The world is facing multiple healthcare challenges because of the emergence of the COVID-19 (coronavirus) pandemic. The pandemic has exposed the limitations of handling public healthcare emergencies using existing digital healthcare technologies. Thus, the COVID-19 situation has forced research institutes and countries to rethink healthcare delivery solutions to ensure continuity of services while people stay at home and practice social distancing. Recently, several researchers have focused on disruptive technologies, such as blockchain and artificial intelligence (AI), to improve the digital healthcare workflow during COVID-19. Blockchain could combat pandemics by enabling decentralized healthcare data sharing, protecting users’ privacy, providing data empowerment, and ensuring reliable data management during outbreak tracking. In addition, AI provides intelligent computer-aided solutions by analyzing a patient’s medical images and symptoms caused by coronavirus for efficient treatments, future outbreak prediction, and drug manufacturing. Integrating both blockchain and AI could transform the existing healthcare ecosystem by democratizing and optimizing clinical workflows. In this article, we begin with an overview of digital healthcare services and problems that have arisen during the COVID-19 pandemic. Next, we conceptually propose a decentralized, patient-centric healthcare framework based on blockchain and AI to mitigate COVID-19 challenges. Then, we explore the significant applications of integrated blockchain and AI technologies to augment existing public healthcare strategies for tackling COVID-19. Finally, we highlight the challenges and implications for future research within a patient-centric paradigm.

In recent years, many researchers have focused on developing a feasible solution for storing and exchanging medical images in the field of health care. Current practices are deployed on cloud-based centralized data centers, which increase maintenance costs, require massive storage space, and raise privacy concerns about sharing information over a network. Therefore, it is important to design a framework to enable sharing and storing of big medical data efficiently within a trustless environment. In the present paper, we propose a novel proof-of-concept design for a distributed patient-centric image management (PCIM) system that is aimed to ensure safety and control of patient private data without using a centralized infrastructure. In this system, we employed an emerging Ethereum blockchain and a distributed file system technology called Inter-Planetary File System (IPFS). Then, we implemented an Ethereum smart contract called the patient-centric access control protocol to enable a distributed and trustworthy access control policy. IPFS provides the means for decentralized storage of medical images with global accessibility. We describe how the PCIM system architecture facilitates the distributed and secured patient-centric data access across multiple entities such as hospitals, patients, and image requestors. Finally, we deployed a smart contract prototype on an Ethereum testnet blockchain and evaluated the proposed framework within the Windows environment. The evaluation results demonstrated that the proposed scheme is efficient and feasible.

Fast and accurate screening of novel coronavirus (COVID-19) suspected subjects plays a vital role in timely quarantine and medical care. Deep transfer learning-based screening models on chest X-ray (CXR) are effective for countering the COVID-19 outbreak. However, an efficient screening of COVID-19 is still a huge task due to the spatial complexity of CXRs. In this paper, a dense convolutional neural network (DCov-Net) based transfer learning model is proposed for the screening of COVID-19 suspected subjects using CXR images. A modified multi-crossover genetic algorithm (MMCGA) is then proposed to tune the hyper-parameters of DCov-Net. Majority of the existing COVID-19 diagnosis models are not interpretable as they do not provide any transparency to the users. Therefore, the concept of heat-maps is used to achieve explainability and interpretability. MMCGA based DCov-Net is implemented on a multiclass dataset that contains four different classes. Experimental results reveal that MMCGA based DCov-Net achieves better performance than the existing models. The proposed MMCGA based DCov-Net can be utilized for initial screening of COVID-19 suspected subjects with an accuracy of 99.34 ± 0.51 %.

The drones can be used to detect a group of people who are unmasked and do not maintain social distance. In this paper, a deep learning-enabled drone is designed for mask detection and social distance monitoring. A drone is one of the unmanned systems that can be automated. This system mainly focuses on Industrial Internet of Things (IIoT) monitoring using Raspberry Pi 4. This drone automation system sends alerts to the people via speaker for maintaining the social distance. This system captures images and detects unmasked persons using faster regions with convolutional neural network (faster R-CNN) model. When the system detects unmasked persons, it sends their details to respective authorities and the nearest police station. The built model covers the majority of face detection using different benchmark datasets. OpenCV camera utilizes 24/7 service reports on a daily basis using Raspberry Pi 4 and a faster R-CNN algorithm.

Diabetic Retinopathy (DR) is a predominant cause of visual impairment and loss. Approximately 285 million worldwide population is affected with diabetes, and one-third of these patients have symptoms of DR. Specifically, it tends to affect the patients with 20 years or more with diabetes, but it can be reduced by early detection and proper treatment. Diagnosis of DR by using manual methods is a time-consuming and expensive task which involves trained ophthalmologists to observe and evaluate DR using digital fundus images of the retina. This study aims to systematically find and analyze high-quality research work for the diagnosis of DR using deep learning approaches. This research comprehends the DR grading, staging protocols and also presents the DR taxonomy. Furthermore, identifies, compares, and investigates the deep learning-based algorithms, techniques, and, methods for classifying DR stages. Various publicly available dataset used for deep learning have also been analyzed and dispensed for descriptive and empirical understanding for real-time DR applications. Our in-depth study shows that in the last few years there has been an increasing inclination towards deep learning approaches. 35% of the studies have used Convolutional Neural Networks (CNNs), 26% implemented the Ensemble CNN (ECNN) and, 13% Deep Neural Networks (DNN) are amongst the most used algorithms for the DR classification. Thus using the deep learning algorithms for DR diagnostics have future research potential for DR early detection and prevention based solution.

Remote sensing images taken during poor environmental conditions are degraded by the scattering of atmospheric particles, which affects the performance of many imaging systems. Hence, an efficient visibility restoration model is required to remove haze from distorted images. However, the design of visibility restoration models is an ill-posed problem as the physical information, such as depth information and attenuation model, is usually unknown. The physical parameters computed using existing models, such as dark channel prior and gradient channel prior, are not accurate, especially for images with large haze gradients. Therefore, in this article, an evolving visibility restoration model is proposed for remote sensing images. Initially, the fusion-based transmission map is computed from the foreground and sky regions. The transmission map is further improved by designing a hybrid constraint-based variational model. Finally, a dynamic differential evolution is utilized to optimize the control parameters of the proposed model. The proposed model is validated on 50 synthetic benchmarks and 50 real-life remote sensing images. For comparative analysis, ten well-known restoration models are also considered. The comparative analysis demonstrates that the proposed model outperforms the existing restoration models.