OBJECTIVE: This study aimed to design an autodelineation model based on convolutional neural networks for generating high-risk clinical target volumes and organs at risk in image-guided adaptive brachytherapy for cervical cancer.
METHODS: A novel SERes-u-net was trained and tested using CT scans from 98 patients with locally advanced cervical cancer who underwent image-guided adaptive brachytherapy. The Dice similarity coefficient, 95th percentile Hausdorff distance, and clinical assessment were used for evaluation.
RESULTS: The mean Dice similarity coefficients of our model were 80.8%, 91.9%, 85.2%, 60.4%, and 82.8% for the high-risk clinical target volumes, bladder, rectum, sigmoid, and bowel loops, respectively. The corresponding 95th percentile Hausdorff distances were 5.23mm, 4.75mm, 4.06mm, 30.0mm, and 20.5mm. The evaluation results revealed that 99.3% of the convolutional neural networks-generated high-risk clinical target volumes slices were acceptable for oncologist A and 100% for oncologist B. Most segmentations of the organs at risk were clinically acceptable, except for the 25% sigmoid, which required significant revision in the opinion of oncologist A. There was a significant difference in the clinical evaluation of convolutional neural networks-generated high-risk clinical target volumes between the two oncologists (P<0.001), whereas the score differences of the organs at risk were not significant between the two oncologists. In the consistency evaluation, a large discrepancy was observed between senior and junior clinicians. About 40% of SERes-u-net-generated contours were thought to be better by junior clinicians.
CONCLUSIONS: The high-risk clinical target volumes and organs at risk of cervical cancer generated by the proposed convolutional neural networks model can be used clinically, potentially improving segmentation consistency and efficiency of contouring in image-guided adaptive brachytherapy workflow.

OBJECTIVE: Myocardial contrast echocardiography (MCE) plays a crucial role in diagnosing ischemia, infarction, masses and other cardiac conditions. In the realm of MCE image analysis, accurate and consistent myocardial segmentation results are essential for enabling automated analysis of various heart diseases. However, current manual diagnostic methods in MCE suffer from poor repeatability and limited clinical applicability. MCE images often exhibit low quality and high noise due to the instability of ultrasound signals, while interference structures can further disrupt segmentation consistency.
METHODS: To overcome these challenges, we proposed a deep-learning network for the segmentation of MCE. This architecture leverages dilated convolutions to capture high-scale information without sacrificing positional accuracy and modifies multi-head self-attention to enhance global context and ensure consistency, effectively overcoming issues related to low image quality and interference. Furthermore, we also adapted the cascade application of transformers with convolutional neural networks for improved segmentation in MCE.
RESULTS: In our experiments, our architecture achieved the best Dice score of 84.35% for standard MCE views compared with that of several state-of-the-art segmentation models. For non-standard views and frames with interfering structures (mass), our models also attained the best Dice scores of 83.33% and 83.97%, respectively.
CONCLUSIONS: These studies proved that our architecture is of excellent shape consistency and robustness, which allows it to deal with segmentation of various types of MCE. Our relatively precise and consistent myocardial segmentation results provide fundamental conditions for the automated analysis of various heart diseases, with the potential to discover underlying pathological features and reduce healthcare costs.

Monitoring chlorophyll-a concentrations (Chl-a, μg·L-1) in aquatic ecosystems has attracted much attention due to its direct link to harmful algal blooms. However, there has been a lack of a cost-effective method for measuring Chl-a in small waterbodies. Inspired by the increase of smartphone photography, a Smartphone-based convolutional neural networks (CNN) framework (SCCA) was developed to estimate Chl-a in Aquatic ecosystem. To evaluate the performance of SCCA, 238 paired records (a smartphone image with a 12-color background and a measured Chl-a value) were collected from diverse aquatic ecosystems (e.g., rivers, lakes and ponds) across China in 2023. Our performance-evaluation results revealed a NS and R2 value of 0.90 and 0.94 in Chl-a estimation, demonstrating a satisfactory (NS = 0.84, R2 = 0.86) model fit in lower Chl-a (<30 μg L-1) conditions. SCCA had involved a realtime-update method with hyperparameter optimization technology. In comparison with the existing methods of measuring Chl-a, SCCA provides a useful screening tool for cost-effective measurement of Chl-a and has the potential for being an algal bloom screening means in small waterbodies, using Huajin River as a case study, especially under limited resources for water measurement. Overall, we highlight that the SCCA can be potentially integrated into a smartphone application in the future to diverse waterbodies in environmental management.

Classifying images is one of the most important tasks in computer vision. Recently, the best performance for image classification tasks has been shown by networks that are both deep and well-connected. These days, most datasets are made up of a fixed number of color images. The input images are taken in red green blue (RGB) format and classified without any changes being made to the original. It is observed that color spaces (basically changing original RGB images) have a major impact on classification accuracy, and we delve into the significance of color spaces. Moreover, datasets with a highly variable number of classes, such as the PlantVillage dataset utilizing a model that incorporates numerous color spaces inside the same model, achieve great levels of accuracy, and different classes of images are better represented in different color spaces. Furthermore, we demonstrate that this type of model, in which the input is preprocessed into many color spaces simultaneously, requires significantly fewer parameters to achieve high accuracy for classification. The proposed model basically takes an RGB image as input, turns it into seven separate color spaces at once, and then feeds each of those color spaces into its own Convolutional Neural Network (CNN) model. To lessen the load on the computer and the number of hyperparameters needed, we employ group convolutional layers in the proposed CNN model. We achieve substantial gains over the present state-of-the-art methods for the classification of crop disease.

Gait recognition, a biometric identification method, has garnered significant attention due to its unique attributes, including non-invasiveness, long-distance capture, and resistance to impersonation. Gait recognition has undergone a revolution driven by the remarkable capacity of deep learning to extract complicated features from data. An overview of the current developments in deep learning-based gait identification methods is provided in this work. We explore and analyze the development of gait recognition and highlight its uses in forensics, security, and criminal investigations. The article delves into the challenges associated with gait recognition, such as variations in walking conditions, viewing angles, and clothing as well. We discuss about the effectiveness of deep neural networks in addressing these challenges by providing a comprehensive analysis of state-of-the-art architectures, including convolutional neural networks (CNNs), recurrent neural networks (RNNs), and attention mechanisms. Diverse neural network-based gait recognition models, such as Gate Controlled and Shared Attention ICDNet (GA-ICDNet), Multi-Scale Temporal Feature Extractor (MSTFE), GaitNet, and various CNN-based approaches, demonstrate impressive accuracy across different walking conditions, showcasing the effectiveness of these models in capturing unique gait patterns. GaitNet achieved an exceptional identification accuracy of 99.7%, whereas GA-ICDNet showed high precision with an equal error rate of 0.67% in verification tasks. GaitGraph (ResGCN+2D CNN) achieved rank-1 accuracies ranging from 66.3% to 87.7%, whereas a Fully Connected Network with Koopman Operator achieved an average rank-1 accuracy of 74.7% for OU-MVLP across various conditions. However, GCPFP (GCN with Graph Convolution-Based Part Feature Polling) utilizing graph convolutional network (GCN) and GaitSet achieves the lowest average rank-1 accuracy of 62.4% for CASIA-B, while MFINet (Multiple Factor Inference Network) exhibits the lowest accuracy range of 11.72% to 19.32% under clothing variation conditions on CASIA-B. In addition to an across-the-board analysis of recent breakthroughs in gait recognition, the scope for potential future research direction is also assessed.

UNASSIGNED: Hand gestures are an effective communication tool that may convey a wealth of information in a variety of sectors, including medical and education. E-learning has grown significantly in the last several years and is now an essential resource for many businesses. Still, there has not been much research conducted on the use of hand gestures in e-learning. Similar to this, gestures are frequently used by medical professionals to help with diagnosis and treatment.
UNASSIGNED: We aim to improve the way instructors, students, and medical professionals receive information by introducing a dynamic method for hand gesture monitoring and recognition. Six modules make up our approach: video-to-frame conversion, preprocessing for quality enhancement, hand skeleton mapping with single shot multibox detector (SSMD) tracking, hand detection using background modeling and convolutional neural network (CNN) bounding box technique, feature extraction using point-based and full-hand coverage techniques, and optimization using a population-based incremental learning algorithm. Next, a 1D CNN classifier is used to identify hand motions.
UNASSIGNED: After a lot of trial and error, we were able to obtain a hand tracking accuracy of 83.71% and 85.71% over the Indian Sign Language and WLASL datasets, respectively. Our findings show how well our method works to recognize hand motions.
UNASSIGNED: Teachers, students, and medical professionals can all efficiently transmit and comprehend information by utilizing our suggested system. The obtained accuracy rates highlight how our method might improve communication and make information exchange easier in various domains.

This study investigated the usefulness of deep learning-based automatic detection of temporomandibular joint (TMJ) effusion using magnetic resonance imaging (MRI) in patients with temporomandibular disorder and whether the diagnostic accuracy of the model improved when patients\' clinical information was provided in addition to MRI images. The sagittal MR images of 2948 TMJs were collected from 1017 women and 457 men (mean age 37.19 ± 18.64 years). The TMJ effusion diagnostic performances of three convolutional neural networks (scratch, fine-tuning, and freeze schemes) were compared with those of human experts based on areas under the curve (AUCs) and diagnosis accuracies. The fine-tuning model with proton density (PD) images showed acceptable prediction performance (AUC = 0.7895), and the from-scratch (0.6193) and freeze (0.6149) models showed lower performances (p < 0.05). The fine-tuning model had excellent specificity compared to the human experts (87.25% vs. 58.17%). However, the human experts were superior in sensitivity (80.00% vs. 57.43%) (all p < 0.001). In gradient-weighted class activation mapping (Grad-CAM) visualizations, the fine-tuning scheme focused more on effusion than on other structures of the TMJ, and the sparsity was higher than that of the from-scratch scheme (82.40% vs. 49.83%, p < 0.05). The Grad-CAM visualizations agreed with the model learned through important features in the TMJ area, particularly around the articular disc. Two fine-tuning models on PD and T2-weighted images showed that the diagnostic performance did not improve compared with using PD alone (p < 0.05). Diverse AUCs were observed across each group when the patients were divided according to age (0.7083-0.8375) and sex (male:0.7576, female:0.7083). The prediction accuracy of the ensemble model was higher than that of the human experts when all the data were used (74.21% vs. 67.71%, p < 0.05). A deep neural network (DNN) was developed to process multimodal data, including MRI and patient clinical data. Analysis of four age groups with the DNN model showed that the 41-60 age group had the best performance (AUC = 0.8258). The fine-tuning model and DNN were optimal for judging TMJ effusion and may be used to prevent true negative cases and aid in human diagnostic performance. Assistive automated diagnostic methods have the potential to increase clinicians\' diagnostic accuracy.

Objective Respiratory motion, cardiac motion, and inherently low signal-to-noise ratio (SNR) are major limitations of in vivo cardiac diffusion tensor imaging (DTI). We propose a novel enhancement method that uses unsupervised learning based invertible wavelet scattering (IWS) to improve the quality of in vivo cardiac DTI. Approach Our method starts by extracting nearly transformation-invariant features from multiple cardiac diffusion-weighted (DW) image acquisitions using multi-scale wavelet scattering (WS). The relationship between the WS coefficients and DW images is learned through a multiscale encoder and a decoder network. Using the trained encoder, the deep features of WS coefficients of multiple DW image acquisitions are further extracted and then fused using an average rule. Finally, using the fused WS features and trained decoder, the enhanced DW images are derived. Main Results We evaluated the performance of the proposed method by comparing it with several methods on three in vivo cardiac DTI datasets in terms of SNR, contrast to noise ratio (CNR), fractional anisotropy (FA), mean diffusivity (MD), and helix angle (HA). Compared to the best comparison method, SNR/CNR of diastolic, gastric peristalsis influenced, and end systolic DW images were improved by 1%/16%, 5%/6%, and 56%/30%, respectively. The approach also yielded consistent FA and MD values and more coherent helical fiber structures than the comparison methods used in this work. Significance The ablation results verify that using the transformation-invariant and noise-robust wavelet scattering features enables effective exploration of useful information from limited data. This provides a potential means to alleviate the dependence of the fusion results on the number of repeated acquisitions, which is beneficial for dealing with noise and residual motion issues simultaneously, thereby improving the quality of in vivo cardiac DTI.

UNASSIGNED: Epilepsy, which is associated with neuronal damage and functional decline, typically presents patients with numerous challenges in their daily lives. An early diagnosis plays a crucial role in managing the condition and alleviating the patients\' suffering. Electroencephalogram (EEG)-based approaches are commonly employed for diagnosing epilepsy due to their effectiveness and non-invasiveness. In this study, a classification method is proposed that use fast Fourier Transform (FFT) extraction in conjunction with convolutional neural networks (CNN) and long short-term memory (LSTM) models.
UNASSIGNED: Most methods use traditional frameworks to classify epilepsy, we propose a new approach to this problem by extracting features from the source data and then feeding them into a network for training and recognition. It preprocesses the source data into training and validation data and then uses CNN and LSTM to classify the style of the data.
UNASSIGNED: Upon analyzing a public test dataset, the top-performing features in the fully CNN nested LSTM model for epilepsy classification are FFT features among three types of features. Notably, all conducted experiments yielded high accuracy rates, with values exceeding 96% for accuracy, 93% for sensitivity, and 96% for specificity. These results are further benchmarked against current methodologies, showcasing consistent and robust performance across all trials. Our approach consistently achieves an accuracy rate surpassing 97.00%, with values ranging from 97.95 to 99.83% in individual experiments. Particularly noteworthy is the superior accuracy of our method in the AB versus (vs.) CDE comparison, registering at 99.06%.
UNASSIGNED: Our method exhibits precise classification abilities distinguishing between epileptic and non-epileptic individuals, irrespective of whether the participant\'s eyes are closed or open. Furthermore, our technique shows remarkable performance in effectively categorizing epilepsy type, distinguishing between epileptic ictal and interictal states versus non-epileptic conditions. An inherent advantage of our automated classification approach is its capability to disregard EEG data acquired during states of eye closure or eye-opening. Such innovation holds promise for real-world applications, potentially aiding medical professionals in diagnosing epilepsy more efficiently.

Rapid identification of drug mechanisms is vital to the development and effective use of chemotherapeutics. Herein, we develop a multichannel surface-enhanced Raman scattering (SERS) sensor array and apply deep learning approaches to realize the rapid identification of the mechanisms of various chemotherapeutic drugs. By implementing a series of self-assembled monolayers (SAMs) with varied molecular characteristics to promote heterogeneous physicochemical interactions at the interfaces, the sensor can generate diversified SERS signatures for directly high-dimensionality fingerprinting drug-induced molecular changes in cells. We further train the convolutional neural network model on the multidimensional SAM-modulated SERS data set and achieve a discriminatory accuracy toward 99%. We expect that such a platform will contribute to expanding the toolbox for drug screening and characterization and facilitate the drug development process.