An Investigation about Modern Deep Learning Strategies for Colon Carcinoma Grading.

Developing computer-aided approaches for cancer diagnosis and grading is currently receiving an increasing demand: this could take over intra- and inter-observer inconsistency, speed up the screening process, increase early diagnosis, and improve the accuracy and consistency of the treatment-planning processes.The third most common cancer worldwide and the second most common in women is colorectal cancer (CRC). Grading CRC is a key task in planning appropriate treatments and estimating the response to them. Unfortunately, it has not yet been fully demonstrated how the most advanced models and methodologies of machine learning can impact this crucial task.This paper systematically investigates the use of advanced deep models (convolutional neural networks and transformer architectures) to improve colon carcinoma detection and grading from histological images. To the best of our knowledge, this is the first attempt at using transformer architectures and ensemble strategies for exploiting deep learning paradigms for automatic colon cancer diagnosis. Results on the largest publicly available dataset demonstrated a substantial improvement with respect to the leading state-of-the-art methods. In particular, by exploiting a transformer architecture, it was possible to observe a 3% increase in accuracy in the detection task (two-class problem) and up to a 4% improvement in the grading task (three-class problem) by also integrating an ensemble strategy.

Convolution Neural Networks and Self-Attention Learners for Alzheimer Dementia Diagnosis from Brain MRI.

Alzheimer's disease (AD) is the most common form of dementia. Computer-aided diagnosis (CAD) can help in the early detection of associated cognitive impairment. The aim of this work is to improve the automatic detection of dementia in MRI brain data. For this purpose, we used an established pipeline that includes the registration, slicing, and classification steps. The contribution of this research was to investigate for the first time, to our knowledge, three current and promising deep convolutional models (ResNet, DenseNet, and EfficientNet) and two transformer-based architectures (MAE and DeiT) for mapping input images to clinical diagnosis. To allow a fair comparison, the experiments were performed on two publicly available datasets (ADNI and OASIS) using multiple benchmarks obtained by changing the number of slices per subject extracted from the available 3D voxels. The experiments showed that very deep ResNet and DenseNet models performed better than the shallow ResNet and VGG versions tested in the literature. It was also found that transformer architectures, and DeiT in particular, produced the best classification results and were more robust to the noise added by increasing the number of slices. A significant improvement in accuracy (up to 7%) was achieved compared to the leading state-of-the-art approaches, paving the way for the use of CAD approaches in real-world applications.

Video-Based Automatic Baby Motion Analysis for Early Neurological Disorder Diagnosis: State of the Art and Future Directions.

Neurodevelopmental disorders (NDD) are impairments of the growth and development of the brain and/or central nervous system. In the light of clinical findings on early diagnosis of NDD and prompted by recent advances in hardware and software technologies, several researchers tried to introduce automatic systems to analyse the baby's movement, even in cribs. Traditional technologies for automatic baby motion analysis leverage contact sensors. Alternatively, remotely acquired video data (e.g., RGB or depth) can be used, with or without active/passive markers positioned on the body. Markerless approaches are easier to set up and maintain (without any human intervention) and they work well on non-collaborative users, making them the most suitable technologies for clinical applications involving children. On the other hand, they require complex computational strategies for extracting knowledge from data, and then, they strongly depend on advances in computer vision and machine learning, which are among the most expanding areas of research. As a consequence, also markerless video-based analysis of movements in children for NDD has been rapidly expanding but, to the best of our knowledge, there is not yet a survey paper providing a broad overview of how recent scientific developments impacted it. This paper tries to fill this gap and it lists specifically designed data acquisition tools and publicly available datasets as well. Besides, it gives a glimpse of the most promising techniques in computer vision, machine learning and pattern recognition which could be profitably exploited for children motion analysis in videos.

In-Home Older Adults' Activity Pattern Monitoring Using Depth Sensors: A Review.

The global population is aging due to many factors, including longer life expectancy through better healthcare, changing diet, physical activity, etc. We are also witnessing various frequent epidemics as well as pandemics. The existing healthcare system has failed to deliver the care and support needed to our older adults (seniors) during these frequent outbreaks. Sophisticated sensor-based in-home care systems may offer an effective solution to this global crisis. The monitoring system is the key component of any in-home care system. The evidence indicates that they are more useful when implemented in a non-intrusive manner through different visual and audio sensors. Artificial Intelligence (AI) and Computer Vision (CV) techniques may be ideal for this purpose. Since the RGB imagery-based CV technique may compromise privacy, people often hesitate to utilize in-home care systems which use this technology. Depth, thermal, and audio-based CV techniques could be meaningful substitutes here. Due to the need to monitor larger areas, this review article presents a systematic discussion on the state-of-the-art using depth sensors as primary data-capturing techniques. We mainly focused on fall detection and other health-related physical patterns. As gait parameters may help to detect these activities, we also considered depth sensor-based gait parameters separately. The article provides discussions on the topic in relation to the terminology, reviews, a survey of popular datasets, and future scopes.

When I Look into Your Eyes: A Survey on Computer Vision Contributions for Human Gaze Estimation and Tracking.

The automatic detection of eye positions, their temporal consistency, and their mapping into a line of sight in the real world (to find where a person is looking at) is reported in the scientific literature as gaze tracking. This has become a very hot topic in the field of computer vision during the last decades, with a surprising and continuously growing number of application fields. A very long journey has been made from the first pioneering works, and this continuous search for more accurate solutions process has been further boosted in the last decade when deep neural networks have revolutionized the whole machine learning area, and gaze tracking as well. In this arena, it is being increasingly useful to find guidance through survey/review articles collecting most relevant works and putting clear pros and cons of existing techniques, also by introducing a precise taxonomy. This kind of manuscripts allows researchers and technicians to choose the better way to move towards their application or scientific goals. In the literature, there exist holistic and specifically technological survey documents (even if not updated), but, unfortunately, there is not an overview discussing how the great advancements in computer vision have impacted gaze tracking. Thus, this work represents an attempt to fill this gap, also introducing a wider point of view that brings to a new taxonomy (extending the consolidated ones) by considering gaze tracking as a more exhaustive task that aims at estimating gaze target from different perspectives: from the eye of the beholder (first-person view), from an external camera framing the beholder's, from a third-person view looking at the scene where the beholder is placed in, and from an external view independent from the beholder.

Computational Assessment of Facial Expression Production in ASD Children.

In this paper, a computational approach is proposed and put into practice to assess the capability of children having had diagnosed Autism Spectrum Disorders (ASD) to produce facial expressions. The proposed approach is based on computer vision components working on sequence of images acquired by an off-the-shelf camera in unconstrained conditions. Action unit intensities are estimated by analyzing local appearance and then both temporal and geometrical relationships, learned by Convolutional Neural Networks, are exploited to regularize gathered estimates. To cope with stereotyped movements and to highlight even subtle voluntary movements of facial muscles, a personalized and contextual statistical modeling of non-emotional face is formulated and used as a reference. Experimental results demonstrate how the proposed pipeline can improve the analysis of facial expressions produced by ASD children. A comparison of system's outputs with the evaluations performed by psychologists, on the same group of ASD children, makes evident how the performed quantitative analysis of children's abilities helps to go beyond the traditional qualitative ASD assessment/diagnosis protocols, whose outcomes are affected by human limitations in observing and understanding multi-cues behaviors such as facial expressions.

An investigation on the feasibility of uncalibrated and unconstrained gaze tracking for human assistive applications by using head pose estimation.

This paper investigates the possibility of accurately detecting and tracking human gaze by using an unconstrained and noninvasive approach based on the head pose information extracted by an RGB-D device. The main advantages of the proposed solution are that it can operate in a totally unconstrained environment, it does not require any initial calibration and it can work in real-time. These features make it suitable for being used to assist human in everyday life (e.g., remote device control) or in specific actions (e.g., rehabilitation), and in general in all those applications where it is not possible to ask for user cooperation (e.g., when users with neurological impairments are involved). To evaluate gaze estimation accuracy, the proposed approach has been largely tested and results are then compared with the leading methods in the state of the art, which, in general, make use of strong constraints on the people movements, invasive/additional hardware and supervised pattern recognition modules. Experimental tests demonstrated that, in most cases, the errors in gaze estimation are comparable to the state of the art methods, although it works without additional constraints, calibration and supervised learning.

An efficient approach for preprocessing data from a large-scale chemical sensor array.

In this paper, an artificial olfactory system (Electronic Nose) that mimics the biological olfactory system is introduced. The device consists of a Large-Scale Chemical Sensor Array (16; 384 sensors, made of 24 different kinds of conducting polymer materials)that supplies data to software modules, which perform advanced data processing. In particular, the paper concentrates on the software components consisting, at first, of a crucial step that normalizes the heterogeneous sensor data and reduces their inherent noise. Cleaned data are then supplied as input to a data reduction procedure that extracts the most informative and discriminant directions in order to get an efficient representation in a lower dimensional space where it is possible to more easily find a robust mapping between the observed outputs and the characteristics of the odors in input to the device. Experimental qualitative proofs of the validity of the procedure are given by analyzing data acquired for two different pure analytes and their binary mixtures. Moreover, a classification task is performed in order to explore the possibility of automatically recognizing pure compounds and to predict binary mixture concentrations.

Transpiration and canopy conductance in an inner alpine Scots pine (Pinus sylvestris L.) forest.

Canopy transpiration (Ec) of a 150-year old Pinus sylvestris L. stand in an inner alpine dry valley, Tyrol, Austria was estimated throughout two growing seasons 2011 and 2012 by means of xylem sap flow measurements. Although there were prolonged periods of limited soil water availability Ec did not show a clear trend with respect to soil water availability and averaged 0.4 ± 0.19 mm day-1 under conditions of non-limiting soil water availability and 0.37 ± 0.17 mm day-1 when soil water availability was limited. This is because canopy conductance declined significantly with increasing evaporative demand and thus significantly reduced tree water loss. The growing season total of Ec was 74 mm and 88 mm in 2011 and 2012, respectively, which is significantly below the values estimated for other P. sylvestris forest ecosystems in Central Europe, and thus reflecting a strong adaptation to soil drought during periods of high evaporative.

Vision-based human fall detection systems using deep learning: A review.

Human fall is one of the very critical health issues, especially for elders and disabled people living alone. The number of elder populations is increasing steadily worldwide. Therefore, human fall detection is becoming an effective technique for assistive living for those people. For assistive living, deep learning and computer vision have been used largely. In this review article, we discuss deep learning (DL)-based state-of-the-arts non-intrusive (vision-based) fall detection techniques. We also present a survey on fall detection benchmark datasets. For a clear understanding, we briefly discuss different metrics which are used to evaluate the performance of the fall detection systems. This article also gives a future direction on vision-based human fall detection techniques.

Characterization of a Collection of Colored Lentil Genetic Resources Using a Novel Computer Vision Approach.

The lentil (Lens culinaris Medik.) is one of the major pulse crops cultivated worldwide. However, in the last decades, lentil cultivation has decreased in many areas surrounding Mediterranean countries due to low yields, new lifestyles, and changed eating habits. Thus, many landraces and local varieties have disappeared, while local farmers are the only custodians of the treasure of lentil genetic resources. Recently, the lentil has been rediscovered to meet the needs of more sustainable agriculture and food systems. Here, we proposed an image analysis approach that, besides being a rapid and non-destructive method, can characterize seed size grading and seed coat morphology. The results indicated that image analysis can give much more detailed and precise descriptions of grain size and shape characteristics than can be practically achieved by manual quality assessment. Lentil size measurements combined with seed coat descriptors and the color attributes of the grains allowed us to develop an algorithm that was able to identify 64 red lentil genotypes collected at ICARDA with an accuracy approaching 98% for seed size grading and close to 93% for the classification of seed coat morphology.

Emotional Expression in Children With ASD: A Pre-Study on a Two-Group Pre-Post-Test Design Comparing Robot-Based and Computer-Based Training.

Several studies have found a delay in the development of facial emotion recognition and expression in children with an autism spectrum condition (ASC). Several interventions have been designed to help children to fill this gap. Most of them adopt technological devices (i.e., robots, computers, and avatars) as social mediators and reported evidence of improvement. Few interventions have aimed at promoting emotion recognition and expression abilities and, among these, most have focused on emotion recognition. Moreover, a crucial point is the generalization of the ability acquired during treatment to naturalistic interactions. This study aimed to evaluate the effectiveness of two technological-based interventions focused on the expression of basic emotions comparing a robot-based type of training with a "hybrid" computer-based one. Furthermore, we explored the engagement of the hybrid technological device introduced in the study as an intermediate step to facilitate the generalization of the acquired competencies in naturalistic settings. A two-group pre-post-test design was applied to a sample of 12 children (M = 9.33; ds = 2.19) with autism. The children were included in one of the two groups: group 1 received a robot-based type of training (n = 6); and group 2 received a computer-based type of training (n = 6). Pre- and post-intervention evaluations (i.e., time) of facial expression and production of four basic emotions (happiness, sadness, fear, and anger) were performed. Non-parametric ANOVAs found significant time effects between pre- and post-interventions on the ability to recognize sadness [t (1) = 7.35, p = 0.006; pre: M (ds) = 4.58 (0.51); post: M (ds) = 5], and to express happiness [t (1) = 5.72, p = 0.016; pre: M (ds) = 3.25 (1.81); post: M (ds) = 4.25 (1.76)], and sadness [t (1) = 10.89, p < 0; pre: M (ds) = 1.5 (1.32); post: M (ds) = 3.42 (1.78)]. The group*time interactions were significant for fear [t (1) = 1.019, p = 0.03] and anger expression [t (1) = 1.039, p = 0.03]. However, Mann-Whitney comparisons did not show significant differences between robot-based and computer-based training. Finally, no difference was found in the levels of engagement comparing the two groups in terms of the number of voice prompts given during interventions. Albeit the results are preliminary and should be interpreted with caution, this study suggests that two types of technology-based training, one mediated via a humanoid robot and the other via a pre-settled video of a peer, perform similarly in promoting facial recognition and expression of basic emotions in children with an ASC. The findings represent the first step to generalize the abilities acquired in a laboratory-trained situation to naturalistic interactions.

A Survey of Computer Vision Methods for 2D Object Detection from Unmanned Aerial Vehicles.

The spread of Unmanned Aerial Vehicles (UAVs) in the last decade revolutionized many applications fields. Most investigated research topics focus on increasing autonomy during operational campaigns, environmental monitoring, surveillance, maps, and labeling. To achieve such complex goals, a high-level module is exploited to build semantic knowledge leveraging the outputs of the low-level module that takes data acquired from multiple sensors and extracts information concerning what is sensed. All in all, the detection of the objects is undoubtedly the most important low-level task, and the most employed sensors to accomplish it are by far RGB cameras due to costs, dimensions, and the wide literature on RGB-based object detection. This survey presents recent advancements in 2D object detection for the case of UAVs, focusing on the differences, strategies, and trade-offs between the generic problem of object detection, and the adaptation of such solutions for operations of the UAV. Moreover, a new taxonomy that considers different heights intervals and driven by the methodological approaches introduced by the works in the state of the art instead of hardware, physical and/or technological constraints is proposed.

Long-term trends in the prescription of antidiabetic drugs: real-world evidence from the Diabetes Registry Tyrol 2012-2018.

INTRODUCTION: Prescription patterns of antidiabetic drugs in the period from 2012 to 2018 were investigated based on the Diabetes Registry Tyrol. To validate the findings, we compared the numbers with trends of different national registries conducted in a comparable period of time. RESEARCH DESIGN AND METHODS: Medication data, prescription patterns, age groups, antidiabetic therapies and quality parameters (hemoglobin A1c, body mass index, complications) of 10 875 patients with type 2 diabetes from 2012 to 2018 were retrospectively assessed and descriptively analyzed. The changes were assessed using a time series analysis with linear regression and prescription trends were plotted over time. RESULTS: Sodium/glucose cotransporter 2 inhibitors (SGLT-2i) showed a significant increase in prescription from 2012 to 2018 (p<0.001), as well as metformin (p=0.002), gliptins (p=0.013) and glucagon-like peptide-1 agonists (GLP-1a) (p=0.017). Significant reduction in sulfonylurea prescriptions (p<0.001) was observed. Metformin was the most frequently prescribed antidiabetic drug (51.3%), followed by insulin/analogs (34.6%), gliptins (28.2%), SGLT-2i (11.7%), sulfonylurea (9.1%), glitazones (3.7%), GLP-1a (2.8%) and glucosidase inhibitors (0.4%). CONCLUSIONS: In this long-term, real-world study on prescription changes in the Diabetes Registry Tyrol, we observed significant increase in SGLT-2i, metformin, gliptins and GLP-1a prescriptions. In contrast prescriptions for sulfonylureas declined significantly. Changes were consistent over the years 2012-2018. Changes in prescription patterns occurred even before the publication of international and national guidelines. Thus, physicians change their prescription practice not only based on published guidelines, but even earlier on publication of cardiovascular outcome trials.

Strategies for reducing speckle noise in digital holography.

Digital holography (DH) has emerged as one of the most effective coherent imaging technologies. The technological developments of digital sensors and optical elements have made DH the primary approach in several research fields, from quantitative phase imaging to optical metrology and 3D display technologies, to name a few. Like many other digital imaging techniques, DH must cope with the issue of speckle artifacts, due to the coherent nature of the required light sources. Despite the complexity of the recently proposed de-speckling methods, many have not yet attained the required level of effectiveness. That is, a universal denoising strategy for completely suppressing holographic noise has not yet been established. Thus the removal of speckle noise from holographic images represents a bottleneck for the entire optics and photonics scientific community. This review article provides a broad discussion about the noise issue in DH, with the aim of covering the best-performing noise reduction approaches that have been proposed so far. Quantitative comparisons among these approaches will be presented.

Prescription of oral antidiabetic drugs in Tyrol - Data from the Tyrol diabetes registry 2012-2015.

Diabetes mellitus affects 9% of the adult population worldwide and the economic burden of the disease is growing exponentially. In type 2 diabetes mellitus (T2DM), when life style interventions fail to achieve treatment targets, oral antidiabetic drugs are prescribed to improve glycemic control. Several new oral antidiabetics have been launched in the last few years, which enlarged the spectrum of available treatment options in T2DM. The present study aimed to examine T2DM treatment patterns in a cohort of 7769 patients recruited from the Diabetes Registry Tyrol (DRT) with at least one visit from 2012-2015. Secondly, the study aimed to evaluate the use of new oral antidiabetics compared to older oral antidiabetics (OAD). It was found that 43.4% of all patients were treated with OAD alone while 21.2% had oral antidiabetics combined with insulin. 19.9% of the study population were treated with insulin or insulin analogs only. 15.3% had no pharmacological treatment. Metformin was used most frequently (47.9% of the study population), followed by gliptines (27.2%). The most common treatment regimen in this population was the dual therapy of metformin and another OAD (17.2%), followed by metformin monotherapy (16.6%) and triple therapy of metformin and two additional OAD (11.0%).

Stable Water Use Efficiency under Climate Change of Three Sympatric Conifer Species at the Alpine Treeline.

The ability of treeline associated conifers in the Central Alps to cope with recent climate warming and increasing CO2 concentration is still poorly understood. We determined tree ring stable carbon and oxygen isotope ratios of Pinus cembra, Picea abies, and Larix decidua trees from 1975 to 2010. Stable isotope ratios were compared with leaf level gas exchange measurements carried out in situ between 1979 and 2007. Results indicate that tree ring derived intrinsic water-use efficiency (iWUE) of P. cembra, P. abies and L. decidua remained constant during the last 36 years despite climate warming and rising atmospheric CO2. Temporal patterns in Δ(13)C and Δ(18)O mirrored leaf level gas exchange assessments, suggesting parallel increases of CO2-fixation and stomatal conductance of treeline conifer species. As at the study site soil water availability was not a limiting factor iWUE remained largely stable throughout the study period. The stability in iWUE was accompanied by an increase in basal area increment (BAI) suggesting that treeline trees benefit from both recent climate warming and CO2 fertilization. Finally, our results suggest that iWUE may not change species composition at treeline in the Austrian Alps due to similar ecophysiological responses to climatic changes of the three sympatric study species.

Facial expression recognition and histograms of oriented gradients: a comprehensive study.

Automatic facial expression recognition (FER) is a topic of growing interest mainly due to the rapid spread of assistive technology applications, as human-robot interaction, where a robust emotional awareness is a key point to best accomplish the assistive task. This paper proposes a comprehensive study on the application of histogram of oriented gradients (HOG) descriptor in the FER problem, highlighting as this powerful technique could be effectively exploited for this purpose. In particular, this paper highlights that a proper set of the HOG parameters can make this descriptor one of the most suitable to characterize facial expression peculiarities. A large experimental session, that can be divided into three different phases, was carried out exploiting a consolidated algorithmic pipeline. The first experimental phase was aimed at proving the suitability of the HOG descriptor to characterize facial expression traits and, to do this, a successful comparison with most commonly used FER frameworks was carried out. In the second experimental phase, different publicly available facial datasets were used to test the system on images acquired in different conditions (e.g. image resolution, lighting conditions, etc.). As a final phase, a test on continuous data streams was carried out on-line in order to validate the system in real-world operating conditions that simulated a real-time human-machine interaction.

Unsupervised eye pupil localization through differential geometry and local self-similarity matching.

The automatic detection and tracking of human eyes and, in particular, the precise localization of their centers (pupils), is a widely debated topic in the international scientific community. In fact, the extracted information can be effectively used in a large number of applications ranging from advanced interfaces to biometrics and including also the estimation of the gaze direction, the control of human attention and the early screening of neurological pathologies. Independently of the application domain, the detection and tracking of the eye centers are, currently, performed mainly using invasive devices. Cheaper and more versatile systems have been only recently introduced: they make use of image processing techniques working on periocular patches which can be specifically acquired or preliminarily cropped from facial images. In the latter cases the involved algorithms must work even in cases of non-ideal acquiring conditions (e.g in presence of noise, low spatial resolution, non-uniform lighting conditions, etc.) and without user's awareness (thus with possible variations of the eye in scale, rotation and/or translation). Getting satisfying results in pupils' localization in such a challenging operating conditions is still an open scientific topic in Computer Vision. Actually, the most performing solutions in the literature are, unfortunately, based on supervised machine learning algorithms which require initial sessions to set the working parameters and to train the embedded learning models of the eye: this way, experienced operators have to work on the system each time it is moved from an operational context to another. It follows that the use of unsupervised approaches is more and more desirable but, unfortunately, their performances are not still satisfactory and more investigations are required. To this end, this paper proposes a new unsupervised approach to automatically detect the center of the eye: its algorithmic core is a representation of the eye's shape that is obtained through a differential analysis of image intensities and the subsequent combination with the local variability of the appearance represented by self-similarity coefficients. The experimental evidence of the effectiveness of the method was demonstrated on challenging databases containing facial images. Moreover, its capabilities to accurately detect the centers of the eyes were also favourably compared with those of the leading state-of-the-art methods.