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Lung cancer is one of the leading causes of death worldwide. Early detection of this disease increases the chances of survival. Computer-Aided Detection (CAD) has been used to process CT images of the lung to determine whether an image has traces of cancer. This paper presents an image classification method based on the hybrid Convolutional Neural Network (CNN) algorithm and Support Vector Machine (SVM). This algorithm is capable of automatically classifying and analyzing each lung image to check if there is any presence of cancer cells or not. CNN is easier to train and has fewer parameters compared to a fully connected network with the same number of hidden units. Moreover, SVM has been utilized to eliminate useless information that affects accuracy negatively. In recent years, Convolutional Neural Networks (CNNs) have achieved excellent performance in many computer visions tasks. In this study, the performance of this algorithm is evaluated, and the results indicated that our proposed CNN-SVM algorithm has been succeed in classifying lung images with 97.91% accuracy. This has shown the method's merit and its ability to classify lung cancer in CT images accurately.

The co‑epidemic of silicosis and tuberculosis (TB) in South Africa's mining industry affects a large number of migrant workers and is compounded by limited access to chest X‑ray (CXR) screening. Although artificial intelligence (AI)‑based computer‑aided detection (CAD) systems for TB have demonstrated impressive accuracy against microbiological standards, validation among silica‑exposed populations has been limited. Moreover, well‑documented biases hinder CAD utility in diverse patient populations, potentially exacerbating existing healthcare inequities. In this article, we describe the challenges in developing CAD systems for TB and silicosis and present the potential benefits local public‑sector development initiatives can bring. Using a local dataset of 2000 CXRs from silica‑exposed Southern African mineworkers, alongside publicly available international datasets and pretrained CAD models, we present empirical evidence of CAD biases. Dimensionality reduction analysis produced visual mappings that demonstrate how local CXRs form a distinct cluster, separate from international images. We also found that, relative to TB, reducing image resolution disproportionately degraded silicosis detection. Further visualizations proved that accuracy metrics alone are insufficient measures of clinical reliability, possibly obscuring deployment failures. We conclude that local public‑sector CAD development offers a viable alternative to reliance on externally developed systems that likely exclude underserved populations. Addressing CAD deficiencies requires curating population‑representative datasets that capture local epidemiology and transparent, open‑source development practices that enable peer review and bias correction. Embedding technical and clinical expertise locally can transform AI‑based CAD from a potential instrument of digital colonialism into a mechanism that produces contextually appropriate diagnostics while advancing knowledge for equitable AI deployment worldwide.

Background Computer‐aided detection (CAD) software has been introduced to automatically interpret digital chest X‐rays. This study aimed to evaluate the performance of CAD software (JF CXR‐1 v3.0, which was developed by a domestic Hi‐tech enterprise) in tuberculosis (TB) case finding in China. Methods In 2019, we conducted an internal evaluation of the performance of JF CXR‐1 v3.0 by reading standard images annotated by a panel of experts. In 2020, using the reading results of chest X‐rays by a panel of experts as the reference standard, we conducted an on‐site prospective study to evaluate the performance of JF CXR‐1 v3.0 and local radiologists in TB case finding in 13 township health centers in Zhongmu County, Henan Province. Results Internal assessment results based on 277 standard images showed that JF CXR‐1 v3.0 had a sensitivity of 85.94% (95% confidence interval [CI]: 77.42%, 94.45%) and a specificity of 74.65% (95% CI: 68.81%, 80.49%) to distinguish active TB from other imaging conditions. In the on‐site evaluation phase, images from 3705 outpatients who underwent chest X‐ray detection were read by JF CXR‐1 v3.0 and local radiologists in parallel. The imaging diagnosis of local radiologists for active TB had a sensitivity of 32.89% (95% CI: 22.33%, 43.46%) and a specificity of 99.28% (95% CI: 99.01%, 99.56%), while JF CXR‐1 v3.0 showed a significantly higher sensitivity of 92.11% (95% CI: 86.04%, 98.17%) (p < 0.05) and maintained high specificity at 94.54% (95% CI: 93.81%, 95.28%). Conclusions CAD software could play a positive role in improving the TB case finding capability of township health centers. Flow chart of the study implementation. Summary CAD software might be applied to help human readers improve overall TB diagnosis in primary health center, especially in resource‐limited areas with high TB burden. Compared with local radiologists, the diagnosis of JF CXR‐1 v3.0 for active TB had a significantly higher sensitivity and a similar specificity.

Objective This study aims to report human performance in the detection of Focal Cortical Dysplasias (FCDs) using an openly available dataset. Additionally, it defines a subset of this data as a “difficult” test set to establish a public baseline benchmark against which new methods for automated FCD detection can be evaluated. Methods The performance of 28 human readers with varying levels of expertise in detecting FCDs was originally analyzed using 146 subjects (not all of which are openly available), we analyzed the openly available subset of 85 cases. Performance was measured based on the overlap between predicted regions of interest (ROIs) and ground‐truth lesion masks, using the Dice‐Soerensen coefficient (DSC). The benchmark test set was chosen to consist of 15 subjects most predictive for human performance and 13 subjects identified by at most 3 of the 28 readers. Results Expert readers achieved an average detection rate of 68%, compared to 45% for non‐experts and 27% for laypersons. Neuroradiologists detected the highest percentage of lesions (64%), while psychiatrists detected the least (34%). Neurosurgeons had the highest ROI sensitivity (0.70), and psychiatrists had the highest ROI precision (0.78). The benchmark test set revealed an expert detection rate of 49%. Significance Reporting human performance in FCD detection provides a critical baseline for assessing the effectiveness of automated detection methods in a clinically relevant context. The defined benchmark test set serves as a useful indicator for evaluating advancements in computer‐aided FCD detection approaches. Plain Language Summary Focal cortical dysplasias (FCDs) are malformations of cortical development and one of the most common causes of drug‐resistant focal epilepsy. Once found, FCDs can be neurosurgically resected, which leads to seizure freedom in many cases. However, FCDs are difficult to detect in the visual assessment of magnetic resonance imaging. A myriad of algorithms for automated FCD detection have been developed, but their true clinical value remains unclear since there is no benchmark dataset for evaluation and comparison to human performance. Here, we use human FCD detection performance to define a benchmark dataset with which new methods for automated detection can be evaluated.

The role of multi-parametric magnetic resonance imaging (mp-MRI) is becoming increasingly important in the diagnosis of the clinical severity of prostate cancer (PCa). However, mp-MRI images usually contain several unaligned 3D sequences, such as DWI image sequences and T2-weighted image sequences, and there are many images among the entirety of 3D sequence images that do not contain cancerous tissue, which affects the accuracy of large-scale prostate cancer detection. Therefore, there is a great need for a method that uses accurate computer-aided detection of mp-MRI images and minimizes the influence of useless features. Our proposed PCa detection method is divided into three stages: (i) multimodal image alignment, (ii) automatic cropping of the sequence images to the entire prostate region, and, finally, (iii) combining multiple modal images of each patient into novel 3D sequences and using 3D convolutional neural networks to learn the newly composed 3D sequences with different modal alignments. We arrange the different modal methods to make the model fully learn the cancerous tissue features; then, we predict the clinical severity of PCa and generate a 3D cancer response map for the 3D sequence images from the last convolution layer of the network. The prediction results and 3D response map help to understand the features that the model focuses on during the process of 3D-CNN feature learning. We applied our method to Toho hospital prostate cancer patient data; the AUC (=0.85) results were significantly higher than those of other methods.

Abstract Background Detection of active pulmonary tuberculosis on chest radiographs (CRs) is critical for the diagnosis and screening of tuberculosis. An automated system may help streamline the tuberculosis screening process and improve diagnostic performance. Methods We developed a deep learning–based automatic detection (DLAD) algorithm using 54c221 normal CRs and 6768 CRs with active pulmonary tuberculosis that were labeled and annotated by 13 board-certified radiologists. The performance of DLAD was validated using 6 external multicenter, multinational datasets. To compare the performances of DLAD with physicians, an observer performance test was conducted by 15 physicians including nonradiology physicians, board-certified radiologists, and thoracic radiologists. Image-wise classification and lesion-wise localization performances were measured using area under the receiver operating characteristic (ROC) curves and area under the alternative free-response ROC curves, respectively. Sensitivities and specificities of DLAD were calculated using 2 cutoffs (high sensitivity [98%] and high specificity [98%]) obtained through in-house validation. Results DLAD demonstrated classification performance of 0.977–1.000 and localization performance of 0.973–1.000. Sensitivities and specificities for classification were 94.3%–100% and 91.1%–100% using the high-sensitivity cutoff and 84.1%–99.0% and 99.1%–100% using the high-specificity cutoff. DLAD showed significantly higher performance in both classification (0.993 vs 0.746–0.971) and localization (0.993 vs 0.664–0.925) compared to all groups of physicians. Conclusions Our DLAD demonstrated excellent and consistent performance in the detection of active pulmonary tuberculosis on CR, outperforming physicians, including thoracic radiologists. A deep learning–based algorithm outperformed radiologists in detecting active pulmonary tuberculosis on chest radiographs and thus may play an important role in diagnosis and screening of tuberculosis in select situations, contributing to the reduction of the high burden of tuberculosis worldwide.

An automated detection system for Parkinson’s disease (PD) employing the convolutional neural network (CNN) is proposed in this study. PD is characterized by the gradual degradation of motor function in the brain. Since it is related to the brain abnormality, electroencephalogram (EEG) signals are usually considered for the early diagnosis. In this work, we have used the EEG signals of twenty PD and twenty normal subjects in this study. A thirteen -layer CNN architecture which can overcome the need for the conventional feature representation stages is implemented. The developed model has achieved a promising performance of 88.25% accuracy, 84.71% sensitivity, and 91.77% specificity. The developed classification model is ready to be used on large population before installation of clinical usage.

As the most common examination tool in medical practice, chest radiography has important clinical value in the diagnosis of disease. Thus, the automatic detection of chest disease based on chest radiography has become one of the hot topics in medical imaging research. Based on the clinical applications, the study conducts a comprehensive survey on computer-aided detection (CAD) systems, and especially focuses on the artificial intelligence technology applied in chest radiography. The paper presents several common chest X-ray datasets and briefly introduces general image preprocessing procedures, such as contrast enhancement and segmentation, and bone suppression techniques that are applied to chest radiography. Then, the CAD system in the detection of specific disease (pulmonary nodules, tuberculosis, and interstitial lung diseases) and multiple diseases is described, focusing on the basic principles of the algorithm, the data used in the study, the evaluation measures, and the results. Finally, the paper summarizes the CAD system in chest radiography based on artificial intelligence and discusses the existing problems and trends.

Computer-aided detection or diagnosis (CAD) has been a promising area of research over the last two decades. Medical image analysis aims to provide a more efficient diagnostic and treatment process for the radiologists and clinicians. However, with the development of science and technology, data interpretation manually in the conventional CAD systems has gradually become a challenging task. Deep learning methods, especially convolutional neural networks (CNNs), are successfully used as tools to solve this problem. This includes applications such as breast cancer diagnosis, lung nodule detection and prostate cancer localization. In this overview, the current state-of-the-art medical image analysis techniques in CAD research are presented, which focus on the convolutional neural network (CNN) based methods. The commonly used medical image databases in literature are also listed. It is anticipated that this paper can provide researchers in radiomics, precision medicine, and imaging grouping with a systematic picture of the CNN-based methods used in CAD research.