RESUMO
The rapid proliferation of connectivity, availability of ubiquitous computing, miniaturization of sensors and communication technology, have changed healthcare in all its areas, creating the well-known healthcare paradigm of e-Health. In this paper, an embedded system capable of monitoring, learning and classifying biometric signals is presented. The machine learning model is based on associative memories to predict the presence or absence of coronary artery disease in patients. Classification accuracy, sensitivity and specificity results show that the performance of our proposal exceeds the performance achieved by each of the fifty widely known algorithms against which it was compared.
Assuntos
Algoritmos , Biometria/métodos , Tomada de Decisão Clínica , Doença da Artéria Coronariana/diagnóstico , Aprendizado de Máquina , Conjuntos de Dados como Assunto , Feminino , Humanos , Masculino , Sensibilidade e EspecificidadeRESUMO
The new coronavirus disease (COVID-19), pneumonia, tuberculosis, and breast cancer have one thing in common: these diseases can be diagnosed using radiological studies such as X-rays images. With radiological studies and technology, computer-aided diagnosis (CAD) results in a very useful technique to analyze and detect abnormalities using the images generated by X-ray machines. Some deep-learning techniques such as a convolutional neural network (CNN) can help physicians to obtain an effective pre-diagnosis. However, popular CNNs are enormous models and need a huge amount of data to obtain good results. In this paper, we introduce NanoChest-net, which is a small but effective CNN model that can be used to classify among different diseases using images from radiological studies. NanoChest-net proves to be effective in classifying among different diseases such as tuberculosis, pneumonia, and COVID-19. In two of the five datasets used in the experiments, NanoChest-net obtained the best results, while on the remaining datasets our model proved to be as good as baseline models from the state of the art such as the ResNet50, Xception, and DenseNet121. In addition, NanoChest-net is useful to classify radiological studies on the same level as state-of-the-art algorithms with the advantage that it does not require a large number of operations.
RESUMO
BACKGROUND: The determination of surgeons' psychomotor skills in minimally invasive surgery techniques is one of the major concerns of the programs of surgical training in several hospitals. Therefore, it is important to assess and classify objectively the level of experience of surgeons and residents during their training process. The aim of this study was to investigate three classification methods for establishing automatically the level of surgical competence of the surgeons based on their psychomotor laparoscopic skills. METHODS: A total of 43 participants, divided into an experienced surgeons group with ten experts (> 100 laparoscopic procedures performed) and non-experienced surgeons group with 24 residents and nine medical students (< 10 laparoscopic procedures performed), performed three tasks in the EndoViS training system. Motion data of the instruments were captured with a video-tracking system built into the EndoViS simulator and analyzed using 13 motion analysis parameters (MAPs). Radial basis function networks (RBFNets), K-star (K*), and random forest (RF) were used for classifying surgeons based on the MAPs' scores of all participants. The performance of the three classifiers was examined using hold-out and leave-one-out validation techniques. RESULTS: For all three tasks, the K-star method was superior in terms of accuracy and AUC in both validation techniques. The mean accuracy of the classifiers was 93.33% for K-star, 87.58% for RBFNets, and 84.85% for RF in hold-out validation, and 91.47% for K-star, 89.92% for RBFNets, and 83.72% for RF in leave-one-out cross-validation. CONCLUSIONS: The three proposed methods demonstrated high performance in the classification of laparoscopic surgeons, according to their level of psychomotor skills. Together with motion analysis and three laparoscopic tasks of the Fundamental Laparoscopic Surgery Program, these classifiers provide a means for objectively classifying surgical competence of the surgeons for existing laparoscopic box trainers.
Assuntos
Competência Clínica , Educação Médica/métodos , Laparoscopia/educação , Desempenho Psicomotor/fisiologia , Estudantes de Medicina/psicologia , Cirurgiões/educação , Feminino , Humanos , MasculinoRESUMO
Classification is one of the key issues in medical diagnosis. In this paper, a novel approach to perform pattern classification tasks is presented. This model is called Associative Memory based Classifier (AMBC). Throughout the experimental phase, the proposed algorithm is applied to help diagnose diseases; particularly, it is applied in the diagnosis of seven different problems in the medical field. The performance of the proposed model is validated by comparing classification accuracy of AMBC against the performance achieved by other twenty well known algorithms. Experimental results have shown that AMBC achieved the best performance in three of the seven pattern classification problems in the medical field. Similarly, it should be noted that our proposal achieved the best classification accuracy averaged over all datasets.