Automated decision support for Hallux Valgus treatment options using anteroposterior foot radiographs

BACKGROUND Assessment of the potential utility of deep learning with subsequent image analysis to automate the measurement of hallux valgus and intermetatarsal angles from radiographs to serve as a preoperative aid in establishing hallux valgus severity for clinical decision-making.AIM To investigate the accuracy of automated measurements of angles of hallux valgus from radiographs for further integration with the preoperative planning process.METHODS The data comprises 265 consecutive digital anteroposterior weightbearing foot radiographs.181 radiographs were utilized for training(161)and validating(20)a U-Net neural network to achieve a mean Sørensen–Dice index>97%on bone segmentation.84 test radiographs were used for manual(computer assisted)and automated measurements of hallux valgus severity determined by hallux valgus(HVA)and intermetatarsal angles(IMA).The reliability of manual and computerbased measurements was calculated using the interclass correlation coefficient(ICC)and standard error of measurement(SEM).Inter-and intraobserver reliability coefficients were also compared.An operative treatment recommendation was then applied to compare results between automated and manual angle measurements.RESULTS Very high reliability was achieved for HVA and IMA between the manual measurements of three independent clinicians.For HVA,the ICC between manual measurements was 0.96-0.99.For IMA,ICC was 0.78-0.95.Comparing manual against automated computer measurement,the reliability was high as well.For HVA,absolute agreement ICC and consistency ICC were 0.97,and SEM was 0.32.For IMA,absolute agreement ICC was 0.75,consistency ICC was 0.89,and SEM was 0.21.Additionally,a strong correlation(0.80)was observed between our approach and traditional clinical adjudication for preoperative planning of hallux valgus,according to an operative treatment algorithm proposed by EFORT.CONCLUSION The proposed automated,artificial intelligence assisted determination of hallux valgus angles based on deep learning holds great potential as an accurate and efficient tool,with comparable accuracy to manual measurements by expert clinicians.Our approach can be effectively implemented in clinical practice to determine the angles of hallux valgus from radiographs,classify the deformity severity,streamline preoperative decision-making prior to corrective surgery.

A behavior and physiology-based decision support tool to predict thermal comfort and stress in non-pregnant,mid-gestation,and late-gestation sows

Background:Although thermal indices have been proposed for swine,none to our knowledge differentiate by reproductive stage or predict thermal comfort using behavioral and physiological data.The study objective was to develop a behavior and physiology-based decision support tool to predict thermal comfort and stress in multiparous(3.28±0.81)non-pregnant(n=11),mid-gestation(n=13),and late-gestation(n=12)sows.Results:Regression analyses were performed using PROC MIXED in SAS 9.4 to determine the optimal environmental indicator[dry bulb temperature(TDB)and dew point]of heat stress(HS)in non-pregnant,mid-gestation,and lategestation sows with respiration rate(RR)and body temperature(TB)successively used as the dependent variable in a cubic function.A linear relationship was observed for skin temperature(T_(S))indicating that TDB rather than the sow HS response impacted T_(S)and so T_(S)was excluded from further analyses.Reproductive stage was significant for all analyses(P<0.05).Heat stress thresholds for each reproductive stage were calculated using the inflections points of RR for mild HS and TB for moderate and severe HS.Mild HS inflection points differed for non-pregnant,mid-gestation,and late gestation sows and occurred at 25.5,25.1,and 24.0℃,respectively.Moderate HS inflection points differed for non-pregnant,mid-gestation,and late gestation sows and occurred at 28.1,27.8,and 25.5℃,respectively.Severe HS inflection points were similar for non-pregnant and mid-gestation sows(32.9℃)but differed for late-gestation sows(30.8℃).These data were integrated with previously collected behavioral thermal preference data to estimate the TDB that non-pregnant,mid-gestation,and late-gestation sows found to be cool(TDB<TDB preference range),comfortable(TDB=TDB preference range),and warm(TDB preference range<TDB<mild HS).Conclusions:The results of this study provide valuable information about thermal comfort and thermal stress thresholds in sows at three reproductive stages.The development of a behavior and physiology-based decision support tool to predict thermal comfort and stress in non-pregnant,mid-gestation,and late-gestation sows is expected to provide swine producers with a more accurate means of managing sow environments.

Light-Weighted Decision Support Framework for Selecting Cloud Service Providers

Multi-criteria decision making(MCDM)is a technique used to achieve better outcomes for some complex business-related problems,whereby the selection of the best alternative can be made in as many cases as possible.This paper proposes a model,the multi-criteria decision support method,that allows both service providers and consumers to maximize their profits while preserving the best matching process for resource allocation and task scheduling.The increasing number of service providers with different service provision capabilities creates an issue for consumers seeking to select the best service provider.Each consumer seeks a service provider based on various preferences,such as price,service quality,and time to complete the tasks.In the literature,the problem is viewed from different perspectives,such as investigating how to enhance task scheduling and the resource allocation process,improve consumers’trust,and deal with network problems.This paper offers a novel model that considers the preferences of both service providers and consumers to find the best available service provider for each consumer.First,the model adopts the best-worst method(BWM)to gather and prioritize tasks based on consumers’and service providers’preferences.Then,the model calculates and matches similarities between the sets of tasks from the consumer’s side with the sets of tasks from the provider’s side to select the best service provider for each consumer using the two proposed algorithms.The complexity of the two algorithms is found to be O(n3).

Artificial Intelligence Enabled Decision Support System on E-Healthcare Environment

In today’s digital era,e-healthcare systems exploit digital technologies and telecommunication devices such as mobile devices,computers and the inter-net to provide high-quality healthcare services.E-healthcare decision support sys-tems have been developed to optimize the healthcare services and enhance a patient’s health.These systems enable rapid access to the specialized healthcare services via reliable information,retrieved from the cases or the patient histories.This phenomenon reduces the time taken by the patients to physically visit the healthcare institutions.In the current research work,a new Shuffled Frog Leap Optimizer with Deep Learning-based Decision Support System(SFLODL-DSS)is designed for the diagnosis of the Cardiovascular Diseases(CVD).The aim of the proposed model is to identify and classify the cardiovascular diseases.The proposed SFLODL-DSS technique primarily incorporates the SFLO-based Feature Selection(SFLO-FS)approach for feature subset election.For the pur-pose of classification,the Autoencoder with Gated Recurrent Unit(AEGRU)model is exploited.Finally,the Bacterial Foraging Optimization(BFO)algorithm is employed tofine-tune the hyperparameters involved in the AEGRU method.To demonstrate the enhanced performance of the proposed SFLODL-DSS technique,a series of simulations was conducted.The simulation outcomes established the superiority of the proposed SFLODL-DSS technique as it achieved the highest accuracy of 98.36%.Thus,the proposed SFLODL-DSS technique can be exploited as a proficient tool in the future for the detection and classification of CVD.

Assessing Suitability of Irrigation Scheduling Decision Support Systems for Lowland Rice Farmers in Sub-Saharan Africa—A Review

Irrigation in lowland rice production systems in Sub-Saharan Africa (SSA) is mainly based on traditional surface irrigation methods with continuous flooding practices. This irrigation method ends up using a lot more water that would have otherwise been used to open more land and be used in other water-requiring sectors. Various studies suggest Alternate Wetting and Drying (AWD) as an alternative practice for water management that reduces water use without significantly affecting yield. However, this practice has not been well adopted by the farmers despite its significant benefits of reduced total water use. Improving the adoption of AWD using irrigation Decision Support Systems (DSSs) helps the farmer on two fronts;to know “how much water to apply” and “when to irrigate”, which is very critical in maximizing productivity. This paper reviews the applicability of DSSs using AWD in lowland rice production systems in Sub-Saharan Africa.

An Intelligent Decision Support System for Lung Cancer Diagnosis

Lung cancer is the leading cause of cancer-related death around the globe.The treatment and survival rates among lung cancer patients are significantly impacted by early diagnosis.Most diagnostic techniques can identify and classify only one type of lung cancer.It is crucial to close this gap with a system that detects all lung cancer types.This paper proposes an intelligent decision support system for this purpose.This system aims to support the quick and early detection and classification of all lung cancer types and subtypes to improve treatment and save lives.Its algorithm uses a Convolutional Neural Network(CNN)tool to perform deep learning and a Random Forest Algorithm(RFA)to help classify the type of cancer present using several extracted features,including histograms and energy.Numerous simulation experiments were conducted on MATLAB,evidencing that this system achieves 98.7%accuracy and over 98%precision and recall.A comparative assessment assessing accuracy,recall,precision,specificity,and F-score between the proposed algorithm and works from the literature shows that the proposed system in this study outperforms existing methods in all considered metrics.This study found that using CNNs and RFAs is highly effective in detecting lung cancer,given the high accuracy,precision,and recall results.These results lead us to believe that bringing this kind of technology to doctors diagnosing lung cancer is critical.

Optimizing Vaccine Access: A Web-Based Scheduling System with Geo-Tagging Integration and Decision Support for Local Health Centers

The system created aims to produce an online vaccination appointment scheduling system with geo-tagging integration and a decision-support mechanism for neighborhood health clinics. With a decision support mechanism that suggests the essential vaccines based on their account details, it is made to meet the unique vaccination needs of each patient. The system includes immunizations that are accessible locally, and patients and midwives can manage their own corresponding information through personal accounts. Viewers of websites can visualize the distribution of vaccines by purok thanks to geotagging. The Agile Scrum Methodology was modified by the researchers for early delivery, change flexibility, and continual system improvement in order to accomplish the study’s main goal. In order to assess the system’s acceptability in terms of functional adequacy, performance efficiency, compatibility, usability, reliability, security, maintainability, and portability, it was designed in accordance with the ISO 25010 Product Software Quality Standards. Following the assessment, the system was given an average total weighted mean score of 4.62, which represents a verbal interpretation of “strongly agree”. This score demonstrates that the evaluators were in agreement that the system met the requirements of ISO 25010 for Product Software Quality Standards.

Review of state-of-the-art decision support systems (DSSs) for prevention and suppression of forest fires

Forest ecosystems are our priceless natural resource and are a key component of the global carbon budget. Forest fires can be a hazard to the viability and sustainable management of forests with consequences for natural and cultural environments, economies, and the life quality of local and regional populations. Thus, the selection of strategies to manage forest fires, while considering both functional and economic efficiency, is of primary importance. The use of decision support systems(DSSs) by managers of forest fires has rapidly increased. This has strengthened capacity to prevent and suppress forest fires while protecting human lives and property. DSSs are a tool that can benefit incident management and decision making and policy, especially for emergencies such as natural disasters. In this study we reviewed state-of-the-art DSSs that use: database management systems and mathematical/economic algorithms for spatial optimization of firefighting forces; forest fire simulators and satellite technology for immediate detection and prediction of evolution of forest fires; GIS platforms that incorporate several tools to manipulate, process and analyze geographic data and develop strategic and operational plans.

AN INTELLIGENT DECISION SUPPORT SYSTEM （IDSS） IN THE OPERATION PROCESS OF ELECTRIC FURNACE FOR CLEANING SLAG

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ANINTELLIGENT DECISION SUPPORTSYSTEM（IDSS） ONTHEPROCESSOFNICKELMATTESMELTER

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A Model-Based, Aspiration-Led Decision Support System NY-IEDSS

An AI-aided simulation system embedded in a model-based, aspiration-led decision support system NY-IEDSS is reported. The NY-IEDSS is designed for mid-term development strategic study of the Nanyang Region in Henan, China, and is getting beyond its prototype stage under the decision maker's (the end user) orientation. The integration of simulation model system, decision analysis and expert system for decision support in the system implementation was reviewed. The intent of the paper is to provide insight as to how system capability and acceptability can be enhanced by this integration. Moreover, emphasis is placed on problem orientation in applying the method.

Decision Making Support System(DSS)——A Synthesized and Integrated Crystallization of Systems Engineering, Artificial Intelligence and Electronic Technologies

I firmly believe that of systems engineering is the requirement-driven force for the progress ofsoftware engineering, artificial intelligence and electronic technologies. The development ofsoftware engineering, artificial intelligence and electronic technologies is the technical supportfor the progress of systems engineering. INTEGRATION can be considered as "bridging" the ex-isting technologies and the People together into a coordinated SYSTEM.

A DSS for Human Resettlement: Supporting Interactive Optimal Decisions

Decisions regarding relocation of people due to environmental requirements can be very complex and may have serious socio-economic implications. We present the design of a Decision Support System to support such decision making processes involving many inputs, human preferences and multiple objectives.

Decision tree support vector machine based on genetic algorithm for multi-class classification

To solve the multi-class fault diagnosis tasks, decision tree support vector machine （DTSVM）, which combines SVM and decision tree using the concept of dichotomy, is proposed. Since the classification performance of DTSVM highly depends on its structure, to cluster the multi-classes with maximum distance between the clustering centers of the two sub-classes, genetic algorithm is introduced into the formation of decision tree, so that the most separable classes would be separated at each node of decisions tree. Numerical simulations conducted on three datasets compared with ＂one-against-all＂ and ＂one-against-one＂ demonstrate the proposed method has better performance and higher generalization ability than the two conventional methods.

Multi-agent decision support system for missile defense based on improved PSO algorithm

Ballistic missile defense system (BMDS) is important for its special role in ensuring national security and maintaining strategic balance. Research on modeling and simulation of the BMDS beforehand is essential as developing a real one requires lots of manpower and resources. BMDS is a typical complex system for its nonlinear, adaptive and uncertainty characteristics. The agent-based modeling method is well suited for the complex system whose overall behaviors are determined by interactions among individual elements. A multi-agent decision support system (DSS), which includes missile agent, radar agent and command center agent, is established based on the studies of structure and function of BMDS. Considering the constraints brought by radar, intercept missile, offensive missile and commander, the objective function of DSS is established. In order to dynamically generate the optimal interception plan, the variable neighborhood negative selection particle swarm optimization (VNNSPSO) algorithm is proposed to support the decision making of DSS. The proposed algorithm is compared with the standard PSO, constriction factor PSO (CFPSO), inertia weight linear decrease PSO (LDPSO), variable neighborhood PSO (VNPSO) algorithm from the aspects of convergence rate, iteration number, average fitness value and standard deviation. The simulation results verify the efficiency of the proposed algorithm. The multi-agent DSS is developed through the Repast simulation platform and the constructed DSS can generate intercept plans automatically and support three-dimensional dynamic display of missile defense process.

MULTI SUPPORT VECTOR MACHINES DECISION MODEL AND ITS APPLICATION

Support Vector Machines(SVM) is a powerful machine learning method developed from statistical learning theory and is currently an active field in artificial intelligent technology. SVM is sensitive to noise vectors near hyperplane since it is determined only by few support vectors. In this paper, Multi SVM decision model(MSDM) was proposed. MSDM consists of multiple SVMs and makes decision by synthetic information based on multi SVMs. MSDM is applied to heart disease diagnoses based on UCI benchmark data set. MSDM somewhat inproves the robust of decision system.

Disaster Reduction Decision Support System Against Debris Flows and Landslides Along Highway in Mountainous Area

Highways in mountainous areas are easy to be damaged by such natural disasters as debris flows and landslides and disaster reduction decision support system (DRDSS) is one of the important means to mitigate these disasters. Guided by the theories and technologies of debris flow and landslide reduction and supported by geographical information system (GIS), remote sensing and database techniques, a DRDSS against debris flow and landslide along highways in mountainous areas has been established on the basis of such principles as pertinence, systematicness, effectiveness, easy to use, open and expandability. The system consists of database, disaster analysis models and decisions on reduction of debris flows and landslides, mainly functioning to zone disaster dangerous degree, analyze debris flow activity, simulate debris flow deposition and diffusion, analyze landslide stability, select optimal highway renovation scheme and plan disaster prevention and control engineering. This system has been applied successfully to the debris flow and landslide treatment works along Palongzangbu Section of Sichuan-Tibet Highway.

A Knowledge Model-and Growth Model-Based Decision Support System for Wheat Management

By applying the system analysis principle and mathematical modeling technique to knowledge expression system for crop cultural management, the fundamental relationships and quantitative algorithms of wheat growth and management indices to variety types, ecological environments and production levels were analysed and extracted, and a dynamic knowledge model with temporal and spatial characters for wheat management(WheatKnow)was developed. By adopting the soft component characteristics as non language relevance , re-utilization and portable system maintenance. and by further integrating the wheat growth simulation model(WheatGrow)and intelligent system for wheat management, a comprehensive and digital knowledge model, growth model and component-based decision support system for wheat management(MBDSSWM)was established on the platforms of Visual C++ and Visual Basic. The MBDSSWM realized the effective integration and coupling of the prediction and decision-making functions for digital crop management.

Study on Decision Support System of Agricultural Sustainable Development of Jianli County in Jianghan Plain

With the agricultural development and the modernization of decision-making, it is necessary to establish the agricultural sustainable development decision support system supported by GIS. We set Jianli county as an example; our aim is to realize decision spatialiazation with the support of information system, remote sensing and artificial intelligence. The system components are described in the aspects of database, knowledge base, model-base and method-base. This system will provide a workable system for local decision-makers and agricultural management sections.

Visualized User Interface for Decision Support System

To work efficiently with DSS, most users need assistance in representation conversion, i. e., translating the specific outcome from the DSS into the universal language of visual. In generally, it is much easier to understand the results from the DSS if they are translated into charts, maps, and other scientific displays, because visualization exploits human natural ability to recognize and understand visual pattern. In this paper we discuss the concept of visualization for DSS. AniGraftool, a software system, is introduced as an example of Visualized User Interface for DSS.