AI-powered stethoscopes offer a promising alternative for screening rheumatic heart disease (RHD), particularly in regions with limited diagnostic infrastructure. Early detection is vital, yet echocardiography, the gold standard tool, remains largely inaccessible in low-resource settings due to cost and workforce constraints. This review systematically examines machine learning (ML) applications from 2015 to 2025 that analyze electrocardiogram (ECG) and phonocardiogram (PCG) data to support accessible, scalable screening of all RHD variants in relation to the World Heart Federation's "25 by 25" goal to reduce RHD mortality. Using PRISMA-ScR guidelines, 37 peer-reviewed studies were selected from PubMed, IEEE Xplore, Scopus, and Embase. Convolutional neural networks (CNNs) dominate recent efforts, achieving a median accuracy of 97.75%, F1-score of 0.95, and AUROC of 0.89. However, challenges remain: 73% of studies used single-center datasets, 81.1% relied on private data, only 10.8% were externally validated, and none assessed cost-effectiveness. Although 45.9% originated from endemic regions, few addressed demographic diversity or implementation feasibility. These gaps underscore t
Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease during childhood and adolescence. The temporomandibular joints (TMJ) are among the most frequently affected joints in patients with JIA, and mandibular growth is especially vulnerable to arthritic changes of the TMJ in children. A clinical examination is the most cost-effective method to diagnose TMJ involvement, but clinicians find it difficult to interpret and inaccurate when used only on clinical examinations. This study implemented an explainable artificial intelligence (AI) model that can help clinicians assess TMJ involvement. The classification model was trained using Random Forest on 6154 clinical examinations of 1035 pediatric patients (67% female, 33% male) and evaluated on its ability to correctly classify TMJ involvement or not on a separate test set. Most notably, the results show that the model can classify patients within two years of their first examination as having TMJ involvement with a precision of 0.86 and a sensitivity of 0.7. The results show promise for an AI model in the assessment of TMJ involvement in children and as a decision support tool.
This work addresses the patient-specific characterisation of the morphology and pathologies of muscle-skeletal districts (e.g., wrist, spine) to support diagnostic activities and follow-up exams through the integration of morphological and tissue information. We propose different methods for the integration of morphological information, retrieved from the geometrical analysis of 3D surface models, with tissue information extracted from volume images. For the qualitative and quantitative validation, we will discuss the localisation of bone erosion sites on the wrists to monitor rheumatic diseases and the characterisation of the three functional regions of the spinal vertebrae to study the presence of osteoporotic fractures. The proposed approach supports the quantitative and visual evaluation of possible damages, surgery planning, and early diagnosis or follow-up studies. Finally, our analysis is general enough to be applied to different districts.
Rollator walkers allow people with physical limitations to increase their mobility and give them the confidence and independence to participate in society for longer. However, rollator walker users often have poor posture, leading to further health problems and, in the worst case, falls. Integrating sensors into rollator walker designs can help to address this problem and results in a platform that allows several other interesting use cases. This paper briefly overviews existing systems and the current research directions and challenges in this field. We also present our early HealthWalk rollator walker prototype for data collection with older people, rheumatism, multiple sclerosis and Parkinson patients, and individuals with visual impairments.
The motivation of this work is the use of non-invasive and low cost techniques to obtain a faster and more accurate diagnosis of systemic sclerosis (SSc), rheumatic, autoimmune, chronic and rare disease. The technique in question is Near Infrared Spectroscopy (NIRS). Spectra were acquired from three different regions of hand's volunteers. Machine learning algorithms are used to classify and search for the best optical wavelength. The results demonstrate that it is easy to obtain wavelength bands more important for the diagnosis. We use the algorithm RFECV and SVC. The results suggests that the most important wavelength band is at 1270 nm, referring to the luminescence of Singlet Oxygen. The results indicates that the Proximal Interphalangeal Joints region returns better accuracy's scores. Optical spectrometers can be found at low prices and can be easily used in clinical evaluations, while the algorithms used are completely diffused on open source platforms.
The onset of rheumatic diseases such as rheumatoid arthritis is typically subclinical, which results in challenging early detection of the disease. However, characteristic changes in the anatomy can be detected using imaging techniques such as MRI or CT. Modern imaging techniques such as chemical exchange saturation transfer (CEST) MRI drive the hope to improve early detection even further through the imaging of metabolites in the body. To image small structures in the joints of patients, typically one of the first regions where changes due to the disease occur, a high resolution for the CEST MR imaging is necessary. Currently, however, CEST MR suffers from an inherently low resolution due to the underlying physical constraints of the acquisition. In this work we compared established up-sampling techniques to neural network-based super-resolution approaches. We could show, that neural networks are able to learn the mapping from low-resolution to high-resolution unsaturated CEST images considerably better than present methods. On the test set a PSNR of 32.29dB (+10%), a NRMSE of 0.14 (+28%), and a SSIM of 0.85 (+15%) could be achieved using a ResNet neural network, improving the bas
A computer-aided interpretation approach is proposed to detect rheumatic arthritis (RA) of human finger joints in optical tomographic images. The image interpretation method employs a multi-variate signal detection analysis aided by a machine learning classification algorithm, called Self-Organizing Mapping (SOM). Unlike in previous studies, this allows for combining multiple physical image parameters, such as minimum and maximum values of the absorption coefficient for identifying affected and not affected joints. Classification performances obtained by the proposed method were evaluated in terms of sensitivity, specificity, Youden index, and mutual information. Different methods (i.e., clinical diagnostics, ultrasound imaging, magnet resonance imaging and inspection of optical tomographic images), were used as "ground truth"-benchmarks to determine the performance of image interpretations. Using data from 100 finger joints, findings suggest that some parameter combinations lead to higher sensitivities while others to higher specificities when compared to single parameter classifications employed in previous studies. Maximum performances were reached when combining minimum/maximum
Generalized Estimation Equations (GEE) are a well-known method for the analysis of categorical longitudinal responses. GEE method has computational simplicity and population parameter interpretation. In the presence of missing data it is only valid under the strong assumption of missing completely at random. A doubly robust estimator (DRGEE) for correlated ordinal longitudinal data is a nice approach for handling intermittently missing response and covariate under the MAR mechanism. Independent working correlation is the standard way in DRGEE. However, when covariate is not time stationary, efficiency can be gained using a structured association. The goal of this paper is to extend the DRGEE estimator to allow modeling the association structure by means of either the correlation coefficient or local odds ratio. Simulation results revealed better performance of the local odds ratio parametrization, specially for small samples. The method is applied to a data set related to Rheumatic Mitral Stenosis.
A decades-old cosmic mystery has finally been cracked: the strange X-rays coming from the bright star gamma-Cas are caused by a hidden stellar companion feeding off it。 Using cutting-edge observations from the XRISM space mission, astronomers discovered that an unseen white dwarf star is siphoning material from gamma-Cas, heating it to extreme temp
Physicists are rethinking one of quantum mechanics’ biggest puzzles: how fuzzy possibilities become definite reality。 New research suggests that spontaneous “collapse” processes—possibly linked to gravity—could subtly blur time itself。 This wouldn’t affect clocks we use today, but it reveals a hidden limit to how precise time can ever be
A team at King’s College London has created a powerful new aluminum compound capable of doing the work of expensive rare metals。 Its unique triangular structure gives it remarkable stability and reactivity, allowing it to drive chemical reactions in ways never seen before。 The discovery could lead to greener and far more affordable industrial proce
Scientists have uncovered the true boundary of the Milky Way’s star-forming region using stellar “age mapping。” They found a telltale U-shaped pattern showing that star formation drops sharply around 35,000–40,000 light-years from the center。 Beyond that, stars are mostly migrants, slowly drifting outward rather than forming in place
A mysterious comet from beyond our solar system is giving astronomers a rare glimpse into alien worlds — and it may have formed in a place far colder and stranger than anything around our Sun。 The interstellar visitor, called 3I/ATLAS, contains an astonishingly high amount of “heavy water,” far exceeding anything seen in our own solar system
Scientists may have uncovered a surprising secret behind why life exists at all。 A new study suggests that the Universe’s fundamental constants — the deep physical rules that govern everything from atoms to stars — appear to sit within an incredibly narrow “sweet spot” that allows liquids to flow properly inside living cells。 Even tiny shifts in th
A scorching, airless world just 48 light-years away is offering scientists a rare glimpse into the geology of distant planets。 Using the James Webb Space Telescope, researchers studied LHS 3844 b—a tidally locked “super-Earth” with a permanent dayside hot enough to melt metal—and discovered it’s a dark, barren rock with no atmosphere
A bold step toward returning humans to the Moon is underway with Blue Origin’s uncrewed MK1 “Endurance” lander, designed to test the technologies that future astronauts will rely on。 Built in partnership with NASA, the mission will showcase precision landing, autonomous navigation, and advanced cryogenic propulsion—key capabilities for operating on