Applying Artificial Intelligence Research Articles

What's in the box? A toolbox for safe deployment of artificial intelligence in veterinary medicine.

This report describes a comprehensive framework for applying artificial intelligence (AI) in veterinary medicine. Our framework draws on existing research on AI implementation in human medicine and addresses the challenges of limited technology expertise and the need for scalability. The critical components of this framework include assembling a diverse team of experts in AI, promoting a foundational understanding of AI among veterinary professionals, identifying relevant use cases and objectives, ensuring data quality and availability, creating an effective implementation plan, providing team training, fostering collaboration, considering ethical and legal obligations, integrating AI into existing workflows, monitoring and evaluating performance, managing change effectively, and staying up-to-date with technological advancements. Incorporating AI into veterinary medicine requires addressing unique ethical and legal considerations, including data privacy, owner consent, and the impact of AI outputs on decision-making. Effective change management principles aid in avoiding disruptions and building trust in AI technology. Furthermore, continuous evaluation of AI's relevance in veterinary practice ensures that the benefits of AI translate into meaningful improvements in patient care.

How artificial intelligence will transform project management in the age of digitization: a systematic literature review

AbstractAmong the causes of the low success rate of the projects (around 35% of the total) is the low level of maturity of the technologies available for the management of the projects themselves. However, today many researchers, startups and innovative companies are starting to apply artificial intelligence (AI), machine learning and other advanced technologies to the field of project management. By 2030 the industry will undergo significant changes. By using the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) protocol this paper explores the intersection of project risk management and AI. The study highlights how AI-driven methodologies and tools can revolutionize the way project risks are managed throughout the project lifecycle. Specifically, 215 papers have been analysed to explore how the scientific community has been moving so far on the topic. Besides, a cross-sectional investigation of the PM processes and AI categories/tools was carried out to identify any path that is prevalent, where the prevalence comes from, and for which PM process or sector it is most successful. Finally, from this study several gaps emerged that scientific research would have to fill to effectively implement AI in PM and that have been turned into opportunities for future research in the form of a research agenda.

Applied Artificial Intelligence in Healthcare: A Review of Computer Vision Technology Application in Hospital Settings

Computer vision (CV), a type of artificial intelligence (AI) that uses digital videos or a sequence of images to recognize content, has been used extensively across industries in recent years. However, in the healthcare industry, its applications are limited by factors like privacy, safety, and ethical concerns. Despite this, CV has the potential to improve patient monitoring, and system efficiencies, while reducing workload. In contrast to previous reviews, we focus on the end-user applications of CV. First, we briefly review and categorize CV applications in other industries (job enhancement, surveillance and monitoring, automation, and augmented reality). We then review the developments of CV in the hospital setting, outpatient, and community settings. The recent advances in monitoring delirium, pain and sedation, patient deterioration, mechanical ventilation, mobility, patient safety, surgical applications, quantification of workload in the hospital, and monitoring for patient events outside the hospital are highlighted. To identify opportunities for future applications, we also completed journey mapping at different system levels. Lastly, we discuss the privacy, safety, and ethical considerations associated with CV and outline processes in algorithm development and testing that limit CV expansion in healthcare. This comprehensive review highlights CV applications and ideas for its expanded use in healthcare.

Application of cyberspace security in video games industry

While video games are becoming an increasingly popular worldwide industry, there is a growing number of cheaters who exploit the flaws and weaknesses of games to gain advantages or earn money. This initiates a conflict between the 'black hat' and 'white hat' players. This article provides a comprehensive classification of cheats and anti-cheats in video games, accompanied by vivid illustrative scenarios. In terms of cheat classification, there are two main categories: Generic cheats, and those of special relevance to online games. Each sub-category will be accompanied by examples or explanations of the current situations. In the section on anti-cheating measures, a table will be provided to illustrate general methods to counter common cheats. This section also includes some novel and creative anti-cheat methods that utilize different technologies to address the issues. This paper also discusses the investigation of applying artificial intelligence (AI) to combat malfeasance by some researchers. Finally, the conclusion provides a general summary of the current anti-cheat situation and presents some divergent ideas for addressing cheating.

Patch-Level Feature Selection for Thoracic Disease Classification by Chest X-ray Images Using Information Bottleneck

Chest X-ray (CXR) examination serves as a widely employed clinical test in medical diagnostics. Many studied have tried to apply artificial intelligence (AI) programs to analyze CXR images. Despite numerous positive outcomes, assessing the applicability of AI models for comprehensive diagnostic support remains a formidable challenge. We observed that, even when AI models exhibit high accuracy on one dataset, their performance may deteriorate when tested on another. To address this issue, we propose incorporating a variational information bottleneck (VIB) at the patch level to enhance the generalizability of diagnostic support models. The VIB introduces a probabilistic model aimed at approximating the posterior distribution of latent variables given input data, thereby enhancing the model’s generalization capabilities on unseen data. Unlike the conventional VIB approaches that flatten features and use a re-parameterization trick to sample a new latent feature, our method applies the trick to 2D feature maps. This design allows only important pixels to respond, and the model will select important patches in an image. Moreover, the proposed patch-level VIB seamlessly integrates with various convolutional neural networks, offering a versatile solution to improve performance. Experimental results illustrate enhanced accuracy in standard experiment settings. In addition, the method shows robust improvement when training and testing on different datasets.

Abstract 553: Assessment of CNTN4 expression and its association with PD-L1 across 18 various cancers using an artificial intelligence-powered immunohistochemistry analyzer

Abstract Background: Contactin-4 (CNTN4) has been identified as an inhibitory immune checkpoint protein and mainly expressed on tumor cells. It interacts with APP present in T cells, leading to a reduction in T cell proliferation, activation, and responsiveness to tumors. In this study, we applied artificial intelligence (AI)-powered analyzers to examine the expression of CNTN4 and its association with PD-L1 in various solid tumors. Methods: The AI-powered immunohistochemistry (IHC) analyzers were developed using pan-cancer whole slide images (WSIs) stained with 18 different IHC types. Pathologists annotated cells and tissues on the WSIs. The universal model was trained by annotations from IHC WSI, which could detect tumor cells with four grade intensities (strong, moderate, weak, and negative) and segment invasive cancer area. Finally, the AI analyzer can count the tumor cells in an invasive cancer area and calculate the ratio based on intensity. The AI analyzer was applied to the pan-cancer tissue microarray dataset (n=795) consisting of 18 cancers to validate the analyzer. The dataset was stained with rabbit monoclonal antibody (clone EPR 8735) and PD-L1 22C3 antibody, respectively. The expression levels of CNTN4 and PD-L1 were calculated with H-score (range 0 to 300) or tumor proportion score (TPS). Results: When positivity was defined as moderate-to-strong staining intensity in ≥ 30%, 50%, 75%, and 90%, 42.4% (337/795), 25.5% (203/795), 11.4% (91/795), and 5.2% (41/795) of samples were CNTN4 positive, respectively. In case of moderate-to-strong staining in ≥ 50% tumor cells, CNTN4 expression were most frequently observed in hepatocellular carcinoma (63.9%), endometrial carcinoma (50.0%), stomach cancer (43.9%), pancreatic cancer (40.0%), and prostate cancer (35.4%). Notably, 10% of cases with an H-score < 200 (75/757) showed a range of PD-L1 expression (PD-L1 TPS ≥ 1%), while all of the samples with an H-score ≥ 200 (n=38) were PD-L1 TPS <1%. Conclusions: This study describes the CNTN4 expression levels in various tumors using an AI-powered IHC analyzer. CNTN4 tends to be expressed in opposition to PD-L1, making it a viable immune therapeutic target in cancers that do not conventionally express PD-L1. Citation Format: Seunghwan Shin, Jimin Moon, Soo Ick Cho, Chan-Young Ock, Bu-Nam Jeon, Gyeongyeon Kim, Hyunkyung Yu, Miyoung Cha. Assessment of CNTN4 expression and its association with PD-L1 across 18 various cancers using an artificial intelligence-powered immunohistochemistry analyzer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 553.

Multimodal deep learning-based diagnostic model for BPPV

BackgroundBenign paroxysmal positional vertigo (BPPV) is a prevalent form of vertigo that necessitates a skilled physician to diagnose by observing the nystagmus and vertigo resulting from specific changes in the patient’s position. In this study, we aim to explore the integration of eye movement video and position information for BPPV diagnosis and apply artificial intelligence (AI) methods to improve the accuracy of BPPV diagnosis.MethodsWe collected eye movement video and diagnostic data from 518 patients with BPPV who visited the hospital for examination from January to March 2021 and developed a BPPV dataset. Based on the characteristics of the dataset, we propose a multimodal deep learning diagnostic model, which combines a video understanding model, self-encoder, and cross-attention mechanism structure.ResultOur validation test on the test set showed that the average accuracy of the model reached 81.7%, demonstrating the effectiveness of the proposed multimodal deep learning method for BPPV diagnosis. Furthermore, our study highlights the significance of combining head position information and eye movement information in BPPV diagnosis. We also found that postural and eye movement information plays a critical role in the diagnosis of BPPV, as demonstrated by exploring the necessity of postural information for the diagnostic model and the contribution of cross-attention mechanisms to the fusion of postural and oculomotor information. Our results underscore the potential of AI-based methods for improving the accuracy of BPPV diagnosis and the importance of considering both postural and oculomotor information in BPPV diagnosis.

Unlocking the Potential of Artificial Intelligence in Fashion Design and E-Commerce Applications: The Case of Midjourney

The fashion industry has shown increasing interest in applying artificial intelligence (AI), yet there is a significant gap in exploring the potential of emerging diffusion-modeling-based AI image-generation systems for fashion design and commerce. Therefore, this study aims to assess the effectiveness of Midjourney, one such AI system, in both fashion design and related commerce applications. We employed the action research approach with the Functional, Expressive, and Aesthetic (FEA) Consumer Needs Model as the theoretical framework. Our research comprised three stages: refining an initial idea into well-defined textual design concepts, facilitating concept development, and validating the preceding observations and reflections by creating a new line of hemp-based products that were evaluated by targeted consumers through an online survey. Findings reveal that this AI tool can assist fashion designers in creating both visually expressive attire and ready-to-wear products, meeting defined design criteria and consumer needs. Midjourney shows promise in streamlining the fashion design process by enhancing ideation and optimizing design details. Potential e-commercial applications of such AI systems were proposed, benefiting physical and digital fashion businesses. It is noted that, to date, the major limitations of using Midjourney encompass its restriction to only facilitating early fashion design stages and necessitating substantial involvement from designers.

Applied Artificial Intelligence for Sustainability

In the contemporary era, modern civilization is immersed in a technologically interconnected environment, where numerous applications within the digital ecosystem harness advanced artificial intelligence (AI) techniques [...]

3D CNN-based Deep Learning Model-based Explanatory Prognostication in Patients with Multiple Myeloma using Whole-body MRI.

Although magnetic resonance imaging (MRI) data of patients with multiple myeloma (MM) are used to predict prognosis, few reports have applied artificial intelligence (AI) techniques for this purpose. We aimed to analyze whole-body diffusion-weighted MRI data using three-dimensional (3D) convolutional neural networks (CNNs) and Gradient-weighted Class Activation Mapping (Grad-CAM), an explainable AI, to predict prognosis and explore the factors involved in prediction. We retrospectively analyzed the MRI data of a total of 142 patients with MM obtained from two medical centers. We defined the occurrence of progressive disease after MRI evaluation within 12 months as a poor prognosis and constructed a 3D CNN-based deep learning model to predict prognosis. Images from 111 cases were used as the training and internal validation data; images from 31 cases were used as the external validation data. Internal validation of the AI model with stratified 5-fold cross-validation resulted in a significant difference in progression-free survival (PFS) between good and poor prognostic cases (2-year PFS, 91.2% versus [vs.] 61.1%, P = 0.0002). The AI model clearly stratified good and poor prognostic cases in the external validation cohort (2-year PFS, 92.9% vs. 55.6%, P = 0.004), with an area under the receiver operating characteristic curve of 0.804. According to Grad-CAM, the MRI signals of the spleen and bones of the vertebrae and pelvis contributed to prognosis prediction. This study is the first to show that image analysis of whole-body MRI using a 3D CNN without any other clinical data is effective in predicting the prognosis of patients with MM.

Artificial-Intelligence-Assisted Detection of Metastatic Colorectal Cancer Cells in Ascitic Fluid.

Ascites cytology is a cost-effective test for metastatic colorectal cancer (CRC) in the abdominal cavity. However, metastatic carcinoma of the peritoneum is difficult to diagnose based on biopsy findings, and ascitic aspiration cytology has a low sensitivity and specificity and a high inter-observer variability. The aim of the present study was to apply artificial intelligence (AI) to classify benign and malignant cells in ascites cytology patch images of metastatic CRC using a deep convolutional neural network. Datasets were collected from The OPEN AI Dataset Project, a nationwide cytology dataset for AI research. The numbers of patch images used for training, validation, and testing were 56,560, 7068, and 6534, respectively. We evaluated 1041 patch images of benign and metastatic CRC in the ascitic fluid to compare the performance of pathologists and an AI algorithm, and to examine whether the diagnostic accuracy of pathologists improved with the assistance of AI. This AI method showed an accuracy, a sensitivity, and a specificity of 93.74%, 87.76%, and 99.75%, respectively, for the differential diagnosis of malignant and benign ascites. The diagnostic accuracy and sensitivity of the pathologist with the assistance of the proposed AI method increased from 86.8% to 90.5% and from 73.3% to 79.3%, respectively. The proposed deep learning method may assist pathologists with different levels of experience in diagnosing metastatic CRC cells of ascites.

The Application of Knowledge Engineering via the Use of a Biomimetic Digital Twin Ecosystem, Phenotype-Driven Variant Analysis, and Exome Sequencing to Understand the Molecular Mechanisms of Disease

Applied Artificial Intelligence, particularly Large Language Models, in biomedical research is accelerating, but effective discovery and validation requires a toolset without limitations or bias. On January 30, 2023, the National Academies of Sciences, Engineering, and Medicine (NAS) appointed an ad hoc committee to identify needs and opportunities to advance the mathematical, statistical, and computational foundations of digital twins in applications across science, medicine, engineering, and society. On December 15, 2023, the NAS released a 164 page report, "Foundational Research Gaps and Future Directions for Digital Twins". This report described the importance of using digital twins in biomedical research. We developed an innovative method that incorporated phenotype ranking algorithms with knowledge engineering via a biomimetic digital twin ecosystem. This ecosystem applied real-world reasoning principles to non-normalized, raw data to identify hidden or "dark data". We performed a clinical exome sequencing study on patients with endometriosis and were able to identify four VUSs potentially associated with endometriosis-related disorders in nearly all patients analyzed. One VUS was identified in all patient samples and could be a biomarker for diagnostics. To the best of our knowledge, this is the first study to incorporate the recomandations of the NAS to biomedical research. This method can be used to understand the mechanisms of any disease, for virtual clinical trials, and to identify effective new therapies.

Automatic quantitative stroke severity assessment based on Chinese clinical named entity recognition with domain-adaptive pre-trained large language model

Background:Stroke is a prevalent disease with a significant global impact. Effective assessment of stroke severity is vital for an accurate diagnosis, appropriate treatment, and optimal clinical outcomes. The National Institutes of Health Stroke Scale (NIHSS) is a widely used scale for quantitatively assessing stroke severity. However, the current manual scoring of NIHSS is labor-intensive, time-consuming, and sometimes unreliable. Applying artificial intelligence (AI) techniques to automate the quantitative assessment of stroke on vast amounts of electronic health records (EHRs) has attracted much interest. Objective:This study aims to develop an automatic, quantitative stroke severity assessment framework through automating the entire NIHSS scoring process on Chinese clinical EHRs. Methods:Our approach consists of two major parts: Chinese clinical named entity recognition (CNER) with a domain-adaptive pre-trained large language model (LLM) and automated NIHSS scoring. To build a high-performing CNER model, we first construct a stroke-specific, densely annotated dataset “Chinese Stroke Clinical Records” (CSCR) from EHRs provided by our partner hospital, based on a stroke ontology that defines semantically related entities for stroke assessment. We then pre-train a Chinese clinical LLM coined “CliRoberta” through domain-adaptive transfer learning and construct a deep learning-based CNER model that can accurately extract entities directly from Chinese EHRs. Finally, an automated, end-to-end NIHSS scoring pipeline is proposed by mapping the extracted entities to relevant NIHSS items and values, to quantitatively assess the stroke severity. Results:Results obtained on a benchmark dataset CCKS2019 and our newly created CSCR dataset demonstrate the superior performance of our domain-adaptive pre-trained LLM and the CNER model, compared with the existing benchmark LLMs and CNER models. The high F1 score of 0.990 ensures the reliability of our model in accurately extracting the entities for the subsequent automatic NIHSS scoring. Subsequently, our automated, end-to-end NIHSS scoring approach achieved excellent inter-rater agreement (0.823) and intraclass consistency (0.986) with the ground truth and significantly reduced the processing time from minutes to a few seconds. Conclusion:Our proposed automatic and quantitative framework for assessing stroke severity demonstrates exceptional performance and reliability through directly scoring the NIHSS from diagnostic notes in Chinese clinical EHRs. Moreover, this study also contributes a new clinical dataset, a pre-trained clinical LLM, and an effective deep learning-based CNER model. The deployment of these advanced algorithms can improve the accuracy and efficiency of clinical assessment, and help improve the quality, affordability and productivity of healthcare services.

The investigation of artificial intelligence-based applications in music education

The field of music education has garnered significant attention due to the burgeoning advancements in artificial intelligence technology. Currently, there are many works on applying Artificial Intelligence (AI) technology to the field of music education, and this review aims to comprehensively summarize the application of AI methods in multiple subfields of music education. In this paper, according to the focus of AI technology, the areas of music education to which it has been applied are divided into four modules, namely personalized learning, automatic assessment, composition assistance and interactive teaching. Firstly, representative AI methods applied to each of these four subfields are introduced, including but not limited to: the principle of the AI method, the improvement brought by the application. The text then describes the current status of the application of these methods in their domains, discusses the limitations of the application, and makes brief conjectures on how to break through these limitations. The research in this review paper is important for the development of AI technology applied to the field of music education. At the same time, this review also provides directions and suggestions for future research to promote the further development of AI in the field of music education.

Artificial intelligence for atrial fibrillation detection, prediction, and treatment: A systematic review of the last decade (2013–2023)

AbstractAtrial fibrillation (AF) affects more than 30 million individuals worldwide, making it the most prevalent cardiac arrhythmia on a global scale. This systematic review summarizes recent advancements in applying artificial intelligence (AI) techniques for AF detection, prediction, and guiding treatment selection and risk stratification. In adherence with the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses), a total of 171 pertinent studies conducted between 2013 and 2023 were examined. Studies applying machine learning (ML) and deep learning (DL) to electrocardiogram (ECG), photoplethysmography (PPG), wearable data, and other sources were evaluated. For AF detection, most works employed DL (48 studies) and ML (28 studies) on ECG data. DL methods directly analyzed ECG waveforms and outperformed approaches relying on hand‐crafted features. For prediction and risk stratification, 22 studies used ML while 7 leveraged DL on ECG. An emerging trend showed the growing potential of PPG for AF screening. Overall, AI demonstrated promising capabilities across various AF‐related tasks. However, real‐world implementation faces challenges including a lack of interpretability, the need for multimodal data integration, prospective performance validation, and regulatory compliance. Future research directions involve quantifying model uncertainty, enhancing transparency, and conducting population‐based clinical trials to facilitate translation into practice.This article is categorized under: Application Areas > Health Care Application Areas > Science and Technology Technologies > Artificial Intelligence

The application of artificial intelligence in aerospace engineering

In recent years, there has been considerable interest in applying Artificial Intelligence (AI) in the field of aerospace engineering. However, the existing literature on this topic is not sufficiently comprehensive. This paper is purposed to solve this problem by providing a thorough analysis and overview of the current state of AI in aerospace engineering. The paper is divided into four sections. Firstly, the use of AI in autonomous navigation and flight control is explored, focusing on advanced algorithms and sensor technologies that enable highly autonomous and efficient aircraft navigation. Secondly, the application of AI in image recognition and computer vision is discussed, highlighting its significance in remote sensing and aerospace component quality inspection. The third section examines the integration of AI in unmanned aerial vehicles (UAV), covering the control system and the utilization of machine learning techniques for improved UAV capabilities. Lastly, the paper explores the impact of AI on data analysis and prediction in the aerospace industry, encompassing weather forecasting, resource allocation, and decision-making processes. Finally, this paper gives a general overview of the nowadays application of AI in aerospace engineering.

Leveraging Communication Partner Speech to Automate Augmented Input for Children on the Autism Spectrum Who Are Minimally Verbal: Prototype Development and Preliminary Efficacy Investigation.

Augmentative and alternative communication (AAC) technology innovation is urgently needed to improve outcomes for children on the autism spectrum who are minimally verbal. One potential technology innovation is applying artificial intelligence (AI) to automate strategies such as augmented input to increase language learning opportunities while mitigating communication partner time and learning barriers. Innovation in AAC research and design methodology is also needed to empirically explore this and other applications of AI to AAC. The purpose of this report was to describe (a) the development of an AAC prototype using a design methodology new to AAC research and (b) a preliminary investigation of the efficacy of this potential new AAC capability. The prototype was developed using a Wizard-of-Oz prototyping approach that allows for initial exploration of a new technology capability without the time and effort required for full-scale development. The preliminary investigation with three children on the autism spectrum who were minimally verbal used an adapted alternating treatment design to compare the effects of a Wizard-of-Oz prototype that provided automated augmented input (i.e., pairing color photos with speech) to a standard topic display (i.e., a grid display with line drawings) on visual attention, linguistic participation, and (for one participant) word learning during a circle activity. Preliminary investigation results were variable, but overall participants increased visual attention and linguistic participation when using the prototype. Wizard-of-Oz prototyping could be a valuable approach to spur much needed innovation in AAC. Further research into efficacy, reliability, validity, and attitudes is required to more comprehensively evaluate the use of AI to automate augmented input in AAC.

Health Care Professionals' Views on the Use of Passive Sensing, AI, and Machine Learning in Mental Health Care: Systematic Review With Meta-Synthesis.

Mental health difficulties are highly prevalent worldwide. Passive sensing technologies and applied artificial intelligence (AI) methods can provide an innovative means of supporting the management of mental health problems and enhancing the quality of care. However, the views of stakeholders are important in understanding the potential barriers to and facilitators of their implementation. This study aims to review, critically appraise, and synthesize qualitative findings relating to the views of mental health care professionals on the use of passive sensing and AI in mental health care. A systematic search of qualitative studies was performed using 4 databases. A meta-synthesis approach was used, whereby studies were analyzed using an inductive thematic analysis approach within a critical realist epistemological framework. Overall, 10 studies met the eligibility criteria. The 3 main themes were uses of passive sensing and AI in clinical practice, barriers to and facilitators of use in practice, and consequences for service users. A total of 5 subthemes were identified: barriers, facilitators, empowerment, risk to well-being, and data privacy and protection issues. Although clinicians are open-minded about the use of passive sensing and AI in mental health care, important factors to consider are service user well-being, clinician workloads, and therapeutic relationships. Service users and clinicians must be involved in the development of digital technologies and systems to ensure ease of use. The development of, and training in, clear policies and guidelines on the use of passive sensing and AI in mental health care, including risk management and data security procedures, will also be key to facilitating clinician engagement. The means for clinicians and service users to provide feedback on how the use of passive sensing and AI in practice is being received should also be considered. PROSPERO International Prospective Register of Systematic Reviews CRD42022331698; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=331698.

Explanatory deep learning to predict elevated pulmonary artery pressure in children with ventricular septal defects using standard chest x-rays: a novel approach.

Early risk assessment of pulmonary arterial hypertension (PAH) in patients with congenital heart disease (CHD) is crucial to ensure timely treatment. We hypothesize that applying artificial intelligence (AI) to chest x-rays (CXRs) could identify the future risk of PAH in patients with ventricular septal defect (VSD). A total of 831 VSD patients (161 PAH-VSD, 670 nonPAH-VSD) was retrospectively included. A residual neural networks (ResNet) was trained for classify VSD patients with different outcomes based on chest radiographs. The endpoint of this study was the occurrence of PAH in VSD children before or after surgery. In the validation set, the AI algorithm achieved an area under the curve (AUC) of 0.82. In an independent test set, the AI algorithm significantly outperformed human observers in terms of AUC (0.81 vs. 0.65). Class Activation Mapping (CAM) images demonstrated the model's attention focused on the pulmonary artery segment. The preliminary findings of this study suggest that the application of artificial intelligence to chest x-rays in VSD patients can effectively identify the risk of PAH.

Artificial intelligence-driven design of the assembled major cat allergen Fel d 1 to improve its spatial folding and IgE-reactivity

BackgroundCat-derived allergens are considered as one of the most common causes of allergic diseases worldwide. Fel d 1 is a major cat allergen and plays an important role in immunoglobulin E (IgE)-reaction diagnosis. However, the two separate chains of Fel d 1 exhibited lower IgE-reactivity than its complete molecule of an assembled form, which makes it difficult to efficiently prepare and limits the application of Fel d 1 in molecular diagnosis of cat allergy. MethodsWe first applied artificial intelligence (AI) based tool AlphaFold2 to build the 3-dimensional structures of Fel d 1 with different connection modes between two chains, which were evaluated by ERRAT program and were expressed in Escherichia coli. We then calculated the expression ratios of soluble form/inclusion bodies form of optimized Fel d 1. The Circular Dichroism (CD), High Performance Liquid Chromatography-Size Exclusion Chromatography (HPLC-SEC) and reducing/non-reducing SDS-PAGE were performed to characterize the folding status and dimerization of the optimized fusion Fel d 1. The improvement of specific-IgE reactivity to optimized fusion Fel d 1 was investigated by enzyme linked immunosorbent assay (ELISA). ResultsAmong several linkers, 2 × GGGGS got the highest scores, with an overall quality factor of 100. The error value of the residues around the junction of 2 × GGGGS was lower than others. It exhibited highest proportion of soluble protein than other Fel d 1 constructs with ERRAT (GGGGS, KK as well as direct fusion Fel d 1). The results of CD and HPLC-SEC showed the consistent folding and dimerization of two fused subunits between the optimized fusion Fel d 1 and previously well-defined direct fusion Fel d 1. The overall IgE-binding absorbance of optimized fusion Fel d 1 tested by ELISA was improved compared with that of the direct fusion Fel d 1. ConclusionWe firstly provided an AI-design strategy to optimize the Fel d 1, which could spontaneously fold into its native-like structure without additional refolding process or eukaryotic folding factors. The improved IgE-binding activity and simplified preparation method could greatly facilitate it to be a robust allergen material for molecular diagnosis of cat allergy.