Radiographic Equipment and Accessories as a Potential Source of Nosocomial Infection

Background: Nosocomial infections have become a major challenge in healthcare facilities as they affect the quality of medical care. Radiological imaging plays a crucial role in medical diagnosis. However, the equipment and accessories used increase the risk of transmission of nosocomial bacteria. Objective: This study aims to reveal the extent and nature of microbiological contamination in four hospital diagnostic imaging departments to determine their potential role in the spread of nosocomial bacteria and to evaluate the effectiveness of routine daily disinfection practices in controlling microorganisms in diagnostic imaging departments. Methods & Results: In each department, swabs were taken from the surfaces of selected parts of the equipment and accessories three times a day (early morning, noon, and evening) for five consecutive days. Bacteria were isolated from 65 swabs (36.1% of all samples). The bacteria were isolated 3 times (4.6%) in the morning, 16 times (24.6%) at midday, and 46 times (70.7%) in the evening. The bacteria isolated were Escherichia coli (isolated 34 times;52.3%), Staphylococcus aureus (20 times;30.8%), Staphylococcus epidermidis (6 times;9.3%), and Klebsiella species (5 times;7.7%). Discussion & Conclusion: Findings demonstrated that radiology equipment and accessories are not free of bacteria and further improvements in the sterilization and disinfection of radiology equipment and accessories are needed to protect staff and patients from nosocomial infections.

A U-Net-Based CNN Model for Detection and Segmentation of Brain Tumor

Human brain consists of millions of cells to control the overall structure of the human body.When these cells start behaving abnormally,then brain tumors occurred.Precise and initial stage brain tumor detection has always been an issue in the field of medicines for medical experts.To handle this issue,various deep learning techniques for brain tumor detection and segmentation techniques have been developed,which worked on different datasets to obtain fruitful results,but the problem still exists for the initial stage of detection of brain tumors to save human lives.For this purpose,we proposed a novel U-Net-based Convolutional Neural Network(CNN)technique to detect and segmentizes the brain tumor for Magnetic Resonance Imaging(MRI).Moreover,a 2-dimensional publicly available Multimodal Brain Tumor Image Segmentation(BRATS2020)dataset with 1840 MRI images of brain tumors has been used having an image size of 240×240 pixels.After initial dataset preprocessing the proposed model is trained by dividing the dataset into three parts i.e.,testing,training,and validation process.Our model attained an accuracy value of 0.98%on the BRATS2020 dataset,which is the highest one as compared to the already existing techniques.

A Novel-based Swin Transfer Based Diagnosis of COVID-19 Patients

The numbers of cases and deaths due to the COVID-19 virus have increased daily all around the world.Chest X-ray is considered very useful and less time-consuming for monitoring COVID disease.No doubt,X-ray is considered as a quick screening method,but due to variations in features of images which are of X-rays category with Corona confirmed cases,the domain expert is needed.To address this issue,we proposed to utilize deep learning approaches.In this study,the dataset of COVID-19,lung opacity,viral pneumonia,and lastly healthy patients’images of category X-rays are utilized to evaluate the performance of the Swin transformer for predicting the COVID-19 patients efficiently.The performance of the Swin transformer is compared with the other seven deep learning models,including ResNet50,DenseNet121,InceptionV3,EfficientNetB2,VGG19,ViT,CaIT,Swim transformer provides 98%recall and 96%accuracy on corona affected images of the X-ray category.The proposed approach is also compared with state-of-the-art techniques for COVID-19 diagnosis,and proposed technique is found better in terms of accuracy.Our system could support clin-icians in screening patients for COVID-19,thus facilitating instantaneous treatment for better effects on the health of COVID-19 patients.Also,this paper can contribute to saving humanity from the adverse effects of trials that the Corona virus might bring by performing an accurate diagnosis over Corona-affected patients.

"To-and-fro" waveform in the diagnosis of arterial pseudoaneurysms

Medical ultrasound imaging with Doppler plays an essential role in the diagnosis of vascular disease. This study intended to review the clinical use of "to-and-fro" waveform at duplex Doppler ultrasonography(DDU) in the diagnosis of pseudoaneurysms in the arterial vessels of upper and lower extremities, abdominal aorta, carotid and vertebral arteries as well as to review our personal experiences of "to-and-fro" waveform at DDU also. After receiving institutional review board approval, an inclusive literature review was carried out in order to review the scientific foundation of "toand-fro" waveform at DDU and its clinical use in the diagnosis of pseudoaneurysms in various arterial vessels. Articles published in the English language between 2000 and 2013 were evaluated in this review study. Pseudoaneurysms in arterial vessels of the upper and lower extremities, abdominal aorta, carotid and vertebral arteries characterized by an extraluminal pattern of blood flow, which shows variable echogenicity, interval complexity, and "to-and-fro" flow pattern on color Doppler ultrasonography. In these arterial vessels, Duplex ultrasonography can demonstrate the degree of clotting, pseudoaneurysm communication, the blood flow patterns and velocities. Spectral Doppler applied to pseudoaneurysms lumen revealed systolic and diastolic turbulent blood flow with traditional "toand-fro" waveform in the communicating channel. Accurate diagnosis of pseudoaneurysm by spectral Doppler is based on the documentation of the "to-andfro" waveform. The size of pseudoaneurysm determines the appropriate treatment approach as surgical or conservative.

Circulating Levels of Hypoxia-regulating MicroRNAs in Systemic Lupus Erythematosus Patients with Hemolytic Anemia

Objective MicroRNAs are fine regulators for gene expression during the post-transcriptional stage in many autoimmune diseases.HypoxamiRs(miR-210 and miR-21)play an important role in hypoxia and in inflammation-associated hypoxia.Systemic lupus erythematosus(SLE)is a chronic systemic autoimmune disease that would potentiate many pathological complications,including hemolytic anemia.This study aimed to investigate the role of hypoxamiRs in SLE/hemolytic anemia patients.Methods This work was designed to analyze the circulating levels of↱the miR-210 and miR-21 expressions and hypoxia-inducible factor-1α(HIF-α)in SLE/hemolytic anemia patients.SLE activity was evaluated for all patients by SLE Disease Activity Index(SLEDAI).Clinical manifestations/complications and serological/hematological investigations were reported.HIF-αconcentration was assayed by ELISA and expression of miR-21 and miR-210 was analyzed by qRT-PCR.Results The results indicated that the fold change of the miR-210/miR-21 expressions in plasma was significantly elevated in SLE/hemolytic anemia patients.A strong positive correlation between the miR-210 and miR-21 expression levels was also recorded.Among the associated-disease complications,hypertension,arthritis,oral ulcers,and serositis were associated with a high circulating miR-210 expression,while the occurrence of renal disorders was associated with the increased miR-21 expression.Furthermore,the HIF-αlevel was remarkably elevated in SLE/hemolytic anemia patients.A high positive correlation was recorded between the HIF-αconcentration and miR-210/miR-21 expression levels.The occurrence of oral ulcers,arthritis,and hypertension was associated with the increased HIF-αconcentration.On the other hand,SLEDAI and white blood cell count were positively correlated with miR-21/miR-210.The erythrocyte sedimentation rate was positively correlated with miR-21.Conclusion The dysregulation of the circulating miR-210/miR-210/HIF-1αlevels in SLE/hemolytic anemia patients advocated that the hypoxia pathway might have an essential role in the pathogenesis and complications of these diseases.

Heart Disease Risk Prediction Expending of Classification Algorithms

Heart disease prognosis(HDP)is a difficult undertaking that requires knowledge and expertise to predict early on.Heart failure is on the rise as a result of today’s lifestyle.The healthcare business generates a vast volume of patient records,which are challenging to manage manually.When it comes to data mining and machine learning,having a huge volume of data is crucial for getting meaningful information.Several methods for predictingHDhave been used by researchers over the last few decades,but the fundamental concern remains the uncertainty factor in the output data,aswell as the need to decrease the error rate and enhance the accuracy of HDP assessment measures.However,in order to discover the optimal HDP solution,this study compares multiple classification algorithms utilizing two separate heart disease datasets from the Kaggle repository and the University of California,Irvine(UCI)machine learning repository.In a comparative analysis,Mean Absolute Error(MAE),Relative Absolute Error(RAE),precision,recall,fmeasure,and accuracy are used to evaluate Linear Regression(LR),Decision Tree(J48),Naive Bayes(NB),Artificial Neural Network(ANN),Simple Cart(SC),Bagging,Decision Stump(DS),AdaBoost,Rep Tree(REPT),and Support Vector Machine(SVM).Overall,the SVM classifier surpasses other classifiers in terms of increasing accuracy and decreasing error rate,with RAE of 33.2631 andMAEof 0.165,the precision of 0.841,recall of 0.835,f-measure of 0.833,and accuracy of 83.49 percent for the dataset gathered from UCI.The SC improves accuracy and reduces the error rate for the Kaggle dataset,which is 3.30%for RAE,0.016 percent for MAE,0.984%for precision,0.984 percent for recall,0.984 percent for f-measure,and 98.44%for accuracy.

A Novel Hybrid Machine Learning Approach for Classification of Brain Tumor Images

Abnormal growth of brain tissues is the real cause of brain tumor.Strategy for the diagnosis of brain tumor at initial stages is one of the key step for saving the life of a patient.The manual segmentation of brain tumor magnetic resonance images(MRIs)takes time and results vary significantly in low-level features.To address this issue,we have proposed a ResNet-50 feature extractor depended on multilevel deep convolutional neural network(CNN)for reliable images segmentation by considering the low-level features of MRI.In this model,we have extracted features through ResNet-50 architecture and fed these feature maps to multi-level CNN model.To handle the classification process,we have collected a total number of 2043 MRI patients of normal,benign,and malignant tumor.Three model CNN,multi-level CNN,and ResNet-50 based multi-level CNN have been used for detection and classification of brain tumors.All the model results are calculated in terms of various numerical values identified as precision(P),recall(R),accuracy(Acc)and f1-score(F1-S).The obtained average results are much better as compared to already existing methods.This modified transfer learning architecture might help the radiologists and doctors as a better significant system for tumor diagnosis.

A Novel Inherited Modeling Structure of Automatic Brain Tumor Segmentation from MRI

Brain tumor is one of the most dreadful worldwide types of cancer and affects people leading to death.Magnetic resonance imaging methods capture skull images that contain healthy and affected tissue.Radiologists checked the affected tissue in the slice-by-slice manner,which was timeconsuming and hectic task.Therefore,auto segmentation of the affected part is needed to facilitate radiologists.Therefore,we have considered a hybrid model that inherits the convolutional neural network(CNN)properties to the support vector machine(SVM)for the auto-segmented brain tumor region.The CNN model is initially used to detect brain tumors,while SVM is integrated to segment the tumor region correctly.The proposed method was evaluated on a publicly available BraTS2020 dataset.The statistical parameters used in this work for the mathematical measures are precision,accuracy,specificity,sensitivity,and dice coefficient.Overall,our method achieved an accuracy value of 0.98,which is most prominent than existing techniques.Moreover,the proposed approach is more suitable for medical experts to diagnose the early stages of the brain tumor.

Investigating of Classification Algorithms for Heart Disease Risk Prediction

Prognosis of HD is a complex task that requires experience andexpertise to predict in the early stage. Nowadays, heart failure is rising dueto the inherent lifestyle. The healthcare industry generates dense records ofpatients, which cannot be managed manually. Such an amount of data is verysignificant in the field of data mining and machine learning when gatheringvaluable knowledge. During the last few decades, researchers have used differentapproaches for the prediction of HD, but still, the major problem is theuncertainty factor in the output data and also there is a need to reduce theerror rate and increase the accuracy of evaluation metrics for HDP. However,this study largess the comparative analysis of diverse classification algorithmsgoing on two different heart disease datasets taken from the Kaggle repositoryand University of California, Irvine (UCI) machine learning repository tofind the best solution for HDP. Going through comparative analysis, tenclassifiers;LR, J48, NB, ANN, SC, Bagging, DS, AdaBoost, REPT, and SVMare evaluated using MAE, RAE, precision, recall, f-measure, and accuracy.The overall finding indicates that for the dataset taken from UCI, the SVMclassifier performs well as compared to other classifiers in terms of increasingaccuracy and reducing error rate that is 33.2631 for RAE, and 0.165 forMAE, 0.841 for precision, 0.835 for recall, 0.833 for f-measure and 83.49%for accuracy. Whereas for dataset taken from Kaggle, the SC performs well interms of increasing accuracy and reducing error rate that is 3.30% for RAE,0.016 for MAE, 0.984 for precision, 0.984 for recall, 0.984 for f-measure, and98.44% for accuracy.

Multi-Level Deep Generative Adversarial Networks for Brain Tumor Classification on Magnetic Resonance Images

The brain tumor is an abnormal and hysterical growth of brain tissues,and the leading cause of death affected patients worldwide.Even in this technol-ogy-based arena,brain tumor images with proper labeling and acquisition still have a problem with the accurate and reliable generation of realistic images of brain tumors that are completely different from the original ones.The artificially created medical image data would help improve the learning ability of physicians and other computer-aided systems for the generation of augmented data.To over-come the highlighted issue,a Generative Adversarial Network(GAN)deep learn-ing technique in which two neural networks compete to become more accurate in creating artificially realistic data for MRI images.The GAN network contains mainly two parts known as generator and discriminator.Commonly,a generator is the convolutional neural network,and a discriminator is the deconvolutional neural network.In this research,the publicly accessible Contrast-Enhanced Mag-netic Resonance Imaging(CE-MRI)dataset collected from 2005-to 2020 from different hospitals in China consists of four classes has been used.Our proposed method is simple and achieved an accuracy of 96%.We compare our technique results with the existing results,indicating that our proposed technique outper-forms the best results associated with the existing methods.

Liver Ailment Prediction Using Random Forest Model

Today,liver disease,or any deterioration in one’s ability to survive,is extremely common all around the world.Previous research has indicated that liver disease is more frequent in younger people than in older ones.When the liver’s capability begins to deteriorate,life can be shortened to one or two days,and early prediction of such diseases is difficult.Using several machine learning(ML)approaches,researchers analyzed a variety of models for predicting liver disorders in their early stages.As a result,this research looks at using the Random Forest(RF)classifier to diagnose the liver disease early on.The dataset was picked from the University of California,Irvine repository.RF’s accomplishments are contrasted to those of Multi-Layer Perceptron(MLP),Average One Dependency Estimator(A1DE),Support Vector Machine(SVM),Credal Decision Tree(CDT),Composite Hypercube on Iterated Random Projection(CHIRP),K-nearest neighbor(KNN),Naïve Bayes(NB),J48-Decision Tree(J48),and Forest by Penalizing Attributes(Forest-PA).Some of the assessment measures used to evaluate each classifier include Root Relative Squared Error(RRSE),Root Mean Squared Error(RMSE),accuracy,recall,precision,specificity,Matthew’s Correlation Coefficient(MCC),F-measure,and G-measure.RF has an RRSE performance of 87.6766 and an RMSE performance of 0.4328,however,its percentage accuracy is 72.1739.The widely acknowledged result of this work can be used as a starting point for subsequent research.As a result,every claim that a new model,framework,or method enhances forecastingmay be benchmarked and demonstrated.

Neurocysticercosis:A case report and brief review

Neurocysticercosis(NCC) is one of the seven neglected endemic zoonoses targeted by the World Health Organization.It is considered a common infection of the nervous system caused by the Tanenia solium and is known to be the primary cause of preventable epilepsy in many developing countries.NCC is commonly resulted by the ingestion of Tanenia solium eggs after consuming undercooked pork,or contaminated water.The parasite can grow in the brain and spinal cord within the nervous system,causing severe headache and seizures beside other pathological manifestations.Immigration and international travel to endemic countries has made this disease common in the United States.NCC can be diagnosed with computed tomography and magnetic resonance imaging of the brain.The treatment of the NCC including cysticidal drugs(eg.,albendazole and praziquantel),and neurosurgical procedure,depending upon a the situation.A patient of Asian origin came to our clinic with complaints of dizziness,headaches and episodes seizures for the past twelve years without proper diagnosis.The computed tomography and magnetic resonance imaging scans indicated multilobulated cystic mass in the brain with the suspicion of neurocysticercosis.

Block-Wise Neural Network for Brain Tumor Identification in Magnetic Resonance Images

The precise brain tumor diagnosis is critical and shows a vital role in the medical support for treating tumor patients.Manual brain tumor segmentation for cancer analysis from many Magnetic Resonance Images(MRIs)created in medical practice is a problematic and timewasting task for experts.As a result,there is a critical necessity for more accurate computeraided methods for early tumor detection.To remove this gap,we enhanced the computational power of a computer-aided system by proposing a finetuned Block-Wise Visual Geometry Group19(BW-VGG19)architecture.In this method,a pre-trained VGG19 is fine-tuned with CNN architecture in the block-wise mechanism to enhance the system`s accuracy.The publicly accessible Contrast-Enhanced Magnetic Resonance Imaging(CE-MRI)dataset collected from 2005 to 2020 from different hospitals in China has been used in this research.Our proposed method is simple and achieved an accuracy of 0.98%.We compare our technique results with the existing Convolutional Neural network(CNN),VGG16,and VGG19 approaches.The results indicate that our proposed technique outperforms the best results associated with the existing methods.

LBP–Bilateral Based Feature Fusion for Breast Cancer Diagnosis

Since reporting cases of breast cancer are on the rise all over the world.Especially in regions such as Pakistan,Saudi Arabia,and the United States.Efficient methods for the early detection and diagnosis of breast cancer are needed.The usual diagnosis procedures followed by physicians has been updated with modern diagnostic approaches that include computer-aided support for better accuracy.Machine learning based practices has increased the accuracy and efficiency of medical diagnosis,which has helped save lives of many patients.There is much research in the field of medical imaging diagnostics that can be applied to the variety of data such as magnetic resonance images(MRIs),mammograms,X-rays,ultrasounds,and histopathological images,but magnetic resonance(MR)and mammogram imaging have proved to present the promising results.The proposed paper has presented the results of classification algorithms over Breast Cancer(BC)mammograms from a novel dataset taken from hospitals in the Qassim health cluster of Saudi Arabia.This paper has developed a novel approach called the novel spectral extraction algorithm(NSEA)that uses feature extraction and fusion by using local binary pattern(LBP)and bilateral algorithms,as well as a support vector machine(SVM)as a classifier.The NSEA with the SVM classifier demonstrated a promising accuracy of 94%and an elapsed time of 0.68 milliseconds,which were significantly better results than those of comparative experiments from classifiers named Naïve Bayes,logistic regression,K-Nearest Neighbor(KNN),Gaussian Discriminant Analysis(GDA),AdaBoost and Extreme Learning Machine(ELM).ELM produced the comparative accuracy of 94%however has a lower elapsed time of 1.35 as compared to SVM.Adaboost has produced a fairly well accuracy of 82%,KNN has a low accuracy of 66%.However Logistic Regression,GDA and Naïve Bayes have produced the lowest accuracies of 47%,43%and 42%.

Human Emotions Classification Using EEG via Audiovisual Stimuli and AI

Electroencephalogram(EEG)is a medical imaging technology that can measure the electrical activity of the scalp produced by the brain,measured and recorded chronologically the surface of the scalp from the brain.The recorded signals from the brain are rich with useful information.The inference of this useful information is a challenging task.This paper aims to process the EEG signals for the recognition of human emotions specifically happiness,anger,fear,sadness,and surprise in response to audiovisual stimuli.The EEG signals are recorded by placing neurosky mindwave headset on the subject’s scalp,in response to audiovisual stimuli for the mentioned emotions.Using a bandpass filter with a bandwidth of 1-100 Hz,recorded raw EEG signals are preprocessed.The preprocessed signals then further analyzed and twelve selected features in different domains are extracted.The Random forest(RF)and multilayer perceptron(MLP)algorithms are then used for the classification of the emotions through extracted features.The proposed audiovisual stimuli based EEG emotion classification system shows an average classification accuracy of 80%and 88%usingMLP and RF classifiers respectively on hybrid features for experimental signals of different subjects.The proposed model outperforms in terms of cost and accuracy.

Breast Cancer Detection in Saudi Arabian Women Using Hybrid Machine Learning on Mammographic Images

Breast cancer(BC)is the most common cause of women’s deaths worldwide.The mammography technique is the most important modality for the detection of BC.To detect abnormalities in mammographic images,the Breast Imaging Reporting and Data System(BI-RADs)is used as a baseline.The correct allocation of BI-RADs categories for mammographic images is always an interesting task,even for specialists.In this work,to detect and classify the mammogram images in BI-RADs,a novel hybrid model is presented using a convolutional neural network(CNN)with the integration of a support vector machine(SVM).The dataset used in this research was collected from different hospitals in the Qassim health cluster of Saudi Arabia.The collection of all categories of BI-RADs is one of the major contributions of this paper.Another significant contribution is the development of a hybrid approach through the integration of CNN and SVM.The proposed hybrid approach uses three CNN models to obtain ensemble CNN model results.This ensemble model saves the values to integrate them with SVM.The proposed system achieved a classification accuracy,sensitivity,specificity,precision,and F1-score of 93.6%,94.8%,96.9%,96.6%,and 95.7%,respectively.The proposed model achieved better performance compared to previously available methods.