Hemorrhoidal disease classification: time to abandon an old paradigm?

2020 ◽  
Vol 24 (11) ◽  
pp. 1227-1229
Author(s):  
F. Gaj ◽  
A. Trecca ◽  
D. Passannanti ◽  
Q. Lai
Author(s):  
Elisabetta Moggia ◽  
Giuseppina Talamo ◽  
Gaetano Gallo ◽  
Gaetano Gallo ◽  
Matteo Barattini ◽  
...  

Background: Hemorrhoidal disease is very common in western countries and rectal bleeding is the main symptom complained by patients. Nowadays the ultimate goal of treatment is to block the bleeding with minimally-invasive techniques to minimize post-procedural pain. Objective: The aim of this study is to assess the preliminary results of the emborrhoid technique (embolization of the superior rectal arteries branches) as a new tool for the proctologist to treat severe bleeding hemorrhoids causing anemia. Many categories of patients might benefit from this treatment, such as patients not eligible for conventional surgery, patients not responding to conventional treatment and fit patients with severe bleeding who refused endorectal surgical therapy. Method: From May 2017 to November 2018 a total of 16 patients with chronic rectal bleeding due to hemorrhoids underwent super-selective embolization of the superior rectal arteries at the department of General Surgery in La Spezia, S. Andrea Hospital, Italy. Median age was 59 years. 14 patients were males (87.5 %). Results: No post-procedural and short-term complications were observed at maximum follow up (12 months). The reduction of rectal bleeding with improvement of the quality of life was obtained in 14 patients (87.5%). Conclusion: Our study, although small in number, demonstrates that embolization of superior rectal arteries with coils to treat severe bleeding due to hemorrhoids is safe and effective and does not lead to immediate complications.


Author(s):  
Francesco Maria Romano ◽  
Guido Sciaudone ◽  
Silvestro Canonico ◽  
Francesco Selvaggi ◽  
Gianluca Pellino

: Hemorrhoidal Disease (HD) is widely diffused throughout the general population. The system of classification currently used to categorize this pathology is that of Goligher (1975). This system only defines the morphology of the most represented hemorrhoid bearing. Several attempts in literature have been made to replace this system, but as of yet, no single system has been universally accepted. Some studies, however, have succeeded in identifying specific characteristics, besides morphology, that would be able to aptly define HD. An analysis of this literature, with careful consideration of the scores that have previously been proposed, is necessary in order to deepen and stimulate discussion about a possible new definition of HD.


2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098284
Author(s):  
Tingting Qiao ◽  
Simin Liu ◽  
Zhijun Cui ◽  
Xiaqing Yu ◽  
Haidong Cai ◽  
...  

Objective To construct deep learning (DL) models to improve the accuracy and efficiency of thyroid disease diagnosis by thyroid scintigraphy. Methods We constructed DL models with AlexNet, VGGNet, and ResNet. The models were trained separately with transfer learning. We measured each model’s performance with six indicators: recall, precision, negative predictive value (NPV), specificity, accuracy, and F1-score. We also compared the diagnostic performances of first- and third-year nuclear medicine (NM) residents with assistance from the best-performing DL-based model. The Kappa coefficient and average classification time of each model were compared with those of two NM residents. Results The recall, precision, NPV, specificity, accuracy, and F1-score of the three models ranged from 73.33% to 97.00%. The Kappa coefficient of all three models was >0.710. All models performed better than the first-year NM resident but not as well as the third-year NM resident in terms of diagnostic ability. However, the ResNet model provided “diagnostic assistance” to the NM residents. The models provided results at speeds 400 to 600 times faster than the NM residents. Conclusion DL-based models perform well in diagnostic assessment by thyroid scintigraphy. These models may serve as tools for NM residents in the diagnosis of Graves’ disease and subacute thyroiditis.


2021 ◽  
Vol 77 (16) ◽  
pp. 2040-2052
Author(s):  
William M. Oldham ◽  
Anna R. Hemnes ◽  
Micheala A. Aldred ◽  
John Barnard ◽  
Evan L. Brittain ◽  
...  

Electronics ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 1388
Author(s):  
Sk Mahmudul Hassan ◽  
Arnab Kumar Maji ◽  
Michał Jasiński ◽  
Zbigniew Leonowicz ◽  
Elżbieta Jasińska

The timely identification and early prevention of crop diseases are essential for improving production. In this paper, deep convolutional-neural-network (CNN) models are implemented to identify and diagnose diseases in plants from their leaves, since CNNs have achieved impressive results in the field of machine vision. Standard CNN models require a large number of parameters and higher computation cost. In this paper, we replaced standard convolution with depth=separable convolution, which reduces the parameter number and computation cost. The implemented models were trained with an open dataset consisting of 14 different plant species, and 38 different categorical disease classes and healthy plant leaves. To evaluate the performance of the models, different parameters such as batch size, dropout, and different numbers of epochs were incorporated. The implemented models achieved a disease-classification accuracy rates of 98.42%, 99.11%, 97.02%, and 99.56% using InceptionV3, InceptionResNetV2, MobileNetV2, and EfficientNetB0, respectively, which were greater than that of traditional handcrafted-feature-based approaches. In comparison with other deep-learning models, the implemented model achieved better performance in terms of accuracy and it required less training time. Moreover, the MobileNetV2 architecture is compatible with mobile devices using the optimized parameter. The accuracy results in the identification of diseases showed that the deep CNN model is promising and can greatly impact the efficient identification of the diseases, and may have potential in the detection of diseases in real-time agricultural systems.


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