Publications by authors named "Viskovic K"

Article Synopsis
  • Accurate lung disease diagnosis is essential, and this study explores combining Attention U-Net with Vision Transformers (ViTs) for better segmentation and classification using chest X-rays.
  • The research employs explainability techniques like Grad-CAM++ and Layer-wise Relevance Propagation (LRP) to illuminate model decisions, which is crucial for clinical acceptance.
  • Results show that Attention U-Net achieved high segmentation accuracy, while ViTs significantly outperformed CNNs in classification tasks, ultimately enhancing confidence in AI solutions for healthcare.
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Background And Novelty: When RT-PCR is ineffective in early diagnosis and understanding of COVID-19 severity, Computed Tomography (CT) scans are needed for COVID diagnosis, especially in patients having high ground-glass opacities, consolidations, and crazy paving. Radiologists find the manual method for lesion detection in CT very challenging and tedious. Previously solo deep learning (SDL) was tried but they had low to moderate-level performance.

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The aim of our study was to establish and compare the diagnostic accuracy and clinical applicability of published chest CT severity scoring systems used for COVID-19 pneumonia assessment and to propose the most efficient CT scoring system with the highest diagnostic performance and the most accurate prediction of disease severity. This retrospective study included 218 patients with PCR-confirmed SARS-CoV-2 infection and chest CT. Two radiologists blindly evaluated CT scans and calculated nine different CT severity scores (CT SSs).

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In this article, we report on a rare case of acute respiratory distress syndrome (ARDS) caused by the Puumala orthohantavirus (PUUV), which is typically associated with hemorrhagic fever with renal syndrome (HFRS). This is the first documented case of PUUV-associated ARDS in Southeast Europe. The diagnosis was confirmed by serum RT-PCR and serology and corroborated by phylogenetic analysis and chemokine profiling.

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The challenges associated with diagnosing and treating cardiovascular disease (CVD)/Stroke in Rheumatoid arthritis (RA) arise from the delayed onset of symptoms. Existing clinical risk scores are inadequate in predicting cardiac events, and conventional risk factors alone do not accurately classify many individuals at risk. Several CVD biomarkers consider the multiple pathways involved in the development of atherosclerosis, which is the primary cause of CVD/Stroke in RA.

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The global mortality rate is known to be the highest due to cardiovascular disease (CVD). Thus, preventive, and early CVD risk identification in a non-invasive manner is vital as healthcare cost is increasing day by day. Conventional methods for risk prediction of CVD lack robustness due to the non-linear relationship between risk factors and cardiovascular events in multi-ethnic cohorts.

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Article Synopsis
  • Human alveolar echinococcosis (HAE) has been increasingly reported in central Croatia over the past two decades, marking a new epidemiological focus.
  • Between 2019 and 2022, six autochthonous HAE cases were identified, particularly in Bjelovar-Bilogora County, affecting mainly middle-aged individuals with significant liver lesions.
  • The prevalence of HAE in local red foxes was recorded at 11.24%, highlighting the need for health screening programs and preventive veterinary measures in the region.
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Background And Motivation: Lung computed tomography (CT) techniques are high-resolution and are well adopted in the intensive care unit (ICU) for COVID-19 disease control classification. Most artificial intelligence (AI) systems do not undergo generalization and are typically overfitted. Such trained AI systems are not practical for clinical settings and therefore do not give accurate results when executed on unseen data sets.

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Alveolar echinococcosis is an emerging zoonotic disease caused by the parasite Echinococcus multilocularis. Most patients are diagnosed at a late stage, when lifelong treatment with benzimidazoles is required to stop disease progression. However, for patients who do not tolerate benzimidazole therapy, there are no alternatives.

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: The price of medical treatment continues to rise due to (i) an increasing population; (ii) an aging human growth; (iii) disease prevalence; (iv) a rise in the frequency of patients that utilize health care services; and (v) increase in the price. Artificial Intelligence (AI) is already well-known for its superiority in various healthcare applications, including the segmentation of lesions in images, speech recognition, smartphone personal assistants, navigation, ride-sharing apps, and many more. Our study is based on two hypotheses: (i) AI offers more economic solutions compared to conventional methods; (ii) AI treatment offers stronger economics compared to AI diagnosis.

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Pulmonary thrombosis (PT) is a frequent complication of COVID-19. However, the risk factors, predictive scores, and precise diagnostic guidelines on indications for CT pulmonary angiography (CTPA) are still lacking. This study aimed to analyze the clinical and laboratory characteristics associated with PT in patients with COVID-19.

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A diabetic foot infection (DFI) is among the most serious, incurable, and costly to treat conditions. The presence of a DFI renders machine learning (ML) systems extremely nonlinear, posing difficulties in CVD/stroke risk stratification. In addition, there is a limited number of well-explained ML paradigms due to comorbidity, sample size limits, and weak scientific and clinical validation methodologies.

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The aim of this study was to characterize and compare changes in subcutaneous fat in the malar, brachial and crural region in a cohort of HIV-infected patients taking antiretroviral therapy. This prospective longitudinal study included 77 patients who were selected from the initial cohort evaluated in 2007 and 2008. We examined reversibility of lipoatrophy measured by ultrasound over at least five-year period and factors related to its reversibility.

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The SARS-CoV-2 virus has caused a pandemic, infecting nearly 80 million people worldwide, with mortality exceeding six million. The average survival span is just 14 days from the time the symptoms become aggressive. The present study delineates the deep-driven vascular damage in the pulmonary, renal, coronary, and carotid vessels due to SARS-CoV-2.

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Variations in COVID-19 lesions such as glass ground opacities (GGO), consolidations, and crazy paving can compromise the ability of solo-deep learning (SDL) or hybrid-deep learning (HDL) artificial intelligence (AI) models in predicting automated COVID-19 lung segmentation in Computed Tomography (CT) from unseen data leading to poor clinical manifestations. As the first study of its kind, "COVLIAS 1.0-Unseen" proves two hypotheses, (i) contrast adjustment is vital for AI, and (ii) HDL is superior to SDL.

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Article Synopsis
  • Parkinson's disease (PD) is serious and costly to treat, and recent advancements in machine learning (ML) can predict cardiovascular and stroke risks in PD patients, but challenges arise due to COVID-19's impact on these models.
  • The study explores the hypothesis that COVID-19 exacerbates heart and brain damage in PD patients and proposes a deep learning (DL) model that factors in COVID-19 lung damage, alongside various medical data, for better risk stratification.
  • Validation of the DL model demonstrated its effectiveness in stratifying cardiovascular/stroke risk in PD patients during the pandemic, while also addressing potential biases in artificial intelligence applications for early detection of these risks.
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Background: The previous COVID-19 lung diagnosis system lacks both scientific validation and the role of explainable artificial intelligence (AI) for understanding lesion localization. This study presents a cloud-based explainable AI, the “COVLIAS 2.0-cXAI” system using four kinds of class activation maps (CAM) models.

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Background: COVID-19 is a disease with multiple variants, and is quickly spreading throughout the world. It is crucial to identify patients who are suspected of having COVID-19 early, because the vaccine is not readily available in certain parts of the world. Methodology: Lung computed tomography (CT) imaging can be used to diagnose COVID-19 as an alternative to the RT-PCR test in some cases.

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Article Synopsis
  • * Timely detection of CVD complications in DR patients is essential, and since traditional CAD risk assessments can be costly, low-cost imaging methods like carotid B-mode ultrasound can be utilized for better risk stratification.
  • * The use of artificial intelligence (AI) in analyzing large data sets helps identify risk factors for atherosclerosis in DR patients, thus aiding in CVD risk assessment and highlighting the interconnection between DR, CAD, and their implications during the COVID-19 pandemic.
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Article Synopsis
  • Parkinson's disease (PD) is linked to an increased risk of cardiovascular disease (CVD) and stroke, but this connection is under-researched, leading to confusion in prognosis and treatment.
  • The study aims to solidify the relationship between PD and CVD/stroke while leveraging artificial intelligence (AI) to accurately stratify risks associated with these conditions in PD patients.
  • It highlights the main cause of cardiovascular issues in PD as cardiac autonomic dysfunction and proposes AI-driven solutions to enhance risk prediction and eliminate biases in studies related to PD and its cardiovascular implications.
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Background: Cystic echinococcosis is a manifestation of a zoonosis caused by larvae of the tapeworm sensu lato and pterygopalatine fossa cases are extremely rare.

Clinical Presentation And Findings: A 45-year-old Caucasian female with a history of repeated surgeries for HC was referred to our center for treatment of a cystic mass of the pterygopalatine fossa. Multiorgan dissemination was noted on preoperative imaging.

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Background and Motivation: The novel coronavirus causing COVID-19 is exceptionally contagious, highly mutative, decimating human health and life, as well as the global economy, by consistent evolution of new pernicious variants and outbreaks. The reverse transcriptase polymerase chain reaction currently used for diagnosis has major limitations. Furthermore, the multiclass lung classification X-ray systems having viral, bacterial, and tubercular classes—including COVID-19—are not reliable.

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Background: Nonalcoholic fatty liver disease (NAFLD) is the most common liver disease associated with systemic changes in immune response, which might be associated with coronavirus disease 2019 (COVID-19) severity. The aim of this study was to investigate the impact of NAFLD on COVID-19 severity and outcomes.

Methods: A prospective observational study included consecutively hospitalized adult patients, hospitalized between March and June 2021, with severe COVID-19.

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Article Synopsis
  • WNV NID leads to high mortality and disability, requiring long ICU stays, which were studied in patients treated at a Croatian hospital from 2013-2018.
  • Out of 23 patients (mostly older males), ICU mortality was low (8.7%), but many still had moderate to severe disability at discharge.
  • At long-term follow-up, 30.5% of patients died, while some improved their functional status, indicating that intensive treatment followed by rehab can help recovery in severe cases.
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