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Ultrasound guided stellate ganglion block for the treatment of tinnitus. 超声引导下的星状神经节阻滞治疗耳鸣。
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-28 DOI: 10.1177/09287329251324068
Xiaolan Qian, Liqing Zhao, Qiying Wang, Dingguo Liu, Gaigai Ma
{"title":"Ultrasound guided stellate ganglion block for the treatment of tinnitus.","authors":"Xiaolan Qian, Liqing Zhao, Qiying Wang, Dingguo Liu, Gaigai Ma","doi":"10.1177/09287329251324068","DOIUrl":"https://doi.org/10.1177/09287329251324068","url":null,"abstract":"<p><p>BackgroundTinnitus, a common auditory disorder, significantly impacts patient quality of life and lacks universally effective treatments. The integration of advanced imaging technology like ultrasound in therapeutic interventions offers new possibilities in healthcare.ObjectiveThis study evaluated the efficacy of ultrasound-guided stellate ganglion block as an innovative approach to managing tinnitus.MethodsEighty patients with tinnitus were randomly assigned to either a control group receiving standard drug therapy or an observation group treated with ultrasound-guided stellate ganglion block in addition to standard therapy. Key metrics, including clinical effectiveness rates, anxiety scores, and tinnitus disability index scores, were assessed pre- and post-treatment.ResultsPost-treatment outcomes revealed that the observation group exhibited significantly improved anxiety scores (38.74 ± 4.05 vs. 50.45 ± 4.86; P < 0.05) and tinnitus disability index scores (37.8 ± 17.56 vs. 50.4 ± 21.26; P < 0.05) compared to the control group. Additionally, the observation group achieved a 100% clinical efficacy rate, outperforming the control group's 84% (P < 0.05).ConclusionUltrasound-guided stellate ganglion block demonstrates superior efficacy in managing tinnitus compared to conventional drug therapy. This study underscores the potential of integrating advanced ultrasound technology into healthcare to optimize treatment outcomes for auditory disorders.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329251324068"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regulatory interplay between lncRNA-FGD5-AS1 and miR-17-5p in non-small cell lung cancer progression: Implications for novel therapeutic strategies. lncRNA-FGD5-AS1和miR-17-5p在非小细胞肺癌进展中的调控相互作用:对新治疗策略的影响
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-28 DOI: 10.1177/09287329251325336
Shufen Huo, Heng Zhang, Xiang Li, Xuan Li, Wenli Shang, Sen Sheng, Yingxuan Tian
{"title":"Regulatory interplay between lncRNA-FGD5-AS1 and miR-17-5p in non-small cell lung cancer progression: Implications for novel therapeutic strategies.","authors":"Shufen Huo, Heng Zhang, Xiang Li, Xuan Li, Wenli Shang, Sen Sheng, Yingxuan Tian","doi":"10.1177/09287329251325336","DOIUrl":"https://doi.org/10.1177/09287329251325336","url":null,"abstract":"<p><p>BackgroundMicroRNA-17-5p (miR-17-5p) plays a pivotal role in the tumorigenesis and progression of non-small cell lung cancer (NSCLC) by regulating its target genes. Advances in molecular biology highlight the importance of long non-coding RNAs (lncRNAs) in cancer, yet the mechanistic interactions between miR-17-5p and lncRNAs in NSCLC remain underexplored.ObjectiveThis study investigated the regulatory interplay between miR-17-5p and lncRNA-FGD5-AS1 and evaluated their potential as targets for NSCLC therapy.MethodsA comprehensive set of technologies, including cell transfection, quantitative real-time PCR (qRT-PCR), bioinformatics analysis, and functional assays (proliferation, migration, apoptosis), was employed to examine the role of miR-17-5p and lncRNA-FGD5-AS1 in NSCLC.ResultsElevated lncRNA-FGD5-AS1 expression was observed in NSCLC cell lines A549 and H1299, correlating with poor patient prognosis. Functional assays revealed that miR-17-5p directly downregulates lncRNA-FGD5-AS1, thereby modulating key oncogenic processes. Overexpression of miR-17-5p reduced tumor cell proliferation and migration while inducing apoptosis. Conversely, miR-17-5p inhibition elevated lncRNA-FGD5-AS1 levels and reversed these effects.ConclusionThe findings identify the miR-17-5p/lncRNA-FGD5-AS1 regulatory axis as a novel therapeutic target for NSCLC. By integrating molecular and technological approaches, this study offers insights into precision oncology and highlights the potential for advanced RNA-based interventions.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329251325336"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
FCM-NPOA: A hybrid Fuzzy C-means clustering with nomadic people optimizer for ovarian cancer detection. FCM-NPOA:一种混合模糊c均值聚类和游民优化器用于卵巢癌检测。
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-19 DOI: 10.1177/09287329241302736
S M Vijayarajan, V Purna Chandra Reddy, D Marlene Grace Verghese, Dattatray G Takale
{"title":"FCM-NPOA: A hybrid Fuzzy C-means clustering with nomadic people optimizer for ovarian cancer detection.","authors":"S M Vijayarajan, V Purna Chandra Reddy, D Marlene Grace Verghese, Dattatray G Takale","doi":"10.1177/09287329241302736","DOIUrl":"https://doi.org/10.1177/09287329241302736","url":null,"abstract":"<p><p>Ovarian cancer is a highly prevalent cancer among women; However, it remains difficult to find effective pharmacological solutions to treat this deadly disease. However, early detection can significantly increase life expectancy. To address this issue, a predictive model for early diagnosis of ovarian cancer was developed by applying statistical techniques and machine learning models to clinical data from 349 patients. A hybrid evolutionary deep learning model was proposed by integrating genetic and histopathological imaging modalities within a multimodal fusion framework. Machine learning pipelines have been built using feature selection and dilution approaches to identify the most relevant genes for disease classification. A comparison was performed between the UNeT and transformer models for semantic segmentation, leading to the development of an optimized fuzzy C-means clustering algorithm (FCM-NPOA-PM-UI) for the classification of gynecological abdominopelvic tumors. Performing better than individual classifiers and other machine learning methods, the suggested ensemble model achieved an average accuracy of 98.96%, precision of 97.44%, and F1 score of 98.7%. With average Dice scores of 0.98 and 0.97 for positive tumors and 0.99 and 0.98 for malignant tumors, the Transformer model performed better in segmentation than the UNeT model. Additionally, we observed a 92.8% increase in accuracy when combining five machine learning models with biomarker data: random forest, logistic regression, SVM, decision tree, and CNN. These results demonstrate that the hybrid model significantly improves the accuracy and efficiency of ovarian cancer detection and classification, offering superior performance compared to traditional methods and individual classifiers.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329241302736"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utilizing machine learning algorithms to identify biomarkers associated with Alzheimer's disease and ferroptosis-related genes. 利用机器学习算法确定与阿尔茨海默病和铁蛋白沉积相关基因有关的生物标记物。
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-03 DOI: 10.1177/09287329251322278
Di Wang, Chunsheng Lin, Gang Liu, Xin Wang, Shengwang Han, Zengxin Han
{"title":"Utilizing machine learning algorithms to identify biomarkers associated with Alzheimer's disease and ferroptosis-related genes.","authors":"Di Wang, Chunsheng Lin, Gang Liu, Xin Wang, Shengwang Han, Zengxin Han","doi":"10.1177/09287329251322278","DOIUrl":"https://doi.org/10.1177/09287329251322278","url":null,"abstract":"<p><strong>Background: </strong>Alzheimer's disease (AD) is a complex neurodegenerative disorder that complicates our understanding of its origins. Identifying AD-specific biomarkers can reveal its mechanisms and foster the development of innovative diagnostics and therapies, aiming to unlock new ways to combat this pervasive condition.</p><p><strong>Methods: </strong>We analyzed gene expression data using Weighted Gene Co-expression Network Analysis (WGCNA) and machine learning (random forest, lasso regression, and SVM-REF) to differentiate AD patients from controls and explore gene functions.</p><p><strong>Results: </strong>We identified 641 differentially expressed genes (DEGs) and 22 co-expressed genes, with functional enrichment analysis revealing their involvement in immune responses. Notably, EGR1 emerged as a potential diagnostic and therapeutic target.</p><p><strong>Conclusion: </strong>In our study, we applied WGCNA, DEGs and diverse machine learning approaches to uncover potential biomarkers linked to Alzheimer's Disease (AD) and ferroptosis. A particular hub gene emerged as a promising candidate for novel diagnostic and therapeutic markers specifically within the context of ferroptosis in AD. This discovery sheds new light on the pathogenesis of AD, potentially facilitating the development of groundbreaking diagnostic and therapeutic techniques.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329251322278"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detection of retinal nerve fiber layer in patients with high myopia complicated with glaucoma by optical coherence tomography. 光学相干断层扫描检测高度近视合并青光眼患者视网膜神经纤维层。
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-03 DOI: 10.1177/09287329241296770
Xin Wang, Yinglang Zhang, Hongbo Hu, Ning Wei
{"title":"Detection of retinal nerve fiber layer in patients with high myopia complicated with glaucoma by optical coherence tomography.","authors":"Xin Wang, Yinglang Zhang, Hongbo Hu, Ning Wei","doi":"10.1177/09287329241296770","DOIUrl":"https://doi.org/10.1177/09287329241296770","url":null,"abstract":"<p><strong>Objective: </strong>To detect the changes in the thickness of the Retinal Nerve Fiber Layer (RNFL) in patients with High Myopia (HM) complicated with glaucoma through Optical Coherence Tomography (OCT).</p><p><strong>Methods: </strong>80 patients (160 eyes) with HM complicated with glaucoma treated from March 2018 to March 2020 were enrolled as the experimental group, and 60 healthy volunteers (120 eyes) undergoing physical examination in the same period were selected as the control group. OCT measured their RNFL thicknesses.</p><p><strong>Results: </strong>Compared with that in the control group, the nasal, supratemporal, subnasal, supranasal, and infratemporal RNFL thickness and overall mean RNFL thickness in the experimental group was significantly decreased, while the temporal RNFL thickness was significantly increased in the experimental group (<i>P </i>< 0.05). According to the diopter, patients in the experimental group were assigned into group A (<i>n </i>= 25, 50 eyes, diopter range: ≥ -6.00 D and ≤ -8.00 D), group B (<i>n</i> = 30, 60 eyes, diopter range: > -8.00 D and ≤ -10.00 D) and group C (<i>n</i> = 25, 50 eyes, diopter range: > -10.00 D). The nasal, supratemporal, subnasal, supranasal, and infratemporal RNFL thickness and overall mean RNFL thickness in group A were significantly greater than those in groups B and C (<i>P</i> < 0.05). Spearman correlation analysis revealed that the absolute value of diopter was negatively correlated with the nasal, supratemporal, subnasal, supranasal, and infratemporal RNFL thickness and overall mean RNFL thickness (<i>P</i> < 0.05), and positively correlated with the thickness of temporal RNFL (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>In patients with HM complicated with glaucoma, RNFL is thinner in all quadrants except for temporal RNFL.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329241296770"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Machine learning for improved medical device management: A focus on infant incubators. 机器学习改善医疗设备管理:聚焦婴儿培养箱。
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-03 DOI: 10.1177/09287329241292168
Lemana Spahić, Una Sredović, Zijad Kurpejović, Emina Mrdanović, Gurbeta Pokvić, Almir Badnjević
{"title":"Machine learning for improved medical device management: A focus on infant incubators.","authors":"Lemana Spahić, Una Sredović, Zijad Kurpejović, Emina Mrdanović, Gurbeta Pokvić, Almir Badnjević","doi":"10.1177/09287329241292168","DOIUrl":"https://doi.org/10.1177/09287329241292168","url":null,"abstract":"<p><strong>Background: </strong>Poorly regulated and insufficiently maintained medical devices (MDs) carry high risk on safety and performance parameters impacting the clinical effectiveness and efficiency of patient diagnosis and treatment. As infant incubators are used as a form of fundamental healthcare support for the most sensitive population, prematurely born infants, special care mus be taken to ensure their proper functioning. This is done through a standardized process of post-market surveillance.</p><p><strong>Objective: </strong>To address the issue of faulty infant incubators being undetected and used between yearly post-market surveillance, an automated system based on machine learning was developed for prediction of infant incubator performance status.</p><p><strong>Methods: </strong>In total, 1997 samples were collected during the inspection process of infant incubator inspections performed by an ISO 17020 accredited laboratory at various healthcare institutions in Bosnia and Herzegovina. Various machine learning algorithms were considered, including Decision Tree (DT), Random Forest (RF), Naïve Bayes (NB) and Logistic Regression (LR) for the development of the automated system.</p><p><strong>Results: </strong>The aforementioned algorithms were selected because of their ability to handle large datasets and their potential for achieving high prediction accuracy. The 0.93 AUC of Naïve Bayes indicates that it is overall stronger in predictive capabilities than decision tree and random forest which displayed superior accuracy in comparison to Naïve Bayes.</p><p><strong>Conclusion: </strong>The results of this study demonstrate that machine learning algorithms can be effectively used to predict infant incubator performance status on the basis of measurements taken during post-market surveillance. Adoption of these automated systems based on artificial intelligence will help in overcoming challenges of ensuring quality of infant incubators that are already being used in healthcare institutions.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329241292168"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive profiling of T-cell exhaustion signatures and establishment of a prognostic model in lung adenocarcinoma through integrated RNA-sequencing analysis. 通过整合rna测序分析全面分析t细胞耗竭特征并建立肺腺癌预后模型。
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-01 Epub Date: 2024-11-19 DOI: 10.1177/09287329241290937
Yingying Zhang, Jiaqi Cheng, Pingyan Jin, Lizheng Lv, Haijuan Yu, Chunxiao Yang, Shuai Zhang
{"title":"Comprehensive profiling of T-cell exhaustion signatures and establishment of a prognostic model in lung adenocarcinoma through integrated RNA-sequencing analysis.","authors":"Yingying Zhang, Jiaqi Cheng, Pingyan Jin, Lizheng Lv, Haijuan Yu, Chunxiao Yang, Shuai Zhang","doi":"10.1177/09287329241290937","DOIUrl":"https://doi.org/10.1177/09287329241290937","url":null,"abstract":"<p><p>BackgroundT-cell exhaustion (TEX) in the tumor microenvironment causes immunotherapy resistance and poor prognosis.ObjectiveWe used bioinformatics to identify crucial TEX genes associated with the molecular classification and risk stratification of lung adenocarcinoma (LUAD).MethodsBulk RNA sequencing data of patients with LUAD were acquired from open sources. LUAD samples exhibited abnormal TEX gene expression, compared with normal samples. TEX gene-based prognostic signature was established and validated in both TCGA and GSE50081 datasets. Immune correlation and risk group-related functional analyses were also performed.ResultsEight optimized TEX genes were identified using the LASSO algorithm: <i>ERG</i>, <i>BTK</i>, <i>IKZF3</i>, <i>DCC</i>, <i>EML4</i>, <i>MET</i>, <i>LATS2</i>, and <i>LOX</i>. Several crucial Kyoto encyclopedia of genes and genomes (KEGG) pathways were identified, such as T-cell receptor signaling, toll-like receptor signaling, leukocytes trans-endothelial migration, Fcγ R-mediated phagocytosis, and GnRH signaling. Eight TEX gene-based risk score models were established and validated. Patients with high-risk scores had worse prognosis (P < 0.001). A nomogram model comprising three independent clinical factors showed good predictive efficacy for survival rate in patients with LUAD. Correlation analysis revealed that the TEX signature significantly correlated with immune cell infiltration, tumor purity, stromal cells, estimate, and immunophenotype score.ConclusionTEX-derived risk score is a promising and effective prognostic factor that is closely correlated with the immune microenvironment and estimated score. TEX signature may be a useful clinical diagnostic tool for evaluating pre-immune efficacy in patients with LUAD.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":"33 2","pages":"848-862"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perioperative real-life experiences and care needs of patients undergoing lung cancer ablation: A qualitative study. 肺癌消融患者围手术期真实体验与护理需求的定性研究。
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-01 Epub Date: 2024-12-01 DOI: 10.1177/09287329241291419
Lihua Huang, Xiaojun Pan, Jing Li, Hui Zhang, Yanjun Mao
{"title":"Perioperative real-life experiences and care needs of patients undergoing lung cancer ablation: A qualitative study.","authors":"Lihua Huang, Xiaojun Pan, Jing Li, Hui Zhang, Yanjun Mao","doi":"10.1177/09287329241291419","DOIUrl":"10.1177/09287329241291419","url":null,"abstract":"<p><p>BackgroundLung cancer (LC) remains the most common malignancy in China with high mortality. The early stages of LC tend to manifest no apparent symptoms or only mild coughing, to which patients attach no importance.<b>Objective:</b> To gain an in-depth understanding of the perioperative real experiences and care needs of patients undergoing lung cancer ablation, to make a reliable basis for the construction of care programs for perioperative complications of lung cancer ablation, and to further improve the quality of perioperative clinical care interventions for such patients.MethodsSixteen lung cancer patients undergoing lung cancer ablation who were hospitalized in the Department of Oncology of our hospital from April 2023 to October 2023 as well as six healthcare professionals of Shanghai Pulmonary Hospital were recruited by purposive sampling. Semi-structured interviews were conducted with the enrolled individuals by using a phenomenological approach, and the Colaizzi's 7-step analysis method was used to analyze, summarize and refine the themes of the interview data.ResultsA total of seven study themes were identified emotional reactions of ablation patients, financial stress, needs for information on treatment outcomes and health education during recovery, reassurance of living and care needs during hospitalization, concerns about the treatment of complications, correct and detailed preoperative assessment, and doctor-nurse collaboration for good management of patient complications.ConclusionIn the clinical nursing of patients with lung cancer, we should construct standardized perioperative ablation nursing process as soon as possible, create diversified health guidance materials, strengthen the continuity of nursing after discharge, improve patients' understanding of the disease, pay attention to their emotional changes, and provide more maintenance support, so as to reduce complications and improve the quality of life of patients with lung cancer ablation.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"1056-1065"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetic retinopathy detection via deep learning based dual features integrated classification model. 基于深度学习的双特征综合分类模型的糖尿病视网膜病变检测。
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-01 Epub Date: 2024-12-01 DOI: 10.1177/09287329241292939
T M Devi, P Karthikeyan, B Muthu Kumar, M Manikandakumar
{"title":"Diabetic retinopathy detection via deep learning based dual features integrated classification model.","authors":"T M Devi, P Karthikeyan, B Muthu Kumar, M Manikandakumar","doi":"10.1177/09287329241292939","DOIUrl":"https://doi.org/10.1177/09287329241292939","url":null,"abstract":"<p><p>BackgroundThe primary recognition of diabetic retinopathy (DR) is a pivotal requirement to prevent blindness and vision impairment. This deadly condition is identified by highly qualified professionals by examining colored retinal images.ObjectiveThe physical diagnostics for this condition was time-consuming and prone to fault. The development of computer-vision based intelligent systems has develop a main research area to effectually diagnosis the pathologies from an image.MethodsIn this research, a novel Deep learning based Dual Features Integrated classification (DD-FIC) framework is designed to detect the DR from a color retinal image. Initially, the fundus images are denoised by Wavelet integrated Retinex (WIR) algorithm to remove the noise artifacts which provide high contrast image. This DD-FIC model contains two phases of feature extraction module to evaluation of several retinal areas. Initially, global features of the fundus image are retrieved by the assist of attention fused efficient model, whereas the attention module dynamically highlights the important features. Afterwards, the segmented retinal vessels data is converted into features for learning the local features.ResultsFinally, the collective of features is processed into the Random Forest based feature selection model for the optimal prediction with five different classes using multi-class support vector machine (MCSVM). The efficacy of the proposed DD-FIC framework is estimated by Kaggle dataset with the detection accuracy of 98.6%.<b>Conclusions:</b> The proposed framework rises the accuracy of 1.54%, 3.65%, 13.79% and 6.28% for Multi-channel CNN, CNN, VGG NiN and Shallow CNN respectively.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":"33 2","pages":"1066-1080"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The clinical value of spectral CT combined with targeted scanning technology in the diagnosis of invasive ground glass nodules in pulmonary adenocarcinoma. 频谱CT联合靶向扫描技术在肺腺癌浸润性磨玻璃结节诊断中的临床价值
IF 1.4 4区 医学
Technology and Health Care Pub Date : 2025-03-01 Epub Date: 2024-11-25 DOI: 10.1177/09287329241291434
Bing Lan, Jialin Zang, Bo Liu, Li Wang, Yuguang Wang, Bo Li, Chunlei Zheng, Bin Li, Tianyu Zhang
{"title":"The clinical value of spectral CT combined with targeted scanning technology in the diagnosis of invasive ground glass nodules in pulmonary adenocarcinoma.","authors":"Bing Lan, Jialin Zang, Bo Liu, Li Wang, Yuguang Wang, Bo Li, Chunlei Zheng, Bin Li, Tianyu Zhang","doi":"10.1177/09287329241291434","DOIUrl":"https://doi.org/10.1177/09287329241291434","url":null,"abstract":"<p><p>BackgroundPulmonary adenocarcinoma, a predominant form of lung cancer, is characterized by diverse histopathological subtypes, including ground-glass nodules (GGNs), which may represent different degrees of malignancy. The accurate differentiation between invasive and non-invasive GGNs is paramount, as it significantly influences clinical management and treatment strategies.ObjectiveTo evaluate the clinical efficacy of spectral CT combined with targeted scanning in diagnosing invasive GGNs in pulmonary adenocarcinoma.MethodsA retrospective analysis of 120 patients with GGNs, who underwent spectral CT and targeted scanning at the Second Affiliated Hospital of Qiqihar Medical College (Nov 2021 - Dec 2022), was conducted. Patients were categorized based on postoperative pathology into non-invasive (66) and invasive (54) groups. Imaging features and values of various indicators including water concentration (WC), spectral curve slope (k value), and iodine concentration across different phases were analyzed and compared. Key independent factors for invasive GGN and the predictive value of the combined imaging technique were explored.ResultsThe invasive lesion group showed a higher incidence of fissure sign, spiculation sign, and bronchial inflation sign, along with increased values of WC, WCAP, and WCVP across phases (<i>p</i> < 0.05). These factors were identified as main influencers of invasive GGN, with OR values >1. The combined imaging parameters achieved an AUC of 0.914, sensitivity of 0.925, and specificity of 0.880, significantly outperforming individual indicators.ConclusionFissure sign, spiculation sign, bronchial inflation sign, WC, WCAP, and WCVP effectively predict invasive GGNs in pulmonary adenocarcinoma. Their combined application enhances predictive accuracy.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":"33 2","pages":"922-930"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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