Computational and Mathematical Methods in Medicine http://www.hindawi.com The latest articles from Hindawi Publishing Corporation © 2016 , Hindawi Publishing Corporation . All rights reserved. Dynamic Characteristics of Mechanical Ventilation System of Double Lungs with Bi-Level Positive Airway Pressure Model Mon, 29 Aug 2016 16:34:22 +0000 http://www.hindawi.com/journals/cmmm/2016/9234537/ In recent studies on the dynamic characteristics of ventilation system, it was considered that human had only one lung, and the coupling effect of double lungs on the air flow can not be illustrated, which has been in regard to be vital to life support of patients. In this article, to illustrate coupling effect of double lungs on flow dynamics of mechanical ventilation system, a mathematical model of a mechanical ventilation system, which consists of double lungs and a bi-level positive airway pressure (BIPAP) controlled ventilator, was proposed. To verify the mathematical model, a prototype of BIPAP system with a double-lung simulators and a BIPAP ventilator was set up for experimental study. Lastly, the study on the influences of key parameters of BIPAP system on dynamic characteristics was carried out. The study can be referred to in the development of research on BIPAP ventilation treatment and real respiratory diagnostics. Dongkai Shen, Qian Zhang, and Yan Shi Copyright © 2016 Dongkai Shen et al. All rights reserved. An Active Learning Classifier for Further Reducing Diabetic Retinopathy Screening System Cost Mon, 29 Aug 2016 14:09:50 +0000 http://www.hindawi.com/journals/cmmm/2016/4345936/ Diabetic retinopathy (DR) screening system raises a financial problem. For further reducing DR screening cost, an active learning classifier is proposed in this paper. Our approach identifies retinal images based on features extracted by anatomical part recognition and lesion detection algorithms. Kernel extreme learning machine (KELM) is a rapid classifier for solving classification problems in high dimensional space. Both active learning and ensemble technique elevate performance of KELM when using small training dataset. The committee only proposes necessary manual work to doctor for saving cost. On the publicly available Messidor database, our classifier is trained with 20%–35% of labeled retinal images and comparative classifiers are trained with 80% of labeled retinal images. Results show that our classifier can achieve better classification accuracy than Classification and Regression Tree, radial basis function SVM, Multilayer Perceptron SVM, Linear SVM, and Nearest Neighbor. Empirical experiments suggest that our active learning classifier is efficient for further reducing DR screening cost. Yinan Zhang and Mingqiang An Copyright © 2016 Yinan Zhang and Mingqiang An. All rights reserved. A Modified Brain MR Image Segmentation and Bias Field Estimation Model Based on Local and Global Information Mon, 29 Aug 2016 11:54:09 +0000 http://www.hindawi.com/journals/cmmm/2016/9871529/ Because of the poor radio frequency coil uniformity and gradient-driven eddy currents, there is much noise and intensity inhomogeneity (bias) in brain magnetic resonance (MR) image, and it severely affects the segmentation accuracy. Better segmentation results are difficult to achieve by traditional methods; therefore, in this paper, a modified brain MR image segmentation and bias field estimation model based on local and global information is proposed. We first construct local constraints including image neighborhood information in Gaussian kernel mapping space, and then the complete regularization is established by introducing nonlocal spatial information of MR image. The weighting between local and global information is automatically adjusted according to image local information. At the same time, bias field information is coupled with the model, and it makes the model reduce noise interference but also can effectively estimate the bias field information. Experimental results demonstrate that the proposed algorithm has strong robustness to noise and bias field is well corrected. Wang Cong, Jianhua Song, Kuan Luan, Hong Liang, Lei Wang, Xingcheng Ma, and Jin Li Copyright © 2016 Wang Cong et al. All rights reserved. A Comparison between Cure Model and Recursive Partitioning: A Retrospective Cohort Study of Iranian Female with Breast Cancer Sun, 28 Aug 2016 16:48:50 +0000 http://www.hindawi.com/journals/cmmm/2016/9425629/ Background. Breast cancer which is the most common cause of women cancer death has an increasing incidence and mortality rates in Iran. A proper modeling would correctly detect the factors’ effect on breast cancer, which may be the basis of health care planning. Therefore, this study aimed to practically develop two recently introduced statistical models in order to compare them as the survival prediction tools for breast cancer patients. Materials and Methods. For this retrospective cohort study, the 18-year follow-up information of 539 breast cancer patients was analyzed by “Parametric Mixture Cure Model” and “Model-Based Recursive Partitioning.” Furthermore, a simulation study was carried out to compare the performance of mentioned models for different situations. Results. “Model-Based Recursive Partitioning” was able to present a better description of dataset and provided a fine separation of individuals with different risk levels. Additionally the results of simulation study confirmed the superiority of this recursive partitioning for nonlinear model structures. Conclusion. “Model-Based Recursive Partitioning” seems to be a potential instrument for processing complex mixture cure models. Therefore, applying this model is recommended for long-term survival patients. Mozhgan Safe, Javad Faradmal, and Hossein Mahjub Copyright © 2016 Mozhgan Safe et al. All rights reserved. Use and Adoption of an Assisted Cognition System to Support Therapies for People with Dementia Thu, 25 Aug 2016 11:41:59 +0000 http://www.hindawi.com/journals/cmmm/2016/1075191/ The cognitive deficits in persons with dementia (PwD) can produce significant functional impairment from early stages. Although memory decline is most prominent, impairments in attention, orientation, language, reasoning, and executive functioning are also common. Dementia is also characterized by changes in personality and behavioral functioning that can be very challenging for caregivers and patients. This paper presents results on the use and adoption of an assisted cognition system to support occupational therapy to address psychological and behavioral symptoms of dementia. During 16 weeks, we conducted an in situ evaluation with two caregiver-PwD dyads to assess the adoption and effectiveness of the system to ameliorate challenging behaviors and reducing caregiver burden. Evaluation results indicate that intervention personalization and a touch-based interface encouraged the adoption of the system, helping reduce challenging behaviors in PwD and caregiver burden. René F. Navarro, Marcela D. Rodríguez, and Jesús Favela Copyright © 2016 René F. Navarro et al. All rights reserved. Cancer Feature Selection and Classification Using a Binary Quantum-Behaved Particle Swarm Optimization and Support Vector Machine Wed, 24 Aug 2016 08:56:28 +0000 http://www.hindawi.com/journals/cmmm/2016/3572705/ This paper focuses on the feature gene selection for cancer classification, which employs an optimization algorithm to select a subset of the genes. We propose a binary quantum-behaved particle swarm optimization (BQPSO) for cancer feature gene selection, coupling support vector machine (SVM) for cancer classification. First, the proposed BQPSO algorithm is described, which is a discretized version of original QPSO for binary 0-1 optimization problems. Then, we present the principle and procedure for cancer feature gene selection and cancer classification based on BQPSO and SVM with leave-one-out cross validation (LOOCV). Finally, the BQPSO coupling SVM (BQPSO/SVM), binary PSO coupling SVM (BPSO/SVM), and genetic algorithm coupling SVM (GA/SVM) are tested for feature gene selection and cancer classification on five microarray data sets, namely, Leukemia, Prostate, Colon, Lung, and Lymphoma. The experimental results show that BQPSO/SVM has significant advantages in accuracy, robustness, and the number of feature genes selected compared with the other two algorithms. Maolong Xi, Jun Sun, Li Liu, Fangyun Fan, and Xiaojun Wu Copyright © 2016 Maolong Xi et al. All rights reserved. Microwave Ablation Using Four-Tine Antenna: Effects of Blood Flow Velocity, Vessel Location, and Total Displacement on Porous Hepatic Cancer Tissue Wed, 24 Aug 2016 08:49:18 +0000 http://www.hindawi.com/journals/cmmm/2016/4846738/ This research is concerned with microwave ablation analyses using a 2.45 GHz four-tine (4T) antenna for hepatic cancer tissue. In the study, three-dimensional finite-element models were utilized to examine the tissue temperature distributions during and after MW ablation. A preliminary study was first carried out with regard to the specific absorption rates along the 4T antenna insertion depths and the temperature distributions inside the solid and porous liver models with either 3 cm-in-diameter tumor or 5 cm-in-diameter tumor. Based on the preliminary results, the porous models were further examined for the effect of varying blood flow velocities (0–200 cm/s) with a 1 cm-in-diameter blood vessel next to the antenna and also for the effect of vessel-antenna locations (0, 0.8, and 1.3 cm) with a constant blood flow velocity of 16.7 cm/s. All scenarios were simulated under temperature-controlled mode (90°C). The findings revealed that the blood flow velocity and vessel location influence the ablation effectiveness and that increased blood flow inhibits heat transfer to the vessel wall. At the nearest and farthest vessel-antenna locations (0 and 1.3 cm), approximately 90.3% and 99.55% of the cancer cells were eradicated except for the areas adjacent to the vessel. In addition, total tissue thermal displacement is 5.9 mm which is 6.59% of the total length of the overall model. Montree Chaichanyut and Supan Tungjitkusolmun Copyright © 2016 Montree Chaichanyut and Supan Tungjitkusolmun. All rights reserved. A Mass Spectrometric Analysis Method Based on PPCA and SVM for Early Detection of Ovarian Cancer Tue, 23 Aug 2016 14:23:23 +0000 http://www.hindawi.com/journals/cmmm/2016/6169249/ Background. Surfaced-enhanced laser desorption-ionization-time of flight mass spectrometry (SELDI-TOF-MS) technology plays an important role in the early diagnosis of ovarian cancer. However, the raw MS data is highly dimensional and redundant. Therefore, it is necessary to study rapid and accurate detection methods from the massive MS data. Methods. The clinical data set used in the experiments for early cancer detection consisted of 216 SELDI-TOF-MS samples. An MS analysis method based on probabilistic principal components analysis (PPCA) and support vector machine (SVM) was proposed and applied to the ovarian cancer early classification in the data set. Additionally, by the same data set, we also established a traditional PCA-SVM model. Finally we compared the two models in detection accuracy, specificity, and sensitivity. Results. Using independent training and testing experiments 10 times to evaluate the ovarian cancer detection models, the average prediction accuracy, sensitivity, and specificity of the PCA-SVM model were 83.34%, 82.70%, and 83.88%, respectively. In contrast, those of the PPCA-SVM model were 90.80%, 92.98%, and 88.97%, respectively. Conclusions. The PPCA-SVM model had better detection performance. And the model combined with the SELDI-TOF-MS technology had a prospect in early clinical detection and diagnosis of ovarian cancer. Jiang Wu, Yanju Ji, Ling Zhao, Mengying Ji, Zhuang Ye, and Suyi Li Copyright © 2016 Jiang Wu et al. All rights reserved. Improved CEEMDAN and PSO-SVR Modeling for Near-Infrared Noninvasive Glucose Detection Mon, 22 Aug 2016 16:46:41 +0000 http://www.hindawi.com/journals/cmmm/2016/8301962/ Diabetes is a serious threat to human health. Thus, research on noninvasive blood glucose detection has become crucial locally and abroad. Near-infrared transmission spectroscopy has important applications in noninvasive glucose detection. Extracting useful information and selecting appropriate modeling methods can improve the robustness and accuracy of models for predicting blood glucose concentrations. Therefore, an improved signal reconstruction and calibration modeling method is proposed in this study. On the basis of improved complete ensemble empirical mode decomposition with adaptive noise (CEEMDAN) and correlative coefficient, the sensitive intrinsic mode functions are selected to reconstruct spectroscopy signals for developing the calibration model using the support vector regression (SVR) method. The radial basis function kernel is selected for SVR, and three parameters, namely, insensitive loss coefficient , penalty parameter , and width coefficient , are identified beforehand for the corresponding model. Particle swarm optimization (PSO) is employed to optimize the simultaneous selection of the three parameters. Results of the comparison experiments using PSO-SVR and partial least squares show that the proposed signal reconstitution method is feasible and can eliminate noise in spectroscopy signals. The prediction accuracy of model using PSO-SVR method is also found to be better than that of other methods for near-infrared noninvasive glucose detection. Xiaoli Li and Chengwei Li Copyright © 2016 Xiaoli Li and Chengwei Li. All rights reserved. Diffusion-Weighted Images Superresolution Using High-Order SVD Thu, 18 Aug 2016 16:31:03 +0000 http://www.hindawi.com/journals/cmmm/2016/3647202/ The spatial resolution of diffusion-weighted imaging (DWI) is limited by several physical and clinical considerations, such as practical scanning times. Interpolation methods, which are widely used to enhance resolution, often result in blurred edges. Advanced superresolution scanning acquires images with specific protocols and long acquisition times. In this paper, we propose a novel single image superresolution (SR) method which introduces high-order SVD (HOSVD) to regularize the patch-based SR framework on DWI datasets. The proposed method was implemented on an adaptive basis which ensured a more accurate reconstruction of high-resolution DWI datasets. Meanwhile, the intrinsic dimensional decreasing property of HOSVD is also beneficial for reducing the computational burden. Experimental results from both synthetic and real DWI datasets demonstrate that the proposed method enhances the details in reconstructed high-resolution DWI datasets and outperforms conventional techniques such as interpolation methods and nonlocal upsampling. Xi Wu, Zhipeng Yang, Jinrong Hu, Jing Peng, Peiyu He, and Jiliu Zhou Copyright © 2016 Xi Wu et al. All rights reserved. Transitioning to a Data Driven Mental Health Practice: Collaborative Expert Sessions for Knowledge and Hypothesis Finding Wed, 17 Aug 2016 13:53:34 +0000 http://www.hindawi.com/journals/cmmm/2016/9089321/ The surge in the amount of available data in health care enables a novel, exploratory research approach that revolves around finding new knowledge and unexpected hypotheses from data instead of carrying out well-defined data analysis tasks. We propose a specification of the Cross Industry Standard Process for Data Mining (CRISP-DM), suitable for conducting expert sessions that focus on finding new knowledge and hypotheses in collaboration with local workforce. Our proposed specification that we name CRISP-IDM is evaluated in a case study at the psychiatry department of the University Medical Center Utrecht. Expert interviews were conducted to identify seven research themes in the psychiatry department, which were researched in cooperation with local health care professionals using data visualization as a modeling tool. During 19 expert sessions, two results that were directly implemented and 29 hypotheses for further research were found, of which 24 were not imagined during the initial expert interviews. Our work demonstrates the viability and benefits of involving work floor people in the analyses and the possibility to effectively find new knowledge and hypotheses using our CRISP-IDM method. Vincent Menger, Marco Spruit, Karin Hagoort, and Floor Scheepers Copyright © 2016 Vincent Menger et al. All rights reserved. Fully Automated Lipid Pool Detection Using Near Infrared Spectroscopy Wed, 17 Aug 2016 08:39:50 +0000 http://www.hindawi.com/journals/cmmm/2016/1487859/ Background. Detecting and identifying vulnerable plaque, which is prone to rupture, is still a challenge for cardiologist. Such lipid core-containing plaque is still not identifiable by everyday angiography, thus triggering the need to develop a new tool where NIRS-IVUS can visualize plaque characterization in terms of its chemical and morphologic characteristic. The new tool can lead to the development of new methods of interpreting the newly obtained data. In this study, the algorithm to fully automated lipid pool detection on NIRS images is proposed. Method. Designed algorithm is divided into four stages: preprocessing (image enhancement), segmentation of artifacts, detection of lipid areas, and calculation of Lipid Core Burden Index. Results. A total of 31 NIRS chemograms were analyzed by two methods. The metrics, total LCBI, maximal LCBI in 4 mm blocks, and maximal LCBI in 2 mm blocks, were calculated to compare presented algorithm with commercial available system. Both intraclass correlation (ICC) and Bland-Altman plots showed good agreement and correlation between used methods. Conclusions. Proposed algorithm is fully automated lipid pool detection on near infrared spectroscopy images. It is a tool developed for offline data analysis, which could be easily augmented for newer functions and projects. Elżbieta Pociask, Joanna Jaworek-Korjakowska, Krzysztof Piotr Malinowski, Tomasz Roleder, and Wojciech Wojakowski Copyright © 2016 Elżbieta Pociask et al. All rights reserved. An Active Contour Model Based on Adaptive Threshold for Extraction of Cerebral Vascular Structures Mon, 15 Aug 2016 13:59:01 +0000 http://www.hindawi.com/journals/cmmm/2016/6472397/ Cerebral vessel segmentation is essential and helpful for the clinical diagnosis and the related research. However, automatic segmentation of brain vessels remains challenging because of the variable vessel shape and high complex of vessel geometry. This study proposes a new active contour model (ACM) implemented by the level-set method for segmenting vessels from TOF-MRA data. The energy function of the new model, combining both region intensity and boundary information, is composed of two region terms, one boundary term and one penalty term. The global threshold representing the lower gray boundary of the target object by maximum intensity projection (MIP) is defined in the first-region term, and it is used to guide the segmentation of the thick vessels. In the second term, a dynamic intensity threshold is employed to extract the tiny vessels. The boundary term is used to drive the contours to evolve towards the boundaries with high gradients. The penalty term is used to avoid reinitialization of the level-set function. Experimental results on 10 clinical brain data sets demonstrate that our method is not only able to achieve better Dice Similarity Coefficient than the global threshold based method and localized hybrid level-set method but also able to extract whole cerebral vessel trees, including the thin vessels. Jiaxin Wang, Shifeng Zhao, Zifeng Liu, Yun Tian, Fuqing Duan, and Yutong Pan Copyright © 2016 Jiaxin Wang et al. All rights reserved. A Numerical Simulation of Cell Separation by Simplified Asymmetric Pinched Flow Fractionation Mon, 15 Aug 2016 11:07:51 +0000 http://www.hindawi.com/journals/cmmm/2016/2564584/ As a typical microfluidic cell sorting technique, the size-dependent cell sorting has attracted much interest in recent years. In this paper, a size-dependent cell sorting scheme is presented based on a controllable asymmetric pinched flow by employing an immersed boundary-lattice Boltzmann method (IB-LBM). The geometry of channels consists of 2 upstream branches, 1 transitional channel, and 4 downstream branches (D-branches). Simulations are conducted by varying inlet flow ratio, the cell size, and the ratio of flux of outlet 4 to the total flux. It is found that, after being randomly released in one upstream branch, the cells are aligned in a line close to one sidewall of the transitional channel due to the hydrodynamic forces of the asymmetric pinched flow. Cells with different sizes can be fed into different downstream D-branches just by regulating the flux of one D-branch. A principle governing D-branch choice of a cell is obtained, with which a series of numerical cases are performed to sort the cell mixture involving two, three, or four classes of diameters. Results show that, for each case, an adaptive regulating flux can be determined to sort the cell mixture effectively. Jing-Tao Ma, Yuan-Qing Xu, and Xiao-Ying Tang Copyright © 2016 Jing-Tao Ma et al. All rights reserved. Development of Health Parameter Model for Risk Prediction of CVD Using SVM Tue, 09 Aug 2016 12:31:38 +0000 http://www.hindawi.com/journals/cmmm/2016/3016245/ Current methods of cardiovascular risk assessment are performed using health factors which are often based on the Framingham study. However, these methods have significant limitations due to their poor sensitivity and specificity. We have compared the parameters from the Framingham equation with linear regression analysis to establish the effect of training of the model for the local database. Support vector machine was used to determine the effectiveness of machine learning approach with the Framingham health parameters for risk assessment of cardiovascular disease (CVD). The result shows that while linear model trained using local database was an improvement on Framingham model, SVM based risk assessment model had high sensitivity and specificity of prediction of CVD. This indicates that using the health parameters identified using Framingham study, machine learning approach overcomes the low sensitivity and specificity of Framingham model. P. Unnikrishnan, D. K. Kumar, S. Poosapadi Arjunan, H. Kumar, P. Mitchell, and R. Kawasaki Copyright © 2016 P. Unnikrishnan et al. All rights reserved. Regularized Iterative Weighted Filtered Back-Projection for Few-View Data Photoacoustic Imaging Tue, 09 Aug 2016 10:18:31 +0000 http://www.hindawi.com/journals/cmmm/2016/9732142/ Photoacoustic imaging is an emerging noninvasive imaging technique with great potential for a wide range of biomedical imaging applications. However, with few-view data the filtered back-projection method will create streak artifacts. In this study, the regularized iterative weighted filtered back-projection method was applied to our photoacoustic imaging of the optical absorption in phantom from few-view data. This method is based on iterative application of a nonexact 2DFBP. By adding a regularization operation in the iterative loop, the streak artifacts have been reduced to a great extent and the convergence properties of the iterative scheme have been improved. Results of numerical simulations demonstrated that the proposed method was superior to the iterative FBP method in terms of both accuracy and robustness to noise. The quantitative image evaluation studies have shown that the proposed method outperforms conventional iterative methods. Xueyan Liu and Dong Peng Copyright © 2016 Xueyan Liu and Dong Peng. All rights reserved. Neural Modulation in Aversive Emotion Processing: An Independent Component Analysis Study Mon, 08 Aug 2016 13:26:25 +0000 http://www.hindawi.com/journals/cmmm/2016/2816567/ Emotional processing has an important role in social interaction. We report the findings about the Independent Component Analysis carried out on a fMRI set obtained with a paradigm of face emotional processing. The results showed that an independent component, mainly cerebellar-medial-frontal, had a positive modulation associated with fear processing. Also, another independent component, mainly parahippocampal-prefrontal, showed a negative modulation that could be associated with implicit reappraisal of emotional stimuli. Independent Component Analysis could serve as a method to understand complex cognitive processes and their underlying neural dynamics. César Romero-Rebollar, Luis Jiménez-Ángeles, Eduardo Antonio Dragustinovis-Ruiz, and Verónica Medina-Bañuelos Copyright © 2016 César Romero-Rebollar et al. All rights reserved. A Mathematical Model with Quarantine States for the Dynamics of Ebola Virus Disease in Human Populations Sun, 07 Aug 2016 09:23:40 +0000 http://www.hindawi.com/journals/cmmm/2016/9352725/ A deterministic ordinary differential equation model for the dynamics and spread of Ebola Virus Disease is derived and studied. The model contains quarantine and nonquarantine states and can be used to evaluate transmission both in treatment centres and in the community. Possible sources of exposure to infection, including cadavers of Ebola Virus victims, are included in the model derivation and analysis. Our model’s results show that there exists a threshold parameter, , with the property that when its value is above unity, an endemic equilibrium exists whose value and size are determined by the size of this threshold parameter, and when its value is less than unity, the infection does not spread into the community. The equilibrium state, when it exists, is locally and asymptotically stable with oscillatory returns to the equilibrium point. The basic reproduction number, , is shown to be strongly dependent on the initial response of the emergency services to suspected cases of Ebola infection. When intervention measures such as quarantining are instituted fully at the beginning, the value of the reproduction number reduces and any further infections can only occur at the treatment centres. Effective control measures, to reduce to values below unity, are discussed. Gideon A. Ngwa and Miranda I. Teboh-Ewungkem Copyright © 2016 Gideon A. Ngwa and Miranda I. Teboh-Ewungkem. All rights reserved. Different Estimation Procedures for the Parameters of the Extended Exponential Geometric Distribution for Medical Data Thu, 04 Aug 2016 11:48:08 +0000 http://www.hindawi.com/journals/cmmm/2016/8727951/ We have considered different estimation procedures for the unknown parameters of the extended exponential geometric distribution. We introduce different types of estimators such as the maximum likelihood, method of moments, modified moments, L-moments, ordinary and weighted least squares, percentile, maximum product of spacings, and minimum distance estimators. The different estimators are compared by using extensive numerical simulations. We discovered that the maximum product of spacings estimator has the smallest mean square errors and mean relative estimates, nearest to one, for both parameters, proving to be the most efficient method compared to other methods. Combining these results with the good properties of the method such as consistency, asymptotic efficiency, normality, and invariance we conclude that the maximum product of spacings estimator is the best one for estimating the parameters of the extended exponential geometric distribution in comparison with its competitors. For the sake of illustration, we apply our proposed methodology in two important data sets, demonstrating that the EEG distribution is a simple alternative to be used for lifetime data. Francisco Louzada, Pedro L. Ramos, and Gleici S. C. Perdoná Copyright © 2016 Francisco Louzada et al. All rights reserved. Recent Advances in Statistical Data and Signal Analysis: Application to Real World Diagnostics from Medical and Biological Signals Tue, 02 Aug 2016 06:37:08 +0000 http://www.hindawi.com/journals/cmmm/2016/1643687/ Dwarikanath Mahapatra, Krishna Agarwal, Reza Khosrowabadi, and Dilip K. Prasad Copyright © 2016 Dwarikanath Mahapatra et al. All rights reserved. IASM: A System for the Intelligent Active Surveillance of Malaria Sun, 31 Jul 2016 11:28:09 +0000 http://www.hindawi.com/journals/cmmm/2016/2080937/ Malaria, a life-threatening infectious disease, spreads rapidly via parasites. Malaria prevention is more effective and efficient than treatment. However, the existing surveillance systems used to prevent malaria are inadequate, especially in areas with limited or no access to medical resources. In this paper, in order to monitor the spreading of malaria, we develop an intelligent surveillance system based on our existing algorithms. First, a visualization function and active surveillance were implemented in order to predict and categorize areas at high risk of infection. Next, socioeconomic and climatological characteristics were applied to the proposed prediction model. Then, the redundancy of the socioeconomic attribute values was reduced using the stepwise regression method to improve the accuracy of the proposed prediction model. The experimental results indicated that the proposed IASM predicted malaria outbreaks more close to the real data and with fewer variables than other models. Furthermore, the proposed model effectively identified areas at high risk of infection. Xinlei Wang, Bo Yang, Jing Huang, Hechang Chen, Xiao Gu, Yuan Bai, and Zhanwei Du Copyright © 2016 Xinlei Wang et al. All rights reserved. The Hybrid Feature Selection Algorithm Based on Maximum Minimum Backward Selection Search Strategy for Liver Tissue Pathological Image Classification Sun, 31 Jul 2016 06:00:18 +0000 http://www.hindawi.com/journals/cmmm/2016/7369137/ We propose a novel feature selection algorithm for liver tissue pathological image classification. To improve the efficiency of feature selection, the same feature values of positive and negative samples are removed in rough selection. To obtain the optimal feature subset, a new heuristic search algorithm, which is called Maximum Minimum Backward Selection (MMBS), is proposed in precise selection. MMBS search strategy has the following advantages. (1) For the deficiency of Discernibility of Feature Subsets (DFS) evaluation criteria, which makes the class of small samples invalid for unbalanced samples, the Weighted Discernibility of Feature Subsets (WDFS) evaluation criteria are proposed as the evaluation strategy of MMBS, which is also available for unbalanced samples. (2) For the deficiency of Sequential Forward Selection (SFS) and Sequential Backward Selection (SBS), which can only add or only delete feature, MMBS decides whether to add the feature to feature subset according to WDFS criteria for each feature firstly; then it decides whether to remove the feature from feature subset according to SBS algorithm. In this way, the better feature subset can be obtained. The experiment results show that the proposed hybrid feature selection algorithm has good classification performance for liver tissue pathological image. Huiling Liu, Huiyan Jiang, and Ruiping Zheng Copyright © 2016 Huiling Liu et al. All rights reserved. Discrete Event Simulation Models for CT Examination Queuing in West China Hospital Thu, 28 Jul 2016 13:53:32 +0000 http://www.hindawi.com/journals/cmmm/2016/2731675/ In CT examination, the emergency patients (EPs) have highest priorities in the queuing system and thus the general patients (GPs) have to wait for a long time. This leads to a low degree of satisfaction of the whole patients. The aim of this study is to improve the patients’ satisfaction by designing new queuing strategies for CT examination. We divide the EPs into urgent type and emergency type and then design two queuing strategies: one is that the urgent patients (UPs) wedge into the GPs’ queue with fixed interval (fixed priority model) and the other is that the patients have dynamic priorities for queuing (dynamic priority model). Based on the data from Radiology Information Database (RID) of West China Hospital (WCH), we develop some discrete event simulation models for CT examination according to the designed strategies. We compare the performance of different strategies on the basis of the simulation results. The strategy that patients have dynamic priorities for queuing makes the waiting time of GPs decrease by 13 minutes and the degree of satisfaction increase by 40.6%. We design a more reasonable CT examination queuing strategy to decrease patients’ waiting time and increase their satisfaction degrees. Li Luo, Hangjiang Liu, Huchang Liao, Shijun Tang, Yingkang Shi, and Huili Guo Copyright © 2016 Li Luo et al. All rights reserved. A Dynamic Model of Human and Livestock Tuberculosis Spread and Control in Urumqi, Xinjiang, China Mon, 25 Jul 2016 07:56:55 +0000 http://www.hindawi.com/journals/cmmm/2016/3410320/ We establish a dynamical model for tuberculosis of humans and cows. For the model, we firstly give the basic reproduction number . Furthermore, we discuss the dynamical behaviors of the model. By epidemiological investigation of tuberculosis among humans and livestock from 2007 to 2014 in Urumqi, Xinjiang, China, we estimate the parameters of the model and study the transmission trend of the disease in Urumqi, Xinjiang, China. The reproduction number in Urumqi for the model is estimated to be 0.1811 (95% confidence interval: 0.123–0.281). Finally, we perform some sensitivity analysis of several model parameters and give some useful comments on controlling the transmission of tuberculosis. Shan Liu, Aiqiao Li, Xiaomei Feng, Xueliang Zhang, and Kai Wang Copyright © 2016 Shan Liu et al. All rights reserved. Generalized Information Equilibrium Approaches to EEG Sleep Stage Discrimination Tue, 19 Jul 2016 08:44:45 +0000 http://www.hindawi.com/journals/cmmm/2016/6450126/ Recent advances in neuroscience have raised the hypothesis that the underlying pattern of neuronal activation which results in electroencephalography (EEG) signals is via power-law distributed neuronal avalanches, while EEG signals are nonstationary. Therefore, spectral analysis of EEG may miss many properties inherent in such signals. A complete understanding of such dynamical systems requires knowledge of the underlying nonequilibrium thermodynamics. In recent work by Fielitz and Borchardt (2011, 2014), the concept of information equilibrium (IE) in information transfer processes has successfully characterized many different systems far from thermodynamic equilibrium. We utilized a publicly available database of polysomnogram EEG data from fourteen subjects with eight different one-minute tracings of sleep stage 2 and waking and an overlapping set of eleven subjects with eight different one-minute tracings of sleep stage 3. We applied principles of IE to model EEG as a system that transfers (equilibrates) information from the time domain to scalp-recorded voltages. We find that waking consciousness is readily distinguished from sleep stages 2 and 3 by several differences in mean information transfer constants. Principles of IE applied to EEG may therefore prove to be useful in the study of changes in brain function more generally. Todd Zorick and Jason Smith Copyright © 2016 Todd Zorick and Jason Smith. All rights reserved. Round Randomized Learning Vector Quantization for Brain Tumor Imaging Mon, 18 Jul 2016 08:45:36 +0000 http://www.hindawi.com/journals/cmmm/2016/8603609/ Brain magnetic resonance imaging (MRI) classification into normal and abnormal is a critical and challenging task. Owing to that, several medical imaging classification techniques have been devised in which Learning Vector Quantization (LVQ) is amongst the potential. The main goal of this paper is to enhance the performance of LVQ technique in order to gain higher accuracy detection for brain tumor in MRIs. The classical way of selecting the winner code vector in LVQ is to measure the distance between the input vector and the codebook vectors using Euclidean distance function. In order to improve the winner selection technique, round off function is employed along with the Euclidean distance function. Moreover, in competitive learning classifiers, the fitting model is highly dependent on the class distribution. Therefore this paper proposed a multiresampling technique for which better class distribution can be achieved. This multiresampling is executed by using random selection via preclassification. The test data sample used are the brain tumor magnetic resonance images collected from Universiti Kebangsaan Malaysia Medical Center and UCI benchmark data sets. Comparative studies showed that the proposed methods with promising results are LVQ1, Multipass LVQ, Hierarchical LVQ, Multilayer Perceptron, and Radial Basis Function. Siti Norul Huda Sheikh Abdullah, Farah Aqilah Bohani, Baher H. Nayef, Shahnorbanun Sahran, Omar Al Akash, Rizuana Iqbal Hussain, and Fuad Ismail Copyright © 2016 Siti Norul Huda Sheikh Abdullah et al. All rights reserved. Machine Learning Approach to Automated Quality Identification of Human Induced Pluripotent Stem Cell Colony Images Thu, 14 Jul 2016 10:34:52 +0000 http://www.hindawi.com/journals/cmmm/2016/3091039/ The focus of this research is on automated identification of the quality of human induced pluripotent stem cell (iPSC) colony images. iPS cell technology is a contemporary method by which the patient’s cells are reprogrammed back to stem cells and are differentiated to any cell type wanted. iPS cell technology will be used in future to patient specific drug screening, disease modeling, and tissue repairing, for instance. However, there are technical challenges before iPS cell technology can be used in practice and one of them is quality control of growing iPSC colonies which is currently done manually but is unfeasible solution in large-scale cultures. The monitoring problem returns to image analysis and classification problem. In this paper, we tackle this problem using machine learning methods such as multiclass Support Vector Machines and several baseline methods together with Scaled Invariant Feature Transformation based features. We perform over 80 test arrangements and do a thorough parameter value search. The best accuracy (62.4%) for classification was obtained by using a -NN classifier showing improved accuracy compared to earlier studies. Henry Joutsijoki, Markus Haponen, Jyrki Rasku, Katriina Aalto-Setälä, and Martti Juhola Copyright © 2016 Henry Joutsijoki et al. All rights reserved. Soft Computing in Medical Image Processing Tue, 12 Jul 2016 08:07:52 +0000 http://www.hindawi.com/journals/cmmm/2016/7358162/ Syoji Kobashi, László G. Nyúl, and Jayaram K. Udupa Copyright © 2016 Syoji Kobashi et al. All rights reserved. Alternative Confidence Interval Methods Used in the Diagnostic Accuracy Studies Mon, 11 Jul 2016 06:05:47 +0000 http://www.hindawi.com/journals/cmmm/2016/7141050/ Background/Aim. It is necessary to decide whether the newly improved methods are better than the standard or reference test or not. To decide whether the new diagnostics test is better than the gold standard test/imperfect standard test, the differences of estimated sensitivity/specificity are calculated with the help of information obtained from samples. However, to generalize this value to the population, it should be given with the confidence intervals. The aim of this study is to evaluate the confidence interval methods developed for the differences between the two dependent sensitivity/specificity values on a clinical application. Materials and Methods. In this study, confidence interval methods like Asymptotic Intervals, Conditional Intervals, Unconditional Interval, Score Intervals, and Nonparametric Methods Based on Relative Effects Intervals are used. Besides, as clinical application, data used in diagnostics study by Dickel et al. (2010) has been taken as a sample. Results. The results belonging to the alternative confidence interval methods for Nickel Sulfate, Potassium Dichromate, and Lanolin Alcohol are given as a table. Conclusion. While preferring the confidence interval methods, the researchers have to consider whether the case to be compared is single ratio or dependent binary ratio differences, the correlation coefficient between the rates in two dependent ratios and the sample sizes. Semra Erdoğan and Orekıcı Temel Gülhan Copyright © 2016 Semra Erdoğan and Orekıcı Temel Gülhan. All rights reserved. Biological Computation Indexes of Brain Oscillations in Unattended Facial Expression Processing Based on Event-Related Synchronization/Desynchronization Mon, 04 Jul 2016 11:15:51 +0000 http://www.hindawi.com/journals/cmmm/2016/8958750/ Estimation of human emotions from Electroencephalogram (EEG) signals plays a vital role in affective Brain Computer Interface (BCI). The present study investigated the different event-related synchronization (ERS) and event-related desynchronization (ERD) of typical brain oscillations in processing Facial Expressions under nonattentional condition. The results show that the lower-frequency bands are mainly used to update Facial Expressions and distinguish the deviant stimuli from the standard ones, whereas the higher-frequency bands are relevant to automatically processing different Facial Expressions. Accordingly, we set up the relations between each brain oscillation and processing unattended Facial Expressions by the measures of ERD and ERS. This research first reveals the contributions of each frequency band for comprehension of Facial Expressions in preattentive stage. It also evidences that participants have emotional experience under nonattentional condition. Therefore, the user’s emotional state under nonattentional condition can be recognized in real time by the ERD/ERS computation indexes of different frequency bands of brain oscillations, which can be used in affective BCI to provide the user with more natural and friendly ways. Bo Yu, Lin Ma, Haifeng Li, Lun Zhao, Hongjian Bo, and Xunda Wang Copyright © 2016 Bo Yu et al. All rights reserved.