AIM:To develop a classifier for traditional Chinese medicine(TCM)syndrome differentiation of diabetic retinopathy(DR),using optimized machine learning algorithms,which can provide the basis for TCM objective and intel...AIM:To develop a classifier for traditional Chinese medicine(TCM)syndrome differentiation of diabetic retinopathy(DR),using optimized machine learning algorithms,which can provide the basis for TCM objective and intelligent syndrome differentiation.METHODS:Collated data on real-world DR cases were collected.A variety of machine learning methods were used to construct TCM syndrome classification model,and the best performance was selected as the basic model.Genetic Algorithm(GA)was used for feature selection to obtain the optimal feature combination.Harris Hawk Optimization(HHO)was used for parameter optimization,and a classification model based on feature selection and parameter optimization was constructed.The performance of the model was compared with other optimization algorithms.The models were evaluated with accuracy,precision,recall,and F1 score as indicators.RESULTS:Data on 970 cases that met screening requirements were collected.Support Vector Machine(SVM)was the best basic classification model.The accuracy rate of the model was 82.05%,the precision rate was 82.34%,the recall rate was 81.81%,and the F1 value was 81.76%.After GA screening,the optimal feature combination contained 37 feature values,which was consistent with TCM clinical practice.The model based on optimal combination and SVM(GA_SVM)had an accuracy improvement of 1.92%compared to the basic classifier.SVM model based on HHO and GA optimization(HHO_GA_SVM)had the best performance and convergence speed compared with other optimization algorithms.Compared with the basic classification model,the accuracy was improved by 3.51%.CONCLUSION:HHO and GA optimization can improve the model performance of SVM in TCM syndrome differentiation of DR.It provides a new method and research idea for TCM intelligent assisted syndrome differentiation.展开更多
Objective:To analyze the implementation status of traditional Chinese medicine(TCM)nursing protocols for type 2 diabetes mellitus.Methods:Totally 420 hospitalized patients with type 2 diabetes mellitus were given TCM ...Objective:To analyze the implementation status of traditional Chinese medicine(TCM)nursing protocols for type 2 diabetes mellitus.Methods:Totally 420 hospitalized patients with type 2 diabetes mellitus were given TCM nursing protocols by syndrome differentiation.A quantitative and qualitative investigation was conducted to patients who received TCM nursing and nurses who performed TCM nursing techniques.Results:According to the self-evaluation outcomes of patients,TCM nursing protocols were effective to relieve polydipsia,polyuria,fatigue and other symptoms.Patients exhibited a high level of compliance with nursing techniques such as auricular point pressing,acupoint massage,Chinese herbal foot-bath and moxibustion.The interview showed that patients could benefit from the TCM nursing protocols,and nurses considered that application of TCM nursing protocols could enhance their awareness of TCM knowledge and practice skills.Conclusion:The application of TCM nursing protocols is effective to relieve clinical symptoms of type 2 diabetes mellitus.It can also improve the knowledge level and practice skills of nurses in TCM hospitals.展开更多
Tongue diagnosis is an important process to non-invasively assess the condition of a patient’s internal organs in traditional Chinese medicine(TCM)and each part of the tongue is related to corresponding internal orga...Tongue diagnosis is an important process to non-invasively assess the condition of a patient’s internal organs in traditional Chinese medicine(TCM)and each part of the tongue is related to corresponding internal organs.Due to continuing computer technological advances,especially the artificial intelligence(AI)methods have achieved significant success in tackling tongue image acquisition,processing,and classification,novel AI methods are being introduced in traditional Chinese medicine tongue diagnosis medical practices.Traditional tongue diagnose depends on observations of tongue characteristics,such as color,shape,texture,moisture,etc.by traditional Chinese medicine physicians.The appearance of the tongue color,texture and coating reflects the improvement or deterioration of patient’s conditions.Moreover,AI can now distinguish patient’s condition through tongue images,texture or coating,which is all possible increasingly with help from traditional Chinese medicine physicians under the traditional Chinese medicine tongue theory.AI has enabled humans to do what was previously unimagined:traditional Chinese medicine tongue diagnosis with feeding a large amount of tongue image and tongue texture/coating data to train the AI modes.This review focuses on the research advances of AI in TCM tongue diagnosis thus far to identify the major scientific methods and prospects.In this article,we tried to review the AI application in resolving the tongue diagnosis of traditional Chinese medicine on color correction,tongue image extraction,tongue texture/coating segmentation.展开更多
Compared with western medicine, there are many complicated factors affecting the intrinsic quality of traditional Chinese medicine, because its production needs to be planted, harvested, processed, transported, stored...Compared with western medicine, there are many complicated factors affecting the intrinsic quality of traditional Chinese medicine, because its production needs to be planted, harvested, processed, transported, stored, and sold, etc. Therefore, the internet of things is integrated into the traceability of traditional Chinese medicine, and its key technologies are studied. An XMLbased traceability information exchange model was constructed for traditional Chinese medicine and modeled the traceability process by the finite state machine (FSM). Furthermore, the specific electronic product code (EPC) coding scheme of traditional Chinese medicine was proposed based on the EPC coding structure model. Finally, the effectiveness of the above models and schemes is verified by an example of a traditional Chinese medicine traceability prototype system.展开更多
Cardiovascular diseases(CVDs)are major disease burdens with high mortality worldwide.Early prediction of cardiovascular events can reduce the incidence of acute myocardial infarction and decrease the mortality rates o...Cardiovascular diseases(CVDs)are major disease burdens with high mortality worldwide.Early prediction of cardiovascular events can reduce the incidence of acute myocardial infarction and decrease the mortality rates of patients with CVDs.The pathological mechanisms and multiple factors involved in CVDs are complex;thus,traditional data analysis is insufficient and inefficient to manage multidimensional data for the risk prediction of CVDs and heart attacks,medical image interpretations,therapeutic decision-making,and disease prognosis prediction.Meanwhile,traditional Chinese medicine(TCM)has been widely used for treating CVDs.TCM offers unique theoretical and practical applications in the diagnosis and treatment of CVDs.Big data have been generated to investigate the scientific basis of TCM diagnostic methods.TCM formulae contain multiple herbal items.Elucidating the complicated interactions between the active compounds and network modulations requires advanced data-analysis capability.Recent progress in artificial intelligence(AI)technology has allowed these challenges to be resolved,which significantly facilitates the development of integrative diagnostic and therapeutic strategies for CVDs and the understanding of the therapeutic principles of TCM formulae.Herein,we briefly introduce the basic concept and current progress of AI and machine learning(ML)technology,and summarize the applications of advanced AI and ML for the diagnosis and treatment of CVDs.Furthermore,we review the progress of AI and ML technology for investigating the scientific basis of TCM diagnosis and treatment for CVDs.We expect the application of AI and ML technology to promote synergy between western medicine and TCM,which can then boost the development of integrative medicine for the diagnosis and treatment of CVDs.展开更多
中医(traditional Chinese medicine, TCM)舌诊客观化研究中需要分析的舌象特征很多,不同的舌象特征往往采用单独的方法进行分析,导致分析系统的整体实现复杂度大幅增加。为此,基于持续学习的思想,提出一种中医舌色苔色协同分类方法,该...中医(traditional Chinese medicine, TCM)舌诊客观化研究中需要分析的舌象特征很多,不同的舌象特征往往采用单独的方法进行分析,导致分析系统的整体实现复杂度大幅增加。为此,基于持续学习的思想,提出一种中医舌色苔色协同分类方法,该方法将舌色分类作为旧任务,将苔色分类作为新任务,充分利用2个任务的相似性和相关性,仅通过一个网络结构就同时实现舌色和苔色的准确分类。首先,设计一种基于全局-局部混合注意力机制(global local hybrid attention, GLHA)的双分支网络结构,将网络高层语义特征与低层特征相融合,提升特征的表达能力;然后,提出基于正则化和回放相结合的持续学习策略,使得该网络在学习新任务知识的同时有效防止对旧任务知识的遗忘。在2个自建的中医舌象特征分析数据集上的实验结果表明,提出的协同分类方法可以获得与单个任务相当的分类性能,同时可以将2个分类任务的整体复杂度降低一半左右。其中,舌色分类准确率分别达到93.92%和92.97%,精确率分别达到93.69%和92.87%,召回率分别达到93.96%和93.16%;苔色分类准确率分别达到90.17%和90.26%,精确率分别达到90.05%和90.17%,召回率分别达到90.24%和90.29%。展开更多
基金Supported by Hunan Province Traditional Chinese Medicine Research Project(No.B2023043)Hunan Provincial Department of Education Scientific Research Project(No.22B0386)Hunan University of Traditional Chinese Medicine Campus level Research Fund Project(No.2022XJZKC004).
文摘AIM:To develop a classifier for traditional Chinese medicine(TCM)syndrome differentiation of diabetic retinopathy(DR),using optimized machine learning algorithms,which can provide the basis for TCM objective and intelligent syndrome differentiation.METHODS:Collated data on real-world DR cases were collected.A variety of machine learning methods were used to construct TCM syndrome classification model,and the best performance was selected as the basic model.Genetic Algorithm(GA)was used for feature selection to obtain the optimal feature combination.Harris Hawk Optimization(HHO)was used for parameter optimization,and a classification model based on feature selection and parameter optimization was constructed.The performance of the model was compared with other optimization algorithms.The models were evaluated with accuracy,precision,recall,and F1 score as indicators.RESULTS:Data on 970 cases that met screening requirements were collected.Support Vector Machine(SVM)was the best basic classification model.The accuracy rate of the model was 82.05%,the precision rate was 82.34%,the recall rate was 81.81%,and the F1 value was 81.76%.After GA screening,the optimal feature combination contained 37 feature values,which was consistent with TCM clinical practice.The model based on optimal combination and SVM(GA_SVM)had an accuracy improvement of 1.92%compared to the basic classifier.SVM model based on HHO and GA optimization(HHO_GA_SVM)had the best performance and convergence speed compared with other optimization algorithms.Compared with the basic classification model,the accuracy was improved by 3.51%.CONCLUSION:HHO and GA optimization can improve the model performance of SVM in TCM syndrome differentiation of DR.It provides a new method and research idea for TCM intelligent assisted syndrome differentiation.
文摘Objective:To analyze the implementation status of traditional Chinese medicine(TCM)nursing protocols for type 2 diabetes mellitus.Methods:Totally 420 hospitalized patients with type 2 diabetes mellitus were given TCM nursing protocols by syndrome differentiation.A quantitative and qualitative investigation was conducted to patients who received TCM nursing and nurses who performed TCM nursing techniques.Results:According to the self-evaluation outcomes of patients,TCM nursing protocols were effective to relieve polydipsia,polyuria,fatigue and other symptoms.Patients exhibited a high level of compliance with nursing techniques such as auricular point pressing,acupoint massage,Chinese herbal foot-bath and moxibustion.The interview showed that patients could benefit from the TCM nursing protocols,and nurses considered that application of TCM nursing protocols could enhance their awareness of TCM knowledge and practice skills.Conclusion:The application of TCM nursing protocols is effective to relieve clinical symptoms of type 2 diabetes mellitus.It can also improve the knowledge level and practice skills of nurses in TCM hospitals.
基金China National Funds for Distinguished Young Scientists(CN)(Grants No.81725024)China Postdoctoral Science Foundation(No.2020M670236).
文摘Tongue diagnosis is an important process to non-invasively assess the condition of a patient’s internal organs in traditional Chinese medicine(TCM)and each part of the tongue is related to corresponding internal organs.Due to continuing computer technological advances,especially the artificial intelligence(AI)methods have achieved significant success in tackling tongue image acquisition,processing,and classification,novel AI methods are being introduced in traditional Chinese medicine tongue diagnosis medical practices.Traditional tongue diagnose depends on observations of tongue characteristics,such as color,shape,texture,moisture,etc.by traditional Chinese medicine physicians.The appearance of the tongue color,texture and coating reflects the improvement or deterioration of patient’s conditions.Moreover,AI can now distinguish patient’s condition through tongue images,texture or coating,which is all possible increasingly with help from traditional Chinese medicine physicians under the traditional Chinese medicine tongue theory.AI has enabled humans to do what was previously unimagined:traditional Chinese medicine tongue diagnosis with feeding a large amount of tongue image and tongue texture/coating data to train the AI modes.This review focuses on the research advances of AI in TCM tongue diagnosis thus far to identify the major scientific methods and prospects.In this article,we tried to review the AI application in resolving the tongue diagnosis of traditional Chinese medicine on color correction,tongue image extraction,tongue texture/coating segmentation.
基金the Natural Science Foundation of China (Grant No. 61701005)the Domestic Visiting Research Project of Excellent Young Backbone Talents from Anhui Higher Education Institutions (Grant No. gxgnfx2019009)+6 种基金the Key Project of Humanities and Social Sciences Research in Anhui Higher Education Institutions in 2019 (Grant No. SK2019A0242)the Quality Project Foundation of Anhui Province (Grant No. 2017mooc220, No. 2018zhkt079, No. 2015sxzx011, No. 2012sjjd025)the Key Project of Outstanding Young Talents Support Program of Anhui Higher Education Institutions (Grant No. gxyqZD2016128)the Key Project of Natural Science Research in Anhui Higher Education Institutions (Grant No. KJ2015A054, No. KJ2019A0437)the Key Teaching and Research Project of Anhui University of Chinese Medicine (Grant No. 2017xjjy_zd011)the Natural Science key Foundation of Anhui University of Chinese Medicine (Grant No. 2019zrzd11, No. 2018zryb06)the National Innovation and Entrepreneurship Training Program for College Student (Grant No. 20181036 9021, No. 201810369022, No. 201610369044, No. 201710369052).
文摘Compared with western medicine, there are many complicated factors affecting the intrinsic quality of traditional Chinese medicine, because its production needs to be planted, harvested, processed, transported, stored, and sold, etc. Therefore, the internet of things is integrated into the traceability of traditional Chinese medicine, and its key technologies are studied. An XMLbased traceability information exchange model was constructed for traditional Chinese medicine and modeled the traceability process by the finite state machine (FSM). Furthermore, the specific electronic product code (EPC) coding scheme of traditional Chinese medicine was proposed based on the EPC coding structure model. Finally, the effectiveness of the above models and schemes is verified by an example of a traditional Chinese medicine traceability prototype system.
基金The Health and Medical Research Fund,Hong Kong(17181811)。
文摘Cardiovascular diseases(CVDs)are major disease burdens with high mortality worldwide.Early prediction of cardiovascular events can reduce the incidence of acute myocardial infarction and decrease the mortality rates of patients with CVDs.The pathological mechanisms and multiple factors involved in CVDs are complex;thus,traditional data analysis is insufficient and inefficient to manage multidimensional data for the risk prediction of CVDs and heart attacks,medical image interpretations,therapeutic decision-making,and disease prognosis prediction.Meanwhile,traditional Chinese medicine(TCM)has been widely used for treating CVDs.TCM offers unique theoretical and practical applications in the diagnosis and treatment of CVDs.Big data have been generated to investigate the scientific basis of TCM diagnostic methods.TCM formulae contain multiple herbal items.Elucidating the complicated interactions between the active compounds and network modulations requires advanced data-analysis capability.Recent progress in artificial intelligence(AI)technology has allowed these challenges to be resolved,which significantly facilitates the development of integrative diagnostic and therapeutic strategies for CVDs and the understanding of the therapeutic principles of TCM formulae.Herein,we briefly introduce the basic concept and current progress of AI and machine learning(ML)technology,and summarize the applications of advanced AI and ML for the diagnosis and treatment of CVDs.Furthermore,we review the progress of AI and ML technology for investigating the scientific basis of TCM diagnosis and treatment for CVDs.We expect the application of AI and ML technology to promote synergy between western medicine and TCM,which can then boost the development of integrative medicine for the diagnosis and treatment of CVDs.
文摘中医(traditional Chinese medicine, TCM)舌诊客观化研究中需要分析的舌象特征很多,不同的舌象特征往往采用单独的方法进行分析,导致分析系统的整体实现复杂度大幅增加。为此,基于持续学习的思想,提出一种中医舌色苔色协同分类方法,该方法将舌色分类作为旧任务,将苔色分类作为新任务,充分利用2个任务的相似性和相关性,仅通过一个网络结构就同时实现舌色和苔色的准确分类。首先,设计一种基于全局-局部混合注意力机制(global local hybrid attention, GLHA)的双分支网络结构,将网络高层语义特征与低层特征相融合,提升特征的表达能力;然后,提出基于正则化和回放相结合的持续学习策略,使得该网络在学习新任务知识的同时有效防止对旧任务知识的遗忘。在2个自建的中医舌象特征分析数据集上的实验结果表明,提出的协同分类方法可以获得与单个任务相当的分类性能,同时可以将2个分类任务的整体复杂度降低一半左右。其中,舌色分类准确率分别达到93.92%和92.97%,精确率分别达到93.69%和92.87%,召回率分别达到93.96%和93.16%;苔色分类准确率分别达到90.17%和90.26%,精确率分别达到90.05%和90.17%,召回率分别达到90.24%和90.29%。