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  1. Article ; Online: Hybrid COVID-19 segmentation and recognition framework (HMB-HCF) using deep learning and genetic algorithms.

    Balaha, Hossam Magdy / Balaha, Magdy Hassan / Ali, Hesham Arafat

    Artificial intelligence in medicine

    2021  Volume 119, Page(s) 102156

    Abstract: COVID-19 (Coronavirus) went through a rapid escalation until it became a pandemic disease. The normal and manual medical infection discovery may take few days and therefore computer science engineers can share in the development of the automatic ... ...

    Abstract COVID-19 (Coronavirus) went through a rapid escalation until it became a pandemic disease. The normal and manual medical infection discovery may take few days and therefore computer science engineers can share in the development of the automatic diagnosis for fast detection of that disease. The study suggests a hybrid COVID-19 framework (named HMB-HCF) based on deep learning (DL), genetic algorithm (GA), weighted sum (WS), and majority voting principles in nine phases. Its segmentation phase suggests a lung segmentation algorithm using X-Ray images (named HMB-LSAXI) for extracting lungs. Its classification phase is built from a hybrid convolutional neural network (CNN) architecture using an abstractly-designed CNN (named HMB1-COVID19) and transfer learning (TL) pre-trained models (VGG16, VGG19, ResNet50, ResNet101, Xception, DenseNet121, DenseNet169, MobileNet, and MobileNetV2). The hybrid CNN architecture is used for learning, classification, and parameters optimization while GA is used to optimize the hyperparameters. This hybrid working mechanism is combined in an overall algorithm named HMB-DLGA. The study experiments implemented the WS approach to evaluate the models' performance using the loss, accuracy, F1-score, precision, recall, and area under curve (AUC) metrics with different pre-defined ratios. A collected, combined, and unified X-Ray dataset from 8 different public datasets was used alongside the regularization, dropout, and data augmentation techniques to limit the overall overfitting. The applied experiments reported state-of-the-art metrics. VGG16 reported 100% WS metric (i.e., 0.0097, 99.78%, 0.9984, 99.89%, 99.78%, and 0.9996 for the loss, accuracy, F1, precision, recall, and AUC respectively) concerning the highest WS. It also reported a 99.92% WS metric (i.e., 0.0099, 99.84%, 0.9984, 99.84%, 99.84%, and 0.9996 for the loss, accuracy, F1, precision, recall, and AUC respectively) concerning the last reported WS result. HMB-HCF was validated on 13 different public datasets to verify its generalization. The best-achieved metrics were compared with 13 related studies. These extensive experiments' target was the applicability verification and generalization.
    MeSH term(s) Algorithms ; COVID-19 ; Deep Learning ; Humans ; Neural Networks, Computer ; SARS-CoV-2
    Language English
    Publishing date 2021-08-28
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 645179-2
    ISSN 1873-2860 ; 0933-3657
    ISSN (online) 1873-2860
    ISSN 0933-3657
    DOI 10.1016/j.artmed.2021.102156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A two-stage renal disease classification based on transfer learning with hyperparameters optimization.

    Badawy, Mahmoud / Almars, Abdulqader M / Balaha, Hossam Magdy / Shehata, Mohamed / Qaraad, Mohammed / Elhosseini, Mostafa

    Frontiers in medicine

    2023  Volume 10, Page(s) 1106717

    Abstract: Renal diseases are common health problems that affect millions of people around the world. Among these diseases, kidney stones, which affect anywhere from 1 to 15% of the global population and thus; considered one of the leading causes of chronic kidney ... ...

    Abstract Renal diseases are common health problems that affect millions of people around the world. Among these diseases, kidney stones, which affect anywhere from 1 to 15% of the global population and thus; considered one of the leading causes of chronic kidney diseases (CKD). In addition to kidney stones, renal cancer is the tenth most prevalent type of cancer, accounting for 2.5% of all cancers. Artificial intelligence (AI) in medical systems can assist radiologists and other healthcare professionals in diagnosing different renal diseases (RD) with high reliability. This study proposes an AI-based transfer learning framework to detect RD at an early stage. The framework presented on CT scans and images from microscopic histopathological examinations will help automatically and accurately classify patients with RD using convolutional neural network (CNN), pre-trained models, and an optimization algorithm on images. This study used the pre-trained CNN models VGG16, VGG19, Xception, DenseNet201, MobileNet, MobileNetV2, MobileNetV3Large, and NASNetMobile. In addition, the Sparrow search algorithm (SpaSA) is used to enhance the pre-trained model's performance using the best configuration. Two datasets were used, the first dataset are four classes: cyst, normal, stone, and tumor. In case of the latter, there are five categories within the second dataset that relate to the severity of the tumor: Grade 0, Grade 1, Grade 2, Grade 3, and Grade 4. DenseNet201 and MobileNet pre-trained models are the best for the four-classes dataset compared to others. Besides, the SGD Nesterov parameters optimizer is recommended by three models, while two models only recommend AdaGrad and AdaMax. Among the pre-trained models for the five-class dataset, DenseNet201 and Xception are the best. Experimental results prove the superiority of the proposed framework over other state-of-the-art classification models. The proposed framework records an accuracy of 99.98% (four classes) and 100% (five classes).
    Language English
    Publishing date 2023-04-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2023.1106717
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Revolutionizing Oral Cancer Detection: An Approach Using Aquila and Gorilla Algorithms Optimized Transfer Learning-Based CNNs.

    Badawy, Mahmoud / Balaha, Hossam Magdy / Maklad, Ahmed S / Almars, Abdulqader M / Elhosseini, Mostafa A

    Biomimetics (Basel, Switzerland)

    2023  Volume 8, Issue 6

    Abstract: The early detection of oral cancer is pivotal for improving patient survival rates. However, the high cost of manual initial screenings poses a challenge, especially in resource-limited settings. Deep learning offers an enticing solution by enabling ... ...

    Abstract The early detection of oral cancer is pivotal for improving patient survival rates. However, the high cost of manual initial screenings poses a challenge, especially in resource-limited settings. Deep learning offers an enticing solution by enabling automated and cost-effective screening. This study introduces a groundbreaking empirical framework designed to revolutionize the accurate and automatic classification of oral cancer using microscopic histopathology slide images. This innovative system capitalizes on the power of convolutional neural networks (CNNs), strengthened by the synergy of transfer learning (TL), and further fine-tuned using the novel Aquila Optimizer (AO) and Gorilla Troops Optimizer (GTO), two cutting-edge metaheuristic optimization algorithms. This integration is a novel approach, addressing bias and unpredictability issues commonly encountered in the preprocessing and optimization phases. In the experiments, the capabilities of well-established pre-trained TL models, including VGG19, VGG16, MobileNet, MobileNetV3Small, MobileNetV2, MobileNetV3Large, NASNetMobile, and DenseNet201, all initialized with 'ImageNet' weights, were harnessed. The experimental dataset consisted of the Histopathologic Oral Cancer Detection dataset, which includes a 'normal' class with 2494 images and an 'OSCC' (oral squamous cell carcinoma) class with 2698 images. The results reveal a remarkable performance distinction between the AO and GTO, with the AO consistently outperforming the GTO across all models except for the Xception model. The DenseNet201 model stands out as the most accurate, achieving an astounding average accuracy rate of 99.25% with the AO and 97.27% with the GTO. This innovative framework signifies a significant leap forward in automating oral cancer detection, showcasing the tremendous potential of applying optimized deep learning models in the realm of healthcare diagnostics. The integration of the AO and GTO in our CNN-based system not only pushes the boundaries of classification accuracy but also underscores the transformative impact of metaheuristic optimization techniques in the field of medical image analysis.
    Language English
    Publishing date 2023-10-19
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2313-7673
    ISSN (online) 2313-7673
    DOI 10.3390/biomimetics8060499
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: A complete framework for accurate recognition and prognosis of COVID-19 patients based on deep transfer learning and feature classification approach.

    Balaha, Hossam Magdy / El-Gendy, Eman M / Saafan, Mahmoud M

    Artificial intelligence review

    2022  Volume 55, Issue 6, Page(s) 5063–5108

    Abstract: The sudden appearance of COVID-19 has put the world in a serious situation. Due to the rapid spread of the virus and the increase in the number of infected patients and deaths, COVID-19 was declared a pandemic. This pandemic has its destructive effect ... ...

    Abstract The sudden appearance of COVID-19 has put the world in a serious situation. Due to the rapid spread of the virus and the increase in the number of infected patients and deaths, COVID-19 was declared a pandemic. This pandemic has its destructive effect not only on humans but also on the economy. Despite the development and availability of different vaccines for COVID-19, scientists still warn the citizens of new severe waves of the virus, and as a result, fast diagnosis of COVID-19 is a critical issue. Chest imaging proved to be a powerful tool in the early detection of COVID-19. This study introduces an entire framework for the early detection and early prognosis of COVID-19 severity in the diagnosed patients using laboratory test results. It consists of two phases (1) Early Diagnostic Phase (EDP) and (2) Early Prognostic Phase (EPP). In EDP, COVID-19 patients are diagnosed using CT chest images. In the current study, 5, 159 COVID-19 and 10, 376 normal computed tomography (CT) images of Egyptians were used as a dataset to train 7 different convolutional neural networks using transfer learning. Data augmentation normal techniques and generative adversarial networks (GANs), CycleGAN and CCGAN, were used to increase the images in the dataset to avoid overfitting issues. 28 experiments were applied and multiple performance metrics were captured. Classification with no augmentation yielded
    Language English
    Publishing date 2022-01-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 1479828-1
    ISSN 1573-7462 ; 0269-2821
    ISSN (online) 1573-7462
    ISSN 0269-2821
    DOI 10.1007/s10462-021-10127-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A two-stage renal disease classification based on transfer learning with hyperparameters optimization

    Mahmoud Badawy / Abdulqader M. Almars / Hossam Magdy Balaha / Mohamed Shehata / Mohammed Qaraad / Mostafa Elhosseini

    Frontiers in Medicine, Vol

    2023  Volume 10

    Abstract: Renal diseases are common health problems that affect millions of people around the world. Among these diseases, kidney stones, which affect anywhere from 1 to 15% of the global population and thus; considered one of the leading causes of chronic kidney ... ...

    Abstract Renal diseases are common health problems that affect millions of people around the world. Among these diseases, kidney stones, which affect anywhere from 1 to 15% of the global population and thus; considered one of the leading causes of chronic kidney diseases (CKD). In addition to kidney stones, renal cancer is the tenth most prevalent type of cancer, accounting for 2.5% of all cancers. Artificial intelligence (AI) in medical systems can assist radiologists and other healthcare professionals in diagnosing different renal diseases (RD) with high reliability. This study proposes an AI-based transfer learning framework to detect RD at an early stage. The framework presented on CT scans and images from microscopic histopathological examinations will help automatically and accurately classify patients with RD using convolutional neural network (CNN), pre-trained models, and an optimization algorithm on images. This study used the pre-trained CNN models VGG16, VGG19, Xception, DenseNet201, MobileNet, MobileNetV2, MobileNetV3Large, and NASNetMobile. In addition, the Sparrow search algorithm (SpaSA) is used to enhance the pre-trained model's performance using the best configuration. Two datasets were used, the first dataset are four classes: cyst, normal, stone, and tumor. In case of the latter, there are five categories within the second dataset that relate to the severity of the tumor: Grade 0, Grade 1, Grade 2, Grade 3, and Grade 4. DenseNet201 and MobileNet pre-trained models are the best for the four-classes dataset compared to others. Besides, the SGD Nesterov parameters optimizer is recommended by three models, while two models only recommend AdaGrad and AdaMax. Among the pre-trained models for the five-class dataset, DenseNet201 and Xception are the best. Experimental results prove the superiority of the proposed framework over other state-of-the-art classification models. The proposed framework records an accuracy of 99.98% (four classes) and 100% (five classes).
    Keywords renal diseases (RD) ; AI-based diagnosis ; convolutional neural network (CNN) ; metaheuristic optimization ; Sparrow Search Algorithm (SpaSA) ; transfer learning (TL) ; Medicine (General) ; R5-920
    Subject code 006
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: An automated diagnosis and classification of COVID-19 from chest CT images using a transfer learning-based convolutional neural network.

    Baghdadi, Nadiah A / Malki, Amer / Abdelaliem, Sally F / Magdy Balaha, Hossam / Badawy, Mahmoud / Elhosseini, Mostafa

    Computers in biology and medicine

    2022  Volume 144, Page(s) 105383

    Abstract: Researchers have developed more intelligent, highly responsive, and efficient detection methods owing to the COVID-19 demands for more widespread diagnosis. The work done deals with developing an AI-based framework that can help radiologists and other ... ...

    Abstract Researchers have developed more intelligent, highly responsive, and efficient detection methods owing to the COVID-19 demands for more widespread diagnosis. The work done deals with developing an AI-based framework that can help radiologists and other healthcare professionals diagnose COVID-19 cases at a high level of accuracy. However, in the absence of publicly available CT datasets, the development of such AI tools can prove challenging. Therefore, an algorithm for performing automatic and accurate COVID-19 classification using Convolutional Neural Network (CNN), pre-trained model, and Sparrow search algorithm (SSA) on CT lung images was proposed. The pre-trained CNN models used are SeresNext50, SeresNext101, SeNet154, MobileNet, MobileNetV2, MobileNetV3Small, and MobileNetV3Large. In addition, the SSA will be used to optimize the different CNN and transfer learning(TL) hyperparameters to find the best configuration for the pre-trained model used and enhance its performance. Two datasets are used in the experiments. There are two classes in the first dataset, while three in the second. The authors combined two publicly available COVID-19 datasets as the first dataset, namely the COVID-19 Lung CT Scans and COVID-19 CT Scan Dataset. In total, 14,486 images were included in this study. The authors analyzed the Large COVID-19 CT scan slice dataset in the second dataset, which utilized 17,104 images. Compared to other pre-trained models on both classes datasets, MobileNetV3Large pre-trained is the best model. As far as the three-classes dataset is concerned, a model trained on SeNet154 is the best available. Results show that, when compared to other CNN models like LeNet-5 CNN, COVID faster R-CNN, Light CNN, Fuzzy + CNN, Dynamic CNN, CNN and Optimized CNN, the proposed Framework achieves the best accuracy of 99.74% (two classes) and 98% (three classes).
    MeSH term(s) COVID-19/diagnostic imaging ; Deep Learning ; Humans ; Neural Networks, Computer ; SARS-CoV-2 ; Tomography, X-Ray Computed/methods
    Language English
    Publishing date 2022-03-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 127557-4
    ISSN 1879-0534 ; 0010-4825
    ISSN (online) 1879-0534
    ISSN 0010-4825
    DOI 10.1016/j.compbiomed.2022.105383
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Construction and Writing Flaws of the Multiple-Choice Questions in the Published Test Banks of Obstetrics and Gynecology: Adoption, Caution, or Mitigation?

    Balaha, Magdy H / El-Ibiary, Mona T / El-Dorf, Ayman A / El-Shewaikh, Shereef L / Balaha, Hossam M

    Avicenna journal of medicine

    2022  Volume 12, Issue 3, Page(s) 138–147

    Abstract: ... ...

    Abstract Background
    Language English
    Publishing date 2022-08-31
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2664414-9
    ISSN 2249-4464 ; 2231-0770
    ISSN (online) 2249-4464
    ISSN 2231-0770
    DOI 10.1055/s-0042-1755332
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: CovH2SD: A COVID-19 detection approach based on Harris Hawks Optimization and stacked deep learning.

    Balaha, Hossam Magdy / El-Gendy, Eman M / Saafan, Mahmoud M

    Expert systems with applications

    2021  Volume 186, Page(s) 115805

    Abstract: Starting from Wuhan in China at the end of 2019, coronavirus disease (COVID-19) has propagated fast all over the world, affecting the lives of billions of people and increasing the mortality rate worldwide in few months. The golden treatment against the ... ...

    Abstract Starting from Wuhan in China at the end of 2019, coronavirus disease (COVID-19) has propagated fast all over the world, affecting the lives of billions of people and increasing the mortality rate worldwide in few months. The golden treatment against the invasive spread of COVID-19 is done by identifying and isolating the infected patients, and as a result, fast diagnosis of COVID-19 is a critical issue. The common laboratory test for confirming the infection of COVID-19 is Reverse Transcription Polymerase Chain Reaction (RT-PCR). However, these tests suffer from some problems in time, accuracy, and availability. Chest images have proven to be a powerful tool in the early detection of COVID-19. In the current study, a hybrid learning and optimization approach named CovH2SD is proposed for the COVID-19 detection from the Chest Computed Tomography (CT) images. CovH2SD uses deep learning and pre-trained models to extract the features from the CT images and learn from them. It uses Harris Hawks Optimization (HHO) algorithm to optimize the hyperparameters. Transfer learning is applied using nine pre-trained convolutional neural networks (i.e. ResNet50, ResNet101, VGG16, VGG19, Xception, MobileNetV1, MobileNetV2, DenseNet121, and DenseNet169). Fast Classification Stage (FCS) and Compact Stacking Stage (CSS) are suggested to stack the best models into a single one. Nine experiments are applied and results are reported based on the Loss, Accuracy, Precision, Recall, F1-Score, and Area Under Curve (AUC) performance metrics. The comparison between combinations is applied using the Weighted Sum Method (WSM). Six experiments report a WSM value above 96.5%. The top WSM and accuracy reported values are 99.31% and 99.33% respectively which are higher than the eleven compared state-of-the-art studies.
    Language English
    Publishing date 2021-09-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2017237-0
    ISSN 0957-4174
    ISSN 0957-4174
    DOI 10.1016/j.eswa.2021.115805
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: A generic optimization and learning framework for Parkinson disease via speech and handwritten records.

    Yousif, Nada R / Balaha, Hossam Magdy / Haikal, Amira Y / El-Gendy, Eman M

    Journal of ambient intelligence and humanized computing

    2022  , Page(s) 1–21

    Abstract: Parkinson's disease (PD) is a neurodegenerative disorder with slow progression whose symptoms can be identified at late stages. Early diagnosis and treatment of PD can help to relieve the symptoms and delay progression. However, this is very challenging ... ...

    Abstract Parkinson's disease (PD) is a neurodegenerative disorder with slow progression whose symptoms can be identified at late stages. Early diagnosis and treatment of PD can help to relieve the symptoms and delay progression. However, this is very challenging due to the similarities between the symptoms of PD and other diseases. The current study proposes a generic framework for the diagnosis of PD using handwritten images and (or) speech signals. For the handwriting images, 8 pre-trained convolutional neural networks (CNN) via transfer learning tuned by Aquila Optimizer were trained on the NewHandPD dataset to diagnose PD. For the speech signals, features from the MDVR-KCL dataset are extracted numerically using 16 feature extraction algorithms and fed to 4 different machine learning algorithms tuned by Grid Search algorithm, and graphically using 5 different techniques and fed to the 8 pretrained CNN structures. The authors propose a new technique in extracting the features from the voice dataset based on the segmentation of variable speech-signal-segment-durations, i.e., the use of different durations in the segmentation phase. Using the proposed technique, 5 datasets with 281 numerical features are generated. Results from different experiments are collected and recorded. For the NewHandPD dataset, the best-reported metric is 99.75% using the VGG19 structure. For the MDVR-KCL dataset, the best-reported metrics are 99.94% using the KNN and SVM ML algorithms and the combined numerical features; and 100% using the combined the mel-specgram graphical features and VGG19 structure. These results are better than other state-of-the-art researches.
    Language English
    Publishing date 2022-08-26
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2543187-0
    ISSN 1868-5145 ; 1868-5137
    ISSN (online) 1868-5145
    ISSN 1868-5137
    DOI 10.1007/s12652-022-04342-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: An Analysis of Burnout among Female Nurse Educators in Saudi Arabia Using K-Means Clustering.

    Baghdadi, Nadiah A / Alsayed, Shatha Khalid / Malki, Ghalia Amer / Balaha, Hossam Magdy / Farghaly Abdelaliem, Sally Mohammed

    European journal of investigation in health, psychology and education

    2022  Volume 13, Issue 1, Page(s) 33–53

    Abstract: Nurse educators are often burnt out and suffer from depression due to their demanding job settings. Biochemical markers of burnout can provide insights into the physiological changes that lead to burnout and may help us prevent burnout symptoms. Research ...

    Abstract Nurse educators are often burnt out and suffer from depression due to their demanding job settings. Biochemical markers of burnout can provide insights into the physiological changes that lead to burnout and may help us prevent burnout symptoms. Research was conducted using a descriptive cross-sectional survey design and a multi-stage sampling method. The ministry of education website provides a list of Saudi Arabian nursing education programs that offer bachelor of science in nursing programs (BSN). The study consisted of 299 qualified participants. Malsach Burnout Inventory (MBI) was used to measure burnout as the dependent variable. The MBI is a 22-item scale that measures depersonalization, accomplishment, and emotional exhaustion during work. Bootstrapping with 5000 replicas was used to address potential non-normality. During this framework, four deep neural networks are created. They all have the same number of layers but differ in the number of neurons they have in the hidden layers. The number of female nurse educators experiencing burnout is moderate (mean = 1.92 ± 0.63). Burnout is also moderately observed in terms of emotional exhaustion (mean = 2.13 ± 0.63), depersonalization (mean = 2.12 ± 0.50), and personal achievement scores (mean = 12 2.38 ± 1.13). It has been shown that stacking the clusters at the end of a column increases their accuracy, which can be considered an important feature when classifying.
    Language English
    Publishing date 2022-12-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 3041279-1
    ISSN 2254-9625 ; 2174-8144
    ISSN (online) 2254-9625
    ISSN 2174-8144
    DOI 10.3390/ejihpe13010003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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