Background: Sepsis, a life-threatening infection-induced inflammatory condition, has significant global health impacts. Timely detection is crucial for improving patient outcomes as sepsis can rapidly progress to severe forms. The application of machine learning (ML) and deep learning (DL) to predict sepsis using electronic health records (EHRs) has gained considerable attention for timely intervention. Methods: PubMed, IEEE Xplore, Google Scholar, and Scopus were searched for relevant studies. All studies that used ML/DL to detect or early-predict the onset of sepsis in the adult population using EHRs were considered. Data were extracted and analyzed from all studies that met the criteria and were also evaluated for their quality. Results: This systematic review examined 1942 articles, selecting 42 studies while adhering to strict criteria. The chosen studies were predominantly retrospective (n = 38) and spanned diverse geographic settings, with a focus on the United States. Different datasets, sepsis definitions, and prevalence rates were employed, necessitating data augmentation. Heterogeneous parameter utilization, diverse model distribution, and varying quality assessments were observed. Longitudinal data enabled early sepsis prediction, and quality criteria fulfillment varied, with inconsistent funding–article quality correlation. Conclusions: This systematic review underscores the significance of ML/DL methods for sepsis detection and early prediction through EHR data.

Every one of us has a unique manner of communicating to explore the world, and such communication helps to interpret life. Sign language is the popular language of communication for hearing and speech-disabled people. When a sign language user interacts with a non-sign language user, it becomes difficult for a signer to express themselves to another person. A sign language recognition system can help a signer to interpret the sign of a non-sign language user. This study presents a sign language recognition system that is capable of recognizing Arabic Sign Language from recorded RGB videos. To achieve this, two datasets were considered, such as (1) the raw dataset and (2) the face–hand region-based segmented dataset produced from the raw dataset. Moreover, operational layer-based multi-layer perceptron “SelfMLP” is proposed in this study to build CNN-LSTM-SelfMLP models for Arabic Sign Language recognition. MobileNetV2 and ResNet18-based CNN backbones and three SelfMLPs were used to construct six different models of CNN-LSTM-SelfMLP architecture for performance comparison of Arabic Sign Language recognition. This study examined the signer-independent mode to deal with real-time application circumstances. As a result, MobileNetV2-LSTM-SelfMLP on the segmented dataset achieved the best accuracy of 87.69% with 88.57% precision, 87.69% recall, 87.72% F1 score, and 99.75% specificity. Overall, face–hand region-based segmentation and SelfMLP-infused MobileNetV2-LSTM-SelfMLP surpassed the previous findings on Arabic Sign Language recognition by 10.970% accuracy.

Congenital heart defects (CHDs) are a leading cause of death in infants under 1 year of age. Prenatal intervention can reduce the risk of postnatal serious CHD patients, but current diagnosis is based on qualitative criteria, which can lead to variability in diagnosis between clinicians. Objectives: To detect morphological and temporal changes in cardiac ultrasound (US) videos of fetuses with hypoplastic left heart syndrome (HLHS) using deep learning models. A small cohort of 9 healthy and 13 HLHS patients were enrolled, and ultrasound videos at three gestational time points were collected. The videos were preprocessed and segmented to cardiac cycle videos, and five different deep learning CNN-LSTM models were trained (MobileNetv2, ResNet18, ResNet50, DenseNet121, and GoogleNet). The top-performing three models were used to develop a novel stacking CNN-LSTM model, which was trained using five-fold cross-validation to classify HLHS and healthy patients. The stacking CNN-LSTM model outperformed other pre-trained CNN-LSTM models with the accuracy, precision, sensitivity, F1 score, and specificity of 90.5%, 92.5%, 92.5%, 92.5%, and 85%, respectively for video-wise classification, and with the accuracy, precision, sensitivity, F1 score, and specificity of 90.5%, 92.5%, 92.5%, 92.5%, and 85%, respectively for subject-wise classification using ultrasound videos. This study demonstrates the potential of using deep learning models to classify CHD prenatal patients using ultrasound videos, which can aid in the objective assessment of the disease in a clinical setting.

The human liver exhibits variable characteristics and anatomical information, which is often ambiguous in radiological images. Machine learning can be of great assistance in automatically segmenting the liver in radiological images, which can be further processed for computer-aided diagnosis. Magnetic resonance imaging (MRI) is preferred by clinicians for liver pathology diagnosis over volumetric abdominal computerized tomography (CT) scans, due to their superior representation of soft tissues. The convenience of Hounsfield unit (HoU) based preprocessing in CT scans is not available in MRI, making automatic segmentation challenging for MR images. This study investigates multiple state-of-the-art segmentation networks for liver segmentation from volumetric MRI images. Here, T1-weighted (in-phase) scans are investigated using expert-labeled liver masks from a public dataset of 20 patients (647 MR slices) from the Combined Healthy Abdominal Organ Segmentation grant challenge (CHAOS). The reason for using T1-weighted images is that it demonstrates brighter fat content, thus providing enhanced images for the segmentation task. Twenty-four different state-of-the-art segmentation networks with varying depths of dense, residual, and inception encoder and decoder backbones were investigated for the task. A novel cascaded network is proposed to segment axial liver slices. The proposed framework outperforms existing approaches reported in the literature for the liver segmentation task (on the same test set) with a dice similarity coefficient (DSC) score and intersect over union (IoU) of $95.15\%$ and $92.10\%$, respectively.

This study focuses on artificial intelligence-driven classification of glioma and Ki-67 leveling using T2w-FLAIR MRI, exploring the association of Ki-67 biomarkers with deep learning (DL) features through explainable artificial intelligence (XAI) and SHapley Additive exPlanations (SHAP). This IRB-approved study included 101 patients with glioma brain tumor acquired MR images with the T2W-FLAIR sequence. We extracted DL bottleneck features using ResNet50 from glioma MR images. Principal component analysis (PCA) was deployed for dimensionality reduction. XAI was used to identify potential features. The XGBosst classified the histologic grades of the glioma and the level of Ki-67. We integrated potential DL features with patient demographics (age and sex) and Ki-67 biomarkers, utilizing SHAP to determine the model's essential features and interactions. Glioma grade classification and Ki-67 level predictions achieved overall accuracies of 0.94 and 0.91, respectively. It achieved precision scores of 0.92, 0.94, and 0.96 for glioma grades 2, 3, and 4, and 0.88, 0.94, and 0.97 for Ki-67 levels (low: 5%≤Ki-6720%). Corresponding F1-scores were 0.95, 0.88, and 0.96 for glioma grades and 0.92, 0.93, and 0.87 for Ki-67 levels. SHAP analysis further highlighted a strong association between bottleneck DL features and Ki-67 biomarkers, demonstrating their potential to differentiate glioma grades and Ki-67 levels while offering valuable insights into glioma aggressiveness. This study demonstrates the precise classification of glioma grades and the prediction of Ki-67 levels to underscore the potential of AI-driven MRI analysis to enhance clinical decision-making in glioma management.