Faculty Publications
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Item Analysis of cortical rhythms in intracranial EEG by temporal difference operators during epileptic seizures(Elsevier Ltd, 2016) Malali, A.; Chaitanya, G.; Gowda, S.; Majumdar, K.Brain oscillations have traditionally been studied by time-frequency analysis of the electrophysiological signals. In this work we demonstrated the usefulness of two nonlinear combinations of differential operators on intracranial EEG (iEEG) recordings to study abnormal oscillations in human brain during intractable focal epileptic seizures. Each one dimensional time domain signal was visualized as the trajectory of a particle moving in a force field with one degree of freedom. Modeling of the temporal difference operators to be applied on the signals was inspired by the principles of classical Newtonian mechanics. Efficiency of one of the nonlinear combinations of the operators in distinguishing the seizure part from the background signal and the artifacts was established, particularly when the seizure duration was long. The resultant automatic detection algorithm is linear time executable and detects a seizure with an average delay of 5.02 s after the electrographic onset, with a mean 0.05/h false positive rate and 94% detection accuracy. The area under the ROC curve was 0.959. Another nonlinear combination of differential operators detects spikes (peaks) and inverted spikes (troughs) in a signal irrespective of their shape and size. It was shown that in a majority of the cases simultaneous occurrence of all the spikes and inverted spikes across the focal channels was more after the seizure offset than during the seizure, where the duration after the offset was taken equal to the duration of the seizure. It has been explained in terms of GABAergic inhibition of seizure termination. © 2016 Elsevier Ltd. All rights reserved.Item Recent Advancements in Retinal Vessel Segmentation(Springer New York LLC barbara.b.bertram@gsk.com, 2017) Srinidhi, C.L.; Aparna., P.; Rajan, J.Retinal vessel segmentation is a key step towards the accurate visualization, diagnosis, early treatment and surgery planning of ocular diseases. For the last two decades, a tremendous amount of research has been dedicated in developing automated methods for segmentation of blood vessels from retinal fundus images. Despite the fact, segmentation of retinal vessels still remains a challenging task due to the presence of abnormalities, varying size and shape of the vessels, non-uniform illumination and anatomical variability between subjects. In this paper, we carry out a systematic review of the most recent advancements in retinal vessel segmentation methods published in last five years. The objectives of this study are as follows: first, we discuss the most crucial preprocessing steps that are involved in accurate segmentation of vessels. Second, we review most recent state-of-the-art retinal vessel segmentation techniques which are classified into different categories based on their main principle. Third, we quantitatively analyse these methods in terms of its sensitivity, specificity, accuracy, area under the curve and discuss newly introduced performance metrics in current literature. Fourth, we discuss the advantages and limitations of the existing segmentation techniques. Finally, we provide an insight into active problems and possible future directions towards building successful computer-aided diagnostic system. © 2017, Springer Science+Business Media New York.Item Development and preclinical evaluation of microneedle-assisted resveratrol loaded nanostructured lipid carriers for localized delivery to breast cancer therapy(Elsevier B.V., 2021) Gadag, S.; Narayan, R.; Nayak, A.S.; Catalina Ardila, D.; Sant, S.; Yogendra, Y.; Garg, S.; Nayak, U.Y.Resveratrol (RVT) is one of the potent anticancer phytochemicals which has shown promising potential for breast cancer therapy. However, its short half-life and low bioavailability is a major hurdle in its effective use. In this study, we have developed nanostructured lipid carriers (NLCs) of RVT to enable localized delivery of the drug to the breast tissues using microneedle arrays to improve effectiveness. The NLCs were optimized using the Design of Experiments approach and characterized for their particle size, polydispersity index, zeta potential and entrapment efficiency. The RVT-NLCs delivered using microneedle array 1200 showed a higher permeation of RVT across the skin with lower skin retention compared to pure RVT. Further, RVT-NLCs showed higher anticancer activity on MDA-MB-231 breast cancer cell lines and enhanced internalization compared to pure RVT. Moreover, the RVT-NLCs were found to inhibit the migration of MDA-MB-231 breast cancer cell lines. Preclinical studies in rats showed that RVT-NLCs delivered via microneedles demonstrated a remarkable increase in the Cmax, Tmax and AUC0-inf, and a higher localization in breast tissue compared to pure RVT administered orally. These results suggests that the RVT-NLCs administered by microneedle array system is an effective strategy for the local delivery of RVT for breast cancer therapy. © 2021 Elsevier B.V.Item Risk factors associated with work-related musculoskeletal disorders among dumper operators: A machine learning approach(Elsevier B.V., 2023) Kar, M.B.; Mangalpady, M.; Kunar, B.M.Aims: This study aimed to determine the risk factors associated with work-related musculoskeletal disorders (WRMSDs) among dumper operators working in Indian iron ore mines. Methods: A total of 246 dumper truck operators meeting inclusion and exclusion criteria were chosen for data collection. A self-report custom and the standard Nordic questionnaire were used for collecting data about risk factors and WRMSDs. The data were pre-processed and analyzed using machine learning (ML) algorithms (such as logistic regression ( LR), support vector machines (SVM), decision trees (DT), gradient boosting machine (GBM) and random forest (RF)). Results: RF model was found to outperform the other algorithms with high accuracy (0.71), precision (0.75), recall (0.78), F1 score (0.76), and area under the receiver operating characteristic curve (0.82). The mean rank of the risk factors showed that age is the most critical parameter, followed by awkward posture, experience in mines, job demand, alcohol consumption, smoking cigarettes, work design, and marriage status. Conclusion: Overall, the study provides valuable insights into the risk factors associated with WRMSDs among dumper operators and suggests that measures should be taken to address these risk factors to prevent WRMSDs in the dumper operator population. © 2023 The Author(s)Item A novel Deep Learning architecture for lung cancer detection and diagnosis from Computed Tomography image analysis(Elsevier Inc., 2024) Crasta, L.J.; Neema, R.; Pais, A.R.Timely identification of lung nodules, which are precursors to lung cancer, and their evaluation can significantly reduce the incidence rate. Computed Tomography (CT) is the primary technique used for lung cancer screening due to its high resolution. Identifying white, spherical shadows as lung nodules in CT images is essential for accurately detecting lung cancer. Convolutional Neural Network (CNN)-based methods have performed better than traditional techniques in various medical image applications. However, challenges still need to be addressed due to insufficient annotated datasets, significant intra-class variations, and substantial inter-class similarities, which hinder their practical use. Manually labeling the position of nodules on CT slices is critical for distinguishing between benign and malignant cases, but it is an unreliable and time-consuming process. Insufficient data and class imbalance are the primary factors that may result in overfitting and below-par performance. The paper presents a novel Deep Learning (DL) framework to detect and classify lung cancer in input CT images. It introduces a 3D-VNet architecture for accurate segmentation of pulmonary nodules and a 3D-ResNet architecture designed for their classification. The segmentation model achieves a Dice Similarity Coefficient (DSC) of 99.34% on the LUNA16 dataset while reducing false positives to 0.4%. The classification model shows performance metrics with accuracy, sensitivity, and specificity of 99.2%, 98.8%, and 99.6%, respectively. The 3D-VNet network outperforms previous segmentation methods by accurately calibrating lung nodules of various sizes and shapes with excellent robustness. The classification model's metrics show that the suggested method outperforms current approaches regarding accuracy, specificity, sensitivity and F1-Score. © 2024 The AuthorsItem The use of cloud based machine learning to predict outcome in intracerebral haemorrhage without explicit programming expertise(Springer Science and Business Media Deutschland GmbH, 2024) Hegde, A.; Vijayasenan, D.; Mandava, P.; Menon, G.Machine Learning (ML) techniques require novel computer programming skills along with clinical domain knowledge to produce a useful model. We demonstrate the use of a cloud-based ML tool that does not require any programming expertise to develop, validate and deploy a prognostic model for Intracerebral Haemorrhage (ICH). The data of patients admitted with Spontaneous Intracerebral haemorrhage from January 2015 to December 2019 was accessed from our prospectively maintained hospital stroke registry. 80% of the dataset was used for training, 10% for validation, and 10% for testing. Seventeen input variables were used to predict the dichotomized outcomes (Good outcome mRS 0–3/ Bad outcome mRS 4–6), using machine learning (ML) and logistic regression (LR) models. The two different approaches were evaluated using Area Under the Curve (AUC) for Receiver Operating Characteristic (ROC), Precision recall and accuracy. Our data set comprised of a cohort of 1000 patients. The data was split 8:1 for training & testing respectively. The AUC ROC of the ML model was 0.86 with an accuracy of 75.7%. With LR AUC ROC was 0.74 with an accuracy of 73.8%. Feature importance chart showed that Glasgow coma score (GCS) at presentation had the highest relative importance, followed by hematoma volume and age in both approaches. Machine learning models perform better when compared to logistic regression. Models can be developed by clinicians possessing domain expertise and no programming experience using cloud based tools. The models so developed lend themselves to be incorporated into clinical workflow. © The Author(s) 2024.Item Ensemble Machine Learning Approaches for Automated Fungal Keratitis Diagnosis Using In Vivo Confocal Microscopy Images(John Wiley and Sons Inc, 2025) Sowmya Kamath, S.; Reji, S.; Vaibhava Lakshmi, V.; Supreetha, S.; Gawas, P.; Mayya, V.; Hazarika, M.Fungal keratitis (FK) is a severe ocular infection that can lead to significant vision problems or blindness if not diagnosed and treated promptly. Early and accurate detection of FK is essential for effective management. Traditional diagnostic methods are often time-consuming and require specialized laboratory resources. Recently, advances in artificial intelligence and computer vision have enabled automated diagnosis of FK using slit-lamp images. In this article, a comprehensive evaluation of state-of-the-art techniques adopted for classifying FK using in vivo confocal microscopy (IVCM) images is presented. Detailed experiments and performance evaluation of various machine learning models are systematically performed, with a focus on evaluating the effect of diverse techniques for image processing, data augmentation, hyperparameters and model finetuning to assess each model's strengths and limitations. Experiments revealed that applying green channel preprocessing with a 12-feature set achieved 99% accuracy using Random Forest, highlighting its effectiveness in FK detection, while complex techniques like histogram modelling reduced accuracy to 64%. Robust models like AdaBoost and RUSBoost maintained high F1-scores, demonstrating adaptability to imbalanced medical datasets, and to real-world clinical scenarios. © 2025 The Author(s). Healthcare Technology Letters published by John Wiley & Sons Ltd on behalf of The Institution of Engineering and Technology.Item Improving the performance of multi-stage HER2 breast cancer detection in hematoxylin-eosin images based on ensemble deep learning(Elsevier Ltd, 2025) Pateel, G.P.; Senapati, K.; Pandey, A.K.Background: Breast cancer is the most frequently diagnosed cancer among women worldwide, and histopathology is the gold standard in diagnosing the disease. Hematoxylin and Eosin (HE) staining, routinely employed to observe the overall tissue structure, is an affordable and commonly practiced cancer diagnosis. In contrast, Immunohistochemistry (IHC), which detects the increased presence of particular antigens linked to the mutation, can require multiple tests to conduct and is relatively costly. Generally, in computer-aided diagnosis, the conventional methods rely on a single network to extract features. However, these methods have significant limitations and fail to generalize. Methods: In this study, we propose an automated novel weighted average algorithm called HER2-ETNET, which ensembles the chosen three pre-trained deep learning models, DenseNet 201, GoogLeNet, and ResNet-50, to classify breast histopathology HE images into multi-class Human Epidermal Growth Factor Receptor-2 (HER2) status (HER2-0+, HER2-1+, HER2-2+, HER2-3+). The proposed method has the potential to bypass the IHC laboratory test. In this study, we form a weight matrix by fusing together, the scores of False Positive Rate (FPR) and False Negative Rate (FNR) of both training and validation sets, and the computed weights are assigned to the three base learners. This is in contrast to the previous works, in which the weights were generally assigned empirically to the chosen deep learning models, which might be erroneous. Result: The proposed approach is evaluated on the unseen test set, and it achieves accuracy, precision, recall and AUC of 97.44%, 97.32%, 97.39%, and 99.75% respectively. Conclusion: The proposed framework outperforms all the existing methods on the same dataset and is proven to be the reliable method in detecting the HER2 status (HER2-0+, HER2-1+, HER2-2+, HER2-3+) from HE images. This also proves that, HE stained images contain adequate information for efficiently detecting the HER2 status in breast cancer. © 2024 Elsevier Ltd
