative stress with short-duration of diabetes. Moreover, for the first time, we present the temporal-dependent molecular alterations for the PRL, OPL, INL, and IPL from Akita/+ mice, with progression of diabetes. These findings are potentially important and may be of particular benefit in understanding the molecular and biological activity of retinal cells during oxidative stress in diabetes. Our integrating paradigm provides a new conceptual framework and a significant rationale for a better understanding of the molecular and cellular mechanisms underlying the development and progression of DR. This approach may yield alternative and potentially complimentary methods for the assessment of diabetes changes. It is expected that the conclusions drawn from this work will bridge the gap in our knowledge regarding the biochemical mechanisms of the DR and address some critical needs in the biomedical community

Deep Learning in Medical Image Analysis

The accelerating power of deep learning in diagnosing diseases will empower physicians and speed up decision making in clinical environments. Applications of modern medical instruments and digitalization of medical care have generated enormous amounts of medical images in recent years. In this big data arena, new deep learning methods and computational models for efficient data processing, analysis, and modeling of the generated data are crucially important for clinical applications and understanding the underlying biological process. This book presents and highlights novel algorithms, architectures, techniques, and applications of deep learning for medical image analysis

Diabetic retinopathy diagnosis through multi-agent approaches

Programa Doutoral em Engenharia BiomédicaDiabetic retinopathy has been revealed as a serious public health problem in occidental world, since it is the most common cause of vision impairment among people of working age. The early diagnosis and an adequate treatment can prevent loss of vision. Thus, a regular screening program to detect diabetic retinopathy in the early stages could be efficient for the prevention of blindness. Due to its characteristics, digital color fundus photographs have been the preferred eye examination method adopted in these programs. Nevertheless, due to the growing incidence of diabetes in population, ophthalmologists have to observe a huge number of images. Therefore, the development of computational tools that can assist the diagnosis is of major importance. Several works have been published in the recent past years for this purpose; but an automatic system for clinical practice has yet to come. In general, these algorithms are used to normalize, segment and extract information from images to be utilized by classifiers which aim to classify the regions of the fundus image. These methods are mostly based on global approaches that cannot be locally adapted to the image properties and therefore, none of them perform as needed because of fundus images complexity. This thesis focuses on the development of new tools based on multi-agent approaches, to assist the diabetic retinopathy early diagnosis. The fundus image automatic segmentation concerning the diabetic retinopathy diagnosis should comprise both pathological (dark and bright lesions) and anatomical features (optic disc, blood vessels and fovea). In that way, systems for the optic disc detection, bright lesions segmentation, blood vessels segmentation and dark lesions segmentation were implemented and, when possible, compared to those approaches already described in literature. Two kinds of agent based systems were investigated and applied to digital color fundus photographs: ant colony system and multi-agent system composed of reactive agents with interaction mechanisms between them. The ant colony system was used to the optic disc detection and for bright lesion segmentation. Multi-agent system models were developed for the blood vessel segmentation and for small dark lesion segmentation. The multi-agent system models created in this study are not image processing techniques on their own, but they are used as tools to improve the traditional algorithms results at the micro level. The results of all the proposed approaches are very promising and reveal that the systems created perform better than other recent methods described in the literature. Therefore, the main scientific contribution of this thesis is to prove that multi-agent systems based approaches can be efficient in segmenting structures in retinal images. Such an approach overcomes the classic image processing algorithms that are limited to macro results and do not consider the local characteristics of images. Hence, multi-agent systems based approaches could be a fundamental tool, responsible for a very efficient system development to be used in screening programs concerning diabetic retinopathy early diagnosis.A retinopatia diabética tem-se revelado como um problema sério de saúde pública no mundo ocidental, uma vez que é a principal causa de cegueira entre as pessoas em idade ativa. Contudo, a perda de visão pode ser prevenida através da deteção precoce da doença e de um tratamento adequado. Por isso, um programa regular de rastreio e monitorização da retinopatia diabética pode ser eficiente na prevenção da deterioração da visão. Devido às suas características, a fotografia digital colorida do fundo do olho tem sido o exame adotado neste tipo de programas. No entanto, devido ao aumento da incidência da diabetes na população, o número de imagens a serem analisadas pelos oftalmologistas é elevado. Assim sendo, é muito importante o desenvolvimento de ferramentas computacionais para auxiliar no diagnóstico desta patologia. Nos últimos anos, têm sido vários os trabalhos publicados com este propósito; porém, não existe ainda um sistema automático (ou recomendável) para ser usado nas práticas clínicas. No geral, estes algoritmos são usados para normalizar, segmentar e extrair informação das imagens que vai ser utilizada por classificadores, cujo objetivo é identificar as regiões da imagem que se procuram. Estes métodos são maioritariamente baseados em abordagens globais que não podem ser localmente adaptadas às propriedades das imagens e, portanto, nenhum apresenta a performance necessária devido à complexidade das imagens do fundo do olho. Esta tese foca-se no desenvolvimento de novas ferramentas computacionais baseadas em sistemas multi-agente, para auxiliar na deteção precoce da retinopatia diabética. A segmentação automática das imagens do fundo do olho com o objetivo de diagnosticar a retinopatia diabética, deve englobar características patológicas (lesões claras e escuras) e anatómicas (disco ótico, vasos sanguíneos e fóvea). Deste modo, foram criados sistemas para a deteção do disco ótico e para a segmentação das lesões claras, dos vasos sanguíneos e das lesões escuras e, quando possível, estes foram comparados com abordagens já descritas na literatura. Dois tipos de sistemas baseados em agentes foram investigados e aplicados nas imagens digitais coloridas do fundo do olho: sistema de colónia de formigas e sistema multi-agente constituído por agentes reativos e com mecanismos de interação entre eles. O sistema de colónia de formigas foi usado para a deteção do disco ótico e para a segmentação das lesões claras. Modelos de sistemas multi-agente foram desenvolvidos para a segmentação dos vasos sanguíneos e das lesões escuras. Os modelos multi-agentes criados ao longo deste estudo não são por si só técnicas de processamento de imagem, mas são sim usados como ferramentas para melhorar os resultados dos algoritmos tradicionais no baixo nível. Os resultados de todas as abordagens propostas são muito promissores e revelam que os sistemas criados apresentam melhor performance que outras abordagens recentes descritas na literatura. Posto isto, a maior contribuição científica desta tese é provar que abordagens baseadas em sistemas multi-agente podem ser eficientes na segmentação de estruturas em imagens da retina. Uma abordagem deste tipo ultrapassa os algoritmos clássicos de processamento de imagem, que se limitam aos resultados de alto nível e não têm em consideração as propriedades locais das imagens. Portanto, as abordagens baseadas em sistemas multi-agente podem ser uma ferramenta fundamental, responsável pelo desenvolvimento de um sistema eficiente para ser usado nos programas de rastreio e monitorização da retinopatia diabética.Work supported by FEDER funds through the "Programa Operacional Factores de Competitividade – COMPETE" and by national funds by FCT- Fundação para a Ciência e a Tecnologia. C. Pereira thanks the FCT for the SFRH / BD / 61829 / 2009 grant