Supervoxels-Based Histon as a New Alzheimer's Disease Imaging Biomarker.

Alzheimer's disease (AD) represents the prevalent type of dementia in the elderly, and is characterized by the presence of neurofibrillary tangles and amyloid plaques that eventually leads to the loss of neurons, resulting in atrophy in specific brain areas. Although the process of degeneration can be visualized through various modalities of medical imaging and has proved to be a valuable biomarker, the accurate diagnosis of Alzheimer's disease remains a challenge, especially in its early stages. In this paper, we propose a novel classification method for Alzheimer's disease/cognitive normal discrimination in structural magnetic resonance images (MRI), based on the extension of the concept of histons to volumetric images. The proposed method exploits the relationship between grey matter, white matter and cerebrospinal fluid degeneration by means of a segmentation using supervoxels. The calculated histons are then processed for a reduction in dimensionality using principal components analysis (PCA) and the resulting vector is used to train an support vector machine (SVM) classifier. Experimental results using the OASIS-1 database have proven to be a significant improvement compared to a baseline classification made using the pipeline provided by Clinica software.

Profiling Lung Cancer Patients Using Electronic Health Records.

If Electronic Health Records contain a large amount of information about the patient's condition and response to treatment, which can potentially revolutionize the clinical practice, such information is seldom considered due to the complexity of its extraction and analysis. We here report on a first integration of an NLP framework for the analysis of clinical records of lung cancer patients making use of a telephone assistance service of a major Spanish hospital. We specifically show how some relevant data, about patient demographics and health condition, can be extracted; and how some relevant analyses can be performed, aimed at improving the usefulness of the service. We thus demonstrate that the use of EHR texts, and their integration inside a data analysis framework, is technically feasible and worth of further study.

Fusion of High Resolution Multispectral Imagery in Vulnerable Coastal and Land Ecosystems.

Ecosystems provide a wide variety of useful resources that enhance human welfare, but these resources are declining due to climate change and anthropogenic pressure. In this work, three vulnerable ecosystems, including shrublands, coastal areas with dunes systems and areas of shallow water, are studied. As far as these resources' reduction is concerned, remote sensing and image processing techniques could contribute to the management of these natural resources in a practical and cost-effective way, although some improvements are needed for obtaining a higher quality of the information available. An important quality improvement is the fusion at the pixel level. Hence, the objective of this work is to assess which pansharpening technique provides the best fused image for the different types of ecosystems. After a preliminary evaluation of twelve classic and novel fusion algorithms, a total of four pansharpening algorithms was analyzed using six quality indices. The quality assessment was implemented not only for the whole set of multispectral bands, but also for the subset of spectral bands covered by the wavelength range of the panchromatic image and outside of it. A better quality result is observed in the fused image using only the bands covered by the panchromatic band range. It is important to highlight the use of these techniques not only in land and urban areas, but a novel analysis in areas of shallow water ecosystems. Although the algorithms do not show a high difference in land and coastal areas, coastal ecosystems require simpler algorithms, such as fast intensity hue saturation, whereas more heterogeneous ecosystems need advanced algorithms, as weighted wavelet 'à trous' through fractal dimension maps for shrublands and mixed ecosystems. Moreover, quality map analysis was carried out in order to study the fusion result in each band at the local level. Finally, to demonstrate the performance of these pansharpening techniques, advanced Object-Based (OBIA) support vector machine classification was applied, and a thematic map for the shrubland ecosystem was obtained, which corroborates wavelet 'à trous' through fractal dimension maps as the best fusion algorithm for this ecosystem.

Multi input-Multi output 3D CNN for dementia severity assessment with incomplete multimodal data.

Alzheimer's Disease is the most common cause of dementia, whose progression spans in different stages, from very mild cognitive impairment to mild and severe conditions. In clinical trials, Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET) are mostly used for the early diagnosis of neurodegenerative disorders since they provide volumetric and metabolic function information of the brain, respectively. In recent years, Deep Learning (DL) has been employed in medical imaging with promising results. Moreover, the use of the deep neural networks, especially Convolutional Neural Networks (CNNs), has also enabled the development of DL-based solutions in domains characterized by the need of leveraging information coming from multiple data sources, raising the Multimodal Deep Learning (MDL). In this paper, we conduct a systematic analysis of MDL approaches for dementia severity assessment exploiting MRI and PET scans. We propose a Multi Input-Multi Output 3D CNN whose training iterations change according to the characteristic of the input as it is able to handle incomplete acquisitions, in which one image modality is missed. Experiments performed on OASIS-3 dataset show the satisfactory results of the implemented network, which outperforms approaches exploiting both single image modality and different MDL fusion techniques.

Automatic detection of pneumonia in chest X-ray images using textural features.

Fast and accurate diagnosis is critical for the triage and management of pneumonia, particularly in the current scenario of a COVID-19 pandemic, where this pathology is a major symptom of the infection. With the objective of providing tools for that purpose, this study assesses the potential of three textural image characterisation methods: radiomics, fractal dimension and the recently developed superpixel-based histon, as biomarkers to be used for training Artificial Intelligence (AI) models in order to detect pneumonia in chest X-ray images. Models generated from three different AI algorithms have been studied: K-Nearest Neighbors, Support Vector Machine and Random Forest. Two open-access image datasets were used in this study. In the first one, a dataset composed of paediatric chest X-ray, the best performing generated models achieved an 83.3% accuracy with 89% sensitivity for radiomics, 89.9% accuracy with 93.6% sensitivity for fractal dimension and 91.3% accuracy with 90.5% sensitivity for superpixels based histon. Second, a dataset derived from an image repository developed primarily as a tool for studying COVID-19 was used. For this dataset, the best performing generated models resulted in a 95.3% accuracy with 99.2% sensitivity for radiomics, 99% accuracy with 100% sensitivity for fractal dimension and 99% accuracy with 98.6% sensitivity for superpixel-based histons. The results confirm the validity of the tested methods as reliable and easy-to-implement automatic diagnostic tools for pneumonia.

PET-CT image fusion using random forest and à-trous wavelet transform.

New image fusion rules for multimodal medical images are proposed in this work. Image fusion rules are defined by random forest learning algorithm and a translation-invariant à-trous wavelet transform (AWT). The proposed method is threefold. First, source images are decomposed into approximation and detail coefficients using AWT. Second, random forest is used to choose pixels from the approximation and detail coefficients for forming the approximation and detail coefficients of the fused image. Lastly, inverse AWT is applied to reconstruct fused image. All experiments have been performed on 198 slices of both computed tomography and positron emission tomography images of a patient. A traditional fusion method based on Mallat wavelet transform has also been implemented on these slices. A new image fusion performance measure along with 4 existing measures has been presented, which helps to compare the performance of 2 pixel level fusion methods. The experimental results clearly indicate that the proposed method outperforms the traditional method in terms of visual and quantitative qualities and the new measure is meaningful.

Acronym Disambiguation in Spanish Electronic Health Narratives Using Machine Learning Techniques.

Electronic Health Records (EHRs) are now being massively used in hospitals what has motivated current developments of new methods to process clinical narratives (unstructured data) making it possible to perform context-based searches. Current approaches to process the unstructured texts in EHRs are based in applying text mining or natural language processing (NLP) techniques over the data. In particular Named Entity Recognition (NER) is of paramount importance to retrieve specific biomedical concepts from the text providing the semantic type of the concept retrieved. However, it is very common that clinical notes contain lots of acronyms that cannot be identified by NER processes and even if they are identified, an acronym may correspond to several meanings, so disambiguation of the found term is needed. In this work we provide an approach to perform acronym disambiguation in Spanish EHR using machine learning techniques.