[Prediction of renal transplantation outcome using artificial neural networks and investigating important risk factors].

BACKGROUND: Renal Transplantation is the final choice for some patients with ESRD (End-Stage Renal Disease), but some transplantations suffer from acute or chronic rejection, so its very important to predict the outcome of transplantation. METHOD: s. The dataset was extracted from records of 4572 patients with kidney transplantations. We applied an Artificial Neural Network (ANN) model to predict transplantation outcome. Moreover, novel features have been explored which enhanced the prediction performance. RESULTS: The results show that the well configured neural networks can predict renal transplant outcome with a sensitivity and specificity of higher than 86%. The results show creatinine is the most important risk factor that affects the renal transplantation outcome. CONCLUSION: The designed neural networks can properly predict the transplantation outcome with the accuracy of 86%. Recipient creatinine is the most important variable in the prediction of the renal outcome.

Monitoring the level of hypnosis using a hierarchical SVM system.

Monitoring level of hypnosis is a major ongoing challenge for anesthetists to reduce anesthetic drug consumption, avoiding intraoperative awareness and prolonged recovery. This paper proposes a novel automated method for accurate assessing of the level of hypnosis with sevoflurane in 17 patients using the electroencephalogram signal. In this method, a set of distinctive features and a hierarchical classification structure based on support vector machine (SVM) methods, is proposed to discriminate the four levels of anesthesia (awake, light, general and deep states). The first stage of the hierarchical SVM structure identifies the awake state by extracting Shannon Permutation Entropy, Detrended Fluctuation Analysis and frequency features. Then deep state is identified by extracting the sample entropy feature; and finally light and general states are identified by extracting the three mentioned features of the first step. The accuracy of the proposed method of analyzing the brain activity during anesthesia is 94.11%; which was better than previous studies and also a commercial monitoring system (Response Entropy Index).

Automatic computation of left ventricular volume changes over a cardiac cycle from echocardiography images by nonlinear dimensionality reduction.

Curve of left ventricular (LV) volume changes throughout the cardiac cycle is a fundamental parameter for clinical evaluation of various cardiovascular diseases. Currently, this evaluation is often performed manually which is tedious and time consuming and suffers from significant interobserver and intraobserver variability. This paper introduces a new automatic method, based on nonlinear dimensionality reduction (NLDR) for extracting the curve of the LV volume changes over a cardiac cycle from two-dimensional (2-D) echocardiography images. Isometric feature mapping (Isomap) is one of the most popular NLDR algorithms. In this study, a modified version of Isomap algorithm, where image to image distance metric is computed using nonrigid registration, is applied on 2-D echocardiography images of one cycle of heart. Using this approach, the nonlinear information of these images is embedded in a 2-D manifold and each image is characterized by a symbol on the constructed manifold. This new representation visualizes the relationship between these images based on LV volume changes and allows extracting the curve of the LV volume changes automatically. Our method in comparison to the traditional segmentation algorithms does not need any LV myocardial segmentation and tracking, particularly difficult in the echocardiography images. Moreover, a large data set under various diseases for training is not required. The results obtained by our method are quantitatively evaluated to those obtained manually by the highly experienced echocardiographer on ten healthy volunteers and six patients which depict the usefulness of the presented method.

Transfer Learning with Pretrained Convolutional Neural Network for Automated Gleason Grading of Prostate Cancer Tissue Microarrays.

Background: The Gleason grading system has been the most effective prediction for prostate cancer patients. This grading system provides this possibility to assess prostate cancer's aggressiveness and then constitutes an important factor for stratification and therapeutic decisions. However, determining Gleason grade requires highly-trained pathologists and is time-consuming and tedious, and suffers from inter-pathologist variability. To remedy these limitations, this paper introduces an automatic methodology based on transfer learning with pretrained convolutional neural networks (CNNs) for automatic Gleason grading of prostate cancer tissue microarray (TMA). Methods: Fifteen pretrained (CNNs): Efficient Nets (B0-B5), NasNetLarge, NasNetMobile, InceptionV3, ResNet-50, SeResnet 50, Xception, DenseNet121, ResNext50, and inception_resnet_v2 were fine-tuned on a dataset of prostate carcinoma TMA images. Six pathologists separately identified benign and cancerous areas for each prostate TMA image by allocating benign, 3, 4, or 5 Gleason grade for 244 patients. The dataset was labeled by these pathologists and majority vote was applied on pixel-wise annotations to obtain a unified label. Results: Results showed the NasnetLarge architecture is the best model among them in the classification of prostate TMA images of 244 patients with accuracy of 0.93 and area under the curve of 0.98. Conclusion: Our study can act as a highly trained pathologist to categorize the prostate cancer stages with more objective and reproducible results.

Graph-based Analysis to Predict Repetitive Transcranial Magnetic Stimulation Treatment Response in Patients With Major Depressive Disorder Using EEG Signals.

Introduction: Repetitive transcranial magnetic stimulation (rTMS) is a non-pharmacological treatment for drug-resistant major depressive disorder (MDD) patients. Since the success rate of rTMS treatment is about 50%-55%, it is essential to predict the treatment outcome before starting based on electroencephalogram (EEG) signals, leading to identifying effective biomarkers and reducing the burden of health care centers. Methods: To this end, pretreatment EEG data with 19 channels in the resting state from 34 drug-resistant MDD patients were recorded. Then, all patients received 20 sessions of rTMS treatment, and a reduction of at least 50% in the total beck depression inventory (BDI-II) score before and after the rTMS treatment was defined as a reference. In the current study, effective brain connectivity features were determined by the direct directed transfer function (dDTF) method from patients' pretreatment EEG data in all frequency bands separately. Then, the brain functional connectivity patterns were modeled as graphs by the dDTF method and examined with the local graph theory indices, including degree, out-degree, in-degree, strength, out-strength, in-strength, and betweenness centrality. Results: The results indicated that the betweenness centrality index in the Fp2 node and the δ frequency band are the best biomarkers, with the highest area under the receiver operating characteristic curve value of 0.85 for predicting the rTMS treatment outcome in drug-resistant MDD patients. Conclusion: The proposed method investigated the significant biomarkers that can be used to predict the rTMS treatment outcome in drug-resistant MDD patients and help clinical decisions.

Classification of mental workload with EEG analysis by using effective connectivity and a hybrid model of CNN and LSTM.

Estimation of mental workload from electroencephalogram (EEG) signals aims to accurately measure the cognitive demands placed on an individual during multitasking mental activities. By analyzing the brain activity of the subject, we can determine the level of mental effort required to perform a task and optimize the workload to prevent cognitive overload or underload. This information can be used to enhance performance and productivity in various fields such as healthcare, education, and aviation. In this paper, we propose a method that uses EEG and deep neural networks to estimate the mental workload of human subjects during multitasking mental activities. Notably, our proposed method employs subject-independent classification. We use the "STEW" dataset, which consists of two tasks, namely "No task" and "simultaneous capacity (SIMKAP)-based multitasking activity". We estimate the different workload levels of two tasks using a composite framework consisting of brain connectivity and deep neural networks. After the initial preprocessing of EEG signals, an analysis of the relationships between the 14 EEG channels is conducted to evaluate effective brain connectivity. This assessment illustrates the information flow between various brain regions, utilizing the direct Directed Transfer Function (dDTF) method. Then, we propose a deep hybrid model based on pre-trained Convolutional Neural Networks (CNN) and Long Short-Term Memory (LSTM) for the classification of workload levels. The accuracy of the proposed deep model achieved 83.12% according to the subject-independent leave-subject-out (LSO) approach. The pre-trained CNN + LSTM approaches to EEG data have been found to be an accurate method for assessing the mental workload.

Machine learning approaches for early detection of non-alcoholic steatohepatitis based on clinical and blood parameters.

This study aims to develop a machine learning approach leveraging clinical data and blood parameters to predict non-alcoholic steatohepatitis (NASH) based on the NAFLD Activity Score (NAS). Using a dataset of 181 patients, we performed preprocessing including normalization and categorical encoding. To identify predictive features, we applied sequential forward selection (SFS), chi-square, analysis of variance (ANOVA), and mutual information (MI). The selected features were used to train machine learning classifiers including SVM, random forest, AdaBoost, LightGBM, and XGBoost. Hyperparameter tuning was done for each classifier using randomized search. Model evaluation was performed using leave-one-out cross-validation over 100 repetitions. Among the classifiers, random forest, combined with SFS feature selection and 10 features, obtained the best performance: Accuracy: 81.32% ± 6.43%, Sensitivity: 86.04% ± 6.21%, Specificity: 70.49% ± 8.12% Precision: 81.59% ± 6.23%, and F1-score: 83.75% ± 6.23% percent. Our findings highlight the promise of machine learning in enhancing early diagnosis of NASH and provide a compelling alternative to conventional diagnostic techniques. Consequently, this study highlights the promise of machine learning techniques in enhancing early and non-invasive diagnosis of NASH based on readily available clinical and blood data. Our findings provide the basis for developing scalable approaches that can improve screening and monitoring of NASH progression.

Prediction of treatment response in major depressive disorder using a hybrid of convolutional recurrent deep neural networks and effective connectivity based on EEG signal.

In this study, we have developed a novel method based on deep learning and brain effective connectivity to classify responders and non-responders to selective serotonin reuptake inhibitors (SSRIs) antidepressants in major depressive disorder (MDD) patients prior to the treatment using EEG signal. The effective connectivity of 30 MDD patients was determined by analyzing their pretreatment EEG signals, which were then concatenated into delta, theta, alpha, and beta bands and transformed into images. Using these images, we then fine tuned a hybrid Convolutional Neural Network that is enhanced with bidirectional Long Short-Term Memory cells based on transfer learning. The Inception-v3, ResNet18, DenseNet121, and EfficientNet-B0 models are implemented as base models. Finally, the models are followed by BiLSTM and dense layers in order to classify responders and non-responders to SSRI treatment. Results showed that the EfficiencyNet-B0 has the highest accuracy of 98.33, followed by DensNet121, ResNet18 and Inception-v3. Therefore, a new method was proposed in this study that uses deep learning models to extract both spatial and temporal features automatically, which will improve classification results. The proposed method provides accurate identification of MDD patients who are responding, thereby reducing the cost of medical facilities and patient care.

Classification of mental workload using brain connectivity and machine learning on electroencephalogram data.

Mental workload refers to the cognitive effort required to perform tasks, and it is an important factor in various fields, including system design, clinical medicine, and industrial applications. In this paper, we propose innovative methods to assess mental workload from EEG data that use effective brain connectivity for the purpose of extracting features, a hierarchical feature selection algorithm to select the most significant features, and finally machine learning models. We have used the Simultaneous Task EEG Workload (STEW) dataset, an open-access collection of raw EEG data from 48 subjects. We extracted brain-effective connectivities by the direct directed transfer function and then selected the top 30 connectivities for each standard frequency band. Then we applied three feature selection algorithms (forward feature selection, Relief-F, and minimum-redundancy-maximum-relevance) on the top 150 features from all frequencies. Finally, we applied sevenfold cross-validation on four machine learning models (support vector machine (SVM), linear discriminant analysis, random forest, and decision tree). The results revealed that SVM as the machine learning model and forward feature selection as the feature selection method work better than others and could classify the mental workload levels with accuracy equal to 89.53% (± 1.36).

Application of artificial intelligence in pancreas endoscopic ultrasound imaging- A systematic review.

The pancreas is a vital organ in digestive system which has significant health implications. It is imperative to evaluate and identify malignant pancreatic lesions promptly in light of the high mortality rate linked to such malignancies. Endoscopic Ultrasound (EUS) is a non-invasive precise technique to detect pancreas disorders, but it is highly operator dependent. Artificial intelligence (AI), including traditional machine learning (ML) and deep learning (DL) techniques can play a pivotal role to enhancing the performance of EUS regardless of operator. AI performs a critical function in the detection, classification, and segmentation of medical images. The utilization of AI-assisted systems has improved the accuracy and productivity of pancreatic analysis, including the detection of diverse pancreatic disorders (e.g., pancreatitis, masses, and cysts) as well as landmarks and parenchyma. This systematic review examines the rapidly developing domain of AI-assisted system in EUS of the pancreas. Its objective is to present a thorough study of the present research status and developments in this area. This paper explores the significant challenges of AI-assisted system in pancreas EUS imaging, highlights the potential of AI techniques in addressing these challenges, and suggests the scope for future research in domain of AI-assisted EUS systems.

Automatic classification of left ventricular regional wall motion abnormalities in echocardiography images using nonrigid image registration.

Identification and classification of left ventricular (LV) regional wall motion (RWM) abnormalities on echocardiograms has fundamental clinical importance for various cardiovascular disease assessments especially in ischemia. In clinical practice, this evaluation is still performed visually which is highly dependent on training and experience of the echocardiographers and therefore suffers from significant interobserver and intraobserver variability. This paper presents a new automatic technique, based on nonrigid image registration for classifying the RWM of LV in a three-point scale. In this algorithm, we register all images of one cycle of heart to a reference image (end-diastolic image) using a hierarchical parametric model. This model is based on an affine transformation for modeling the global LV motion and a B-spline free-form deformation transformation for modeling the local LV deformation. We consider image registration as a multiresolution optimization problem. Finally, a new regional quantitative index based on resultant parameters of the hierarchical transformation model is proposed for classifying RWM in a three-point scale. The results obtained by our method are quantitatively evaluated to those obtained by two experienced echocardiographers visually as gold standard on ten healthy volunteers and 14 patients (two apical views) and resulted in an absolute agreement of 83 % and a relative agreement of 99 %. Therefore, this diagnostic system can be used as a useful tool as well as reference visual assessment to classify RWM abnormalities in clinical evaluation.

Estimation of non-alcoholic steatohepatitis (NASH) disease using clinical information based on the optimal combination of intelligent algorithms for feature selection and classification.

The early diagnosis of NASH disease can decrease the risk of proceeding elements and treatment costs for patients. This study aims to present an optimal combination of intelligent algorithms using advanced machine learning methods, including different feature selections and classifications based on clinical data and blood factors. In this work, collected data were from 176 patients to investigate NASH disease, and 19 features were extracted. We then sought to find the best combination of features based on different feature selection algorithms such as Feature Forward Selection (FFS), Minimum Redundancy Maximum Relevance (MRMR), and Mutual Information (MI). Finally, we used nine classifier frameworks with different mathematical mechanisms, including random forest (RF), logistic regression (LR), Linear Discriminant Analysis (LDA), AdaBoost, K nearest neighbors (KNN), multilayer perceptron model (MLP), support vector machine (SVM), and decision tree (DT) to estimate NASH disease. Our investigation revealed that the combination of dominant features, namely body mass index (BMI), glutamic pyruvic transaminase (GPT), total cholesterol (TC), high-density lipoprotein (HDL), Ezetimibe, lipoprotein level Lp(a), Loge(Lp(a)), total triglyceride (TG), Creatinine (Cre), HbA1c, Fibrate, and Sex, selected by the MRMR algorithm and classified by the RF method can provide the most appropriate performance based on less computation effort and maximum performance with accuracy, AUC, precision, and recall indices, which are 81.51±9.35, 82.53±11.24, 85.28±9.68, and 89.49±7.92, respectively. This study investigated the configuration of feature selection and classifier that is most suitable for classifying NASH disease based on clinical data and blood factors. The proposed intelligent algorithm based on MRMR and RF classifier can automatically diagnose NASH disease with appropriate performance and present an initial report without any further invasive methods. It also clarifies the diagnostic process and, as a result, the continuation of their prevention and treatment cycle.

Classification of Right/Left Hand Motor Imagery by Effective Connectivity Based on Transfer Entropy in Electroencephalogram Signal.

Introduction: The right and left-hand motor imagery (MI) analysis based on the electroencephalogram (EEG) signal can directly link the central nervous system to a computer or a device. This study aims to identify a set of robust and nonlinear effective brain connectivity features quantified by transfer entropy (TE) to characterize the relationship between brain regions from EEG signals and create a hierarchical feature selection and classification for discrimination of right and lefthand MI tasks. Methods: TE is calculated among EEG channels as the distinctive, effective connectivity features. TE is a model-free method that can measure nonlinear effective connectivity and analyze multivariate dependent directed information flow among neural EEG channels. Then four feature subset selection methods namely relief-F, Fisher, Laplacian, and local learningbased clustering (LLCFS) algorithms are used to choose the most significant effective connectivity features and reduce redundant information. Finally, support vector machine (SVM) and linear discriminant analysis (LDA) methods are used for classification. Results: Results show that the best performance in 29 healthy subjects and 60 trials is achieved using the TE method via the Relief-F algorithm as feature selection and support vector machine (SVM) classification with 91.02% accuracy. Conclusion: The TE index and a hierarchical feature selection and classification can be useful for the discrimination of right- and left-hand MI tasks from multichannel EEG signals. Highlights: Effective connectivity features were extracted from electroencephalogram (EEG) to analyze relationships between regions.Four feature selection methods used to select most significant effective features.Support vector machine (SVM) used for discrimination of right and left hand motor imagery (MI) task. Plain Language Summary: In this study, we investigated brain activity using effective connectivity during MI task based on EEG signals. The motor imagery task can accomplish the same goal as motor execution, since they are both activated by the same brain area. Transfer entropy, coherence, and Granger casualty were employed to extract the features. Differential patterns of activity between the left vs. right MI task showed activity around the motor area rather than other areas. In order to reduce redundant information and select the most significant effective connectivity features, four feature subset selection algorithms are used: Relief-F, Fisher, Laplacian, and learning-based clustering feature selection (LLCFS). Then, support vector machine (SVM) and linear discriminant analysis (LDA) are used to classify left and right hand MI task. Comparison of three different connectivity methods showed that TE index had the highest classification accuracy, and could be useful for the discrimination of right and left hand MI tasks from multichannel EEG signals.

A convolutional recurrent neural network with attention for response prediction to repetitive transcranial magnetic stimulation in major depressive disorder.

Prediction of response to Repetitive Transcranial Magnetic Stimulation (rTMS) can build a very effective treatment platform that helps Major Depressive Disorder (MDD) patients to receive timely treatment. We proposed a deep learning model powered up by state-of-the-art methods to classify responders (R) and non-responders (NR) to rTMS treatment. Pre-treatment Electro-Encephalogram (EEG) signal of public TDBRAIN dataset and 46 proprietary MDD subjects were utilized to create time-frequency representations using Continuous Wavelet Transform (CWT) to be fed into the two powerful pre-trained Convolutional Neural Networks (CNN) named VGG16 and EfficientNetB0. Equipping these Transfer Learning (TL) models with Bidirectional Long Short-Term Memory (BLSTM) and attention mechanism for the extraction of most discriminative spatiotemporal features from input images, can lead to superior performance in the prediction of rTMS treatment outcome. Five brain regions named Frontal, Central, Parietal, Temporal, and occipital were assessed and the highest evaluated performance in 46 proprietary MDD subjects was acquired for the Frontal region using the TL-LSTM-Attention model based on EfficientNetB0 with accuracy, sensitivity, specificity, and Area Under the Curve (AUC) of 97.1%, 97.3%, 97.0%, and 0.96 respectively. Additionally, to test the generalizability of the proposed models, these TL-BLSTM-Attention models were evaluated on a public dataset called TDBRAIN and the highest accuracy of 82.3%, the sensitivity of 80.2%, the specificity of 81.9% and the AUC of 0.83 were obtained. Therefore, advanced deep learning methods using a time-frequency representation of EEG signals from the frontal brain region and the convolutional recurrent neural networks equipped with the attention mechanism can construct an accurate platform for the prediction of response to the rTMS treatment.

A Hybrid EEG-based Emotion Recognition Approach Using Wavelet Convolutional Neural Networks and Support Vector Machine.

Introduction: Nowadays, deep learning and convolutional neural networks (CNNs) have become widespread tools in many biomedical engineering studies. CNN is an end-to-end tool, which makes the processing procedure integrated, but in some situations, this processing tool requires to be fused with machine learning methods to be more accurate. Methods: In this paper, a hybrid approach based on deep features extracted from wavelet CNNs (WCNNs) weighted layers and multiclass support vector machine (MSVM) was proposed to improve the recognition of emotional states from electroencephalogram (EEG) signals. First, EEG signals were preprocessed and converted to Time-Frequency (T-F) color representation or scalogram using the continuous wavelet transform (CWT) method. Then, scalograms were fed into four popular pre-trained CNNs, AlexNet, ResNet-18, VGG-19, and Inception-v3 to fine-tune them. Then, the best feature layer from each one was used as input to the MSVM method to classify four quarters of the valence-arousal model. Finally, the subject-independent leave-one-subject-out criterion was used to evaluate the proposed method on DEAP and MAHNOB-HCI databases. Results: Results showed that extracting deep features from the earlier convolutional layer of ResNet-18 (Res2a) and classifying using the MSVM increased the average accuracy, precision, and recall by about 20% and 12% for MAHNOB-HCI and DEAP databases, respectively. Also, combining scalograms from four regions of pre-frontal, frontal, parietal, and parietal-occipital and two regions of frontal and parietal achieved the higher average accuracy of 77.47% and 87.45% for MAHNOB-HCI and DEAP databases, respectively. Conclusion: Combining CNN and MSVM increased the recognition of emotion from EEG signals and the results were comparable to state-of-the art studies.

Prediction of response to repetitive transcranial magnetic stimulation for major depressive disorder using hybrid Convolutional recurrent neural networks and raw Electroencephalogram Signal.

Major Depressive Disorder (MDD) is a high prevalence disease that needs an effective and timely treatment to prevent its progress and additional costs. Repetitive Transcranial Magnetic Stimulation (rTMS) is an effective treatment option for MDD patients which uses strong magnetic pulses to stimulate specific regions of the brain. However, some patients do not respond to this treatment which causes the waste of multiple weeks as treatment time and clinical resources. Therefore developing an effective way for the prediction of response to the rTMS treatment of depression is necessary. In this work, we proposed a hybrid model created by pre-trained Convolutional Neural Networks (CNN) models and Bidirectional Long Short-Term Memory (BLSTM) cells to predict response to rTMS treatment from raw EEG signal. Three pre-trained CNN models named VGG16, InceptionResNetV2, and EffecientNetB0 were utilized as Transfer Learning (TL) models to construct hybrid TL-BLSTM models. Then an ensemble of these models was created using weighted majority voting which the weights were optimized by Differential Evolution (DE) optimization algorithm. Evaluation of these models shows the superior performance of the ensemble model by the accuracy of 98.51%, sensitivity of 98.64%, specificity of 98.36%, F1-score of 98.6%, and AUC of 98.5%. Therefore, the ensemble of the proposed hybrid convolutional recurrent networks can efficiently predict the treatment outcome of rTMS using raw EEG data.

Automated prediction of COVID-19 mortality outcome using clinical and laboratory data based on hierarchical feature selection and random forest classifier.

Early prediction of COVID-19 mortality outcome can decrease expiration risk by alerting healthcare personnel to assure efficient resource allocation and treatment planning. This study introduces a machine learning framework for the prediction of COVID-19 mortality using demographics, vital signs, and laboratory blood tests (complete blood count (CBC), coagulation, kidney, liver, blood gas, and general). 41 features from 244 COVID-19 patients were recorded on the first day of admission. In this study, first, the features in each of the eight categories were investigated. Afterward, features that have an area under the receiver operating characteristic curve (AUC) above 0.6 and the p-value criterion from the Wilcoxon rank-sum test below 0.005 were used as selected features for further analysis. Then five feature reduction methods, Forward Feature selection, minimum Redundancy Maximum Relevance, Relieff, Linear Discriminant Analysis, and Neighborhood Component Analysis were utilized to select the best combination of features. Finally, seven classifiers frameworks, random forest (RF), support vector machine, logistic regression (LR), K nearest neighbors, Artifical neural network, bagging, and boosting were used to predict the mortality outcome of COVID-19 patients. The results revealed that the combination of features in CBC and then vital signs had the highest mortality classification parameters, respectively. Furthermore, the RF classifier with hierarchical feature selection algorithms via Forward Feature selection had the highest classification power with an accuracy of 92.08 ± 2.56. Therefore, our proposed method can be confidently used as a valuable assistant prognostic tool to sieve patients with high mortality risks.

An effective brain connectivity technique to predict repetitive transcranial magnetic stimulation outcome for major depressive disorder patients using EEG signals.

One of the most effective treatments for drug-resistant Major depressive disorder (MDD) patients is repetitive transcranial magnetic stimulation (rTMS). To improve treatment efficacy and reduce health care costs, it is necessary to predict the treatment response. In this study, we intend to predict the rTMS treatment response in MDD patients from electroencephalogram (EEG) signals before starting the treatment using machine learning approaches. Effective brain connectivity of 19-channel EEG data of MDD patients was calculated by the direct directed transfer function (dDTF) method. Then, using three feature selection methods, the best features were selected and patients were classified as responders or non-responders to rTMS treatment by using the support vector machine (SVM). Results on the 34 MDD patients indicated that the Fp2 region in the delta and theta frequency bands has a significant difference between the two groups and can be used as a significant brain biomarker to assess the rTMS treatment response. Also, the highest accuracy (89.6%) using the SVM classifier for the best features of the dDTF method based on the area under the receiver operating characteristic curve (AUC-ROC) criteria was obtained by combining the delta and theta frequency bands. Consequently, the proposed method can accurately detect the rTMS treatment response in MDD patients before starting treatment on the EEG signal to avoid financial and time costs to patients and medical centers.

Attention-Based Convolutional Recurrent Deep Neural Networks for the Prediction of Response to Repetitive Transcranial Magnetic Stimulation for Major Depressive Disorder.

Repetitive Transcranial Magnetic Stimulation (rTMS) is proposed as an effective treatment for major depressive disorder (MDD). However, because of the suboptimal treatment outcome of rTMS, the prediction of response to this technique is a crucial task. We developed a deep learning (DL) model to classify responders (R) and non-responders (NR). With this aim, we assessed the pre-treatment EEG signal of 34 MDD patients and extracted effective connectivity (EC) among all electrodes in four frequency bands of EEG signal. Two-dimensional EC maps are put together to create a rich connectivity image and a sequence of these images is fed to the DL model. Then, the DL framework was constructed based on transfer learning (TL) models which are pre-trained convolutional neural networks (CNN) named VGG16, Xception, and EfficientNetB0. Then, long short-term memory (LSTM) cells are equipped with an attention mechanism added on top of TL models to fully exploit the spatiotemporal information of EEG signal. Using leave-one subject out cross validation (LOSO CV), Xception-BLSTM-Attention acquired the highest performance with 98.86% of accuracy and 97.73% of specificity. Fusion of these models as an ensemble model based on optimized majority voting gained 99.32% accuracy and 98.34% of specificity. Therefore, the ensemble of TL-LSTM-Attention models can predict accurately the treatment outcome.

Automatic Diagnosis of Stage of COVID-19 Patients using an Ensemble of Transfer Learning with Convolutional Neural Networks Based on Computed Tomography Images.

Background: Diagnosis of the stage of COVID-19 patients using the chest computed tomography (CT) can help the physician in making decisions on the length of time required for hospitalization and adequate selection of patient care. This diagnosis requires very expert radiologists who are not available everywhere and is also tedious and subjective. The aim of this study is to propose an advanced machine learning system to diagnose the stages of COVID-19 patients including normal, early, progressive, peak, and absorption stages based on lung CT images, using an automatic deep transfer learning ensemble. Methods: Different strategies of deep transfer learning were used which were based on pretrained convolutional neural networks (CNNs). Pretrained CNNs were fine-tuned on the chest CT images, and then, the extracted features were classified by a softmax layer. Finally, we built an ensemble method based on majority voting of the best deep transfer learning outputs to further improve the recognition performance. Results: The experimental results from 689 cases indicate that the ensemble of three deep transfer learning outputs based on EfficientNetB4, InceptionResV3, and NasNetlarge has the highest results in diagnosing the stage of COVID-19 with an accuracy of 91.66%. Conclusion: The proposed method can be used for the classification of the stage of COVID-19 disease with good accuracy to help the physician in making decisions on patient care.