Cited by 242Artificial Intelligence in Healthcare and EducationArtificial Intelligence in HealthcareMultimodal Machine Learning Applications

A Comprehensive Review on Synergy of Multi-Modal Data and AI Technologies in Medical Diagnosis

Open access
Xu, Xi, Li, Jianqiang, Zhu, Zhichao, Zhao, Linna, Wang, Huina, Song, Changwei, Chen, Yining, Zhao, Qing +2 more·2024·Bioengineering

Abstract

Disease diagnosis represents a critical and arduous endeavor within the medical field. Artificial intelligence (AI) techniques, spanning from machine learning and deep learning to large model paradigms, stand poised to significantly augment physicians in rendering more evidence-based decisions, thus presenting a pioneering solution for clinical practice. Traditionally, the amalgamation of diverse medical data modalities (e.g., image, text, speech, genetic data, physiological signals) is imperative to facilitate a comprehensive disease analysis, a topic of burgeoning interest among both researchers and clinicians in recent times. Hence, there exists a pressing need to synthesize the latest strides in multi-modal data and AI technologies in the realm of medical diagnosis. In this paper, we narrow our focus to five specific disorders (Alzheimer’s disease, breast cancer, depression, heart disease, epilepsy), elucidating advanced endeavors in their diagnosis and treatment through the lens of artificial intelligence. Our survey not only delineates detailed diagnostic methodologies across varying modalities but also underscores commonly utilized public datasets, the intricacies of feature engineering, prevalent classification models, and envisaged challenges for future endeavors. In essence, our research endeavors to contribute to the advancement of diagnostic methodologies, furnishing invaluable insights for clinical decision making.

AI snapshot

Written from the paper’s full text.

TL;DR

This review surveys AI and multi-modal data for diagnosing Alzheimer’s disease, breast cancer, depression, heart disease, and epilepsy, covering datasets, preprocessing, feature engineering, models, and evaluation. It reports that deep learning, attention, transfer learning, and multi-modal fusion are improving diagnostic performance, while data imbalance, weak generalization, limited interpretability, privacy, and fairness remain key challenges.

Key findings

  • Across the five diseases, modality preferences differ: Alzheimer’s disease relies mainly on MRI/PET plus speech; breast cancer on X-ray, ultrasound, MRI, text, and genetic data; depression on text, speech, and EEG; heart disease on echocardiography, ECG, text, and genetic data; epilepsy on video, MRI, text, and EEG.
  • Reported performance examples include Mayo Clinic’s CNN on 12-lead ECG for hypertrophic cardiomyopathy with AUC 0.96, sensitivity 87%, and specificity 90% in adults, and AUC 0.98, sensitivity 92%, and specificity 95% in children; Dai et al.’s CNN on 12-lead ECG reached accuracy 99.84%, sensitivity 99.52%, and specificity 99.95% for 3-s signals; Jabeen et al. reported 99.1% accuracy on BUSI ultrasound images; Thara et al. reported 99.89% training and 99.08% test accuracy for stacked bidirectional LSTM epilepsy detection.
  • Multi-modal fusion and advanced architectures—attention mechanisms, transfer learning, transformers, and large models—are highlighted as major trends; large models discussed include Med-PaLM, XrayGPT, and GeneCompass, and GPT-3’s heart disease diagnosis/triage performance was reported to nearly approach that of professional medical practitioners.
  • The review identifies data imbalance, weak model generalization, lack of interpretability (only 28 included studies directly or indirectly addressed it), privacy/security, and ethical bias as major challenges, with proposed solutions including transfer learning, synthetic data, ensemble methods, federated/swarm learning, balanced sampling, and interpretable models/heatmaps.

Methods

  • Design: comprehensive narrative review/survey of AI-based diagnosis for five disorders; it is not a primary experimental study.
  • Data or sample: synthesizes public datasets and reported works, including ADNI, OASIS-3, UKB, TCGA, BUSI, GEO, DAIC-WOZ, MODMA, CHB-MIT, Bonn EEG, and Temple University EEG corpus; no new patient data were collected.
  • Main analysis: organizes the AI pipeline into preprocessing, feature engineering, model selection, and performance evaluation, then summarizes modality-specific methods and results in tables; no meta-analysis or systematic search protocol is reported.

Limitations

  • Stated by the paper: field-wide challenges include medical multimodality data imbalance, weak model generalization, lack of interpretability (only 28 included studies addressed it), data privacy/security, and ethical/moral bias and fairness concerns.
  • Stated by the paper: some reviewed depression EEG studies have small sample sizes that limit clinical generalizability.
  • Evident from the text: as a narrative review, it does not report a systematic search strategy, inclusion/exclusion criteria, or risk-of-bias assessment; the summary tables also contain missing results (“-”) and inconsistent reporting across studies.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3390/bioengineering11030219

Cites

168 of 168 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

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  • Findingnone given

    In most studies reviewed, the persistence of differences often stemmed from not having enough data to achieve mitigation.

    “In most studies reviewed, the persistence of differences often stemmed from not having enough data to achieve mitigation.”
    Quote in the paperNot a substantial claim
  • Findingown data

    This review found that only 28 of the included studies directly or indirectly tackled the crucial aspect of interpretability.

    “This review found that only 28 of the included studies directly or indirectly tackled the crucial aspect of interpretability.”
    Quote in the paperSubstantial claim
  • Findingown data

    The majority of studies did not adequately consider interpretability.

    “However, regrettably, the majority of studies did not adequately consider this crucial factor.”
    Quote in the paperSubstantial claim
  • Interpretationreasoning

    Large models currently fall short in being meticulously designed for specific tasks and guided by medical knowledge.

    “In contrast, LMs currently fall short in this aspect.”
    Quote in the paperSubstantial claim
  • Premisecitation

    Baydargil et al.'s unsupervised adversarial parallel model for AD anomaly analysis exhibits classification accuracy of 96.03% and AUC of 75.21% in distinguishing AD, MCI, and normal control groups.

    “The model exhibits robust classification with rates and area under the curve (AUC) scores reaching 96.03% and 75.21%, respectively, underscoring its effective discriminative performance.”
    • Also stated in: § 3.1. Diagnosis of Alzheimer’s Disease · plain
      “| Baydargil et al. [71] | Original PET slices | PET | ADNI | 0.9603 (ACC: AD vs. NC vs. MCI) 0.7521 (AUC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [71] Baydargil, H.B., Park, J.S., and Kang, D.Y. (2021). Anomaly analysis of Alzheimer’s disease in PET images using an unsupervised adversarial deep learning model. Appl. Sci., 11. source

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    Premisecitation

    OASIS-3 primarily investigates the progression of Alzheimer's disease in 1378 individuals.

    “This dataset primarily investigates the progression of AD in 1378 individuals.”
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    • cites [2] Marcus, 2007, Open Access Series of Imaging Studies (OASIS): Cross-sectional MRI data in young, middle aged, nondemented, and demented older adults, J. Cogn. Neurosci. source

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    Premisenone given

    The clinical diagnostic process is inherently intricate, involving the generation and analysis of diverse data types encompassing images, speech, text, and genetic information.

    “The clinical diagnostic process is inherently intricate, involving the generation and analysis of diverse data types encompassing images, speech, text, and genetic information (as depicted in Figure 1).”
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    Premisecitation

    The Bonn EEG time series database involves EEG data obtained from a 128-channel acquisition system, featuring recordings from 5 patients identified as A, B, C, D, and E.

    “The Bonn EEG time series database [36] involves EEG data obtained from a 128-channel acquisition system, featuring recordings from 5 patients identified as A, B, C, D, and E.”
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    • cites [36] Andrzejak, 2001, Indications of nonlinear deterministic and finite-dimensional structures in time series of brain electrical activity: Dependence on recording region and brain state, Phys. Rev. E source

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    Premisecitation

    The Cancer Genome Atlas (TCGA) is a widely utilized dataset for predicting breast cancer, involving MRI and CT scans, clinical records, and genetic information.

    “The Cancer Genome Atlas (TCGA) [26] is a widely utilized dataset for predicting breast cancer. It involves MRI and CT scans, clinical records and genetic information.”
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    • cites [26] Tomczak, 2015, Review The Cancer Genome Atlas (TCGA): An immeasurable source of knowledge, Contemp. Oncol. Onkol.

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    Interpretationreasoning

    Each modality (image, text, speech, genetic, physiological signals) furnishes unique and valuable insights that collectively contribute to a holistic understanding of patients' physiological states.

    “Each modality furnishes unique and valuable insights that collectively contribute to a holistic understanding of patients’ physiological states.”
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    Premisecitation

    The CHB-MIT Database comprises EEG recordings collected from 22 pediatric subjects with intractable seizures and was established in 2010.

    “The CHB-MIT [35] Database comprises EEG recordings collected from 22 pediatric subjects with intractable seizures and was established in 2010.”
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    • cites [35] Goldberger, 2000, PhysioBank, PhysioToolkit, and PhysioNet: Components of a new research resource for complex physiologic signals, Circulation source

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    Premisecitation

    The Multi-modal Open Dataset for Mental Disorder Analysis (MODMA) is a multi-modal dataset tailored for mental disorders, featuring both clinically depressed patients and individuals from the normal population.

    “The Multi-modal Open Dataset for Mental Disorder Analysis (MODMA) [34] is a multi-modal dataset tailored for mental disorders, featuring both clinically depressed patients and individuals from the normal population.”
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    • cites [34] Cai, 2022, A multi-modal open dataset for mental-disorder analysis, Sci. Data source

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    Interpretationnone given

    AI techniques spanning machine learning, deep learning, and large model paradigms can significantly augment physicians in rendering more evidence-based decisions, presenting a pioneering solution for clinical practice.

    “Artificial intelligence (AI) techniques, spanning from machine learning and deep learning to large model paradigms, stand poised to significantly augment physicians in rendering more evidence-based decisions, thus presenting a pioneering solution for clinical practice.”
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    Premisecitation

    In the Bonn database, set E contains intracranial EEG data captured during epileptic seizures.

    “Set E contains intracranial EEG data captured during epileptic seizures.”
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    • cites [36] Andrzejak, 2001, Indications of nonlinear deterministic and finite-dimensional structures in time series of brain electrical activity: Dependence on recording region and brain state, Phys. Rev. E source

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    In the Bonn database, each set consists of 100 text files, each containing a single EEG time series represented in ASCII code and comprising 4097 samples.

    “Each set consists of 100 text files, each containing a single EEG time series represented in ASCII code and comprising 4097 samples.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [36] Andrzejak, 2001, Indications of nonlinear deterministic and finite-dimensional structures in time series of brain electrical activity: Dependence on recording region and brain state, Phys. Rev. E source

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    Premisecitation

    Patients in the ADNI database are categorized into stages such as AD, MCI (Mild Cognitive Impairment), and NC (Normal Cognition).

    “The patients in the ADNI database are categorized into different stages such as AD, MCI (Mild Cognitive Impairment), and NC (Normal Cognition).”
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    • cites [7] Mueller, 2005, The Alzheimer’s disease neuroimaging initiative, Neuroimaging Clin. source

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    • cites [8] Schmand, 2016, Advanced Neuropsychological Diagnostics Infrastructure (ANDI): A normative database created from control datasets, Front. Psychol.

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    Premisecitation

    The Alzheimer's Disease Neuroimaging Initiative (ADNI) database is widely recognized as one of the most prominent datasets for predicting Alzheimer's disease.

    “The Alzheimer’s Disease Neuroimaging Initiative (ADNI) database [7,8], established in 2003, is widely recognized as one of the most prominent datasets for predicting AD.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [7] Mueller, 2005, The Alzheimer’s disease neuroimaging initiative, Neuroimaging Clin. source

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    • cites [8] Schmand, 2016, Advanced Neuropsychological Diagnostics Infrastructure (ANDI): A normative database created from control datasets, Front. Psychol.

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    MODMA comprises speech data and ECG data.

    “It comprises speech data and ECG data.”
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    • cites [34] Cai, 2022, A multi-modal open dataset for mental-disorder analysis, Sci. Data source

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    The Bonn database is devoid of artifacts, obviating the necessity for preprocessing prior to classifying the signals as healthy (non-epileptic) or unhealthy (epileptic).

    “This database is devoid of artifacts, obviating the necessity for preprocessing prior to classifying the signals as healthy (non-epileptic) or unhealthy (epileptic).”
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    • cites [36] Andrzejak, 2001, Indications of nonlinear deterministic and finite-dimensional structures in time series of brain electrical activity: Dependence on recording region and brain state, Phys. Rev. E source

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    In the TCGA dataset, breast cancer is categorized into subtypes including Luminal A, Luminal B, HER2+, Basel, etc.

    “In the TCGA dataset, breast cancer is categorized into different subtypes, including Luminal A, Luminal B, HER2+, Basel, etc.”
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    • cites [26] Tomczak, 2015, Review The Cancer Genome Atlas (TCGA): An immeasurable source of knowledge, Contemp. Oncol. Onkol.

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    Premisecitation

    OASIS-3 is a longitudinal dataset that integrates multiple modalities including neuroimaging, clinical biomarkers, and cognitive assessment.

    “Another typical database is the longitudinal dataset called OASIS-3, which integrates multiple modalities [2], including neuroimaging, clinical biomarkers, and cognitive assessment.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [2] Marcus, 2007, Open Access Series of Imaging Studies (OASIS): Cross-sectional MRI data in young, middle aged, nondemented, and demented older adults, J. Cogn. Neurosci. source

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    The Distress Analysis Interview Corpus-Wizard of OZ (DAIC-WOZ) stands as one of the most popular speech datasets utilized for depression prediction.

    “The Distress Analysis Interview Corpus-Wizard of OZ (DAIC-WOZ) [33] stands as one of the most popular speech datasets utilized for depression prediction.”
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    • cites [33] Gratch, J., Artstein, R., Lucas, G.M., Stratou, G., Scherer, S., Nazarian, A., Wood, R., Boberg, J., DeVault, D., and Marsella, S. (2014, January 26–31). The distress analysis interview corpus of human and computer interviews. Proceedings of the Ninth International Conference on Language Resources and Evaluation (LREC’14), Reykjavik, Iceland.

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    Since 2006, the UK Biobank has amassed substantial data from participants encompassing environmental factors, lifestyle choices, sociodemographic information, overall health and well-being, and cognitive and physical assessments.

    “Additionally, since 2006, the UK Biobank (UKB) [3,4,5] has amassed a substantial amount of data from participants, encompassing various fields such as environmental factors, lifestyle choices, sociodemographic information, overall health and well-being, as well as cognitive and physical assessments [6].”
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    • cites [3] Allen, 2012, UK Biobank: Current status and what it means for epidemiology, Health Policy Technol. source

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    • cites [4] Littlejohns, 2019, UK Biobank: Opportunities for cardiovascular research, Eur. Heart J. source

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    • cites [5] Sudlow, C., Gallacher, J., Allen, N., Beral, V., Burton, P., Danesh, J., Downey, P., Elliott, P., Green, J., and Landray, M. (2015). UK biobank: An open access resource for identifying the causes of a wide range of complex diseases of middle and old age. PLoS Med., 12. source

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    • cites [6] Wilkinson, 2019, Identifying dementia outcomes in UK Biobank: A validation study of primary care, hospital admissions and mortality data, Eur. J. Epidemiol. source

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    Interpretationnone given

    The amalgamation of diverse medical data modalities (image, text, speech, genetic data, physiological signals) is imperative to facilitate a comprehensive disease analysis.

    “Traditionally, the amalgamation of diverse medical data modalities (e.g., image, text, speech, genetic data, physiological signals) is imperative to facilitate a comprehensive disease analysis, a topic of burgeoning interest among both researchers and clinicians in recent times.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    The DAIC-WOZ corpus encompasses a broad spectrum of psychological disorders, including depression, anxiety, and post-traumatic stress disorder.

    “The corpus encompasses a broad spectrum of psychological disorders, including depression, anxiety, and post-traumatic stress disorder.”
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    • cites [33] Gratch, J., Artstein, R., Lucas, G.M., Stratou, G., Scherer, S., Nazarian, A., Wood, R., Boberg, J., DeVault, D., and Marsella, S. (2014, January 26–31). The distress analysis interview corpus of human and computer interviews. Proceedings of the Ninth International Conference on Language Resources and Evaluation (LREC’14), Reykjavik, Iceland.

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    Interpretationcitation

    AI-driven healthcare represents a promising avenue for addressing critical disease diagnosis challenges in regions characterized by disparities in medical resources.

    “It represents a promising avenue for addressing critical disease diagnosis challenges in regions characterized by disparities in medical resources, garnering significant attention from both scholars and practitioners [1].”
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    • cites [1] Anto, 2011, Supervised machine learning approaches for medical data set classification—A review, Int. J. Comput. Sci. Trends Technol.

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    • Rests on an assumption: Achieving timely diagnosis remains challenging, particularly in developing areas and regions with limited medical resources.
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    Premisecitation

    In the Bonn database, sets C and D encompass intracranial EEG recordings taken during seizure-free intervals, with set C recorded from within the seizure-generating area and set D from outside the seizure-generating area of epileptic patients.

    “Sets C and D encompass intracranial EEG recordings taken during seizure-free intervals, with set C recorded from within the seizure-generating area and set D from outside the seizure-generating area of epileptic patients.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [36] Andrzejak, 2001, Indications of nonlinear deterministic and finite-dimensional structures in time series of brain electrical activity: Dependence on recording region and brain state, Phys. Rev. E source

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    The ADNI database encompasses brain imaging data such as MRI and PET scans, clinical data, biospecimen information, and genetic data.

    “It encompasses various types of data, including brain imaging data such as MRI and PET scans, clinical data, biospecimen information, and genetic data.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [7] Mueller, 2005, The Alzheimer’s disease neuroimaging initiative, Neuroimaging Clin. source

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    • cites [8] Schmand, 2016, Advanced Neuropsychological Diagnostics Infrastructure (ANDI): A normative database created from control datasets, Front. Psychol.

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    Premisecitation

    CNN has been widely applied in various medical imaging, laboratory reports, pathology reports, etc., and has achieved remarkable success in the field of AI-based diagnosis.

    “Recently, the CNN has been widely applied in various medical imaging, laboratory reports, pathology reports, etc., and has achieved remarkable success in the field of AI-based diagnosis [51,52,53,54,55,56,57,58].”
    Quote in the paperNot a substantial claim0 of 8 sources checked
    • cites [51] Dong, 2022, An unsupervised domain adaptation brain CT segmentation method across image modalities and diseases, Expert Syst. Appl. source

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    • cites [52] Li, H., Habes, M., and Fan, Y. (2017). Deep ordinal ranking for multi-category diagnosis of Alzheimer’s disease using hippocampal MRI data. arXiv.

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    • cites [53] Cheng, D., and Liu, M. (2017, January 18–20). Combining convolutional and recurrent neural networks for Alzheimer’s disease diagnosis using PET images. Proceedings of the 2017 IEEE International Conference on Imaging Systems and Techniques (IST), Beijing, China. source

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    • cites [54] Liu, 2021, A computer-aided system for ocular myasthenia gravis diagnosis, Tsinghua Sci. Technol. source

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    • cites [55] Calvo, 2018, Advances on automatic speech analysis for early detection of Alzheimer disease: A non-linear multi-task approach, Curr. Alzheimer Res. source

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    • cites [56] Guan, 2023, Deep Learning Blockchain Integration Framework for Ureteropelvic Junction Obstruction Diagnosis Using Ultrasound Images, Tsinghua Sci. Technol. source

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    • cites [57] Zhang, J., Liu, B., Wu, J., Wang, Z., and Li, J. (2023). DeepCAC: A deep learning approach on DNA transcription factors classification based on multi-head self-attention and concatenate convolutional neural network. BMC Bioinform., 24. source

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    • cites [58] Islam, 2020, An integrative deep learning framework for classifying molecular subtypes of breast cancer, Comput. Struct. Biotechnol. J. source

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    Interpretationreasoning

    In the medical domain, where high precision is paramount, traditional machine learning methods are progressively being substituted by deep learning methods.

    “In the medical domain, where high precision is paramount, traditional machine learning methods are progressively being substituted by deep learning methods.”
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    Premisecitation

    The Temple University EEG corpus database represents an extensive collection of EEG data acquired between 2000 and 2013.

    “The Temple University EEG corpus database [37] represents an extensive collection of EEG data acquired between 2000 and 2013.”
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    • cites [37] Obeid, 2016, The temple university hospital EEG data corpus, Front. Neurosci. source

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    Premisecitation

    In disease diagnosis tasks using artificial intelligence technology, performance evaluation metrics are commonly calculated based on the confusion matrix for binary classification tasks.

    “In disease diagnosis tasks using artificial intelligence technology, performance evaluation metrics are commonly calculated based on the confusion matrix for binary classification tasks [69], which include four types of classifications: True Positive (TP), False Positive (FP), True Negative (TN), and False Negative (FN).”
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    • cites [69] Tharwat, 2020, Classification assessment methods, Appl. Comput. Inform. source

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    Premisecitation

    Zhu et al. achieved 0.9193 accuracy for AD vs. NC vs. MCI and 0.9287 AUC on ADNI and AIBL using patch proposals selected from MRI scans.

    “| Zhu et al. [59] | Patch proposals selected from the MRI scans | MRI | ADNI, AIBL | 0.9193 (ACC: AD vs. NC vs. MCI) 0.9287 (AUC) |”
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    • cites [59] Zhu, 2021, Dual attention multi-instance deep learning for Alzheimer’s disease diagnosis with structural MRI, IEEE Trans. Med. Imaging source

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    A large universal foundational model only requires one training session to acquire a wide range of general knowledge and can subsequently adapt to various downstream tasks through prompts.

    “Unlike traditional specialized models trained for specific problems, a large universal foundational model only requires one training session to acquire a wide range of general knowledge and can subsequently adapt to various downstream tasks through prompts.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [62] Bommasani, R., Hudson, D.A., Adeli, E., Altman, R., Arora, S., von Arx, S., Bernstein, M.S., Bohg, J., Bosselut, A., and Brunskill, E. (2021). On the opportunities and risks of foundation models. arXiv.

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    • cites [63] Zhou, C., Li, Q., Li, C., Yu, J., Liu, Y., Wang, G., Zhang, K., Ji, C., Yan, Q., and He, L. (2023). A comprehensive survey on pretrained foundation models: A history from bert to chatgpt. arXiv.

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    • cites [64] Brown, 2020, Language models are few-shot learners, Adv. Neural Inf. Process. Syst.

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    Premisenone given

    Specialized models are meticulously designed for specific tasks in architecture and are guided by medical knowledge to better understand and capture subtle differences and semantic features in the data.

    “In comparison to specialized models, LMs still exhibit certain gaps because specialized models are not only meticulously designed for specific tasks in terms of architecture but also guided by medical knowledge to better understand and capture subtle differences and semantic features in the data.”
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    Traditional machine learning algorithms continue to be favored in the development of AI diagnostic models because they require fewer data points and offer better interpretability.

    “In the era of rapid advancements in deep learning algorithms, traditional machine learning algorithms continue to be favored in the development of AI diagnostic models due to their unique advantages. They require fewer data points and offer better interpretability.”
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    Premisecitation

    Lian et al. achieved 0.9 accuracy and 0.95 AUC for AD vs. NC on ADNI using original MRI scan features.

    “| Lian et al. [70] | Original MRI scan feature | MRI | ADNI | 0.9 (ACC); 0.95 (AUC:AD vs. NC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [70] Lian, 2018, Hierarchical fully convolutional network for joint atrophy localization and Alzheimer’s disease diagnosis using structural MRI, IEEE Trans. Pattern Anal. Mach. Intell. source

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    Interpretationreasoning

    Preprocessing using machine learning and deep learning technologies is a crucial step for disease diagnosis.

    “Pre-processing using machine learning and deep learning technologies is a crucial step for disease diagnosis.”
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    Premisenone given

    Deep learning methods can leverage all the information present in the data as features for training models, eliminating the need for predefined features.

    “Unlike traditional machine learning approaches, deep learning methods can leverage all the information present in the data as features for training models, eliminating the need for predefined features.”
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    Premisecitation

    Yang et al. introduced GeneCompass, the first knowledge-based cross-species milestone foundational model, surpassing competitive state-of-the-art models in multiple tasks within a single species.

    “In the realm of genetic data, Yang et al. [49] introduced GeneCompass, the first knowledge-based cross-species milestone foundational model, surpassing competitive state-of-the-art models in multiple tasks within a single species.”
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    • cites [49] Yang, X., Liu, G., Feng, G., Bu, D., Wang, P., Jiang, J., Chen, S., Yang, Q., Zhang, Y., and Man, Z. (2023). GeneCompass: Deciphering Universal Gene Regulatory Mechanisms with Knowledge-Informed Cross-Species Foundation Model. bioRxiv, 1–8. source

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    Premisenone given

    Other classification metrics such as the Area Under the ROC Curve (AUC-ROC) are commonly adopted.

    “In addition, other classification metrics such as the Area Under the ROC Curve (AUC-ROC) are also commonly adopted.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    Naive Bayes (NB) is a probabilistic algorithm that does not rely on networks and performs well with high-dimensional features.

    “NB [46] is a probabilistic algorithm that does not rely on networks and performs well with high-dimensional features.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [46] Zeng, Q.T., Goryachev, S., Weiss, S., Sordo, M., Murphy, S.N., and Lazarus, R. (2006). Extracting principal diagnosis, co-morbidity and smoking status for asthma research: Evaluation of a natural language processing system. BMC Med. Inform. Decis. Mak., 6. source

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    Premisenone given

    Traditional machine learning algorithms often require domain experts to pre-define features before model training, resulting in additional manual costs and increased resource expenses.

    “They often require domain experts to pre-define the features to be learned before model training, resulting in additional manual costs and increased resource expenses.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    Feature engineering plays a crucial role in disease diagnosis using artificial intelligence technologies.

    “Feature engineering plays a crucial role in disease diagnosis using artificial intelligence technologies.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    Chen et al. achieved 0.9193 accuracy for AD vs. NC vs. MCI and 0.9287 AUC on ADNI using optimized anchor data from brain 18F-FDG PET slices.

    “| Chen et al. [60] | optimized anchor data from brain 18F-FDG PET slices | PET | ADNI | 0.9193 (ACC: AD vs. NC vs. MCI) 0.9287 (AUC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [60] Chen, 2022, Contrastive Learning for Prediction of Alzheimer’s Disease Using Brain 18F-FDG PET, IEEE J. Biomed. Health Inform. source

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    Premisecitation

    LSTM excels in capturing contextual relationships and predicting subsequent data based on the preceding sequence.

    “Notably, LSTM excels in capturing contextual relationships and predicting subsequent data based on the preceding sequence.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [12] Hochreiter, 1997, Long short-term memory, Neural Comput. source

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    Premisenone given

    Large models have proven effective in various general domain tasks.

    “While these LMs have proven effective in various general domain tasks, they have yet to reach their full potential in specific medical domain tasks.”
    Quote in the paperNot a substantial claim
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    Interpretationreasoning

    In disease diagnosis tasks, feature enhancement helps to more accurately distinguish different disease categories, thereby improving the accuracy and robustness of the model.

    “In disease diagnosis tasks, feature enhancement helps to more accurately distinguish different disease categories, thereby improving the accuracy and robustness of the model.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    The Temple University EEG corpus encompasses diverse EEG clinical settings from approximately 10,874 patients.

    “This repository encompasses diverse EEG clinical settings from approximately 10,874 patients.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [37] Obeid, 2016, The temple university hospital EEG data corpus, Front. Neurosci. source

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    Premisecitation

    XrayGPT is a conversational medical visual language model capable of analyzing and answering open-ended questions regarding chest X-rays.

    “XrayGPT is an innovative conversational medical visual language model capable of analyzing and answering open-ended questions regarding chest X-rays.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [68] Thawkar, O., Shaker, A., Mullappilly, S.S., Cholakkal, H., Anwer, R.M., Khan, S., Laaksonen, J., and Khan, F.S. (2023). Xraygpt: Chest radiographs summarization using medical vision-language models. arXiv.

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    Premisecitation

    Mei et al. achieved an accuracy of 87% and an RMSE of 3.727 for AD detection.

    “They meticulously fine-tuned the wav2vec2.0 model on speech from assorted frequency bands, culminating in a remarkable accuracy of 87% and an RSME of 3.727.”
    • Also stated in: § 3.1. Diagnosis of Alzheimer’s Disease · plain
      “| Mei et al. [83] | Silent characteristics ComParE 2016 feature set, eGeMAPS feature set wav2vec2 pre-trained model feature vector Hubert pre-trained model feature vector | Speech, text | AADReSS-M | Accuracy: 0.87, RMSE: 3.727 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [83] Mei, K., Ding, X., Liu, Y., Guo, Z., Xu, F., Li, X., Naren, T., Yuan, J., and Ling, Z. (2023, January 4–6). The Ustc System for Adress-m Challenge. Proceedings of the ICASSP 2023—2023 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP), Rhode Island, Greece. source

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    Interpretationcitation

    Large model approaches are expected to further improve the ability to capture and generalize complex features in medical data.

    “In the field of medical data, large model approaches are expected to further improve the ability to capture and generalize complex features [19,20,21,22,23,24,25].”
    Quote in the paperNot a substantial claim0 of 7 sources checked
    • cites [19] Singhal, K., Azizi, S., Tu, T., Mahdavi, S.S., Wei, J., Chung, H.W., Scales, N., Tanwani, A., Cole-Lewis, H., and Pfohl, S. (2022). Large language models encode clinical knowledge. arXiv.

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    • cites [20] Singhal, K., Tu, T., Gottweis, J., Sayres, R., Wulczyn, E., Hou, L., Clark, K., Pfohl, S., Cole-Lewis, H., and Neal, D. (2023). Towards expert-level medical question answering with large language models. arXiv.

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    • cites [21] Wang, H., Liu, C., Xi, N., Qiang, Z., Zhao, S., Qin, B., and Liu, T. (2023). Huatuo: Tuning llama model with chinese medical knowledge. arXiv.

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    • cites [22] Yunxiang, L., Zihan, L., Kai, Z., Ruilong, D., and You, Z. (2023). Chatdoctor: A medical chat model fine-tuned on llama model using medical domain knowledge. arXiv.

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    • cites [23] Xiong, H., Wang, S., Zhu, Y., Zhao, Z., Liu, Y., Wang, Q., and Shen, D. (2023). Doctorglm: Fine-tuning your chinese doctor is not a herculean task. arXiv.

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    • cites [24] Chen, Y., Wang, Z., Xing, X., Xu, Z., Fang, K., Wang, J., Li, S., Wu, J., Liu, Q., and Xu, X. (2023). BianQue: Balancing the Questioning and Suggestion Ability of Health LLMs with Multi-turn Health Conversations Polished by ChatGPT. arXiv.

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    • cites [25] Luo, R., Sun, L., Xia, Y., Qin, T., Zhang, S., Poon, H., and Liu, T.Y. (2022). BioGPT: Generative pre-trained transformer for biomedical text generation and mining. Brief. Bioinform., 23. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Logistic regression (LR) has been widely applied in disease diagnosis.

    “LR has been widely applied in disease diagnosis.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [45] Ho, T.K. (1995, January 14–16). Random decision forests. Proceedings of the 3rd International Conference on Document Analysis and Recognition, Montreal, QC, Canada.

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given

    XrayGLM showcases remarkable potential in medical image diagnosis and multi-turn interactive dialogues.

    “XrayGLM aims to become the first Chinese multi-modal medical LM proficient in interpreting chest X-ray images, showcasing remarkable potential in medical image diagnosis and multi-turn interactive dialogues.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationnone given

    By preprocessing raw data, inaccurate or irrelevant information can be removed and key features relevant to disease diagnosis are extracted.

    “By preprocessing raw data, inaccurate or irrelevant information can be removed and key features relevant to disease diagnosis are extracted.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    Feature fusion can enhance the efficiency of classifiers in detection tasks.

    “Feature fusion can enhance the efficiency of classifiers in detection tasks.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Premisenone given

    Redundant features can confuse machine learning models, while few features might not effectively and correctly classify data.

    “The redundant features can confuse machine learning models, while few features might not effectively and correctly classify data.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    Large models targeting different data types, such as images and time series, have been developed and demonstrate powerful performance.

    “Alongside technological advancements, large models targeting different data types, such as images (SAM [66]) and time series (TimeGPT-1 [67]), have also been developed, demonstrating their powerful performance.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [66] Zhang, C., Liu, L., Cui, Y., Huang, G., Lin, W., Yang, Y., and Hu, Y. (2023). A Comprehensive Survey on Segment Anything Model for Vision and Beyond. arXiv.

      Not checked in the free run.

    • cites [67] Garza, A., and Mergenthaler-Canseco, M. (2023). TimeGPT-1. arXiv.

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Support vector machine (SVM) is a commonly employed algorithm in disease diagnosis.

    “The SVM [9] is another commonly employed algorithm in disease diagnosis [42,43,44].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [42] Shah, Z., Qi, S.A., Wang, F., Farrokh, M., Tasnim, M., Stroulia, E., Greiner, R., Plitsis, M., and Katsamanis, A. (2023, January 4–6). Exploring Language-Agnostic Speech Representations Using Domain Knowledge for Detecting Alzheimer’s Dementia. Proceedings of the ICASSP 2023—2023 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP), Rhode Island, Greece. source

      Not checked in the free run.

    • cites [43] Martinc, 2021, Temporal integration of text transcripts and acoustic features for Alzheimer’s diagnosis based on spontaneous speech, Front. Aging Neurosci. source

      Not checked in the free run.

    • cites [44] Zhang, 2023, Integration of machine learning to identify diagnostic genes in leukocytes for acute myocardial infarction patients, J. Transl. Med. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Agbavor et al. achieved F1 0.728 and RMSE 3.493 on ADReSSo using data2vec and wav2vec2.

    “| Agbavor et al. [84] | data2vec, wav2vec2 | Speech, text | ADReSSo | F1: 0.728, RMSE: 3.493 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [84] Agbavor, F., and Liang, H. (2022). Artificial Intelligence-Enabled End-To-End Detection and Assessment of Alzheimer’s Disease Using Voice. Brain Sci., 13. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Park et al. achieved 0.823 accuracy on GEO using multi-omics data.

    “| Park et al. [88] | Multi-omics data | Gene-based | GEO | 0.823 (ACC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [88] Park, 2020, Prediction of Alzheimer’s disease based on deep neural network by integrating gene expression and DNA methylation dataset, Expert Syst. Appl. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Lopez et al. achieved accuracy 0.89 on a private dataset using linear and nonlinear speech features.

    “| Lopez et al. [55] | Linear features include spectral domain features and time domain features, such as harmonicity, spectrum centroid, formants, etc. Nonlinear characteristics include fractal dimension, permutation entropy, multi-scale permutation entropy, etc. | speech | private dataset | Accuracy: 0.89 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [55] Calvo, 2018, Advances on automatic speech analysis for early detection of Alzheimer disease: A non-linear multi-task approach, Curr. Alzheimer Res. source

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  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationcitation

    GPT-4 could enhance the accuracy and efficiency of diagnostic procedures by automating extraction of key data points, supporting healthcare professionals in making informed decisions.

    “By automating the extraction of key data points, GPT-4 could enhance the accuracy and efficiency of diagnostic procedures, supporting healthcare professionals in making informed decisions.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Human cancer is a heterogeneous disease caused by stochastic cellular mutations and driven by various genomic alterations.

    “Human cancer is a heterogeneous disease caused by stochastic cellular mutations and driven by various genomic alterations [107,108].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [107] Hanahan, 2011, Hallmarks of cancer: The next generation, Cell source

      Not checked in the free run.

    • cites [108] Sun, 2017, Computational approach for deriving cancer progression roadmaps from static sample data, Nucleic Acids Res.

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Cai et al. achieved accuracy 0.8484 ± 0.0544 on Dementia-Bank Pit using GNN text features and WavLM voice features.

    “| Cai et al. [82] | GNN (text features) WavLM (voice features) | Speech, text | Dementia- Bank Pit | Accuracy: 0.8484 ± 0.0544 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [82] Cai, H., Huang, X., Liu, Z., Liao, W., Dai, H., Wu, Z., Zhu, D., Ren, H., Li, Q., and Liu, T. (2023). Exploring Multimodal Approaches for Alzheimer’s Disease Detection Using Patient Speech Transcript and Audio Data. arXiv. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Liu et al. achieved F1 0.7802 on Dementia-Bank Pitt using bottleneck feature vector.

    “| Liu et al. [75] | Bottleneck feature vector (depth representation feature) | speech | Dementia- Bank Pitt | F1: 0.7802 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [75] Liu, Z., Guo, Z., Ling, Z., and Li, Y. (2021, January 6–11). Detecting Alzheimer’s disease from speech using neural networks with bottleneck features and data augmentation. Proceedings of the ICASSP 2021—2021 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP), Toronto, ON, Canada. source

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    Premisecitation

    Zhou et al. found that pre-training BERT on a cancer-specific dataset substantially improved model performance for extracting breast cancer phenotypes from pathology reports and clinical records.

    “Their findings underscore the significance of domain-specific pre-training, as it substantially improved the performance of the model, making it more attuned to the nuances of cancer-related data.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [105] Zhou, 2022, CancerBERT: A cancer domain-specific language model for extracting breast cancer phenotypes from electronic health records, J. Am. Med Inform. Assoc. source

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    Premisecitation

    Mohaiminul et al. [58] achieved an accuracy of 76.7% and an AUC of 83.8% for classifying molecular subtypes of breast cancer using copy number alteration and gene expression data from METABRIC.

    “The results achieved an accuracy of 76.7% and an AUC of 83.8%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [58] Islam, 2020, An integrative deep learning framework for classifying molecular subtypes of breast cancer, Comput. Struct. Biotechnol. J. source

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    Premisecitation

    Sherafatian et al.'s Rpart achieved accuracy 90.2%, sensitivity 93.9%, and specificity 86.4% for the HER2-enriched subtype.

    “For the HER2-enriched subtype, the accuracy, sensitivity, and specificity were 90.2%, 93.9%, and 86.4%, respectively.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [50] Sherafatian, 2018, Tree-based machine learning algorithms identified minimal set of miRNA biomarkers for breast cancer diagnosis and molecular subtyping, Gene source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Kim et al. achieved 0.75 accuracy on a private dataset using EEG segment with respect to RP.

    “| Kim et al. [92] | EEG segment with respect to RP(Absolute power of EEG signals in three different frequency bands) | EEG | Private dataset | 0.75 (ACC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [92] Kim, D., and Kim, K. (2018, January 18–21). Detection of early stage Alzheimer’s disease using EEG relative power with deep neural network. Proceedings of the 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Honolulu, HI, USA. source

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    Premisecitation

    Sharma et al. achieved 0.9603 accuracy for AD vs. NC vs. MCI and 0.7521 AUC on ADNI using fused image by wavelet packet transform (WPT) from MRI and PET.

    “| Sharma et al. [80] | Fused image by wavelet packet transform (WPT) | MRI, PET | ADNI | 0.9603 (ACC: AD vs. NC vs. MCI) 0.7521 (AUC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [80] Sharma, 2022, Conv-ERVFL: Convolutional Neural Network Based Ensemble RVFL Classifier for Alzheimer’s Disease Diagnosis, IEEE J. Biomed. Health Inform. source

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    Premisecitation

    Bertini et al. achieved accuracy 0.933 and F1 0.885 on Dementia-Bank Pitt using spectrogram.

    “| Bertini et al. [76] | spectrogram | specch | Dementia- Bank Pitt | Accuracy is 0.933, F1 score is 0.885 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [76] Bertini, 2022, An automatic Alzheimer’s disease classifier based on spontaneous spoken English, Comput. Speech Lang. source

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    Premisecitation

    Kumar et al.'s BERT-based model achieved F1 scores of 0.8625 on the development set and 0.8501 on the test set for classifying breast cancer-related posts on Twitter.

    “ultimately resulted in the model achieving F1 scores of 0.8625 on the development set and 0.8501 on the test set”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [102] Kumar, 2021, Phoenix@ SMM4H Task-8: Adversities Make Ordinary Models Do Extraordinary Things, NAACL-HLT

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Li et al. achieved 0.859 AUC and 0.781 accuracy on GEO using RNA-seq gene-based data.

    “| Li et al. [84] | RNA-seq | Gene-based | GEO | 0.859 (AUC), 0.781 (ACC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [84] Agbavor, F., and Liang, H. (2022). Artificial Intelligence-Enabled End-To-End Detection and Assessment of Alzheimer’s Disease Using Voice. Brain Sci., 13. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Taeho et al. achieved 0.82 AAUC on ADNI using SNP gene-based data.

    “| Taeho et al. [85] | SNP | Gene-based | ADNI | 0.82 (AAUC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [85] Jo, T., Nho, K., Bice, P., Saykin, A.J., and Initiative, A.D.N. (2022). Deep learning-based identification of genetic variants: Application to Alzheimer’s disease classification. Brief. Bioinform., 23. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Shah et al. achieved accuracy 0.696 and RMSE 4.8 on ADReSS-M using word-level duration, pause rate, and speech intelligibility features from speech and text.

    “| Shah et al. [42] | Word-level duration feature set, pause rate data set, speech intelligibility feature set | speech, text | ADReSS-M | Accuracy: 0.696, RMSE: 4.8 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [42] Shah, Z., Qi, S.A., Wang, F., Farrokh, M., Tasnim, M., Stroulia, E., Greiner, R., Plitsis, M., and Katsamanis, A. (2023, January 4–6). Exploring Language-Agnostic Speech Representations Using Domain Knowledge for Detecting Alzheimer’s Dementia. Proceedings of the ICASSP 2023—2023 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP), Rhode Island, Greece. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Javier et al. achieved 0.719 accuracy on ADNI using genetic variation data.

    “| Javier et al. [87] | genetic variation data | Gene-based | ADNI | 0.719 (ACC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [87] De Velasco Oriol, J., Vallejo, E.E., Estrada, K., Taméz Peña, J.G., and Disease Neuroimaging Initiative, T.A. (2019). Benchmarking machine learning models for late-onset alzheimer’s disease prediction from genomic data. BMC Bioinform., 20. source

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    Premisecitation

    Ning et al. achieved 0.976 AUC and 0.969 accuracy for AD vs. NC on ADNI using MRI and PET.

    “| Ning et al. [72] | magnetic resonance imaging (MRI) and positron emission tomography (PET) | MRI, PET | ADNI | 0.976 (AUC: AD vs. NC) 0.969 (ACC: AD vs. NC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [72] Ning, 2021, Relation-induced multi-modal shared representation learning for Alzheimer’s disease diagnosis, IEEE Trans. Med. Imaging source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Hernández et al. achieved accuracy 0.8 on a private dataset using speech duration and descriptive statistical variables.

    “| Hernández et al. [73] | Speech duration, descriptive statistical variables | specch | private dataset | Accuracy: 0.8 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [73] Pulido, 2022, Speech evaluation of patients with alzheimer’s disease using an automatic interviewer, Expert Syst. Appl. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Xu et al. achieved 0.857 accuracy on UniProt using protein sequence gene-based data.

    “| Xu et al. [86] | protein | sequence Gene-based | UniProt | 0.857 (ACC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [86] Xu, L., Liang, G., Liao, C., Chen, G.D., and Chang, C.C. (2018). An efficient classifier for Alzheimer’s disease genes identification. Molecules, 23. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Hason et al. achieved accuracy 0.822 on ADReSS using MFCC speech features.

    “| Hason et al. [72] | MFCC | speech | ADReSS | Accuracy: 0.822 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [72] Ning, 2021, Relation-induced multi-modal shared representation learning for Alzheimer’s disease diagnosis, IEEE Trans. Med. Imaging source

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    Premisecitation

    Riyadh et al.'s mixed deep learning CAD system achieved 100% accuracy for binary classification and 95.80% for multi-class prediction of breast lesions.

    “This innovative model achieved a perfect 100% accuracy rate for binary classification and an impressive 95.80% for multi-class prediction tasks”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [97] Al-Tam, R.M., Al-Hejri, A.M., Narangale, S.M., Samee, N.A., Mahmoud, N.F., Al-Masni, M.A., and Al-Antari, M.A. (2022). A hybrid workflow of residual convolutional transformer encoder for breast cancer classification using digital X-ray mammograms. Biomedicines, 10. source

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  • May combine two claims.

    Interpretationreasoning

    Amalgamating speech and text data captures a more extensive spectrum of AD-related features and bolsters diagnostic accuracy for Alzheimer's disease.

    “By amalgamating speech and text data, a more extensive spectrum of AD-related features is captured, bolstering the diagnostic accuracy for this condition.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Changes in language and communication frequently serve as precursors to cognitive deterioration, making them significant markers for early detection of Alzheimer’s disease.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Deng et al. emphasized GPT-4's capability to rapidly mine crucial information from extensive medical records, which could potentially influence the diagnosis of breast cancer.

    “The authors emphasized GPT-4’s capability to rapidly mine crucial information from extensive medical records, which could potentially influence the diagnosis of breast cancer.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [106] Deng, 2023, GPT-4 in breast cancer combat: A dazzling leap forward or merely a whim?, Int. J. Surg. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Yeman et al.'s parallel deep CNN for bilateral breast X-ray images achieved a prediction accuracy rate of 93.33%.

    “The concatenated deep features from this twin-CNN setup were introduced into a Neural Network (NN) classifier, which achieved a remarkable prediction accuracy rate of 93.33%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [96] Brhane Hagos, Y., Gubern Mérida, A., and Teuwen, J. (2018, January 16). Improving breast cancer detection using symmetry information with deep learning. Proceedings of the International Workshop on Reconstruction and Analysis of Moving Body Organs, Québec City, QC, Canada. source

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    Premisecitation

    Sherafatian et al.'s Rpart achieved accuracy 88.9%, sensitivity 82.4%, and specificity 95.4% for the Luminal subtype.

    “For the Luminal subtype, the accuracy, sensitivity, and specificity were 88.9%, 82.4%, and 95.4%, respectively.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [50] Sherafatian, 2018, Tree-based machine learning algorithms identified minimal set of miRNA biomarkers for breast cancer diagnosis and molecular subtyping, Gene source

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    Premisecitation

    Abunasser et al. trained six deep learning models for classifying eight types of breast cancer on MRI, with accuracy rates of 97.54%, 95.33%, 98.14%, 97.67%, 93.98%, and 98.28% respectively.

    “These models demonstrated remarkable accuracy in their classification tasks, with rates of 97.54%, 95.33%, 98.14%, 97.67%, 93.98%, and 98.28% respectively”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [98] Abunasser, 2023, Convolution Neural Network for Breast Cancer Detection and Classification Using Deep Learning, Asian Pac. J. Cancer Prev. APJCP source

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    Premisecitation

    Dai et al. [151] achieved an accuracy of 99.84%, sensitivity of 99.52%, and specificity of 99.95% for three-second ECG signals.

    “For three-second signal detection, the accuracies were 99.84%, sensitivity 99.52%, and specificity 99.95%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [151] Dai, H., Hwang, H.G., and Tseng, V.S. (2021). Convolutional neural network based automatic screening tool for cardiovascular diseases using different intervals of ECG signals. Comput. Methods Programs Biomed., 203. source

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    Premisecitation

    HCM Dynamic Echo achieved an accuracy of 93.13%, an F1 score of 92.98%, a PPV of 94.64%, a specificity of 94.87%, and an AUC of 93.13% for binary classification of echocardiography videos into HCM or normal.

    “In rigorous evaluations, HCM Dynamic Echo outperformed state-of-the-art baselines, with an accuracy of 93.13%, an F1 score of 92.98%, a Positive Predictive Value (PPV) of 94.64%, a specificity of 94.87%, and an Area Under the Curve (AUC) of 93.13%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [138] Almadani, A., Agu, E., Sarwar, A., Ahluwalia, M., and Kpodonu, J. (2023, January 7–13). HCM-Dynamic-Echo: A Framework for Detecting Hypertrophic Cardiomyopathy (HCM) in Echocardiograms. Proceedings of the 2023 IEEE International Conference on Digital Health (ICDH), Shenzhen, China. source

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    Premisecitation

    Ghorbani et al. [142] achieved an AUC-ROC of 0.75 and an F1 score of 0.57.

    “This method achieved an AUC-ROC of 0.75 and an F1 score of 0.57.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [142] Ghorbani, 2020, Deep learning interpretation of echocardiograms, NPJ Digit. Med. source

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    Premisecitation

    Zhang et al. [141] achieved an AUC of 93% and a p-value of 0.23 for HCM detection.

    “The images were processed through the VGG-16 model with a fully connected layer featuring two output units, achieving an AUC of 93% and p-value of 0.23 for HCM detection.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [141] Zhang, 2018, Fully automated echocardiogram interpretation in clinical practice: Feasibility and diagnostic accuracy, Circulation source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Abunasser et al. [98] achieved an F1-score of 98.28.

    “| Abunasser et al. [98] | Original MRI data | MRI | Kaggle depository | 98.28 (F1-score) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [98] Abunasser, 2023, Convolution Neural Network for Breast Cancer Detection and Classification Using Deep Learning, Asian Pac. J. Cancer Prev. APJCP source

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    Premisecitation

    Huang et al. [99] achieved an AUC of 0.907 and an accuracy of 85.8% with a Multilayer Perceptron (MLP).

    “| Huang et al. [99] | multi-parametric MRI | MRI | Private dataset | Multilayer Perceptron (MLP): 0.907 (AUC) and 85.8% (ACC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [99] Huang, 2021, Multi-parametric MRI-based radiomics models for predicting molecular subtype and androgen receptor expression in breast cancer, Front. Oncol. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Sun et al. [108] achieved an AUC of 82% on METABRIC.

    “| Sun et al. [108] | Clinical, CNV, RNA-seq | Gene-based | METABRIC | 82% (AUC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [108] Sun, 2017, Computational approach for deriving cancer progression roadmaps from static sample data, Nucleic Acids Res.

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    Auditory anomalies, repetitive speech patterns, word retrieval struggles, coherence degradation, and variance in lexical density and richness are pivotal in distinguishing dementia and depression.

    “They pinpointed a spectrum of differentiators such as auditory anomalies, repetitive speech patterns, word retrieval struggles, coherence degradation, and variance in lexical density and richness—all of which are pivotal in distinguishing these disorders.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [132] Ehghaghi, M., Rudzicz, F., and Novikova, J. (2022). Data-driven Approach to Differentiating between Depression and Dementia from Noisy Speech and Language Data. arXiv.

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Dai et al. [151] achieved an accuracy of 99.59%, sensitivity of 99.04%, and specificity of 99.87% for one-second ECG signals.

    “The proposed CNN model achieved an accuracy, sensitivity, and specificity of 99.59%, 99.04%, and 99.87%, respectively, for one-second signals, demonstrating superior performance.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [151] Dai, H., Hwang, H.G., and Tseng, V.S. (2021). Convolutional neural network based automatic screening tool for cardiovascular diseases using different intervals of ECG signals. Comput. Methods Programs Biomed., 203. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Sundaram et al. [143] achieved an accuracy of 86% with 608 features and 85% with 30 features.

    “The Random Forest (RF) model attained an accuracy of 86% using 608 features and achieved 85% accuracy with 30 features.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [143] Sundaram, 2021, Natural language processing based machine learning model using cardiac MRI reports to identify hypertrophic cardiomyopathy patients, Frontiers in Biomedical Devices

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  • May combine two claims.

    Premisecitation

    Jayasudha et al. [145] achieved specificity of 95.84%, accuracy of 94.80%, and sensitivity of 95.36%.

    “The classifier showed outstanding performance across specificity, accuracy, and sensitivity, reaching 95.84%, 94.80 and 95.36% in each metric.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [145] Jayasudha, 2023, Hybrid optimization enabled deep learning-based ensemble classification for heart disease detection, Signal Image Video Process. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    AI-ECG can extract more physiologically and pathophysiologically relevant information related to obstructive HCM from ECGs than traditional manual interpretation methods.

    “The study noted that AI-ECG could extract more physiologically and pathophysiologically relevant information related to obstructive HCM from ECGs, surpassing traditional manual interpretation methods.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [153] Tison, 2022, Assessment of disease status and treatment response with artificial Intelligence- Enhanced electrocardiography in obstructive hypertrophic cardiomyopathy, J. Am. Coll. Cardiol. source

      Not checked in the free run.

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    Premisecitation

    Samadishadlou et al. [150] achieved an AUC-ROC of 96% and an accuracy of 94%.

    “Their model demonstrated an AUC-ROC of 96% and an accuracy of 94%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [150] Samadishadlou, 2023, Unlocking the potential of microRNAs: Machine learning identifies key biomarkers for myocardial infarction diagnosis, Cardiovasc. Diabetol. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Verma et al. [113] found that the Random Forest model achieved a peak accuracy of 78% for depression detection from tweets.

    “Of these, the Random Forest model demonstrated superior performance, achieving an impressive accuracy peak of 78%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [113] Verma, P., Sharma, K., and Walia, G.S. (2021, January 20–22). Depression detection among social media users using machine learning. Proceedings of the International Conference on Innovative Computing and Communications: Proceedings of ICICC 2020, Delhi, India. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Ragab et al. [101] achieved an accuracy of 96.92%.

    “| Ragab et al. [101] | Segmented regions from original | ultrasound images Ultrasound Images | - | 96.92% (ACC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [101] Ragab, M., Albukhari, A., Alyami, J., and Mansour, R.F. (2022). Ensemble deep-learning-enabled clinical decision support system for breast cancer diagnosis and classification on ultrasound images. Biology, 11. source

      Not checked in the free run.

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    Premisecitation

    Dai et al. [151] achieved an overall accuracy of 99.80%, sensitivity of 99.48%, and specificity of 99.93% for two-second ECG signals.

    “For two-second signals using pre-trained models, the system achieved an overall accuracy, sensitivity, and specificity of 99.80%, 99.48%, and 99.93%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [151] Dai, H., Hwang, H.G., and Tseng, V.S. (2021). Convolutional neural network based automatic screening tool for cardiovascular diseases using different intervals of ECG signals. Comput. Methods Programs Biomed., 203. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Riyadh et al. [97] achieved an AUC of 0.933.

    “| Riyadh et al. [97] | Extracted patches centered on the points from the original X-ray | X-ray | General Electric, Siemens, and Hologic | 0.933 (AUC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [97] Al-Tam, R.M., Al-Hejri, A.M., Narangale, S.M., Samee, N.A., Mahmoud, N.F., Al-Masni, M.A., and Al-Antari, M.A. (2022). A hybrid workflow of residual convolutional transformer encoder for breast cancer classification using digital X-ray mammograms. Biomedicines, 10. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Zhou et al. [105] achieved macro-F1 of 0.876 for exact match and 0.904 for lenient match.

    “| Zhou et al. [105] | mutil feature | Text | private dataset | exact match and lenient match, macro-F1: 0.876, 0.904 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [105] Zhou, 2022, CancerBERT: A cancer domain-specific language model for extracting breast cancer phenotypes from electronic health records, J. Am. Med Inform. Assoc. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Chen et al. [104] achieved Mi-P, Mi-R, and Mi-F1 of 91.58% and Ma-P 75.95%, Ma-R 79.73%, and Ma-F1 77.14%.

    “| Chen et al. [104] | Word embedding, syntactic structure | Text | Shanghai Ruijin Hospital Molybdenum Mammography X-ray Report | Mi-P(%) = 91.58 Mi-R(%) = 91.58 Mi-F1(%) = 91.58 Ma-P(%) = 75.95 Ma-R(%) = 79.73 Ma-F1(%) = 77.14 |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [104] Chen, D., Zhong, K., and He, J. (2021, January 13–15). BDCN: Semantic Embedding Self-Explanatory Breast Diagnostic Capsules Network. Proceedings of the China National Conference on Chinese Computational Linguistics, Hohhot, China. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Jabeen et al. [100] achieved an accuracy of 99.1% on the BUSI dataset.

    “| Jabeen et al. [100] | Original ultrasound images data | Ultrasound Images | BUSI dataset | 99.1% (ACC) |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [100] Jabeen, K., Khan, M.A., Alhaisoni, M., Tariq, U., Zhang, Y.D., Hamza, A., Mickus, A., and Damaševičius, R. (2022). Breast cancer classification from ultrasound images using probability-based optimal deep learning feature fusion. Sensors, 22. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Peng et al. [147] achieved AUCs of 81.3% for SVM, 72.7% for RF, and 78.3% for LR for coronary atherosclerosis heart disease classification.

    “Their respective areas under the curve were 81.3% (95% CI 0.761–0.866, p < 0.0001), 72.7% (95% CI 0.665–0.788, p < 0.0001), and 78.3% (95% CI 0.725–0.841, p < 0.0001).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [147] Peng, 2022, Construction of genetic classification model for coronary atherosclerosis heart disease using three machine learning methods, BMC Cardiovasc. Disord. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Kumar et al. [102] and Peng et al. [103] achieved an F1 of 0.8501.

    “| Kumar et al. [102], Peng et al. [103] | Word embedding | Text | witter self-report | F1: 0.8501 |”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [102] Kumar, 2021, Phoenix@ SMM4H Task-8: Adversities Make Ordinary Models Do Extraordinary Things, NAACL-HLT

      Not checked in the free run.

    • cites [103] Peng, Y., Yan, S., and Lu, Z. (2019). Transfer learning in biomedical natural language processing: An evaluation of BERT and ELMo on ten benchmarking datasets. arXiv. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Yeman et al. [96] achieved accuracies of 94.50%, 95.83%, and 97.50% for three models on DDSM and INbreast.

    “| Yeman et al. [96] | Breast lesion detection from entire mammograms by object detection model | X-ray | DDSM and INbreast | ACC of three models: 94.50%, 95.83%, and 97.50% |”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [96] Brhane Hagos, Y., Gubern Mérida, A., and Teuwen, J. (2018, January 16). Improving breast cancer detection using symmetry information with deep learning. Proceedings of the International Workshop on Reconstruction and Analysis of Moving Body Organs, Québec City, QC, Canada. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Levine et al. [146] found that GPT-3's performance in diagnosing and triaging heart disease nearly approached that of professional medical practitioners.

    “The findings indicated that GPT-3’s performance nearly approached that of professional medical practitioners.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [146] Levine, D.M., Tuwani, R., Kompa, B., Varma, A., Finlayson, S.G., Mehrotra, A., and Beam, A. (2023). The diagnostic and triage accuracy of the GPT-3 artificial intelligence model. medRxiv, 1–22. source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    Centralized solutions come with inherent drawbacks, including concerns about data ownership, confidentiality, privacy, and security, as well as the potential for data monopolies biased towards data aggregators.

    “However, centralized solutions come with inherent drawbacks, including concerns about data ownership, confidentiality, privacy, and security, as well as the potential for data monopolies biased towards data aggregators [177].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [177] Kaissis, 2020, Secure, privacy-preserving and federated machine learning in medical imaging, Nat. Mach. Intell. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    For diagnosing heart disease, it is common to combine ultrasound imaging with medical texts.

    “For diagnosing heart disease, it’s common to combine ultrasound imaging with medical texts.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    Transfer learning has proven effective in scenarios where acquiring a large, labeled medical dataset is impractical.

    “Transfer learning has proven effective in scenarios where acquiring a large, labeled medical dataset is impractical, thus facilitating the development of robust diagnostic models.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    The Mayo Clinic algorithm achieved an AUC of 0.96, sensitivity of 87%, and specificity of 90% for adult HCM detection.

    “The algorithm performed impressively in adult HCM patient ECG detection, with an AUC of 0.96, sensitivity of 87%, and specificity of 90%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [154] Ko, 2020, Detection of hypertrophic cardiomyopathy using a convolutional neural network-enabled electrocardiogram, J. Am. Coll. Cardiol. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The Mayo Clinic algorithm achieved an AUC of 0.98, sensitivity of 92%, specificity of 95%, PPV of 22%, and NPV of 99% in a test of 300 children and over 18,000 controls.

    “The algorithm’s performance in a test of 300 children and over 18,000 age and gender-matched controls was equally impressive: the HCM detection model achieved an AUC of 0.98, sensitivity of 92%, specificity of 95%, Positive Predictive Value (PPV) of 22%, and Negative Predictive Value (NPV) of 99%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [154] Ko, 2020, Detection of hypertrophic cardiomyopathy using a convolutional neural network-enabled electrocardiogram, J. Am. Coll. Cardiol. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationnone given

    The multi-modal paradigm provides a more comprehensive and accurate understanding of complex phenomena by integrating diverse data modalities.

    “The advantages of the multi-modal paradigm lie in its ability to provide a more comprehensive and accurate understanding of complex phenomena by integrating diverse data modalities.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    The progression has transitioned from machine learning dominance to primary reliance on deep learning, complemented by attention mechanisms and transfer learning.

    “This progression has transitioned from machine learning dominance to primary reliance on deep learning, complemented by innovative techniques such as attention mechanisms and transfer learning.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Thara et al. [172] achieved an accuracy of 99.89% on the training set and 99.08% on the test set.

    “The researchers built a model with two LSTM layers, dropout and dense layers, and trained and optimized it using activation functions such as sigmoid and softmax, achieving good results with an accuracy of 99.89% on the training set and 99.08% on the test set.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [172] Thara, 2019, Epileptic seizure detection and prediction using stacked bidirectional long short term memory, Pattern Recognit. Lett. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    For heart disease diagnosis, the prevalent modalities include echocardiography, electrocardiography, and medical texts.

    “For heart disease diagnosis, the prevalent modalities include echocardiography, electrocardiography, and medical texts.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Fürbass et al. [171]'s DeepSpike algorithm attained sensitivity of 89%, specificity of 70%, and overall accuracy of 80%.

    “The experimental results indicated that the DeepSpike algorithm attained a sensitivity of 89%, a specificity of 70%, and an overall accuracy rate of 80%, showcasing its high effectiveness in identifying EEG discharges.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [171] Kural, 2020, An artificial intelligence-based EEG algorithm for detection of epileptiform EEG discharges: Validation against the diagnostic gold standard, Clin. Neurophysiol. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    Currently, most large-scale models in healthcare focus on text, analyzing medical records, discharge summaries, and other types of written data.

    “Currently, most large-scale models in healthcare focus on text, analyzing medical records, discharge summaries, and other types of written data.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    Attention mechanisms have shown effectiveness in different medical imaging tasks, leading to more precise and context-aware diagnoses.

    “Attention mechanisms have shown effectiveness in different medical imaging tasks, leading to diagnoses that are more precise and aware of the context.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    The application of AI in the health and medical field involves three types of parties: healthcare professionals, researchers, and AI experts.

    “The application of AI in the health and medical field involves three types of parties, i.e., healthcare professionals, researchers, and AI experts.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    The evolution of research in automated disease diagnosis is accompanied by the continual improvement of performance.

    “The evolution of research in automated disease diagnosis is accompanied by the continual improvement of performance.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationnone given

    The medical data produced from different disease diagnosis processes has commonalities, mainly encompassing image, text, genetic, signal, and voice modalities.

    “The medical data produced from different disease diagnosis processes has commonalities, mainly encompassing image, text, genetic, signal, and voice modalities.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationreasoning

    Facilitating collaboration among these three parties contributes to the advancement of AI in the health and medical domain.

    “Facilitating collaboration among these three parties contributes to the advancement of AI in the health and medical domain.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    In breast cancer diagnostics, a multifaceted approach involves genetic data, X-ray imaging, ultrasound, and a notable amount of textual information.

    “Contrastingly, in breast cancer diagnostics, a multifaceted approach involves genetic data, X-ray imaging, ultrasound, and a notable amount of textual information.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationreasoning

    Depression diagnosis predominantly relies on speech modalities, with supplementary integration of text or video data.

    “Depression diagnosis predominantly relies on speech modalities, with supplementary integration of text or video data.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationreasoning

    The multi-modal approach enhances robustness, improves interpretability, and allows for personalized and optimized solutions across various domains.

    “This approach enhances robustness, improves interpretability, and allows for personalized and optimized solutions across various domains.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    Deep learning has improved the accuracy and efficiency of disease detection.

    “Deep learning has improved the accuracy and efficiency of disease detection.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Karácsony et al. [156] employed clinical Motion Capture to quantitatively analyze seizure-related symptoms and differentiate epilepsy syndromes, providing clinical localization and lateralization information.

    “Karácsony et al. [156] employed clinical Motion Capture (MoCap) to quantitatively analyze seizure-related symptoms such as ictal head turning and upper limb automatisms, marking a pioneering discovery in differentiating epilepsy syndromes, providing clinical localization and lateralization information.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [156] Karácsony, T., Loesch-Biffar, A.M., Vollmar, C., Noachtar, S., and Cunha, J.P.S. (2021, January 27–30). DeepEpil: Towards an epileptologist-friendly AI enabled seizure classification cloud system based on deep learning analysis of 3D videos. Proceedings of the 2021 IEEE EMBS International Conference on Biomedical and Health Informatics (BHI), Athens, Greece. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Premisenone given

    Data imbalance encompasses two dimensions: imbalance within classes in a single modality, and distributional imbalances across different modalities.

    “Typically, data imbalance encompasses two dimensions: the imbalance within classes in a single modality, and the distributional imbalances across different modalities.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning

    While AI technology has made certain achievements in the medical field, significant limitations remain in disease diagnosis applications.

    “Finally, we acknowledge that while AI technology has made certain achievements in the medical field, significant limitations remain in disease diagnosis applications.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    For epilepsy diagnostics, a comprehensive strategy incorporates MRI, video data capturing patient movements, EEG, and relevant textual information.

    “For epilepsy diagnostics, a comprehensive strategy incorporates Magnetic Resonance Imaging (MRI), video data capturing patient movements, Electroencephalogram (EEG), and relevant textual information.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    In cancer research, there is a significant emphasis on combining imaging and genetic data.

    “In cancer research, there is a significant emphasis on combining imaging and genetic data.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Clarke et al. [170] achieved an average sensitivity of 95% and an average false positive rate of one per minute for detecting epileptic seizures from clinical EEGs.

    “The system achieved an impressive average sensitivity of 95% and kept the average false positive rate to just one per minute.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [170] Clarke, 2021, Computer-assisted EEG diagnostic review for idiopathic generalized epilepsy, Epilepsy Behav. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    Epilepsy diagnosis currently benefits from the mutual utilization of various imaging modalities, such as MRI and PET images.

    “Epilepsy diagnosis currently benefits from the mutual utilization of various imaging modalities, such as Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET) images.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    PDC alone provided the most accurate TLE classification, followed by the combination of PDC with MRI-based brain structural indices.

    “Results indicated that PDC alone provided the most accurate TLE classification, followed by the combination of PDC with MRI-based brain structural indices.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [174] Torres-Velázquez, M., Hwang, G., Cook, C.J., Hermann, B.P., Prabhakaran, V., Meyerand, M.E., and McMillan, A.B. (2020, January 4). Multi-Channel Deep Neural Network For Temporal Lobe Epilepsy Classification Using Multimodal Mri Data. Proceedings of the 2020 IEEE 17th International Symposium on Biomedical Imaging Workshops (ISBI Workshops), Iowa City, IA, USA. source

      Not checked in the free run.

134 of 134
  • The paper relies on this without support.

    Achieving timely diagnosis remains challenging, particularly in developing areas and regions with limited medical resources.

    “Nonetheless, achieving this objective remains challenging, particularly in developing areas and regions with limited medical resources.”
  • The paper relies on this without support.

    The challenge of disease diagnosis primarily stems from the low specialist-to-patient ratio and the time-consuming, labor-intensive nature of manual diagnosis, which heavily relies on specialized expertise.

    “This challenge primarily stems from two key factors: firstly, the low specialist-to-patient ratio, and secondly, the time-consuming and labor-intensive nature of the manual diagnosis, which heavily relies on specialized expertise.”
  • The paper relies on this without support.

    These issues often result in delayed treatment, exacerbating illness severity, and escalating medical costs.

    “These issues often result in delayed treatment, exacerbating illness severity, and escalating medical costs.”
  • The paper relies on this without support.

    Existing reviews predominantly concentrate on a singular modality or a single disease, whether focusing on a specific disease within multi-modal contexts, various disorders within a specific modality, or a single disease with exclusive reliance on a particular data type.

    “However, these reviews predominantly concentrate on a singular modality or a single disease, whether focusing on a specific disease within multi-modal contexts, various disorders within a specific modality, or a single disease with exclusive reliance on a particular data type.”
  • The paper relies on this without support.

    Although medical datasets generated by different disease diagnosis processes exhibit commonalities, distinct preferences for specific modalities prevail across different diseases.

    “Although medical datasets generated by different disease diagnosis processes exhibit commonalities, distinct preferences for specific modalities prevail across different diseases.”
  • The paper relies on this without support.

    Most diseases are typically only recognized by patients themselves after they manifest, and continuous data collection and monitoring can assist patients in achieving effective disease prevention.

    “Most diseases are typically only recognized by patients themselves after they manifest, and continuous data collection and monitoring can assist patients in achieving effective disease prevention.”
  • The paper relies on this without support.

    The advent of artificial intelligence has rendered the process of data accumulation more intelligent and efficient, thereby holding significant implications for disease prevention and control.

    “The advent of artificial intelligence has rendered the process of data accumulation more intelligent and efficient, thereby holding significant implications for disease prevention and control.”
  • The paper relies on this without support.

    MRI and PET are indispensable tools for Alzheimer’s disease diagnosis.

    “In the realm of AI-driven diagnostic investigations for Alzheimer’s disease, medical imaging modalities such as MRI and PET are universally recognized as indispensable tools.”
  • The paper relies on this without support.

    Changes in language and communication frequently serve as precursors to cognitive deterioration, making them significant markers for early detection of Alzheimer’s disease.

    “Changes in language and communication frequently serve as precursors to cognitive deterioration, making them significant markers for early detection.”
  • The paper relies on this without support.

    The integration of MRI and PET imaging modalities yields a synergistic approach that offers a more holistic representation of the brain’s structure and function.

    “The integration of MRI and PET imaging modalities has yielded a synergistic approach in medical diagnostics, particularly for disorders such as Alzheimer’s disease (AD). This technique of image fusion leverages the unique strengths of each imaging method to offer a more holistic representation of the brain’s structure and function.”
  • The paper relies on this without support.

    Early detection and an integrated approach to treatment improve survival and quality of life for breast cancer patients.

    “The key to enhancing survival and ensuring a better quality of life for those impacted by this disease lies in early detection and an integrated approach to treatment”
  • The paper relies on this without support.

    Specific genetic mutations may present as unique visual patterns.

    “Besides, specific genetic mutations may present as unique visual patterns.”
12 of 12

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Reference 72 is attributed to two different studies

    Minor

    The text attributes reference 72 to Hason et al. for a speech study, while the reference list identifies it as Ning et al.'s multi-modal representation-learning study.

  • Reference 84 is assigned to an RNA-seq study but describes a voice study

    Minor

    Table 3 attributes an RNA-seq result to Li et al. [84]. Reference 84 is an Alzheimer's voice-analysis paper by Agbavor and Liang.

  • Reference 58 is attributed to a depression study but describes breast cancer

    Minor

    The depression section attributes reference 58 to Aragon et al.'s depression model. Reference 58 instead identifies Islam et al.'s breast-cancer-subtyping framework.

  • Peng et al.'s AUCs are labeled as accuracies in Table 6

    Minor

    Table 6 reports 81.3%, 72.7%, and 78.3% as accuracies. The discussion identifies those same three values as areas under the curve, not accuracies.

  • SAFHS description conflicts with reference 27

    Minor

    The dataset description calls SAFHS a breast-cancer-related natural language processing dataset developed by Harvard Medical School. Its cited reference instead describes the San Antonio Family Heart Study and a genome-wide scan for microalbuminuria.

  • Reference 8 is ANDI, not ADNI

    Minor

    The paper cites reference 8 for the ADNI dataset, but reference 8 identifies a different database, ANDI.

  • Logistic regression cites a random-forests reference

    Minor

    The logistic-regression description cites reference 45, whose listed work is titled "Random decision forests."

  • An epilepsy EEG study is presented as evidence for Alzheimer's diagnosis

    Minor

    The Alzheimer's section cites Djemili et al. [90] as demonstrating EEG-based Alzheimer's diagnosis. The cited paper's title specifies classification of normal and epileptic EEG signals instead.

  • Correct and incorrect predictions are assigned to the wrong totals

    Minor

    "True Classification" includes false positives, which the paper defines as incorrect predictions. "False Classification" includes true negatives, which it defines as correct predictions.

9 of 9

Cites

Flagged first, then by citations

Research works printed but not linked: 26

  1. O’Shea, K., and Nash, R. (2015). An introduction to convolutional neural networks. arXiv.
  2. Vaswani, 2017, Attention is all you need, Adv. Neural Inf. Process. Syst., 30, 1
  3. Achiam, J., Adler, S., Agarwal, S., Ahmad, L., Akkaya, I., Aleman, F.L., Almeida, D., Altenschmidt, J., Altman, S., and Anadkat, S. (2023). Gpt-4 technical report. arXiv.
  4. Touvron, H., Lavril, T., Izacard, G., Martinet, X., Lachaux, M.A., Lacroix, T., Rozière, B., Goyal, N., Hambro, E., and Azhar, F. (2023). Llama: Open and efficient foundation language models. arXiv.
  5. Touvron, H., Martin, L., Stone, K., Albert, P., Almahairi, A., Babaei, Y., Bashlykov, N., Batra, S., Bhargava, P., and Bhosale, S. (2023). Llama 2: Open foundation and fine-tuned chat models. arXiv.
  6. Singhal, K., Tu, T., Gottweis, J., Sayres, R., Wulczyn, E., Hou, L., Clark, K., Pfohl, S., Cole-Lewis, H., and Neal, D. (2023). Towards expert-level medical question answering with large language models. arXiv.
  7. Wang, H., Liu, C., Xi, N., Qiang, Z., Zhao, S., Qin, B., and Liu, T. (2023). Huatuo: Tuning llama model with chinese medical knowledge. arXiv.
  8. Yunxiang, L., Zihan, L., Kai, Z., Ruilong, D., and You, Z. (2023). Chatdoctor: A medical chat model fine-tuned on llama model using medical domain knowledge. arXiv.
  9. Xiong, H., Wang, S., Zhu, Y., Zhao, Z., Liu, Y., Wang, Q., and Shen, D. (2023). Doctorglm: Fine-tuning your chinese doctor is not a herculean task. arXiv.
  10. Chen, Y., Wang, Z., Xing, X., Xu, Z., Fang, K., Wang, J., Li, S., Wu, J., Liu, Q., and Xu, X. (2023). BianQue: Balancing the Questioning and Suggestion Ability of Health LLMs with Multi-turn Health Conversations Polished by ChatGPT. arXiv.
  11. Ho, T.K. (1995, January 14–16). Random decision forests. Proceedings of the 3rd International Conference on Document Analysis and Recognition, Montreal, QC, Canada.
  12. Anbarasi, 2010, Enhanced prediction of heart disease with feature subset selection using genetic algorithm, Int. J. Eng. Sci. Technol., 2, 5370
  13. Li, H., Habes, M., and Fan, Y. (2017). Deep ordinal ranking for multi-category diagnosis of Alzheimer’s disease using hippocampal MRI data. arXiv.
  14. Bommasani, R., Hudson, D.A., Adeli, E., Altman, R., Arora, S., von Arx, S., Bernstein, M.S., Bohg, J., Bosselut, A., and Brunskill, E. (2021). On the opportunities and risks of foundation models. arXiv.
  15. Zhou, C., Li, Q., Li, C., Yu, J., Liu, Y., Wang, G., Zhang, K., Ji, C., Yan, Q., and He, L. (2023). A comprehensive survey on pretrained foundation models: A history from bert to chatgpt. arXiv.
  16. Brown, 2020, Language models are few-shot learners, Adv. Neural Inf. Process. Syst., 33, 1877
  17. Chung, H.W., Hou, L., Longpre, S., Zoph, B., Tay, Y., Fedus, W., Li, Y., Wang, X., Dehghani, M., and Brahma, S. (2022). Scaling instruction-finetuned language models. arXiv.
  18. Zhang, C., Liu, L., Cui, Y., Huang, G., Lin, W., Yang, Y., and Hu, Y. (2023). A Comprehensive Survey on Segment Anything Model for Vision and Beyond. arXiv.
  19. Garza, A., and Mergenthaler-Canseco, M. (2023). TimeGPT-1. arXiv.
  20. Thawkar, O., Shaker, A., Mullappilly, S.S., Cholakkal, H., Anwer, R.M., Khan, S., Laaksonen, J., and Khan, F.S. (2023). Xraygpt: Chest radiographs summarization using medical vision-language models. arXiv.
  21. Freitag, 2018, audeep: Unsupervised learning of representations from audio with deep recurrent neural networks, J. Mach. Learn. Res., 18, 1
  22. Kumar, 2021, Phoenix@ SMM4H Task-8: Adversities Make Ordinary Models Do Extraordinary Things, NAACL-HLT, 2, 112
  23. Liu, Z., Wang, D., Zhang, L., and Hu, B. (2020). A novel decision tree for depression recognition in speech. arXiv.
  24. Ehghaghi, M., Rudzicz, F., and Novikova, J. (2022). Data-driven Approach to Differentiating between Depression and Dementia from Noisy Speech and Language Data. arXiv.
  25. Diep, B., Stanojevic, M., and Novikova, J. (2022). Multi-modal deep learning system for depression and anxiety detection. arXiv.
  26. Yao, X., Cheng, Q., and Zhang, G.Q. (2019). Automated classification of seizures against nonseizures: A deep learning approach. arXiv.

Cited by

Sorted by citations

Authors
Xu, X., Li, J., Zhu, Z., Zhao, L., Wang, H., Song, C., Chen, Y., Zhao, Q., Yang, J., & Pei, Y.
Affiliations
  • Beijing University of Technology (CN)
  • Tsinghua National Laboratory for Information Science and Technology, Tsinghua University, Beijing 100084, China
  • University of Aizu (JP)
Corresponding author
Zhao, Qing
Venue
Bioengineering
Publisher
MDPI AG
Published
2024-02-25
Volume
11
Issue
3
Pages
219
ISSN
2306-5354 (ISSN-L)
OpenAlex
W4392168796
Cited by
242
References
168
Citations by year
2026: 96 · 2025: 129 · 2024: 17
FWCI
5.46
Type
journal article
Language
en
Open access
Locations
  • Bioengineering (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
National Natural Science Foundation of China (62266041)
Topics
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Multimodal Machine Learning Applications
Keywords
multimodal fusion, diagnosis, artificial intelligence in healthcare, Alzheimer's disease, breast cancer, depression, heart disease, epilepsy, multimodal medical data, clinical decision support, feature engineering, classification models, medical datasets

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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