In computer-aided medical diagnosis, deep learning techniques have shown that it is possible to offer performance similar to that of experienced medical specialists in the diagnosis of knee osteoarthritis. In this study, a new deep learning (DL) software, called “MedKnee” is developed to assist physicians in the diagnosis process of knee osteoarthritis according to the Kellgren and Lawrence (KL) score. To accomplish this task, 5000 knee X-ray images obtained from the Osteoarthritis Initiative public dataset (OAI) were divided into train, valid, and test datasets in a ratio of 7:1:2 with a balanced distribution across each KL grade. The pre-trained Xception model is used for transfer learning and then deployed in a Graphical User Interface (GUI) developed with Tkinter and Python. The suggested software was validated on an external public database, Medical Expert, and compared with a rheumatologist’s diagnosis on a local database, with the involvement of a radiologist for arbitration. The MedKnee achieved an accuracy of 95.36% when tested on Medical Expert-I and 94.94% on Medical Expert-II. In the local dataset, the developed tool and the rheumatologist agreed on 23 images out of 30 images (74%). The MedKnee’s satisfactory performance makes it an effective assistant for doctors in the assessment of knee osteoarthritis.

Knee osteoarthritis is a chronic, progressive disease that rapidly progresses to severe stages. Reliable and accurate diagnosis, combined with the implementation of preventive lifestyle modifications before irreversible damage occurs, can effectively protect patients from becoming an inactive population. Artificial intelligence continues to play a pivotal role in computer-aided diagnosis with increasingly convincing accuracy, particularly in identifying the severity of knee osteoarthritis according to the Kellgren–Lawrence (KL) grading scale. The primary objective of this literature review is twofold. Firstly, it aims to provide a systematic analysis of the current literature on the main artificial intelligence models used recently to predict the severity of knee osteoarthritis from radiographic images. Secondly, it constitutes a critical review of the different methodologies employed and the key elements that have improved diagnostic performance. Ultimately, this study demonstrates that the considerable success of artificial intelligence systems will reinforce healthcare professionals’ confidence in the reliability of machine learning algorithms, facilitating more effective and faster treatment for patients afflicted with knee osteoarthritis. In order to achieve these objectives, a qualitative and quantitative analysis was conducted on 60 original research articles published between 1 January 2018 and 15 May 2024.

Reducing transmission traffic delay is one of the most important issues that need to be considered for routing protocols, especially in the case of multimedia applications over vehicular ad hoc networks (VANET). To this end, we propose an extension of the FzGR (fuzzy geographical routing protocol), named MNH-FGR (multi-next-hops fuzzy geographical routing protocol). MNH-FGR is a multipath protocol that gains great extensibility by employing different link metrics and weight functions. To schedule multimedia traffic among multiple heterogeneous links, MNH-FGR integrates the weighted round-robin (WRR) scheduling algorithm, where the link weights, needed for scheduling, are computed using the multi-constrained QoS metric provided by the FzGR. The main goal is to ensure the stability of the network and the continuity of data flow during transmission. Simulation experiments with NS-2 are presented in order to validate our proposal. Additionally, we present a neural network algorithm to analyze and optimize the performance of routing protocols. The results show that MNH-FGR could satisfy critical multimedia applications with high on-time constraints. Also, the DNN model used can provide insights about which features had an impact on protocol performance.