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1.
Bioinformatics ; 2024 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-39276157

RESUMEN

MOTIVATION: Neoantigens, derived from somatic mutations in cancer cells, can elicit anti-tumor immune responses when presented to autologous T cells by human leukocyte antigen (HLA). Identifying immunogenic neoantigens is crucial for cancer immunotherapy development. However, the accuracy of current bioinformatic methods remains unsatisfactory. Surface and structural features of peptide-HLA class I (pHLA-I) complexes offer valuable insight into the immunogenicity of neoantigens. RESULTS: We present NeoaPred, a deep-learning framework for neoantigen prediction. NeoaPred accurately constructs pHLA-I complex structures, with 82.37% of the predicted structures showing an RMSD of < 1 Å. Using these structures, NeoaPred integrates differences in surface, structural, and atom group features between the mutant peptide and its wild-type counterpart to predict a foreignness score. This foreignness score is an effective factor for neoantigen prediction, achieving an AUROC of 0.81 and an AUPRC of 0.54 in the test set, outperforming existing methods. AVAILABILITY: The source code is released under an Apache v2.0 license and is available at the GitHub repository https://github.com/Dulab2020/NeoaPred. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

2.
Fundam Res ; 4(4): 713-714, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-39156579
3.
Artículo en Inglés | MEDLINE | ID: mdl-39178069

RESUMEN

Mild cognitive impairment (MCI) represents an early stage of Alzheimer's disease (AD), characterized by subtle clinical symptoms that pose challenges for accurate diagnosis. The quest for the identification of MCI individuals has highlighted the importance of comprehending the underlying mechanisms of disease causation. Integrated analysis of brain imaging and genomics offers a promising avenue for predicting MCI risk before clinical symptom onset. However, most existing methods face challenges in: 1) mining the brain network-specific topological structure and addressing the single nucleotide polymorphisms (SNPs)-related noise contamination and 2) extracting the discriminative properties of brain imaging genomics, resulting in limited accuracy for MCI diagnosis. To this end, a modality-aware discriminative fusion network (MA-DFN) is proposed to integrate the complementary information from brain imaging genomics to diagnose MCI. Specifically, we first design two modality-specific feature extraction modules: the graph convolutional network with edge-augmented self-attention module (GCN-EASA) and the deep adversarial denoising autoencoder module (DAD-AE), to capture the topological structure of brain networks and the intrinsic distribution of SNPs. Subsequently, a discriminative-enhanced fusion network with correlation regularization module (DFN-CorrReg) is employed to enhance inter-modal consistency and between-class discrimination in brain imaging and genomics. Compared to other state-of-the-art approaches, MA-DFN not only exhibits superior performance in stratifying cognitive normal (CN) and MCI individuals but also identifies disease-related brain regions and risk SNPs locus, which hold potential as putative biomarkers for MCI diagnosis.

4.
Artículo en Inglés | MEDLINE | ID: mdl-39141461

RESUMEN

Traditional clustering methods rely on pairwise affinity to divide samples into different subgroups. However, high-dimensional small-sample (HDLSS) data are affected by the concentration effects, rendering traditional pairwise metrics unable to accurately describe relationships between samples, leading to suboptimal clustering results. This article advances the proposition of employing high-order affinities to characterize multiple sample relationships as a strategic means to circumnavigate the concentration effects. We establish a nexus between different order affinities by constructing specialized decomposable high-order affinities, thereby formulating a uniform mathematical framework. Building upon this insight, a novel clustering method named uniform tensor clustering (UTC) is proposed, which learns a consensus low-dimensional embedding for clustering by the synergistic exploitation of multiple-order affinities. Extensive experiments on synthetic and real-world datasets demonstrate two findings: 1) high-order affinities are better suited for characterizing sample relationships in complex data and 2) reasonable use of different order affinities can enhance clustering effectiveness, especially in handling high-dimensional data.

5.
Artículo en Inglés | MEDLINE | ID: mdl-39133592

RESUMEN

Increasing evidence has indicated that RNA-binding proteins (RBPs) play an essential role in mediating alternative splicing (AS) events during epithelial-mesenchymal transition (EMT). However, due to the substantial cost and complexity of biological experiments, how AS events are regulated and influenced remains largely unknown. Thus, it is important to construct effective models for inferring hidden RBP-AS event associations during EMT process. In this paper, a novel and efficient model was developed to identify AS event-related candidate RBPs based on Adaptive Graph-based Multi-Label learning (AGML). In particular, we propose to adaptively learn a new affinity graph to capture the intrinsic structure of data for both RBPs and AS events. Multi-view similarity matrices are employed for maintaining the intrinsic structure and guiding the adaptive graph learning. We then simultaneously update the RBP and AS event associations that are predicted from both spaces by applying multi-label learning. The experimental results have shown that our AGML achieved AUC values of 0.9521 and 0.9873 by 5-fold and leave-one-out cross-validations, respectively, indicating the superiority and effectiveness of our proposed model. Furthermore, AGML can serve as an efficient and reliable tool for uncovering novel AS events-associated RBPs and is applicable for predicting the associations between other biological entities. The source code of AGML is available at https://github.com/yushanqiu/AGML.

6.
Artículo en Inglés | MEDLINE | ID: mdl-38959138

RESUMEN

Recently, single-image SVBRDF capture is formulated as a regression problem, which uses a network to infer four SVBRDF maps from a flash-lit image. However, the accuracy is still not satisfactory since previous approaches usually adopt endto-end inference strategies. To mitigate the challenge, we propose "auxiliary renderings" as the intermediate regression targets, through which we divide the original end-to-end regression task into several easier sub-tasks, thus achieving better inference accuracy. Our contributions are threefold. First, we design three (or two pairs of) auxiliary renderings and summarize the motivations behind the designs. By our design, the auxiliary images are bumpiness-flattened or highlight-removed, containing disentangled visual cues about the final SVBRDF maps and can be easily transformed to the final maps. Second, to help estimate the auxiliary targets from the input image, we propose two mask images including a bumpiness mask and a highlight mask. Our method thus first infers mask images, then with the help of the mask images infers auxiliary renderings, and finally transforms the auxiliary images to SVBRDF maps. Third, we propose backbone UNets to infer mask images, and gated deformable UNets for estimating auxiliary targets. Thanks to the well designed networks and intermediate images, our method outputs better SVBRDF maps than previous approaches, validated by the extensive comparisonal and ablation experiments.

7.
Med Image Anal ; 97: 103252, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-38963973

RESUMEN

Histopathology image-based survival prediction aims to provide a precise assessment of cancer prognosis and can inform personalized treatment decision-making in order to improve patient outcomes. However, existing methods cannot automatically model the complex correlations between numerous morphologically diverse patches in each whole slide image (WSI), thereby preventing them from achieving a more profound understanding and inference of the patient status. To address this, here we propose a novel deep learning framework, termed dual-stream multi-dependency graph neural network (DM-GNN), to enable precise cancer patient survival analysis. Specifically, DM-GNN is structured with the feature updating and global analysis branches to better model each WSI as two graphs based on morphological affinity and global co-activating dependencies. As these two dependencies depict each WSI from distinct but complementary perspectives, the two designed branches of DM-GNN can jointly achieve the multi-view modeling of complex correlations between the patches. Moreover, DM-GNN is also capable of boosting the utilization of dependency information during graph construction by introducing the affinity-guided attention recalibration module as the readout function. This novel module offers increased robustness against feature perturbation, thereby ensuring more reliable and stable predictions. Extensive benchmarking experiments on five TCGA datasets demonstrate that DM-GNN outperforms other state-of-the-art methods and offers interpretable prediction insights based on the morphological depiction of high-attention patches. Overall, DM-GNN represents a powerful and auxiliary tool for personalized cancer prognosis from histopathology images and has great potential to assist clinicians in making personalized treatment decisions and improving patient outcomes.


Asunto(s)
Redes Neurales de la Computación , Humanos , Análisis de Supervivencia , Aprendizaje Profundo , Neoplasias/diagnóstico por imagen , Neoplasias/mortalidad , Interpretación de Imagen Asistida por Computador/métodos , Pronóstico
8.
Artículo en Inglés | MEDLINE | ID: mdl-38980782

RESUMEN

Tensor spectral clustering (TSC) is a recently proposed approach to robustly group data into underlying clusters. Unlike the traditional spectral clustering (SC), which merely uses pairwise similarities of data in an affinity matrix, TSC aims at exploring their multiwise similarities in an affinity tensor to achieve better performance. However, the performance of TSC highly relies on the design of multiwise similarities, and it remains unclear especially for high-dimension-low-sample-size (HDLSS) data. To this end, this article has proposed a discriminating TSC (DTSC) for HDLSS data. Specifically, DTSC uses the proposed discriminating affinity tensor that encodes the pair-to-pair similarities, which are particularly constructed by the anchor-based distance. HDLSS asymptotic analysis shows that the proposed affinity tensor can explicitly differentiate samples from different clusters when the feature dimension is large. This theoretical property allows DTSC to improve the clustering performance on HDLSS data. Experimental results on synthetic and benchmark datasets demonstrate the effectiveness and robustness of the proposed method in comparison to several baseline methods.

9.
Artículo en Inglés | MEDLINE | ID: mdl-39074003

RESUMEN

Emerging research indicates that the degenerative biomarkers associated with Alzheimer's disease (AD) exhibit a non-random distribution within the cerebral cortex, instead following the structural brain network. The alterations in brain networks occur much earlier than the onset of clinical symptoms, thereby affecting the progression of brain disease. In this context, the utilization of computational methods to ascertain the propagation patterns of neuropathological events would contribute to the comprehension of the pathophysiological mechanism involved in the evolution of AD. Despite the encouraging findings achieved by existing graph-based deep learning approaches in analyzing irregular graph data, their applications in identifying the spreading pathway of neuropathology are limited due to two disadvantages. They include (1) lack of a common brain network as an unbiased reference basis for group comparison, and (2) lack of an appropriate mechanism for the identification of propagation patterns. To this end, we propose a proof-of-concept harmonic wavelet neural network (HWNN) to predict the early stage of AD and localize disease-related significant wavelets, which can be used to characterize the spreading pathways of neuropathological events across the brain network. The extensive experiments constructed on both synthetic and real datasets demonstrate that our proposed method achieves superior performance in classification accuracy and statistical power of identifying propagation patterns, compared with other representative approaches.

10.
Artículo en Inglés | MEDLINE | ID: mdl-38848236

RESUMEN

3D neural rendering enables photo-realistic reconstruction of a specific scene by encoding discontinuous inputs into a neural representation. Despite the remarkable rendering results, the storage of network parameters is not transmission-friendly and not extendable to metaverse applications. In this paper, we propose an invertible neural rendering approach that enables generating an interactive 3D model from a single image (i.e., 3D Snapshot). Our idea is to distill a pre-trained neural rendering model (e.g., NeRF) into a visualizable image form that can then be easily inverted back to a neural network. To this end, we first present a neural image distillation method to optimize three neural planes for representing the original neural rendering model. However, this representation is noisy and visually meaningless. We thus propose a dynamic invertible neural network to embed this noisy representation into a plausible image representation of the scene. We demonstrate promising reconstruction quality quantitatively and qualitatively, by comparing to the original neural rendering model, as well as video-based invertible methods. On the other hand, our method can store dozens of NeRFs with a compact restoration network (5MB), and embedding each 3D scene takes up only 160KB of storage. More importantly, our approach is the first solution that allows embedding a neural rendering model into image representations, which enables applications like creating an interactive 3D model from a printed image in the metaverse.

11.
IEEE Trans Pattern Anal Mach Intell ; 46(10): 6795-6808, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-38593012

RESUMEN

Graph-based multi-view clustering encodes multi-view data into sample affinities to find consensus representation, effectively overcoming heterogeneity across different views. However, traditional affinity measures tend to collapse as the feature dimension expands, posing challenges in estimating a unified alignment that reveals both cross-view and inner relationships. To tackle this challenge, we propose to achieve multi-view uniform clustering via consensus representation co-regularization. First, the sample affinities are encoded by both popular dyadic affinity and recent high-order affinities to comprehensively characterize spatial distributions of the HDLSS data. Second, a fused consensus representation is learned through aligning the multi-view low-dimensional representation by co-regularization. The learning of the fused representation is modeled by a high-order eigenvalue problem within manifold space to preserve the intrinsic connections and complementary correlations of original data. A numerical scheme via manifold minimization is designed to solve the high-order eigenvalue problem efficaciously. Experiments on eight HDLSS datasets demonstrate the effectiveness of our proposed method in comparison with the recent thirteen benchmark methods.

12.
Nat Commun ; 15(1): 3252, 2024 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-38627384

RESUMEN

The adenosine A3 receptor (A3AR), a key member of the G protein-coupled receptor family, is a promising therapeutic target for inflammatory and cancerous conditions. The selective A3AR agonists, CF101 and CF102, are clinically significant, yet their recognition mechanisms remained elusive. Here we report the cryogenic electron microscopy structures of the full-length human A3AR bound to CF101 and CF102 with heterotrimeric Gi protein in complex at 3.3-3.2 Å resolution. These agonists reside in the orthosteric pocket, forming conserved interactions via their adenine moieties, while their 3-iodobenzyl groups exhibit distinct orientations. Functional assays reveal the critical role of extracellular loop 3 in A3AR's ligand selectivity and receptor activation. Key mutations, including His3.37, Ser5.42, and Ser6.52, in a unique sub-pocket of A3AR, significantly impact receptor activation. Comparative analysis with the inactive A2AAR structure highlights a conserved receptor activation mechanism. Our findings provide comprehensive insights into the molecular recognition and signaling of A3AR, paving the way for designing subtype-selective adenosine receptor ligands.


Asunto(s)
Receptor de Adenosina A3 , Transducción de Señal , Humanos , Receptor de Adenosina A3/metabolismo , Microscopía por Crioelectrón
14.
Sleep Med ; 116: 96-104, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38437782

RESUMEN

BACKGROUND: Obstructive sleep apnea (OSA) is a common sleep breathing disorder that is often accompanied by changes in structural connectivity (SC) and functional connectivity (FC). However, the current understanding of the interaction between SC and FC in OSA is still limited. METHODS: The aim of this study is to integrate complementary neuroimaging modalities into a unified framework using multi-layer network analysis methods and to reveal their complex interrelationships. We introduce a new graph metric called SC-FC bandwidth, which measures the throughput of SC mediating FC in a multi-layer network. The bandwidth differences between two groups are evaluated using the network-based statistics (NBS) method. Additionally, we traced and analyzed the SC pathways corresponding to the abnormal bandwidth. RESULTS: In both the healthy control and patients with OSA, the majority offunctionally synchronized nodes were connected via SC paths of length 2. With the NBS method, we observed significantly lower bandwidth between the right Posterior cingulate gyrus and right Cuneus, bilateral Middle frontal gyrus, bilateral Gyrus rectus in OSA patients. By tracing the high-proportion SC pathways, it was found that OSA patients typically exhibit a decrease in direct SC-FC, SC-FC triangles, and SC-FC quads intra- and inter-networks. CONCLUSION: Complex interrelationship changes have been observed between the SC and FC in patients with OSA, which might leads to abnormal information transmission and communication in the brain network.


Asunto(s)
Imagen por Resonancia Magnética , Apnea Obstructiva del Sueño , Humanos , Imagen por Resonancia Magnética/métodos , Apnea Obstructiva del Sueño/diagnóstico por imagen , Encéfalo/diagnóstico por imagen , Giro del Cíngulo , Mapeo Encefálico
15.
IEEE Trans Pattern Anal Mach Intell ; 46(7): 5080-5091, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38315604

RESUMEN

Tensor spectral clustering (TSC) is an emerging approach that explores multi-wise similarities to boost learning. However, two key challenges have yet to be well addressed in the existing TSC methods: (1) The construction and storage of high-order affinity tensors to encode the multi-wise similarities are memory-intensive and hampers their applicability, and (2) they mostly employ a two-stage approach that integrates multiple affinity tensors of different orders to learn a consensus tensor spectral embedding, thus often leading to a suboptimal clustering result. To this end, this paper proposes a tensor spectral clustering network (TSC-Net) to achieve one-stage learning of a consensus tensor spectral embedding, while reducing the memory cost. TSC-Net employs a deep neural network that learns to map the input samples to the consensus tensor spectral embedding, guided by a TSC objective with multiple affinity tensors. It uses stochastic optimization to calculate a small part of the affinity tensors, thereby avoiding loading the whole affinity tensors for computation, thus significantly reducing the memory cost. Through using an ensemble of multiple affinity tensors, the TSC can dramatically improve clustering performance. Empirical studies on benchmark datasets demonstrate that TSC-Net outperforms the recent baseline methods.

16.
J Bone Joint Surg Am ; 106(2): 129-137, 2024 Jan 17.
Artículo en Inglés | MEDLINE | ID: mdl-37992198

RESUMEN

BACKGROUND: Sacral dysmorphism is not uncommon and complicates S1 iliosacral screw placement partially because of the difficulty of determining the starting point accurately on the sacral lateral view. We propose a method of specifying the starting point. METHODS: The starting point for the S1 iliosacral screw into the dysmorphic sacrum was specifically set at a point where the ossification of the S1/S2 intervertebral disc (OSID) intersected the posterior vertebral cortical line (PVCL) on the sacral lateral view, followed by guidewire manipulation and screw placement on the pelvic outlet and inlet views. Computer-simulated virtual surgical procedures based on pelvic computed tomography (CT) data on 95 dysmorphic sacra were performed to determine whether the starting point was below the iliac cortical density (ICD) and in the S1 oblique osseous corridor and to evaluate the accuracy of screw placement (with 1 screw being used, in the left hemipelvis). Surgical procedures on 17 patients were performed to verify the visibility of the OSID and PVCL, to check the location of the starting point relative to the ICD, and to validate the screw placement safety as demonstrated with postoperative CT scans. RESULTS: In the virtual surgical procedures, the starting point was consistently below the ICD and in the oblique osseous corridor in all patients and all screws were Grade 1. In the clinical surgical procedures, the OSID and PVCL were consistently visible and the starting point was always below the ICD in all patients; overall, 21 S1 iliosacral screws were placed in these 17 patients without malpositioning or iatrogenic injury. CONCLUSIONS: On the lateral view of the dysmorphic sacrum, the OSID and PVCL are visible and intersect at a point that is consistently below the ICD and in the oblique osseous corridor, and thus they can be used to identify the starting point. LEVEL OF EVIDENCE: Therapeutic Level III . See Instructions for Authors for a complete description of levels of evidence.


Asunto(s)
Fracturas Óseas , Huesos Pélvicos , Humanos , Sacro/diagnóstico por imagen , Sacro/cirugía , Huesos Pélvicos/cirugía , Ilion/diagnóstico por imagen , Ilion/cirugía , Fijación Interna de Fracturas/métodos , Tornillos Óseos , Fracturas Óseas/cirugía
17.
IEEE J Biomed Health Inform ; 28(2): 1134-1143, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-37963003

RESUMEN

Cancer is one of the most challenging health problems worldwide. Accurate cancer survival prediction is vital for clinical decision making. Many deep learning methods have been proposed to understand the association between patients' genomic features and survival time. In most cases, the gene expression matrix is fed directly to the deep learning model. However, this approach completely ignores the interactions between biomolecules, and the resulting models can only learn the expression levels of genes to predict patient survival. In essence, the interaction between biomolecules is the key to determining the direction and function of biological processes. Proteins are the building blocks and principal undertakings of life activities, and as such, their complex interaction network is potentially informative for deep learning methods. Therefore, a more reliable approach is to have the neural network learn both gene expression data and protein interaction networks. We propose a new computational approach, termed CRESCENT, which is a protein-protein interaction (PPI) prior knowledge graph-based convolutional neural network (GCN) to improve cancer survival prediction. CRESCENT relies on the gene expression networks rather than gene expression levels to predict patient survival. The performance of CRESCENT is evaluated on a large-scale pan-cancer dataset consisting of 5991 patients from 16 different types of cancers. Extensive benchmarking experiments demonstrate that our proposed method is competitive in terms of the evaluation metric of the time-dependent concordance index( Ctd) when compared with several existing state-of-the-art approaches. Experiments also show that incorporating the network structure between genomic features effectively improves cancer survival prediction.


Asunto(s)
Neoplasias , Mapas de Interacción de Proteínas , Humanos , Mapas de Interacción de Proteínas/genética , Algoritmos , Redes Neurales de la Computación , Genómica , Neoplasias/genética
18.
IEEE Trans Pattern Anal Mach Intell ; 46(5): 3637-3652, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38145535

RESUMEN

In multi-view environment, it would yield missing observations due to the limitation of the observation process. The most current representation learning methods struggle to explore complete information by lacking either cross-generative via simply filling in missing view data, or solidative via inferring a consistent representation among the existing views. To address this problem, we propose a deep generative model to learn a complete generative latent representation, namely Complete Multi-view Variational Auto-Encoders (CMVAE), which models the generation of the multiple views from a complete latent variable represented by a mixture of Gaussian distributions. Thus, the missing view can be fully characterized by the latent variables and is resolved by estimating its posterior distribution. Accordingly, a novel variational lower bound is introduced to integrate view-invariant information into posterior inference to enhance the solidative of the learned latent representation. The intrinsic correlations between views are mined to seek cross-view generality, and information leading to missing views is fused by view weights to reach solidity. Benchmark experimental results in clustering, classification, and cross-view image generation tasks demonstrate the superiority of CMVAE, while time complexity and parameter sensitivity analyses illustrate the efficiency and robustness. Additionally, application to bioinformatics data exemplifies its practical significance.

19.
JMIR Med Educ ; 9: e48904, 2023 Dec 28.
Artículo en Inglés | MEDLINE | ID: mdl-38153785

RESUMEN

BACKGROUND: Large language models, such as ChatGPT, are capable of generating grammatically perfect and human-like text content, and a large number of ChatGPT-generated texts have appeared on the internet. However, medical texts, such as clinical notes and diagnoses, require rigorous validation, and erroneous medical content generated by ChatGPT could potentially lead to disinformation that poses significant harm to health care and the general public. OBJECTIVE: This study is among the first on responsible artificial intelligence-generated content in medicine. We focus on analyzing the differences between medical texts written by human experts and those generated by ChatGPT and designing machine learning workflows to effectively detect and differentiate medical texts generated by ChatGPT. METHODS: We first constructed a suite of data sets containing medical texts written by human experts and generated by ChatGPT. We analyzed the linguistic features of these 2 types of content and uncovered differences in vocabulary, parts-of-speech, dependency, sentiment, perplexity, and other aspects. Finally, we designed and implemented machine learning methods to detect medical text generated by ChatGPT. The data and code used in this paper are published on GitHub. RESULTS: Medical texts written by humans were more concrete, more diverse, and typically contained more useful information, while medical texts generated by ChatGPT paid more attention to fluency and logic and usually expressed general terminologies rather than effective information specific to the context of the problem. A bidirectional encoder representations from transformers-based model effectively detected medical texts generated by ChatGPT, and the F1 score exceeded 95%. CONCLUSIONS: Although text generated by ChatGPT is grammatically perfect and human-like, the linguistic characteristics of generated medical texts were different from those written by human experts. Medical text generated by ChatGPT could be effectively detected by the proposed machine learning algorithms. This study provides a pathway toward trustworthy and accountable use of large language models in medicine.


Asunto(s)
Algoritmos , Inteligencia Artificial , Humanos , Desinformación , Suministros de Energía Eléctrica , Instituciones de Salud
20.
Patterns (N Y) ; 4(9): 100806, 2023 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-37720337

RESUMEN

Malaria is a significant public health concern, with ∼95% of cases occurring in Africa, but accurate and timely diagnosis is problematic in remote and low-income areas. Here, we developed an artificial intelligence-based object detection system for malaria diagnosis (AIDMAN). In this system, the YOLOv5 model is used to detect cells in a thin blood smear. An attentional aligner model (AAM) is then applied for cellular classification that consists of multi-scale features, a local context aligner, and multi-scale attention. Finally, a convolutional neural network classifier is applied for diagnosis using blood-smear images, reducing interference caused by false positive cells. The results demonstrate that AIDMAN handles interference well, with a diagnostic accuracy of 98.62% for cells and 97% for blood-smear images. The prospective clinical validation accuracy of 98.44% is comparable to that of microscopists. AIDMAN shows clinically acceptable detection of malaria parasites and could aid malaria diagnosis, especially in areas lacking experienced parasitologists and equipment.

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