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RepBoTNet-CESA:An Alzheimer’s Disease Computer Aided Diagnosis Method Using Structural Reparameterization BoTNet and Cubic Embedding Self Attention
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作者 Xiabin Zhang Zhongyi Hu +1 位作者 Lei Xiao Hui Huang 《Computers, Materials & Continua》 SCIE EI 2024年第5期2879-2905,共27页
Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on l... Various deep learning models have been proposed for the accurate assisted diagnosis of early-stage Alzheimer’s disease(AD).Most studies predominantly employ Convolutional Neural Networks(CNNs),which focus solely on local features,thus encountering difficulties in handling global features.In contrast to natural images,Structural Magnetic Resonance Imaging(sMRI)images exhibit a higher number of channel dimensions.However,during the Position Embedding stage ofMulti Head Self Attention(MHSA),the coded information related to the channel dimension is disregarded.To tackle these issues,we propose theRepBoTNet-CESA network,an advanced AD-aided diagnostic model that is capable of learning local and global features simultaneously.It combines the advantages of CNN networks in capturing local information and Transformer networks in integrating global information,reducing computational costs while achieving excellent classification performance.Moreover,it uses the Cubic Embedding Self Attention(CESA)proposed in this paper to incorporate the channel code information,enhancing the classification performance within the Transformer structure.Finally,the RepBoTNet-CESA performs well in various AD-aided diagnosis tasks,with an accuracy of 96.58%,precision of 97.26%,and recall of 96.23%in the AD/NC task;an accuracy of 92.75%,precision of 92.84%,and recall of 93.18%in the EMCI/NC task;and an accuracy of 80.97%,precision of 83.86%,and recall of 80.91%in the AD/EMCI/LMCI/NC task.This demonstrates that RepBoTNet-CESA delivers outstanding outcomes in various AD-aided diagnostic tasks.Furthermore,our study has shown that MHSA exhibits superior performance compared to conventional attention mechanisms in enhancing ResNet performance.Besides,the Deeper RepBoTNet-CESA network fails to make further progress in AD-aided diagnostic tasks. 展开更多
关键词 Alzheimer CNN structural reparameterization multi head self attention computer aided diagnosis
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Artificial intelligence for characterization of diminutive colorectal polyps:A feasibility study comparing two computer-aided diagnosis systems
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作者 Quirine Eunice Wennie van der Zander Ramon M Schreuder +9 位作者 Ayla Thijssen Carolus H J Kusters Nikoo Dehghani Thom Scheeve Bjorn Winkens Mirjam C M van der Ende-van Loon Peter H N de With Fons van der Sommen Ad A M Masclee Erik J Schoon 《Artificial Intelligence in Gastrointestinal Endoscopy》 2024年第1期11-22,共12页
BACKGROUND Artificial intelligence(AI)has potential in the optical diagnosis of colorectal polyps.AIM To evaluate the feasibility of the real-time use of the computer-aided diagnosis system(CADx)AI for ColoRectal Poly... BACKGROUND Artificial intelligence(AI)has potential in the optical diagnosis of colorectal polyps.AIM To evaluate the feasibility of the real-time use of the computer-aided diagnosis system(CADx)AI for ColoRectal Polyps(AI4CRP)for the optical diagnosis of diminutive colorectal polyps and to compare the performance with CAD EYE^(TM)(Fujifilm,Tokyo,Japan).CADx influence on the optical diagnosis of an expert endoscopist was also investigated.METHODS AI4CRP was developed in-house and CAD EYE was proprietary software provided by Fujifilm.Both CADxsystems exploit convolutional neural networks.Colorectal polyps were characterized as benign or premalignant and histopathology was used as gold standard.AI4CRP provided an objective assessment of its characterization by presenting a calibrated confidence characterization value(range 0.0-1.0).A predefined cut-off value of 0.6 was set with values<0.6 indicating benign and values≥0.6 indicating premalignant colorectal polyps.Low confidence characterizations were defined as values 40%around the cut-off value of 0.6(<0.36 and>0.76).Self-critical AI4CRP’s diagnostic performances excluded low confidence characterizations.RESULTS AI4CRP use was feasible and performed on 30 patients with 51 colorectal polyps.Self-critical AI4CRP,excluding 14 low confidence characterizations[27.5%(14/51)],had a diagnostic accuracy of 89.2%,sensitivity of 89.7%,and specificity of 87.5%,which was higher compared to AI4CRP.CAD EYE had a 83.7%diagnostic accuracy,74.2%sensitivity,and 100.0%specificity.Diagnostic performances of the endoscopist alone(before AI)increased nonsignificantly after reviewing the CADx characterizations of both AI4CRP and CAD EYE(AI-assisted endoscopist).Diagnostic performances of the AI-assisted endoscopist were higher compared to both CADx-systems,except for specificity for which CAD EYE performed best.CONCLUSION Real-time use of AI4CRP was feasible.Objective confidence values provided by a CADx is novel and self-critical AI4CRP showed higher diagnostic performances compared to AI4CRP. 展开更多
关键词 Artificial intelligence Colorectal polyp characterization Computer aided diagnosis Diminutive colorectal polyps Optical diagnosis Self-critical artificial intelligence
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Enhanced characterization of solid solitary pulmonary nodules with Bayesian analysis-based computer-aided diagnosis 被引量:5
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作者 Simone Perandini Gian Alberto Soardi +9 位作者 Massimiliano Motton Raffaele Augelli Chiara Dallaserra Gino Puntel Arianna Rossi Giuseppe Sala Manuel Signorini Laura Spezia Federico Zamboni Stefania Montemezzi 《World Journal of Radiology》 CAS 2016年第8期729-734,共6页
The aim of this study was to prospectively assess the accuracy gain of Bayesian analysis-based computeraided diagnosis(CAD) vs human judgment alone in characterizing solitary pulmonary nodules(SPNs) at computed tomogr... The aim of this study was to prospectively assess the accuracy gain of Bayesian analysis-based computeraided diagnosis(CAD) vs human judgment alone in characterizing solitary pulmonary nodules(SPNs) at computed tomography(CT). The study included 100 randomly selected SPNs with a definitive diagnosis. Nodule features at first and follow-up CT scans as well as clinical data were evaluated individually on a 1 to 5 points risk chart by 7 radiologists, firstly blinded then aware of Bayesian Inference Malignancy Calculator(BIMC) model predictions. Raters' predictions were evaluated by means of receiver operating characteristic(ROC) curve analysis and decision analysis. Overall ROC area under the curve was 0.758 before and 0.803 after the disclosure of CAD predictions(P = 0.003). A net gain in diagnostic accuracy was found in 6 out of 7 readers. Mean risk class of benign nodules dropped from 2.48 to 2.29, while mean risk class of malignancies rose from 3.66 to 3.92. Awareness of CAD predictions also determined a significant drop on mean indeterminate SPNs(15 vs 23.86 SPNs) and raised the mean number of correct and confident diagnoses(mean 39.57 vs 25.71 SPNs). This study provides evidence supporting the integration of the Bayesian analysis-based BIMC model in SPN characterization. 展开更多
关键词 SOLITARY pulmonary NODULE COMPUTER-aided diagnosis Lung NEOPLASMS MULTIDETECTOR COMPUTED tomography Bayesian prediction
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Computer-aided texture analysis combined with experts' knowledge: Improving endoscopic celiac disease diagnosis 被引量:1
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作者 Michael Gadermayr Hubert Kogler +3 位作者 Maximilian Karla Dorit Merhof Andreas Uhl Andreas Vécsei 《World Journal of Gastroenterology》 SCIE CAS 2016年第31期7124-7134,共11页
AIM: To further improve the endoscopic detection of intestinal mucosa alterations due to celiac disease(CD).METHODS: We assessed a hybrid approach based on the integration of expert knowledge into the computerbased cl... AIM: To further improve the endoscopic detection of intestinal mucosa alterations due to celiac disease(CD).METHODS: We assessed a hybrid approach based on the integration of expert knowledge into the computerbased classification pipeline. A total of 2835 endoscopic images from the duodenum were recorded in 290 children using the modified immersion technique(MIT). These children underwent routine upper endoscopy for suspected CD or non-celiac upper abdominal symptoms between August 2008 and December 2014. Blinded to the clinical data and biopsy results, three medical experts visually classified each image as normal mucosa(Marsh-0) or villous atrophy(Marsh-3). The experts' decisions were further integrated into state-of-the-arttexture recognition systems. Using the biopsy results as the reference standard, the classification accuracies of this hybrid approach were compared to the experts' diagnoses in 27 different settings.RESULTS: Compared to the experts' diagnoses, in 24 of 27 classification settings(consisting of three imaging modalities, three endoscopists and three classification approaches), the best overall classification accuracies were obtained with the new hybrid approach. In 17 of 24 classification settings, the improvements achieved with the hybrid approach were statistically significant(P < 0.05). Using the hybrid approach classification accuracies between 94% and 100% were obtained. Whereas the improvements are only moderate in the case of the most experienced expert, the results of the less experienced expert could be improved significantly in 17 out of 18 classification settings. Furthermore, the lowest classification accuracy, based on the combination of one database and one specific expert, could be improved from 80% to 95%(P < 0.001).CONCLUSION: The overall classification performance of medical experts, especially less experienced experts, can be boosted significantly by integrating expert knowledge into computer-aided diagnosis systems. 展开更多
关键词 CELIAC disease diagnosis ENDOSCOPY COMPUTER-aided texture analysis BIOPSY Pattern recognition
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Computer-aided diagnosis for contrast-enhanced ultrasound in the liver 被引量:1
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作者 Katsutoshi Sugimoto Junji Shiraishi +1 位作者 Fuminori Moriyasu Kunio Doi 《World Journal of Radiology》 CAS 2010年第6期215-223,共9页
Computer-aided diagnosis(CAD) has become one of the major research subjects in medical imaging and diagnostic radiology.The basic concept of CAD is to provide computer output as a second opinion to assist radiologists... Computer-aided diagnosis(CAD) has become one of the major research subjects in medical imaging and diagnostic radiology.The basic concept of CAD is to provide computer output as a second opinion to assist radiologists' image interpretations by improving the accuracy and consistency of radiologic diagnosis and also by reducing the image-reading time.To date,research on CAD in ultrasound(US)-based diagnosis has been carried out mostly for breast lesions and has been limited in the fields of gastroenterology and hepatology,with most studies being conducted using B-mode US images.Two CAD schemes with contrast-enhanced US(CEUS) that are used in classifying focal liver lesions(FLLs) as liver metastasis,hemangioma,or three histologically differentiated types of hepatocellular carcinoma(HCC) are introduced in this article:one is based on physicians' subjective pattern classifications(subjective analysis) and the other is a computerized scheme for classification of FLLs(quantitative analysis).Classification accuracies for FLLs for each CAD scheme were 84.8% and 88.5% for metastasis,93.3% and 93.8% for hemangioma,and 98.6% and 86.9% for all HCCs,respectively.In addition,the classification accuracies for histologic differentiation of HCCs were 65.2% and 79.2% for well-differentiated HCCs,41.7% and 50.0% for moderately differentiated HCCs,and 80.0% and 77.8% for poorly differentiated HCCs,respectively.There are a number of issues concerning the clinical application of CAD for CEUS,however,it is likely that CAD for CEUS of the liver will make great progress in the future. 展开更多
关键词 COMPUTER-aided diagnosis FOCAL LIVER LESION ULTRASONOGRAPHY Contrast agent MICRO-FLOW imaging
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Efficient Computer Aided Diagnosis System for Hepatic Tumors Using Computed Tomography Scans
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作者 Yasmeen Al-Saeed Wael A.Gab-Allah +3 位作者 Hassan Soliman Maysoon F.Abulkhair Wafaa M.Shalash Mohammed Elmogy 《Computers, Materials & Continua》 SCIE EI 2022年第6期4871-4894,共24页
One of the leading causes of mortality worldwide is liver cancer.The earlier the detection of hepatic tumors,the lower the mortality rate.This paper introduces a computer-aided diagnosis system to extract hepatic tumo... One of the leading causes of mortality worldwide is liver cancer.The earlier the detection of hepatic tumors,the lower the mortality rate.This paper introduces a computer-aided diagnosis system to extract hepatic tumors from computed tomography scans and classify them into malignant or benign tumors.Segmenting hepatic tumors from computed tomography scans is considered a challenging task due to the fuzziness in the liver pixel range,intensity values overlap between the liver and neighboring organs,high noise from computed tomography scanner,and large variance in tumors shapes.The proposed method consists of three main stages;liver segmentation using Fast Generalized Fuzzy C-Means,tumor segmentation using dynamic thresholding,and the tumor’s classification into malignant/benign using support vector machines classifier.The performance of the proposed system was evaluated using three liver benchmark datasets,which are MICCAI-Sliver07,LiTS17,and 3Dircadb.The proposed computer adided diagnosis system achieved an average accuracy of 96.75%,sensetivity of 96.38%,specificity of 95.20%and Dice similarity coefficient of 95.13%. 展开更多
关键词 Liver tumor hepatic tumors diagnosis CT scans analysis liver segmentation tumor segmentation features extraction tumors classification FGFCM cad system
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Observer Variability in BI-RADS Ultrasound Features and Its Influence on Computer-Aided Diagnosis of Breast Masses
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作者 Laith R. Sultan Ghizlane Bouzghar +4 位作者 Benjamin J. Levenback Nauroze A. Faizi Santosh S. Venkatesh Emily F. Conant Chandra M. Sehgal 《Advances in Breast Cancer Research》 2015年第1期1-8,共8页
Objective: Computer classification of sonographic BI-RADS features can aid differentiation of the malignant and benign masses. However, the variability in the diagnosis due to the differences in the observed features ... Objective: Computer classification of sonographic BI-RADS features can aid differentiation of the malignant and benign masses. However, the variability in the diagnosis due to the differences in the observed features between the observations is not known. The goal of this study is to measure the variation in sonographic features between multiple observations and determine the effect of features variation on computer-aided diagnosis of the breast masses. Materials and Methods: Ultrasound images of biopsy proven solid breast masses were analyzed in three independent observations for BI-RADS sonographic features. The BI-RADS features from each observation were used with Bayes classifier to determine probability of malignancy. The observer agreement in the sonographic features was measured by kappa coefficient and the difference in the diagnostic performances between observations was determined by the area under the ROC curve, Az, and interclass correlation coefficient. Results: While some features were repeatedly observed, κ = 0.95, other showed a significant variation, κ = 0.16. For all features, combined intra-observer agreement was substantial, κ = 0.77. The agreement, however, decreased steadily to 0.66 and 0.56 as time between the observations increased from 1 to 2 and 3 months, respectively. Despite the variation in features between observations the probabilities of malignancy estimates from Bayes classifier were robust and consistently yielded same level of diagnostic performance, Az was 0.772-0.817 for sonographic features alone and 0.828-0.849 for sonographic features and age combined. The difference in the performance, ΔAz, between the observations for the two groups was small (0.003-0.044) and was not statistically significant (p < 0.05). Interclass correlation coefficient for the observations was 0.822 (CI: 0.787-0.853) for BI-RADS sonographic features alone and for those combined with age was 0.833 (CI: 0.800-0.862). Conclusion: Despite the differences in the BI-RADS sonographic features between different observations, the diagnostic performance of computer-aided analysis for differentiating breast masses did not change. Through continual retraining, the computer-aided analysis provides consistent diagnostic performance independent of the variations in the observed sonographic features. 展开更多
关键词 BREAST Imaging BREAST CANCER OBSERVER VARIABILITY COMPUTER-aided diagnosis
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Computer-aided differential diagnosis system for Alzheimer’s disease based on machine learning with functional and morphological image features in magnetic resonance imaging
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作者 Yasuo Yamashita Hidetaka Arimura +7 位作者 Takashi Yoshiura Chiaki Tokunaga Ohara Tomoyuki Koji Kobayashi Yasuhiko Nakamura Nobuyoshi Ohya Hiroshi Honda Fukai Toyofuku 《Journal of Biomedical Science and Engineering》 2013年第11期1090-1098,共9页
Alzheimer’s disease (AD) is a dementing disorder and one of the major public health problems in countries with greater longevity. The cerebral cortical thickness and cerebral blood flow (CBF), which are considered as... Alzheimer’s disease (AD) is a dementing disorder and one of the major public health problems in countries with greater longevity. The cerebral cortical thickness and cerebral blood flow (CBF), which are considered as morphological and functional image features, respectively, could be decreased in specific cerebral regions of patients with dementia of Alzheimer type. Therefore, the aim of this study was to develop a computer-aided classification system for AD patients based on machine learning with the morphological and functional image features derived from a magnetic resonance (MR) imaging system. The cortical thicknesses in ten cerebral regions were derived as morphological features by using gradient vector trajectories in fuzzy membership images. Functional CBF maps were measured with an arterial spin labeling technique, and ten regional CBF values were obtained by registration between the CBF map and Talairach atlas using an affine transformation and a free form deformation. We applied two systems based on an arterial neural network (ANN) and a support vector machine (SVM), which were trained with 4 morphological and 6 functional image features, to 15 AD patients and 15 clinically normal (CN) subjects for classification of AD. The area under the receiver operating characteristic curve (AUC) values for the two systems based on the ANN and SVM with both image?features were 0.901 and 0.915, respectively. The AUC values for the ANN-and SVM-based systems with the morphological features were 0.710 and 0.660, respectively, and those with the functional features were 0.878 and 0.903, respectively. Our preliminary results suggest that the proposed method may have potential for assisting radiologists in the differential diagnosis of AD patients by using morphological and functional image features. 展开更多
关键词 COMPUTER-aided Classification (cad) Alzheimer’s Disease Magnetic Resonance Imaging (MRI) Arterial Spin Labeling (ASL) Fuzzy MEMBERSHIP Image Cortical Thickness Cerebral Blood Flow (CBF)
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Improving Thyroid Disorder Diagnosis via Ensemble Stacking and Bidirectional Feature Selection
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作者 Muhammad Armghan Latif Zohaib Mushtaq +6 位作者 Saad Arif Sara Rehman Muhammad Farrukh Qureshi Nagwan Abdel Samee Maali Alabdulhafith Yeong Hyeon Gu Mohammed A.Al-masni 《Computers, Materials & Continua》 SCIE EI 2024年第3期4225-4241,共17页
Thyroid disorders represent a significant global health challenge with hypothyroidism and hyperthyroidism as two common conditions arising from dysfunction in the thyroid gland.Accurate and timely diagnosis of these d... Thyroid disorders represent a significant global health challenge with hypothyroidism and hyperthyroidism as two common conditions arising from dysfunction in the thyroid gland.Accurate and timely diagnosis of these disorders is crucial for effective treatment and patient care.This research introduces a comprehensive approach to improve the accuracy of thyroid disorder diagnosis through the integration of ensemble stacking and advanced feature selection techniques.Sequential forward feature selection,sequential backward feature elimination,and bidirectional feature elimination are investigated in this study.In ensemble learning,random forest,adaptive boosting,and bagging classifiers are employed.The effectiveness of these techniques is evaluated using two different datasets obtained from the University of California Irvine-Machine Learning Repository,both of which undergo preprocessing steps,including outlier removal,addressing missing data,data cleansing,and feature reduction.Extensive experimentation demonstrates the remarkable success of proposed ensemble stacking and bidirectional feature elimination achieving 100%and 99.86%accuracy in identifying hyperthyroidism and hypothyroidism,respectively.Beyond enhancing detection accuracy,the ensemble stacking model also demonstrated a streamlined computational complexity which is pivotal for practical medical applications.It significantly outperformed existing studies with similar objectives underscoring the viability and effectiveness of the proposed scheme.This research offers an innovative perspective and sets the platform for improved thyroid disorder diagnosis with broader implications for healthcare and patient well-being. 展开更多
关键词 Ensemble learning random forests BOOSTING dimensionality reduction machine learning smart healthcare computer aided diagnosis
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Research on Computer Aided Design (CAD) Technique and Novel Pattern for Electronic Architectural Drawing and Perspective
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作者 Tian XiJiang 《International Journal of Technology Management》 2015年第8期95-97,共3页
With the progress of computer technology, CAD technique is urgent needed. In this paper, we conduct numerical and theoretical analysis and research on computer aided design technique and novel pattern for electronic a... With the progress of computer technology, CAD technique is urgent needed. In this paper, we conduct numerical and theoretical analysis and research on computer aided design technique and novel pattern for electronic architectural drawing and perspective. AUTOCAD drawing soRware because of its versatility and easy entry, in engineering has broad user base, but also because of the basis of general drawing software, often cannot directly use of the existing order efficiently complete professional drawing. We modify the current pattern and introduce our proposed pattern for advancement. The experiment proves the effectiveness of the pattern. In addition, we will conduct more insightful research in the future to nolish the current anoroach. 展开更多
关键词 Computer aided Design (cad) ELECTRONIC ARCHITECTURAL DRAWING NOVEL Pattern.Computer aided Design (cad) ELECTRONIC ARCHITECTURAL DRAWING NOVEL Pattern.
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Complications of CAD/CAM Fabricated Surgical Template for Static Computer-Aided Implant Surgery
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作者 Yu Kishimoto Yuka Hasegawa +2 位作者 Yasunori Kanemitsu Kuniteru Nagahara Tetsuji Nakamoto 《Open Journal of Stomatology》 2022年第4期103-107,共5页
Purpose: Surgical templates produced by digital simulation and CAD/CAM allow for three-dimensional control of implant placement. However, due to clinical limitations, there are complications during the use of the temp... Purpose: Surgical templates produced by digital simulation and CAD/CAM allow for three-dimensional control of implant placement. However, due to clinical limitations, there are complications during the use of the template. The purpose of this study was to summarize the complications associated with the use of surgical templates for static computer-aided implant surgery. Methods: Complications were collected during the observation period, and then their implant sites were reanalyzed with simulation software. Results: There were 104 cases during the observation period, 5 cases had complications. Mechanical complications were observed in four cases, including three cases in which the frame of the template fractured during implant placement surgery and one case in which the sleeve fell off the surgical template. In one case, there was an error in the planned position. All cases were mandibular molar cases, and all cases of frame fracture were at the free end defect site. All cases had a Hounsfield unit of more than 700 at the implant site, and some of them had a significantly small jaw opening. Conclusion: Although the spread of CAD/CAM surgical templates has made it possible to avoid problems caused by the position of the implant, it has been difficult to avoid fractures in cases of mandibular free end defects with high Hounsfield unit. 展开更多
关键词 cad/CAM Surgical Template Static Computer-aided Implant Surgery
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Applications of Computer Aided Modeling Techniques to Complex ICE Components 被引量:1
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作者 左正兴 冯慧华 +1 位作者 廖日东 邹文胜 《Journal of Beijing Institute of Technology》 EI CAS 2000年第4期451-458,共8页
Design of internal combustion engine (ICE) components is one of the earliest and also the most active areas in which computer aided modeling techniques are applied. Computer aided modeling techniques could provide req... Design of internal combustion engine (ICE) components is one of the earliest and also the most active areas in which computer aided modeling techniques are applied. Computer aided modeling techniques could provide requisite information for follow up designing segments such as structural analysis, design of technological process and manufacturing etc, and thereby lead to the reduction of product design period and the quality and reliability improvement of ICE components. So the developing situations of ICE components' 2 D drafting, 3 D modeling of ICE, overall CAD of ICE as well as component design expert system etc. are surveyed, which are the typical applications of computer aided modeling techniques in ICE component design process, and some existent problems and tasks are pointed out so as to make some references for the further research work. 展开更多
关键词 internal combustion engine(ICE) components computer aided modeling cad 3 D model
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基于Bayes时空模型分析HIV/AIDS晚发现的时空分布特征及其影响因素
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作者 邵莉 陈继军 +3 位作者 张宇琦 许静 栗果 高文龙 《中山大学学报(医学科学版)》 CAS CSCD 北大核心 2024年第2期243-252,共10页
【目的】旨在分析兰州市HIV/AIDS晚发现的时空聚集性特征及相关影响因素,明确兰州市HIV/AIDS晚发现高风险地区和时间趋势,为兰州市因地制宜地制定HIV/AIDS防治策略措施提供参考依据。【方法】选择兰州市2011-2018年间新报告的成年HIV/A... 【目的】旨在分析兰州市HIV/AIDS晚发现的时空聚集性特征及相关影响因素,明确兰州市HIV/AIDS晚发现高风险地区和时间趋势,为兰州市因地制宜地制定HIV/AIDS防治策略措施提供参考依据。【方法】选择兰州市2011-2018年间新报告的成年HIV/AIDS病例作为研究对象,研究中所需的数据资料来自兰州市疾病预防控制中心和兰州市统计年鉴。采用Bayes时空模型分析HIV/AIDS晚发现相对风险(RR)的时空分布特征及其影响因素。【结果】2011-2018年间兰州市新报告的HIV/AIDS病例共计1984例,其中HIV/AIDS晚发现者有982例(49.5%),平均年龄为39.67岁,男性占90.9%。老年人和女性HIV/AIDS病例中晚发现的比例更高;城关区(51.1%)、安宁区(50.3%)和榆中县(51.9%)具有高于平均水平的HIV/AIDS晚发现比例;2011-2018年间兰州市总体的晚发现比例呈波动上升趋势。Bayes时空模型分析结果显示,兰州市HIV/AIDS晚发现风险在2011-2015年间波动变化,而在2015年后迅速上升,其RR(95%CI)从1.01(0.84,1.23)上升到1.11(0.77,1.97);红古区和三个县的晚发现风险变化趋势与兰州市的总体变化趋势相似,而城关区和七里河区的晚发现风险呈下降趋势;晚发现相对风险大于1的区县包括:永登县(RR=1.07,95%CI:0.55,1.96)、西固区(RR=1.04,95%CI:0.67,1.49)、城关区(RR=2.41,95%CI:0.85,6.16)和七里河区(RR=2.03,95%CI:1.10,3.27)。冷热点分析结果显示城关区和七里河区为热点区。影响因素分析结果显示,随着人均GDP(RR=0.65,95%CI:0.35,0.90)和HIV/AIDS病例中的男性比例(RR=0.53,95%CI:0.19,0.92)的增高,HIV/AIDS晚发现的相对风险越低;而人口密度(RR=1.35,95%CI:1.01,1.81)越大,晚发现风险越高。【结论】兰州市的HIV/AIDS晚发现风险呈上升趋势,并且存在明显的地区差异特征;人均GDP、HIV/AIDS中男性比例和人口密度是HIV/AIDS晚发现的影响因素。因此,对于晚发现风险高和存在相关风险因素的区县,应重视并制定有针对性的HIV筛查和防治服务,降低HIV/AIDS晚发现比例和风险。 展开更多
关键词 艾滋病 人类免疫缺陷病毒 晚发现 Bayes时空模型 分布特征
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“零转介”AIDS诊疗管理模式的临床验证
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作者 李娜 张坤 +3 位作者 赵丽娜 范子建 王立静 张雅楠 《河北医药》 CAS 2024年第10期1548-1551,共4页
目的探讨“零转介”诊疗管理模式对人类免疫缺陷病毒(HIV)感染患者治疗疗效和满意度的效果。方法选取石家庄市第五医院2022年7月至12月新增HIV感染者100例,随机分为对照组和研究组,每组50例。对照组给予常规认知干预和健康指导、心理干... 目的探讨“零转介”诊疗管理模式对人类免疫缺陷病毒(HIV)感染患者治疗疗效和满意度的效果。方法选取石家庄市第五医院2022年7月至12月新增HIV感染者100例,随机分为对照组和研究组,每组50例。对照组给予常规认知干预和健康指导、心理干预,研究组在确诊前较对照组提前7~10 d即给予认知干预、生活指导和心理干预。比较对照组和研究组患者的HIV感染患者睡眠[匹兹堡睡眠质量指数表(PSQI)]、服药依从性、焦虑抑郁量表分值。结果对照组患者的PSQⅠ评分高于研究组患者(P<0.01);研究组患者的焦虑抑郁的心理状况要优于对照组(P<0.05);对照组患者服药依从性良好者比例低于研究组患者(P<0.01);研究组患者对疾病的接受度和认知评定量表均好于对照组患者(P<0.01)。结论“零转介”模式,提前给予认知干预、生活指导和心理干预,可提高HIV感染患者满意度,对社会层面的AIDS预防具有积极意义。 展开更多
关键词 aidS 零转介 诊疗体系 PSQI
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HIV/AIDS合并肝损伤患者的临床特点
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作者 黄志忠 覃江龙 +3 位作者 卢亦波 农兰伟 牟敏红 邵宏华 《内科》 2024年第2期117-122,共6页
目的总结HIV/AIDS合并肝损伤患者的临床特点。方法选取53例HIV抗体阳性合并肝损伤患者作为研究对象,根据肝脏组织病理结果分为病毒性肝炎组(n=27)、肝细胞肝癌组(n=15)和肝脏弥漫大B细胞淋巴瘤组(n=11)。比较三组患者的临床症状和腹部C... 目的总结HIV/AIDS合并肝损伤患者的临床特点。方法选取53例HIV抗体阳性合并肝损伤患者作为研究对象,根据肝脏组织病理结果分为病毒性肝炎组(n=27)、肝细胞肝癌组(n=15)和肝脏弥漫大B细胞淋巴瘤组(n=11)。比较三组患者的临床症状和腹部CT影像学特征,以及肝脏组织病理学和免疫表型。结果三组在消瘦、发热、上腹痛、浅表淋巴结肿大、丙氨酸转氨酶升高、碱性磷酸酶升高、甲胎蛋白升高方面差异均有统计学意义;三组在多发结节、单发结节、病灶不均匀强化、病灶轻度强化、病灶重度强化方面差异均有统计学意义(均P<0.05)。病毒性肝炎组镜下见肝小叶结构破坏,肝细胞肝癌组镜下见凝固性坏死组织,弥漫大B细胞淋巴瘤组镜下见肝小叶结构广泛破坏和星空现象。结论不同类型HIV/AIDS合并肝损伤患者临床症状、实验室检查结果、腹部CT影像学特征有一定差异,但其较难区分肝细胞癌和弥漫大B细胞淋巴瘤,两者鉴别诊断需借助肝脏组织病理学和免疫表型方法。 展开更多
关键词 HIV/aidS 肝损伤 肝细胞癌 弥漫大B细胞淋巴瘤 鉴别诊断 临床特点
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Optical diagnosis of colorectal polyps using convolutional neural networks 被引量:4
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作者 Rawen Kader Andreas V Hadjinicolaou +2 位作者 Fanourios Georgiades Danail Stoyanov Laurence B Lovat 《World Journal of Gastroenterology》 SCIE CAS 2021年第35期5908-5918,共11页
Colonoscopy remains the gold standard investigation for colorectal cancer screening as it offers the opportunity to both detect and resect pre-malignant and neoplastic polyps.Although technologies for image-enhanced e... Colonoscopy remains the gold standard investigation for colorectal cancer screening as it offers the opportunity to both detect and resect pre-malignant and neoplastic polyps.Although technologies for image-enhanced endoscopy are widely available,optical diagnosis has not been incorporated into routine clinical practice,mainly due to significant inter-operator variability.In recent years,there has been a growing number of studies demonstrating the potential of convolutional neural networks(CNN)to enhance optical diagnosis of polyps.Data suggest that the use of CNNs might mitigate the inter-operator variability amongst endoscopists,potentially enabling a“resect and discard”or“leave in”strategy to be adopted in real-time.This would have significant financial benefits for healthcare systems,avoid unnecessary polypectomies of non-neoplastic polyps and improve the efficiency of colonoscopy.Here,we review advances in CNN for the optical diagnosis of colorectal polyps,current limitations and future directions. 展开更多
关键词 Artificial intelligence Deep learning Convolutional neural networks Computer aided diagnosis Optical diagnosis Colorectal polyps
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Computer Aided Design Technology for Convex Faceted Gem Cuts Based on the Half-Edge Data Structure 被引量:1
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作者 Linhong Xu Xiangnan Li +3 位作者 Jianhua Rao Yuan Han Zhipeng Li Jichun Li 《Journal of Beijing Institute of Technology》 EI CAS 2019年第3期585-597,共13页
Aiming to increase the efficiency of gem design and manufacturing, a new method in computer-aided-design (CAD) of convex faceted gem cuts (CFGC) based on Half-edge data structure (HDS), including the algorithms for th... Aiming to increase the efficiency of gem design and manufacturing, a new method in computer-aided-design (CAD) of convex faceted gem cuts (CFGC) based on Half-edge data structure (HDS), including the algorithms for the implementation is presented in this work. By using object-oriented methods, geometrical elements of CFGC are classified and responding geometrical feature classes are established. Each class is implemented and embedded based on the gem process. Matrix arithmetic and analytical geometry are used to derive the affine transformation and the cutting algorithm. Based on the demand for a diversity of gem cuts, CAD functions both for free-style faceted cuts and parametric designs of typical cuts and visualization and human-computer interactions of the CAD system including two-dimensional and three-dimensional interactions have been realized which enhances the flexibility and universality of the CAD system. Furthermore, data in this CAD system can also be used directly by the gem CAM module, which will promote the gem CAD/CAM integration. 展开更多
关键词 Half-edge data structure CONVEX faceted GEM CUTS (CFGC) COMPUTER aided design (cad)
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基于CATIA的钢结构CAD与CAE一体化实现方法 被引量:1
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作者 徐思豪 戴宇晨 +1 位作者 汤霄扬 王德禹 《船舶工程》 CSCD 北大核心 2024年第3期48-54,共7页
为了应对钢结构在实现计算机辅助设计(CAD)与计算机辅助工程(CAE)一体化时的特殊性所带来的挑战,分析和归纳CAD与CAE一体化中数据转换,与几何理想化等关键问题,在此基础上,提出一种基于CATIA V6软件实现钢结构CAD与CAE一体化的方法,并... 为了应对钢结构在实现计算机辅助设计(CAD)与计算机辅助工程(CAE)一体化时的特殊性所带来的挑战,分析和归纳CAD与CAE一体化中数据转换,与几何理想化等关键问题,在此基础上,提出一种基于CATIA V6软件实现钢结构CAD与CAE一体化的方法,并通过一个绑扎桥钢结构的设计案例验证了该方法的有效性。通过所提方法分别实现了CAE几何理想化的自动切换与整合载荷数据至CAD模型的技术目标,从而避免了基于传统方法所带来的数据分离问题,减少了人工介入的低效工作。 展开更多
关键词 CATIA V6 计算机辅助设计 计算机辅助工程 一体化 几何理想化 载荷传递
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Role of artificial intelligence in the diagnosis of oesophageal neoplasia:2020 an endoscopic odyssey 被引量:1
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作者 Mohamed Hussein Juana González-Bueno Puyal +2 位作者 Peter Mountney Laurence B Lovat Rehan Haidry 《World Journal of Gastroenterology》 SCIE CAS 2020年第38期5784-5796,共13页
The past decade has seen significant advances in endoscopic imaging and optical enhancements to aid early diagnosis.There is still a treatment gap due to the underdiagnosis of lesions of the oesophagus.Computer aided ... The past decade has seen significant advances in endoscopic imaging and optical enhancements to aid early diagnosis.There is still a treatment gap due to the underdiagnosis of lesions of the oesophagus.Computer aided diagnosis may play an important role in the coming years in providing an adjunct to endoscopists in the early detection and diagnosis of early oesophageal cancers,therefore curative endoscopic therapy can be offered.Research in this area of artificial intelligence is expanding and the future looks promising.In this review article we will review current advances in artificial intelligence in the oesophagus and future directions for development. 展开更多
关键词 Artificial intelligence Oesophageal neoplasia Barrett's oesophagus Squamous dysplasia Computer aided diagnosis Deep learning
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A Computer-aided Design System for Framed-mould in Autoclave Processing 被引量:1
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作者 Tian-Guo Jin Feng-Yang Bi 《International Journal of Automation and computing》 EI 2010年第3期261-270,共10页
The general computer-aided design (CAD) software cannot meet the mould design requirement of the autoclave process for composites, because many parameters such as temperature and pressure should be considered in the... The general computer-aided design (CAD) software cannot meet the mould design requirement of the autoclave process for composites, because many parameters such as temperature and pressure should be considered in the mould design process, in addition to the material and geometry of the part. A framed-mould computer-aided design system (FMCAD) used in the autoclave moulding process is proposed in this paper. A function model of the software is presented, in which influence factors such as part structure, mould structure, and process parameters are considered; a design model of the software is established using object oriented (O-O) technology to integrate the stiffness calculation, temperature field calculation, and deformation field calculation of mould in the design, and in the design model, a hybrid model of mould based on calculation feature and form feature is presented to support those calculations. A prototype system is developed, in which a mould design process wizard is built to integrate the input information, calculation, analysis, data storage, display, and design results of mould design. Finally, three design examples are used to verify the prototype. 展开更多
关键词 Framed-mould autoclave processing computer-aided design cad temperature field analyzing hybrid model.
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