Fondi strutturali e politica di coesione: prime riflessioni sulle proposte di Regolamenti 2007-2013

Indice: 1.Il quadro di riferimento per l'elaborazione delle Proposte di regolamenti del 14 luglio 2004 2.Obiettivi e norme generali d'intervento nelle Proposte di regolamenti 3.Il sistema programmatorio nelle proposte di regolamenti 4.Il sistema di gestione, sorveglianza, valutazione e controllo nelle Proposte 5.Riflessioni conclusiv

Tone-in-noise detection deficits in elderly patients with clinically normal hearing

One of the most common complaints among the elderly is the inability to understand speech in noisy environments. In many cases, these deficits are due to age-related hearing loss; however, some of the elderly that have difficulty hearing in noise have clinically normal pure-tone thresholds. While speech in noise testing is informative, it fails to identify specific frequencies responsible for the speech processing deficit. Auditory neuropathy patients and animal models of hidden hearing loss suggest that tone-in-noise thresholds may provide frequency specific information for those patients who express difficulty, but have normal thresholds in quiet. Therefore, we aimed to determine if tone-in-noise thresholds could be a useful measure in detecting age-related hearing deficits, despite having normal audiometric thresholds

Can multiple segmentation methods enhance deep learning networks generalization? A novel hybrid learning paradigm

Deep learning methods are the state-of-the-art for medical imaging segmentation tasks. Still, numerous segmentation algorithms based on heuristic-based methods have been proposed with exceptional results. To validate segmentation algorithms, manual annotations are typically considered as ground truth. However, manual annotations often suffer from inter/intra-operator variability and can also be occasionally inaccurate, especially when considering time-consuming and precise tasks. A sample case is the manual delineation of the lumen-intima (LI) and media-adventitia (MA) borders for intima-media thickness (IMT) measurement in B-mode ultrasound images. In this work, a novel hybrid learning paradigm which combines manual segmentations with the automatic segmentation of a dynamic programming technique for ground truth determination is presented. A profile consensus strategy is proposed to construct the hybrid ground truth. Two open-source datasets (n=2576) were employed for training four deep learning networks using the hybrid learning paradigm and three single source training targets as a comparison. The pipeline was fixed across the four tests and included a Faster R-CNN detection network to locate the carotid artery and then subsequent division into patches which were segmented using a UNet. The validation of the results was performed on an external test set comparing the predictions of the four different models to the annotations of three independent manual operators. The hybrid learning paradigm showed the best overall segmentation results (Dice=0.907±0.037, p<0.001) and demonstrated an exceptional correlation between the mean of three operators and the automatic measure (ICC(2,1)=0.958), demonstrating how the incorporation of heuristic-based segmentation methods within the learning paradigm of a deep neural network can enhance and improve final segmentation performance results

Exploring the Impact of Learning Paradigms on Network Generalization: A Multi-Center IMT Study

The intima-media thickness (IMT) is an important parameter for evaluating cardiovascular disease risk and progression and can be extracted from B-mode longitudinal ultrasound images of the carotid artery. Despite its clinical significance, inter- and intra-operator variability in IMT measurement is a challenge due to subjective factors. Therefore, automatic and semi-automatic approaches based on heuristic methods and deep neural networks have been proposed to reduce the variability in IMT measurement. However, the inter- and intra- operator variability still remains an issue as it affects the quality and diversity of ground truth (GT) data used for training deep learning models. In this study, the authors evaluate the performance of different learning paradigms using different GTs on a multi-center IMT dataset. A recent segmentation network, ConvNeXt, is trained on a dataset of 2576 B-mode longitudinal ultrasound images of the carotid artery, using different GT annotations and learning paradigms. The method is then tested on an external dataset of 448 images from four different centers for which three manual segmentations were available. The results show how the use of different GT annotations and learning paradigms can enhance the generalization ability of deep learning models, demonstrating the importance of selecting appropriate GT data and learning strategies in achieving robust and reliable solutions. The study highlights the significance of incorporating heuristic methods in the training process of deep learning models to enhance the accuracy and consistency of IMT measurement, thus enabling more precise cardiovascular disease risk assessment

The impact of pre- and post-image processing techniques on deep learning frameworks: A comprehensive review for digital pathology image analysis.

Recently, deep learning frameworks have rapidly become the main methodology for analyzing medical images. Due to their powerful learning ability and advantages in dealing with complex patterns, deep learning algorithms are ideal for image analysis challenges, particularly in the field of digital pathology. The variety of image analysis tasks in the context of deep learning includes classification (e.g., healthy vs. cancerous tissue), detection (e.g., lymphocytes and mitosis counting), and segmentation (e.g., nuclei and glands segmentation). The majority of recent machine learning methods in digital pathology have a pre- and/or post-processing stage which is integrated with a deep neural network. These stages, based on traditional image processing methods, are employed to make the subsequent classification, detection, or segmentation problem easier to solve. Several studies have shown how the integration of pre- and post-processing methods within a deep learning pipeline can further increase the model's performance when compared to the network by itself. The aim of this review is to provide an overview on the types of methods that are used within deep learning frameworks either to optimally prepare the input (pre-processing) or to improve the results of the network output (post-processing), focusing on digital pathology image analysis. Many of the techniques presented here, especially the post-processing methods, are not limited to digital pathology but can be extended to almost any image analysis field