Publications by authors named "Ilker Hacihaliloglu"

The integration of artificial intelligence (AI) education into medical curricula is critical for preparing future healthcare professionals. This research employed the Delphi method to establish an expert-based AI curriculum for Canadian undergraduate medical students. A panel of 18 experts in health and AI across Canada participated in three rounds of surveys to determine essential AI learning competencies.

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This study aimed to create a conversion equation that accurately predicts cartilage magnetic resonance imaging (MRI) T2 relaxation times using ultrasound echo-intensity and common participant demographics. We recruited 15 participants with a primary anterior cruciate ligament reconstruction between the ages of 18 and 35 years at 1-5 years after surgery. A single investigator completed a transverse suprapatellar scan with the ACLR limb in max knee flexion to image the femoral trochlea cartilage.

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Background: Ultrasound (US) has demonstrated to be an effective guidance technique for lumbar spine injections, enabling precise needle placement without exposing the surgeon or the patient to ionizing radiation. However, noise and acoustic shadowing artifacts make US data interpretation challenging. To mitigate these problems, many authors suggested using computed tomography (CT)-to-US registration to align the spine in pre-operative CT to intra-operative US data, thus providing localization of spinal landmarks.

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Denoising diffusion models, a class of generative models, have garnered immense interest lately in various deep-learning problems. A diffusion probabilistic model defines a forward diffusion stage where the input data is gradually perturbed over several steps by adding Gaussian noise and then learns to reverse the diffusion process to retrieve the desired noise-free data from noisy data samples. Diffusion models are widely appreciated for their strong mode coverage and quality of the generated samples in spite of their known computational burdens.

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Ultrasound (US) imaging is a paramount modality in many image-guided surgeries and percutaneous interventions, thanks to its high portability, temporal resolution, and cost-efficiency. However, due to its imaging principles, the US is often noisy and difficult to interpret. Appropriate image processing can greatly enhance the applicability of the imaging modality in clinical practice.

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: Interaction of neurons with their extracellular environment and the mechanical forces at focal adhesions and synaptic junctions play important roles in neuronal development. : To advance studies of mechanotransduction, we demonstrate the use of the vinculin tension sensor (VinTS) in primary cultures of cortical neurons. VinTS consists of TS module (TSMod), a Förster resonance energy transfer (FRET)-based tension sensor, inserted between vinculin's head and tail.

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Objective: To validate a semi-automated technique to segment ultrasound-assessed femoral cartilage without compromising segmentation accuracy to a traditional manual segmentation technique in participants with an anterior cruciate ligament injury (ACL).

Design: We recruited 27 participants with a primary unilateral ACL injury at a pre-operative clinic visit. One investigator performed a transverse suprapatellar ultrasound scan with the participant's ACL injured knee in maximum flexion.

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The global pandemic of the novel coronavirus disease 2019 (COVID-19) has put tremendous pressure on the medical system. Imaging plays a complementary role in the management of patients with COVID-19. Computed tomography (CT) and chest X-ray (CXR) are the two dominant screening tools.

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Most methods for medical image segmentation use U-Net or its variants as they have been successful in most of the applications. After a detailed analysis of these "traditional" encoder-decoder based approaches, we observed that they perform poorly in detecting smaller structures and are unable to segment boundary regions precisely. This issue can be attributed to the increase in receptive field size as we go deeper into the encoder.

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The association between blood viscosity and pathological conditions involving a number of organ systems is well known. However, how the body measures and maintains appropriate blood viscosity is not well-described. The literature endorsing the function of the carotid sinus as a site of baroreception can be traced back to some of the earliest descriptions of digital pressure on the neck producing a drop in blood delivery to the brain.

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Article Synopsis
  • Ultrasound is the top choice for diagnosing fatty liver disease due to its noninvasive nature, but traditional methods lack objectivity and accuracy.
  • The study introduces an advanced deep learning model that leverages various image processing techniques and multi-feature inputs to enhance classification accuracy for nonalcoholic fatty liver disease from ultrasound data.
  • Results show the model achieves over 90% classification accuracy and a 97.8% area under the ROC curve, indicating significant improvements over traditional CNN and machine learning approaches, highlighting its potential in clinical diagnostics.
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  • Accurate needle placement is crucial for procedures like biopsies and regional anesthesia, where ultrasound guidance can help, but deep insertions can obscure visibility.
  • A new algorithm enhances needle tip visibility in ultrasound frames by detecting subtle intensity changes, using a hybrid deep neural network to predict needle tip location even when the shaft is not visible.
  • Tests with various tissues and different needle sizes showed a significant 30% improvement in tip localization accuracy and a fast response time, indicating the method's potential for clinical use.
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  • The COVID-19 pandemic has increased the need for effective and accessible diagnostic methods, as traditional test kits are limited; chest X-rays (CXR) are identified as a promising alternative due to their speed, cost-effectiveness, and portability.
  • This study presents a new multi-feature convolutional neural network (CNN) designed to improve the classification of COVID-19 from enhanced CXR images, combining standard and enhanced imaging techniques.
  • The proposed model demonstrated high accuracy in classifying CXR scans—with 95.57% average accuracy and 99% metrics for COVID-19 cases—indicating its potential as a reliable tool for aiding radiologists in diagnosing COVID-19.
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Purpose: Real-time, two (2D) and three-dimensional (3D) ultrasound (US) has been investigated as a potential alternative to fluoroscopy imaging in various surgical and non-surgical orthopedic procedures. However, low signal to noise ratio, imaging artifacts and bone surfaces appearing several millimeters (mm) in thickness have hindered the wide spread adaptation of this safe imaging modality. Limited field of view and manual data collection cause additional problems during US-based orthopedic procedures.

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Purpose: Automatic bone surfaces segmentation is one of the fundamental tasks of ultrasound (US)-guided computer-assisted orthopedic surgery procedures. However, due to various US imaging artifacts, manual operation of the transducer during acquisition, and different machine settings, many existing methods cannot deal with the large variations of the bone surface responses, in the collected data, without manual parameter selection. Even for fully automatic methods, such as deep learning-based methods, the problem of dataset bias causes networks to perform poorly on the US data that are different from the training set.

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  • Computational image analysis improves the accuracy and consistency of cancer diagnoses by applying algorithms to digitized histopathology specimens, but variations in sample preparation across labs can affect performance.
  • To address these challenges, the study proposes unsupervised domain adaptation to enable effective transfer of diagnostic knowledge without needing new labels or annotations.
  • The researchers evaluate two strategies—color normalization and adversarial training—finding that adversarial training using convolutional neural networks enhances classification results significantly across various testing conditions.
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Ultrasound (US) could become a standard of care imaging modality for the quantitative assessment of femoral cartilage thickness for the early diagnosis of knee osteoarthritis. However, low contrast, high levels of speckle noise, and various imaging artefacts hinder the analysis of collected data. Accurate, robust, and fully automatic US image-enhancement and cartilage-segmentation methods are needed in order to improve the widespread deployment of this imaging modality for knee-osteoarthritis diagnosis and monitoring.

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  • This paper introduces a method for accurately localizing needle tips during ultrasound-guided interventions, addressing challenges presented by low intensity of needle visibility.
  • The approach merges a digital subtraction technique to enhance subtle intensity changes from tip movement with a deep learning model to achieve reliable needle tip detection.
  • Testing on an extensive dataset of needle images showed that the method achieved a minimal localization error (0.72 mm) while processing images at a rate of approximately 10 frames per second, outperforming existing techniques.
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Purpose: Ultrasound (US) provides real-time, two-/three-dimensional safe imaging. Due to these capabilities, it is considered a safe alternative to intra-operative fluoroscopy in various computer-assisted orthopedic surgery (CAOS) procedures. However, interpretation of the collected bone US data is difficult due to high levels of noise, various imaging artifacts, and bone surfaces response appearing several millimeters (mm) in thickness.

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  • Automatic Gleason grading for prostate cancer histopathology is essential for accurate diagnosis and treatment, but variations in tissue preparation can hinder accuracy across different institutions.
  • The authors propose using unsupervised domain adaptation, allowing the transfer of knowledge from a trained model without needing labeled target images, which enhances the model's performance across different histopathology slides.
  • Their method, validated on two prostate cancer datasets, demonstrates significant improvement in predicting Gleason scores compared to standard models, thanks to adversarial training and a Siamese architecture designed to maintain consistency in feature space.
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Ultrasound is a real-time, non-radiation-based imaging modality with an ability to acquire two-dimensional (2D) and three-dimensional (3D) data. Due to these capabilities, research has been carried out in order to incorporate it as an intraoperative imaging modality for various orthopedic surgery procedures. However, high levels of noise, different imaging artifacts, and bone surfaces appearing blurred with several mm in thickness have prohibited the widespread use of ultrasound as a standard of care imaging modality in orthopedics.

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Purpose: We propose a framework for automatic and accurate detection of steeply inserted needles in 2D ultrasound data using convolution neural networks. We demonstrate its application in needle trajectory estimation and tip localization.

Methods: Our approach consists of a unified network, comprising a fully convolutional network (FCN) and a fast region-based convolutional neural network (R-CNN).

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Purpose: We propose a novel framework for enhancement and localization of steeply inserted hand-held needles under in-plane 2D ultrasound guidance.

Methods: Depth-dependent attenuation and non-axial specular reflection hinder visibility of steeply inserted needles. Here, we model signal transmission maps representative of the attenuation probability within the image domain.

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