CIG languages, by and large, are not readily available to those who are not technically skilled. We aim to facilitate the modeling of CPG processes, thereby enabling the creation of CIGs, by implementing a transformational approach. This transformation translates a preliminary, more comprehensible description into a corresponding implementation within a CIG language. In this paper, we tackle this transformation using the Model-Driven Development (MDD) paradigm, recognizing the pivotal role models and transformations play in the software development process. Cytarabine cost A program that shifts business processes from the BPMN notation to the PROforma CIG language was created and examined to illustrate the approach. This implementation leverages transformations specified within the ATLAS Transformation Language. Cytarabine cost Furthermore, a modest experiment was undertaken to investigate the proposition that a language like BPMN can aid clinical and technical personnel in modeling CPG processes.
An escalating requirement in various present-day applications is the comprehension of how different factors affect the key variable in predictive modelling. Within the domain of Explainable Artificial Intelligence, this task assumes a crucial role. Identifying the relative effect of each variable on the outcome gives us a deeper understanding of the problem and the model's output. A novel methodology, XAIRE, is proposed in this paper. It determines the relative importance of input factors in a predictive context, drawing on multiple predictive models to expand its scope and circumvent the limitations of a particular learning approach. Our approach involves an ensemble methodology that integrates the outcomes of multiple predictive models to determine a relative importance ranking. The methodology investigates the predictor variables' relative importance via statistical tests designed to discern significant differences. To explore the potential of XAIRE, a case study involving patient arrivals at a hospital emergency department has yielded one of the largest collections of diverse predictor variables in the available literature. The extracted knowledge concerning the case study showcases the relative importance of the predictors.
Carpal tunnel syndrome, diagnosed frequently using high-resolution ultrasound, is a condition caused by pressure on the median nerve at the wrist. To explore and condense the evidence, this systematic review and meta-analysis investigated the performance of deep learning algorithms in automating the sonographic assessment of the median nerve at the carpal tunnel level.
Deep neural networks' application in assessing the median nerve for carpal tunnel syndrome was explored in studies culled from PubMed, Medline, Embase, and Web of Science, encompassing the period from earliest records to May 2022. Employing the Quality Assessment Tool for Diagnostic Accuracy Studies, a determination of the quality of the included studies was made. Evaluation of the outcome relied on measures such as precision, recall, accuracy, the F-score, and the Dice coefficient.
Seven articles, encompassing a total of 373 participants, were incorporated. Deep learning's diverse range of algorithms, including U-Net, phase-based probabilistic active contour, MaskTrack, ConvLSTM, DeepNerve, DeepSL, ResNet, Feature Pyramid Network, DeepLab, Mask R-CNN, region proposal network, and ROI Align, are integral to its power. In terms of precision and recall, when combined, the results were 0.917 (95% confidence interval, 0.873-0.961) and 0.940 (95% confidence interval, 0.892-0.988), respectively. The pooled accuracy, with a 95% confidence interval of 0840 to 1008, was 0924, while the Dice coefficient, with a 95% confidence interval ranging from 0872 to 0923, was 0898. In contrast, the summarized F-score exhibited a value of 0904, along with a 95% confidence interval from 0871 to 0937.
Through the utilization of the deep learning algorithm, acceptable accuracy and precision are achieved in the automated localization and segmentation of the median nerve within the carpal tunnel in ultrasound imaging. Upcoming studies are expected to validate the effectiveness of deep learning algorithms in identifying and segmenting the median nerve, from start to finish, across various ultrasound devices and data sets.
The median nerve's automated localization and segmentation at the carpal tunnel level, using ultrasound imaging, is enabled by a deep learning algorithm, and demonstrates satisfactory accuracy and precision. Further research is forecast to support the effectiveness of deep learning algorithms in determining and precisely segmenting the median nerve throughout its entirety and across a range of ultrasound imaging devices from different manufacturers.
The best available published medical literature underpins evidence-based medicine's paradigm, dictating that medical decisions must be grounded in this knowledge. Evidence already compiled is frequently presented in the form of systematic reviews or meta-reviews, and is uncommonly found in a structured manner. The process of manually compiling and aggregating data is expensive, while conducting a thorough systematic review requires substantial effort. Clinical trials are not the sole context demanding evidence aggregation; pre-clinical animal studies also necessitate its application. To effectively translate promising pre-clinical therapies into clinical trials, evidence extraction is essential, aiding in both trial design and implementation. This paper details a novel system for automatically extracting and organizing the structured knowledge found in pre-clinical studies, thereby enabling the creation of a domain knowledge graph for evidence aggregation. The approach employs model-complete text comprehension, guided by a domain ontology, to construct a deep relational data structure. This structure accurately represents the core concepts, protocols, and key findings of the relevant studies. A pre-clinical study in spinal cord injuries analyzes a single outcome utilizing up to 103 distinct outcome parameters. Because extracting all these variables together is computationally prohibitive, we propose a hierarchical architecture for predicting semantic sub-structures incrementally, starting from the basic components and working upwards, according to a pre-defined data model. Our method uses conditional random fields within a statistical inference framework to deduce the most probable manifestation of the domain model from the text of a scientific publication. This method enables a semi-joint modeling of dependencies between the different variables used to describe a study. Cytarabine cost We undertake a thorough assessment of our system to determine its capacity for deeply analyzing a study, thereby facilitating the creation of novel knowledge. This article concludes with a succinct description of certain applications derived from the populated knowledge graph, exploring the potential significance for evidence-based medicine.
The SARS-CoV-2 pandemic dramatically illustrated the requisite for software applications capable of optimizing patient triage, considering the possible severity of the illness and even the chance of death. This article analyzes an ensemble of Machine Learning (ML) algorithms, using plasma proteomics and clinical data, to determine the predicted severity of conditions. This report details AI-based advancements in COVID-19 patient management, showcasing the scope of applicable technical progress. The review underscores the development and implementation of an ensemble machine learning algorithm, analyzing clinical and biological data (plasma proteomics included) from COVID-19 patients, to assess the application of AI for early patient triage. Using three openly available datasets, the proposed pipeline is evaluated for training and testing performance. Multiple algorithms are scrutinized using a hyperparameter tuning method, targeting three designated machine learning tasks, in order to identify the highest-performing model. The potential for overfitting, arising from the limited size of the training/validation datasets, is addressed using a variety of evaluation metrics in such methods. Within the evaluation protocol, recall scores exhibited a spectrum from 0.06 to 0.74, while F1-scores spanned the range of 0.62 to 0.75. Multi-Layer Perceptron (MLP) and Support Vector Machines (SVM) algorithms exhibit the best performance. The input data, including proteomics and clinical data, were ordered based on their Shapley additive explanation (SHAP) values, and their potential for predicting outcomes and immuno-biological relevance were examined. Our machine learning models, analyzed through an interpretable approach, pinpointed critical COVID-19 cases mainly based on patient age and plasma proteins associated with B-cell dysfunction, exacerbated inflammatory pathways like Toll-like receptors, and decreased activity in developmental and immune pathways like SCF/c-Kit signaling. The computational methodology detailed in this document is independently verified using a separate dataset, demonstrating the advantages of MLPs and supporting the predictive biological pathways previously described. This study's datasets, comprising fewer than 1000 observations and numerous input features, present a high-dimensional low-sample (HDLS) dataset that may be vulnerable to overfitting, limiting the presented machine learning pipeline's performance. A prominent benefit of the proposed pipeline is its integration of clinical-phenotypic data and biological information, including plasma proteomics. Accordingly, this approach, when operating on already-trained models, could streamline the process of patient prioritization. The clinical implications of this approach need to be confirmed through a larger dataset and a more rigorous process of systematic validation. The interpretable AI code for analyzing plasma proteomics to predict COVID-19 severity can be found at this Github link: https//github.com/inab-certh/Predicting-COVID-19-severity-through-interpretable-AI-analysis-of-plasma-proteomics.
The increasing presence of electronic systems in healthcare is frequently correlated with enhanced medical care quality.
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