Current and future roles of artificial intelligence in retinopathy of prematurity

Retinopathy of prematurity (ROP) is a severe condition affecting premature infants, leading to abnormal retinal blood vessel growth, retinal detachment, and potential blindness. While semi-automated systems have been used in the past to diagnose ROP-related plus disease by quantifying retinal vessel features, traditional machine learning (ML) models face challenges like accuracy and overfitting. Recent advancements in deep learning (DL), especially convolutional neural networks (CNNs), have significantly improved ROP detection and classification. The i-ROP deep learning (i-ROP-DL) system also shows promise in detecting plus disease, offering reliable ROP diagnosis potential. This research comprehensively examines the contemporary progress and challenges associated with using retinal imaging and artificial intelligence (AI) to detect ROP, offering valuable insights that can guide further investigation in this domain. Based on 89 original studies in this field (out of 1487 studies that were comprehensively reviewed), we concluded that traditional methods for ROP diagnosis suffer from subjectivity and manual analysis, leading to inconsistent clinical decisions. AI holds great promise for improving ROP management. This review explores AI's potential in ROP detection, classification, diagnosis, and prognosis.

Artificial Intelligence in Assessing Cardiovascular Diseases and Risk Factors via Retinal Fundus Images: A Review of the Last Decade

Background: Cardiovascular diseases (CVDs) continue to be the leading cause of mortality on a global scale. In recent years, the application of artificial intelligence (AI) techniques, particularly deep learning (DL), has gained considerable popularity for evaluating the various aspects of CVDs. Moreover, using fundus images and optical coherence tomography angiography (OCTA) to diagnose retinal diseases has been extensively studied. To better understand heart function and anticipate changes based on microvascular characteristics and function, researchers are currently exploring the integration of AI with non-invasive retinal scanning. Leveraging AI-assisted early detection and prediction of cardiovascular diseases on a large scale holds excellent potential to mitigate cardiovascular events and alleviate the economic burden on healthcare systems. Method: A comprehensive search was conducted across various databases, including PubMed, Medline, Google Scholar, Scopus, Web of Sciences, IEEE Xplore, and ACM Digital Library, using specific keywords related to cardiovascular diseases and artificial intelligence. Results: A total of 87 English-language publications, selected for relevance were included in the study, and additional references were considered. This study presents an overview of the current advancements and challenges in employing retinal imaging and artificial intelligence to identify cardiovascular disorders and provides insights for further exploration in this field. Conclusion: Researchers aim to develop precise disease prognosis patterns as the aging population and global CVD burden increase. AI and deep learning are transforming healthcare, offering the potential for single retinal image-based diagnosis of various CVDs, albeit with the need for accelerated adoption in healthcare systems.

Uncertainty Aware Neural Network from Similarity and Sensitivity

Researchers have proposed several approaches for neural network (NN) based uncertainty quantification (UQ). However, most of the approaches are developed considering strong assumptions. Uncertainty quantification algorithms often perform poorly in an input domain and the reason for poor performance remains unknown. Therefore, we present a neural network training method that considers similar samples with sensitivity awareness in this paper. In the proposed NN training method for UQ, first, we train a shallow NN for the point prediction. Then, we compute the absolute differences between prediction and targets and train another NN for predicting those absolute differences or absolute errors. Domains with high average absolute errors represent a high uncertainty. In the next step, we select each sample in the training set one by one and compute both prediction and error sensitivities. Then we select similar samples with sensitivity consideration and save indexes of similar samples. The ranges of an input parameter become narrower when the output is highly sensitive to that parameter. After that, we construct initial uncertainty bounds (UB) by considering the distribution of sensitivity aware similar samples. Prediction intervals (PIs) from initial uncertainty bounds are larger and cover more samples than required. Therefore, we train bound correction NN. As following all the steps for finding UB for each sample requires a lot of computation and memory access, we train a UB computation NN. The UB computation NN takes an input sample and provides an uncertainty bound. The UB computation NN is the final product of the proposed approach. Scripts of the proposed method are available in the following GitHub repository: github.com/dipuk0506/UQ

A novel approach of a deep reinforcement learning based motion cueing algorithm for vehicle driving simulation

In the field of motion simulation, the level of immersion strongly depends on the motion cueing algorithm (MCA), as it transfers the reference motion of the simulated vehicle to a motion of the motion simulation platform (MSP). The challenge for the MCA is to reproduce the motion perception of a real vehicle driver as accurately as possible without exceeding the limits of the workspace of the MSP in order to provide a realistic virtual driving experience. In case of a large discrepancy between the perceived motion signals and the optical cues, motion sickness may occur with the typical symptoms of nausea, dizziness, headache and fatigue. Existing approaches either produce non-optimal results, e.g., due to filtering, linearization, or simplifications, or the required computational time exceeds the real-time requirements of a closed-loop application. In this work a new solution is presented, where not a human designer specifies the principles of the MCA but an artificial intelligence (AI) learns the optimal motion by trial and error in an interaction with the MSP. To achieve this, deep reinforcement learning (RL) is applied, where an agent interacts with an environment formulated as a Markov decision process~(MDP). This allows the agent to directly control a simulated MSP to obtain feedback on its performance in terms of platform workspace usage and the motion acting on the simulator user. The RL algorithm used is proximal policy optimization (PPO), where the value function and the policy corresponding to the control strategy are learned and both are mapped in artificial neural networks (ANN). This approach is implemented in Python and the functionality is demonstrated by the practical example of pre-recorded lateral maneuvers. The subsequent validation on a standardized double lane change shows that the RL algorithm is able to learn the control strategy and improve the quality of...

CoV-TI-Net: Transferred Initialization with Modified End Layer for COVID-19 Diagnosis

This paper proposes transferred initialization with modified fully connected layers for COVID-19 diagnosis. Convolutional neural networks (CNN) achieved a remarkable result in image classification. However, training a high-performing model is a very complicated and time-consuming process because of the complexity of image recognition applications. On the other hand, transfer learning is a relatively new learning method that has been employed in many sectors to achieve good performance with fewer computations. In this research, the PyTorch pre-trained models (VGG19\_bn and WideResNet -101) are applied in the MNIST dataset for the first time as initialization and with modified fully connected layers. The employed PyTorch pre-trained models were previously trained in ImageNet. The proposed model is developed and verified in the Kaggle notebook, and it reached the outstanding accuracy of 99.77% without taking a huge computational time during the training process of the network. We also applied the same methodology to the SIIM-FISABIO-RSNA COVID-19 Detection dataset and achieved 80.01% accuracy. In contrast, the previous methods need a huge compactional time during the training process to reach a high-performing model. Codes are available at the following link: github.com/dipuk0506/SpinalNet