Empowering Precision Medicine: AI-Driven Schizophrenia Diagnosis via EEG Signals: A Comprehensive Review from 2002-2023

Schizophrenia (SZ) is a prevalent mental disorder characterized by cognitive, emotional, and behavioral changes. Symptoms of SZ include hallucinations, illusions, delusions, lack of motivation, and difficulties in concentration. Diagnosing SZ involves employing various tools, including clinical interviews, physical examinations, psychological evaluations, the Diagnostic and Statistical Manual of Mental Disorders (DSM), and neuroimaging techniques. Electroencephalography (EEG) recording is a significant functional neuroimaging modality that provides valuable insights into brain function during SZ. However, EEG signal analysis poses challenges for neurologists and scientists due to the presence of artifacts, long-term recordings, and the utilization of multiple channels. To address these challenges, researchers have introduced artificial intelligence (AI) techniques, encompassing conventional machine learning (ML) and deep learning (DL) methods, to aid in SZ diagnosis. This study reviews papers focused on SZ diagnosis utilizing EEG signals and AI methods. The introduction section provides a comprehensive explanation of SZ diagnosis methods and intervention techniques. Subsequently, review papers in this field are discussed, followed by an introduction to the AI methods employed for SZ diagnosis and a summary of relevant papers presented in tabular form. Additionally, this study reports on the most significant challenges encountered in SZ diagnosis, as identified through a review of papers in this field. Future directions to overcome these challenges are also addressed. The discussion section examines the specific details of each paper, culminating in the presentation of conclusions and findings.

A Brief Review of Explainable Artificial Intelligence in Healthcare

XAI refers to the techniques and methods for building AI applications which assist end users to interpret output and predictions of AI models. Black box AI applications in high-stakes decision-making situations, such as medical domain have increased the demand for transparency and explainability since wrong predictions may have severe consequences. Model explainability and interpretability are vital successful deployment of AI models in healthcare practices. AI applications' underlying reasoning needs to be transparent to clinicians in order to gain their trust. This paper presents a systematic review of XAI aspects and challenges in the healthcare domain. The primary goals of this study are to review various XAI methods, their challenges, and related machine learning models in healthcare. The methods are discussed under six categories: Features-oriented methods, global methods, concept models, surrogate models, local pixel-based methods, and human-centric methods. Most importantly, the paper explores XAI role in healthcare problems to clarify its necessity in safety-critical applications. The paper intends to establish a comprehensive understanding of XAI-related applications in the healthcare field by reviewing the related experimental results. To facilitate future research for filling research gaps, the importance of XAI models from different viewpoints and their limitations are investigated.

Automated Diagnosis of Cardiovascular Diseases from Cardiac Magnetic Resonance Imaging Using Deep Learning Models: A Review

In recent years, cardiovascular diseases (CVDs) have become one of the leading causes of mortality globally. CVDs appear with minor symptoms and progressively get worse. The majority of people experience symptoms such as exhaustion, shortness of breath, ankle swelling, fluid retention, and other symptoms when starting CVD. Coronary artery disease (CAD), arrhythmia, cardiomyopathy, congenital heart defect (CHD), mitral regurgitation, and angina are the most common CVDs. Clinical methods such as blood tests, electrocardiography (ECG) signals, and medical imaging are the most effective methods used for the detection of CVDs. Among the diagnostic methods, cardiac magnetic resonance imaging (CMR) is increasingly used to diagnose, monitor the disease, plan treatment and predict CVDs. Coupled with all the advantages of CMR data, CVDs diagnosis is challenging for physicians due to many slices of data, low contrast, etc. To address these issues, deep learning (DL) techniques have been employed to the diagnosis of CVDs using CMR data, and much research is currently being conducted in this field. This review provides an overview of the studies performed in CVDs detection using CMR images and DL techniques. The introduction section examined CVDs types, diagnostic methods, and the most important medical imaging techniques. In the following, investigations to detect CVDs using CMR images and the most significant DL methods are presented. Another section discussed the challenges in diagnosing CVDs from CMR data. Next, the discussion section discusses the results of this review, and future work in CVDs diagnosis from CMR images and DL techniques are outlined. The most important findings of this study are presented in the conclusion section.

Automatic Diagnosis of Myocarditis Disease in Cardiac MRI Modality using Deep Transformers and Explainable Artificial Intelligence

Myocarditis is among the most important cardiovascular diseases (CVDs), endangering the health of many individuals by damaging the myocardium. Microbes and viruses, such as HIV, play a vital role in myocarditis disease (MCD) incidence. Lack of MCD diagnosis in the early stages is associated with irreversible complications. Cardiac magnetic resonance imaging (CMRI) is highly popular among cardiologists to diagnose CVDs. In this paper, a deep learning (DL) based computer-aided diagnosis system (CADS) is presented for the diagnosis of MCD using CMRI images. The proposed CADS includes dataset, preprocessing, feature extraction, classification, and post-processing steps. First, the Z-Alizadeh dataset was selected for the experiments. The preprocessing step included noise removal, image resizing, and data augmentation (DA). In this step, CutMix, and MixUp techniques were used for the DA. Then, the most recent pre-trained and transformers models were used for feature extraction and classification using CMRI images. Our results show high performance for the detection of MCD using transformer models compared with the pre-trained architectures. Among the DL architectures, Turbulence Neural Transformer (TNT) architecture achieved an accuracy of 99.73% with 10-fold cross-validation strategy. Explainable-based Grad Cam method is used to visualize the MCD suspected areas in CMRI images.

Automatic Autism Spectrum Disorder Detection Using Artificial Intelligence Methods with MRI Neuroimaging: A Review

Autism spectrum disorder (ASD) is a brain condition characterized by diverse signs and symptoms that appear in early childhood. ASD is also associated with communication deficits and repetitive behavior in affected individuals. Various ASD detection methods have been developed, including neuroimaging modalities and psychological tests. Among these methods, magnetic resonance imaging (MRI) imaging modalities are of paramount importance to physicians. Clinicians rely on MRI modalities to diagnose ASD accurately. The MRI modalities are non-invasive methods that include functional (fMRI) and structural (sMRI) neuroimaging methods. However, the process of diagnosing ASD with fMRI and sMRI for specialists is often laborious and time-consuming; therefore, several computer-aided design systems (CADS) based on artificial intelligence (AI) have been developed to assist the specialist physicians. Conventional machine learning (ML) and deep learning (DL) are the most popular schemes of AI used for diagnosing ASD. This study aims to review the automated detection of ASD using AI. We review several CADS that have been developed using ML techniques for the automated diagnosis of ASD using MRI modalities. There has been very limited work on the use of DL techniques to develop automated diagnostic models for ASD. A summary of the studies developed using DL is provided in the appendix. Then, the challenges encountered during the automated diagnosis of ASD using MRI and AI techniques are described in detail. Additionally, a graphical comparison of studies using ML and DL to diagnose ASD automatically is discussed. We conclude by suggesting future approaches to detecting ASDs using AI techniques and MRI neuroimaging.

Automatic Diagnosis of Schizophrenia and Attention Deficit Hyperactivity Disorder in rs-fMRI Modality using Convolutional Autoencoder Model and Interval Type-2 Fuzzy Regression

Nowadays, many people worldwide suffer from brain disorders, and their health is in danger. So far, numerous methods have been proposed for the diagnosis of Schizophrenia (SZ) and attention deficit hyperactivity disorder (ADHD), among which functional magnetic resonance imaging (fMRI) modalities are known as a popular method among physicians. This paper presents an SZ and ADHD intelligent detection method of resting-state fMRI (rs-fMRI) modality using a new deep learning (DL) method. The University of California Los Angeles (UCLA) dataset, which contains the rs-fMRI modalities of SZ and ADHD patients, has been used for experiments. The FMRIB software library (FSL) toolbox first performed preprocessing on rs-fMRI data. Then, a convolutional Autoencoder (CNN-AE) model with the proposed number of layers is used to extract features from rs-fMRI data. In the classification step, a new fuzzy method called interval type-2 fuzzy regression (IT2FR) is introduced and then optimized by genetic algorithm (GA), particle swarm optimization (PSO), and gray wolf optimization (GWO) techniques. Also, the results of IT2FR methods are compared with multilayer perceptron (MLP), k-nearest neighbors (KNN), support vector machine (SVM), random forest (RF), decision tree (DT), and adaptive neuro-fuzzy inference system (ANFIS) methods. The experiment results show that the IT2FR method with the GWO optimization algorithm has achieved satisfactory results compared to other classifier methods. Finally, the proposed classification technique was able to provide 72.71% accuracy.

Accurate Prediction Using Triangular Type-2 Fuzzy Linear Regression

Many works have been done to handle the uncertainties in the data using type 1 fuzzy regression. Few type 2 fuzzy regression works used interval type 2 for indeterminate modeling using type 1 fuzzy membership. The current survey proposes a triangular type-2 fuzzy regression (TT2FR) model to ameliorate the efficiency of the model by handling the uncertainty in the data. The triangular secondary membership function is used instead of widely used interval type models. In the proposed model, vagueness in primary and secondary fuzzy sets is minimized and also, a specified x-plane of observed value is included in the same {\alpha}- plane of the predicted value. Complex calculations of the type-2 fuzzy (T2F) model are simplified by reducing three dimensional type-2 fuzzy set (3DT2FS) into two dimensional interval type-2 fuzzy (2DIT2F) models. The current survey presents a new regression model of T2F by considering the more general form of T2F membership functions and thus avoids high complexity. The performance of the developed model is evaluated using the TAIEX and COVID-19 forecasting datasets. Our developed model reached the highest performance as compared to the other state-of-art techniques. Our developed method is ready to be tested with more uncertain data and has the potential to use to predict the weather and stock prediction.

What happens in Face during a facial expression? Using data mining techniques to analyze facial expression motion vectors

One of the most common problems encountered in human-computer interaction is automatic facial expression recognition. Although it is easy for human observer to recognize facial expressions, automatic recognition remains difficult for machines. One of the methods that machines can recognize facial expression is analyzing the changes in face during facial expression presentation. In this paper, optical flow algorithm was used to extract deformation or motion vectors created in the face because of facial expressions. Then, these extracted motion vectors are used to be analyzed. Their positions and directions were exploited for automatic facial expression recognition using different data mining techniques. It means that by employing motion vector features used as our data, facial expressions were recognized. Some of the most state-of-the-art classification algorithms such as C5.0, CRT, QUEST, CHAID, Deep Learning (DL), SVM and Discriminant algorithms were used to classify the extracted motion vectors. Using 10-fold cross validation, their performances were calculated. To compare their performance more precisely, the test was repeated 50 times. Meanwhile, the deformation of face was also analyzed in this research. For example, what exactly happened in each part of face when a person showed fear? Experimental results on Extended Cohen-Kanade (CK+) facial expression dataset demonstrated that the best methods were DL, SVM and C5.0, with the accuracy of 95.3%, 92.8% and 90.2% respectively.

Detection of Epileptic Seizures on EEG Signals Using ANFIS Classifier, Autoencoders and Fuzzy Entropies

Epilepsy is one of the most crucial neurological disorders, and its early diagnosis will help the clinicians to provide accurate treatment for the patients. The electroencephalogram (EEG) signals are widely used for epileptic seizures detection, which provides specialists with substantial information about the functioning of the brain. In this paper, a novel diagnostic procedure using fuzzy theory and deep learning techniques are introduced. The proposed method is evaluated on the Bonn University dataset with six classification combinations and also on the Freiburg dataset. The tunable-Q wavelet transform (TQWT) is employed to decompose the EEG signals into different sub-bands. In the feature extraction step, 13 different fuzzy entropies are calculated from different sub-bands of TQWT, and their computational complexities are calculated to help researchers choose the best feature sets. In the following, an autoencoder (AE) with six layers is employed for dimensionality reduction. Finally, the standard adaptive neuro-fuzzy inference system (ANFIS), and also its variants with grasshopper optimization algorithm (ANFIS-GOA), particle swarm optimization (ANFIS-PSO), and breeding swarm optimization (ANFIS-BS) methods are used for classification. Using our proposed method, ANFIS-BS method has obtained an accuracy of 99.74% in classifying into two classes and an accuracy of 99.46% in ternary classification on the Bonn dataset and 99.28% on the Freiburg dataset, reaching state-of-the-art performances on both of them.

Automatic Diagnosis of Schizophrenia using EEG Signals and CNN-LSTM Models

Schizophrenia (SZ) is a mental disorder whereby due to the secretion of specific chemicals in the brain, the function of some brain regions is out of balance, leading to the lack of coordination between thoughts, actions, and emotions. This study provides various intelligent Deep Learning (DL)-based methods for automated SZ diagnosis via EEG signals. The obtained results are compared with those of conventional intelligent methods. In order to implement the proposed methods, the dataset of the Institute of Psychiatry and Neurology in Warsaw, Poland, has been used. First, EEG signals are divided into 25-seconds time frames and then were normalized by z-score or norm L2. In the classification step, two different approaches are considered for SZ diagnosis via EEG signals. In this step, the classification of EEG signals is first carried out by conventional DL methods, e.g., KNN, DT, SVM, Bayes, bagging, RF, and ET. Various proposed DL models, including LSTMs, 1D-CNNs, and 1D-CNN-LSTMs, are used in the following. In this step, the DL models were implemented and compared with different activation functions. Among the proposed DL models, the CNN-LSTM architecture has had the best performance. In this architecture, the ReLU activation function and the z-score and L2 combined normalization are used. The proposed CNN-LSTM model has achieved an accuracy percentage of 99.25\%, better than the results of most former studies in this field. It is worth mentioning that in order to perform all simulations, the k-fold cross-validation method with k=5 has been used.