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Biomedical subjects

I Kalatzis

Publications and source records attributed to I Kalatzis.

5 recordsLinked to original sources

Osteoarthritis severity of the hip by computer-aided grading of radiographic images.

A computer-aided classification system was developed for the assessment of the severity of hip osteoarthritis (OA). Sixty-four radiographic images of normal and osteoarthritic hips were digitized and enhanced. Employing the Kellgren and Lawrence scale, the hips were grouped by three experienced orthopaedists into three OA-severity categories: Normal, Mild/Moderate and Severe. Utilizing custom-developed software, 64 ROIs corresponding to the radiographic Hip Joint Spaces were manually segmented and novel textural features were generated. These features were used in the design of a two-level classification scheme for characterizing hips as normal or osteoarthritic (1st level) and as of Mild/Moderate or Severe OA (2nd level). At each classification level, an ensemble of three classifiers was implemented. The proposed classification scheme discriminated correctly all normal hips from osteoarthritic hips (100% accuracy), while the discrimination accuracy between Mild/Moderate and Severe osteoarthritic hips was 95.7%. The proposed system could be used as a diagnosis decision-supporting tool.

Aged↗

Assessing hip osteoarthritis severity utilizing a probabilistic neural network based classification scheme.

A computer-based classification system is proposed for the characterization of hips from pelvic radiographs as normal or osteoarthritic and for the discrimination among various grades of osteoarthritis (OA) severity. Pelvic radiographs of 18 patients with verified unilateral hip OA were evaluated by three experienced physicians, who assessed OA severity employing the Kellgren and Lawrence scale as: normal, mild/moderate and severe. Five run-length, 75 Laws' and 5 novel textural features were extracted from the digitized radiographic images of each patient's osteoarthritic and contralateral normal hip joint spaces (HJSs). Each one of the three sets of textural features (run-lengths, Laws' and novel features) was separately utilized for assigning hips into the three OA severity categories, by means of a probabilistic neural network (PNN) classifier based hierarchical tree structure. The highest classification accuracy (100%) for characterizing hips as normal, of mild/moderate or of severe OA was obtained for the novel textural features set. Additionally, the novel textural features were used to design a mathematical regression model for providing a quantitative estimation of OA severity. Measured OA severity values, as expressed by HJS-narrowing, correlated highly (r=0.85, p<0.001) with the predicted values by the mathematical regression model. The proposed system may be valuable in OA-patient management.

Aged↗

Design and implementation of an SVM-based computer classification system for discriminating depressive patients from healthy controls using the P600 component of ERP signals.

A computer-based classification system has been designed capable of distinguishing patients with depression from normal controls by event-related potential (ERP) signals using the P600 component. Clinical material comprised 25 patients with depression and an equal number of gender and aged-matched healthy controls. All subjects were evaluated by a computerized version of the digit span Wechsler test. EEG activity was recorded and digitized from 15 scalp electrodes (leads). Seventeen features related to the shape of the waveform were generated and were employed in the design of an optimum support vector machine (SVM) classifier at each lead. The outcomes of those SVM classifiers were selected by a majority-vote engine (MVE), which assigned each subject to either the normal or depressive classes. MVE classification accuracy was 94% when using all leads and 92% or 82% when using only the right or left scalp leads, respectively. These findings support the hypothesis that depression is associated with dysfunction of right hemisphere mechanisms mediating the processing of information that assigns a specific response to a specific stimulus, as those mechanisms are reflected by the P600 component of ERPs. Our method may aid the further understanding of the neurophysiology underlying depression, due to its potentiality to integrate theories of depression and psychophysiology.

Case-Control Studies↗

Development of the cubic least squares mapping linear-kernel support vector machine classifier for improving the characterization of breast lesions on ultrasound.

An efficient classification algorithm is proposed for characterizing breast lesions. The algorithm is based on the cubic least squares mapping and the linear-kernel support vector machine (SVM(LSM)) classifier. Ultrasound images of 154 confirmed lesions (59 benign and 52 malignant solid masses, 7 simple cysts, and 32 complicated cysts) were manually segmented by a physician using a custom developed software. Texture and outline features and the SVM(LSM) algorithm were used to design a hierarchical tree classification system. Classification accuracy was 98.7%, misdiagnosing 1 malignant an 1 benign solid lesions only. This system may be used as a second opinion tool to the radiologists.

Breast Diseases↗

Support vector machines based analysis of brain SPECT images for determining cerebral abnormalities in asymptomatic diabetic patients.

PURPOSE: An image processing method was developed to investigate whether brain SPECT images of patients with diabetes mellitus type II (DMII) and no brain damage differ from those of normal subjects. MATERIALS AND METHODS: Twenty-five DMII patients and eight healthy volunteers underwent brain 99mTc-Bicisate SPECT examination. A semi-automatic method, allowing for physician's interaction, was developed to delineate specific brain regions (ROIs) on the SPECT images. Twenty-eight features from the grey-level histogram and the spatial-dependence matrix were computed from numerous small image-samples collected from each specific ROI. Classification into 'diabetics' and 'non-diabetics' was performed for each ROI separately. The classical least squares-minimum distance (LSMD) classifier and the recently developed support vector machines (SVM) classifier were used. System performance was evaluated by means of the leave-one-out method; one sample was left out, the classifier was trained by the rest of the samples, and the left-out sample was classified. By repeating for all samples, the classifier's performance could be tested on data not incorporated in its design. RESULTS: Highest classification accuracies (LSMD: 97.8%, SVM: 99.1%) were achieved at the right occipital lobule employing two features, the standard deviation and entropy. For the rest of the ROIs classification accuracies ranged between 84.5 and 98.6%. CONCLUSION: Our findings indicate cerebral blood flow disruption in patients with DMII. The proposed system may assist physicians in evaluating cerebral blood flow in patients with DMII undergoing brain SPECT.

Adult↗