A comparative analysis of chronic obstructive pulmonary disease using machine learning, and deep learning

Chronic obstructive pulmonary disease (COPD) is a general clinical issue in numerous countries considered the fifth reason for inability and the third reason for mortality on a global scale within 2021. From recent reviews, a deep convolutional neural network (CNN) is used in the primary analysis of the deadly COPD, which uses the computed tomography (CT) images procured from the deep learning tools. Detection and analysis of COPD using several image processing techniques, deep learning models, and machine learning models are notable contributions to this review. This research aims to cover the detailed findings on pulmonary diseases or lung diseases, their causes, and symptoms, which will help treat infections with high performance and a swift response. The articles selected have more than 80% accuracy and are tabulated and analyzed for sensitivity, specificity, and area under the curve (AUC) using different methodologies. This research focuses on the various tools and techniques used in COPD analysis and eventually provides an overview of COPD with coronavirus disease 2019 (COVID-19) symptoms.

Artificial intelligence/machine learning in respiratory medicine and potential role in asthma and COPD diagnosis

Acknowledgments We thank Ian Wright, PhD, of Novartis Ireland Ltd, for providing medical writing support in accordance with Good Publication Practice (GPP3) guidelines (http://www.ismpp.org/gpp3).63Peer reviewedPublisher PD

Towards using Cough for Respiratory Disease Diagnosis by leveraging Artificial Intelligence: A Survey

Cough acoustics contain multitudes of vital information about pathomorphological alterations in the respiratory system. Reliable and accurate detection of cough events by investigating the underlying cough latent features and disease diagnosis can play an indispensable role in revitalizing the healthcare practices. The recent application of Artificial Intelligence (AI) and advances of ubiquitous computing for respiratory disease prediction has created an auspicious trend and myriad of future possibilities in the medical domain. In particular, there is an expeditiously emerging trend of Machine learning (ML) and Deep Learning (DL)-based diagnostic algorithms exploiting cough signatures. The enormous body of literature on cough-based AI algorithms demonstrate that these models can play a significant role for detecting the onset of a specific respiratory disease. However, it is pertinent to collect the information from all relevant studies in an exhaustive manner for the medical experts and AI scientists to analyze the decisive role of AI/ML. This survey offers a comprehensive overview of the cough data-driven ML/DL detection and preliminary diagnosis frameworks, along with a detailed list of significant features. We investigate the mechanism that causes cough and the latent cough features of the respiratory modalities. We also analyze the customized cough monitoring application, and their AI-powered recognition algorithms. Challenges and prospective future research directions to develop practical, robust, and ubiquitous solutions are also discussed in detail.Comment: 30 pages, 12 figures, 9 table

A survey on artificial intelligence based techniques for diagnosis of hepatitis variants

Hepatitis is a dreaded disease that has taken the lives of so many people over the recent past years. The research survey shows that hepatitis viral disease has five major variants referred to as Hepatitis A, B, C, D, and E. Scholars over the years have tried to find an alternative diagnostic means for hepatitis disease using artificial intelligence (AI) techniques in order to save lives. This study extensively reviewed 37 papers on AI based techniques for diagnosing core hepatitis viral disease. Results showed that Hepatitis B (30%) and C (3%) were the only types of hepatitis the AI-based techniques were used to diagnose and properly classified out of the five major types, while (67%) of the paper reviewed diagnosed hepatitis disease based on the different AI based approach but were not classified into any of the five major types. Results from the study also revealed that 18 out of the 37 papers reviewed used hybrid approach, while the remaining 19 used single AI based approach. This shows no significance in terms of technique usage in modeling intelligence into application. This study reveals furthermore a serious gap in knowledge in terms of single hepatitis type prediction or diagnosis in all the papers considered, and recommends that the future road map should be in the aspect of integrating the major hepatitis variants into a single predictive model using effective intelligent machine learning techniques in order to reduce cost of diagnosis and quick treatment of patients

Role of a digital clinical decision-support system in management of chronic obstructive pulmonary disease

Postponed access: the file will be accessible after 2022-05-18M.Phil. in Global Health - ThesisINTH395AMAMD-GLO

The validity of using ICD-9 codes and pharmacy records to identify patients with chronic obstructive pulmonary disease

Background: Administrative data is often used to identify patients with chronic obstructive pulmonary disease (COPD), yet the validity of this approach is unclear. We sought to develop a predictive model utilizing administrative data to accurately identify patients with COPD. Methods: Sequential logistic regression models were constructed using 9573 patients with postbronchodilator spirometry at two Veterans Affairs medical centers (2003-2007). COPD was defined as: 1) FEV1/FVC <0.70, and 2) FEV1/FVC < lower limits of normal. Model inputs included age, outpatient or inpatient COPD-related ICD-9 codes, and the number of metered does inhalers (MDI) prescribed over the one year prior to and one year post spirometry. Model performance was assessed using standard criteria. Results: 4564 of 9573 patients (47.7%) had an FEV1/FVC < 0.70. The presence of ≥1 outpatient COPD visit had a sensitivity of 76% and specificity of 67%; the AUC was 0.75 (95% CI 0.74-0.76). Adding the use of albuterol MDI increased the AUC of this model to 0.76 (95% CI 0.75-0.77) while the addition of ipratropium bromide MDI increased the AUC to 0.77 (95% CI 0.76-0.78). The best performing model included: ≥6 albuterol MDI, ≥3 ipratropium MDI, ≥1 outpatient ICD-9 code, ≥1 inpatient ICD-9 code, and age, achieving an AUC of 0.79 (95% CI 0.78-0.80). Conclusion: Commonly used definitions of COPD in observational studies misclassify the majority of patients as having COPD. Using multiple diagnostic codes in combination with pharmacy data improves the ability to accurately identify patients with COPD.Department of Veterans Affairs, Health Services Research and Development (DHA), American Lung Association (CI- 51755-N) awarded to DHA, the American Thoracic Society Fellow Career Development AwardPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/84155/1/Cooke - ICD9 validity in COPD.pd

Diagnóstico no invasivo de patologías humanas combinando análisis de aliento y modelización con redes neuronales

Tesis inédita de la Universidad Complutense de Madrid, Facultad de Ciencias Químicas, leída el 09-09-2016It is currently known that there is a direct relation between the moment a disease is detected or diagnosed and the consequences it will have on the patient, as an early detection is generally linked to a more favorable outcome. This concept is the basis of the present research, due to the fact that its main goal is the development of mathematical tools based on computational artificial intelligence to safely and non-invasively attain the detection of multiple diseases. To reach these devices, this research has focused on the breath analysis of patients with diverse diseases, using several analytical methodologies to extract the information contained in these samples, and multiple feature selection algorithms and neural networks for data analysis. In the past, it has been shown that there is a correlation between the molecular composition of breath and the clinical status of a human being, proving the existence of volatile biomarkers that can aid in disease detection depending on their presence or amount. During this research, two main types of analytical approaches have been employed to study the gaseous samples, and these were cross-reactive sensor arrays (based on organically functionalized silicon nanowire field-effect transistors (SiNW FETs) or gold nanoparticles (GNPs)) and proton transfer reaction-mass spectrometry (PTR-MS). The cross-reactive sensors analyze the bulk of the breath samples, offering global, fingerprint-like information, whereas PTR-MS quantifies the volatile molecules present in the samples. All of the analytical equipment employed leads to the generation of large amounts of data per sample, forcing the need of a meticulous mathematical analysis to adequately interpret the results. In this work, two fundamental types of mathematical tools were utilized. In first place, a set of five filter-based feature selection algorithms (χ2 (chi2) score, Fisher’s discriminant ratio, Kruskal-Wallis test, Relief-F algorithm, and information gain test) were employed to reduce the amount of independent in the large databases to the ones which contain the greatest discriminative power for a further modeling task. On the other hand, and in relation to mathematical modeling, artificial neural networks (ANNs), algorithms that are categorized as computational artificial intelligence, have been employed. These non-linear tools have been used to locate the relations between the independent variables of a system and the dependent ones to fulfill estimations or classifications. The type of ANN that has been used in this thesis coincides with the one that is more commonly employed in research, which is the supervised multilayer perceptron (MLP), due to its proven ability to create reliable models for many different applications...Actualmente es sabido que existe una relación directa entre el momento en el cual se detecta o diagnostica una enfermedad y las consecuencias que tendrá sobre el paciente, ya que una detección temprana va generalmente ligada a un desarrollo más favorable. Este concepto es el cimiento de la presente investigación, cuyo objetivo fundamental es el desarrollo de herramientas basadas en inteligencia artificial computacional que consigan, mediante medios seguros y no invasivos, la detección de diversas enfermedades. Para alcanzar dichos sistemas, los estudios han sido enfocados en el análisis de muestras de aliento de pacientes de diversas enfermedades, empleando varias técnicas para extraer información, y diversos algoritmos de selección de variables y redes neuronales para el procesamiento matemático. En el pasado, se ha comprobado que hay una correlación entre la composición molecular del aliento y el estado clínico de una persona, evidenciando la existencia de biomarcadores volátiles que pueden ayudar a detectar enfermedades, ya sea por su presencia o por su cantidad. Durante el transcurso de esta investigación, se han empleado esencialmente dos tipos de técnicas analíticas para estudiar las muestras gaseosas, y estas son conjuntos de sensores de reactividad cruzada (basados en transistores de efecto de campo con nanocables de silicio (SiNW FETs) o en nanopartículas de oro (GNPs), ambos funcionalizados con cadenas orgánicas) y equipos de reacción de transferencia de protones con espectrometría de masas (PTR-MS). Los sensores de reactividad cruzada analizan el aliento en su conjunto, extrayéndose información de la muestra global, mientras que usando PTR-MS, se cuantifican las moléculas volátiles presentes en las muestras analizadas. Todas las técnicas empleadas desembocan en la generación de grandes cantidades de datos por muestra, por lo que un análisis matemático exhaustivo es necesario para poder sacar el máximo rendimiento de los estudios. En este trabajo, se emplearon principalmente dos tipos de herramientas matemáticas. Las primeras son un grupo de cinco algoritmos de selección de variables, concretamente, filtros de variables (cálculos basados en estadística de χ2 (chi2), ratio discriminante de Fisher, análisis de Kruskal-Wallis, algoritmo relief-F y test de ganancia de información), que se han empleado en las bases de datos con grandes cantidades de variables independientes para localizar aquellas con mayor importancia o poder discriminativo para una tarea de modelización matemática posterior. Por otro lado, en cuando a dicha modelización, se ha empleado un tipo de algoritmo que se cataloga dentro del área de la inteligencia artificial computacional: las redes neuronales artificiales (ANNs). Estas herramientas matemáticas de naturaleza no lineal se han utilizado para localizar las relaciones existentes entre las variables independientes de un sistema y las variables dependientes o parámetros a estimar o clasificar. Se ha empleado el tipo de ANN supervisada más extensamente usado en investigación, que son los perceptrones multicapa (MLPs), debido a su habilidad contrastada para originar modelos fiables para numerosas aplicaciones...Fac. de Ciencias QuímicasTRUEunpu