Background Monkeypox is a viral disease caused by the monkeypox virus (MPV). A surge in monkeypox infection has been reported since early May 2022, and the outbreak has been classified as a global health emergency as the situation continues to worsen. Early and accurate detection of the disease is required to control its spread. Machine learning methods offer fast and accurate detection of COVID-19 from chest X-rays, and chest computed tomography (CT) images. Likewise, computer vision techniques can automatically detect monkeypoxes from digital images, videos, and other inputs. Objectives In this paper, we propose an automated monkeypox detection model as the first step toward controlling its global spread. Materials and method A new dataset comprising 910 open-source images classified into five categories (healthy, monkeypox, chickenpox, smallpox, and zoster zona) was created. A new deep feature engineering architecture was proposed, which contained the following components: (i) multiple nested patch division, (ii) deep feature extraction, (iii) multiple feature selection by deploying neighborhood component analysis (NCA), Chi2, and ReliefF selectors, (iv) classification using SVM with 10-fold cross-validation, (v) voted results generation by deploying iterative hard majority voting (IHMV) and (vi) selection of the best vector by a greedy algorithm. Results Our proposal attained a 91.87% classification accuracy on the collected dataset. This is the best result of our presented framework, which was automatically selected from 70 generated results. Conclusions The computed classification results and findings demonstrated that monkeypox could be successfully detected using our proposed automated model.

Physical violence detection using multimedia data is crucial for public safety and security. This is an important research area in information security and digital forensics. Research in video-based violence detection (VVD) has grown steadily in recent years with rapid increase in video surveillance systems worldwide. Verbal aggression detection technologies, on the other hand, are still limited due to the popularity of computer vision models. Thus, researchers have preferred to use computer vision models to detect violence using videos. We have presented a new automatic audio violence detection (AVD) model to fill this gap. Our AVD model is handcrafted and its details are as follows. This work collected a new audio dataset on verbal aggression from YouTube. A novel handcrafted model was proposed using multilevel feature extraction, feature selection, classification, and majority voting phases. A new local feature extraction function based on the binary tree was used to generate features from audio signals. We call this function tree pattern-23 (TreePat23), where 23 represents the number of wavelet bands/audio signals inputs. Wavelet bands were generated using tunable Q wavelet transform (TQWT) before being applied to our TreePat23 for feature extraction. The iterative neighborhood component analysis (INCA) and Chi2 were used to select the features. The selected features were classified using k nearest neighbors (kNN) and support vector machine (SVM) followed by iterative majority voting (IMV) method. The best-predicted vector was obtained by using a greedy algorithm. Finally, a new validation technique called leave one record out (LORO) cross-validation (CV) was used to validate the results. Our proposed TreePat23 model has attained classification accuracy of 89.68% and 89.75% with kNN and SVM, respectively. Our developed system has generated 14 results for each classifier and automatically selected the best result. Hence this model is a self-organized audio classification model which yielded over 89% classification accuracy for both classifiers using LORO CV strategy.

The aim of this work is to investigate the use of shadow videos for daily sports activity detection and to contribute to the emerging field of shadow-based classification in machine learning. A novel deep feature engineering model is proposed, and a new shadow video dataset is collected to validate the proposed model. Furthermore, the use of shadow videos ensures privacy protection for individuals. To evaluate the proposed system, a dataset comprising five sports activities (i.e., squat, steady run, standing butterfly, overhead side bend, and knee lift) recorded from 33 participants is used. The proposed model works in the following way: (i) videos are divided into frames and aggregated into non-overlapping blocks of six frames to create images, (ii) deep features are extracted from three fully connected layers of the pre-trained AlexNet, resulting in 4096, 4096, and 1000 features from fc6, fc7, and fc8 layers, respectively. These three feature vectors are then merged to generate a final feature vector with a length of 9192 (= 4096 + 4096 + 1000). (iii) The Chi2 selector is employed to select the most distinctive 1000 features in the feature selection phase, and (iv) the support vector machine (SVM) with leave-one-subject-out (LOSO) validation is used to classify the five sports activities. The proposed deep features coupled with Chi2 based model achieved a classification accuracy of 88.49% using the SVM classifier with LOSO cross-validation (CV) on our collected dataset.

Background and objective: Attention Deficit Hyperactivity problem (ADHD) is a common neurodevelopment problem in children and adolescents that can lead to long-term challenges in life outcomes if left untreated. Also, ADHD is frequently associated with Conduct Disorder (CD), and multiple research have found similarities in clinical signs and behavioral symptoms between both diseases, making differentiation between ADHD, ADHD comorbid with CD (ADHD+CD), and CD a subjective diagnosis. Therefore, the goal of this pilot study is to create the first explainable deep learning (DL) model for objective ECG-based ADHD/CD diagnosis as having an objective biomarker may improve diagnostic accuracy.Methods: The dataset used in this study consist of ECG data collected from 45 ADHD, 62 ADHD+CD, and 16 CD patients at the Child Guidance Clinic in Singapore. The ECG data were segmented into 2 s epochs and directly used to train our 1-dimensional (1D) convolutional neural network (CNN) model.Results: The proposed model yielded 96.04% classification accuracy, 96.26% precision, 95.99% sensitivity, and 96.11% F1-score. The Gradient-weighted class activation mapping (Grad-CAM) function was also used to highlight the important ECG characteristics at specific time points that most impact the classification score.Conclusion: In addition to achieving model performance results with our suggested DL method, Grad-CAM's implementation also offers vital temporal data that clinicians and other mental healthcare professionals can use to make wise medical judgments. We hope that by conducting this pilot study, we will be able to encourage larger-scale research with a larger biosignal dataset. Hence allowing biosignal-based computer-aided diagnostic (CAD) tools to be implemented in healthcare and ambulatory settings, as ECG can be easily obtained via wearable devices such as smartwatches.

Electroencephalography (EEG) signal is an important physiological signal commonly used in machine learning to decode brain activities, including imagined words and sentences. We aimed to develop an automated lightweight EEG signal-based sentence classification model using a novel dynamic-sized binary pattern (DSBP) textural feature extractor and iterative multi-classifiers based majority voting (IMCMV) algorithm for iterative voting of results calculated using different classifiers for multi-channel EEG signal inputs. A new Turkish sentence EEG(TSEEG) was prospectively acquired. It comprised of 15-second 14-channel EEG signals recorded when 40 volunteers (for each dataset, we collected EEG signals from 20 participants) were either shown or read corresponding to demonstration or listening modes, respectively. Hence, 20 standardized commonly used sentences were obtained in their native Turkish language. The developed sentence classification model extracted 5,400 multilevel deep features from each channel EEG signal segment using the novel DSBP, statistical features, and multilevel discrete wavelet transform (MDWT). 512 features were then chosen using the neighborhood component analysis selection function. k-nearest neighbor and support vector machine classifiers were used to calculate two prediction vectors from the selected features using tenfold cross-validation, i.e., 28 vectors were generated for each 14-channel EEG recording. Finally, the best general voted results were determined for increasing numbers of iteratively calculated prediction vectors using the novel IMCMV algorithm. Channel-wise and voted results were found to be excellent for sentence classification for the TSEEG dataset in both demonstration and listening modes. The DSBP-IMCMV-based model attained the best general classification rates of 98.81% and 98.19% in the demonstration and listening modes, respectively.

Mental fatigue is a psychophysical condition with a significant adverse effect on daily life, compromising both physical and mental wellness. We are experiencing challenges in this fast-changing environment, and mental fatigue problems are becoming more prominent. This demands an urgent need to explore an effective and accurate automated system for timely mental fatigue detection. Therefore, we present a systematic review of brain-computer interface (BCI) studies for mental fatigue detection using artificial intelligent (AI) techniques published in Scopus, IEEE Explore, PubMed and Web of Science (WOS) between 2011 and 2022. The Boolean search expression that comprised (((ELECTROENCEPHALOGRAM) AND (BCI)) AND (FATIGUE CLASSIFICATION)) AND (BRAIN-COMPUTER INTERFACE) has been used to select the articles. Through the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology, we selected 39 out of 562 articles. Our review identified the research gap in employing BCI for mental fatigue intervention through automated neurofeedback. The AI techniques employed to develop EEG-based mental fatigue detection are also discussed. We have presented comprehensive challenges and future recommendations from the gaps identified in discussions. The future direction includes data fusion, hybrid classification models, availability of public datasets, uncertainty, explainability, and hardware implementation strategies.

A brain tumor is an abnormal mass of tissue located inside the skull. In addition to putting pressure on the healthy parts of the brain, it can lead to significant health problems. Depending on the region of the brain tumor, it can cause a wide range of health issues. As malignant brain tumors grow rapidly, the mortality rate of individuals with this cancer can increase substantially with each passing week. Hence it is vital to detect these tumors early so that preventive measures can be taken at the initial stages. Computer-aided diagnostic (CAD) systems, in coordination with artificial intelligence (AI) techniques, have a vital role in the early detection of this disorder. In this review, we studied 124 research articles published from 2000 to 2022. Here, the challenges faced by CAD systems based on different modalities are highlighted along with the current requirements of this domain and future prospects in this area of research.

In this study, attention deficit hyperactivity disorder (ADHD), a childhood neurodevelopmental disorder, is being studied alongside its comorbidity, conduct disorder (CD), a behavioral disorder. Because ADHD and CD share commonalities, distinguishing them is difficult, thus increasing the risk of misdiagnosis. It is crucial that these two conditions are not mistakenly identified as the same because the treatment plan varies depending on whether the patient has CD or ADHD. Hence, this study proposes an electroencephalogram (EEG)-based deep learning system known as ADHD/CD-NET that is capable of objectively distinguishing ADHD, ADHD + CD, and CD. The 12-channel EEG signals were first segmented and converted into channel-wise continuous wavelet transform (CWT) correlation matrices. The resulting matrices were then used to train the convolutional neural network (CNN) model, and the model’s performance was evaluated using 10-fold cross-validation. Gradient-weighted class activation mapping (Grad-CAM) was also used to provide explanations for the prediction result made by the ‘black box’ CNN model. Internal private dataset (45 ADHD, 62 ADHD + CD and 16 CD) and external public dataset (61 ADHD and 60 healthy controls) were used to evaluate ADHD/CD-NET. As a result, ADHD/CD-NET achieved classification accuracy, sensitivity, specificity, and precision of 93.70%, 90.83%, 95.35% and 91.85% for the internal evaluation, and 98.19%, 98.36%, 98.03% and 98.06% for the external evaluation. Grad-CAM also identified significant channels that contributed to the diagnosis outcome. Therefore, ADHD/CD-NET can perform temporal localization and choose significant EEG channels for diagnosis, thus providing objective analysis for mental health professionals and clinicians to consider when making a diagnosis.

Background:Severe psychiatric disorders, including depressive disorders, schizophrenia spectrum disorders, and intellectual disability, have devastating impacts on vital life domains such as mental, psychosocial, and cognitive functioning and are correlated with an increased risk of mortality. Accurate symptom monitoring and early diagnosis are essential to optimize treatment and enhance patient outcomes. Electroencephalography (EEG) is a potential diagnostic and monitoring tool for mental health and cognitive disorders, as EEG signals are ideal inputs for machine learning models. In this paper, we propose a novel machine learning model for mental disorder detection based on EEG signals. Aim:electroencephalography (EEG) signals for the detection of three major mental health conditions, namely intellectual disability (ID), schizophrenia (SZ), and bipolar disorder (BD); and (ii) to introduce two novel conditional local binary pattern-based feature extractors for precise classification of these three classes. Material and method:We collected a novel electroencephalography (EEG) signal dataset from 69 individuals, including a control group and participants diagnosed with bipolar disorder, schizophrenia, and intellectual disability. To extract informative features from the dataset, we developed two novel conditional feature extraction functions that improve upon traditional local binary pattern (LBP) functions by utilizing maximum and minimum distance vectors to generate patterns. We refer to these functions as quantum LBP (QLBP). Additionally, we employed wavelet packet decomposition to construct a multileveled feature extraction model. We evaluated several feature selection techniques, including neighborhood component analysis (NCA), Chi2, maximum relevance minimum redundancy (MRMR), and ReliefF, to select the most informative features. Finally, we employed iterative hard majority voting (IHMV) to obtain the final predicted results. Results:Using our multichannel electroencephalography (EEG) signal dataset, we calculated channel-by-channel results and voted results for the classification of intellectual disability (ID), schizophrenia (SZ), and bipolar disorder (BD) classes. Our proposed model, employing the k-nearest neighbors (kNN) classifier with the leave -one subject out cross-validation (LOSO CV) strategy, achieved high accuracy rates of 97.47 %, 94.36 %, and 93.49 % for the ID, SZ, and BD classes, respectively. Conclusions:Employing the leave-one subject out cross-validation (LOSO CV) technique, our proposed model achieved classification accuracy rates of over 90 % for all cases, thereby providing strong evidence for the effectiveness of the proposed quantum local binary pattern (QLBP) feature extraction method.

BACKGROUND AND OBJECTIVES:Photoplethysmography (PPG) is a device that measures the amount of light absorbed by the blood vessel, blood, and tissues, which can, in turn, translate into various measurements such as the variation in blood flow volume, heart rate variability, blood pressure, etc. Hence, PPG signals can produce a wide variety of biological information that can be useful for the detection and diagnosis of various health problems. In this review, we are interested in the possible health disorders that can be detected using PPG signals.METHODS:We applied PRISMA guidelines to systematically search various journal databases and identified 43 PPG studies that fit the criteria of this review.RESULTS:Twenty-five health issues were identified from these studies that were classified into six categories: cardiac, blood pressure, sleep health, mental health, diabetes, and miscellaneous. Various routes were employed in these PPG studies to perform the diagnosis: machine learning, deep learning, and statistical routes. The studies were reviewed and summarized.CONCLUSIONS:We identified limitations such as poor standardization of sampling frequencies and lack of publicly available PPG databases. We urge that future work should consider creating more publicly available databases so that a wide spectrum of health problems can be covered. We also want to promote the use of PPG signals as a potential precision medicine tool in both ambulatory and hospital settings.

Traumatic Brain Injury (TBI) is a devastating and life-threatening medical condition that can result in long-term physical and mental disabilities and even death. Early and accurate detection of Intracranial Hemorrhage (ICH) in TBI is crucial for analysis and treatment, as the condition can deteriorate significantly with time. Hence, a rapid, reliable, and cost-effective computer-aided approach that can initially capture the hematoma features is highly relevant for real-time clinical diagnostics. In this study, the Gray Level Occurrence Matrix (GLCM), the Gray Level Run Length Matrix (GLRLM), and Hu moments are used to generate the texture features. The best set of discriminating features are obtained using various meta-heuristic algorithms, and these optimal features are subjected to different classifiers. The synthetic samples are generated using ADASYN to compensate for the data imbalance. The proposed CAD system attained 95.74% accuracy, 96.93% sensitivity, and 94.67% specificity using statistical and GLRLM features along with KNN classifier. Thus, the developed automated system can enhance the accuracy of hematoma detection, aid clinicians in the fast interpretation of CT images, and streamline triage workflow.

The fetal echocardiogram is useful for monitoring and diagnosing cardiovascular diseases in the fetus in utero. Importantly, it can be used for assessing prenatal congenital heart disease, for which timely intervention can improve the unborn child’s outcomes. In this regard, artificial intelligence (AI) can be used for the automatic analysis of fetal heart ultrasound images. This study reviews nondeep and deep learning approaches for assessing the fetal heart using standard four-chamber ultrasound images. The state-of-the-art techniques in the field are described and discussed. The compendium demonstrates the capability of automatic assessment of the fetal heart using AI technology. This work can serve as a resource for research in the field.

The number of Major Depressive Disorder (MDD) patients is rising rapidly these days following the incidence of COVID‐19 pandemic. It is challenging to detect MDD through personal interviews and by observing electroencephalogram (EEG) signals. Hence, an automated MDD detection system developed using deep learning techniques can help reduce the workload of clinicians by diagnosing MDD accurately. In this study, we have proposed a novel deep learning model based on Convolutional Neural Network (CNN) and spectrogram images. In this work, Short‐Time Fourier Transform (STFT) is first applied to the EEG signals to obtain spectrogram images of MDD patients and healthy subjects. These spectrogram images are then fed to the CNN model for automated detection of MDD patients and healthy subjects. The EEG signals used in this study were obtained from public database with 34 MDD patients and 30 healthy subjects. The highest classification accuracy, precision, sensitivity, specificity, and F1‐score of 99.58%, 99.40%, 99.70%, 99.48%, and 99.55% respectively were obtained with hold‐out validation. Our MDD detection model is highly accurate and needs to be validated with more diverse MDD database before it can be used in clinical settings. Also, we plan to use our developed prototype to detect depression using other physiological signals like electrocardiogram (ECG) and speech signals for accurate and faster diagnosis.

COVID-19 caused by the transmission of SARS-CoV-2 virus taking a huge toll on global health and caused life-threatening medical complications and elevated mortality rates, especially among older adults and people with existing morbidity. Current evidence suggests that the virus spreads primarily through respiratory droplets emitted by infected persons when breathing, coughing, sneezing, or speaking. These droplets can reach another person through their mouth, nose, or eyes, resulting in infection. The "gold standard" for clinical diagnosis of SARS-CoV-2 is the laboratory-based nucleic acid amplification test, which includes the reverse transcription-polymerase chain reaction (RT-PCR) test on nasopharyngeal swab samples. The main concerns with this type of test are the relatively high cost, long processing time, and considerable false-positive or false-negative results. Alternative approaches have been suggested to detect the SARS-CoV-2 virus so that those infected and the people they have been in contact with can be quickly isolated to break the transmission chains and hopefully, control the pandemic. These alternative approaches include electrochemical biosensing and deep learning. In this review, we discuss the current state-of-the-art technology used in both fields for public health surveillance of SARS-CoV-2 and present a comparison of both methods in terms of cost, sampling, timing, accuracy, instrument complexity, global accessibility, feasibility, and adaptability to mutations. Finally, we discuss the issues and potential future research approaches for detecting the SARS-CoV-2 virus utilizing electrochemical biosensing and deep learning.

The COVID-19 pandemic related measures had augmented the rise of online education. While online teaching had mitigated the negative impacts from educational institutional closures, it was unable to displace hands-on biomedical laboratory practical lessons effectively. Without practical sessions, there was concern over the imparting of laboratory skills even with video demonstrations. To investigate the effectiveness of different delivery modes in imparting laboratory skills, theoretical and practical student assessments were analyzed alongside an anonymous survey on their motivation and prior experience. The undergraduate students were exposed to (1) instructor-live demonstration; (2) video demonstration or (3) no demonstration prior to the practical test which was a plasmid extraction. Significantly higher mini-prep yields and purity were found for both instructor-live and video demonstrations compared to no demonstration. Comparison with pre-pandemic theoretical assessment performance showed no significant differences despite longer contact hours during pre-pandemic times. Prior lab experience and motivation for selecting the course did not significantly affect student mini-prep yields. In conclusion, our findings suggest that video demonstrations were as effective as instructor-live demonstrations during the pandemic without noticeably compromising the teaching and learning of biomedical laboratory skills.

Attention deficit hyperactivity disorder (ADHD) is a heterogenous disorder that has a detrimental impact on the neurodevelopment of the brain. ADHD patients exhibit combinations of inattention, impulsiveness, and hyperactivity. With early treatment and diagnosis, there is potential to modify neuronal connections and improve symptoms. However, the heterogeneous nature of ADHD, combined with its comorbidities and a global shortage of diagnostic clinicians, means diagnosis of ADHD is often delayed. Hence, it is important to consider other pathways to improve the efficiency of early diagnosis, including the role of artificial intelligence. In this study, we reviewed the current literature on machine learning and deep learning studies on ADHD diagnosis and identified the various diagnostic tools used. Subsequently, we categorized these studies according to their diagnostic tool as brain magnetic resonance imaging (MRI), physiological signals, questionnaires, game simulator and performance test, and motion data. We identified research gaps include the paucity of publicly available database for all modalities in ADHD assessment other than MRI, as well as a lack of focus on using data from wearable devices for ADHD diagnosis, such as ECG, PPG, and motion data. We hope that this review will inspire future work to create more publicly available datasets and conduct research for other modes of ADHD diagnosis and monitoring. Ultimately, we hope that artificial intelligence can be extended to multiple ADHD diagnostic tools, allowing for the development of a powerful clinical decision support pathway that can be used both in and out of the hospital.

Medical imaging is a useful tool for disease detection and diagnostic imaging technology has enabled early diagnosis of medical conditions. Manual image analysis methods are labor-intense and they are susceptible to intra as well as inter-observer variability. Automated medical image analysis techniques can overcome these limitations. In this review, we investigated Transfer Learning (TL) architectures for automated medical image analysis. We discovered that TL has been applied to a wide range of medical imaging tasks, such as segmentation, object identification, disease categorization, severity grading, to name a few. We could establish that TL provides high quality decision support and requires less training data when compared to traditional deep learning methods. These advantageous properties arise from the fact that TL models have already been trained on large generic datasets and a task specific dataset is only used to customize the model. This eliminates the need to train the models from scratch. Our review shows that AlexNet, ResNet, VGGNet, and GoogleNet are the most widely used TL models for medical image analysis. We found that these models can understand medical images, and the customization refines the ability, making these TL models useful tools for medical image analysis.

Background and objectives: Artificial intelligence (AI) has branched out to various applications in health-care, such as health services management, predictive medicine, clinical decision-making, and patient data and diagnostics. Although AI models have achieved human-like performance, their use is still limited because they are seen as a black box. This lack of trust remains the main reason for their low use in practice, especially in healthcare. Hence, explainable artificial intelligence (XAI) has been introduced as a technique that can provide confidence in the model's prediction by explaining how the prediction is derived, thereby encouraging the use of AI systems in healthcare. The primary goal of this review is to provide areas of healthcare that require more attention from the XAI research community.Methods: Multiple journal databases were thoroughly searched using PRISMA guidelines 2020. Studies that do not appear in Q1 journals, which are highly credible, were excluded. Results: In this review, we surveyed 99 Q1 articles covering the following XAI techniques: SHAP, LIME, GradCAM, LRP, Fuzzy classifier, EBM, CBR, rule-based systems, and others.Conclusion: We discovered that detecting abnormalities in 1D biosignals and identifying key text in clini-cal notes are areas that require more attention from the XAI research community. We hope this is review will encourage the development of a holistic cloud system for a smart city.(c) 2022 Elsevier B.V. All rights reserved.

Parkinson’s disease (PD) is globally the most common neurodegenerative movement disorder. It is characterized by a loss of dopaminergic neurons in the substantia nigra of the brain. However, current methods to diagnose PD on the basis of clinical features of Parkinsonism may lead to misdiagnoses. Hence, noninvasive methods such as electroencephalographic (EEG) recordings of PD patients can be an alternative biomarker. In this study, a deep-learning model is proposed for automated PD diagnosis. EEG recordings of 16 healthy controls and 15 PD patients were used for analysis. Using Gabor transform, EEG recordings were converted into spectrograms, which were used to train the proposed two-dimensional convolutional neural network (2D-CNN) model. As a result, the proposed model achieved high classification accuracy of 99.46% (±0.73) for 3-class classification (healthy controls, and PD patients with and without medication) using tenfold cross-validation. This indicates the potential of proposed model to simultaneously automatically detect PD patients and their medication status. The proposed model is ready to be validated with a larger database before implementation as a computer-aided diagnostic (CAD) tool for clinical-decision support.

KAGRA is a newly built gravitational-wave telescope, a laser interferometer comprising arms with a length of 3 km, located in Kamioka, Gifu, Japan. KAGRA was constructed under the ground and it is operated using cryogenic mirrors that help in reducing the seismic and thermal noise. Both technologies are expected to provide directions for the future of gravitational-wave telescopes. In 2019, KAGRA finished all installations with the designed configuration, which we call the baseline KAGRA. For this occasion, we present an overview of the baseline KAGRA from various viewpoints in a series of articles. In this article, we introduce the design configurations of KAGRA with its historical background.