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0004. This paper also includes a study of the cardiac arrhythmia recognition using an IoMT (Internet of Medical Things) approach. A subject of extensive research interest in the Brain Computer Interfaces (BCIs) niche is motor imagery (MI), where users imagine limb movements to control the system. This interest is owed to the immense potential for its applicability in gaming, neuro-prosthetics and neuro-rehabilitation, where the user's thoughts of imagined movements need to be decoded. Electroencephalography (EEG) equipment is commonly used for keeping track of cerebrum movement in BCI systems. The EEG signals are recognized by feature extraction and classification. The current research proposes a Hybrid-KELM (Kernel Extreme Learning Machine) method based on PCA (Principal Component Analysis) and FLD (Fisher's Linear Discriminant) for MI BCI classification of EEG data. The performance and results of the method are demonstrated using BCI competition dataset III, and compared with those of contemporary methods. The proposed method generated an accuracy of 96.54%. As one of the most common neurobehavioral diseases in school-age children, Attention Deficit Hyperactivity Disorder (ADHD) has been increasingly studied in recent years. But it is still a challenge problem to accurately identify ADHD patients from healthy persons. To address this issue, we propose a dual subspace classification algorithm by using individual resting-state Functional Connectivity (FC). In detail, two subspaces respectively containing ADHD and healthy control features, called as dual subspaces, are learned with several subspace measures, wherein a modified graph embedding measure is employed to enhance the intra-class relationship of these features. Therefore, given a subject (used as test data) with its FCs, the basic classification principle is to compare its projected component energy of FCs on each subspace and then predict the ADHD or control label according to the subspace with larger energy. However, this principle in practice works with low efficiency, since the dual subspaces are unstably obtained from ADHD databases of small size. Thereby, we present an ADHD classification framework by a binary hypothesis testing of test data. Here, the FCs of test data with its ADHD or control label hypothesis are employed in the discriminative FC selection of training data to promote the stability of dual subspaces. For each hypothesis, the dual subspaces are learned from the selected FCs of training data. The total projected energy of these FCs is also calculated on the subspaces. Sequentially, the energy comparison is carried out under the binary hypotheses. The ADHD or control label is finally predicted for test data with the hypothesis of larger total energy. In the experiments on ADHD-200 dataset, our method achieves a significant classification performance compared with several state-of-the-art machine learning and deep learning methods, where our accuracy is about 90 % for most of ADHD databases in the leave-one-out cross-validation test. BACKGROUND Despite the expanding use of machine learning (ML) in fields such as finance and marketing, its application in the daily practice of clinical medicine is almost non-existent. In this systematic review, we describe the various areas within clinical medicine that have applied the use of ML to improve patient care. METHODS A systematic review was performed in accordance with the PRISMA guidelines using Medline(R), EBM Reviews, Embase, Psych Info, and Cochrane Databases, focusing on human studies that used ML to directly address a clinical problem. Included studies were published from January 1, 2000 to May 1, 2018 and provided metrics on the performance of the utilized ML tool. RESULTS A total of 1909 unique publications were reviewed, with 378 retrospective articles and 8 prospective articles meeting inclusion criteria. Retrospective publications were found to be increasing in frequency, with 61 % of articles published within the last 4 years. Prospective articles comprised only 2 % of the articles meeting our inclusion criteria. These studies utilized a prospective cohort design with an average sample size of 531. CONCLUSION The majority of literature describing the use of ML in clinical medicine is retrospective in nature and often outlines proof-of-concept approaches to impact patient care. We postulate that identifying and overcoming key translational barriers, including real-time access to clinical data, data security, physician approval of "black box" generated results, and performance evaluation will allow for a fundamental shift in medical practice, where specialized tools will aid the healthcare team in providing better patient care. BACKGROUND AND OBJECTIVE The measurement of carotid intima media thickness (CIMT) in ultrasound images can be used to detect the presence of atherosclerotic plaques. Usually, the CIMT estimation strategy is semi-automatic, since it requires (1) a manual examination of the ultrasound image for the localization of a region of interest (ROI), a fast and useful operation when only a small number of images need to be measured; and (2) an automatic delineation of the CIM region within the ROI. The existing efforts for automating the process have replicated the same two-step structure, resulting in two consecutive independent approaches. In this work, we propose a fully automatic single-step approach based on semantic segmentation that allows us to segment the plaque and to estimate the CIMT in a fast and useful manner for large data sets of images. METHODS Our single-step approach is based on densely connected convolutional neural networks (DenseNets) for semantic segmentation of the whole image. It has two remarka Bulb, respectively. To test the generalization power, the method has also been tested with another data set (NEFRONA) that includes images acquired with different equipment. CONCLUSIONS The validation carried out demonstrates that the proposed method is accurate and objective for both plaque detection and CIMT measurement. Moreover, the robustness and generalization capacity of the method have been proven with two different data sets. As a crucial step of biological event extraction, event trigger identification has attracted much attention in recent years. Deep representation methods, which have the superiorities of less feature engineering and end-to-end training, show better performance than statistical methods. While most deep learning methods have been done on sentence-level event extraction, there are few works taking document context into account, losing potentially informative knowledge that is beneficial for trigger detection. In this paper, we propose a variational neural approach for biomedical event extraction, which can take advantage of latent topics underlying documents. By adopting a joint modeling manner of topics and events, our model is able to produce more meaningful and event-indicative words compare to prior topic models. In addition, we introduce a language model embeddings to capture context-dependent features. Experimental results show that our approach outperforms various baselines in a commonly used multi-level event extraction corpus. OBJECTIVE Electronic Medical Records (EMRs) contain temporal and heterogeneous doctor order information that can be used for treatment pattern discovery. Our objective is to identify "right patient", "right drug", "right dose", "right route", and "right time" from doctor order information. METHODS We propose a fusion framework to extract typical treatment patterns based on multi-view similarity Network Fusion (SNF) method. The multi-view SNF method involves three similarity measures content-view similarity, sequence-view similarity and duration-view similarity. An EMR dataset and two metrics were utilized to evaluate the performance and to extract typical treatment patterns. RESULTS Experimental results on a real-world EMR dataset show that the multi-view similarity network fusion method outperforms all the single-view similarity measures and also outperforms the existing similarity measure methods. Furthermore, we extract and visualize typical treatment patterns by clustering analysis. CONCLUSION The extracted typical treatment patterns by combining doctor order content, sequence, and duration views can provide data-driven guidelines for artificial intelligence in medicine and help clinicians make better decisions in clinical practice. Nowadays, Dynamic Contrast Enhanced-Magnetic Resonance Imaging (DCE-MRI) has demonstrated to be a valid complementary diagnostic tool for early detection and diagnosis of breast cancer. However, without a CAD (Computer Aided Detection) system, manual DCE-MRI examination can be difficult and error-prone. The early stage of breast tissue segmentation, in a typical CAD, is crucial to increase reliability and reduce the computational effort by reducing the number of voxels to analyze and removing foreign tissues and air. In recent years, the deep convolutional neural networks (CNNs) enabled a sensible improvement in many visual tasks automation, such as image classification and object recognition. These advances also involved radiomics, enabling high-throughput extraction of quantitative features, resulting in a strong improvement in automatic diagnosis through medical imaging. However, machine learning and, in particular, deep learning approaches are gaining popularity in the radiomics field for tissue segmentation. This work aims to accurately segment breast parenchyma from the air and other tissues (such as chest-wall) by applying an ensemble of deep CNNs on 3D MR data. The novelty, besides applying cutting-edge techniques in the radiomics field, is a multi-planar combination of U-Net CNNs by a suitable projection-fusing approach, enabling multi-protocol applications. [https://www.selleckchem.com/products/bi-3812.html selleck inhibitor] The proposed approach has been validated over two different datasets for a total of 109 DCE-MRI studies with histopathologically proven lesions and two different acquisition protocols. The median dice similarity index for both the datasets is 96.60 % (±0.30 %) and 95.78 % (±0.51 %) respectively with p  less then  0.05, and 100% of neoplastic lesion coverage. The representation of knowledge based on first-order logic captures the richness of natural language and supports multiple probabilistic inference models. Although symbolic representation enables quantitative reasoning with statistical probability, it is difficult to utilize with machine learning models as they perform numerical operations. In contrast, knowledge embedding (i.e., high-dimensional and continuous vectors) is a feasible approach to complex reasoning that can not only retain the semantic information of knowledge, but also establish the quantifiable relationship among embeddings. In this paper, we propose a recursive neural knowledge network (RNKN), which combines medical knowledge based on first-order logic with a recursive neural network for multi-disease diagnosis. After the RNKN is efficiently trained using manually annotated Chinese Electronic Medical Records (CEMRs), diagnosis-oriented knowledge embeddings and weight matrixes are learned. The experimental results confirm that the diagnostic accuracy of the RNKN is superior to those of four machine learning models, four classical neural networks and Markov logic network.