Journal Articles

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    Segmentation of intima media complex from carotid ultrasound images using wind driven optimization technique
    (Elsevier Ltd, 2018) Yamanakkanavar, Y.; Madipalli, P.; Rajan, J.; Kumar, P.K.; Narasimhadhan, A.V.
    Cardiovascular diseases are the third leading cause of death worldwide. The primitive indication of the possible onset of a cardiovascular disease is atherosclerosis, which is the accumulation of plaque on the arterial wall. The intima-media thickness (IMT) of the common carotid artery is an early marker of the development of cardiovascular disease. The computation of the IMT and the delineation of the carotid plaque are significant predictors for the clinical diagnosis of the risk of stroke. For a robust diagnosis, carotid ultrasound images must be free from speckle noise. To address this problem, we use state-of-the-art despeckling and enhancement methods in this work. Many edge-based methods for IMT estimation have been proposed to overcome the limitations of manual segmentation. In this paper, we present a fully automated region-of-interest (ROI) extraction and a threshold-based segmentation of the intima media complex (IMC) using a wind driven optimization (WDO) technique. A quantitative evaluation is carried out on 90 carotid ultrasound images of two different datasets. The obtained results are compared with those of state-of-the-art techniques such as a model-based approach, a dynamic programming method, and a snake segmentation method. The experimental analysis shows that the proposed method is robust in measuring the IMT in carotid ultrasound images. © 2017 Elsevier Ltd
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    Assessing mobile health applications with twitter analytics
    (Elsevier Ireland Ltd, 2018) Pai, R.R.; Alathur, S.
    Introduction: Advancement in the field of information technology and rise in the use of Internet has changed the lives of people by enabling various services online. In recent times, healthcare sector which faces its service delivery challenges started promoting and using mobile health applications with the intention of cutting down the cost making it accessible and affordable to the people. Objectives: The objective of the study is to perform sentiment analysis using the Twitter data which measures the perception and use of various mobile health applications among the citizens. Methods: The methodology followed in this research is qualitative with the data extracted from a social networking site “Twitter” through a tool RStudio. This tool with the help of Twitter Application Programming Interface requested one thousand tweets each for four different phrases of mobile health applications (apps) such as “fitness app” “diabetes app” “meditation app” and “cancer app”. Depending on the tweets, sentiment analysis was carried out, and its polarity and emotions were measured. Results: Except for cancer app there exists a positive polarity towards the fitness, diabetes, and meditation apps among the users. Following a system thinking approach for our results, this paper also explains the causal relationships between the accessibility and acceptability of mobile health applications which helps the healthcare facility and the application developers in understanding and analyzing the dynamics involved the adopting a new system or modifying an existing one. © 2018 Elsevier B.V.
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    Carotid wall segmentation in longitudinal ultrasound images using structured random forest
    (Elsevier Ltd, 2018) Yamanakkanavar, Y.; Asha, C.S.; Teja A, H.S.; Narasimhadhan, A.V.
    Edge detection is a primary image processing technique used for object detection, data extraction, and image segmentation. Recently, edge-based segmentation using structured classifiers has been receiving increasing attention. The intima media thickness (IMT) of the common carotid artery is mainly used as a primitive indicator for the development of cardiovascular disease. For efficient measurement of the IMT, we propose a fast edge-detection technique based on a structured random forest classifier. The accuracy of IMT measurement is degraded owing to the speckle noise found in carotid ultrasound images. To address this issue, we propose the use of a state-of-the-art denoising method to reduce the speckle noise, followed by an enhancement technique to increase the contrast. Furthermore, we present a novel approach for an automatic region of interest extraction in which a pre-trained structured random forest classifier algorithm is applied for quantifying the IMT. The proposed method exhibits IMTmean ± standard deviation of 0.66mm ± 0.14, which is closer to the ground truth value 0.67mm ± 0.15 as compared to the state-of-the-art techniques. © 2018 Elsevier Ltd
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    Combined radiogrammetry and texture analysis for early diagnosis of osteoporosis using Indian and Swiss data
    (Elsevier Ltd, 2018) Areeckal, A.S.; Kamath, J.; Zawadynski, S.; Kocher, M.; Sumam David, S.
    Osteoporosis is a bone disorder characterized by bone loss and decreased bone strength. The most widely used technique for detection of osteoporosis is the measurement of bone mineral density (BMD) using dual energy X-ray absorptiometry (DXA). But DXA scans are expensive and not widely available in low-income economies. In this paper, we propose a low cost pre-screening tool for the detection of low bone mass, using cortical radiogrammetry of third metacarpal bone and trabecular texture analysis of distal radius from hand and wrist radiographs. An automatic segmentation algorithm to automatically locate and segment the third metacarpal bone and distal radius region of interest (ROI) is proposed. Cortical measurements such as combined cortical thickness (CCT), cortical area (CA), percent cortical area (PCA) and Barnett Nordin index (BNI) were taken from the shaft of third metacarpal bone. Texture analysis of trabecular network at the distal radius was performed using features obtained from histogram, gray level Co-occurrence matrix (GLCM) and morphological gradient method (MGM). The significant cortical and texture features were selected using independent sample t-test and used to train classifiers to classify healthy subjects and people with low bone mass. The proposed pre-screening tool was validated on two ethnic groups, Indian sample population and Swiss sample population. Data of 134 subjects from Indian sample population and 65 subjects from Swiss sample population were analysed. The proposed automatic segmentation approach shows a detection accuracy of 86% in detecting the third metacarpal bone shaft and 90% in accurately locating the distal radius ROI. Comparison of the automatic radiogrammetry to the ground truth provided by experts show a mean absolute error of 0.04 mm for cortical width of healthy group, 0.12 mm for cortical width of low bone mass group, 0.22 mm for medullary width of healthy group, and 0.26 mm for medullary width of low bone mass group. Independent sample t-test was used to select the most discriminant features, to be used as input for training the classifiers. Pearson correlation analysis of the extracted features with DXA-BMD of lumbar spine (DXA-LS) shows significantly high correlation values. Classifiers were trained with the most significant features in the Indian and Swiss sample data. Weighted KNN classifier shows the best test accuracy of 78% for Indian sample data and 100% for Swiss sample data. Hence, combined automatic radiogrammetry and texture analysis is shown to be an effective low cost pre-screening tool for early diagnosis of osteoporosis. © 2018 Elsevier Ltd
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    Improving the catalytic efficiency of Fibrinolytic enzyme from Serratia marcescens subsp. sakuensis by chemical modification
    (Elsevier Ltd, 2018) Krishnamurthy, A.; Mundra, S.; Belur, P.D.
    Microbial fibrinolytic enzymes have gained increased attention due to their potential to prevent or cure cardiovascular diseases. Promising natural enzymes are often modified to improve/enhance the kinetic constants. Hence an attempt was made to chemically modify the fibrinolytic enzyme produced by marine Serratia marcescens subsp. sakuensis using amino acid specific modifiers. The aim was to enhance the kinetic constants and gather information on the vital amino acid residues involved in the catalysis. Modification of cysteine, histidine, tryptophan and serine residues resulted in drastic reduction in fibrinolytic activity indicating their presence in the active site. Modification of carboxylate residues resulted in a 19-fold increase in specific activity suggesting their presence in the catalytic site. Interestingly, ratio of fibrinolytic to fibrinogenolytic activity of the modified enzyme did not change significantly. There was a 507-fold reduction in Km value after chemical modification and due to that, 219-fold enhancement of catalytic efficiency was evidenced. Circular dichroism spectrum analysis of the modified and native enzyme revealed changes in ?- helix and ß-sheet conformation of the enzyme. Furthermore, the modified enzyme was more responsive to the presence of most of the metal ions tested. © 2018 Elsevier Ltd
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    Role of graphene quantum dots synthesized through pyrolysis in the release behavior of temperature responsive poly (N,N-diethyl acrylamide) hydrogel loaded with doxorubicin
    (Taylor and Francis Inc. 325 Chestnut St, Suite 800 Philadelphia PA 19106, 2018) Havanur, S.; JagadeeshBabu, P.E.
    We have reported the synthesis and characterization of new drug carrier using Poly (N,N-diethyl acrylamide) (PDEA) and graphene quantum dots (GQDs). PDEA is a stimuli-responsive, macroporous polymer which has the ability to respond to change in surrounding temperature and addition of GQDs will help in improving the inherent characteristics of PDEA. In this research work, PDEA hydrogels along with GQDs have been synthesized by free radical polymerization. The effect of various concentrations of GQDs on the property of PDEA hydrogel was studied. The structural analysis of synthesized hydrogels was done using Fourier transform infrared spectroscopy (FT–IR). The internal surface morphology of porous hydrogels was observed using scanning electron microscope (SEM) micrographs. From the analysis, it has been observed that the equilibrium swelling ratio (ESR) and reswelling kinetics of the hydrogel significantly increased as the GQDs content was varied. The cancer drug (an anthracycline that is used for cancer chemotherapy) Doxorubicin (DOX) release behavior was studied and found that the performance of hydrogel is dependent on hydrogel composition, time, and surrounding temperature. The cytotoxicity of GQDs incorporated PDEA hydrogels gave a significant report which supports the potential application of hydrogel as an intelligent drug carrier. © 2018, © 2018 Taylor & Francis Group, LLC.
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    Multi-Modal Medical Image Fusion with Adaptive Weighted Combination of NSST Bands Using Chaotic Grey Wolf Optimization
    (Institute of Electrical and Electronics Engineers Inc., 2019) Asha, C.S.; Lal, S.; Gurupur, V.P.; Saxena, P.U.P.
    Recently, medical image fusion has emerged as an impressive technique in merging the medical images of different modalities. Certainly, the fused image assists the physician in disease diagnosis for effective treatment planning. The fusion process combines multi-modal images to incur a single image with excellent quality, retaining the information of original images. This paper proposes a multi-modal medical image fusion through a weighted blending of high-frequency subbands of nonsubsampled shearlet transform (NSST) domain via chaotic grey wolf optimization algorithm. As an initial step, the NSST is applied on source images to decompose into the multi-scale and multi-directional components. The low-frequency bands are fused based on a simple max rule to sustain the energy of an individual. The texture details of input images are preserved by an adaptively weighted combination of high-frequency images using a recent chaotic grey wolf optimization algorithm to minimize the distance between the fused image and source images. The entire process emphasizes on retaining the energy of the low-frequency band and the transferring of texture features from source images to the fused image. Finally, the fused image is formed using inverse NSST of merged low and high-frequency bands. The experiments are carried out on eight different disease datasets obtained from Brain Atlas, which consists of MR-T1 and MR-T2, MR and SPECT, MR and PET, and MR and CT. The effectiveness of the proposed method is validated using more than 100 pairs of images based on the subjective and objective quality assessment. The experimental results confirm that the proposed method performs better in contrast with the current state-of-the-art image fusion techniques in terms of entropy, VIFF, and FMI. Hence, the proposed method will be helpful for disease diagnosis, medical treatment planning, and surgical procedure. © 2013 IEEE.
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    Novel color normalization method for hematoxylin eosin stained histopathology images
    (Institute of Electrical and Electronics Engineers Inc., 2019) Roy, S.; Lal, S.; Kini, J.R.
    With the advent of computer-assisted diagnosis (CAD), the accuracy of cancer detection from histopathology images is significantly increased. However, color variation in the CAD system is inevitable due to the variability of stain concentration and manual tissue sectioning. The small variation in color may lead to the misclassification of cancer cells. Therefore, color normalization is a very much essential step prior to segmentation and classification in order to reduce the inter-variability of background color among a set of source images. In this paper, a novel color normalization method is proposed for Hematoxylin and Eosin stained histopathology images. Conventional Reinhard algorithm is modified in our proposed method by incorporating fuzzy logic. Moreover, mathematically, it is proved that our proposed method satisfies all three hypotheses of color normalization. Furthermore, several quality metrics are estimated locally for evaluating the performance of various color normalization methods. The experimental result reveals that our proposed method has outperformed all other benchmark methods. © 2019 IEEE.