Questions: Most clustering methods assume data are structured as discrete hyperspheroidal clusters to be evaluated by measures of central tendency. If vegetation data do not conform to this model, then vegetation data may be clustered incorrectly. What are the implications for cluster stability and evaluation if clusters are of irregular shape or density?
Location: Southeast Australia.
Methods: We define misplacement as the placement of a sample in a cluster other than (distinct from) its nearest neighbor and hypothesize that optimizing homogeneity incurs the cost of higher rates of misplacement. Chameleon is a graph-theoretic algorithm that emphasizes interconnectivity and thus is sensitive to the shape and distribution of clusters. We contrasted its solutions with those of traditional nonhierarchical and hierarchical (agglomerative and divisive) approaches.
Results: Chameleon-derived solutions had lower rates of misplacement and only marginally higher heterogeneity than those of k-means in the range of 15-60 clusters, but their metrics converged with larger numbers of clusters. Solutions derived by agglomerative clustering had the best metrics (and divisive clustering the worst) but both produced inferior high-level solutions to those of Chameleon by merging distantly-related clusters.
Conclusions: Graph-theoretic algorithms, such as Chameleon, have an advantage over traditional algorithms when data exhibit discontinuities and variable structure, typically producing more stable solutions (due to lower rates of misplacement) but scoring lower on traditional metrics of central tendency. Advantages are less obvious in the partitioning of data from continuous gradients; however, graph-based partitioning protocols facilitate the hierarchical integration of solutions.
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http://dx.doi.org/10.1002/ece3.9496 | DOI Listing |
Med Leg J
January 2025
Department of Neurosurgery, Tufts Medical Center, Tufts University School of Medicine, Boston, USA.
Spine surgery is highly litigious; misplaced screws and intraoperative neuromonitoring frequently feature in lawsuits. Intraoperative neuromonitoring aims to prevent injury but its standards are debated, and literature suggests its benefits are mixed. We surveyed its use among neurosurgeons from the Congress of Neurological Surgeons with Pearson's chi-square test applied to analyse data within R.
View Article and Find Full Text PDFGlobal disparities in neurosurgical care necessitate innovations addressing affordability and accuracy, particularly for critical procedures like ventriculostomy. This intervention, vital for managing life-threatening intracranial pressure increases, is associated with catheter misplacement rates exceeding 30% when using a freehand technique. Such misplacements hold severe consequences including haemorrhage, infection, prolonged hospital stays, and even morbidity and mortality.
View Article and Find Full Text PDFInvest Radiol
October 2024
From the Department of Radiology and Nuclear Medicine, UKSH Lübeck, Lübeck, Germany (J.S., M.M., L.B., Y.E., J.B., M.M.S.); Institute of Medical Informatics, University of Lübeck, Lübeck, Germany (L.H., M.P.H.); Philips Research Hamburg, Hamburg, Germany (A.S., H.S.); and Institute of Interventional Radiology, UKSH Lübeck, Lübeck, Germany (M.M.S.).
Purpose: Accurate detection of central venous catheter (CVC) misplacement is crucial for patient safety and effective treatment. Existing artificial intelligence (AI) often grapple with the limitations of label inaccuracies and output interpretations that lack clinician-friendly comprehensibility. This study aims to introduce an approach that employs segmentation of support material and anatomy to enhance the precision and comprehensibility of CVC misplacement detection.
View Article and Find Full Text PDFPurpose: Accurate placement of medical devices is crucial in critical care to prevent severe complications. This study aims to evaluate radiology residents' proficiency in identifying four specific critical misplacements of medical devices using the Wisdom in Diagnostic Imaging Simulation (WIDI SIM).
Methods: A retrospective analysis was conducted on 1,102 responses from radiology residents who participated in the WIDI SIM between 2010 and 2022.
J Craniovertebr Junction Spine
September 2024
Neurosurgery Clinic, Birgunj, Nepal.
Introduction: Pedicle screw placement plays a crucial role in treating various cases such as fractures, scoliosis, degenerative spine issues, and kyphosis, reinforcing all three spinal columns simultaneously. While three-dimensional navigation-assisted pedicle screw placement is considered superior, the freehand technique relies on anatomical landmarks and tactile feedback, with observed low complication rates.
Materials And Methods: This was a prospective single-center study conducted over a period of 3 years.
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