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  • 文章类型: Systematic Review
    医疗保健中的不确定性估计涉及量化和理解与医疗预测相关的固有不确定性或变异性,诊断,和治疗结果。在这个人工智能(AI)模型的时代,不确定性估计对于确保医疗领域的安全决策至关重要。因此,这篇综述的重点是不确定性技术在医疗保健中机器和深度学习模型中的应用。使用系统审查和荟萃分析的首选报告项目(PRISMA)指南进行了系统的文献审查。我们的分析表明,贝叶斯方法是机器学习模型中不确定性量化的主要技术,模糊系统是第二常用的方法。关于深度学习模型,贝叶斯方法成为最普遍的方法,发现在医学成像的几乎所有方面的应用。本文报道的大多数研究都集中在医学图像上,与机器学习模型相比,突出了使用深度学习模型的不确定性量化技术的普遍应用。有趣的是,我们观察到缺乏将不确定性量化应用于生理信号的研究。因此,未来的不确定性量化研究应优先研究这些技术在生理信号中的应用。总的来说,我们的综述强调了在机器学习和深度学习模型的医疗保健应用中整合不确定性技术的重要性.这可以提供有价值的见解和实用的解决方案,以管理现实世界医疗数据中的不确定性,最终提高医疗诊断和治疗建议的准确性和可靠性。
    Uncertainty estimation in healthcare involves quantifying and understanding the inherent uncertainty or variability associated with medical predictions, diagnoses, and treatment outcomes. In this era of Artificial Intelligence (AI) models, uncertainty estimation becomes vital to ensure safe decision-making in the medical field. Therefore, this review focuses on the application of uncertainty techniques to machine and deep learning models in healthcare. A systematic literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Our analysis revealed that Bayesian methods were the predominant technique for uncertainty quantification in machine learning models, with Fuzzy systems being the second most used approach. Regarding deep learning models, Bayesian methods emerged as the most prevalent approach, finding application in nearly all aspects of medical imaging. Most of the studies reported in this paper focused on medical images, highlighting the prevalent application of uncertainty quantification techniques using deep learning models compared to machine learning models. Interestingly, we observed a scarcity of studies applying uncertainty quantification to physiological signals. Thus, future research on uncertainty quantification should prioritize investigating the application of these techniques to physiological signals. Overall, our review highlights the significance of integrating uncertainty techniques in healthcare applications of machine learning and deep learning models. This can provide valuable insights and practical solutions to manage uncertainty in real-world medical data, ultimately improving the accuracy and reliability of medical diagnoses and treatment recommendations.
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  • 文章类型: Journal Article
    历史上,通过指纹将罪犯与犯罪现场联系起来的过程需要大量的人力来将从现场恢复的潜在指纹与嫌疑人的已知指纹进行比较。加快这种比较的速度,同时保持准确性和可靠性,并最大限度地减少误差,对于向警方调查人员提供快速情报至关重要。简化指纹检查的一个主要机会是“熄灭灯”技术适应潜在指纹的比较和匹配。这里,我们回顾了发展,昆士兰州警察局(QPS)进行的试验和验证过程,澳大利亚,支持实施与现有病例管理系统完全集成的自动潜在指纹搜索的熄灭(LOL)工作流程。使用先前识别的潜在指纹的随机选择进行有针对性的试验,这些指纹是使用LOL工作流程针对本地10打印数据库进行搜索的。结果表明,LOL工作流程可以在最少的人为干预下识别多达44%的潜在指纹,并支持QPS案例中所有潜在指纹比较的实施。对2019年LOL案例比较结果的审查显示,基于LOL的识别贡献了所有指纹识别的大约四分之一。讨论了影响LOL工作流程速度和效率的几个程序和技术因素,以及作为专家系统的改进和未来验证的机会。
    The process of linking an offender to a crime scene via their fingerprints has historically required significant human effort to compare latent fingerprints recovered from the scene with known fingerprints of a suspect. Increasing the speed of such comparisons, whilst maintaining accuracy and reliability and minimising error, is crucial for providing rapid intelligence to police investigators. One major opportunity for streamlining fingerprint examination is the adaptation of \'lights-out\' technology to the comparison and matching of latent fingerprints. Here, we review the development, trial and validation process undertaken by the Queensland Police Service (QPS), Australia, to support implementation of a lights-out latent (LOL) workflow for automated latent fingerprint searching that is fully integrated with the existing case management systems. Targeted trials were undertaken using random selections of previously identified latent fingerprints that were searched using the LOL workflow against a local 10-print database. The results suggested that the LOL workflow could identify up to 44% of latent fingerprints with minimal human intervention and supported its implementation for all latent fingerprint comparisons in QPS casework. Review of LOL casework comparison outcomes for 2019 revealed that LOL-based identifications contributed approximately one quarter of all fingerprint identifications. Several procedural and technical factors that influenced the speed and efficiency of the LOL workflow are discussed, along with opportunities for improvement and future validation as an expert system.
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  • 文章类型: Journal Article
    BACKGROUND: Overconcern with food and shape/weight stimuli are central to eating disorder maintenance with attentional biases seen towards these images not present in healthy controls. These stimuli trigger changes in the physiological, emotional, and neural responses in people with eating disorders, and are regularly used in research and clinical practice. However, selection of stimuli for these treatments is frequently based on self-reported emotional ratings alone, and whether self-reports reflect objective responses is unknown.
    UNASSIGNED: This review assessed the associations across emotional self-report, physiological, and neural responses to both food and body-shape/weight stimuli in people with anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED). For food stimuli, either an aversive or lack of physiological effect was generated in people with AN, together with a negative emotional response on neuroimaging, and high subjective anxiety ratings. People with BN showed a positive self-rating, an aversive physiological reaction, and a motivational neural response. In BED, an aversive physiological reaction was found in contrast to motivational/appetitive neural responses, with food images rated as pleasant. The results for shape/weight stimuli showed aversive responses in some physiological modalities, which was reflected in both the emotional and neural responses, but this aversive response was not consistent across physiological studies.
    CONCLUSIONS: Shape/weight stimuli are more reliable for use in therapy or research than food stimuli as the impact of these images is more consistent across subjective and objective responses. Care should be taken when using food stimuli due to the disconnect reported in this review.
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  • 文章类型: Journal Article
    龋齿是世界上最常见的牙科疾病,神经网络和人工智能越来越多地应用于牙科领域。本系统综述旨在确定神经网络在龋齿检测和诊断中的最新技术。在PubMed进行了搜索,电气和电子工程师协会(IEEE)Xplore,和科学直接。数据提取由两名审阅者独立进行。使用Cochrane手册工具评估所选研究的质量。共纳入13项研究。大多数纳入的研究采用根尖周,近红外光透照,和咬痕射线照相。图像数据库范围从87到3000张图像,平均有669张图像。其中七项研究由经验丰富的牙医在每张图像中标记了龋齿。并非所有的研究都详细说明了龋齿是如何定义的,并不是所有的详细类型的龋齿病变检测。这篇综述中包含的每项研究都使用了不同的神经网络和不同的结果指标。所有这些可变性使有关神经网络检测和诊断龋齿的可靠性的结论变得复杂。神经网络和牙医结果之间的比较也是必要的。
    Dental caries is the most prevalent dental disease worldwide, and neural networks and artificial intelligence are increasingly being used in the field of dentistry. This systematic review aims to identify the state of the art of neural networks in caries detection and diagnosis. A search was conducted in PubMed, Institute of Electrical and Electronics Engineers (IEEE) Xplore, and ScienceDirect. Data extraction was performed independently by two reviewers. The quality of the selected studies was assessed using the Cochrane Handbook tool. Thirteen studies were included. Most of the included studies employed periapical, near-infrared light transillumination, and bitewing radiography. The image databases ranged from 87 to 3000 images, with a mean of 669 images. Seven of the included studies labeled the dental caries in each image by experienced dentists. Not all of the studies detailed how caries was defined, and not all detailed the type of carious lesion detected. Each study included in this review used a different neural network and different outcome metrics. All this variability complicates the conclusions that can be made about the reliability or not of a neural network to detect and diagnose caries. A comparison between neural network and dentist results is also necessary.
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  • 文章类型: Journal Article
    Convolutional neural networks (CNNs) are increasingly applied for medical image diagnostics. We performed a scoping review, exploring (1) use cases, (2) methodologies and (3) findings of studies applying CNN on dental image material.
    Medline via PubMed, IEEE Xplore, arXiv were searched.
    Full-text articles and conference-proceedings reporting CNN application on dental imagery were included.
    Thirty-six studies, published 2015-2019, were included, mainly from four countries (South Korea, United States, Japan, China). Studies focussed on general dentistry (n = 15 studies), cariology (n = 5), endodontics (n = 2), periodontology (n = 3), orthodontics (n = 3), dental radiology (2), forensic dentistry (n = 2) and general medicine (n = 4). Most often, the detection, segmentation or classification of anatomical structures, including teeth (n = 9), jaw bone (n = 2) and skeletal landmarks (n = 4) was performed. Detection of pathologies focused on caries (n = 3). The most commonly used image type were panoramic radiographs (n = 11), followed by periapical radiographs (n = 8), Cone-Beam CT or conventional CT (n = 6). Dataset sizes varied between 10-5,166 images (mean 1,053). Most studies used medical professionals to label the images and constitute the reference test. A large range of outcome metrics was employed, hampering comparisons across studies. A comparison of the CNN performance against an independent test group of dentists was provided by seven studies; most studies found the CNN to perform similar to dentists. Applicability or impact on treatment decision was not assessed at all.
    CNNs are increasingly employed for dental image diagnostics in research settings. Their usefulness, safety and generalizability should be demonstrated using more rigorous, replicable and comparable methodology.
    CNNs may be used in diagnostic-assistance systems, thereby assisting dentists in a more comprehensive, systematic and faster evaluation and documentation of dental images. CNNs may become applicable in routine care; however, prior to that, the dental community should appraise them against the rules of evidence-based practice.
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  • 文章类型: Journal Article
    Sleep and emotion are closely linked, however the effects of sleep on socio-emotional task performance have only recently been investigated. Sleep loss and insomnia have been found to affect emotional reactivity and social functioning, although results, taken together, are somewhat contradictory. Here we review this advancing literature, aiming to 1) systematically review the relevant literature on sleep and socio-emotional functioning, with reference to the extant literature on emotion and social interactions, 2) summarize results and outline ways in which emotion, social interactions, and sleep may interact, and 3) suggest key limitations and future directions for this field. From the reviewed literature, sleep deprivation is associated with diminished emotional expressivity and impaired emotion recognition, and this has particular relevance for social interactions. Sleep deprivation also increases emotional reactivity; results which are most apparent with neuro-imaging studies investigating amygdala activity and its prefrontal regulation. Evidence of emotional dysregulation in insomnia and poor sleep has also been reported. In general, limitations of this literature include how performance measures are linked to self-reports, and how results are linked to socio-emotional functioning. We conclude by suggesting some possible future directions for this field.
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