Intelligent multimedia communication for enhanced medical e-collaboration in back pain treatment

This is the post-print version of the Article. The official published version can be accessed from the link below - Copyright @ 2004 SAGE PublicationsRemote, multimedia-based, collaboration in back pain treatment is an option which only recently has come to the attention of clinicians and IT providers. The take-up of such applications will inevitably depend on their ability to produce an acceptable level of service over congested and unreliable public networks. However, although the problem of multimedia application-level performance is closely linked to both the user perspective of the experience as well as to the service provided by the underlying network, it is rarely studied from an integrated viewpoint. To alleviate this problem, we propose an intelligent mechanism that integrates user-related requirements with the more technical characterization of quality of service, obtaining a priority order of low-level quality of service parameters, which would ensure that user-centred quality of perception is maintained at an optimum level. We show how our framework is capable of suggesting appropriately tailored transmission protocols, by incorporating user requirements in the remote delivery of e-health solutions

A Fuzzy Rule Based Approach to Predict Risk Level of Heart Disease

Health care domain systems globally face lots of difficulties because of the high amount of risk factors of heart diseases in peoples (WHO, 2013). To reduce risk, improved knowledge based expert systems played an important role and has a contribution towards the development of the healthcare system for cardiovascular disease. To make use of benefits of knowledge based system, it is necessary for health organizations and users; must need to know the fuzzy rule based expert system2019;s integrity, efficiency, and deployments, which are the open challenges of current fuzzy logic based medical systems. In our proposed system, we have designed a fuzzy rule based expert system and also by using data mining technique we have reduced the total number of attributes. Our system mainly focuses on cardiovascular disease diagnosis, and the dataset taken from UCI (Machine Learning Repository). We explored in the existing work. The majority of the researcher2019;s experimentation was made on 14 attributes out of 76. While, in our system we took advantage of 6 attributes for system design. In the preliminary stage UCI, data participated in suggested system that will get outcomes. The performance of the system matched with Neural Network and J48 Decision Tree Algorithm

Decision Support Systems

Decision support systems (DSS) have evolved over the past four decades from theoretical concepts into real world computerized applications. DSS architecture contains three key components: knowledge base, computerized model, and user interface. DSS simulate cognitive decision-making functions of humans based on artificial intelligence methodologies (including expert systems, data mining, machine learning, connectionism, logistical reasoning, etc.) in order to perform decision support functions. The applications of DSS cover many domains, ranging from aviation monitoring, transportation safety, clinical diagnosis, weather forecast, business management to internet search strategy. By combining knowledge bases with inference rules, DSS are able to provide suggestions to end users to improve decisions and outcomes. This book is written as a textbook so that it can be used in formal courses examining decision support systems. It may be used by both undergraduate and graduate students from diverse computer-related fields. It will also be of value to established professionals as a text for self-study or for reference

Coevolutionary fuzzy modeling

This thesis presents Fuzzy CoCo, a novel approach for system design, conducive to explaining human decisions. Based on fuzzy logic and coevolutionary computation, Fuzzy CoCo is a methodology for constructing systems able to accurately predict the outcome of a human decision-making process, while providing an understandable explanation of the underlying reasoning. Fuzzy logic provides a formal framework for constructing systems exhibiting both good numeric performance (precision) and linguistic representation (interpretability). From a numeric point of view, fuzzy systems exhibit nonlinear behavior and can handle imprecise and incomplete information. Linguistically, they represent knowledge in the form of rules, a natural way for explaining decision processes. Fuzzy modeling —meaning the construction of fuzzy systems— is an arduous task, demanding the identification of many parameters. This thesis analyses the fuzzy-modeling problem and different approaches to coping with it, focusing on evolutionary fuzzy modeling —the design of fuzzy inference systems using evolutionary algorithms— which constitutes the methodological base of my approach. In order to promote this analysis the parameters of a fuzzy system are classified into four categories: logic, structural, connective, and operational. The central contribution of this work is the use of an advanced evolutionary technique —cooperative coevolution— for dealing with the simultaneous design of connective and operational parameters. Cooperative coevolutionary fuzzy modeling succeeds in overcoming several limitations exhibited by other standard evolutionary approaches: stagnation, convergence to local optima, and computational costliness. Designing interpretable systems is a prime goal of my approach, which I study thoroughly herein. Based on a set of semantic and syntactic criteria, regarding the definition of linguistic concepts and their causal connections, I propose a number of strategies for producing more interpretable fuzzy systems. These strategies are implemented in Fuzzy CoCo, resulting in a modeling methodology providing high numeric precision, while incurring as little a loss of interpretability as possible. After testing Fuzzy CoCo on a benchmark problem —Fisher's Iris data— I successfully apply the algorithm to model the decision processes involved in two breast-cancer diagnostic problems: the WBCD problem and the Catalonia mammography interpretation problem. For the WBCD problem, Fuzzy CoCo produces systems both of high performance and high interpretability, comparable (if not better) than the best systems demonstrated to date. For the Catalonia problem, an evolved high-performance system was embedded within a web-based tool —called COBRA— for aiding radiologists in mammography interpretation. Several aspects of Fuzzy CoCo are thoroughly analyzed to provide a deeper understanding of the method. These analyses show the consistency of the results. They also help derive a stepwise guide to applying Fuzzy CoCo, and a set of qualitative relationships between some of its parameters that facilitate setting up the algorithm. Finally, this work proposes and explores preliminarily two extensions to the method: Island Fuzzy CoCo and Incremental Fuzzy CoCo, which together with the original CoCo constitute a family of coevolutionary fuzzy modeling techniques. The aim of these extensions is to guide the choice of an adequate number of rules for a given problem. While Island Fuzzy CoCo performs an extended search over different problem sizes, Incremental Fuzzy CoCo bases its search power on a mechanism of incremental evolution

Decision-Making Model for Student Assessment by Unifying Numerical and Linguistic Data

Learning assessment deals with the process of making a decision on the quality or performance of student achievement in a number of competency standards. In the process, teacher’s preferences are provided through both test and non-test, generally in a numeric value, from which the final results are then converted into letters or linguistic value. In the proposed model, linguistic variables are exploited as a form of teacher’s preferences in non-test techniques. Consequently, the assessment data set will consist of numerical and linguistic information, so it requires a method to unify them to obtain the final value. A model that uses the 2-tuple linguistic approach and based on matrix operations is proposed to solve the problem. This study proposed a new procedure that consists of four stages: preprocessing, transformation, aggregation and exploitation. The final result is presented in 2-tuple linguistic representation and its equivalent number, accompanied by a description of the achievement of each competency. The α value of 2-tuple linguistic in the final result and in the description of each competency becomes meaningful information that can be interpreted as a comparative ability one student has related to other students, and shows how much potential is achieved to reach higher ranks. The proposed model contributes to enrich the learning assessment techniques, since the exploitation of linguistic variable as representation preferences provides flexible space for teachers in their assessments. Moreover, using the result with respect to students’ levels of each competency, students’ mastery of each attribute can be diagnosed and their progress of learning can be estimated

Blind restoration of images with penalty-based decision making : a consensus approach

In this thesis we show a relationship between fuzzy decision making and image processing . Various applications for image noise reduction with consensus methodology are introduced. A new approach is introduced to deal with non-stationary Gaussian noise and spatial non-stationary noise in MRI

CBR and MBR techniques: review for an application in the emergencies domain

The purpose of this document is to provide an in-depth analysis of current reasoning engine practice and the integration strategies of Case Based Reasoning and Model Based Reasoning that will be used in the design and development of the RIMSAT system. RIMSAT (Remote Intelligent Management Support and Training) is a European Commission funded project designed to: a.. Provide an innovative, 'intelligent', knowledge based solution aimed at improving the quality of critical decisions b.. Enhance the competencies and responsiveness of individuals and organisations involved in highly complex, safety critical incidents - irrespective of their location. In other words, RIMSAT aims to design and implement a decision support system that using Case Base Reasoning as well as Model Base Reasoning technology is applied in the management of emergency situations. This document is part of a deliverable for RIMSAT project, and although it has been done in close contact with the requirements of the project, it provides an overview wide enough for providing a state of the art in integration strategies between CBR and MBR technologies.Postprint (published version

Development of Machine Learning Techniques for Diabetic Retinopathy Risk Estimation

La retinopatia diabètica (DR) és una malaltia crònica. És una de les principals complicacions de diabetis i una causa essencial de pèrdua de visió entre les persones que pateixen diabetis. Els pacients diabètics han de ser analitzats periòdicament per tal de detectar signes de desenvolupament de la retinopatia en una fase inicial. El cribratge precoç i freqüent disminueix el risc de pèrdua de visió i minimitza la càrrega als centres assistencials. El nombre dels pacients diabètics està en augment i creixements ràpids, de manera que el fa difícil que consumeix recursos per realitzar un cribatge anual a tots ells. L’objectiu principal d’aquest doctorat. la tesi consisteix en construir un sistema de suport de decisions clíniques (CDSS) basat en dades de registre de salut electrònic (EHR). S'utilitzarà aquest CDSS per estimar el risc de desenvolupar RD. En aquesta tesi doctoral s'estudien mètodes d'aprenentatge automàtic per constuir un CDSS basat en regles lingüístiques difuses. El coneixement expressat en aquest tipus de regles facilita que el metge sàpiga quines combindacions de les condicions són les poden provocar el risc de desenvolupar RD. En aquest treball, proposo un mètode per reduir la incertesa en la classificació dels pacients que utilitzen arbres de decisió difusos (FDT). A continuació es combinen diferents arbres, usant la tècnica de Fuzzy Random Forest per millorar la qualitat de la predicció. A continuació es proposen diverses tècniques d'agregació que millorin la fusió dels resultats que ens dóna cadascun dels arbres FDT. Per millorar la decisió final dels nostres models, proposo tres mesures difuses que s'utilitzen amb integrals de Choquet i Sugeno. La definició d’aquestes mesures difuses es basa en els valors de confiança de les regles. En particular, una d'elles és una mesura difusa que es troba en la qual l'estructura jeràrquica de la FDT és explotada per trobar els valors de la mesura difusa. El resultat final de la recerca feta ha donat lloc a un programari que es pot instal·lar en centres d’assistència primària i hospitals, i pot ser usat pels metges de capçalera per fer l'avaluació preventiva i el cribatge de la Retinopatia Diabètica.La retinopatía diabética (RD) es una enfermedad crónica. Es una de las principales complicaciones de diabetes y una causa esencial de pérdida de visión entre las personas que padecen diabetes. Los pacientes diabéticos deben ser examinados periódicamente para detectar signos de diabetes. desarrollo de retinopatía en una etapa temprana. La detección temprana y frecuente disminuye el riesgo de pérdida de visión y minimiza la carga en los centros de salud. El número de pacientes diabéticos es enorme y está aumentando rápidamente, lo que lo hace difícil y Consume recursos para realizar una evaluación anual para todos ellos. El objetivo principal de esta tesis es construir un sistema de apoyo a la decisión clínica (CDSS) basado en datos de registros de salud electrónicos (EHR). Este CDSS será utilizado para estimar el riesgo de desarrollar RD. En este tesis doctoral se estudian métodos de aprendizaje automático para construir un CDSS basado en reglas lingüísticas difusas. El conocimiento expresado en este tipo de reglas facilita que el médico pueda saber que combinaciones de las condiciones son las que pueden provocar el riesgo de desarrollar RD. En este trabajo propongo un método para reducir la incertidumbre en la clasificación de los pacientes que usan árboles de decisión difusos (FDT). A continuación se combinan diferentes árboles usando la técnica de Fuzzy Random Forest para mejorar la calidad de la predicción. Se proponen también varias políticas para fusionar los resultados de que nos da cada uno de los árboles (FDT). Para mejorar la decisión final propongo tres medidas difusas que se usan con las integrales Choquet y Sugeno. La definición de estas medidas difusas se basa en los valores de confianza de las reglas. En particular, uno de ellos es una medida difusa descomponible en la que se usa la estructura jerárquica del FDT para encontrar los valores de la medida difusa. Como resultado final de la investigación se ha construido un software que puede instalarse en centros de atención médica y hospitales, i que puede ser usado por los médicos de cabecera para hacer la evaluación preventiva y el cribado de la Retinopatía Diabética.Diabetic retinopathy (DR) is a chronic illness. It is one of the main complications of diabetes, and an essential cause of vision loss among people suffering from diabetes. Diabetic patients must be periodically screened in order to detect signs of diabetic retinopathy development in an early stage. Early and frequent screening decreases the risk of vision loss and minimizes the load on the health care centres. The number of the diabetic patients is huge and rapidly increasing so that makes it hard and resource-consuming to perform a yearly screening to all of them. The main goal of this Ph.D. thesis is to build a clinical decision support system (CDSS) based on electronic health record (EHR) data. This CDSS will be utilised to estimate the risk of developing RD. In this Ph.D. thesis, I focus on developing novel interpretable machine learning systems. Fuzzy based systems with linguistic terms are going to be proposed. The output of such systems makes the physician know what combinations of the features that can cause the risk of developing DR. In this work, I propose a method to reduce the uncertainty in classifying diabetic patients using fuzzy decision trees. A Fuzzy Random forest (FRF) approach is proposed as well to estimate the risk for developing DR. Several policies are going to be proposed to merge the classification results achieved by different Fuzzy Decision Trees (FDT) models to improve the quality of the final decision of our models, I propose three fuzzy measures that are used with Choquet and Sugeno integrals. The definition of these fuzzy measures is based on the confidence values of the rules. In particular, one of them is a decomposable fuzzy measure in which the hierarchical structure of the FDT is exploited to find the values of the fuzzy measure. Out of this Ph.D. work, we have built a CDSS software that may be installed in the health care centres and hospitals in order to evaluate and detect Diabetic Retinopathy at early stages

Data mining in manufacturing: a review based on the kind of knowledge

In modern manufacturing environments, vast amounts of data are collected in database management systems and data warehouses from all involved areas, including product and process design, assembly, materials planning, quality control, scheduling, maintenance, fault detection etc. Data mining has emerged as an important tool for knowledge acquisition from the manufacturing databases. This paper reviews the literature dealing with knowledge discovery and data mining applications in the broad domain of manufacturing with a special emphasis on the type of functions to be performed on the data. The major data mining functions to be performed include characterization and description, association, classification, prediction, clustering and evolution analysis. The papers reviewed have therefore been categorized in these five categories. It has been shown that there is a rapid growth in the application of data mining in the context of manufacturing processes and enterprises in the last 3 years. This review reveals the progressive applications and existing gaps identified in the context of data mining in manufacturing. A novel text mining approach has also been used on the abstracts and keywords of 150 papers to identify the research gaps and find the linkages between knowledge area, knowledge type and the applied data mining tools and techniques