搜索结果：Current osteoporosis reports

Purpose: We investigated the utilization of privacy-preserving, locally-deployed, open-source Large Language Models (LLMs) to extract diagnostic information from free-text cardiovascular magnetic resonance (CMR) reports. Materials and Methods: We evaluated nine open-source LLMs on their ability to identify diagnoses and classify patients into various cardiac diagnostic categories based on descriptive findings in 109 clinical CMR reports. Performance was quantified using standard classification metrics including accuracy, precision, recall, and F1 score. We also employed confusion matrices to examine patterns of misclassification across models. Results: Most open-source LLMs demonstrated exceptional performance in classifying reports into different diagnostic categories. Google's Gemma2 model achieved the highest average F1 score of 0.98, followed by Qwen2.5:32B and DeepseekR1-32B with F1 scores of 0.96 and 0.95, respectively. All other evaluated models attained average scores above 0.93, with Mistral and DeepseekR1-7B being the only exceptions. The top four LLMs outperformed our board-certified cardiologist (F1 score of 0.94) across all evaluation metrics in analyzing CMR reports.

Osteoporosis, characterized by reduced bone mineral density (BMD) and compromised bone microstructure, increases fracture risk in aging populations. While dual-energy X-ray absorptiometry (DXA) is the clinical standard for BMD assessment, its limited accessibility hinders diagnosis in resource-limited regions. Opportunistic computed tomography (CT) analysis has emerged as a promising alternative for osteoporosis diagnosis using existing imaging data. Current approaches, however, face three limitations: (1) underutilization of unlabeled vertebral data, (2) systematic bias from device-specific DXA discrepancies, and (3) insufficient integration of clinical knowledge such as spatial BMD distribution patterns. To address these, we propose a unified deep learning framework with three innovations. First, a self-supervised learning method using radiomic representations to leverage unlabeled CT data and preserve bone texture. Second, a Mixture of Experts (MoE) architecture with learned gating mechanisms to enhance cross-device adaptability. Third, a multi-task learning framework integrating osteoporosis diagnosis, BMD regression, and vertebra location prediction. Validated across three cli

Osteoporosis causes progressive loss of bone density and strength, causing a more elevated risk of fracture than in normal healthy bones. It is estimated that some 1 in 3 women and 1 in 5 men over the age of 50 will experience osteoporotic fractures, which poses osteoporosis as an important public health problem worldwide. The basis of diagnosis is based on Bone Mineral Density (BMD) tests, with Dual-energy X-ray Absorptiometry (DEXA) being the most common. A T-score of -2.5 or lower defines osteoporosis. This paper focuses on the application of medical imaging analytics towards the detection of osteoporosis by conducting a comparative study of the efficiency of CNN and FNN in DEXA image analytics. Both models are very promising, although, at 95%, the FNN marginally outperformed the CNN at 93%. Hence, this research underlines the probable capability of deep learning techniques in improving the detection of osteoporosis and optimizing diagnostic tools in order to achieve better patient outcomes.

Osteoporosis and osteopenia remain vastly underdiagnosed. Current clinical screening relies almost exclusively on dual-energy X-ray absorptiometry (DXA), which measures bone mineral density (BMD) but fails to capture the compositional changes that lead to BMD loss. We investigated whether Spatially Offset Raman Spectroscopy (SORS) applied to excised finger bones can assess subsurface biochemical markers capable of diagnosing osteoporosis and osteopenia and predicting wrist DXA T-scores. Raman spectra were acquired ex vivo on the mid-shaft of the proximal phalanx of the second digit from 25 female cadavers spanning the three T-score categories (n=8 normal, n=6 osteopenic, and n=11 osteoporotic) at spatial offsets of 0, 3, and 6 mm from a laser irradiation spot. After normalizing spectra to the PO43- peak, group-averaged spectra of the three categories, measured at 3-mm offset, showed clear differences in the CO32-, Amide III, CH2, and Amide I bands. Quantitatively, four out of five mineral-to-matrix ratios differed significantly (p < 0.05) between normal and osteopenic bone, and between osteopenic and osteoporotic bone, and all five ratios showed significant differences between n

Timely identification of issue reports reflecting software vulnerabilities is crucial, particularly for Internet-of-Things (IoT) where analysis is slower than non-IoT systems. While Machine Learning (ML) and Large Language Models (LLMs) detect vulnerability-indicating issues in non-IoT systems, their IoT use remains unexplored. We are the first to tackle this problem by proposing two approaches: (1) combining ML and LLMs with Natural Language Processing (NLP) techniques to detect vulnerability-indicating issues of 21 Eclipse IoT projects and (2) fine-tuning a pre-trained BERT Masked Language Model (MLM) on 11,000 GitHub issues for classifying \vul. Our best performance belongs to a Support Vector Machine (SVM) trained on BERT NLP features, achieving an Area Under the receiver operator characteristic Curve (AUC) of 0.65. The fine-tuned BERT achieves 0.26 accuracy, emphasizing the importance of exposing all data during training. Our contributions set the stage for accurately detecting IoT vulnerabilities from issue reports, similar to non-IoT systems.

Osteoporosis is a widespread and chronic metabolic bone disease that often remains undiagnosed and untreated due to limited access to bone mineral density (BMD) tests like Dual-energy X-ray absorptiometry (DXA). In response to this challenge, current advancements are pivoting towards detecting osteoporosis by examining alternative indicators from peripheral bone areas, with the goal of increasing screening rates without added expenses or time. In this paper, we present a method to predict osteoporosis using hand and wrist X-ray images, which are both widely accessible and affordable, though their link to DXA-based data is not thoroughly explored. We employ a sophisticated image segmentation model that utilizes a mixture of probabilistic U-Net decoders, specifically designed to capture predictive uncertainty in the segmentation of the ulna, radius, and metacarpal bones. This model is formulated as an optimal transport (OT) problem, enabling it to handle the inherent uncertainties in image segmentation more effectively. Further, we adopt a self-supervised learning (SSL) approach to extract meaningful representations without the need for explicit labels, and move on to classify osteop

With the growth of global maritime transportation, energy optimization has become crucial for reducing costs and ensuring operational efficiency. Shaft power is the mechanical power transmitted from the engine to the shaft and directly impacts fuel consumption, making its accurate prediction a paramount step in optimizing vessel performance. Power consumption is highly correlated with ship parameters such as speed and shaft rotation per minute, as well as weather and sea conditions. Frequent access to this operational data can improve prediction accuracy. However, obtaining high-quality sensor data is often infeasible and costly, making alternative sources such as noon reports a viable option. In this paper, we propose a transfer learning-based approach for predicting vessels shaft power, where a model is initially trained on high-frequency data from a vessel and then fine-tuned with low-frequency daily noon reports from other vessels. We tested our approach on sister vessels (identical dimensions and configurations), a similar vessel (slightly larger with a different engine), and a different vessel (distinct dimensions and configurations). The experiments showed that the mean abso

Osteoporosis is a widespread and chronic metabolic bone disease that often remains undiagnosed and untreated due to limited access to bone mineral density (BMD) tests like Dual-energy X-ray absorptiometry (DXA). In response to this challenge, current advancements are pivoting towards detecting osteoporosis by examining alternative indicators from peripheral bone areas, with the goal of increasing screening rates without added expenses or time. In this paper, we present a method to predict osteoporosis using hand and wrist X-ray images, which are both widely accessible and affordable, though their link to DXA-based data is not thoroughly explored. Initially, our method segments the ulnar, radius, and metacarpal bones using a foundational model for image segmentation. Then, we use a self-supervised learning approach to extract meaningful representations without the need for explicit labels, and move on to classify osteoporosis in a supervised manner. Our method is evaluated on a dataset with 192 individuals, cross-referencing their verified osteoporosis conditions against the standard DXA test. With a notable classification score (AUC=0.83), our model represents a pioneering effort i

The present research tackles the difficulty of predicting osteoporosis risk via machine learning (ML) approaches, emphasizing the use of explainable artificial intelligence (XAI) to improve model transparency. Osteoporosis is a significant public health concern, sometimes remaining untreated owing to its asymptomatic characteristics, and early identification is essential to avert fractures. The research assesses six machine learning classifiers: Random Forest, Logistic Regression, XGBoost, AdaBoost, LightGBM, and Gradient Boosting and utilizes a dataset based on clinical, demographic, and lifestyle variables. The models are refined using GridSearchCV to calibrate hyperparameters, with the objective of enhancing predictive efficacy. XGBoost had the greatest accuracy (91%) among the evaluated models, surpassing others in precision (0.92), recall (0.91), and F1-score (0.90). The research further integrates XAI approaches, such as SHAP, LIME, and Permutation Feature Importance, to elucidate the decision-making process of the optimal model. The study indicates that age is the primary determinant in forecasting osteoporosis risk, followed by hormonal alterations and familial history. The

Osteoporosis silently erodes skeletal integrity worldwide; however, early detection through imaging can prevent most fragility fractures. Artificial intelligence (AI) methods now mine routine Dual-energy X-ray Absorptiometry (DXA), X-ray, Computed Tomography (CT), and Magnetic Resonance Imaging (MRI) scans for subtle, clinically actionable markers, but the literature is fragmented. This survey unifies the field through a tri-axial framework that couples imaging modalities with clinical tasks and AI methodologies (classical machine learning, convolutional neural networks (CNNs), transformers, self-supervised learning, and explainable AI). Following a concise clinical and technical primer, we detail our Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-guided search strategy, introduce the taxonomy via a roadmap figure, and synthesize cross-study insights on data scarcity, external validation, and interpretability. By identifying emerging trends, open challenges, and actionable research directions, this review provides AI scientists, medical imaging researchers, and musculoskeletal clinicians with a clear compass to accelerate rigorous, patient-centered inno

Summary Osteoporosis is a skeletal disorder, characterized by a decrease in bone strength and puts the individual at risk for fracture. On the other hand, rheumatoid arthritis is a systemic disease of unknown etiology that causes inflammation of the joints of the organs. Purpose Due to the destructive effects of these diseases and its increasing prevalence and lack of appropriate medication for treatment, the present study aimed to evaluate the therapeutic effect of a new type of healthy and live food supplement on rheumatoid arthritis and induced osteoporosis in rats. Methods In this research, healthy and live food powder were synthesized by a new and green route. This organic biomaterial was named NBS. The NBS food supplement had various vitamins, macro and micro molecules, and ingredients. The new healthy and nutritious diet showed that the use of this supplement led to the return of the parameters to normal levels. Results The concentration of 12.5 mg/ kg showed the least therapeutic effect and 50 mg/ kg had the highest therapeutic effect for osteoporosis. The results of blood parameters involved in inflammation in both healthy and patient groups showed that the use of complete

Observable currents are spacetime local objects that induce physical observables when integrated on an auxiliary codimension one surface. Since the resulting observables are independent of local deformations of the integration surface, the currents themselves carry most of the information about the induced physical observables. I introduce observable currents in a multisymplectic framework for Lagrangian field theory over discrete spacetime. One family of examples is composed by Noether currents. A much larger family of examples is composed by currents, spacetime local objects, that encode the symplectic product between two arbitrary vectors tangent to the space of solutions. A weak version of observable currents, which in general are nonlocal, is also introduced. Weak observable currents can be used to separate points in the space of physically distinct solutions. It is shown that a large class of weak observable currents can be "improved" to become local. A Poisson bracket gives the space of observable currents the structure of a Lie algebra. Peierls bracket for bulk observables gives an algebra homomorphism mapping equivalence classes of bulk observables to weak observable curre

Our digital technology depends on mathematics to compute current flow and design its devices. Mathematics describes current flow by an idealization, Kirchhoff's current law. All the electrons that flow into a node flow out. This idealization describes real circuits only when stray capacitances are included in the circuit design. Motivated by Maxwell's equations, we propose that current in Kirchhoff's law be defined as \[{\varepsilon }_{\mathrm{0\ \ }}\frac{\mathrm{\partial }\boldsymbol{\mathrm{E}}}{\mathrm{\partial }t}\ \mathrm{+}\mathrm{\ }\mathrm{\ }\widetilde{\boldsymbol{\mathrm{J}}},\] the sum of (1) displacement current (2) the flux of charge associated with mass. The flux of charge associated with mass $\widetilde{\boldsymbol{\mathrm{J}}}$ includes, for example, the polarization of dielectrics as well as the movement of electrons. Kirchhoff's law becomes exact and universal when current is defined this way. This current is the source of the magnetic field; it is the source of $\boldsymbol{\mathrm{curl}}\boldsymbol{\mathrm{\ }}\boldsymbol{\mathrm{B}}$ in Maxwell's equations. Kirchoff's laws and Maxwell's equations can use the same definition of current.

Knee osteoporosis weakens the bone tissue in the knee joint, increasing fracture risk. Early detection through X-ray images enables timely intervention and improved patient outcomes. While some researchers have focused on diagnosing knee osteoporosis through manual radiology evaluation and traditional machine learning using hand-crafted features, these methods often struggle with performance and efficiency due to reliance on manual feature extraction and subjective interpretation. In this study, we propose a computer-aided diagnosis (CAD) system for knee osteoporosis, combining transfer learning with stacked feature enhancement deep learning blocks. Initially, knee X-ray images are preprocessed, and features are extracted using a pre-trained Convolutional Neural Network (CNN). These features are then enhanced through five sequential Conv-RELU-MaxPooling blocks. The Conv2D layers detect low-level features, while the ReLU activations introduce non-linearity, allowing the network to learn complex patterns. MaxPooling layers down-sample the features, retaining the most important spatial information. This sequential processing enables the model to capture complex, high-level features re

Osteoporosis, a prevalent condition among the aging population worldwide, is characterized by diminished bone mass and altered bone structure, increasing susceptibility to fractures. It poses a significant and growing global public health challenge over the next decade. Diagnosis typically involves Dual-energy X-ray absorptiometry to measure bone mineral density, yet its mass screening utility is limited. The Singh Index (SI) provides a straightforward, semi-quantitative means of osteoporosis diagnosis through plain hip radiographs, assessing trabecular patterns in the proximal femur. Although cost-effective and accessible, manual SI calculation is time-intensive and requires expertise. This study aims to automate SI identification from radiographs using machine learning algorithms. An unlabelled dataset of 838 hip X-ray images from Indian adults aged 20-70 was utilized. A custom convolutional neural network architecture was developed for feature extraction, demonstrating superior performance in cluster homogeneity and heterogeneity compared to established models. Various clustering algorithms categorized images into six SI grade clusters, with comparative analysis revealing only t

Osteoporosis is a common skeletal disease that seriously affects patients' quality of life. Traditional osteoporosis diagnosis methods are expensive and complex. The semi-supervised model based on diffusion model and class threshold sinusoidal decay proposed in this paper can automatically diagnose osteoporosis based on patient's imaging data, which has the advantages of convenience, accuracy, and low cost. Unlike previous semi-supervised models, all the unlabeled data used in this paper are generated by the diffusion model. Compared with real unlabeled data, synthetic data generated by the diffusion model show better performance. In addition, this paper proposes a novel pseudo-label threshold adjustment mechanism, Sinusoidal Threshold Decay, which can make the semi-supervised model converge more quickly and improve its performance. Specifically, the method is tested on a dataset including 749 dental panoramic images, and its achieved leading detect performance and produces a 80.10% accuracy.

In this study, the reliability of identified risk factors associated with osteoporosis is investigated using a new clustering-based method on electronic medical records. This study proposes utilizing a new CLustering Iterations Framework (CLIF) that includes an iterative clustering framework that can adapt any of the following three components: clustering, feature selection, and principal feature identification. The study proposes using Wasserstein distance to identify principal features, borrowing concepts from the optimal transport theory. The study also suggests using a combination of ANOVA and ablation tests to select influential features from a data set. Some risk factors presented in existing works are endorsed by our identified significant clusters, while the reliability of some other risk factors is weakened.

Osteoporosis is a common condition that increases fracture risk, especially in older adults. Early diagnosis is vital for preventing fractures, reducing treatment costs, and preserving mobility. However, healthcare providers face challenges like limited labeled data and difficulties in processing medical images. This study presents a novel multi-modal learning framework that integrates clinical and imaging data to improve diagnostic accuracy and model interpretability. The model utilizes three pre-trained networks-VGG19, InceptionV3, and ResNet50-to extract deep features from X-ray images. These features are transformed using PCA to reduce dimensionality and focus on the most relevant components. A clustering-based selection process identifies the most representative components, which are then combined with preprocessed clinical data and processed through a fully connected network (FCN) for final classification. A feature importance plot highlights key variables, showing that Medical History, BMI, and Height were the main contributors, emphasizing the significance of patient-specific data. While imaging features were valuable, they had lower importance, indicating that clinical dat

Spin-momentum locked (SML) topological surface state (TSS) provides exotic properties for spintronics applications. The spin-polarized current, which emerges owing to the SML, can be directly detected by performing spin potentiometric measurement. We observed spin-polarized current using a bulk insulating topological insulator (TI), Bi1.5Sb0.5Te1.7Se1.3, and Co as the ferromagnetic spin probe. The spin voltage was probed with varying the bias current, temperature, and gate voltage. Moreover, we observed non-local spin-polarized current, which is regarded as a distinguishing property of TIs. The spin-polarization ratio of the non-local current was larger than that of the local current. These findings could reveal a more accurate approach to determine spin-polarization ratio at the TSS.