Publications by authors named "Fleming Lure"

Early detection of Alzheimer's Disease (AD) is crucial for timely interventions and optimizing treatment outcomes. Integrating multimodal neuroimaging datasets can enhance the early detection of AD. However, models must address the challenge of incomplete modalities, a common issue in real-world scenarios, as not all patients have access to all modalities due to practical constraints such as cost and availability.

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This work utilized an artificial intelligence (AI)-based image annotation tool, Smart Imagery Framing and Truthing (SIFT), to annotate pulmonary lesions and abnormalities and their corresponding boundaries on 452,602 chest X-ray (CXR) images (22 different types of desired lesions) from four publicly available datasets (CheXpert Dataset, ChestX-ray14 Dataset, MIDRC Dataset, and NIAID TB Portals Dataset). SIFT is based on Multi-task, Optimal-recommendation, and Max-predictive Classification and Segmentation (MOM ClaSeg) technologies to identify and delineate 65 different abnormal regions of interest (ROI) on CXR images, provide a confidence score for each labeled ROI, and various recommendations of abnormalities for each ROI, if the confidence score is not high enough. The MOM ClaSeg System integrating Mask R-CNN and Decision Fusion Network is developed on a training dataset of over 300,000 CXRs, containing over 240,000 confirmed abnormal CXRs with over 300,000 confirmed ROIs corresponding to 65 different abnormalities and over 67,000 normal (i.

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Article Synopsis
  • - The study evaluates the effectiveness of a new AI system, MOM-ClaSeg, in helping radiologists detect lung abnormalities from chest X-ray images more accurately and efficiently.
  • - Over 36,000 chest X-rays were analyzed, comparing traditional double readings by two radiologists with a single reading enhanced by AI, showing notable improvements in diagnostic accuracy and speed with AI assistance.
  • - Results indicate that using AI as the first reader significantly boosts diagnostic accuracy by 1.49% and sensitivity by 10.95%, while also cutting average reading time by about 54.70%.
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Machine learning has shown great promise for integrating multi-modality neuroimaging datasets to predict the risk of progression/conversion to Alzheimer's Disease (AD) for individuals with Mild Cognitive Impairment (MCI). Most existing work aims to classify MCI patients into converters versus non-converters using a pre-defined timeframe. The limitation is a lack of granularity in differentiating MCI patients who convert at different paces.

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Introduction: Cone-beam computed tomography (CBCT) is widely used to detect jaw lesions, although CBCT interpretation is time-consuming and challenging. Artificial intelligence for CBCT segmentation may improve lesion detection accuracy. However, consistent automated lesion detection remains difficult, especially with limited training data.

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Radar sensors, leveraging the Doppler effect, enable the nonintrusive capture of kinetic and physiological motions while preserving privacy. Deep learning (DL) facilitates radar sensing for healthcare applications such as gait recognition and vital-sign measurement. However, band-dependent patterns, indicating variations in patterns and power scales associated with frequencies in time-frequency representation (TFR), challenge radar sensing applications using DL.

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Introduction: Training of Artificial Intelligence (AI) for biomedical image analysis depends on large annotated datasets. This study assessed the efficacy of Active Learning (AL) strategies training AI models for accurate multilabel segmentation and detection of periapical lesions in cone-beam CTs (CBCTs) using a limited dataset.

Methods: Limited field-of-view CBCT volumes (n = 20) were segmented by clinicians (clinician segmentation [CS]) and Bayesian U-Net-based AL strategies.

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Early diagnosis of Alzheimer's disease (AD) is an important task that facilitates the development of treatment and prevention strategies, and may potentially improve patient outcomes. Neuroimaging has shown great promise, including the amyloid-PET, which measures the accumulation of amyloid plaques in the brain-a hallmark of AD. It is desirable to train end-to-end deep learning models to predict the progression of AD for individuals at early stages based on 3D amyloid-PET.

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Article Synopsis
  • Early detection of Alzheimer's Disease is vital yet challenging due to incomplete patient imaging data, which is often caused by factors like cost and access to technology.
  • The proposed deep learning framework uses Mutual Knowledge Distillation (MKD) to effectively model different patient sub-groups based on available imaging modalities, allowing for better diagnosis.
  • The framework's effectiveness is demonstrated through simulations and a case study using Alzheimer's Disease Neuroimaging Initiative (ADNI) datasets, showcasing its potential to enhance early diagnosis despite data limitations.*
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Abnormal gait is a significant non-cognitive biomarker for Alzheimer's disease (AD) and AD-related dementia (ADRD). Micro-Doppler radar, a non-wearable technology, can capture human gait movements for potential early ADRD risk assessment. In this research, we propose to design STRIDE integrating micro-Doppler radar sensors with advanced artificial intelligence (AI) technologies.

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Early diagnosis of Alzheimer's disease (AD) is an important task that facilitates the development of treatment and prevention strategies and may potentially improve patient outcomes. Neuroimaging has shown great promise, including the amyloid-PET which measures the accumulation of amyloid plaques in the brain - a hallmark of AD. It is desirable to train end-to-end deep learning models to predict the progression of AD for individuals at early stages based on 3D amyloid-PET.

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Indoor fall monitoring is challenging for community-dwelling older adults due to the need for high accuracy and privacy concerns. Doppler radar is promising, given its low-cost and contactless sensing mechanism. However, the line-of-sight restriction limits the application of radar sensing in practice, as the Doppler signature will vary when the sensing angle changes, and signal strength will substantially degrade with large aspect angles.

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Article Synopsis
  • The study explored the link between steroid therapy and lung damage measured by quantitative CT (QCT) in 72 severe COVID-19 patients over time.
  • Results showed that patients receiving steroids had a significant decrease in compromised lung volume after stage 3 of hospitalization, particularly in those with higher initial lung damage.
  • The findings suggest steroids can be beneficial in reducing lung impairment in COVID-19 patients but their effectiveness may depend on the duration of treatment and the severity of lung compromise at the start.
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Background: It is critical to have a deep learning-based system validated on an external dataset before it is used to assist clinical prognoses. The aim of this study was to assess the performance of an artificial intelligence (AI) system to detect tuberculosis (TB) in a large-scale external dataset.

Methods: An artificial, deep convolutional neural network (DCNN) was developed to differentiate TB from other common abnormalities of the lung on large-scale chest X-ray radiographs.

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Background: Main challenges for COVID-19 include the lack of a rapid diagnostic test, a suitable tool to monitor and predict a patient's clinical course and an efficient way for data sharing among multicenters. We thus developed a novel artificial intelligence system based on deep learning (DL) and federated learning (FL) for the diagnosis, monitoring, and prediction of a patient's clinical course.

Methods: CT imaging derived from 6 different multicenter cohorts were used for stepwise diagnostic algorithm to diagnose COVID-19, with or without clinical data.

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Background And Objective: Monitoring recovery process of coronavirus disease 2019 (COVID-19) patients released from hospital is crucial for exploring residual effects of COVID-19 and beneficial for clinical care. In this study, a comprehensive analysis was carried out to clarify residual effects of COVID-19 on hospital discharged patients.

Methods: Two hundred sixty-eight cases with laboratory measured data at hospital discharge record and five follow-up visits were retrospectively collected to carry out statistical data analysis comprehensively, which includes multiple statistical methods (e.

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Given the recent COVID-19 pandemic and its stress on global medical resources, presented here is the development of a machine intelligent method for thoracic computed tomography (CT) to inform management of patients on steroid treatment. Transfer learning has demonstrated strong performance when applied to medical imaging, particularly when only limited data are available. A cascaded transfer learning approach extracted quantitative features from thoracic CT sections using a fine-tuned VGG19 network.

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Multimodality datasets are becoming increasingly common in various domains to provide complementary information for predictive analytics. One significant challenge in fusing multimodality data is that the multiple modalities are not universally available for all samples due to cost and accessibility constraints. This results in a unique data structure called Incomplete Multimodality Dataset (IMD).

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Background: Accurate and rapid diagnosis of coronavirus disease (COVID-19) is crucial for timely quarantine and treatment.

Purpose: In this study, a deep learning algorithm-based AI model using ResUNet network was developed to evaluate the performance of radiologists with and without AI assistance in distinguishing COVID-19 infected pneumonia patients from other pulmonary infections on CT scans.

Methods: For model development and validation, a total number of 694 cases with 111,066 CT slides were retrospectively collected as training data and independent test data in the study.

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In this article, we analyze and report cases of three patients who were admitted to Renmin Hospital, Wuhan University, China, for treating COVID-19 pneumonia in February 2020 and were unresponsive to initial treatment of steroids. They were then received titrated steroids treatment based on the assessment of computed tomography (CT) images augmented and analyzed with the artificial intelligence (AI) tool and output. Three patients were finally recovered and discharged.

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Objective: Diagnosis of tuberculosis (TB) in multi-slice spiral computed tomography (CT) images is a difficult task in many TB prevalent locations in which experienced radiologists are lacking. To address this difficulty, we develop an automated detection system based on artificial intelligence (AI) in this study to simplify the diagnostic process of active tuberculosis (ATB) and improve the diagnostic accuracy using CT images.

Data: A CT image dataset of 846 patients is retrospectively collected from a large teaching hospital.

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Recently, COVID-19 has spread in more than 100 countries and regions around the world, raising grave global concerns. COVID-19 transmits mainly through respiratory droplets and close contacts, causing cluster infections. The symptoms are dominantly fever, fatigue, and dry cough, and can be complicated with tiredness, sore throat, and headache.

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Alzheimer's disease (AD) is a major neurodegenerative disease and the most common cause of dementia. Currently, no treatment exists to slow down or stop the progression of AD. There is converging belief that disease-modifying treatments should focus on early stages of the disease, that is, the mild cognitive impairment (MCI) and preclinical stages.

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Purpose: To help improve efficacy of screening mammography by eventually establishing a new optimal personalized screening paradigm, the authors investigated the potential of using the quantitative multiscale texture and density feature analysis of digital mammograms to predict near-term breast cancer risk.

Methods: The authors' dataset includes digital mammograms acquired from 340 women. Among them, 141 were positive and 199 were negative/benign cases.

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