Fifth Anniversary of "Machine Learning and Artificial Intelligence in Diagnostics" Section

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Machine Learning and Artificial Intelligence in Diagnostics".

Deadline for manuscript submissions: closed (20 December 2024) | Viewed by 11398

Special Issue Editors


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Guest Editor
Academic Radiology Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, 56126 Pisa, Italy
Interests: imaging of liver (diffuse, benign and malignant lesions); interventional oncology; treatment response criteria; application of artificial intelligence
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Academic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy
Interests: artificial intelligence; deep learning; radiomics; computed tomography; ultrasound; oncologic imaging; natural language processing; texture analysis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The field of diagnostics has undergone a significant transformation in recent years, with machine learning and artificial intelligence technologies playing an increasingly vital role. These cutting-edge techniques have opened a plethora of possibilities in detecting, diagnosing, and predicting various medical conditions with unprecedented accuracy and efficiency.

Machine learning algorithms, integrated with radiomics, have achieved remarkable advancements in disease diagnosis, treatment response assessment and patient prognosis prediction. Deep learning, a subset of machine learning, has proven to be particularly effective in image recognition tasks, such as identifying malignant tumors, and segmentation. In addition to image analysis, natural language processing applications have also gained traction in the field of diagnostics, by enabling the extraction of valuable information from medical reports and other textual data.

The primary goal of this Special Issue, dedicated to the fifth anniversary of the "Machine Learning and Artificial Intelligence in Diagnostics" section, is elucidate the latest research, developments, and breakthroughs that leverage machine learning and artificial intelligence in the field of diagnostics.

The submission of regular articles and review papers on the above-mentioned topics is most welcome.

Prof. Dr. Dania Cioni
Dr. Salvatore Claudio Fanni
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • artificial intelligence
  • machine learning
  • radiomics
  • deep learning
  • natural language processing
  • large language models
  • texture analysis

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Published Papers (6 papers)

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Research

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14 pages, 6125 KiB  
Article
Learning Architecture for Brain Tumor Classification Based on Deep Convolutional Neural Network: Classic and ResNet50
by Rabei Raad Ali, Noorayisahbe Mohd Yaacob, Marwan Harb Alqaryouti, Ala Eddin Sadeq, Mohamed Doheir, Musab Iqtait, Eko Hari Rachmawanto, Christy Atika Sari and Siti Salwani Yaacob
Diagnostics 2025, 15(5), 624; https://doi.org/10.3390/diagnostics15050624 - 5 Mar 2025
Cited by 1 | Viewed by 909
Abstract
Background: Accurate classification of brain tumors in medical images is vital for effective diagnosis and treatment planning, which improves the patient’s survival rate. In this paper, we investigate the application of Convolutional Neural Networks (CNN) as a powerful tool for enhancing diagnostic accuracy [...] Read more.
Background: Accurate classification of brain tumors in medical images is vital for effective diagnosis and treatment planning, which improves the patient’s survival rate. In this paper, we investigate the application of Convolutional Neural Networks (CNN) as a powerful tool for enhancing diagnostic accuracy using a Magnetic Resonance Imaging (MRI) dataset. Method: This study investigates the application of CNNs for brain tumor classification using a dataset of Magnetic Resonance Imaging (MRI) with a resolution of 200 × 200 × 1. The dataset is pre-processed and categorized into three types of tumors: Glioma, Meningioma, and Pituitary. The CNN models, including the Classic layer architecture and the ResNet50 architecture, are trained and evaluated using an 80:20 training-testing split. Results: The results reveal that both architectures accurately classify brain tumors. Classic layer architecture achieves an accuracy of 94.55%, while the ResNet50 architecture surpasses it with an accuracy of 99.88%. Compared to previous studies and 99.34%, our approach offers higher precision and reliability, demonstrating the effectiveness of ResNet50 in capturing complex features. Conclusions: The study concludes that CNNs, particularly the ResNet50 architecture, exhibit effectiveness in classifying brain tumors and hold significant potential in aiding medical professionals in accurate diagnosis and treatment planning. These advancements aim to further enhance the performance and practicality of CNN-based brain tumor classification systems, ultimately benefiting healthcare professionals and patients. For future research, exploring transfer learning techniques could be beneficial. By leveraging pre-trained models on large-scale datasets, researchers can utilize knowledge from other domains to improve brain tumor classification tasks, particularly in scenarios with limited annotated data. Full article
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15 pages, 2807 KiB  
Article
Automatic Characterization of Prostate Suspect Lesions on T2-Weighted Image Acquisitions Using Texture Features and Machine-Learning Methods: A Pilot Study
by Teodora Telecan, Cosmin Caraiani, Bianca Boca, Roxana Sipos-Lascu, Laura Diosan, Zoltan Balint, Raluca Maria Hendea, Iulia Andras, Nicolae Crisan and Monica Lupsor-Platon
Diagnostics 2025, 15(1), 106; https://doi.org/10.3390/diagnostics15010106 - 4 Jan 2025
Viewed by 984
Abstract
Background: Prostate cancer (PCa) is the most frequent neoplasia in the male population. According to the International Society of Urological Pathology (ISUP), PCa can be divided into two major groups, based on their prognosis and treatment options. Multiparametric magnetic resonance imaging (mpMRI) [...] Read more.
Background: Prostate cancer (PCa) is the most frequent neoplasia in the male population. According to the International Society of Urological Pathology (ISUP), PCa can be divided into two major groups, based on their prognosis and treatment options. Multiparametric magnetic resonance imaging (mpMRI) holds a central role in PCa assessment; however, it does not have a one-to-one correspondence with the histopathological grading of tumors. Recently, artificial intelligence (AI)-based algorithms and textural analysis, a subdivision of radiomics, have shown potential in bridging this gap. Objectives: We aimed to develop a machine-learning algorithm that predicts the ISUP grade of manually contoured prostate nodules on T2-weighted images and classifies them into clinically significant and indolent ones. Materials and Methods: We included 55 patients with 76 lesions. All patients were examined on the same 1.5 Tesla mpMRI scanner. Each nodule was manually segmented using the open-source 3D Slicer platform, and textural features were extracted using the PyRadiomics (version 3.0.1) library. The software was based on machine-learning classifiers. The accuracy was calculated based on precision, recall, and F1 scores. Results: The median age of the study group was 64 years (IQR 61–68), and the mean PSA value was 11.14 ng/mL. A total of 85.52% of the nodules were graded PI-RADS 4 or higher. Overall, the algorithm classified indolent and clinically significant PCas with an accuracy of 87.2%. Further, when trained to differentiate each ISUP group, the accuracy was 80.3%. Conclusions: We developed an AI-based decision-support system that accurately differentiates between the two PCa prognostic groups using only T2 MRI acquisitions by employing radiomics with a robust machine-learning architecture. Full article
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12 pages, 2027 KiB  
Article
Clinical Validation of a Deep Learning-Based Software for Lumbar Bone Mineral Density and T-Score Prediction from Chest X-ray Images
by Sheng-Chieh Tseng, Chia-En Lien, Cheng-Hung Lee, Kao-Chang Tu, Chia-Hui Lin, Amy Y. Hsiao, Shin Teng, Hsiao-Hung Chiang, Liang-Yu Ke, Chun-Lin Han, Yen-Cheng Lee, An-Chih Huang, Dun-Jhu Yang, Chung-Wen Tsai and Kun-Hui Chen
Diagnostics 2024, 14(12), 1208; https://doi.org/10.3390/diagnostics14121208 - 7 Jun 2024
Cited by 1 | Viewed by 2736
Abstract
Screening for osteoporosis is crucial for early detection and prevention, yet it faces challenges due to the low accuracy of calcaneal quantitative ultrasound (QUS) and limited access to dual-energy X-ray absorptiometry (DXA) scans. Recent advances in AI offer a promising solution through opportunistic [...] Read more.
Screening for osteoporosis is crucial for early detection and prevention, yet it faces challenges due to the low accuracy of calcaneal quantitative ultrasound (QUS) and limited access to dual-energy X-ray absorptiometry (DXA) scans. Recent advances in AI offer a promising solution through opportunistic screening using existing medical images. This study aims to utilize deep learning techniques to develop a model that analyzes chest X-ray (CXR) images for osteoporosis screening. This study included the AI model development stage and the clinical validation stage. In the AI model development stage, the combined dataset of 5122 paired CXR images and DXA reports from the patients aged 20 to 98 years at a medical center was collected. The images were enhanced and filtered for hardware retention such as pedicle screws, bone cement, artificial intervertebral discs or severe deformity in target level of T12 and L1. The dataset was then separated into training, validating, and testing datasets for model training and performance validation. In the clinical validation stage, we collected 440 paired CXR images and DXA reports from both the TCVGH and Joy Clinic, including 304 pared data from TCVGH and 136 paired data from Joy Clinic. The pre-clinical test yielded an area under the curve (AUC) of 0.940, while the clinical validation showed an AUC of 0.946. Pearson’s correlation coefficient was 0.88. The model demonstrated an overall accuracy, sensitivity, and specificity of 89.0%, 88.7%, and 89.4%, respectively. This study proposes an AI model for opportunistic osteoporosis screening through CXR, demonstrating good performance and suggesting its potential for broad adoption in preliminary screening among high-risk populations. Full article
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19 pages, 2014 KiB  
Article
TSSG-CNN: A Tuberculosis Semantic Segmentation-Guided Model for Detecting and Diagnosis Using the Adaptive Convolutional Neural Network
by Tae Hoon Kim, Moez Krichen, Stephen Ojo, Meznah A. Alamro and Gabriel Avelino Sampedro
Diagnostics 2024, 14(11), 1174; https://doi.org/10.3390/diagnostics14111174 - 1 Jun 2024
Cited by 3 | Viewed by 1615
Abstract
Tuberculosis (TB) is an infectious disease caused by Mycobacterium. It primarily impacts the lungs but can also endanger other organs, such as the renal system, spine, and brain. When an infected individual sneezes, coughs, or speaks, the virus can spread through the air, [...] Read more.
Tuberculosis (TB) is an infectious disease caused by Mycobacterium. It primarily impacts the lungs but can also endanger other organs, such as the renal system, spine, and brain. When an infected individual sneezes, coughs, or speaks, the virus can spread through the air, which contributes to its high contagiousness. The goal is to enhance detection recognition with an X-ray image dataset. This paper proposed a novel approach, named the Tuberculosis Segmentation-Guided Diagnosis Model (TSSG-CNN) for Detecting Tuberculosis, using a combined semantic segmentation and adaptive convolutional neural network (CNN) architecture. The proposed approach is distinguished from most of the previously proposed approaches in that it uses the combination of a deep learning segmentation model with a follow-up classification model based on CNN layers to segment chest X-ray images more precisely as well as to improve the diagnosis of TB. It contrasts with other approaches like ILCM, which is optimized for sequential learning, and explainable AI approaches, which focus on explanations. Moreover, our model is beneficial for the simplified procedure of feature optimization from the perspectives of approach using the Mayfly Algorithm (MA). Other models, including simple CNN, Batch Normalized CNN (BN-CNN), and Dense CNN (DCNN), are also evaluated on this dataset to evaluate the effectiveness of the proposed approach. The performance of the TSSG-CNN model outperformed all the models with an impressive accuracy of 98.75% and an F1 score of 98.70%. The evaluation findings demonstrate how well the deep learning segmentation model works and the potential for further research. The results suggest that this is the most accurate strategy and highlight the potential of the TSSG-CNN Model as a useful technique for precise and early diagnosis of TB. Full article
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13 pages, 2543 KiB  
Article
Quantitative CT Texture Analysis of COVID-19 Hospitalized Patients during 3–24-Month Follow-Up and Correlation with Functional Parameters
by Salvatore Claudio Fanni, Federica Volpi, Leonardo Colligiani, Davide Chimera, Michele Tonerini, Francesco Pistelli, Roberta Pancani, Chiara Airoldi, Brian J. Bartholmai, Dania Cioni, Laura Carrozzi, Emanuele Neri, Annalisa De Liperi and Chiara Romei
Diagnostics 2024, 14(5), 550; https://doi.org/10.3390/diagnostics14050550 - 5 Mar 2024
Cited by 1 | Viewed by 1448
Abstract
Background: To quantitatively evaluate CT lung abnormalities in COVID-19 survivors from the acute phase to 24-month follow-up. Quantitative CT features as predictors of abnormalities’ persistence were investigated. Methods: Patients who survived COVID-19 were retrospectively enrolled and underwent a chest CT at baseline (T0) [...] Read more.
Background: To quantitatively evaluate CT lung abnormalities in COVID-19 survivors from the acute phase to 24-month follow-up. Quantitative CT features as predictors of abnormalities’ persistence were investigated. Methods: Patients who survived COVID-19 were retrospectively enrolled and underwent a chest CT at baseline (T0) and 3 months (T3) after discharge, with pulmonary function tests (PFTs). Patients with residual CT abnormalities repeated the CT at 12 (T12) and 24 (T24) months after discharge. A machine-learning-based software, CALIPER, calculated the CT percentage of the whole lung of normal parenchyma, ground glass (GG), reticulation (Ret), and vascular-related structures (VRSs). Differences (Δ) were calculated between time points. Receiver operating characteristic (ROC) curve analyses were performed to test the baseline parameters as predictors of functional impairment at T3 and of the persistence of CT abnormalities at T12. Results: The cohort included 128 patients at T0, 133 at T3, 61 at T12, and 34 at T24. The GG medians were 8.44%, 0.14%, 0.13% and 0.12% at T0, T3, T12 and T24. The Ret medians were 2.79% at T0 and 0.14% at the following time points. All Δ significantly differed from 0, except between T12 and T24. The GG and VRSs at T0 achieved AUCs of 0.73 as predictors of functional impairment, and area under the curves (AUCs) of 0.71 and 0.72 for the persistence of CT abnormalities at T12. Conclusions: CALIPER accurately quantified the CT changes up to the 24-month follow-up. Resolution mostly occurred at T3, and Ret persisting at T12 was almost unchanged at T24. The baseline parameters were good predictors of functional impairment at T3 and of abnormalities’ persistence at T12. Full article
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32 pages, 3661 KiB  
Systematic Review
Explainable AI in Diagnostic Radiology for Neurological Disorders: A Systematic Review, and What Doctors Think About It
by Yasir Hafeez, Khuhed Memon, Maged S. AL-Quraishi, Norashikin Yahya, Sami Elferik and Syed Saad Azhar Ali
Diagnostics 2025, 15(2), 168; https://doi.org/10.3390/diagnostics15020168 - 13 Jan 2025
Cited by 1 | Viewed by 2770
Abstract
Background: Artificial intelligence (AI) has recently made unprecedented contributions in every walk of life, but it has not been able to work its way into diagnostic medicine and standard clinical practice yet. Although data scientists, researchers, and medical experts have been working in [...] Read more.
Background: Artificial intelligence (AI) has recently made unprecedented contributions in every walk of life, but it has not been able to work its way into diagnostic medicine and standard clinical practice yet. Although data scientists, researchers, and medical experts have been working in the direction of designing and developing computer aided diagnosis (CAD) tools to serve as assistants to doctors, their large-scale adoption and integration into the healthcare system still seems far-fetched. Diagnostic radiology is no exception. Imagining techniques like magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography (PET) scans have been widely and very effectively employed by radiologists and neurologists for the differential diagnoses of neurological disorders for decades, yet no AI-powered systems to analyze such scans have been incorporated into the standard operating procedures of healthcare systems. Why? It is absolutely understandable that in diagnostic medicine, precious human lives are on the line, and hence there is no room even for the tiniest of mistakes. Nevertheless, with the advent of explainable artificial intelligence (XAI), the old-school black boxes of deep learning (DL) systems have been unraveled. Would XAI be the turning point for medical experts to finally embrace AI in diagnostic radiology? This review is a humble endeavor to find the answers to these questions. Methods: In this review, we present the journey and contributions of AI in developing systems to recognize, preprocess, and analyze brain MRI scans for differential diagnoses of various neurological disorders, with special emphasis on CAD systems embedded with explainability. A comprehensive review of the literature from 2017 to 2024 was conducted using host databases. We also present medical domain experts’ opinions and summarize the challenges up ahead that need to be addressed in order to fully exploit the tremendous potential of XAI in its application to medical diagnostics and serve humanity. Results: Forty-seven studies were summarized and tabulated with information about the XAI technology and datasets employed, along with performance accuracies. The strengths and weaknesses of the studies have also been discussed. In addition, the opinions of seven medical experts from around the world have been presented to guide engineers and data scientists in developing such CAD tools. Conclusions: Current CAD research was observed to be focused on the enhancement of the performance accuracies of the DL regimens, with less attention being paid to the authenticity and usefulness of explanations. A shortage of ground truth data for explainability was also observed. Visual explanation methods were found to dominate; however, they might not be enough, and more thorough and human professor-like explanations would be required to build the trust of healthcare professionals. Special attention to these factors along with the legal, ethical, safety, and security issues can bridge the current gap between XAI and routine clinical practice. Full article
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