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The objective of the proposed work is to identify the most commonly occurring non–small cell carcinoma types, such as adenocarcinoma and squamous cell carcinoma, within the human population. Another objective of the work is to reduce the false positive rate during the classification.

In this work, a hybrid method using convolutional neural networks (CNNs), extreme gradient boosting (XGBoost) and long-short-term memory networks (LSTMs) has been proposed to distinguish between lung adenocarcinoma and squamous cell carcinoma. To extract features from non–small cell lung carcinoma images, a three-layer convolution and three-layer max-pooling-based CNN is used. A few important features have been selected from the extracted features using the XGBoost algorithm as the optimal feature. Finally, LSTM has been used for the classification of carcinoma types. The accuracy of the proposed method is 99.57 per cent, and the false positive rate is 0.427 per cent.

The proposed CNN–XGBoost–LSTM hybrid method has significantly improved the results in distinguishing between adenocarcinoma and squamous cell carcinoma. The importance of the method can be outlined as follows: It has a very low false positive rate of 0.427 per cent. It has very high accuracy, i.e. 99.57 per cent. CNN-based features are providing accurate results in classifying lung carcinoma. It has the potential to serve as an assisting aid for doctors.

It can be used by doctors as a secondary tool for the analysis of non–small cell lung cancers.

It can help rural doctors by sending the patients to specialized doctors for more analysis of lung cancer.

In this work, a hybrid method using CNN, XGBoost and LSTM has been proposed to distinguish between lung adenocarcinoma and squamous cell carcinoma. A three-layer convolution and three-layer max-pooling-based CNN is used to extract features from the non–small cell lung carcinoma images. A few important features have been selected from the extracted features using the XGBoost algorithm as the optimal feature. Finally, LSTM has been used for the classification of carcinoma types.

Lung cancer is the leading cause of death worldwide. Physical and chemical agents such as tobacco smoke are the leading cause of various lung cancers. The intrinsic heterogeneity of normal lung tissue may be affected in different ways, giving rise to different types of lung cancers classified as either small‐cell lung cancer (SCLC) or non‐small cell lung cancer (NSCLC). Adenocarcinoma, a NSCLC, accounts for 40 percent of all lung cancer cases and the incidence is increasing worldwide, especially among women. The survival rate and prognosis is poorest for adenocarcinoma. Therefore, diagnosis at the earliest stage (Stage I, localized) is critical for increasing survival rates of those suffering from lung cancer. However, many factors affect early diagnosis including the variable natural growth of tumors plus technological and human factors associated with manipulation of tissue samples and interpretation of results. This article reviews potential problems associated with diagnosing lung cancer and considers future directions of diagnostic technology.

Computed tomography (CT) scan can provide valuable information in the diagnosis of lung diseases. To detect the location of the cancerous lung nodules, this work uses novel deep learning methods. The majority of the early investigations used CT, magnetic resonance and mammography imaging. Using appropriate procedures, the professional doctor in this sector analyses these images to discover and diagnose the various degrees of lung cancer. All of the methods used to discover and detect cancer illnesses are time-consuming, expensive and stressful for the patients. To address all of these issues, appropriate deep learning approaches for analyzing these medical images, which included CT scan images, were utilized.

Radiologists currently employ chest CT scans to detect lung cancer at an early stage. In certain situations, radiologists' perception plays a critical role in identifying lung melanoma which is incorrectly detected. Deep learning is a new, capable and influential approach for predicting medical images. In this paper, the authors employed deep transfer learning algorithms for intelligent classification of lung nodules. Convolutional neural networks (VGG16, VGG19, MobileNet and DenseNet169) are used to constrain the input and output layers of a chest CT scan image dataset.

The collection includes normal chest CT scan pictures as well as images from two kinds of lung cancer, squamous and adenocarcinoma impacted chest CT scan images. According to the confusion matrix results, the VGG16 transfer learning technique has the highest accuracy in lung cancer classification with 91.28% accuracy, followed by VGG19 with 89.39%, MobileNet with 85.60% and DenseNet169 with 83.71% accuracy, which is analyzed using Google Collaborator.

The proposed approach using VGG16 maximizes the classification accuracy when compared to VGG19, MobileNet and DenseNet169. The results are validated by computing the confusion matrix for each network type.

The cardiomegaly can be determined by the cardiothoracic ratio (CTR) which can be measured in a chest x-ray image. It is calculated based on a relationship between a size of heart and a transverse dimension of chest. The cardiomegaly is identified when the ratio is larger than a cut-off threshold. This paper aims to propose a solution to calculate the ratio for classifying the cardiomegaly in chest x-ray images.

The proposed method begins with constructing lung and heart segmentation models based on U-Net architecture using the publicly available datasets with the groundtruth of heart and lung masks. The ratio is then calculated using the sizes of segmented lung and heart areas. In addition, Progressive Growing of GANs (PGAN) is adopted here for constructing the new dataset containing chest x-ray images of three classes including male normal, female normal and cardiomegaly classes. This dataset is then used for evaluating the proposed solution. Also, the proposed solution is used to evaluate the quality of chest x-ray images generated from PGAN.

In the experiments, the trained models are applied to segment regions of heart and lung in chest x-ray images on the self-collected dataset. The calculated CTR values are compared with the values that are manually measured by human experts. The average error is 3.08%. Then, the models are also applied to segment regions of heart and lung for the CTR calculation, on the dataset computed by PGAN. Then, the cardiomegaly is determined using various attempts of different cut-off threshold values. With the standard cut-off at 0.50, the proposed method achieves 94.61% accuracy, 88.31% sensitivity and 94.20% specificity.

The proposed solution is demonstrated to be robust across unseen datasets for the segmentation, CTR calculation and cardiomegaly classification, including the dataset generated from PGAN. The cut-off value can be adjusted to be lower than 0.50 for increasing the sensitivity. For example, the sensitivity of 97.04% can be achieved at the cut-off of 0.45. However, the specificity is decreased from 94.20% to 79.78%.

During recent years, web technologies and mass media have become prevalent in the context of medicine and health. Two examples of important web technologies used in health are news media and patient forums. Both have a significant role in shaping patients' perspective and behaviour in relation to health and illness, as well as the way that they might choose or change their treatment. In this paper, the authors investigated the application of web technologies using the data analysis approach. The authors did this analysis from the point of view of topics being discussed and disseminated via patients and journalists in breast and lung cancer. The study also investigated the (dis)alignment amongst these two groups and scientists in terms of topics.

Three data sets comprised documents published between 2014 and 2018 obtained from ProQuest and Web of Science Medline databases, alongside data from three major patient forums on breast and lung cancer. The analysis and visualisation in this paper have been done using the udpipe, igraph R packages and VOSviewer.

The study’s findings showed that in general scientists focussed more on prognosis and treatment of cancer, whereas patients and journalists focussed more on detection, prevention and role of social and emotional support. The only exception was for news coverage of lung cancer where the largest cluster was related to treatment, research in cancer treatment and therapies. However, when comparing coverage by scientists and journalists in terms of treatment, the focus of news articles in both cancer types was mainly on chemotherapy and complimentary therapies. Finally, topics such as lifestyle or pain management were only discussed by breast cancer patients.

The results obtained from this study may provide valuable insights into topics of interest for each group of scientists, journalist and patients as well as (dis)alignment among them in terms of topics. These findings are important as scientific research is heavily dependent on communication, and research does not exist in a bubble. Scientists and journalists can gain insights from patients' experiences and needs, which in turn may help them to have a more holistic and realistic view.

The peer review history for this article is available at: https://publons.com/publon/10.1108/OIR-06-2020-0228

The purpose of this paper is to show an efficient method for the detection of signs of early lung cancer. Various image processing algorithms are presented for different types of lesions, and a scheme is proposed for the combination of results.

A computer aided detection (CAD) scheme was developed for detection of lung cancer. It enables different lesion enhancer algorithms, sensitive to specific lesion subtypes, to be used simultaneously. Three image processing algorithms are presented for the detection of small nodules, large ones, and infiltrated areas. The outputs are merged, the false detection rate is reduced with four separated support vector machine (SVM) classifiers. The classifier input comes from a feature selection algorithm selecting from various textural and geometric features. A total of 761 images were used for testing, including the database of the Japanese Society of Radiological Technology (JSRT).

The fusion of algorithms reduced false positives on average by 0.6 per image, while the sensitivity remained 80 per cent. On the JSRT database the system managed to find 60.2 per cent of lesions at an average of 2.0 false positives per image. The effect of using different result evaluation criteria was tested and a difference as high as 4 percentage points in sensitivity was measured. The system was compared to other published methods.

The study described in the paper proves the usefulness of lesion enhancement decomposition, while proposing a scheme for the fusion of algorithms. Furthermore, a new algorithm is introduced for the detection of infiltrated areas, possible signs of lung cancer, neglected by previous solutions.

Detecting cancer from the computed tomography (CT)images of lung nodules is very challenging for radiologists. Early detection of cancer helps to provide better treatment in advance and to enhance the recovery rate. Although a lot of research is being carried out to process clinical images, it still requires improvement to attain high reliability and accuracy. The main purpose of this paper is to achieve high accuracy in detecting and classifying the lung cancer and assisting the radiologists to detect cancer by using CT images. The CT images are collected from health-care centres and remote places through Internet of Things (IoT)-enabled platform and the image processing is carried out in the cloud servers.

IoT-based lung cancer detection is proposed to access the lung CT images from any remote place and to provide high accuracy in image processing. Here, the exact separation of lung nodule is performed by Otsu thresholding segmentation with the help of optimal characteristics and cuckoo search algorithm. The important features of the lung nodules are extracted by local binary pattern. From the extracted features, support vector machine (SVM) classifier is trained to recognize whether the lung nodule is malicious or non-malicious.

The proposed framework achieves 99.59% in accuracy, 99.31% in sensitivity and 71% in peak signal to noise ratio. The outcomes show that the proposed method has achieved high accuracy than other conventional methods in early detection of lung cancer.

The proposed algorithm is implemented and tested by using more than 500 images which are collected from public and private databases. The proposed research framework can be used to implement contextual diagnostic analysis.

The cancer nodules in CT images are precisely segmented by integrating the algorithms of cuckoo search and Otsu thresholding in order to classify malicious and non-malicious nodules.

The purpose of this paper is to develop an automatic control system for mechanical ventilation therapy based on the open lung concept (OLC) using artificial intelligence. In addition, mean arterial blood pressure (MAP) is stabilized by means of a decoupling controller with automated noradrenaline (NA) dosage to ensure adequate systemic perfusion during ventilation therapy for patients with acute respiratory distress syndrome (ARDS).

The aim is to develop an automatic control system for mechanical ventilation therapy based on the OLC using artificial intelligence. In addition, MAP is stabilized by means of a decoupling controller with automated NA dosage to ensure adequate systemic perfusion during ventilation therapy for patients with ARDS.

This innovative closed-loop mechanical ventilation system leads to a significant improvement in oxygenation, regulates end-tidal carbon dioxide for appropriate gas exchange and stabilizes MAP to guarantee proper systemic perfusion during the ventilation therapy.

Currently, this automatic ventilation system based on the OLC can only be applied in animal trials; for clinical use, such a system generally requires a mechanical ventilator and sensors with medical approval for humans.

For implementation of a closed-loop ventilation system, reliable signals from the sensors are a prerequisite for successful application.

The experiment with porcine dynamics demonstrates the feasibility and usefulness of this automatic closed-loop ventilation therapy, with hemodynamic control for severe ARDS. Moreover, this pilot study validated a new algorithm for implementation of the OLC, whereby all control objectives are fulfilled during the ventilation therapy with adequate hemodynamic control of patients with ARDS.

Acute and chronic obstructive pulmonary disease (COPD) is a common and progressive lung disease that makes breathing difficult over time and can even lead to death. Despite this, there is no definitive treatment for it yet. This study aims to evaluate the studies on single and combined herbal interventions affecting COPD.

In this study, all articles published in English up to 2020 were extracted from the Web of Science (WoS) database and collected using Boolean tools based on keywords, titles and abstracts. Finally, the data required for bibliographic analysis, such as the author(s), publication year, academic journal, institution, country of origin, institution, financial institution and keywords were extracted from the database.

A total of 573 articles were analyzed. The number of papers in the lung disease field showed an upward trend from 1984 to 2021, and there was a surge in paper publications in 2013. China, Korea and Brazil published the highest number of studies on COPD, and Chinese medical universities published the most papers. Three journals that received the highest scores in this study were the Journal of Ethnopharmacology, International Immunopharmacology and Plos One. In the cloud map, expression, activation and expression were the most frequently researched subjects. In the plus and author keywords, acute lung injury was the most commonly used word. Inflammation, expression of various genes, nitric oxide-dependent pathways, NFkappa B, TNFalpha and lipopolysaccharide-dependent pathways were the mechanisms underlying COPD. Scientometric analysis of COPD provides a vision for future research and policymaking.

This study aimed to evaluate the studies on single and combined herbal interventions affecting COPD.

Costs estimation is essential and important to resource allocation and prioritizing different interventions in the health system. The purpose of this paper is to estimate the costs of lung cancer in Iran, in 2017.

This was a prevalence-based cost of illness study with a bottom-up approach costing conducted from October 2016 to April 2017. The sample included 645 patients who referred to Imam Reza hospital, Tabriz, Iran, in 2017. Follow-up interviews were every two months. Hospitalization costs extracted from the patient’s record and outpatient costs, nondirect medical costs and indirect costs collected using questionnaire. SPSS software version 22 was used for the data analysis.

Mean direct medical costs, nondirect medical costs and indirect costs amounted to 36,637.02 ± 23,515.13 PPP (2016) (251,313,217.83 Rials), 2,025.25 ± 3,303.72 PPP (2016) (16,613,202.53 Rials) and 48,348.55 ± 34,371.84 PPP (2016) (396,599,494.56 Rials), respectively. There was a significant and negative correlation between direct medical costs, direct nonmedical costs, indirect costs and age at diagnosis, and there was a significant and positive correlation between the length of hospital stay and direct medical cost.

As the cost of lung cancer is substantial and there have been little studies in this area, the objective of this study is to investigate the cost of lung cancer and present ways to tackle this.