PURPOSE: Fuchs endothelial corneal dystrophy (FECD) is a common, age-related cause of visual impairment. This systematic review synthesizes evidence from the literature on artificial intelligence (AI) models developed for the diagnosis and management of FECD. METHODS: We conducted a systematic literature search in MEDLINE, PubMed, Web of Science, and Scopus from January 1, 2000, to June 31, 2024. Full-text studies utilizing AI for various clinical contexts of FECD management were included. Data extraction covered model development, predicted outcomes, validation, and model performance metrics. We graded the included studies using the Quality Assessment of Diagnostic Accuracies Studies 2 tool. This review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. RESULTS: Nineteen studies were analyzed. Primary AI algorithms applied in FECD diagnosis and management included neural network architectures specialized for computer vision, utilized on confocal or specular microscopy images, or anterior segment optical coherence tomography images. AI was employed in diverse clinical contexts, such as assessing corneal endothelium and edema and predicting post-corneal transplantation graft detachment and survival. Despite many studies reporting promising model performance, a notable limitation was that only three studies performed external validation. Bias introduced by patient selection processes and experimental designs was evident in the included studies. CONCLUSIONS: Despite the potential of AI algorithms to enhance FECD diagnosis and prognostication, further work is required to evaluate their real-world applicability and clinical utility. TRANSLATIONAL RELEVANCE: This review offers critical insights for researchers, clinicians, and policymakers, aiding their understanding of existing AI research in FECD management and guiding future health service strategies.
- MeSH
- Fuchs' Endothelial Dystrophy * diagnosis therapy MeSH
- Humans MeSH
- Tomography, Optical Coherence methods MeSH
- Artificial Intelligence * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Systematic Review MeSH
Current diagnostic methods for dyslexia primarily rely on traditional paper-and-pencil tasks. Advanced technological approaches, including eye-tracking and artificial intelligence (AI), offer enhanced diagnostic capabilities. In this paper, we bridge the gap between scientific and diagnostic concepts by proposing a novel dyslexia detection method, called INSIGHT, which combines a visualisation phase and a neural network-based classification phase. The first phase involves transforming eye-tracking fixation data into 2D visualisations called Fix-images, which clearly depict reading difficulties. The second phase utilises the ResNet18 convolutional neural network for classifying these images. The INSIGHT method was tested on 35 child participants (13 dyslexic and 22 control readers) using three text-reading tasks, achieving a highest accuracy of 86.65%. Additionally, we cross-tested the method on an independent dataset of Danish readers, confirming the robustness and generalizability of our approach with a notable accuracy of 86.11%. This innovative approach not only provides detailed insight into eye movement patterns when reading but also offers a robust framework for the early and accurate diagnosis of dyslexia, supporting the potential for more personalised and effective interventions.
- MeSH
- Reading MeSH
- Child MeSH
- Dyslexia * physiopathology diagnosis classification MeSH
- Humans MeSH
- Neural Networks, Computer * MeSH
- Fixation, Ocular * physiology MeSH
- Eye Movements physiology MeSH
- Eye-Tracking Technology * MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Digitalizace postupně proniká do velké části medicínských oblastí včetně patologie. Společně s digitálním zpracováním dat přichází aplikace metod umělé inteligence za účelem zjednodušení rutinních procesů, zvýšení bezpečnosti apod. Ačkoliv se obecné povědomí o metodách umělé inteligence zvyšuje, stále není pravidlem, že by odborníci z netechnických oborů měli detailní představu o tom, jak takové systémy fungují a jak se učí. Cílem tohoto textu je přístupnou formou vysvětlit základy strojového učení s využitím příkladů a ilustrací z oblasti digitální patologie. Nejedná se samozřejmě o ucelený přehled ani o představení nejmodernějších metod. Držíme se spíše úplných základů a představujeme fundamentální myšlenky, které stojí za většinou učících systémů, s použitím nejjednodušších modelů. V textu se věnujeme zejména rozhodovacím stromům, jejichž funkce je snadno vysvětlitelná, a elementárním neuronovým sítím, které jsou hlavním modelem používaným v dnešní umělé inteligenci. Pokusíme se také popsat postup spolupráce mezi lékaři, kteří dodávají data, a informatiky, kteří s jejich pomocí vytvářejí učící systémy. Věříme, že tento text pomůže překlenout rozdíly mezi znalostmi lékařů a informatiků a tím přispěje k efektivnější mezioborové spolupráci.
Digitalization has gradually made its way into many areas of medicine, including pathology. Along with digital data processing comes the application of artificial intelligence methods to simplify routine processes, enhance safety, etc. Although general awareness of artificial intelligence methods is increasing, it is still not common for professionals from non-technical fields to have a detailed understanding of how such systems work and learn. This text aims to explain the basics of machine learning in an accessible way using examples and illustrations from digital pathology. This is not intended to be a comprehensive overview or an introduction to cutting-edge methods. Instead, we use the simplest models to focus on fundamental concepts behind most learning systems. The text concentrates on decision trees, whose functionality is easy to explain, and basic neural networks, the primary models used in today’s artificial intelligence. We also attempt to describe the collaborative process between medical specialists, who provide the data, and computer scientists, who use this data to develop learning systems. This text will help bridge the knowledge gap between medical professionals and computer scientists, contributing to more effective interdisciplinary collaboration.
- MeSH
- Humans MeSH
- Pathology * trends MeSH
- Machine Learning * trends MeSH
- Artificial Intelligence trends MeSH
- Check Tag
- Humans MeSH
BACKGROUND: Advancements in artificial intelligence (AI) and machine learning (ML) have revolutionized the medical field and transformed translational medicine. These technologies enable more accurate disease trajectory models while enhancing patient-centered care. However, challenges such as heterogeneous datasets, class imbalance, and scalability remain barriers to achieving optimal predictive performance. METHODS: This study proposes a novel AI-based framework that integrates Gradient Boosting Machines (GBM) and Deep Neural Networks (DNN) to address these challenges. The framework was evaluated using two distinct datasets: MIMIC-IV, a critical care database containing clinical data of critically ill patients, and the UK Biobank, which comprises genetic, clinical, and lifestyle data from 500,000 participants. Key performance metrics, including Accuracy, Precision, Recall, F1-Score, and AUROC, were used to assess the framework against traditional and advanced ML models. RESULTS: The proposed framework demonstrated superior performance compared to classical models such as Logistic Regression, Random Forest, Support Vector Machines (SVM), and Neural Networks. For example, on the UK Biobank dataset, the model achieved an AUROC of 0.96, significantly outperforming Neural Networks (0.92). The framework was also efficient, requiring only 32.4 s for training on MIMIC-IV, with low prediction latency, making it suitable for real-time applications. CONCLUSIONS: The proposed AI-based framework effectively addresses critical challenges in translational medicine, offering superior predictive accuracy and efficiency. Its robust performance across diverse datasets highlights its potential for integration into real-time clinical decision support systems, facilitating personalized medicine and improving patient outcomes. Future research will focus on enhancing scalability and interpretability for broader clinical applications.
- MeSH
- Databases, Factual MeSH
- Humans MeSH
- Neural Networks, Computer MeSH
- Patient-Centered Care * MeSH
- Machine Learning * MeSH
- Translational Science, Biomedical MeSH
- Translational Research, Biomedical MeSH
- Artificial Intelligence * MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
Electroencephalography (EEG) experiments typically generate vast amounts of data due to the high sampling rates and the use of multiple electrodes to capture brain activity. Consequently, storing and transmitting these large datasets is challenging, necessitating the creation of specialized compression techniques tailored to this data type. This study proposes one such method, which at its core uses an artificial neural network (specifically a convolutional autoencoder) to learn the latent representations of modelled EEG signals to perform lossy compression, which gets further improved with lossless corrections based on the user-defined threshold for the maximum tolerable amplitude loss, resulting in a flexible near-lossless compression scheme. To test the viability of our approach, a case study was performed on the 256-channel binocular rivalry dataset, which also describes mostly data-specific statistical analyses and preprocessing steps. Compression results, evaluation metrics, and comparisons with baseline general compression methods suggest that the proposed method can achieve substantial compression results and speed, making it one of the potential research topics for follow-up studies.
- MeSH
- Adult MeSH
- Electroencephalography * methods MeSH
- Data Compression * methods MeSH
- Humans MeSH
- Neural Networks, Computer * MeSH
- Signal Processing, Computer-Assisted MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Space and time are fundamental attributes of the external world. Deciphering the brain mechanisms involved in processing the surrounding environment is one of the main challenges in neuroscience. This is particularly defiant when situations change rapidly over time because of the intertwining of spatial and temporal information. However, understanding the cognitive processes that allow coping with dynamic environments is critical, as the nervous system evolved in them due to the pressure for survival. Recent experiments have revealed a new cognitive mechanism called time compaction. According to it, a dynamic situation is represented internally by a static map of the future interactions between the perceived elements (including the subject itself). The salience of predicted interactions (e.g. collisions) over other spatiotemporal and dynamic attributes during the processing of time-changing situations has been shown in humans, rats, and bats. Motivated by this ubiquity, we study an artificial neural network to explore its minimal conditions necessary to represent a dynamic stimulus through the future interactions present in it. We show that, under general and simple conditions, the neural activity linked to the predicted interactions emerges to encode the perceived dynamic stimulus. Our results show that this encoding improves learning, memorization and decision making when dealing with stimuli with impending interactions compared to no-interaction stimuli. These findings are in agreement with theoretical and experimental results that have supported time compaction as a novel and ubiquitous cognitive process.
- MeSH
- Humans MeSH
- Brain physiology MeSH
- Neural Networks, Computer * MeSH
- Memory physiology MeSH
- Decision Making physiology MeSH
- Learning physiology MeSH
- Time Perception physiology MeSH
- Space Perception physiology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
OBJECTIVES: Artificial Intelligence (AI), particularly deep learning, has significantly impacted healthcare, including dentistry, by improving diagnostics, treatment planning, and prognosis prediction. This systematic mapping review explores the current applications of deep learning in dentistry, offering a comprehensive overview of trends, models, and their clinical significance. MATERIALS AND METHODS: Following a structured methodology, relevant studies published from January 2012 to September 2023 were identified through database searches in PubMed, Scopus, and Embase. Key data, including clinical purpose, deep learning tasks, model architectures, and data modalities, were extracted for qualitative synthesis. RESULTS: From 21,242 screened studies, 1,007 were included. Of these, 63.5% targeted diagnostic tasks, primarily with convolutional neural networks (CNNs). Classification (43.7%) and segmentation (22.9%) were the main methods, and imaging data-such as cone-beam computed tomography and orthopantomograms-were used in 84.4% of cases. Most studies (95.2%) applied fully supervised learning, emphasizing the need for annotated data. Pathology (21.5%), radiology (17.5%), and orthodontics (10.2%) were prominent fields, with 24.9% of studies relating to more than one specialty. CONCLUSION: This review explores the advancements in deep learning in dentistry, particulary for diagnostics, and identifies areas for further improvement. While CNNs have been used successfully, it is essential to explore emerging model architectures, learning approaches, and ways to obtain diverse and reliable data. Furthermore, fostering trust among all stakeholders by advancing explainable AI and addressing ethical considerations is crucial for transitioning AI from research to clinical practice. CLINICAL RELEVANCE: This review offers a comprehensive overview of a decade of deep learning in dentistry, showcasing its significant growth in recent years. By mapping its key applications and identifying research trends, it provides a valuable guide for future studies and highlights emerging opportunities for advancing AI-driven dental care.
- MeSH
- Deep Learning * MeSH
- Humans MeSH
- Dentistry * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
- Systematic Review MeSH
Ovarian lesions are common and often incidentally detected. A critical shortage of expert ultrasound examiners has raised concerns of unnecessary interventions and delayed cancer diagnoses. Deep learning has shown promising results in the detection of ovarian cancer in ultrasound images; however, external validation is lacking. In this international multicenter retrospective study, we developed and validated transformer-based neural network models using a comprehensive dataset of 17,119 ultrasound images from 3,652 patients across 20 centers in eight countries. Using a leave-one-center-out cross-validation scheme, for each center in turn, we trained a model using data from the remaining centers. The models demonstrated robust performance across centers, ultrasound systems, histological diagnoses and patient age groups, significantly outperforming both expert and non-expert examiners on all evaluated metrics, namely F1 score, sensitivity, specificity, accuracy, Cohen's kappa, Matthew's correlation coefficient, diagnostic odds ratio and Youden's J statistic. Furthermore, in a retrospective triage simulation, artificial intelligence (AI)-driven diagnostic support reduced referrals to experts by 63% while significantly surpassing the diagnostic performance of the current practice. These results show that transformer-based models exhibit strong generalization and above human expert-level diagnostic accuracy, with the potential to alleviate the shortage of expert ultrasound examiners and improve patient outcomes.
- MeSH
- Deep Learning MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Ovarian Neoplasms * diagnostic imaging MeSH
- Neural Networks, Computer * MeSH
- Retrospective Studies MeSH
- Aged MeSH
- Sensitivity and Specificity MeSH
- Ultrasonography * methods MeSH
- Artificial Intelligence MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Validation Study MeSH
- MeSH
- Cognition MeSH
- Humans MeSH
- Thinking MeSH
- Neural Networks, Computer MeSH
- Computer Systems MeSH
- Industry MeSH
- Robotics * MeSH
- Artificial Intelligence MeSH
- Consciousness MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Intelligence MeSH
- Cybernetics MeSH
- Humans MeSH
- Models, Neurological MeSH
- Brain physiology MeSH
- Nerve Net MeSH
- Neural Networks, Computer MeSH
- Drive MeSH
- Robotics MeSH
- Artificial Intelligence * MeSH
- Consciousness MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH