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  1. Article: AI-Based Glioma Grading for a Trustworthy Diagnosis: An Analytical Pipeline for Improved Reliability.

    Pitarch, Carla / Ribas, Vicent / Vellido, Alfredo

    Cancers

    2023  Volume 15, Issue 13

    Abstract: Glioma is the most common type of tumor in humans originating in the brain. According to the World Health Organization, gliomas can be graded on a four-stage scale, ranging from the most benign to the most malignant. The grading of these tumors from ... ...

    Abstract Glioma is the most common type of tumor in humans originating in the brain. According to the World Health Organization, gliomas can be graded on a four-stage scale, ranging from the most benign to the most malignant. The grading of these tumors from image information is a far from trivial task for radiologists and one in which they could be assisted by machine-learning-based decision support. However, the machine learning analytical pipeline is also fraught with perils stemming from different sources, such as inadvertent data leakage, adequacy of 2D image sampling, or classifier assessment biases. In this paper, we analyze a glioma database sourced from multiple datasets using a simple classifier, aiming to obtain a reliable tumor grading and, on the way, we provide a few guidelines to ensure such reliability. Our results reveal that by focusing on the tumor region of interest and using data augmentation techniques we significantly enhanced the accuracy and confidence in tumor classifications. Evaluation on an independent test set resulted in an AUC-ROC of 0.932 in the discrimination of low-grade gliomas from high-grade gliomas, and an AUC-ROC of 0.893 in the classification of grades 2, 3, and 4. The study also highlights the importance of providing, beyond generic classification performance, measures of how reliable and trustworthy the model's output is, thus assessing the model's certainty and robustness.
    Language English
    Publishing date 2023-06-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15133369
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: People with type 1 diabetes exhibit lower exercise capacity compared to a control population with similar physical activity levels.

    Murillo, Serafín / Brugnara, Laura / Ríos, Santiago / Ribas, Vicent / Servitja, Joan-Marc / Novials, Anna

    Diabetes research and clinical practice

    2024  Volume 211, Page(s) 111655

    Abstract: Aims: We aimed to assess physical activity (PA) levels, adherence to PA guidelines, and fitness capacity in individuals with type 1 diabetes (T1D) and control population.: Methods: This cross-sectional study included 232 T1D and 248 controls. PA ... ...

    Abstract Aims: We aimed to assess physical activity (PA) levels, adherence to PA guidelines, and fitness capacity in individuals with type 1 diabetes (T1D) and control population.
    Methods: This cross-sectional study included 232 T1D and 248 controls. PA levels (IPAQ-SF questionnaire), adherence to guidelines (>150 min/week of moderate-to-vigorous PA), fitness capacity (VO
    Results: Total PA levels (T1D 2202 ± 1839 vs. controls 2357 ± 2189 METs/min/week), adherence (T1D 53.1 % vs controls 53.2 %), and sedentariness (T1D 27.3 % vs. controls 25.1 %) were similar between groups. However, participants with T1D exhibited significantly lower levels of VO
    Conclusions: Individuals with T1D exhibit lower fitness capacity compared to a control population, regardless of age and sex, even when presenting similar levels of total physical activity and adherence to guidelines.
    MeSH term(s) Humans ; Diabetes Mellitus, Type 1/physiopathology ; Male ; Female ; Cross-Sectional Studies ; Exercise/physiology ; Adult ; Exercise Tolerance/physiology ; Middle Aged ; Physical Fitness/physiology ; Oxygen Consumption/physiology ; Young Adult ; Case-Control Studies ; Surveys and Questionnaires
    Language English
    Publishing date 2024-04-02
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 632523-3
    ISSN 1872-8227 ; 0168-8227
    ISSN (online) 1872-8227
    ISSN 0168-8227
    DOI 10.1016/j.diabres.2024.111655
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Prediction of Lung Nodule Progression with an Uncertainty-Aware Hierarchical Probabilistic Network.

    Rafael-Palou, Xavier / Aubanell, Anton / Ceresa, Mario / Ribas, Vicent / Piella, Gemma / Ballester, Miguel A González

    Diagnostics (Basel, Switzerland)

    2022  Volume 12, Issue 11

    Abstract: Predicting whether a lung nodule will grow, remain stable or regress over time, especially early in its follow-up, would help doctors prescribe personalized treatments and better surgical planning. However, the multifactorial nature of lung tumour ... ...

    Abstract Predicting whether a lung nodule will grow, remain stable or regress over time, especially early in its follow-up, would help doctors prescribe personalized treatments and better surgical planning. However, the multifactorial nature of lung tumour progression hampers the identification of growth patterns. In this work, we propose a deep hierarchical generative and probabilistic network that, given an initial image of the nodule, predicts whether it will grow, quantifies its future size and provides its expected semantic appearance at a future time. Unlike previous solutions, our approach also estimates the uncertainty in the predictions from the intrinsic noise in medical images and the inter-observer variability in the annotations. The evaluation of this method on an independent test set reported a future tumour growth size mean absolute error of 1.74 mm, a nodule segmentation Dice's coefficient of 78% and a tumour growth accuracy of 84% on predictions made up to 24 months ahead. Due to the lack of similar methods for providing future lung tumour growth predictions, along with their associated uncertainty, we adapted equivalent deterministic and alternative generative networks (i.e., probabilistic U-Net, Bayesian test dropout and Pix2Pix). Our method outperformed all these methods, corroborating the adequacy of our approach.
    Language English
    Publishing date 2022-10-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics12112639
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Impact of Skeletal Muscle ERα on Mitochondrial Function and Metabolic Health.

    Hevener, Andrea L / Ribas, Vicent / Moore, Timothy M / Zhou, Zhenqi

    Endocrinology

    2020  Volume 161, Issue 2

    Abstract: The incidence of chronic disease is elevated in women after menopause. Increased expression of ESR1 (the gene that encodes the estrogen receptor alpha, ERα) in muscle is highly associated with metabolic health and insulin sensitivity. Moreover, reduced ... ...

    Abstract The incidence of chronic disease is elevated in women after menopause. Increased expression of ESR1 (the gene that encodes the estrogen receptor alpha, ERα) in muscle is highly associated with metabolic health and insulin sensitivity. Moreover, reduced muscle expression levels of ESR1 are observed in women, men, and animals presenting clinical features of the metabolic syndrome (MetSyn). Considering that metabolic dysfunction elevates chronic disease risk, including type 2 diabetes, heart disease, and certain cancers, treatment strategies to combat metabolic dysfunction and associated pathologies are desperately needed. This review will provide published work supporting a critical and protective role for skeletal muscle ERα in the regulation of mitochondrial function, metabolic homeostasis, and insulin action. We will provide evidence that muscle-selective targeting of ERα may be effective for the preservation of mitochondrial and metabolic health. Collectively published findings support a compelling role for ERα in the control of muscle metabolism via its regulation of mitochondrial function and quality control. Studies identifying ERα-regulated pathways essential for disease prevention will lay the important foundation for the design of novel therapeutics to improve metabolic health of women while limiting secondary complications that have historically plagued traditional hormone replacement interventions.
    MeSH term(s) Animals ; Energy Metabolism ; Estradiol/metabolism ; Estrogen Receptor alpha/metabolism ; Fatty Acids/metabolism ; Gene Expression Regulation ; Humans ; Insulin Resistance ; Mitochondria/metabolism ; Muscle, Skeletal/metabolism
    Chemical Substances Estrogen Receptor alpha ; Fatty Acids ; Estradiol (4TI98Z838E)
    Language English
    Publishing date 2020-02-06
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 427856-2
    ISSN 1945-7170 ; 0013-7227
    ISSN (online) 1945-7170
    ISSN 0013-7227
    DOI 10.1210/endocr/bqz017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: ERα in the Control of Mitochondrial Function and Metabolic Health.

    Hevener, Andrea L / Ribas, Vicent / Moore, Timothy M / Zhou, Zhenqi

    Trends in molecular medicine

    2020  Volume 27, Issue 1, Page(s) 31–46

    Abstract: Decrements in metabolic health elevate disease risk, including type 2 diabetes, heart disease, and certain cancers. Thus, treatment strategies to combat metabolic dysfunction are needed. Reduced ESR1 (estrogen receptor, ERα) expression is observed in ... ...

    Abstract Decrements in metabolic health elevate disease risk, including type 2 diabetes, heart disease, and certain cancers. Thus, treatment strategies to combat metabolic dysfunction are needed. Reduced ESR1 (estrogen receptor, ERα) expression is observed in muscle from women, men, and animals presenting clinical features of the metabolic syndrome. Human studies of natural expression of ESR1 in metabolic tissues show that muscle expression of ESR1 is positively correlated with markers of metabolic health, including insulin sensitivity. Herein, we highlight the important impact of ERα on mitochondrial form and function and present how these actions of the receptor govern metabolic homeostasis. Studies identifying ERα-regulated pathways for disease prevention will lay the foundation for the design of novel therapeutics to improve the health of women while limiting secondary complications that have plagued traditional hormone replacement interventions.
    MeSH term(s) Animals ; Disease Susceptibility ; Energy Metabolism ; Estrogen Receptor alpha/genetics ; Estrogen Receptor alpha/metabolism ; Homeostasis ; Humans ; Insulin Resistance ; Metabolic Diseases/etiology ; Metabolic Diseases/metabolism ; Mitochondria/genetics ; Mitochondria/metabolism ; Organ Specificity
    Chemical Substances Estrogen Receptor alpha
    Language English
    Publishing date 2020-10-02
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2036490-8
    ISSN 1471-499X ; 1471-4914
    ISSN (online) 1471-499X
    ISSN 1471-4914
    DOI 10.1016/j.molmed.2020.09.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Catastrophic

    Ruiz-Rodríguez, Juan Carlos / Chiscano-Camón, Luis / Maldonado, Carolina / Ruiz-Sanmartin, Adolf / Martin, Laura / Bajaña, Ivan / Bastidas, Juliana / Lopez-Martinez, Rocio / Franco-Jarava, Clara / González-López, Juan José / Ribas, Vicent / Larrosa, Nieves / Riera, Jordi / Nuvials-Casals, Xavier / Ferrer, Ricard

    Antibiotics (Basel, Switzerland)

    2024  Volume 13, Issue 2

    Abstract: Streptococcal toxic shock syndrome (STTS) is a critical medical emergency marked by high morbidity and mortality, necessitating swift awareness, targeted treatment, and early source control due to its rapid symptom manifestation. This report focuses on a ...

    Abstract Streptococcal toxic shock syndrome (STTS) is a critical medical emergency marked by high morbidity and mortality, necessitating swift awareness, targeted treatment, and early source control due to its rapid symptom manifestation. This report focuses on a cohort of 13 patients admitted to Vall d'Hebron University Hospital Intensive Care Unit, Barcelona, from November 2022 to March 2023, exhibiting invasive
    Language English
    Publishing date 2024-02-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2681345-2
    ISSN 2079-6382
    ISSN 2079-6382
    DOI 10.3390/antibiotics13020187
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: MITOCHONDRIAL CHOLESTEROL AND CANCER.

    Garcia-Ruiz, Carmen / Conde de la Rosa, Laura / Ribas, Vicent / Fernandez-Checa, Jose C

    Seminars in cancer biology

    2020  Volume 73, Page(s) 76–85

    Abstract: Cholesterol is a crucial component of membrane bilayers that determines their physical and functional properties. Cells largely satisfy their need for cholesterol through the novo synthesis from acetyl-CoA and this demand is particularly critical for ... ...

    Abstract Cholesterol is a crucial component of membrane bilayers that determines their physical and functional properties. Cells largely satisfy their need for cholesterol through the novo synthesis from acetyl-CoA and this demand is particularly critical for cancer cells to sustain dysregulated cell proliferation. However, the association between serum or tissue cholesterol levels and cancer development is not well established as epidemiologic data do not consistently support this link. While most preclinical studies focused on the role of total celular cholesterol, the specific contribution of the mitochondrial cholesterol pool to alterations in cancer cell biology has been less explored. Although low compared to other bilayers, the mitochondrial cholesterol content plays an important physiological function in the synthesis of steroid hormones in steroidogenic tissues or bile acids in the liver and controls mitochondrial function. In addition, mitochondrial cholesterol metabolism generates oxysterols, which in turn, regulate multiple pathways, including cholesterol and lipid metabolism as well as cell proliferation. In the present review, we summarize the regulation of mitochondrial cholesterol, including its role in mitochondrial routine performance, cell death and chemotherapy resistance, highlighting its potential contribution to cancer. Of particular relevance is hepatocellular carcinoma, whose incidence in Western countries had tripled in the past decades due to the obesity and type II diabetes epidemic. A better understanding of the role of mitochondrial cholesterol in cancer development may open up novel opportunities for cancer therapy.
    MeSH term(s) Animals ; Cholesterol/metabolism ; Humans ; Lipid Metabolism/physiology ; Mitochondria/metabolism ; Neoplasms/metabolism ; Neoplasms/pathology
    Chemical Substances Cholesterol (97C5T2UQ7J)
    Language English
    Publishing date 2020-08-14
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1033980-2
    ISSN 1096-3650 ; 1044-579X
    ISSN (online) 1096-3650
    ISSN 1044-579X
    DOI 10.1016/j.semcancer.2020.07.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Book ; Online: Detection, growth quantification and malignancy prediction of pulmonary nodules using deep convolutional networks in follow-up CT scans

    Rafael-Palou, Xavier / Aubanell, Anton / Ceresa, Mario / Ribas, Vicent / Piella, Gemma / Ballester, Miguel A. González

    2021  

    Abstract: We address the problem of supporting radiologists in the longitudinal management of lung cancer. Therefore, we proposed a deep learning pipeline, composed of four stages that completely automatized from the detection of nodules to the classification of ... ...

    Abstract We address the problem of supporting radiologists in the longitudinal management of lung cancer. Therefore, we proposed a deep learning pipeline, composed of four stages that completely automatized from the detection of nodules to the classification of cancer, through the detection of growth in the nodules. In addition, the pipeline integrated a novel approach for nodule growth detection, which relied on a recent hierarchical probabilistic U-Net adapted to report uncertainty estimates. Also, a second novel method was introduced for lung cancer nodule classification, integrating into a two stream 3D-CNN network the estimated nodule malignancy probabilities derived from a pretrained nodule malignancy network. The pipeline was evaluated in a longitudinal cohort and reported comparable performances to the state of art.
    Keywords Electrical Engineering and Systems Science - Image and Video Processing ; Computer Science - Computer Vision and Pattern Recognition ; Computer Science - Machine Learning ; 65D19 ; 68T10 ; I.3 ; I.4
    Subject code 004
    Publishing date 2021-03-26
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Class Imbalance Impact on the Prediction of Complications during Home Hospitalization: A Comparative Study.

    Calvo, Mireia / Cano, Isaac / Hernandez, Carme / Ribas, Vicent / Miralles, Felip / Roca, Josep / Jane, Raimon

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference

    2019  Volume 2019, Page(s) 3446–3449

    Abstract: Home hospitalization (HH) is presented as a healthcare alternative capable of providing high standards of care when patients no longer need hospital facilities. Although HH seems to lower healthcare costs by shortening hospital stays and improving ... ...

    Abstract Home hospitalization (HH) is presented as a healthcare alternative capable of providing high standards of care when patients no longer need hospital facilities. Although HH seems to lower healthcare costs by shortening hospital stays and improving patient's quality of life, the lack of continuous observation at home may lead to complications in some patients. Since blood tests have been proven to provide relevant prognosis information in many diseases, this paper analyzes the impact of different sampling methods on the prediction of HH outcomes. After a first exploratory analysis, some variables extracted from routine blood tests performed at the moment of HH admission, such as hemoglobin, lymphocytes or creatinine, were found to unmask statistically significant differences between patients undergoing successful and unsucessful HH stays. Then, predictive models were built with these data, in order to identify unsuccessful cases eventually needing hospital facilities. However, since these hospital admissions during HH programs are rare, their identification through conventional machine-learning approaches is challenging. Thus, several sampling strategies designed to face class imbalance were herein overviewed and compared. Among the analyzed approaches, over-sampling strategies, such as ROSE (Random Over-Sampling Examples) and conventional random over-sampling, showed the best performances. Nevertheless, further improvements should be proposed in the future so as to better identify those patients not benefiting from HH.
    MeSH term(s) Aged ; Aged, 80 and over ; Delivery of Health Care ; Female ; Health Care Costs ; Hematologic Tests ; Home Care Services, Hospital-Based ; Hospitalization ; Humans ; Length of Stay ; Machine Learning ; Male ; Middle Aged ; Quality of Life
    Language English
    Publishing date 2019-12-30
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2694-0604
    ISSN (online) 2694-0604
    DOI 10.1109/EMBC.2019.8857746
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Vitamin C deficiency in critically ill COVID-19 patients admitted to intensive care unit.

    Chiscano-Camón, Luis / Ruiz-Rodriguez, Juan Carlos / Plata-Menchaca, Erika P / Martin, Laura / Bajaña, Ivan / Martin-Rodríguez, Cristina / Palmada, Clara / Ferrer-Costa, Roser / Camos, Silvia / Villena-Ortiz, Yolanda / Ribas, Vicent / Ruiz-Sanmartin, Adolf / Pérez-Carrasco, Marcos / Ferrer, Ricard

    Frontiers in medicine

    2023  Volume 10, Page(s) 1301001

    Abstract: Objectives: To determine vitamin C plasma kinetics, through the measurement of vitamin C plasma concentrations, in critically ill Coronavirus infectious disease 2019 (COVID-19) patients, identifying eventually the onset of vitamin C deficiency.: ... ...

    Abstract Objectives: To determine vitamin C plasma kinetics, through the measurement of vitamin C plasma concentrations, in critically ill Coronavirus infectious disease 2019 (COVID-19) patients, identifying eventually the onset of vitamin C deficiency.
    Design: Prospective, observational, single-center study.
    Setting: Intensive Care Unit (ICU), Vall d'Hebron University Hospital, Barcelona. Study period from November 12th, 2020, to February 24th, 2021.
    Patients: Patients who had a severe hypoxemic acute respiratory failure due to COVID-19 were included.
    Interventions: Plasma vitamin C concentrations were measured on days 1, 5, and 10 of ICU admission. There were no vitamin C enteral nor parenteral supplementation. The supportive treatment was performed following the standard of care or acute respiratory distress syndrome (ARDS) patients.
    Measurement: Plasma vitamin C concentrations were analyzed using an ultra-performance liquid chromatography (UPLC) system with a photodiode array detector (wavelength set to 245 nm). We categorized plasmatic levels of vitamin C as follows: undetectable: < 1,5 mg/L, deficiency: <2 mg/L. Low plasma concentrations: 2-5 mg/L; (normal plasma concentration: > 5 mg/L).
    Main results: Forty-three patients were included (65% men; mean age 62 ± 10 years). The median Sequential Organ Failure Assessment (SOFA) score was 3 (1-4), and the Acute Physiology and Chronic Health disease Classification System (APACHE II) score was 13 (10-22). Five patients had shock. Bacterial coinfection was documented in 7 patients (16%). Initially all patients required high-flow oxygen therapy, and 23 (53%) further needed invasive mechanical ventilation during 21 (± 10) days. The worst PaO
    Conclusion: This observational study showed vitamin C plasma levels were undetectable on ICU admission in 86% of patients with acute respiratory failure due to COVID-19 pneumonia requiring respiratory support. This finding remained consistent throughout the study period.
    Language English
    Publishing date 2023-12-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2023.1301001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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