While classification is important for assessing adolescent idiopathic scoliosis (AIS), it however suffers from low interobserver and intraobserver reliability. Classification using ensemble methods may contribute to improving reliability using the proper 2D and 3D images of spine curvature features. In this study, we present two new techniques to describe the spine, namely, leave-one-out and fan leave-one-out. Using these techniques, three descriptors are computed from a stereoradiographic 3D reconstruction to describe the relationship between a vertebra and its neighbors. A dynamic ensemble selection method is introduced for automatic spine classification. The performance of the method is evaluated on a dataset containing 962 3D spine models categorized according to three curve types. With a log loss of 0.5623, the dynamic ensemble selection outperforms voting and stacking ensemble learning techniques. This method can improve intraobserver and interobserver reliability, identify the best combination of descriptors for characterizing spine curve types, and provide assistance to clinicians in the form of information to classify borderline curvature types. Graphical abstract ᅟ.
Many studies have been made on the language alterations that take place over the course of Alzheimer's disease (AD). As a consequence, it is now admitted that it is possible to discriminate between healthy and ailing patients solely based on the analysis of language production. Most of these studies, however, were made on very small samples-30 participants per study, on an average-, or involved a great deal of manual work in their analysis. In this paper, we present an automatic analysis of transcripts of elderly participants describing six common objects. We used partof-speech and lexical richness as linguistic features to train an SVM classifier to automatically discriminate between healthy and AD patients in the early and moderate stages. The participants, in the corpus used for this study, were 63 Spanish adults over 55 years old (29 controls and 34 AD patients). With an accuracy of 88%, our experimental results compare favorably to those relying on the manual extraction of attributes, providing evidence that the need for manual analysis can be overcome without sacrificing in performance.
X-ray imaging is currently the gold standard for the assessment of spinal deformities. The purpose of this study is to evaluate a freehand 3D ultrasound system for volumetric reconstruction of the spine. A setup consisting of an ultrasound scanner with a linear transducer, an electromagnetic measuring system and a workstation was used. We conducted 64 acquisitions of US images of 8 adults in a natural standing position, and we tested three setups: 1) Subjects are constrained to be close to a wall, 2) Subjects are unconstrained, and 3) Subjects are constrained to performing fast and slow acquisitions. The spinous processes were manually selected from the volume reconstruction from tracked ultrasound images to generate a 3D point-based model depicting the centerline of the spine. The results suggested that a freehand 3D ultrasound system can be suitable for representing the spine. Volumetric reconstructions can be computed and landmarking can be performed to model the surface of the spine in the 3D space. These reconstructions promise to generate computer-based descriptors to analyze the shape of the spine in the 3D space.Clinical Relevance-We provide clinicians with a protocol that could be integrated in clinical setups for the assessment and monitoring of AIS, based on US image acquisitions, which constitutes a radiation-free technology.
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