{"title":"Enhancing emotion recognition through multi-modal data fusion and graph neural networks","authors":"Kasthuri Devarajan , Suresh Ponnan , Sundresan Perumal","doi":"10.1016/j.ibmed.2025.100291","DOIUrl":"10.1016/j.ibmed.2025.100291","url":null,"abstract":"<div><div>In this paper, a novel emotion detection system is proposed based on Graph Neural Network (GNN) architecture, which is used to integrate and learn from multiple data sets (EEG, face expression, physiological signals). The proposed GNN is able to learn about interactions between multiple modalities, so as to extract a single picture of emotion categorization. This model is very good and gets 91.25 % accuracy, 91.26 % precision, 91.25 % recall and 91.25 % F1-score. Moreover, the proposed GNN is a sensible trade-off between speed and precision, with a calculation time of 163 ms. The Proposed GNN is better, primarily due to its ability to represent complex relations between multi-modal inputs, thereby improving its real-time emotional state recognition and classification performance. The proposed GNN demonstrates its suitability for powerful emotion detection by outperforming all models in classification precision and multi-modal data fusion, surpassing traditional models such as SVM, KNN, CCA, CNN, and RNN. The Proposed GNN consistently proves to be the most accurate and robust solution, having been the most dominant technique in emotion detection, despite CNN and RNN achieving slightly better results.</div></div>","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"12 ","pages":"Article 100291"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical-ready CNN framework for lung cancer classification: Systematic optimization for healthcare deployment with enhanced computational efficiency","authors":"G. Inbasakaran, J. Anitha Ruth","doi":"10.1016/j.ibmed.2025.100292","DOIUrl":"10.1016/j.ibmed.2025.100292","url":null,"abstract":"<div><h3>Purpose</h3><div>This study develops a computationally efficient Convolutional Neural Network (CNN) for lung cancer classification in Computed Tomography (CT) images, addressing the critical need for accurate diagnostic tools deployable in resource-constrained clinical settings.</div></div><div><h3>Methods</h3><div>Using the IQ-OTH/NCCD dataset (1190 CT images: normal, benign, and malignant classes from 110 patients), we implemented systematic architecture optimization with strategic data augmentation to address class imbalance and limited dataset challenges. Patient-level data splitting prevented leakage, ensuring valid performance metrics. The model was evaluated using 5-fold cross-validation and compared against established architectures using McNemar's test for statistical significance.</div></div><div><h3>Results</h3><div>The optimized CNN achieved 94 % classification accuracy with only 4.2 million parameters and 18 ms inference time. Performance significantly exceeded AlexNet (85 %), VGG-16 (88 %), ResNet-50 (90 %), InceptionV3 (87 %), and DenseNet (86 %) with p < 0.05. Malignant case detection showed excellent clinical metrics (precision: 0.96, recall: 0.95, F1-score: 0.95), critical for minimizing false negatives. Ablation studies revealed data augmentation contributed 6.6 % accuracy improvement, with rotation and translation proving most effective. The model operates 4.3 × faster than ResNet-50 while using 6 × fewer parameters, enabling deployment on standard clinical workstations with 4–8 GB GPU memory.</div></div><div><h3>Conclusions</h3><div>Carefully optimized CNN architectures can achieve superior diagnostic performance while meeting computational constraints of real-world medical settings. Our approach demonstrates that systematic optimization strategies effectively balance accuracy with clinical deployment feasibility, providing a practical framework for implementing AI-assisted lung cancer detection in resource-limited healthcare environments. The model's high sensitivity for malignant cases positions it as a valuable clinical decision support tool.</div></div>","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"12 ","pages":"Article 100292"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Esaie Naroum , Ebenezer Maka Maka , Hamadjam Abboubakar , Paul Dayang , Appolinaire Batoure Bamana , Benjamin Garga , Hassana Daouda Daouda , Mohsen Bakouri , Ilyas Khan
{"title":"Comparative analysis of deep learning and machine learning techniques for forecasting new malaria cases in Cameroon’s Adamaoua region","authors":"Esaie Naroum , Ebenezer Maka Maka , Hamadjam Abboubakar , Paul Dayang , Appolinaire Batoure Bamana , Benjamin Garga , Hassana Daouda Daouda , Mohsen Bakouri , Ilyas Khan","doi":"10.1016/j.ibmed.2025.100220","DOIUrl":"10.1016/j.ibmed.2025.100220","url":null,"abstract":"<div><div>The Plasmodium parasite, which causes malaria is transmitted by Anopheles mosquitoes, and remains a major development barrier in Africa. This is particularly true considering the conducive environment that promotes the spread of malaria. This study examines several machine learning approaches, such as long short term memory (LSTM), random forests (RF), support vector machines (SVM), and data regularization models including Ridge, Lasso, and ElasticNet, in order to forecast the occurrence of malaria in the Adamaoua region of Cameroon. The LSTM, a recurrent neural network variant, performed the best with 76% accuracy and a low error rate (RMSE = 0.08). Statistical evidence indicates that temperatures exceeding 34 degrees halt mosquito vector reproduction, thereby slowing the spread of malaria. However, humidity increases the morbidity of the condition. The survey also identified high-risk areas in Ngaoundéré Rural and Urban and Meiganga. Between 2018 and 2022, the Adamaoua region had 20.1%, 12.3%, and 10.0% of malaria cases, respectively, in these locations. According to the estimate, the number of malaria cases in the Adamaoua region will rise gradually between 2023 and 2026, peaking in 2029 before declining in 2031.</div></div>","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"11 ","pages":"Article 100220"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PU-MLP: A PU-learning based method for polypharmacy side-effects detection based on multi-layer perceptron and feature extraction techniques","authors":"Abedin Keshavarz, Amir Lakizadeh","doi":"10.1016/j.ibmed.2025.100265","DOIUrl":"10.1016/j.ibmed.2025.100265","url":null,"abstract":"<div><div>Polypharmacy, or the concurrent use of multiple medications, increases the risk of adverse effects due to drug interactions. As polypharmacy becomes more prevalent, forecasting these interactions is essential in the pharmaceutical field. Due to the limitations of clinical trials in detecting rare side effects associated with polypharmacy, computational methods are being developed to model these adverse effects. This study introduces a method named PU-MLP, based on a Multi-Layer Perceptron, to predict side effects from drug combinations. This research utilizes advanced machine learning techniques to explore the connections between medications and their adverse effects. The approach consists of three key stages: first, it creates an optimal representation of each drug using a combination of a random forest classifier, Graph Neural Networks (GNNs), and dimensionality reduction techniques. Second, it employs Positive Unlabeled learning to address data uncertainty. Finally, a Multi-Layer Perceptron model is utilized to predict polypharmacy side effects. Performance evaluation using 5-fold cross-validation shows that the proposed method surpasses other approaches, achieving impressive scores of 0.99, 0.99, and 0.98 in AUPR, AUC, and F1 measures, respectively.</div></div>","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"12 ","pages":"Article 100265"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peru Gabirondo , María García-Martínez , Ana Pozueta-Cantudo , Patricia Laura Maran , Patricia Dias , Tomas Rojo , Javier Jiménez-Raboso , Carmen Lage , Francisco Martínez-Dubarbie , Sara López-García , Marta Fernández-Matarrubia , Andrea Corrales-Pardo , María Bravo , Juan Irure-Ventura , Marcos López-Hoyos , Pascual Sánchez-Juan , Carla Zaldua , Eloy Rodríguez-Rodríguez
{"title":"Speech biomarkers predict amyloid status in cognitively unimpaired adults","authors":"Peru Gabirondo , María García-Martínez , Ana Pozueta-Cantudo , Patricia Laura Maran , Patricia Dias , Tomas Rojo , Javier Jiménez-Raboso , Carmen Lage , Francisco Martínez-Dubarbie , Sara López-García , Marta Fernández-Matarrubia , Andrea Corrales-Pardo , María Bravo , Juan Irure-Ventura , Marcos López-Hoyos , Pascual Sánchez-Juan , Carla Zaldua , Eloy Rodríguez-Rodríguez","doi":"10.1016/j.ibmed.2025.100306","DOIUrl":"10.1016/j.ibmed.2025.100306","url":null,"abstract":"","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"12 ","pages":"Article 100306"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Uncertainty-aware hybrid optimization for robust cardiovascular disease detection: A clinical translation framework","authors":"Tamanna Jena , Rahul Suryodai , Desidi Narsimha Reddy , Kambala Vijaya Kumar , Elangovan Muniyandy , N.V. Phani Sai Kumar","doi":"10.1016/j.ibmed.2025.100302","DOIUrl":"10.1016/j.ibmed.2025.100302","url":null,"abstract":"<div><h3>Background</h3><div>Cardiovascular disease causes 17.9 million deaths annually, yet current AI systems achieve ∼82 % accuracy without uncertainty quantification—limiting clinical utility where prediction confidence directly guides life-saving treatment decisions.</div></div><div><h3>Objective</h3><div>We developed an uncertainty-aware hybrid optimization framework for robust CVD detection that provides clinicians with both risk predictions and confidence intervals, enabling personalized decision-making under real-world clinical conditions.</div></div><div><h3>Methods</h3><div>Our clinical translation framework integrates multiple complementary AI models (Gaussian processes, gradient-boosted trees, Transformers) through uncertainty-guided optimization. Key clinical innovations include: (1) real-time uncertainty calibration responding to data quality variations, (2) dynamic model weighting adapting to individual patient characteristics, and (3) interpretable confidence intervals supporting clinical decision protocols.</div></div><div><h3>Results</h3><div>Clinical validation on 12,458 CVD patients from MIMIC-III and UK Biobank demonstrated clinically significant improvements: +1.4 % AUC (0.853 vs 0.839, p < 0.01) translating to 50 additional correct diagnoses per 10,000 patients, +1.5 % balanced accuracy, and 20 % better uncertainty calibration. The framework maintained robust performance (>80 % AUC) under realistic clinical noise while providing reliable confidence intervals across all risk levels.</div></div><div><h3>Clinical translation</h3><div>This framework delivers immediate clinical utility through real-time inference (<2s), FHIR-compliant EHR integration, and physician-validated uncertainty interpretation. Implementation prevents an estimated 50 missed diagnoses and 23 unnecessary procedures per 10,000 patients screened annually.</div></div><div><h3>Conclusions</h3><div>Our uncertainty-aware framework represents the first clinically ready AI system providing both accurate CVD risk assessment and trustworthy confidence measures, directly addressing physician adoption barriers and supporting personalized cardiovascular care.</div></div>","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"12 ","pages":"Article 100302"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"LCSNet: Lightweight Caries Segmentation Network for the segmentation of dental caries using smartphone photographs","authors":"Radha R.C. , B.S. Raghavendra , Rishabh Kumar Hota , K.R. Vijayalakshmi , Seema Patil , A.V. Narasimhadhan","doi":"10.1016/j.ibmed.2025.100304","DOIUrl":"10.1016/j.ibmed.2025.100304","url":null,"abstract":"<div><div>Dental caries is one of the major dental issues that is common among many individuals. It leads to tooth loss and affects the tooth root, creating a need to automatically detect dental caries to reduce treatment costs and prevent its consequences. The Lightweight Caries Segmentation Network (LCSNet) proposed in this study detects the location of dental caries by applying pixel-wise segmentation to dental photographs taken with various Android phones. LCSNet utilizes a Dual Multiscale Residual (DMR) block in both the encoder and decoder, adapts transfer learning through a pre-trained InceptionV3 model at the bottleneck layer, and incorporates a Squeeze and Excitation block in the skip connection, effectively extracting spatial information even from images where 95 % of the background and only 5 % represent the area of interest. A new dataset was developed by gathering oral photographs of dental caries from two hospitals, with advanced augmentation techniques applied. The LCSNet architecture demonstrated an accuracy of 97.36 %, precision of 73.1 %, recall of 70.2 %, an F1-Score of 71.14 %, and an Intersection-over-Union (IoU) of 56.8 %. Expert dentists confirmed that the LCSNet model proposed in this in vivo study accurately segments the position and texture of dental caries. Both qualitative and quantitative performance analyses, along with comparative analyses of efficiency and computational requirements, were conducted with other deep learning models. The proposed model outperforms existing deep learning models and shows significant potential for integration into a smartphone application-based oral disease detection system, potentially replacing some conventional clinically adapted methods.</div></div>","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"12 ","pages":"Article 100304"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison of techniques for predicting telehealth visit failure","authors":"Alexander J. Idarraga , David F. Schneider","doi":"10.1016/j.ibmed.2025.100235","DOIUrl":"10.1016/j.ibmed.2025.100235","url":null,"abstract":"<div><h3>Objective</h3><div>Telehealth is an increasingly important method for delivering care. Health systems lack the ability to accurately predict which telehealth visits will fail due to poor connection, poor technical literacy, or other reasons. This results in wasted resources and disrupted patient care. The purpose of this study is to characterize and compare various methods for predicting telehealth visit failure, and to determine the prediction method most suited for implementation in a real-time operational setting.</div></div><div><h3>Methods</h3><div>A single-center, retrospective cohort study was conducted using data sourced from our data warehouse. Patient demographic information and data characterizing prior visit success and engagement with electronic health tools were included. Three main model types were evaluated: an existing scoring model developed by Hughes et al., a regression-based scoring model, and Machine Learning classifiers. Variables were selected for their importance and anticipated availability; Number Needed to Treat was used to demonstrate the number of interventions (e.g. pre-visit phone calls) required to improve success rates in the context of weekly patient volumes.</div></div><div><h3>Results</h3><div>217, 229 visits spanning 480 days were evaluated, of which 22,443 (10.33 %) met criteria for failure. Hughes et al.’s model applied to our data yielded an Area Under the Receiver Operating Characteristics Curve (AUC ROC) of 0.678 when predicting failure. A score-based model achieved an AUC ROC of 0.698. Logistic Regression, Random Forest, and Gradient Boosting models demonstrated AUC ROCs ranging from 0.7877 to 0.7969. A NNT of 32 was achieved if the 263 highest-risk patients were selected in a low-volume week using the RF classifier, compared to an expected NNT of 90 if the same number of patients were randomly selected.</div></div><div><h3>Conclusions</h3><div>Machine Learning classifiers demonstrated superiority over score-based methods for predicting telehealth visit failure. Prospective evaluation is required; evaluation using NNT as a metric can help to operationalize these models.</div></div>","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"11 ","pages":"Article 100235"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Meta-learning driven multi disease fuzzy neural framework for clinical risk prediction","authors":"Kubra Noor, Ubaida Fatima, Fahim Raees","doi":"10.1016/j.ibmed.2025.100315","DOIUrl":"10.1016/j.ibmed.2025.100315","url":null,"abstract":"<div><div>Rising rates of chronic illnesses, including heart disease, diabetes, and cancer, demand precise and scalable early diagnostic approaches. Utilizing three datasets UCI Heart Disease, PIMA Indians Diabetes, and Breast Cancer Wisconsin we suggest a metalearning-inspired hybrid approach combining Fuzzy C-Means clustering and artificial neural networks for multidisease risk prediction. Fuzzy logic is used to cluster each dataset to model intraclass variation; cluster-specific neural networks are then trained to catch patterns. Fuzzy membership ratings are used to combine final forecasts. Achieving 85.25 % (heart disease), 81.2 % (diabetes), and 95.1 % (cancer) accuracy, respectively, the suggested system shows great accuracy, disease-wide generalization, and interpretability. The results show improved predictions for complex and varied patient profiles, confirming that the system is strong and useful for real-world health analysis.</div></div>","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"12 ","pages":"Article 100315"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A drug recommendation system based on response prediction: Integrating gene expression and K-mer fragmentation of drug SMILES using LightGBM","authors":"Sajid Naveed , Mujtaba Husnain","doi":"10.1016/j.ibmed.2025.100206","DOIUrl":"10.1016/j.ibmed.2025.100206","url":null,"abstract":"<div><div>Medical experts and physicians examine the gene expression abnormality in glioblastoma (GBM) cancer patients to identify the drug response. The main objective of this research is to build a machine learning (ML) based model for improve the outcome of cancer medication to save the time and effort of medical practitioners. Developing a drug response recommendation system is our goal that uses the gene expression data of cancer cell lines to predict the response of anticancer drugs in terms of half-maximal inhibitory concentration (IC50). Genetic data from a GBM cancer patient is used as input into a system to predict and recommend the response of multiple anticancer drugs in a particular cancer sample. In this research, we used K-mer molecular fragmentation to process drug SMILES in a novel way, which enabled us to build a competent model that provides drug response. We used the Light Gradient Boosting Machine (LightGBM) regression algorithm and Genomics of Drug Sensitivity of Cancer (GDSC) data for this proposed recommendation system. The results showed that all predicted IC50 values are fall within the range of the real values when examining GBM data. Two drugs, temozolomide and carmustine, were predicted with a Mean Squared Error (MSE) of 0.10 and 0.11 respectively, and 0.41 in unseen test samples. These recommended responses were then verified by expert doctors, who confirmed that the responses to these drugs were very close to the actual response. These recommendation are also effective in slowing the growth of these tumors and improving patients quality of life by monitoring medication effects.</div></div>","PeriodicalId":73399,"journal":{"name":"Intelligence-based medicine","volume":"11 ","pages":"Article 100206"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}