Search Results (245)

This study evaluates the degree to which small and medium sized enterprises (SMEs) are prepared to adopt smart manufacturing in contrast to large enterprises, a transition that depends on the effective use of the Internet of Things, artificial intelligence (AI), and advanced analytics. While many large multinational companies have already integrated such technologies, smaller firms still struggle because of tight budgets, limited technical expertise, and difficulties in scaling new systems. To capture these realities, the investigation refines the Initiative Mittelstand-Digital für Produktionsunternehmen und Logistik-Systeme (IMPULS) Industry 4.0 readiness model, which was initially developed to help German SMEs, so that it aligns with the circumstances faced by smaller manufacturers. A thorough review of published work first surveys existing readiness and maturity frameworks, highlights their limitations, and guides the selection of new, SME-specific indicators. The framework gauges readiness across six dimensions: strategic planning and organizational design, smart factory infrastructure, lean operations, digital products, data-driven services, and workforce capability. Each dimension is operationalized through a questionnaire that offers clear benchmarks and actionable targets suited to the current resources of each enterprise. Weaving strategic vision, skill growth, and cooperative support, the approach offers managers a direct path to sharper competitiveness and lasting innovation within a changing industrial landscape. Additionally, a separate Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis is provided for each dimension based on survey data offering decision-makers concise guidance for future investment. The proposed adaptation of the IMPULS framework, validated through empirical data from 31 SMEs, introduces a novel readiness index, diagnostic gap metrics, and actionable cluster profiles tailored to developing-country industrial ecosystems. Full article

Integration of machine learning (ML) and artificial intelligence (AI) into point-of-care (POC) sensor systems represents a transformative advancement in healthcare. This integration enables sophisticated data analysis and real-time decision-making in emergency and intensive care settings. AI and ML algorithms can process complex biomedical data, improve diagnostic accuracy, and enable early disease detection for better patient outcomes. Predictive analytics in POC devices supports proactive healthcare by analyzing data to forecast health issues and facilitating early intervention and personalized treatment. This review covers the key areas of ML and AI integration in POC devices, including data analysis, pattern recognition, real-time decision support, predictive analytics, personalization, automation, and workflow optimization. Examples of current POC devices that use ML and AI include AI-powered blood glucose monitors, portable imaging devices, wearable cardiac monitors, AI-enhanced infectious disease detection, and smart wound care sensors are also discussed. The review further explores new directions for POC sensors and ML integration, including mental health monitoring, nutritional monitoring, metabolic health tracking, and decentralized clinical trials (DCTs). We also examined the impact of integrating ML and AI into POC devices on healthcare accessibility, efficiency, and patient outcomes. Full article

Purpose: This review aims to synthesize current knowledge of anatomical variations of the popliteofibular ligament (PFL) and evaluate the clinical relevance of the classification system proposed by Olewnik et al. in the context of the diagnosis, surgical treatment, and rehabilitation of posterolateral corner (PLC) injuries. Methods: A comprehensive analysis of anatomical, surgical, and radiological studies concerning the PFL was conducted. The implications of PFL morphological variants were examined across clinical applications, with an emphasis on reconstructive strategies, imaging interpretation, and rehabilitation planning. Emerging research directions, including AI-supported imaging and personalized algorithms, were also explored. Results: Olewnik’s classification identifies three distinct types of PFL, each with unique structural and biomechanical properties. Recognizing these variants enhances intraoperative orientation, facilitates tailored surgical techniques, and supports individualized rehabilitation protocols. Variant-specific biomechanics, identified via cadaveric studies and imaging, are essential for optimizing functional outcomes and minimizing postoperative instability. Furthermore, the classification offers a platform for developing future diagnostic and decision-support tools using artificial intelligence. Conclusions: The Olewnik et al. classification system should be adopted as a modern anatomical standard for the PFL. Its integration into clinical practice has the potential to improve surgical precision, reduce complication rates, and enhance patient-specific treatment planning. This framework also supports future advancements in orthopedic imaging, education, and AI-driven diagnostics. Beyond descriptive anatomy, we provide a pragmatic surgical algorithm for PLC repair/reconstruction that accounts for scar- and fibrosis-dominated fields and the limited bone stock of the fibular head. Full article

Cutaneous melanoma is the most severe form of skin cancer. The incidence of the disease has been increasing in the last decades, largely due to increased ultraviolet radiation exposure. A comprehensive understanding of the complex biological processes involved in melanoma development and progression is essential for advancing patient care. Improvement in surveillance strategies, widespread use of sentinel lymph node biopsy, and breakthroughs in systemic therapy have all contributed considerably to enhancing patient outcomes and survival. Rapid advancements in melanoma management are expected to continue, particularly through innovations in molecular biology and genetics. These emerging technologies aim to enhance diagnostic accuracy, predict disease progression, and improve prognosis. Staying informed about these evolving developments is essential for professionals dealing with melanoma patients. This narrative review provides a comprehensive overview of the current state of cutaneous melanoma, covering fundamental areas, such as histopathology, genetics, epidemiology, diagnosis, and staging. It provides a foundation to enhance understanding of current treatment approaches and the principles behind emerging technologies. This review also highlights future directions in melanoma care, including improvements in neoadjuvant therapy, use of artificial intelligence-based algorithms, use of molecular biomarkers to improve diagnosis and prognosis, and development of personalized neoantigen mRNA vaccines. Ultimately, this review aims to support clinicians in understanding the current landscape and anticipated innovations in melanoma management to improve clinical decision-making. Full article

Traumatic injuries to the brain and spinal cord remain among the most challenging conditions in clinical neuroscience due to the complexity of repair mechanisms and the limited regenerative capacity of neural tissues. Nanotechnology has emerged as a transformative field, offering precise diagnostic tools, targeted therapeutic delivery systems, and advanced scaffolding platforms that are capable of overcoming the biological barriers to regeneration. This review summarizes the recent advances in nanoscale diagnostic markers, functionalized nanoparticles for drug delivery, and nanostructured scaffolds designed to modulate the injured microenvironment and support axonal regrowth and remyelination. Emerging evidence indicates that nanotechnology enables real-time, minimally invasive detection of inflammation, oxidative stress, and cellular damage, while improving therapeutic efficacy and reducing systemic side effects through targeted delivery. Electroconductive scaffolds and hybrid strategies that integrate electrical stimulation, gene therapy, and artificial intelligence further expand opportunities for personalized neuroregeneration. Despite these advances, significant challenges remain, including long-term safety, immune compatibility, the scalability of large-scale production, and translational barriers, such as small sample sizes, heterogeneous preclinical models, and limited follow-up in existing studies. Addressing these issues will be critical to realize the full potential of nanotechnology in traumatic brain and spinal cord injury and to accelerate the transition from promising preclinical findings to effective clinical therapies. Full article

Deep learning (DL) has revolutionized medical image analysis (MIA), enabling early anomaly detection, precise lesion segmentation, and automated disease classification. However, its clinical integration faces two major challenges: reliance on limited, narrowly annotated datasets that inadequately capture real-world patient diversity, and the inherent “black-box” nature of DL decision-making, which complicates physician scrutiny and accountability. Eye tracking (ET) technology offers a transformative solution by capturing radiologists’ gaze patterns to generate supervisory signals. These signals enhance DL models through two key mechanisms: providing weak supervision to improve feature recognition and diagnostic accuracy, particularly when labeled data are scarce, and enabling direct comparison between machine and human attention to bridge interpretability gaps and build clinician trust. This approach also extends effectively to multimodal learning models (MLMs) and vision–language models (VLMs), supporting the alignment of machine reasoning with clinical expertise by grounding visual observations in diagnostic context, refining attention mechanisms, and validating complex decision pathways. Conducted in accordance with the PRISMA statement and registered in PROSPERO (ID: CRD42024569630), this review synthesizes state-of-the-art strategies for ET-DL integration. We further propose a unified framework in which ET innovatively serves as a data efficiency optimizer, a model interpretability validator, and a multimodal alignment supervisor. This framework paves the way for clinician-centered AI systems that prioritize verifiable reasoning, seamless workflow integration, and intelligible performance, thereby addressing key implementation barriers and outlining a path for future clinical deployment. Full article

Artificial intelligence (AI) has emerged as a transformative technology in radiology, offering enhanced diagnostic accuracy, improved workflow efficiency and potential risk mitigation. However, its effectiveness in reducing clinical and occupational risks in radiology departments remains underexplored. This systematic review aimed to evaluate the current literature on AI applications in computed tomography (CT) radiology and their contributions to risk reduction. Following the PRISMA 2020 guidelines, a systematic search was conducted in PubMed, Scopus and Web of Science for studies published between 2021 and 2025 (the databases were last accessed on 15 April 2025). Thirty-four studies were included based on their relevance to AI in radiology and reported outcomes. Extracted data included study type, geographic region, AI application and type, role in clinical workflow, use cases, sensitivity and specificity. The majority of studies addressed triage (61.8%) and computer-aided detection (32.4%). AI was most frequently applied in chest imaging (47.1%) and brain haemorrhage detection (29.4%). The mean reported sensitivity was 89.0% and specificity was 93.3%. AI tools demonstrated advantages in image interpretation, automated patient positioning, prioritisation and measurement standardisation. Reported benefits included reduced cognitive workload, improved triage efficiency, decreased manual annotation and shorter exposure times. AI systems in CT radiology show strong potential to enhance diagnostic consistency and reduce occupational risks. The evidence supports the integration of AI-based tools to assist diagnosis, lower human workload and improve overall safety in radiology departments. Full article

With the continuous advancement of intelligent, integrated, and sophisticated modern marine equipment, bearing fault diagnosis faces increasingly severe technical challenges. Compared with traditional industrial environments, marine propulsion systems are characterized by multi-bearing coupled vibrations and complex operating conditions. To address these characteristics, this paper proposes a fault diagnosis method that combines a least squares support vector machine (LSSVM) with multi-domain feature extraction based on an improved hippopotamus optimization algorithm (LCM-HO). This method directly extracts time, spectral, and time-frequency domain features from the raw signal, effectively avoiding complex preprocessing and enhancing its potential for field engineering applications. Experimental verification using the Paderborn bearing dataset and a self-built marine bearing test bench demonstrates that the LCM-HO-LSSVM method achieves diagnostic accuracy rates of 99.11% and 98.00%, respectively, demonstrating significant performance improvements. This research provides a reliable, efficient, and robust technical solution for bearing fault diagnosis in complex marine environments. Full article

Recent advances in artificial intelligence (AI) have transformed ophthalmic diagnostics, particularly for retinal diseases. In this prospective, non-randomized study, we evaluated the performance of an AI-based software system against conventional clinical assessment—both quantitative and qualitative—of optical coherence tomography (OCT) images for diagnosing diabetic macular edema (DME). A total of 700 OCT exams were analyzed across 26 features, including demographic data (age, sex), eye laterality, visual acuity, and 21 quantitative OCT parameters (Macula Map A X-Y). We tested two classification scenarios: binary (DME presence vs. absence) and multiclass (six distinct DME phenotypes). To streamline feature selection, we applied paraconsistent feature engineering (PFE), isolating the most diagnostically relevant variables. We then compared the diagnostic accuracies of logistic regression, support vector machines (SVM), K-nearest neighbors (KNN), and decision tree models. In the binary classification using all features, SVM and KNN achieved 92% accuracy, while logistic regression reached 91%. When restricted to the four PFE-selected features, accuracy modestly declined to 84% for both logistic regression and SVM. These findings underscore the potential of AI—and particularly PFE—as an efficient, accurate aid for DME screening and diagnosis. Full article

Background: Artificial Intelligence (AI)-driven Decision Support Systems (DSSs) promise improvements in diagnostic accuracy and clinical workflow efficiency, but their adoption is hindered by inadequate confidence calibration, limited transparency, and poor alignment with real-world decision processes, which limit clinician trust and lead to high override rates. Methods: We developed and validated a dynamic scoring framework to enhance trust in AI-generated diagnoses by integrating AI confidence scores, semantic similarity measures, and transparency weighting into the override decision process using 6689 cardiovascular cases from the MIMIC-III dataset. Override thresholds were calibrated and validated across varying transparency and confidence levels, with override rate as the primary acceptance measure. Results: The implementation of this framework reduced the override rate to 33.29%, with high-confidence predictions (90–99%) overridden at a rate of only 1.7%, and low-confidence predictions (70–79%) at a rate of 99.3%. Minimal transparency diagnoses had a 73.9% override rate compared to 49.3% for moderate transparency. Statistical analyses confirmed significant associations between confidence, transparency, and override rates (p < 0.001). Conclusions: These findings suggest that enhanced transparency and confidence calibration can substantially reduce override rates and promote clinician acceptance of AI diagnostics. Future work should focus on clinical validation to optimize patient safety, diagnostic accuracy, and efficiency. Full article

Background: Theintegration of artificial intelligence (AI) into clinical decision support systems (CDSSs) has significantly enhanced diagnostic precision, risk stratification, and treatment planning. AI models remain a barrier to clinical adoption, emphasizing the critical role of explainable AI (XAI). Methods: This systematic meta-analysis synthesizes findings from 62 peer-reviewed studies published between 2018 and 2025, examining the use of XAI methods within CDSSs across various clinical domains, including radiology, oncology, neurology, and critical care. Model-agnostic techniques such as visualization models like Gradient-weighted Class Activation Mapping (Grad-CAM) and attention mechanisms dominated in imaging and sequential data tasks. Results: However, there are still gaps in user-friendly evaluation, methodological transparency, and ethical issues, as seen by the absence of research that evaluated explanation fidelity, clinician trust, or usability in real-world settings. In order to enable responsible AI implementation in healthcare, our analysis emphasizes the necessity of longitudinal clinical validation, participatory system design, and uniform interpretability measures. Conclusions: This review offers a thorough analysis of the state of XAI practices in CDSSs today, identifies methodological and practical issues, and suggests a path forward for AI solutions that are open, moral, and clinically relevant. Full article

Background: Diabetes remains a major global health challenge, contributing significantly to premature mortality due to its potential progression to organ failure if not diagnosed early. Traditional diagnostic approaches are subject to human error, highlighting the need for modern computational techniques in clinical decision support systems. Although these systems have successfully integrated deep learning (DL) models, they still encounter several challenges, such as a lack of intricate pattern learning, imbalanced datasets, and poor interpretability of predictions. Methods: To address these issues, the temporal inception perceptron network (TIPNet), a novel DL model, is designed to accurately predict diabetes by capturing complex feature relationships and temporal dynamics. An adaptive synthetic oversampling strategy is utilized to reduce severe class imbalance in an extensive diabetes health indicators dataset consisting of 253,680 instances and 22 features, providing a diverse and representative sample for model evaluation. The model’s performance and generalizability are assessed using a 10-fold cross-validation technique. To enhance interpretability, explainable artificial intelligence techniques are integrated, including local interpretable model-agnostic explanations and Shapley additive explanations, providing insights into the model’s decision-making process. Results: Experimental results demonstrate that TIPNet achieves improvement scores of 3.53% in accuracy, 3.49% in F1-score, 1.14% in recall, and 5.95% in the area under the receiver operating characteristic curve. Conclusions: These findings indicate that TIPNet is a promising tool for early diabetes prediction, offering accurate and interpretable results. The integration of advanced DL modeling with oversampling strategies and explainable AI techniques positions TIPNet as a valuable resource for clinical decision support, paving the way for its future application in healthcare settings. Full article

Artificial intelligence (AI) is revolutionarily shaping the entire landscape of medicine and particularly the privileged field of radiology, since it produces a significant amount of data, namely, images. Currently, AI implementation in radiology is continuously increasing, from automating image analysis to enhancing workflow management, and specifically, pediatric neuroradiology is emerging as an expanding frontier. Pediatric neuroradiology presents unique opportunities and challenges since neonates’ and small children’s brains are continuously developing, with age-specific changes in terms of anatomy, physiology, and disease presentation. By enhancing diagnostic accuracy, reducing reporting times, and enabling earlier intervention, AI has the potential to significantly impact clinical practice and patients’ quality of life and outcomes. For instance, AI reduces MRI and CT scanner time by employing advanced deep learning (DL) algorithms to accelerate image acquisition through compressed sensing and undersampling, and to enhance image reconstruction by denoising and super-resolving low-quality datasets, thereby producing diagnostic-quality images with significantly fewer data points and in a shorter timeframe. Furthermore, as healthcare systems become increasingly burdened by rising demands and limited radiology workforce capacity, AI offers a practical solution to support clinical decision-making, particularly in institutions where pediatric neuroradiology is limited. For example, the MELD (Multicenter Epilepsy Lesion Detection) algorithm is specifically designed to help radiologists find focal cortical dysplasias (FCDs), which are a common cause of drug-resistant epilepsy. It works by analyzing a patient’s MRI scan and comparing a wide range of features—such as cortical thickness and folding patterns—to a large database of scans from both healthy individuals and epilepsy patients. By identifying subtle deviations from normal brain anatomy, the MELD graph algorithm can highlight potential lesions that are often missed by the human eye, which is a critical step in identifying patients who could benefit from life-changing epilepsy surgery. On the other hand, the integration of AI into pediatric neuroradiology faces technical and ethical challenges, such as data scarcity and ethical and legal restrictions on pediatric data sharing, that complicate the development of robust and generalizable AI models. Moreover, many radiologists remain sceptical of AI’s interpretability and reliability, and there are also important medico-legal questions around responsibility and liability when AI systems are involved in clinical decision-making. Future promising perspectives to overcome these concerns are represented by federated learning and collaborative research and AI development, which require technological innovation and multidisciplinary collaboration between neuroradiologists, data scientists, ethicists, and pediatricians. The paper aims to address: (1) current applications of AI in pediatric neuroradiology; (2) current challenges and ethical considerations related to AI implementation in pediatric neuroradiology; and (3) future opportunities in the clinical and educational pediatric neuroradiology field. AI in pediatric neuroradiology is not meant to replace neuroradiologists, but to amplify human intellect and extend our capacity to diagnose, prognosticate, and treat with unprecedented precision and speed. Full article

Methane concentration anomalies during coal mining operations are identified as important factors triggering major safety accidents. This study aimed to address the key issues of insufficient adaptability of existing detection methods in dynamic and complex underground environments and limited characterization capabilities for non-uniform sampling data. Specifically, an intelligent diagnostic model was proposed by integrating the improved Dung Beetle Optimization Algorithm (SGDBO) with Transformer-SVM. A dual-path feature fusion architecture was innovatively constructed. First, the original sequence length of samples was unified by interpolation algorithms to adapt to deep learning model inputs. Meanwhile, statistical features of samples (such as kurtosis and differential standard deviation) were extracted to deeply characterize local mutation characteristics. Then, the Transformer network was utilized to automatically capture the temporal dependencies of concentration time series. Additionally, the output features were concatenated with manual statistical features and input into the LSSVM classifier to form a complementary enhancement diagnostic mechanism. Sine chaotic mapping initialization and a golden sine search mechanism were integrated into DBO. Subsequently, the SGDBO algorithm was employed to optimize the hyperparameters of the Transformer-LSSVM hybrid model, breaking through the bottleneck of traditional parameter optimization falling into local optima. Experiments reveal that this model can significantly improve the classification accuracy and robustness of anomaly curve discrimination. Furthermore, core technical support can be provided to construct coal mine safety monitoring systems, demonstrating critical practical value for ensuring national energy security production. Full article

Background/Objectives: This scoping review aims to map existing AI applications in dental education, in student learning, assessment, and diagnostic training, identifying key limitations and challenges. Methods: Following the Arksey and O’Malley framework and PRISMA-ScR guidelines, six databases were searched in March 2025 using combinations of the following search words: “dental education,” “artificial intelligence,” “machine learning,” and “student assessment”. Inclusion was limited to English-language empirical studies focused on dental student education. Of 547 identified studies, 17 met the inclusion criteria. They were categorized into four domains: (1) Preclinical Training, (2) AI in Clinical, Diagnostic Training, and Radiographic Interpretation, (3) AI as an Assessment Tool and Feedback System, and (4) AI in Content Generation for Dental Education. Results: AI has positively influenced various domains, enhancing procedural accuracy, diagnostic confidence, assessment efficiency, and content delivery. However, it struggles to assess nuanced competencies like dexterity and clinical judgment. The challenges faced include disparate definitions of AI, ethical and privacy concerns, model variability, and a deficiency of dental leadership in AI development. At present, most tools are engineered by computer scientists and may not align effectively with the priorities of dental education. Conclusions: AI holds significant potential to enhance dental education outcomes. However, to guarantee its relevance and reliability, it requires standard frameworks, ethical oversight, and clinician-led development. Future research should concentrate on implementing real-time AI-driven feedback systems during preclinical training and advocate for more precise definitions to support consistent AI application and evaluation in dental education. Full article