RESUMEN
This study aimed to determine the feasibility of applying machine-learning methods to assess the progression of chronic kidney disease (CKD) in patients with coronavirus disease (COVID-19) and acute renal injury (AKI). The study was conducted on patients aged 18 years or older who were diagnosed with COVID-19 and AKI between April 2020 and March 2021, and admitted to a second-level hospital in Mérida, Yucatán, México. Of the admitted patients, 47.92% died and 52.06% were discharged. Among the discharged patients, 176 developed AKI during hospitalization, and 131 agreed to participate in the study. The study's results indicated that the area under the receiver operating characteristic curve (AUC-ROC) for the four models was 0.826 for the support vector machine (SVM), 0.828 for the random forest, 0.840 for the logistic regression, and 0.841 for the boosting model. Variable selection methods were utilized to enhance the performance of the classifier, with the SVM model demonstrating the best overall performance, achieving a classification rate of 99.8% ± 0.1 in the training set and 98.43% ± 1.79 in the validation set in AUC-ROC values. These findings have the potential to aid in the early detection and management of CKD, a complication of AKI resulting from COVID-19. Further research is required to confirm these results.
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Considered a neglected tropical pathology, Chagas disease is responsible for thousands of deaths per year and it is caused by the parasite Trypanosoma cruzi. Since many infected people can remain asymptomatic, a fast diagnosis is necessary for proper intervention. Parasite microscopic observation in blood samples is the gold standard method to diagnose Chagas disease in its initial phase; however, this is a time-consuming procedure, requires expert intervention, and there is currently no efficient method to automatically perform this task. Therefore, we propose an efficient residual convolutional neural network, named Res2Unet, to perform a semantic segmentation of Trypanosoma cruzi parasites, with an active contour loss and improved residual connections, whose design is based on Heun's method for solving ordinary differential equations. The model was trained on a dataset of 626 blood sample images and tested on a dataset of 207 images. Validation experiments report that our model achieved a Dice coefficient score of 0.84, a precision value of 0.85, and a recall value of 0.82, outperforming current state-of-the-art methods. Since Chagas disease is a severe and silent illness, our computational model may benefit health care providers to give a prompt diagnose for this worldwide affection.
Asunto(s)
Enfermedad de Chagas , Parásitos , Animales , Enfermedad de Chagas/diagnóstico , Progresión de la Enfermedad , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Redes Neurales de la ComputaciónRESUMEN
The Chagas disease is a potentially life-threatening illness caused by the protozoan parasite, Trypanosoma cruzi. Visual detection of such parasite through microscopic inspection is a tedious and time-consuming task. In this paper, we provide an AdaBoost learning solution to the task of Chagas parasite detection in blood images. We give details of the algorithm and our experimental setup. With this method, we get 100% and 93.25% of sensitivity and specificity, respectively. A ROC comparison with the method most commonly used for the detection of malaria parasites based on support vector machines (SVM) is also provided. Our experimental work shows mainly two things: (1) Chagas parasites can be detected automatically using machine learning methods with high accuracy and (2) AdaBoost + SVM provides better overall detection performance than AdaBoost or SVMs alone. Such results are the best ones known so far for the problem of automatic detection of Chagas parasites through the use of machine learning, computer vision, and image processing methods.
Asunto(s)
Algoritmos , Enfermedad de Chagas/sangre , Trypanosoma cruzi/aislamiento & purificación , Humanos , Procesamiento de Imagen Asistido por Computador , Informática Médica/métodos , Reconocimiento de Normas Patrones Automatizadas , Curva ROC , Sensibilidad y Especificidad , Programas Informáticos , Máquina de Vectores de SoporteRESUMEN
Chagas disease is a tropical parasitic disease caused by the flagellate protozoan Trypanosoma cruzi (T. cruzi) and currently affecting large portions of the Americas. One of the standard laboratory methods to determine the presence of the parasite is by direct visualization in blood smears stained with some colorant. This method is time-consuming, requires trained microscopists and is prone to human mistakes. In this article we propose a novel algorithm for the automatic detection of T. cruzi parasites, in microscope digital images obtained from peripheral blood smears treated with Wright's stain. Our algorithm achieved a sensitivity of 0.98 and specificity of 0.85 when evaluated against a dataset of 120 test images. Experimental results show the versatility of the method for parasitemia determination.