scholarly journals EvoMBN: Evolving Multi-Branch Networks on Myocardial Infarction Diagnosis Using 12-Lead Electrocardiograms

Biosensors ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 15
Author(s):  
Wenhan Liu ◽  
Jiewei Ji ◽  
Sheng Chang ◽  
Hao Wang ◽  
Jin He ◽  
...  

Multi-branch Networks (MBNs) have been successfully applied to myocardial infarction (MI) diagnosis using 12-lead electrocardiograms. However, most existing MBNs share a fixed architecture. The absence of architecture optimization has become a significant obstacle to a more accurate diagnosis for these MBNs. In this paper, an evolving neural network named EvoMBN is proposed for MI diagnosis. It utilizes a genetic algorithm (GA) to automatically learn the optimal MBN architectures. A novel fixed-length encoding method is proposed to represent each architecture. In addition, the crossover, mutation, selection, and fitness evaluation of the GA are defined to ensure the architecture can be optimized through evolutional iterations. A novel Lead Squeeze and Excitation (LSE) block is designed to summarize features from all the branch networks. It consists of a fully-connected layer and an LSE mechanism that assigns weights to different leads. Five-fold inter-patient cross validation experiments on MI detection and localization are performed using the PTB diagnostic database. Moreover, the model architecture learned from the PTB database is transferred to the PTB-XL database without any changes. Compared with existing studies, our EvoMBN shows superior generalization and the efficiency of its flexible architecture is suitable for auxiliary MI diagnosis in real-world.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
A. Wong ◽  
Z. Q. Lin ◽  
L. Wang ◽  
A. G. Chung ◽  
B. Shen ◽  
...  

AbstractA critical step in effective care and treatment planning for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause for the coronavirus disease 2019 (COVID-19) pandemic, is the assessment of the severity of disease progression. Chest x-rays (CXRs) are often used to assess SARS-CoV-2 severity, with two important assessment metrics being extent of lung involvement and degree of opacity. In this proof-of-concept study, we assess the feasibility of computer-aided scoring of CXRs of SARS-CoV-2 lung disease severity using a deep learning system. Data consisted of 396 CXRs from SARS-CoV-2 positive patient cases. Geographic extent and opacity extent were scored by two board-certified expert chest radiologists (with 20+ years of experience) and a 2nd-year radiology resident. The deep neural networks used in this study, which we name COVID-Net S, are based on a COVID-Net network architecture. 100 versions of the network were independently learned (50 to perform geographic extent scoring and 50 to perform opacity extent scoring) using random subsets of CXRs from the study, and we evaluated the networks using stratified Monte Carlo cross-validation experiments. The COVID-Net S deep neural networks yielded R$$^2$$ 2 of $$0.664 \pm 0.032$$ 0.664 ± 0.032 and $$0.635 \pm 0.044$$ 0.635 ± 0.044 between predicted scores and radiologist scores for geographic extent and opacity extent, respectively, in stratified Monte Carlo cross-validation experiments. The best performing COVID-Net S networks achieved R$$^2$$ 2 of 0.739 and 0.741 between predicted scores and radiologist scores for geographic extent and opacity extent, respectively. The results are promising and suggest that the use of deep neural networks on CXRs could be an effective tool for computer-aided assessment of SARS-CoV-2 lung disease severity, although additional studies are needed before adoption for routine clinical use.


2021 ◽  
Vol 11 (1) ◽  
pp. 450
Author(s):  
Jinfu Liu ◽  
Mingliang Bai ◽  
Na Jiang ◽  
Ran Cheng ◽  
Xianling Li ◽  
...  

Multi-classifiers are widely applied in many practical problems. But the features that can significantly discriminate a certain class from others are often deleted in the feature selection process of multi-classifiers, which seriously decreases the generalization ability. This paper refers to this phenomenon as interclass interference in multi-class problems and analyzes its reason in detail. Then, this paper summarizes three interclass interference suppression methods including the method based on all-features, one-class classifiers and binary classifiers and compares their effects on interclass interference via the 10-fold cross-validation experiments in 14 UCI datasets. Experiments show that the method based on binary classifiers can suppress the interclass interference efficiently and obtain the best classification accuracy among the three methods. Further experiments were done to compare the suppression effect of two methods based on binary classifiers including the one-versus-one method and one-versus-all method. Results show that the one-versus-one method can obtain a better suppression effect on interclass interference and obtain better classification accuracy. By proposing the concept of interclass inference and studying its suppression methods, this paper significantly improves the generalization ability of multi-classifiers.


2019 ◽  
Vol 9 (12) ◽  
pp. 2411 ◽  
Author(s):  
Guido Bologna

Classification responses provided by Multi Layer Perceptrons (MLPs) can be explained by means of propositional rules. So far, many rule extraction techniques have been proposed for shallow MLPs, but not for Convolutional Neural Networks (CNNs). To fill this gap, this work presents a new rule extraction method applied to a typical CNN architecture used in Sentiment Analysis (SA). We focus on the textual data on which the CNN is trained with “tweets” of movie reviews. Its architecture includes an input layer representing words by “word embeddings”, a convolutional layer, a max-pooling layer, followed by a fully connected layer. Rule extraction is performed on the fully connected layer, with the help of the Discretized Interpretable Multi Layer Perceptron (DIMLP). This transparent MLP architecture allows us to generate symbolic rules, by precisely locating axis-parallel hyperplanes. Experiments based on cross-validation emphasize that our approach is more accurate than that based on SVMs and decision trees that substitute DIMLPs. Overall, rules reach high fidelity and the discriminative n-grams represented in the antecedents explain the classifications adequately. With several test examples we illustrate the n-grams represented in the activated rules. They present the particularity to contribute to the final classification with a certain intensity.


2020 ◽  
Vol 30 (7) ◽  
pp. 1046-1049 ◽  
Author(s):  
Sharmeen Samuel ◽  
Preeta Dhanantwari ◽  
Nilanjana Misra ◽  
David B. Meyer

AbstractIsolated aortic regurgitation and myocardial infarction are a rare congenital defect among neonatal patients. We present a case of a neonate with an unusual aortic valve morphology causing both regurgitation and obstruction of the left coronary artery ostium. Despite both non-invasive and invasive imaging modalities, accurate diagnosis of the valve morphology was only determined by direct visualisation at the time of surgical repair. To the knowledge of authors, this particular aortic valve morphology in neonatal population has not been previously reported in the literature.


AI ◽  
2020 ◽  
Vol 1 (4) ◽  
pp. 539-557 ◽  
Author(s):  
Barath Narayanan ◽  
Russell Hardie ◽  
Vignesh Krishnaraja ◽  
Christina Karam ◽  
Venkata Davuluru

The coronavirus disease 2019 (COVID-19) global pandemic has severely impacted lives across the globe. Respiratory disorders in COVID-19 patients are caused by lung opacities similar to viral pneumonia. A Computer-Aided Detection (CAD) system for the detection of COVID-19 using chest radiographs would provide a second opinion for radiologists. For this research, we utilize publicly available datasets that have been marked by radiologists into two-classes (COVID-19 and non-COVID-19). We address the class imbalance problem associated with the training dataset by proposing a novel transfer-to-transfer learning approach, where we break a highly imbalanced training dataset into a group of balanced mini-sets and apply transfer learning between these. We demonstrate the efficacy of the method using well-established deep convolutional neural networks. Our proposed training mechanism is more robust to limited training data and class imbalance. We study the performance of our algorithm(s) based on 10-fold cross validation and two hold-out validation experiments to demonstrate its efficacy. We achieved an overall sensitivity of 0.94 for the hold-out validation experiments containing 2265 and 2139 marked as COVID-19 chest radiographs, respectively. For the 10-fold cross validation experiment, we achieve an overall Area under the Receiver Operating Characteristic curve (AUC) value of 0.996 for COVID-19 detection. This paper serves as a proof-of-concept that an automated detection approach can be developed with a limited set of COVID-19 images, and in areas with scarcity of trained radiologists.


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