Search Results (14)

We developed a machine vision-based robotic system to address automation challenges in pharmaceutical pill sorting and packaging. The hardware platform integrates a high-resolution industrial camera with an HSR-CR605 robotic arm. Image processing leverages the VisionMaster 4.3.0 platform for color classification and positioning. Coordinate mapping between camera and robot is established through a three-point calibration method, with real-time communication realized via the Modbus/TCP protocol. Experimental validation demonstrates that the system achieves 95% recognition accuracy under conditions of pill overlap ≤ 30% and dynamic illumination of 50–1000 lux, ±0.5 mm picking precision, and a sorting efficiency of108 pills per minute. These results confirm the feasibility of integrating domestic hardware and algorithms, providing an efficient automated solution for the pharmaceutical industry. This work makes three key contributions: (1) demonstrating a cost-effective domestic hardware-software integration achieving 42% cost reduction while maintaining comparable performance to imported alternatives, (2) establishing a systematic validation methodology under industrially-relevant conditions that provides quantitative robustness metrics for pharmaceutical automation, and (3) offering a practical implementation framework validated through multi-scenario experiments that bridges the gap between laboratory research and production-line deployment. Full article

This paper proposes a drug classification system using convolutional neural network (CNN) training and rotational pill dropping technology. Images of 40 pills for each of 102 types (total 4080 images) were captured, achieving a CNN classification accuracy of 88.8%. The system uses a bowl feeder with optimized operating parameters—voltage, torque, PWM, tilt angle, vibration amplitude (0.2–1.5 mm), and frequency (4–40 Hz)—to ensure stable, sequential pill movement without loss or clumping. Performance tests were conducted at 5 V, 20 rpm, 20% PWM (@40 Hz), and 1.5 mm vibration amplitude. The bowl feeder structure tolerates oblique angles up to 75°, enabling precise pill alignment and classification. The CNN model plays a key role in accurate pill detection and classification. Full article

Background: Abnormal uterine bleeding (AUB) is a common gynecological complaint affecting women of reproductive age. This study aimed to explore the management of AUB using the FIGO PALM-COEIN classification system. Methods: A cross-sectional study was conducted at King Abdullah bin Abdulaziz University Hospital, reviewing 500 medical records of women aged 20–50 years with AUB. Data on demographics, clinical characteristics, PALM-COEIN classification, and treatment modalities were collected and analyzed. Results: The majority of participants were aged 20–29 years (43%) and overweight or obese (64.2%). Ovulatory dysfunction (31.6%) was the most common identifiable cause of AUB, followed by leiomyoma (16.8%). Hormonal treatments, particularly combined oral contraceptive pills, were associated with improved outcomes (OR = 2.15, p < 0.001) and reduced anemia prevalence (p = 0.042). Age (OR = 0.95, p = 0.015) and BMI (OR = 1.10, p = 0.005) were significant predictors of treatment response. The presence of leiomyoma decreased the odds of treatment success (OR = 0.55, p = 0.007), while ovulatory dysfunction increased the likelihood of response (OR = 1.75, p = 0.003). Conclusions: The study highlights the complex nature of AUB and the effectiveness of hormonal treatments in its management. Findings emphasize the need for individualized treatment approaches based on the underlying etiology and patient characteristics. Future research should focus on long-term outcomes and optimizing management strategies for complex cases. Full article

The accurate identification of pills is essential for their safe administration in the medical field. Despite technological advancements, pill classification encounters hurdles such as ambiguous images, pattern similarities, mixed pills, and variations in pill shapes. A significant factor is the inability of 2D imaging to capture a pill’s 3D structure efficiently. Additionally, the scarcity of diverse datasets reflecting various pill shapes and colors hampers accurate prediction. Our experimental investigation shows that while color-based classification obtains a 95% accuracy rate, shape-based classification only reaches 66%, underscoring the inherent difficulty distinguishing between pills with similar patterns. In response to these challenges, we propose a novel system integrating Multi Combination Pattern Labeling (MCPL), a new method designed to accurately extract feature points and pill patterns. MCPL extracts feature points invariant to rotation and scale and effectively identifies unique edges, thereby emphasizing pills’ contour and structural features. This innovative approach enables the robust extraction of information regarding various shapes, sizes, and complex pill patterns, considering even the 3D structure of the pills. Experimental results show that the proposed method improves the existing recognition performance by about 1.2 times. By improving the accuracy and reliability of pill classification and recognition, MCPL can significantly enhance patient safety and medical efficiency. By overcoming the limitations inherent in existing classification methods, MCPL provides high-accuracy pill classification, even with constrained datasets. It substantially enhances the reliability of pill classification and recognition, contributing to improved patient safety and medical efficiency. Full article

Background: Wireless capsule endoscopy (WCE) has significantly advanced the diagnosis of gastrointestinal (GI) diseases by allowing for the non-invasive visualization of the entire small intestine. However, machine learning-based methods for organ classification in WCE often rely on color information, leading to decreased performance when obstacles such as food debris are present. This study proposes a novel model that integrates convolutional neural networks (CNNs) and long short-term memory (LSTM) networks to analyze multiple frames and incorporate temporal information, ensuring that it performs well even when visual information is limited. Methods: We collected data from 126 patients using PillCam™ SB3 (Medtronic, Minneapolis, MN, USA), which comprised 2,395,932 images. Our deep learning model was trained to identify organs (stomach, small intestine, and colon) using data from 44 training and 10 validation cases. We applied calibration using a Gaussian filter to enhance the accuracy of detecting organ boundaries. Additionally, we estimated the transit time of the capsule in the gastric and small intestine regions using a combination of a convolutional neural network (CNN) and a long short-term memory (LSTM) designed to be aware of the sequence information of continuous videos. Finally, we evaluated the model’s performance using WCE videos from 72 patients. Results: Our model demonstrated high performance in organ classification, achieving an accuracy, sensitivity, and specificity of over 95% for each organ (stomach, small intestine, and colon), with an overall accuracy and F1-score of 97.1%. The Matthews Correlation Coefficient (MCC) and Geometric Mean (G-mean) were used to evaluate the model’s performance on imbalanced datasets, achieving MCC values of 0.93 for the stomach, 0.91 for the small intestine, and 0.94 for the colon, and G-mean values of 0.96 for the stomach, 0.95 for the small intestine, and 0.97 for the colon. Regarding the estimation of gastric and small intestine transit times, the mean time differences between the model predictions and ground truth were 4.3 ± 9.7 min for the stomach and 24.7 ± 33.8 min for the small intestine. Notably, the model’s predictions for gastric transit times were within 15 min of the ground truth for 95.8% of the test dataset (69 out of 72 cases). The proposed model shows overall superior performance compared to a model using only CNN. Conclusions: The combination of CNN and LSTM proves to be both accurate and clinically effective for organ classification and transit time estimation in WCE. Our model’s ability to integrate temporal information allows it to maintain high performance even in challenging conditions where color information alone is insufficient. Including MCC and G-mean metrics further validates the robustness of our approach in handling imbalanced datasets. These findings suggest that the proposed method can significantly improve the diagnostic accuracy and efficiency of WCE, making it a valuable tool in clinical practice for diagnosing and managing GI diseases. Full article

Dispensing errors play a crucial role in various medical errors, unfortunately emerging as the third leading cause of death in the United States. This alarming statistic has spurred the World Health Organization (WHO) into action, leading to the initiation of the Medication Without Harm Campaign. The primary objective of this campaign is to prevent dispensing errors from occurring and ensure patient safety. Due to the rapid development of deep learning technology, there has been a significant increase in the development of automatic dispensing systems based on deep learning classification to avoid dispensing errors. However, most previous studies have focused on developing deep learning classification systems for unpackaged pills or drugs with the same type of packaging. However, in the actual dispensing process, thousands of similar drugs with diverse packaging within a healthcare facility greatly increase the risk of dispensing errors. In this study, we proposed a novel two-stage induced deep learning (TSIDL)-based system to classify similar drugs with diverse packaging efficiently. The results demonstrate that the proposed TSIDL method outperforms state-of-the-art CNN models in all classification metrics. It achieved a state-of-the-art classification accuracy of 99.39%. Moreover, this study also demonstrated that the TSIDL method achieved an inference time of only 3.12 ms per image. These results highlight the potential of real-time classification for similar drugs with diverse packaging and their applications in future dispensing systems, which can prevent dispensing errors from occurring and ensure patient safety efficiently. Full article

When doctors are fatigued, they often make diagnostic errors. Similarly, pharmacists may also make mistakes in dispensing medication. Therefore, object segmentation plays a vital role in many healthcare-related areas, such as symptom analysis in biomedical imaging and drug classification. However, many traditional deep-learning algorithms use a single view of an image for segmentation or classification. When the image is blurry or incomplete, these algorithms fail to segment the pathological area or the shape of the drugs accurately, which can then affect subsequent treatment plans. Consequently, we propose the Fuzzy DBNet, which combines the dual butterfly network and the fuzzy ASPP in a deep-learning network and processes images from both sides of an object simultaneously. Our experiments used multi-category pill and lung X-ray datasets for training. The average Dice coefficient of our proposed model reached 95.05% in multi-pill segmentation and 97.05% in lung segmentation. The results showed that our proposed model outperformed other state-of-the-art networks in both applications, demonstrating that our model can use multiple views of an image to obtain image segmentation or identification. Full article

Medication should be consumed as prescribed with little to zero margins for errors, otherwise consequences could be fatal. Due to the pervasiveness of camera-equipped mobile devices, patients and practitioners can easily take photos of unidentified pills to avert erroneous prescriptions or consumption. This area of research goes under the umbrella of information retrieval and, more specifically, image retrieval or recognition. Several studies have been conducted in the area of image retrieval in order to propose accurate models, i.e., accurately matching an input image with stored ones. Recently, neural networks have been shown to be effective in identifying digital images. This study aims to provide an enhancement to image retrieval in terms of accuracy and efficiency through image segmentation and classification. This paper suggests three neural network (CNN) architectures: two models that are hybrid networks paired with a classification method (CNN+SVM and CNN+kNN) and one ResNet-50 network. We perform various preprocessing steps by using several detection techniques on the selected dataset. We conduct extensive experiments using a real-life dataset obtained from the National Library of Medicine database. The results demonstrate that our proposed model is capable of deriving an accuracy of 90.8%. We also provide a comparison of the above-mentioned three models with some existing methods, and we notice that our proposed CNN+kNN architecture improved the pill image retrieval accuracy by 10% compared to existing models. Full article

Objective: In Lithuania, no comprehensive national research on statin utilization and trends has yet been undertaken. Nonetheless, this knowledge is critical for the healthcare system to identify key areas for development. We aimed to analyze trends in statin utilization in Lithuania from the past 12 years considering changes in reimbursement policies and the publication of updated international CVD prevention guidelines. Methods: We performed a retrospective, descriptive study of statin utilization in Lithuania from 2010 to 2021. The data were obtained from PharmaZOOM LT, an independent software supplier with nationwide coverage on pharmaceutical market data. The data coverage was 95%. We used anatomical therapeutic chemical (ATC) classification for data extraction and calculated defined daily doses (DDDs) according to the ATC/DDD Toolkit of World Health Organization according to statin dose in a pill. Results: Statin use increased overall from 8.28 DDD/TID in 2010 to 96.06 DDD/TID in 2021. The annual growth rate in sales of statin DDD/TID was 22.28%. The increase was mostly due to the increase in moderate- and high-intensity statins. The increases coincided with changes in reimbursement policy or the publication of international guidelines. Polypill use in Lithuania began steadily increasing after 2016 and reached 19.37% of the total DDD/TID of statins in 2021. Conclusions: The use of statins has increased dramatically in Lithuania over the last decade. Changes in statin reimbursement regulations in the country, as well as worldwide cardiovascular preventive recommendations aiming at lower LDL-C objectives, fueled the progress. Full article

Long-term adherence to medication is of critical importance for the successful management of chronic diseases. Objective tools to track oral medication adherence are either lacking, expensive, difficult to access, or require additional equipment. To improve medication adherence, cheap and easily accessible objective tools able to track compliance levels are necessary. A tool to monitor pill intake that can be implemented in mobile health solutions without the need for additional devices was developed. We propose a pill intake detection tool that uses digital image processing to analyze images of a blister to detect the presence of pills. The tool uses the Circular Hough Transform as a feature extraction technique and is therefore primarily useful for the detection of pills with a round shape. This pill detection tool is composed of two steps. First, the registration of a full blister and storing of reference values in a local database. Second, the detection and classification of taken and remaining pills in similar blisters, to determine the actual number of untaken pills. In the registration of round pills in full blisters, 100% of pills in gray blisters or blisters with a transparent cover were successfully detected. In the counting of untaken pills in partially opened blisters, 95.2% of remaining and 95.1% of taken pills were detected in gray blisters, while 88.2% of remaining and 80.8% of taken pills were detected in blisters with a transparent cover. The proposed tool provides promising results for the detection of round pills. However, the classification of taken and remaining pills needs to be further improved, in particular for the detection of pills with non-oval shapes. Full article

The aim of this study was to investigate the association between frailty and polypharmacy using three different frailty screening tools. This was a cross-sectional study of people aged ≥65 years. Participants were included and interviewed using questionnaires. Polypharmacy was defined as the daily use of eight or more pills. Frailty was assessed using a screening tool, including (1) the Fatigue, Resistance, Ambulation, Illness and Loss of Weight Index (5-item FRAIL scale), (2) the Cardiovascular Health Phenotypic Classification of Frailty (CHS_PCF) index (Fried’s Frailty Phenotype), and (3) the Study of Osteoporotic Fracture (SOF) scale. A total of 205 participants (mean age: 71.1 years; 53.7% female) fulfilled our inclusion criteria. The proportion of patients with polypharmacy was 14.1%. After adjustments were made for comorbidity or potential confounders, polypharmacy was associated with frailty on the 5-item FRAIL scale (adjusted odds ratio [aOR]: 9.12; 95% confidence interval [CI]: 3.6–23.16), CHS_PCF index (aOR: 8.98; 95% CI: 2.51–32.11), and SOF scale (aOR: 6.10; 95% CI: 1.47–25.3). Polypharmacy was associated with frailty using three frailty screening tools. Future research is required to further enhance our understanding of the risk of frailty among older adults. Full article

Spinopelvic mobility represents the complex interaction of hip, pelvis, and spine. Understanding this interaction is relevant for both arthroplasty and spine surgeons, as a predicted increasing number of patients will suffer from hip and spinal pathologies simultaneously. We conducted a comprehensive literature review, defined the nomenclature, summarized the various classifications of spinopelvic mobility, and outlined the corresponding treatment algorithms. In addition, we developed a step-by-step workup for spinopelvic mobility and total hip arthroplasty (THA). Normal spinopelvic mobility changes from standing to sitting; the hip flexes, and the posterior pelvic tilt increases with a concomitant increase in acetabular anteversion and decreasing lumbar lordosis. Most classifications are based on a division of spinopelvic mobility based on ΔSS (sacral slope) into stiff, normal, and hypermobile, and a categorization of the sagittal spinal balance regarding pelvic incidence (PI) and lumbar lordosis (LL) mismatch (PI–LL = ± 10° balanced versus PI–LL > 10° unbalanced) and corresponding adjustment of the acetabular component implantation. When performing THA, patients with suspected pathologic spinopelvic mobility should be identified by medical history and examination, and a radiological evaluation (a.p. pelvis standing and lateral femur to L1 or C7 (if EOS (EOS imaging, Paris, France) is available), respectively, for standing and sitting radiographs) of spinopelvic parameters should be conducted in order to classify the patient and determine the appropriate treatment strategy. Spine surgeons, before planned spinal fusion in the presence of osteoarthritis of the hip, should consider a hip flexion contracture and inform the patient of an increased risk of complications with existing or planned THA. Full article

A manufacturer’s fabric first undergoes an abrasion test and manual visual inspection to grade the fabric prior to shipment to ensure that there are no defects present. Manual visual classification consumes a considerable amount of human resources. Furthermore, extended use of the eyes during visual inspection often causes occupational injuries, resulting in a decrease in the efficiency of the entire operation. In order to overcome and avoid such situations, this study proposed the use of deep principal components analysis-based neural networks (DPCANNs) for fabric pilling identification. In the proposed DPCANN, the characteristics of the hairball were automatically captured using deep principal components analysis (DPCA), and the hairball class was identified using the neural network and the support vector machine (SVM). The experimental results showed that the proposed DPCANN has an average accuracy of 99.7% at the hairball level, which is in line with the needs of the industry. The results also confirmed that the proposed hairball classification method is superior to other methods. Full article

Textile pilling causes an undesirable appearance on the surface of garments, which is a long-standing problem. In this study, textile grading of fleece based on pilling assessment was performed using image processing and machine learning methods. Two image processing methods were used. The first method involved using the discrete Fourier transform combined with Gaussian filtering, and the second method involved using the Daubechies wavelet. Furthermore, binarization was used to segment the textile pilling from the background. Morphological and topological image processing methods were applied to extract the essential characteristics of textile image information to establish a database for the textile. Finally, machine learning methods, namely the artificial neural network (ANN) and the support vector machine (SVM), were used to objectively solve the textile grading problem. When the Fourier-Gaussian method was used, the classification accuracies of the ANN and SVM were 96.6% and 95.3%, and the overall accuracies of the Daubechies wavelet were 96.3% and 90.9%, respectively. Full article