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Artificial Intelligence and Deep Learning in Clinical Classification and Prediction

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Machine Learning and Artificial Intelligence in Diagnostics".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 2873

Special Issue Editor


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Guest Editor
Department of Information and Communication Technologies, Universitat Pompeu Fabra Barcelona, Barcelona, Spain
Interests: medical image analysis; machine learning and artificial intelligence for computer-aided diagnosis and treatment
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Artificial intelligence (AI) and deep learning (DL) technologies have seen widespread application in the medical field, particularly in the classification and prediction of clinical diseases. These methods can uncover complex patterns and correlations from large clinical datasets, thereby improving the accuracy of diagnosis and prognosis.

By training deep neural network models, accurate classification of disease types, severity, treatment response, and other factors can be achieved. For example, in cancer diagnosis, DL algorithms can identify tumor characteristics from medical images, assisting clinicians in making diagnostic decisions. In cardiovascular disease prediction, DL models can forecast the risk of heart attacks by incorporating biomarkers, symptoms, and other data. These applications significantly enhance the efficiency and accuracy of clinical decision-making, contributing to more precise medical care.

Despite the tremendous success of AI and DL in healthcare, challenges such as data privacy, model interpretability, and generalizability remain. Moving forward, it will be crucial to further improve the reliability and safety of these technologies to maximize their benefits in clinical practice.

Prof. Dr. Gemma Piella
Guest Editor

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Keywords

  • artificial intelligence
  • deep learning
  • clinical classification
  • clinical prediction

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Published Papers (3 papers)

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Research

15 pages, 4632 KiB  
Article
An Innovative Hybrid Model for Automatic Detection of White Blood Cells in Clinical Laboratories
by Aziz Aksoy
Diagnostics 2024, 14(18), 2093; https://doi.org/10.3390/diagnostics14182093 - 22 Sep 2024
Viewed by 855
Abstract
Background: Microscopic examination of peripheral blood is a standard practice in clinical medicine. Although manual examination is considered the gold standard, it presents several disadvantages, such as interobserver variability, being quite time-consuming, and requiring well-trained professionals. New automatic digital algorithms have been developed [...] Read more.
Background: Microscopic examination of peripheral blood is a standard practice in clinical medicine. Although manual examination is considered the gold standard, it presents several disadvantages, such as interobserver variability, being quite time-consuming, and requiring well-trained professionals. New automatic digital algorithms have been developed to eliminate the disadvantages of manual examination and improve the workload of clinical laboratories. Objectives: Regular analysis of peripheral blood cells and careful interpretation of their results are critical for protecting individual health and early diagnosis of diseases. Because many diseases can occur due to this, this study aims to detect white blood cells automatically. Methods: A hybrid model has been developed for this purpose. In the developed model, feature extraction has been performed with MobileNetV2 and EfficientNetb0 architectures. In the next step, the neighborhood component analysis (NCA) method eliminated unnecessary features in the feature maps so that the model could work faster. Then, different features of the same image were combined, and the extracted features were combined to increase the model’s performance. Results: The optimized feature map was classified into different classifiers in the last step. The proposed model obtained a competitive accuracy value of 95.6%. Conclusions: The results obtained in the proposed model show that the proposed model can be used in the detection of white blood cells. Full article
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16 pages, 1777 KiB  
Article
Metabolomics Biomarker Discovery to Optimize Hepatocellular Carcinoma Diagnosis: Methodology Integrating AutoML and Explainable Artificial Intelligence
by Fatma Hilal Yagin, Radwa El Shawi, Abdulmohsen Algarni, Cemil Colak, Fahaid Al-Hashem and Luca Paolo Ardigò
Diagnostics 2024, 14(18), 2049; https://doi.org/10.3390/diagnostics14182049 - 15 Sep 2024
Viewed by 852
Abstract
Background: This study aims to assess the efficacy of combining automated machine learning (AutoML) and explainable artificial intelligence (XAI) in identifying metabolomic biomarkers that can differentiate between hepatocellular carcinoma (HCC) and liver cirrhosis in patients with hepatitis C virus (HCV) infection. Methods: We [...] Read more.
Background: This study aims to assess the efficacy of combining automated machine learning (AutoML) and explainable artificial intelligence (XAI) in identifying metabolomic biomarkers that can differentiate between hepatocellular carcinoma (HCC) and liver cirrhosis in patients with hepatitis C virus (HCV) infection. Methods: We investigated publicly accessible data encompassing HCC patients and cirrhotic controls. The TPOT tool, which is an AutoML tool, was used to optimize the preparation of features and data, as well as to select the most suitable machine learning model. The TreeSHAP approach, which is a type of XAI, was used to interpret the model by assessing each metabolite’s individual contribution to the categorization process. Results: TPOT had superior performance in distinguishing between HCC and cirrhosis compared to other AutoML approaches AutoSKlearn and H2O AutoML, in addition to traditional machine learning models such as random forest, support vector machine, and k-nearest neighbor. The TPOT technique attained an AUC value of 0.81, showcasing superior accuracy, sensitivity, and specificity in comparison to the other models. Key metabolites, including L-valine, glycine, and DL-isoleucine, were identified as essential by TPOT and subsequently verified by TreeSHAP analysis. TreeSHAP provided a comprehensive explanation of the contribution of these metabolites to the model’s predictions, thereby increasing the interpretability and dependability of the results. This thorough assessment highlights the strength and reliability of the AutoML framework in the development of clinical biomarkers. Conclusions: This study shows that AutoML and XAI can be used together to create metabolomic biomarkers that are specific to HCC. The exceptional performance of TPOT in comparison to traditional models highlights its capacity to identify biomarkers. Furthermore, TreeSHAP boosted model transparency by highlighting the relevance of certain metabolites. This comprehensive method has the potential to enhance the identification of biomarkers and generate precise, easily understandable, AI-driven solutions for diagnosing HCC. Full article
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15 pages, 5293 KiB  
Article
LiverColor: An Artificial Intelligence Platform for Liver Graft Assessment
by Gemma Piella, Nicolau Farré, Daniel Esono, Miguel Ángel Cordobés, Javier Vázquez-Corral, Itxarone Bilbao and Concepción Gómez-Gavara
Diagnostics 2024, 14(15), 1654; https://doi.org/10.3390/diagnostics14151654 - 31 Jul 2024
Viewed by 843
Abstract
Hepatic steatosis, characterized by excess fat in the liver, is the main reason for discarding livers intended for transplantation due to its association with increased postoperative complications. The current gold standard for evaluating hepatic steatosis is liver biopsy, which, despite its accuracy, is [...] Read more.
Hepatic steatosis, characterized by excess fat in the liver, is the main reason for discarding livers intended for transplantation due to its association with increased postoperative complications. The current gold standard for evaluating hepatic steatosis is liver biopsy, which, despite its accuracy, is invasive, costly, slow, and not always feasible during liver procurement. Consequently, surgeons often rely on subjective visual assessments based on the liver’s colour and texture, which are prone to errors and heavily depend on the surgeon’s experience. The aim of this study was to develop and validate a simple, rapid, and accurate method for detecting steatosis in donor livers to improve the decision-making process during liver procurement. We developed LiverColor, a co-designed software platform that integrates image analysis and machine learning to classify a liver graft into valid or non-valid according to its steatosis level. We utilized an in-house dataset of 192 cases to develop and validate the classification models. Colour and texture features were extracted from liver photographs, and graft classification was performed using supervised machine learning techniques (random forests and support vector machine). The performance of the algorithm was compared against biopsy results and surgeons’ classifications. Usability was also assessed in simulated and real clinical settings using the Mobile Health App Usability Questionnaire. The predictive models demonstrated an area under the receiver operating characteristic curve of 0.82, with an accuracy of 85%, significantly surpassing the accuracy of visual inspections by surgeons. Experienced surgeons rated the platform positively, appreciating not only the hepatic steatosis assessment but also the dashboarding functionalities for summarising and displaying procurement-related data. The results indicate that image analysis coupled with machine learning can effectively and safely identify valid livers during procurement. LiverColor has the potential to enhance the accuracy and efficiency of liver assessments, reducing the reliance on subjective visual inspections and improving transplantation outcomes. Full article
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