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The gait speed affects the gait patterns (biomechanical and spatiotemporal parameters) of distinct age populations. Classification of normal, slow and fast walking is fundamental for understanding the effects of gait speed on the gait patterns and for proper evaluation of alternations associated with it. In this study, we extracted multimodal features such as time domain and entropy-based complexity measures from stride interval signals of healthy subjects moving with normal, slow and fast speeds. The classification between different gait speeds was performed using machine learning classifiers such as classification and regression tree (CART), support vector machine linear (SVM-L), Naïve Bayes, neural network, and ensemble classifiers (random forest (RF), XG boost, averaged neural network (AVNET)). The performance was evaluated in term of accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), p-value, area under the receiver operating characteristic curve (AUC). To distinguish the slow and normal gait walking, the highest performance was yielded in terms of accuracy (100%), p-value (0.004), and AUC (1.00) using RF, XGB-L followed by XGB-Tree with accuracy (88%), p-value (0.04) and AUC (1.00). To classify the fast and normal walking, the highest performance was obtained with accuracy (88%), p-value (0.04) using XGB-L, XGB-Tree and AVNET. The highest AUC (0.94) was obtained using NB. To discriminate the fast and slow gait walking, the highest performance was obtained using SVM-R, NNET, RF, AVNET with accuracy (88%), p-value (0.04) and AUC (0.94) using RF and AUC (0.96) using XGB-L.

Background: The large volume and suboptimal image quality of portable chest X-rays (CXRs) as a result of the COVID-19 pandemic could post significant challenges for radiologists and frontline physicians. Deep-learning artificial intelligent (AI) methods have the potential to help improve diagnostic efficiency and accuracy for reading portable CXRs., Purpose: The study aimed at developing an AI imaging analysis tool to classify COVID-19 lung infection based on portable CXRs., Materials and Methods: Public datasets of COVID-19 (N = 130), bacterial pneumonia (N = 145), non-COVID-19 viral pneumonia (N = 145), and normal (N = 138) CXRs were analyzed. Texture and morphological features were extracted. Five supervised machine-learning AI algorithms were used to classify COVID-19 from other conditions. Two-class and multi-class classification were performed. Statistical analysis was done using unpaired two-tailed t tests with unequal variance between groups. Performance of classification models used the receiver-operating characteristic (ROC) curve analysis., Results: For the two-class classification, the accuracy, sensitivity and specificity were, respectively, 100%, 100%, and 100% for COVID-19 vs normal; 96.34%, 95.35% and 97.44% for COVID-19 vs bacterial pneumonia; and 97.56%, 97.44% and 97.67% for COVID-19 vs non-COVID-19 viral pneumonia. For the multi-class classification, the combined accuracy and AUC were 79.52% and 0.87, respectively., Conclusion: AI classification of texture and morphological features of portable CXRs accurately distinguishes COVID-19 lung infection in patients in multi-class datasets. Deep-learning methods have the potential to improve diagnostic efficiency and accuracy for portable CXRs.

In this study, we ranked the Multimodal Features extracted from Congestive Heart Failure (CHF) and Normal Sinus Rhythm (NSR) subjects. We categorized the ranked features into 1 to 5 categories based on Empirical Receiver Operating Characteristics (EROC) values. Instead of using all multimodal features, we use high ranking features for detection of CHF and normal subjects. We employed powerful machine learning techniques such as Decision Tree (DT), Naïve Bayes (NB), SVM Gaussian, SVM RBF and SVM Polynomial. The performance was measured in terms of Sensitivity, Specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV), Accuracy, False Positive Rate (FPR), and area under the Receiver Operating characteristic Curve (AUC). The highest detection performance in terms of accuracy and AUC was obtained with all multimodal features using SVM Gaussian with Sensitivity (93.06%), Specificity (81.82%), Accuracy (88.79%) and AUC (0.95). Using the top five ranked features, the highest performance was obtained with SVM Gaussian yields accuracy (84.48%), AUC (0.86); top nine ranked features using Decision Tree and Naïve Bayes got accuracy (84.48%), AUC (0.88); last thirteen ranked features using SVM polynomial obtained accuracy (80.17%), AUC (0.84). The findings indicate that proposed approach with feature ranking can be very useful for automatic detection of congestive heart failure patients and can be very helpful for further decision making by the clinicians and physicians in order to decrease the mortality rate.

The adaptability of heart to external and internal stimuli is reflected by the heart rate variability (HRV). Reduced HRV can be a predictor of negative cardiovascular outcomes. Based on the nonlinear, nonstationary, and highly complex dynamics of the controlling mechanism of the cardiovascular system, linear HRV measures have limited capability to accurately analyze the underlying dynamics. In this study, we propose an automated system to analyze HRV signals by extracting multimodal features to capture temporal, spectral, and complex dynamics. Robust machine learning techniques, such as support vector machine (SVM) with its kernel (linear, Gaussian, radial base function, and polynomial), decision tree (DT), k-nearest neighbor (KNN), and ensemble classifiers, were employed to evaluate the detection performance. Performance was evaluated in terms of specificity, sensitivity, positive predictive value (PPV), negative predictive value (NPV), and area under the receiver operating characteristic curve (AUC). The highest performance was obtained using SVM linear kernel (TA = 93.1%, AUC = 0.97, 95% CI [lower bound = 0.04, upper bound = 0.89]), followed by ensemble subspace discriminant (TA = 91.4%, AUC = 0.96, 95% CI [lower bound 0.07, upper bound = 0.81]) and SVM medium Gaussian kernel (TA = 90.5%, AUC = 0.95, 95% CI [lower bound = 0.07, upper bound = 0.86]). The results reveal that the proposed approach can provide an effective and computationally efficient tool for automatic detection of congestive heart failure patients., Competing Interests: The authors declare that they have no conflicts of interest., (Copyright © 2020 Lal Hussain et al.)

Background: Brain tumor is the leading cause of death worldwide. It is obvious that the chances of survival can be increased if the tumor is identified and properly classified at an initial stage. MRI (Magnetic Resonance Imaging) is one source of brain tumors detection tool and is extensively used in the diagnosis of brain to detect blood clots. In the past, many researchers developed Computer-Aided Diagnosis (CAD) systems that help the radiologist to detect the abnormalities in an efficient manner., Objective: The aim of this research is to improve the brain tumor detection performance by proposing a multimodal feature extracting strategy and employing machine learning techniques., Methods: In this study, we extracted multimodal features such as texture, morphological, entropybased, Scale Invariant Feature Transform (SIFT), and Elliptic Fourier Descriptors (EFDs) from brain tumor imaging database. The tumor was detected using robust machine learning techniques such as Support Vector Machine (SVM) with kernels: polynomial, Radial Base Function (RBF), Gaussian; Decision Tree (DT), and Naïve Bayes. Most commonly used Jack-knife 10-fold Cross- Validation (CV) was used for testing and validation of dataset., Results: The performance was evaluated in terms of specificity, sensitivity, Positive Predictive Value (PPV), Negative Predictive Value (NPV), False Positive Rate (FPR), Total Accuracy (TA), Area under the receiver operating Curve (AUC), and P-value. The highest performance of 100% in terms of Specificity, Sensitivity, PPV, NPV, TA, AUC using Naïve Bayes classifiers based on entropy, morphological, SIFT and texture features followed by Decision Tree classifier with texture features (TA=97.81%, AUC=1.0) and SVM polynomial kernel with texture features (TA=94.63%). The highest significant p-value was obtained using SVM polynomial with texture features (P-value 2.65e-104) followed by SVM RB with texture features (P-value 1.96e-98)., Conclusion: The results reveal that Naïve Bayes followed by Decision Tree gives highest detection accuracy based on entropy, morphological, SIFT and texture features., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)

Prostate is a second leading causes of cancer deaths among men. Early detection of cancer can effectively reduce the rate of mortality caused by Prostate cancer. Due to high and multiresolution of MRIs from prostate cancer require a proper diagnostic systems and tools. In the past researchers developed Computer aided diagnosis (CAD) systems that help the radiologist to detect the abnormalities. In this research paper, we have employed novel Machine learning techniques such as Bayesian approach, Support vector machine (SVM) kernels: polynomial, radial base function (RBF) and Gaussian and Decision Tree for detecting prostate cancer. Moreover, different features extracting strategies are proposed to improve the detection performance. The features extracting strategies are based on texture, morphological, scale invariant feature transform (SIFT), and elliptic Fourier descriptors (EFDs) features. The performance was evaluated based on single as well as combination of features using Machine Learning Classification techniques. The Cross validation (Jack-knife k-fold) was performed and performance was evaluated in term of receiver operating curve (ROC) and specificity, sensitivity, Positive predictive value (PPV), negative predictive value (NPV), false positive rate (FPR). Based on single features extracting strategies, SVM Gaussian Kernel gives the highest accuracy of 98.34% with AUC of 0.999. While, using combination of features extracting strategies, SVM Gaussian kernel with texture + morphological, and EFDs + morphological features give the highest accuracy of 99.71% and AUC of 1.00.