The advancements in communication and hardware technologies have enabled the wearable
devices of smart healthcare systems (CSHS) to generate an enormous amount of data.
However, it is not clear what information can be obtained from the collected data
that can be used by practitioners in CSHS. Recently, various machine learning algorithms
and big data analytic techniques have been used to investigate the effectiveness of
CSHS. In CSHS, efficient machine learning and big data analytics are mandatory because
the gathered data are in an unorganized form and in different volumes, velocities,
and varieties. CSHS are persuasive global needs due to the growth of the world’s population
and a rapid increase in urbanization. As the urban population continuously increases,
the need for improved quality of life, efficient delivery of health services to citizens
becomes paramount. As CSHS continues to mature, specialized machine learning algorithms
and big data analytic techniques are required to maintain the voluminous amount of
medical data used in CSHS.
This topical collection attracted a total of 89 papers. Upon rigorous review, only
15 high quality papers were selected for publication. Each paper received a minimum
of three reviews and each paper underwent two to three round of revision. Each paper
was substantially modified based on the comprehensive comments of independent reviewers
and guest editors. The papers are diverse in nature with each paper strictly comply
with the scope of the special issue in true spirit.
Pneumonia is an infectious disease that affects the lungs and need to be prevented
at an early stage. The first paper of this topical collection is titled identification
and classification of pneumonia disease using a deep learning-based intelligent computational
framework, by Rong Yi et al. This paper proposed a scalable and interpretable deep
convolutional neural network (DCNN) to identify pneumonia using chest x-ray images.
The proposed modified DCNN model first extracts useful features from the images and
then classifies them into normal and pneumonia classes. The experimental result shows
that the proposed model's performance is greater compared to the other state-of-the-art
methodologies used to identify pneumonia.
Hypertension risk prediction has always been the focus of attention of the research
community. In this context, Min Fang et al. proposed a hybrid machine learning approach
for hypertension risk prediction in the second paper of this topical collection. This
paper addressed the risk prediction for hypertension in the next five years, and put
forward a model merging KNN and LightGBM. The proposed approach allowed the researchers
to predict the hypertension risk for a specific set of individuals using features,
such as the age of the subject and blood indicators. Results shows that the proposed
model is reliable and achieves accuracy and recall rate over 86% and 92%, respectively.
Parkinson disease is another disease that affect a large proportion of human race.
Zainab Ayaz et al. proposed automated methods for diagnosis of Parkinson’s disease
and predicting severity level. This review paper aims to provide a comprehensive survey
of the use of artificial intelligence for Parkinson’s disease diagnosis. Techniques,
such as machine learning and deep learning have been used broadly and reported promising
results. Different datasets including voice data samples, radiology images, and handwriting
samples and gait specimens have been used for analysis and detection. Moreover, several
key peculiarities and challenges are also provided based on the comprehensive literature
review to diagnose a healthy or unhealthy person.
In this topical collection, the fourth paper is Segmentation of ultrasound image sequences
by combing a novel deep siamese network with a deformable contour model. In this paper,
a novel deformable contour model is proposed for segmenting ultrasound image sequences,
which aims to utilize the powerful ability of deep learning network in learning of
image features to help the deformable contour model resist weaknesses of ultrasound
images. The deep learning network is designed as a densely connected Siamese architecture.
It trains a contrastive loss that serves as a boundary searching metric of a deformable
contour to segment ultrasound image.
The next paper is titled a machine learning enabled intelligent application for public
health and safety. This article uses a machine learning approach to analyze and detect
burst signals in a smart healthcare system to protect and safeguard the public health.
They considered the time-series electrocardiogram (ECG) waveforms for the detection
of burst signals.
The next paper is Internet of things enabled real-time health monitoring system using
deep learning. The proposed system uses wearable medical devices to measure vital
signs and apply various deep learning algorithms to extract valuable information.
The deep learning algorithms help physicians properly analyze these athletes’ conditions
and offer the proper medications to them, even if the doctors are away. The performance
of the proposed system is extensively evaluated using a cross-validation test by considering
various statistical-based performance measurement metrics.
The seventh paper of this topical collection, i.e., an improved deep learning mechanism
for EEG recognition in sports health informatics uses deep learning methods to analyze
the EEG signals of athletes. It then proposes and designs a channel attention module
connected to the input layer of the convolutional neural network (CNN). The proposed
approach automatically learns the EEG signals of different channels for recognizing
the contribution of the task. The experimental result shows that the proposed model
improves the recognition accuracy from 82.58% of ResNet13 to 85.68% and attained excellent
recognition accuracy of 91.05% by using CAMResNet13 + CRNN architecture.
Deep learning enabled block scrambling algorithm for securing telemedicine data of
table tennis players is the next paper of this topical collection. In this paper,
the authors first presented a data block scrambling algorithm (without key management)
for secured transmission and storage of ECG data of table tennis players at the cloud.
A small piece of original data stored at the cloud is used for scrambling the massive
amount of remaining ECG data. The secured telemedicine data is then imported into
Hadoop Distributed File System for data management, which is read by Spark framework
to form Resilient Distributed Datasets. Finally, a deep learning approach is used
that extracts useful features, learns the related information, and weights and sums
the feature vectors at different layers for classification.
The next paper is AI-enabled radiologist in the loop: novel AI-based framework to
augment radiologist performance for COVID-19 chest CT medical image annotation and
classification from pneumonia, proposed by Hemant Ghayvat et al. This work proposed
an RILML framework for automated segmentation, where a radiologist is partially employed
to annotate data for training sets, classification based on textural changes in CT,
with clinical expandability via heat maps. A machine learning (ML)-based recognition
and segmentation system was developed to spontaneously discover and compute infection
areas in CT scans of COVID-19 patients. The computable assessment exhibited suitable
performance for automatic infection region allocation.
Deep neural network correlation learning mechanism for CT brain tumor detection by
Marcin Woźniak is the tenth paper in this topical collection. This paper proposed
a novel correlation learning mechanism (CLM) for deep neural network architectures
that combines convolutional neural network (CNN) with classic architecture. The support
neural network helps CNN to find the most adequate filers for pooling and convolution
layers. As a result, the main neural classifier learns faster and reaches higher efficiency.
Results show that the proposed CLM model is able to reach about 96% accuracy, and
about 95% precision and recall.
Analysis and design of dual-feature fusion neural network for sports injury estimation
model is the next paper of this topical collection. This paper proposed a model to
solve the problem of feature loss by using a 1 × 1 convolution and hyperlink to form
a dual-fusion structure to enhance effective discrimination. Multiple experiments
have been performed using different classification models. The performance of the
utilized models, including the proposed model, has been evaluated with the help of
numerous performance evaluation metrics. The proposed model attained an excellent
classification accuracy of 97.0%, a sensitivity of 95.70%, and a specificity of 97.54%.
The next paper is aggregated decentralized down-sampling-based ResNet for smart healthcare
systems. This paper proposed a new strategy of aggregation decentralized down-sampling
to prevent the loss of feature information in healthcare data. The regions that are
not involved in the convolution operation are re-convoluted and stacked onto depth
information in the forward propagation layer and the short-circuit layer, ensuring
gradual convergence of the feature map and avoiding the loss of feature information.
The accuracy of the proposed residual network (ResNet) system for classification tasks
showed an average improvement of 2.57% compared with the conventional ResNet strategies.
The next paper of this topical collection is arrhythmia diagnosis of young martial
arts athletes based on deep learning for smart medical care by Jing Zhuang. This study
proposes an intelligent system based on deep learning and machine learning methods
to classify and diagnose ECG signals to improve their classification and recognition
accuracy. It improves the detection ability of martial arts athletes’ arrhythmia disease
and obtains accurate arrhythmia diagnosis information. MIT-BIH arrhythmia dataset
has been used for the experimental analysis. The performance of the proposed scheme
is evaluated with the help of various performance measures.
Hamdi Altaheri et al. proposed deep learning techniques for classification of electroencephalogram
(EEG) motor imagery (MI) signals: a review. In this work, we systematically review
the DL-based research for MI-EEG classification from the past ten years. This article
first explains the procedure for selecting the studies and then gives an overview
of BCI, EEG, and MI systems. The DL-based techniques applied in MI classification
are then analyzed and discussed from four main perspectives: preprocessing, input
formulation, deep learning architecture, and performance evaluation. In the discussion
section, three major questions about DL-based MI classification are addressed: (1)
Is preprocessing required for DL-based techniques? (2) What input formulations are
best for DL-based techniques? (3) What are the current trends in DL-based techniques?
Moreover, this work summarizes MI-EEG-based applications, extensively explores public
MI-EEG datasets, and gives an overall visualization of the performance attained for
each dataset based on the reviewed articles. Finally, current challenges and future
directions are discussed.
The final paper of this topical collection, i.e., an intelligent heart disease prediction
system based on swarm-artificial neural network was proposed by Nandy et al. This
study propose an intelligent healthcare framework for predicting cardiovascular heart
disease based on Swarm-Artificial Neural Network (Swarm-ANN) strategy. Initially,
the proposed Swarm-ANN strategy randomly generates predefined numbers of Neural Networks
(NNs) for training and evaluating the framework based on their solution consistency.
Additionally, the NN populations are trained by two stages of weight changes and their
weight is adjusted by a newly designed heuristic formulation. Finally, the weight
of the neurons is modified by sharing the global best weight with other neurons and
predicts the accuracy of cardiovascular disease. The proposed Swarm-ANN strategy achieves
95.78% accuracy while predicting the cardiovascular disease of the patients from a
benchmark dataset. The simulation results exhibit that the proposed Swarm-ANN strategy
outperforms the standard learning techniques in terms of various performance matrices.