Congruent Feature Selection Method to Improve the Efficacy of Machine Learning-Based Classification in Medical Image Processing

Machine learning(ML)is increasingly applied for medical image processing with appropriate learning paradigms.These applications include analyzing images of various organs,such as the brain,lung,eye,etc.,to identify specific flaws/diseases for diagnosis.The primary concern of ML applications is the precise selection of flexible image features for pattern detection and region classification.Most of the extracted image features are irrelevant and lead to an increase in computation time.Therefore,this article uses an analytical learning paradigm to design a Congruent Feature Selection Method to select the most relevant image features.This process trains the learning paradigm using similarity and correlation-based features over different textural intensities and pixel distributions.The similarity between the pixels over the various distribution patterns with high indexes is recommended for disease diagnosis.Later,the correlation based on intensity and distribution is analyzed to improve the feature selection congruency.Therefore,the more congruent pixels are sorted in the descending order of the selection,which identifies better regions than the distribution.Now,the learning paradigm is trained using intensity and region-based similarity to maximize the chances of selection.Therefore,the probability of feature selection,regardless of the textures and medical image patterns,is improved.This process enhances the performance of ML applications for different medical image processing.The proposed method improves the accuracy,precision,and training rate by 13.19%,10.69%,and 11.06%,respectively,compared to other models for the selected dataset.The mean error and selection time is also reduced by 12.56%and 13.56%,respectively,compared to the same models and dataset.

Retrospective analysis of pathological types and imaging features in pancreatic cancer: A comprehensive study

BACKGROUND Pancreatic cancer remains one of the most lethal malignancies worldwide,with a poor prognosis often attributed to late diagnosis.Understanding the correlation between pathological type and imaging features is crucial for early detection and appropriate treatment planning.AIM To retrospectively analyze the relationship between different pathological types of pancreatic cancer and their corresponding imaging features.METHODS We retrospectively analyzed the data of 500 patients diagnosed with pancreatic cancer between January 2010 and December 2020 at our institution.Pathological types were determined by histopathological examination of the surgical spe-cimens or biopsy samples.The imaging features were assessed using computed tomography,magnetic resonance imaging,and endoscopic ultrasound.Statistical analyses were performed to identify significant associations between pathological types and specific imaging characteristics.RESULTS There were 320(64%)cases of pancreatic ductal adenocarcinoma,75(15%)of intraductal papillary mucinous neoplasms,50(10%)of neuroendocrine tumors,and 55(11%)of other rare types.Distinct imaging features were identified in each pathological type.Pancreatic ductal adenocarcinoma typically presents as a hypodense mass with poorly defined borders on computed tomography,whereas intraductal papillary mucinous neoplasms present as characteristic cystic lesions with mural nodules.Neuroendocrine tumors often appear as hypervascular lesions in contrast-enhanced imaging.Statistical analysis revealed significant correlations between specific imaging features and pathological types(P<0.001).CONCLUSION This study demonstrated a strong association between the pathological types of pancreatic cancer and imaging features.These findings can enhance the accuracy of noninvasive diagnosis and guide personalized treatment approaches.

Constitution identification model in traditional Chinese medicine based on multiple features

Objective To construct a precise model for identifying traditional Chinese medicine(TCM)constitutions;thereby offering optimized guidance for clinical diagnosis and treatment plan-ning;and ultimately enhancing medical efficiency and treatment outcomes.Methods First;TCM full-body inspection data acquisition equipment was employed to col-lect full-body standing images of healthy people;from which the constitutions were labelled and defined in accordance with the Constitution in Chinese Medicine Questionnaire(CCMQ);and a dataset encompassing labelled constitutions was constructed.Second;heat-suppres-sion valve(HSV)color space and improved local binary patterns(LBP)algorithm were lever-aged for the extraction of features such as facial complexion and body shape.In addition;a dual-branch deep network was employed to collect deep features from the full-body standing images.Last;the random forest(RF)algorithm was utilized to learn the extracted multifea-tures;which were subsequently employed to establish a TCM constitution identification mod-el.Accuracy;precision;and F1 score were the three measures selected to assess the perfor-mance of the model.Results It was found that the accuracy;precision;and F1 score of the proposed model based on multifeatures for identifying TCM constitutions were 0.842;0.868;and 0.790;respectively.In comparison with the identification models that encompass a single feature;either a single facial complexion feature;a body shape feature;or deep features;the accuracy of the model that incorporating all the aforementioned features was elevated by 0.105;0.105;and 0.079;the precision increased by 0.164;0.164;and 0.211;and the F1 score rose by 0.071;0.071;and 0.084;respectively.Conclusion The research findings affirmed the viability of the proposed model;which incor-porated multifeatures;including the facial complexion feature;the body shape feature;and the deep feature.In addition;by employing the proposed model;the objectification and intel-ligence of identifying constitutions in TCM practices could be optimized.

Japanese Sign Language Recognition by Combining Joint Skeleton-Based Handcrafted and Pixel-Based Deep Learning Features with Machine Learning Classification

Sign language recognition is vital for enhancing communication accessibility among the Deaf and hard-of-hearing communities.In Japan,approximately 360,000 individualswith hearing and speech disabilities rely on Japanese Sign Language(JSL)for communication.However,existing JSL recognition systems have faced significant performance limitations due to inherent complexities.In response to these challenges,we present a novel JSL recognition system that employs a strategic fusion approach,combining joint skeleton-based handcrafted features and pixel-based deep learning features.Our system incorporates two distinct streams:the first stream extracts crucial handcrafted features,emphasizing the capture of hand and body movements within JSL gestures.Simultaneously,a deep learning-based transfer learning stream captures hierarchical representations of JSL gestures in the second stream.Then,we concatenated the critical information of the first stream and the hierarchy of the second stream features to produce the multiple levels of the fusion features,aiming to create a comprehensive representation of the JSL gestures.After reducing the dimensionality of the feature,a feature selection approach and a kernel-based support vector machine(SVM)were used for the classification.To assess the effectiveness of our approach,we conducted extensive experiments on our Lab JSL dataset and a publicly available Arabic sign language(ArSL)dataset.Our results unequivocally demonstrate that our fusion approach significantly enhances JSL recognition accuracy and robustness compared to individual feature sets or traditional recognition methods.

Guided-YNet: Saliency Feature-Guided Interactive Feature Enhancement Lung Tumor Segmentation Network

Multimodal lung tumor medical images can provide anatomical and functional information for the same lesion.Such as Positron Emission Computed Tomography(PET),Computed Tomography(CT),and PET-CT.How to utilize the lesion anatomical and functional information effectively and improve the network segmentation performance are key questions.To solve the problem,the Saliency Feature-Guided Interactive Feature Enhancement Lung Tumor Segmentation Network(Guide-YNet)is proposed in this paper.Firstly,a double-encoder single-decoder U-Net is used as the backbone in this model,a single-coder single-decoder U-Net is used to generate the saliency guided feature using PET image and transmit it into the skip connection of the backbone,and the high sensitivity of PET images to tumors is used to guide the network to accurately locate lesions.Secondly,a Cross Scale Feature Enhancement Module(CSFEM)is designed to extract multi-scale fusion features after downsampling.Thirdly,a Cross-Layer Interactive Feature Enhancement Module(CIFEM)is designed in the encoder to enhance the spatial position information and semantic information.Finally,a Cross-Dimension Cross-Layer Feature Enhancement Module(CCFEM)is proposed in the decoder,which effectively extractsmultimodal image features through global attention and multi-dimension local attention.The proposed method is verified on the lung multimodal medical image datasets,and the results showthat theMean Intersection overUnion(MIoU),Accuracy(Acc),Dice Similarity Coefficient(Dice),Volumetric overlap error(Voe),Relative volume difference(Rvd)of the proposed method on lung lesion segmentation are 87.27%,93.08%,97.77%,95.92%,89.28%,and 88.68%,respectively.It is of great significance for computer-aided diagnosis.

A Model for Detecting Fake News by Integrating Domain-Specific Emotional and Semantic Features

With the rapid spread of Internet information and the spread of fake news,the detection of fake news becomes more and more important.Traditional detection methods often rely on a single emotional or semantic feature to identify fake news,but these methods have limitations when dealing with news in specific domains.In order to solve the problem of weak feature correlation between data from different domains,a model for detecting fake news by integrating domain-specific emotional and semantic features is proposed.This method makes full use of the attention mechanism,grasps the correlation between different features,and effectively improves the effect of feature fusion.The algorithm first extracts the semantic features of news text through the Bi-LSTM(Bidirectional Long Short-Term Memory)layer to capture the contextual relevance of news text.Senta-BiLSTM is then used to extract emotional features and predict the probability of positive and negative emotions in the text.It then uses domain features as an enhancement feature and attention mechanism to fully capture more fine-grained emotional features associated with that domain.Finally,the fusion features are taken as the input of the fake news detection classifier,combined with the multi-task representation of information,and the MLP and Softmax functions are used for classification.The experimental results show that on the Chinese dataset Weibo21,the F1 value of this model is 0.958,4.9% higher than that of the sub-optimal model;on the English dataset FakeNewsNet,the F1 value of the detection result of this model is 0.845,1.8% higher than that of the sub-optimal model,which is advanced and feasible.

Artificial intelligence-driven radiomics study in cancer:the role of feature engineering and modeling

Modern medicine is reliant on various medical imaging technologies for non-invasively observing patients’anatomy.However,the interpretation of medical images can be highly subjective and dependent on the expertise of clinicians.Moreover,some potentially useful quantitative information in medical images,especially that which is not visible to the naked eye,is often ignored during clinical practice.In contrast,radiomics performs high-throughput feature extraction from medical images,which enables quantitative analysis of medical images and prediction of various clinical endpoints.Studies have reported that radiomics exhibits promising performance in diagnosis and predicting treatment responses and prognosis,demonstrating its potential to be a non-invasive auxiliary tool for personalized medicine.However,radiomics remains in a developmental phase as numerous technical challenges have yet to be solved,especially in feature engineering and statistical modeling.In this review,we introduce the current utility of radiomics by summarizing research on its application in the diagnosis,prognosis,and prediction of treatment responses in patients with cancer.We focus on machine learning approaches,for feature extraction and selection during feature engineering and for imbalanced datasets and multi-modality fusion during statistical modeling.Furthermore,we introduce the stability,reproducibility,and interpretability of features,and the generalizability and interpretability of models.Finally,we offer possible solutions to current challenges in radiomics research.

Cross-Dimension Attentive Feature Fusion Network for Unsupervised Time-Series Anomaly Detection

Time series anomaly detection is crucial in various industrial applications to identify unusual behaviors within the time series data.Due to the challenges associated with annotating anomaly events,time series reconstruction has become a prevalent approach for unsupervised anomaly detection.However,effectively learning representations and achieving accurate detection results remain challenging due to the intricate temporal patterns and dependencies in real-world time series.In this paper,we propose a cross-dimension attentive feature fusion network for time series anomaly detection,referred to as CAFFN.Specifically,a series and feature mixing block is introduced to learn representations in 1D space.Additionally,a fast Fourier transform is employed to convert the time series into 2D space,providing the capability for 2D feature extraction.Finally,a cross-dimension attentive feature fusion mechanism is designed that adaptively integrates features across different dimensions for anomaly detection.Experimental results on real-world time series datasets demonstrate that CAFFN performs better than other competing methods in time series anomaly detection.

MSD-Net: Pneumonia Classification Model Based on Multi-Scale Directional Feature Enhancement

Computer-aided diagnosis of pneumonia based on deep learning is a research hotspot.However,there are some problems that the features of different sizes and different directions are not sufficient when extracting the features in lung X-ray images.A pneumonia classification model based on multi-scale directional feature enhancement MSD-Net is proposed in this paper.The main innovations are as follows:Firstly,the Multi-scale Residual Feature Extraction Module(MRFEM)is designed to effectively extract multi-scale features.The MRFEM uses dilated convolutions with different expansion rates to increase the receptive field and extract multi-scale features effectively.Secondly,the Multi-scale Directional Feature Perception Module(MDFPM)is designed,which uses a three-branch structure of different sizes convolution to transmit direction feature layer by layer,and focuses on the target region to enhance the feature information.Thirdly,the Axial Compression Former Module(ACFM)is designed to perform global calculations to enhance the perception ability of global features in different directions.To verify the effectiveness of the MSD-Net,comparative experiments and ablation experiments are carried out.In the COVID-19 RADIOGRAPHY DATABASE,the Accuracy,Recall,Precision,F1 Score,and Specificity of MSD-Net are 97.76%,95.57%,95.52%,95.52%,and 98.51%,respectively.In the chest X-ray dataset,the Accuracy,Recall,Precision,F1 Score and Specificity of MSD-Net are 97.78%,95.22%,96.49%,95.58%,and 98.11%,respectively.This model improves the accuracy of lung image recognition effectively and provides an important clinical reference to pneumonia Computer-Aided Diagnosis.

FusionNN:A Semantic Feature Fusion Model Based on Multimodal for Web Anomaly Detection

With the rapid development of the mobile communication and the Internet,the previous web anomaly detectionand identificationmodels were built relying on security experts’empirical knowledge and attack features.Althoughthis approach can achieve higher detection performance,it requires huge human labor and resources to maintainthe feature library.In contrast,semantic feature engineering can dynamically discover new semantic featuresand optimize feature selection by automatically analyzing the semantic information contained in the data itself,thus reducing dependence on prior knowledge.However,current semantic features still have the problem ofsemantic expression singularity,as they are extracted from a single semantic mode such as word segmentation,character segmentation,or arbitrary semantic feature extraction.This paper extracts features of web requestsfrom dual semantic granularity,and proposes a semantic feature fusion method to solve the above problems.Themethod first preprocesses web requests,and extracts word-level and character-level semantic features of URLs viaconvolutional neural network(CNN),respectively.By constructing three loss functions to reduce losses betweenfeatures,labels and categories.Experiments on the HTTP CSIC 2010,Malicious URLs and HttpParams datasetsverify the proposedmethod.Results show that compared withmachine learning,deep learningmethods and BERTmodel,the proposed method has better detection performance.And it achieved the best detection rate of 99.16%in the dataset HttpParams.

GP‐FMLNet:A feature matrix learning network enhanced by glyph and phonetic information for Chinese sentiment analysis

Sentiment analysis is a fine‐grained analysis task that aims to identify the sentiment polarity of a specified sentence.Existing methods in Chinese sentiment analysis tasks only consider sentiment features from a single pole and scale and thus cannot fully exploit and utilise sentiment feature information,making their performance less than ideal.To resolve the problem,the authors propose a new method,GP‐FMLNet,that integrates both glyph and phonetic information and design a novel feature matrix learning process for phonetic features with which to model words that have the same pinyin information but different glyph information.Our method solves the problem of misspelling words influencing sentiment polarity prediction results.Specifically,the authors iteratively mine character,glyph,and pinyin features from the input comments sentences.Then,the authors use soft attention and matrix compound modules to model the phonetic features,which empowers their model to keep on zeroing in on the dynamic‐setting words in various positions and to dispense with the impacts of the deceptive‐setting ones.Ex-periments on six public datasets prove that the proposed model fully utilises the glyph and phonetic information and improves on the performance of existing Chinese senti-ment analysis algorithms.

FIBTNet:Building Change Detection for Remote Sensing Images Using Feature Interactive Bi-Temporal Network

In this paper,a feature interactive bi-temporal change detection network(FIBTNet)is designed to solve the problem of pseudo change in remote sensing image building change detection.The network improves the accuracy of change detection through bi-temporal feature interaction.FIBTNet designs a bi-temporal feature exchange architecture(EXA)and a bi-temporal difference extraction architecture(DFA).EXA improves the feature exchange ability of the model encoding process through multiple space,channel or hybrid feature exchange methods,while DFA uses the change residual(CR)module to improve the ability of the model decoding process to extract different features at multiple scales.Additionally,at the junction of encoder and decoder,channel exchange is combined with the CR module to achieve an adaptive channel exchange,which further improves the decision-making performance of model feature fusion.Experimental results on the LEVIR-CD and S2Looking datasets demonstrate that iCDNet achieves superior F1 scores,Intersection over Union(IoU),and Recall compared to mainstream building change detectionmodels,confirming its effectiveness and superiority in the field of remote sensing image change detection.

IMTNet:Improved Multi-Task Copy-Move Forgery Detection Network with Feature Decoupling and Multi-Feature Pyramid

Copy-Move Forgery Detection(CMFD)is a technique that is designed to identify image tampering and locate suspicious areas.However,the practicality of the CMFD is impeded by the scarcity of datasets,inadequate quality and quantity,and a narrow range of applicable tasks.These limitations significantly restrict the capacity and applicability of CMFD.To overcome the limitations of existing methods,a novel solution called IMTNet is proposed for CMFD by employing a feature decoupling approach.Firstly,this study formulates the objective task and network relationship as an optimization problem using transfer learning.Furthermore,it thoroughly discusses and analyzes the relationship between CMFD and deep network architecture by employing ResNet-50 during the optimization solving phase.Secondly,a quantitative comparison between fine-tuning and feature decoupling is conducted to evaluate the degree of similarity between the image classification and CMFD domains by the enhanced ResNet-50.Finally,suspicious regions are localized using a feature pyramid network with bottom-up path augmentation.Experimental results demonstrate that IMTNet achieves faster convergence,shorter training times,and favorable generalization performance compared to existingmethods.Moreover,it is shown that IMTNet significantly outperforms fine-tuning based approaches in terms of accuracy and F_(1).

A Concise and Varied Visual Features-Based Image Captioning Model with Visual Selection

Image captioning has gained increasing attention in recent years.Visual characteristics found in input images play a crucial role in generating high-quality captions.Prior studies have used visual attention mechanisms to dynamically focus on localized regions of the input image,improving the effectiveness of identifying relevant image regions at each step of caption generation.However,providing image captioning models with the capability of selecting the most relevant visual features from the input image and attending to them can significantly improve the utilization of these features.Consequently,this leads to enhanced captioning network performance.In light of this,we present an image captioning framework that efficiently exploits the extracted representations of the image.Our framework comprises three key components:the Visual Feature Detector module(VFD),the Visual Feature Visual Attention module(VFVA),and the language model.The VFD module is responsible for detecting a subset of the most pertinent features from the local visual features,creating an updated visual features matrix.Subsequently,the VFVA directs its attention to the visual features matrix generated by the VFD,resulting in an updated context vector employed by the language model to generate an informative description.Integrating the VFD and VFVA modules introduces an additional layer of processing for the visual features,thereby contributing to enhancing the image captioning model’s performance.Using the MS-COCO dataset,our experiments show that the proposed framework competes well with state-of-the-art methods,effectively leveraging visual representations to improve performance.The implementation code can be found here:https://github.com/althobhani/VFDICM(accessed on 30 July 2024).

Video-Based Deception Detection with Non-Contact Heart Rate Monitoring and Multi-Modal Feature Selection

Deception detection plays a crucial role in criminal investigation.Videos contain a wealth of information regarding apparent and physiological changes in individuals,and thus can serve as an effective means of deception detection.In this paper,we investigate video-based deception detection considering both apparent visual features such as eye gaze,head pose and facial action unit(AU),and non-contact heart rate detected by remote photoplethysmography(rPPG)technique.Multiple wrapper-based feature selection methods combined with the K-nearest neighbor(KNN)and support vector machine(SVM)classifiers are employed to screen the most effective features for deception detection.We evaluate the performance of the proposed method on both a self-collected physiological-assisted visual deception detection(PV3D)dataset and a public bag-oflies(BOL)dataset.Experimental results demonstrate that the SVM classifier with symbiotic organisms search(SOS)feature selection yields the best overall performance,with an area under the curve(AUC)of 83.27%and accuracy(ACC)of 83.33%for PV3D,and an AUC of 71.18%and ACC of 70.33%for BOL.This demonstrates the stability and effectiveness of the proposed method in video-based deception detection tasks.

An Expert System to Detect Political Arabic Articles Orientation Using CatBoost Classifier Boosted by Multi-Level Features

The number of blogs and other forms of opinionated online content has increased dramatically in recent years.Many fields,including academia and national security,place an emphasis on automated political article orientation detection.Political articles(especially in the Arab world)are different from other articles due to their subjectivity,in which the author’s beliefs and political affiliation might have a significant influence on a political article.With categories representing the main political ideologies,this problem may be thought of as a subset of the text categorization(classification).In general,the performance of machine learning models for text classification is sensitive to hyperparameter settings.Furthermore,the feature vector used to represent a document must capture,to some extent,the complex semantics of natural language.To this end,this paper presents an intelligent system to detect political Arabic article orientation that adapts the categorical boosting(CatBoost)method combined with a multi-level feature concept.Extracting features at multiple levels can enhance the model’s ability to discriminate between different classes or patterns.Each level may capture different aspects of the input data,contributing to a more comprehensive representation.CatBoost,a robust and efficient gradient-boosting algorithm,is utilized to effectively learn and predict the complex relationships between these features and the political orientation labels associated with the articles.A dataset of political Arabic texts collected from diverse sources,including postings and articles,is used to assess the suggested technique.Conservative,reform,and revolutionary are the three subcategories of these opinions.The results of this study demonstrate that compared to other frequently used machine learning models for text classification,the CatBoost method using multi-level features performs better with an accuracy of 98.14%.

HOG-VGG:VGG Network with HOG Feature Fusion for High-Precision PolSAR Terrain Classification

This article proposes a VGG network with histogram of oriented gradient(HOG) feature fusion(HOG-VGG) for polarization synthetic aperture radar(PolSAR) image terrain classification.VGG-Net has a strong ability of deep feature extraction,which can fully extract the global deep features of different terrains in PolSAR images,so it is widely used in PolSAR terrain classification.However,VGG-Net ignores the local edge & shape features,resulting in incomplete feature representation of the PolSAR terrains,as a consequence,the terrain classification accuracy is not promising.In fact,edge and shape features play an important role in PolSAR terrain classification.To solve this problem,a new VGG network with HOG feature fusion was specifically proposed for high-precision PolSAR terrain classification.HOG-VGG extracts both the global deep semantic features and the local edge & shape features of the PolSAR terrains,so the terrain feature representation completeness is greatly elevated.Moreover,HOG-VGG optimally fuses the global deep features and the local edge & shape features to achieve the best classification results.The superiority of HOG-VGG is verified on the Flevoland,San Francisco and Oberpfaffenhofen datasets.Experiments show that the proposed HOG-VGG achieves much better PolSAR terrain classification performance,with overall accuracies of 97.54%,94.63%,and 96.07%,respectively.

A Progressive Feature Fusion-Based Manhole Cover Defect Recognition Method

Manhole cover defect recognition is of significant practical importance as it can accurately identify damaged or missing covers, enabling timely replacement and maintenance. Traditional manhole cover detection techniques primarily focus on detecting the presence of covers rather than classifying the types of defects. However, manhole cover defects exhibit small inter-class feature differences and large intra-class feature variations, which makes their recognition challenging. To improve the classification of manhole cover defect types, we propose a Progressive Dual-Branch Feature Fusion Network (PDBFFN). The baseline backbone network adopts a multi-stage hierarchical architecture design using Res-Net50 as the visual feature extractor, from which both local and global information is obtained. Additionally, a Feature Enhancement Module (FEM) and a Fusion Module (FM) are introduced to enhance the network’s ability to learn critical features. Experimental results demonstrate that our model achieves a classification accuracy of 82.6% on a manhole cover defect dataset, outperforming several state-of-the-art fine-grained image classification models.

Feature fusing in face recognition

With the aim of extracting the features of face images in face recognition, a new method of face recognition by fusing global features and local features is presented. The global features are extracted using principal component analysis （PCA）. Active appearance model （AAM） locates 58 facial fiducial points, from which 17 points are characterized as local features using the Gabor wavelet transform （GWT）. Normalized global match degree （local match degree） can be obtained by global features （local features） of the probe image and each gallery image. After the fusion of normalized global match degree and normalized local match degree, the recognition result is the class that included the gallery image corresponding to the largest fused match degree. The method is evaluated by the recognition rates over two face image databases （AR and SJTU-IPPR）. The experimental results show that the method outperforms PCA and elastic bunch graph matching （EBGM）. Moreover, it is effective and robust to expression, illumination and pose variation in some degree.

Epidemiological and clinical features,treatment status,and economic burden of traumatic spinal cord injury in China:a hospital-based retrospective study

Traumatic spinal cord injury is potentially catastrophic and can lead to permanent disability or even death.China has the largest population of patients with traumatic spinal cord injury.Previous studies of traumatic spinal cord injury in China have mostly been regional in scope;national-level studies have been rare.To the best of our knowledge,no national-level study of treatment status and economic burden has been performed.This retrospective study aimed to examine the epidemiological and clinical features,treatment status,and economic burden of traumatic spinal cord injury in China at the national level.We included 13,465 traumatic spinal cord injury patients who were injured between January 2013 and December 2018 and treated in 30 hospitals in 11 provinces/municipalities representing all geographical divisions of China.Patient epidemiological and clinical features,treatment status,and total and daily costs were recorded.Trends in the percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department and cost of care were assessed by annual percentage change using the Joinpoint Regression Program.The percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department did not significantly change overall(annual percentage change,-0.5%and 2.1%,respectively).A total of 10,053(74.7%)patients underwent surgery.Only 2.8%of patients who underwent surgery did so within 24 hours of injury.A total of 2005(14.9%)patients were treated with high-dose(≥500 mg)methylprednisolone sodium succinate/methylprednisolone(MPSS/MP);615(4.6%)received it within 8 hours.The total cost for acute traumatic spinal cord injury decreased over the study period(-4.7%),while daily cost did not significantly change(1.0%increase).Our findings indicate that public health initiatives should aim at improving hospitals’ability to complete early surgery within 24 hours,which is associated with improved sensorimotor recovery,increasing the awareness rate of clinical guidelines related to high-dose MPSS/MP to reduce the use of the treatment with insufficient evidence.