2024
Autores
Amaro, M; Oliveira, HP; Pereira, T;
Publicação
2024 IEEE 37TH INTERNATIONAL SYMPOSIUM ON COMPUTER-BASED MEDICAL SYSTEMS, CBMS 2024
Abstract
Lung Cancer (LC) is still among the top main causes of death worldwide, and it is the leading death number among other cancers. Several AI-based methods have been developed for the early detection of LC, trying to use Computed Tomography (CT) images to identify the initial signs of the disease. The survival prediction could help the clinicians to adequate the treatment plan and all the proceedings, by the identification of the most severe cases that need more attention. In this study, several deep learning models were compared to predict the survival of LC patients using CT images. The best performing model, a CNN with 3 layers, achieved an AUC value of 0.80, a Precision value of 0.56 and a Recall of 0.64. The obtained results showed that CT images carry information that can be used to assess the survival of LC.
2025
Autores
Silva, F; Oliveira, HP; Pereira, T;
Publicação
ACM COMPUTING SURVEYS
Abstract
The large gap between the generalization level of state-of-the-art machine learning and human learning systems calls for the development of artificial intelligence (AI) models that are truly inspired by human cognition. In tasks related to image analysis, searching for pixel-level regularities has reached a power of information extraction still far from what humans capture with image-based observations. This leads to poor generalization when even small shifts occur at the level of the observations. We explore a perspective on this problem that is directed to learning the generative process with causality-related foundations, using models capable of combining symbolic manipulation, probabilistic reasoning, and pattern recognition abilities. We briefly review and explore connections of research from machine learning, cognitive science, and related fields of human behavior to support our perspective for the direction to more robust and human-like artificial learning systems.
2024
Autores
Fernandes, L; Pereira, T; Oliveira, HP;
Publicação
2024 IEEE 37TH INTERNATIONAL SYMPOSIUM ON COMPUTER-BASED MEDICAL SYSTEMS, CBMS 2024
Abstract
Currently, lung cancer is one of the deadliest diseases that affects millions of people globally. However, Artificial Intelligence is being increasingly integrated with healthcare practices, with the goal to aid in the early diagnosis of lung cancer. Although such methods have shown very promising results, they still lack transparency to the user, which consequently could make their generalised adoption a challenging task. Therefore, in this work we explore the use of post-hoc explainable methods, to better understand the inner-workings of an already established multitasking framework that executes the segmentation and the classification task of lung nodules simultaneously. The idea behind such study is to understand how a multitasking approach impacts the model's performance in the lung nodule classification task when compared to single-task models. Our results show that the multitasking approach works as an attention mechanism by aiding the model to learn more meaningful features. Furthermore, the multitasking framework was able to achieve a better performance in regard to the explainability metric, with an increase of 7% when compared to our baseline, and also during the classification and segmentation task, with an increase of 4.84% and 15.03%; for each task respectively, when also compared to the studied baselines.
2024
Autores
Pinheiro, C; Figueiredo, J; Pereira, T; Santos, CP;
Publicação
ROBOT 2023: SIXTH IBERIAN ROBOTICS CONFERENCE, VOL 2
Abstract
Biofeedback is a promising tool to complement conventional physical therapy by fostering active participation of neurologically impaired patients during treatment. This work aims at a user-centered design and usability assessment for different age groups of a novel wearable augmented reality application composed of a multimodal sensor network and corresponding control strategies for personalized biofeedback during gait training. The proposed solution includes wearable AR glasses that deliver visual cues controlled in real-time according to mediolateral center of mass position, sagittal ankle angle, or tibialis anterior muscle activity from inertial and EMG sensors. Control strategies include positive and negative reinforcement conditions and are based on the user's performance by comparing real-time sensor data with an automatically user-personalized threshold. The proposed solution allows ambulatory practice on daily scenarios, physiotherapists' involvement through a laptop screen, and contributes to further benchmark biofeedback regarding the type of sensor. Although old healthy adults with low academic degrees have a preference for guidance from an expert person, excellent usability scores (SUS scores: 81.25-96.87) were achieved with young and middle-aged healthy adults and one neurologically impaired patient.
2025
Autores
Ribeiro, R; Neves, I; Oliveira, HP; Pereira, T;
Publicação
Comput. Biol. Medicine
Abstract
Traumatic Brain Injury (TBI) is a form of brain injury caused by external forces, resulting in temporary or permanent impairment of brain function. Despite advancements in healthcare, TBI mortality rates can reach 30%–40% in severe cases. This study aims to assist clinical decision-making and enhance patient care for TBI-related complications by employing Artificial Intelligence (AI) methods and data-driven approaches to predict decompensation. This study uses learning models based on sequential data from Electronic Health Records (EHR). Decompensation prediction was performed based on 24-h in-mortality prediction at each hour of the patient's stay in the Intensive Care Unit (ICU). A cohort of 2261 TBI patients was selected from the MIMIC-III dataset based on age and ICD-9 disease codes. Logistic Regressor (LR), Long-short term memory (LSTM), and Transformers architectures were used. Two sets of features were also explored combined with missing data strategies by imputing the normal value, data imbalance techniques with class weights, and oversampling. The best performance results were obtained using LSTMs with the original features with no unbalancing techniques and with the added features and class weight technique, with AUROC scores of 0.918 and 0.929, respectively. For this study, using EHR time series data with LSTM proved viable in predicting patient decompensation, providing a helpful indicator of the need for clinical interventions. © 2025 Elsevier Ltd
2025
Autores
Gouveia, M; Mendes, T; Rodrigues, EM; Oliveira, HP; Pereira, T;
Publicação
APPLIED SCIENCES-BASEL
Abstract
Lung cancer stands as the most prevalent and deadliest type of cancer, with adenocarcinoma being the most common subtype. Computed Tomography (CT) is widely used for detecting tumours and their phenotype characteristics, for an early and accurate diagnosis that impacts patient outcomes. Machine learning algorithms have already shown the potential to recognize patterns in CT scans to classify the cancer subtype. In this work, two distinct pipelines were employed to perform binary classification between adenocarcinoma and non-adenocarcinoma. Firstly, radiomic features were classified by Random Forest and eXtreme Gradient Boosting classifiers. Next, a deep learning approach, based on a Residual Neural Network and a Transformer-based architecture, was utilised. Both 2D and 3D CT data were initially explored, with the Lung-PET-CT-Dx dataset being employed for training and the NSCLC-Radiomics and NSCLC-Radiogenomics datasets used for external evaluation. Overall, the 3D models outperformed the 2D ones, with the best result being achieved by the Hybrid Vision Transformer, with an AUC of 0.869 and a balanced accuracy of 0.816 on the internal test set. However, a lack of generalization capability was observed across all models, with the performances decreasing on the external test sets, a limitation that should be studied and addressed in future work.
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