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oncology Oncology

Artificial intelligence applications in pediatric oncology diagnosis.

In Exploration of targeted anti-tumor therapy

Artificial intelligence (AI) algorithms have been applied in abundant medical tasks with high accuracy and efficiency. Physicians can improve their diagnostic efficiency with the assistance of AI techniques for improving the subsequent personalized treatment and surveillance. AI algorithms fundamentally capture data, identify underlying patterns, achieve preset endpoints, and provide decisions and predictions about real-world events with working principles of machine learning and deep learning. AI algorithms with sufficient graphic processing unit power have been demonstrated to provide timely diagnostic references based on preliminary training of large amounts of clinical and imaging data. The sample size issue is an inevitable challenge for pediatric oncology considering its low morbidity and individual heterogeneity. However, this problem may be solved in the near future considering the exponential advancements of AI algorithms technically to decrease the dependence of AI operation on the amount of data sets and the efficiency of computing power. For instance, it could be a feasible solution by shifting convolutional neural networks (CNNs) from adults and sharing CNN algorithms across multiple institutions besides original data. The present review provides important insights into emerging AI applications for the diagnosis of pediatric oncology by systematically overviewing of up-to-date literature.

Yang Yuhan, Zhang Yimao, Li Yuan

2023

Pediatric oncology, artificial intelligence, cancer diagnosis, deep learning, machine learning

Surgery Surgery

Artificial intelligence fusion for predicting survival of rectal cancer patients using immunohistochemical expression of Ras homolog family member B in biopsy.

In Exploration of targeted anti-tumor therapy

AIM : The process of biomarker discovery is being accelerated with the application of artificial intelligence (AI), including machine learning. Biomarkers of diseases are useful because they are indicators of pathogenesis or measures of responses to therapeutic treatments, and therefore, play a key role in new drug development. Proteins are among the candidates for biomarkers of rectal cancer, which need to be explored using state-of-the-art AI to be utilized for prediction, prognosis, and therapeutic treatment. This paper aims to investigate the predictive power of Ras homolog family member B (RhoB) protein in rectal cancer.

METHODS : This study introduces the integration of pretrained convolutional neural networks and support vector machines (SVMs) for classifying biopsy samples of immunohistochemical expression of protein RhoB in rectal-cancer patients to validate its biologic measure in biopsy. Features of the immunohistochemical expression images were extracted by the pretrained networks and used for binary classification by the SVMs into two groups of less and more than 5-year survival rates.

RESULTS : The fusion of neural search architecture network (NASNet)-Large for deep-layer feature extraction and classifier using SVMs provided the best average classification performance with a total accuracy = 85%, prediction of survival rate of more than 5 years = 90%, and prediction of survival rate of less than 5 years = 75%.

CONCLUSIONS : The finding obtained from the use of AI reported in this study suggest that RhoB expression on rectal-cancer biopsy can be potentially used as a biomarker for predicting survival outcomes in rectal-cancer patients, which can be informative for clinical decision making if the patient would be recommended for preoperative therapy.

Pham Tuan D, Ravi Vinayakumar, Luo Bin, Fan Chuanwen, Sun Xiao-Feng

2023

Artificial intelligence, biomarkers, immunohistochemistry, machine learning, precision medicine, proteins, rectal neoplasms

General General

A chatbot-based intervention with ELME to improve stress and health-related parameters in a stressed sample: Study protocol of a randomised controlled trial.

In Frontiers in digital health

BACKGROUND : Stress levels in the general population had already been increasing in recent years, and have subsequently been exacerbated by the global pandemic. One approach for innovative online-based interventions are "chatbots" - computer programs that can simulate a text-based interaction with human users via a conversational interface. Research on the efficacy of chatbot-based interventions in the context of mental health is sparse. The present study is designed to investigate the effects of a three-week chatbot-based intervention with the chatbot ELME, aiming to reduce stress and to improve various health-related parameters in a stressed sample.

METHODS : In this multicenter, two-armed randomised controlled trial with a parallel design, a three-week chatbot-based intervention group including two daily interactive intervention sessions via smartphone (á 10-20 min.) is compared to a treatment-as-usual control group. A total of 130 adult participants with a medium to high stress levels will be recruited in Germany. Assessments will take place pre-intervention, post-intervention (after three weeks), and follow-up (after six weeks). The primary outcome is perceived stress. Secondary outcomes include self-reported interoceptive accuracy, mindfulness, anxiety, depression, personality, emotion regulation, psychological well-being, stress mindset, intervention credibility and expectancies, affinity for technology, and attitudes towards artificial intelligence. During the intervention, participants undergo ecological momentary assessments. Furthermore, satisfaction with the intervention, the usability of the chatbot, potential negative effects of the intervention, adherence, potential dropout reasons, and open feedback questions regarding the chatbot are assessed post-intervention.

DISCUSSION : To the best of our knowledge, this is the first chatbot-based intervention addressing interoception, as well as in the context with the target variables stress and mindfulness. The design of the present study and the usability of the chatbot were successfully tested in a previous feasibility study. To counteract a low adherence of the chatbot-based intervention, a high guidance by the chatbot, short sessions, individual and flexible time points of the intervention units and the ecological momentary assessments, reminder messages, and the opportunity to postpone single units were implemented.

TRIAL REGISTRATION : The trial is registered at the WHO International Clinical Trials Registry Platform via the German Clinical Trials Register (DRKS00027560; date of registration: 06 January 2022). This is protocol version No. 1. In case of important protocol modifications, trial registration will be updated.

Schillings C, Meissner D, Erb B, Schultchen D, Bendig E, Pollatos O

2023

chatbot, digital health, interoception, intervention, mindfulness, stress

General General

CRMSNet: a deep learning model that uses convolution and residual multi-head self-attention block to predict RBPs for RNA sequence.

In Proteins

RNA-binding proteins (RBPs) play significant roles in many biological life activities, many algorithms and tools are proposed to predict RBPs for researching biological mechanisms of RNA-protein binding sites. Deep learning algorithms based on traditional machine learning get better result for predicting RBPs. Recently, deep learning method fused with attention mechanism has attracted huge attention in many fields and gets competitive result. Thus, attention mechanism module may also improve model performance for predicting RNA-protein binding sites. In this study, we propose convolutional residual multi-head self-attention network (CRMSNet) that combines CNN, ResNet and multi-head self-attention blocks to find RBPs for RNA sequence. First, CRMSNet incorporates convolutional neural networks, recurrent neural networks and multi-head self-attention block. Second, CRMSNet can draw binding motif pictures from the convolutional layer parameters. Third, attention mechanism module combines the local and global RNA sequence information for capturing long sequence feature. CRMSNet gets competitive AUC (area under the ROC curve) result in a large-scale dataset RBP-24. And CRMSNet experiment result is also compared with other state-of-the-art methods. The source code of our proposed CRMSNet method can be found in https://github.com/biomg/CRMSNet. This article is protected by copyright. All rights reserved.

Pan Zhengsen, Zhou Shusen, Zou Hailin, Liu Chanjuan, Zang Mujun, Liu Tong, Wang Qingjun

2023-Mar-19

RNA-protein binding sites, convolutional neural networks, deep learning, multi-head self-attention, prediction, residual neural networks

General General

Applying Blockchain Technology in Network Public Opinion Risk Management System in Big Data Environment.

In Computational intelligence and neuroscience

Network public opinion represents public social opinion to a certain extent and has an important impact on formulating national policies and judgment. Therefore, China and other countries attach great importance to the study of online public opinion. However, the current researches lack the combination of theory and practical cases and lack the intersection of social and natural sciences. This work aims to overcome the technical defects of traditional management systems, break through the difficulties and pain points of existing network public opinion risk management, and improve the efficiency of network public opinion risk management. Firstly, a network public opinion isolation strategy based on the infectious disease propagation model is proposed, and the optimal control theory is used to realize a functional control model to maximize social utility. Secondly, blockchain technology is used to build a network public opinion risk management system. The system is used to conduct a detailed study on identifying and perceiving online public opinion risk. Finally, a Chinese word segmentation scheme based on Long Short-Term Memory (LSTM) network model and a text emotion recognition scheme based on a convolutional neural network are proposed. Both schemes are validated on a typical corpus. The results show that when the system has a control strategy, the number of susceptible drops significantly. Two days after the public opinion is generated, the number of susceptible people decreased from 1,000 to 250; 3 days after the public opinion is generated, the number of susceptible people stabilized. 2 days after the public opinion is generated, the number of lurkers increased from 100 to 620; 3 days after the public opinion is generated, the number of lurkers stabilized. The data demonstrate that the designed isolation control strategy is effective. Changes in public opinion among infected people show that quarantine control strategies played a significant role in the early days of Corona Virus Disease 2019. The rate of change in the number of infections is more affected when quarantine controls are increased, especially in the days leading up to the outbreak. When the system adopts the optimal control strategy, the influence scope of public opinion becomes smaller, and the control becomes easier. When the dimension of the word vector of emergent events is 200, its accuracy may be higher. This method provides certain ideas for blockchain and deep learning technology in network public opinion control.

Luo Zhenqing, Zhang Cheng

2023

General General

Semantic Latent Space Regression of Diffusion Autoencoders for Vertebral Fracture Grading

ArXiv Preprint

Vertebral fractures are a consequence of osteoporosis, with significant health implications for affected patients. Unfortunately, grading their severity using CT exams is hard and subjective, motivating automated grading methods. However, current approaches are hindered by imbalance and scarcity of data and a lack of interpretability. To address these challenges, this paper proposes a novel approach that leverages unlabelled data to train a generative Diffusion Autoencoder (DAE) model as an unsupervised feature extractor. We model fracture grading as a continuous regression, which is more reflective of the smooth progression of fractures. Specifically, we use a binary, supervised fracture classifier to construct a hyperplane in the DAE's latent space. We then regress the severity of the fracture as a function of the distance to this hyperplane, calibrating the results to the Genant scale. Importantly, the generative nature of our method allows us to visualize different grades of a given vertebra, providing interpretability and insight into the features that contribute to automated grading.

Matthias Keicher, Matan Atad, David Schinz, Alexandra S. Gersing, Sarah C. Foreman, Sophia S. Goller, Juergen Weissinger, Jon Rischewski, Anna-Sophia Dietrich, Benedikt Wiestler, Jan S. Kirschke, Nassir Navab

2023-03-21