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Automated surface matching using mutual information applied to Riemann surface structures.

Many medical imaging applications require the computation of dense correspondence vector fields that match one surface with another. To avoid the need for a large set of manually-defined landmarks to constrain these surface correspondences, we developed an algorithm to automate the matching of surface features. It extends the mutual information method to automatically match general 3D surfaces (including surfaces with a branching topology). First, we use holomorphic 1-forms to induce consistent conformal grids on both surfaces. High genus surfaces are mapped to a set of rectangles in the Euclidean plane, and closed genus-zero surfaces are mapped to the sphere. Mutual information is used as a cost functional to drive a fluid flow in the parameter domain that optimally aligns stable geometric features (mean curvature and the conformal factor) in the 2D parameter domains. A diffeomorphic surface-to-surface mapping is then recovered that matches anatomy in 3D. We also present a spectral method that ensures that the grids induced on the target surface remain conformal when pulled through the correspondence field. Using the chain rule, we express the gradient of the mutual information between surfaces in the conformal basis of the source surface. This finite-dimensional linear space generates all conformal reparameterizations of the surface. We apply the method to hippocampal surface registration, a key step in subcortical shape analysis in Alzheimer's disease and schizophrenia.

Algorithms↗

CADIAG: approaches to computer-assisted medical diagnosis.

CADIAG-1 is a medical expert system, based on a symbolic logic representation of medical relationships. Strong relationships such as confirming, excluding or obligatory occurrence are applied to confirm or exclude diagnoses. Weak relationships are represented by facultative and not confirming relationships (FN-relationships). Diagnostic hypotheses are established by systematic combination of symptoms showing FN-relationships. CADIAG-2, a medical expert system based on fuzzy set theory and fuzzy logic, allows detailed specification of medical relationships. Here the diagnostic process also provides confirmed and excluded diagnoses as well as diagnostic hypotheses. Hypotheses are calculated by considering fuzzy relationships between medical entities. 426 cases with rheumatic and 47 cases with pancreatic diseases were tested. For CADIAG-1, the overall accuracy for confirmation and hypothesis generation is calculated with 91.1% for rheumatic diseases and 100% for pancreatic diseases. CADIAG-2 reached an overall accuracy of 93.7% for rheumatic cases and 91.5% for pancreatic cases.

Artificial Intelligence↗

Biologically inspired adaptive walking of a quadruped robot.

We describe here the efforts to induce a quadruped robot to walk with medium-walking speed on irregular terrain based on biological concepts. We propose the necessary conditions for stable dynamic walking on irregular terrain in general, and we design the mechanical and the neural systems by comparing biological concepts with those necessary conditions described in physical terms. PD-controller at joints constructs the virtual spring-damper system as the viscoelasticity model of a muscle. The neural system model consists of a central pattern generator (CPG), reflexes and responses. We validate the effectiveness of the proposed neural system model control using the quadruped robots called 'Tekken1&2'. MPEG footage of experiments can be seen at http://www.kimura.is.uec.ac.jp.

Animals↗

Trend recognition in clinical signals using template-based methods.

The recognition of clinically significant trends in monitored signals plays an important role in many medical diagnostic applications. A template-based system technique to identify characteristic patterns in time-series data is described, based on fuzzy logic. Fuzzy set theory allows the creation of fuzzy templates from linguistic rules. The resulting fuzzy template system can accommodate multiple time signals, relative or absolute trends, and automatically generates a normalised "goodness of fit" score. The template approach was originally developed for monitoring during anaesthesia but has the potential to be useful in other domains that require temporal pattern recognition.

Artificial Intelligence↗

Feature selection for examining behavior by pathology laboratories.

Australia has a universal health insurance scheme called Medicare, which is managed by Australia's Health Insurance Commission. Medicare payments for pathology services generate voluminous transaction data on patients, doctors and pathology laboratories. The Health Insurance Commission (HIC) currently uses predictive models to monitor compliance with regulatory requirements. The HIC commissioned a project to investigate the generation of new features from the data. Feature generation has not appeared as an important step in the knowledge discovery in databases (KDD) literature. New interesting features for use in predictive modeling are generated. These features were summarized, visualized and used as inputs for clustering and outlier detection methods. Data organization and data transformation methods are described for the efficient access and manipulation of these new features.

Artificial Intelligence↗

Dreams of the rarebit fiend: neuromedical synthesis of unconscious meaning.

A promising new "ecumenical" movement in psychiatry attempts to synthesize the two great intellectual traditions, psychoanalysis and neurobiology, so that we may avoid splitting the care of the patient into the partial domains of biotherapy that lacks the understanding of mental interrelations and purely psychological psychotherapy that lacks an appreciation of the embeddedness of mental processes in brain function. Recent synthetic work is assessed, taking as a point of departure an historic symposium in Pittsburgh, October 26-27, 1984, entitled "Neurobiology and the Unconscious: Psychoanalysis Looks Toward the Future." The means of representation of meaning (whose description was begun by Freud) in such unconscious material as dreams and folklore show the imprint of the brain function in which they are imbedded. Our afferent and efferent processes, including language, are patterned by their neuromedical basis. Linkages will be sought of representational images to visual, vestibular, and neuromotor traces: evidence that the human "thinking machine" is a very human body rather than some disembodied psychological self or computer simulation by artificial intelligence programming. Illustrative material is in part drawn from the popular dream episodes cartooned by Winsor McCay, which were considered graphic masterpieces, and incorporated representations of many normal unconscious brain mechanisms, including unusual perspectives, vestibular sensations, neuromotor inhibitions, transformations; visual and linguistic distortions, bizarre bodily intrusions, and sexual symbols. J. Allen Hobson and R.W. McCarley's 1977 arguments for the determining the significance of the pontine dream generator may have been anticipated by McCay's 1905 Dreams of the Rarebit Fiend in which, at the end of each very Freudian nightmare, the dreamer wakes and swears off eating welsh rarebits as if they caused all his unconscious images. To avoid a biological reductiveness, Freud, whom Sulloway (1983) has described as a biologist of the mind, resorted to presenting psychoanalysis as a pure psychology, not because he ever doubted the neurological imbeddedness of mind, but only because he felt medical psychoanalysts were too easily seduced and distracted by neurological mechanisms of his day to appreciate properly the importance of psychodynamics. Increasing recognition of the imbeddedness of psychoanalysis in brain function is now timely and likely, providing fresh directions for both medical psychoanalysis and the neurosciences.(ABSTRACT TRUNCATED AT 400 WORDS)

Brain↗

"Live" neuron and optimal learning rule.

A concept of the live unit as an automatic regulation system with a few admissible states areas in the space of states is considered. Energetic profit of oscillatory behavior consisting in the consecutive transitions of system from one admissible states area to another is shown. It is stated, that external disturbances cause the energy consumption of oscillatory system to decrease. On the basis of this concept and some neurophysiological data, the "live" energy-consuming nonlinear three-state neuron model is proposed and the existence of energy optimal generation frequency v(opt) is proved. For the realization of tendency to v(opt) the optimal learning rule is proposed, which provides unsupervised learning and interlinked short-term and long-term memories with forgetting. The model proposed explains the genesis of neural network, is promising in the sense of network self-organization and allows to solve the problem of internal activity in the researches on artificial intelligence.

Biological Clocks↗

Model-based interpretation of the ECG: a methodology for temporal and spatial reasoning.

A new software architecture for automatic interpretation of the electrocardiographic rhythm is presented. Using the hypothesize-and-test paradigm, a semiquantitative physiological model and production rule-based knowledge are combined to reason about time- and space-varying characteristics of complex heart rhythms. A prototype system implementing the methodology accepts a semiquantitative description of the onset and morphology of the P waves and QRS complexes that are observed in the body-surface electrocardiogram. A beat-by-beat explanation of the origin and consequences of each wave is produced. The output is in the standard cardiology laddergram format. The current prototype generates the full differential diagnosis of narrow-complex tachycardia and correctly diagnoses complex rhythms, such as atrioventricular (AV) nodal reentrant tachycardia with either hidden or visible P waves and varying degrees of AV block.

Artificial Intelligence↗

Hybrid bronchoscope tracking using a magnetic tracking sensor and image registration.

In this paper, we propose a hybrid method for tracking a bronchoscope that uses a combination of magnetic sensor tracking and image registration. The position of a magnetic sensor placed in the working channel of the bronchoscope is provided by a magnetic tracking system. Because of respiratory motion, the magnetic sensor provides only the approximate position and orientation of the bronchoscope in the coordinate system of a CT image acquired before the examination. The sensor position and orientation is used as the starting point for an intensity-based registration between real bronchoscopic video images and virtual bronchoscopic images generated from the CT image. The output transformation of the image registration process is the position and orientation of the bronchoscope in the CT image. We tested the proposed method using a bronchial phantom model. Virtual breathing motion was generated to simulate respiratory motion. The proposed hybrid method successfully tracked the bronchoscope at a rate of approximately 1 Hz.

Algorithms↗

Combining rule-based reasoning and mathematical modelling in diabetes care.

A prototype computer system utilising a model of carbohydrate metabolism linked to an expert system is described. The prototype which integrates quantitative and qualitative computational methodologies can be used to predict blood glucose profiles and adjust insulin doses in insulin-dependent (type I) diabetic subjects. A feedback loop insulin-dosage optimisation procedure which allows quantitative advice to be generated is also described. Possible clinical applications for the system, which is intended for educational use and clinically as a research tool to try and attain normoglycaemia, are discussed.

Algorithms↗

Automatic analysis of medical dialogue in the home hemodialysis domain: structure induction and summarization.

Spoken medical dialogue is a valuable source of information for patients and caregivers. This work presents a first step towards automatic analysis and summarization of spoken medical dialogue. We first abstract a dialogue into a sequence of semantic categories using linguistic and contextual features integrated in a supervised machine-learning framework. Our model has a classification accuracy of 73%, compared to 33% achieved by a majority baseline (p<0.01). We then describe and implement a summarizer that utilizes this automatically induced structure. Our evaluation results indicate that automatically generated summaries exhibit high resemblance to summaries written by humans. In addition, task-based evaluation shows that physicians can reasonably answer questions related to patient care by looking at the automatically generated summaries alone, in contrast to the physicians' performance when they were given summaries from a naïve summarizer (p<0.05). This work demonstrates the feasibility of automatically structuring and summarizing spoken medical dialogue.

Artificial Intelligence↗

The learning classifier system: an evolutionary computation approach to knowledge discovery in epidemiologic surveillance.

The learning classifier system (LCS) integrates a rule-based system with reinforcement learning and genetic algorithm-based rule discovery. This investigation reports on the design, implementation, and evaluation of EpiCS, a LCS adapted for knowledge discovery in epidemiologic surveillance. Using data from a large, national child automobile passenger protection program, EpiCS was compared with C4. 5 and logistic regression to evaluate its ability to induce rules from data that could be used to classify cases and to derive estimates of outcome risk, respectively. The rules induced by EpiCS were less parsimonious than those induced by C4.5, but were potentially more useful to investigators in hypothesis generation. Classification performance of C4.5 was superior to that of EpiCS (P<0.05). However, risk estimates derived by EpiCS were significantly more accurate than those derived by logistic regression (P<0.05).

Algorithms↗

Computer-assisted infrared identification of vapor-phase mixture components.

The IRBASE/MIXIR system was originally tested on interpretation of infrared spectra of condensed-phase mixtures. The system has now been adapted to allow interpretation of vapor-phase mixture spectra. The dynamic interpretation capabilities of the system have been expanded to allow runtime manipulation of complete peak lists, allowing generation of the optimum spectral description for the interpretation at hand. The modifications to the system are described, along with the results of testing on actual mixtures of varying complexity.

Artificial Intelligence↗

Probabilistic finite-state machines--part I.

Probabilistic finite-state machines are used today in a variety of areas in pattern recognition, or in fields to which pattern recognition is linked: computational linguistics, machine learning, time series analysis, circuit testing, computational biology, speech recognition, and machine translation are some of them. In Part I of this paper, we survey these generative objects and study their definitions and properties. In Part II, we will study the relation of probabilistic finite-state automata with other well-known devices that generate strings as hidden Markov models and n-grams and provide theorems, algorithms, and properties that represent a current state of the art of these objects.

Algorithms↗

Probabilistic finite-state machines--part II.

Probabilistic finite-state machines are used today in a variety of areas in pattern recognition or in fields to which pattern recognition is linked. In Part I of this paper, we surveyed these objects and studied their properties. In this Part II, we study the relations between probabilistic finite-state automata and other well-known devices that generate strings like hidden Markov models and n-grams and provide theorems, algorithms, and properties that represent a current state of the art of these objects.

Algorithms↗

A knowledge model for the interpretation and visualization of NLP-parsed discharged summaries.

At our institution, a Natural Language Processing (NLP) tool called MedLEE is used on a daily basis to parse medical texts including complete discharge summaries. MedLEE transforms written text into a generic structured format, which preserves the richness of the underlying natural language expressions by the use of concept modifiers (like change, certainty, degree and status). As a tradeoff, extraction of application-specific medical information is difficult without a clear understanding of how these modifiers combine. We report on a knowledge model for MedLEE modifiers that is helpful for a high level interpretation of NLP data and is used for the generation of two distinct views on NLP-parsed discharge summaries: A physician view offering a condensed overview of the severity of patient problems and a data mining view featuring binary problem states useful for machine learning.

Artificial Intelligence↗

Learning Boolean queries for article quality filtering.

Prior research has shown that Support Vector Machine models have the ability to identify high quality content-specific articles in the domain of internal medicine. These models, though powerful, cannot be used in Boolean search engines nor can the content of the models be verified via human inspection. In this paper, we use decision trees combined with several feature selection methods to generate Boolean query filters for the same domain and task. The resulting trees are generated automatically and exhibit high performance. The trees are understandable, manageable, and able to be validated by humans. The subsequent Boolean queries are sensible and can be readily used as filters by Boolean search engines.

Algorithms↗

Drug interaction ontology (DIO) for inferences of possible drug-drug interactions.

Drug Interaction Ontology (DIO) was developed for formal representation of pharmacological knowledge. It provides a fundamental framework for accumulation of reusable knowledge components in molecular pharmacology. Ontology was employed and implemented as a relational model. Some features include: 1) Drug-biomolecule interaction was assumed as a primitive knowledge element. 2) Symbolic representation was developed for drug-biomolecule interaction. Consequences of two conjugated units of interaction were defined by using symbols. These are applied for query development for identification of possible drug-drug interaction. 3) The triadic relationship model was developed as a ground model for bio-logical interactions and/or function, including semantic ones. One application of DIO is to support hypothesis generation of drug interaction by providing new hypotheses from a structured database storing literature information on known drug-biomolecule interactions. A knowledge base using DIO that contains information beginning with anti-cancer drugs is now under development. Detection of possible drug interaction was tested and its capacity to lead clinically known ones was confirmed. The system generated theoretically possible drug-drug interactions, which implies potential usefulness of new drugs to be tested before actual clinical application. In this paper, sorivudine and 5-fluorouracil mediated by dihydropyrimidine dehydrogenase are presented.

Arabinofuranosyluracil↗