Tsun-Kuang Chi

Concurrent with the rising consumption of ultra-processed, high-calorie diets and the decline in physical activity, obesity and related cardiovascular conditions among young adults have continued to increase, becoming an important global public health concern. This study integrates non-invasive Internet of Things (IoT) sensing devices, including the TERUMO ES-P2000 blood pressure monitor (Terumo Corp., Tokyo, Japan) and the PhysioFlow PF07 Enduro cardiac hemodynamic analyzer (Manatec Biomedical, Poissy, France), with an artificial neural network (ANN) for cardiac index (CI) prediction. Through appropriate data preprocessing and model training strategies, the generalization ability and stability of the proposed CI prediction model were significantly enhanced. Experimental results demonstrate that, when using three physiological parameters as input, the ANN achieved a classification accuracy of 97.78%, substantially outperforming traditional approaches. Even under two-parameter input conditions, the model maintained strong predictive performance. These findings confirm the effectiveness and practical potential of the proposed framework for real-time, non-invasive CI assessment. Moreover, this research has received rigorous assessment and approval from the Institutional Review Board (IRB) under application number 202501987B0.

Background/Objective: Dental implant therapy requires clinicians to identify edentulous regions and adjacent teeth accurately to ensure precise and efficient implant placement. However, this process is time-consuming and subject to operator bias. To address this challenge, this study proposes an AI-assisted detection framework that integrates deep learning and image processing techniques to predict implant placement pathways on dental panoramic radiographs, supporting clinical decision-making. Methods: The proposed framework is first applied to YOLO models to detect edentulous regions and employs image enhancement techniques to improve image quality. Subsequently, YOLO-OBB is utilized to extract pixel-level positional information about neighboring healthy teeth. An implant pathway orientation visualization algorithm is applied to derive clinically relevant implant placement recommendations. Results: Experimental evaluation using YOLOv9m and YOLOv8n-OBB demonstrated stable performance in both recognition and accuracy. The models achieved Precision values of 88.86% and 89.82%, respectively, with an average angular error of only 1.537° compared to clinical implant pathways annotated by dentists. Conclusions: This study presents the first AI-assisted diagnostic framework for DPR-based implant pathway prediction. The results indicate strong consistency with clinical planning, confirming its potential to enhance diagnostic accuracy and provide reliable decision support in implant dentistry.

Background/Objectives: Pleural effusion is a common pulmonary condition that, if left untreated, may lead to respiratory distress and severe complications. Chest X-ray (CXR) imaging is routinely used by physicians to identify signs of pleural effusion. However, manually examining large volumes of CXR images on a daily basis can require substantial time and effort. To address this issue, this study proposes an automated pleural effusion detection system for CXR images. Methods: The proposed system integrates image cropping, image enhancement, and the EfficientNet-B0 deep learning model to assist in detecting pleural effusion, a task that is often challenging due to subtle symptom presentation. Image cropping was applied to extract the region from the heart to the costophrenic angle as the target area. Subsequently, image enhancement techniques were employed to emphasize pleural effusion features, thereby improving the model’s learning efficiency. Finally, EfficientNet-B0 was used to train and classify pleural effusion cases based on processed images. Results: In the experimental results, the proposed image enhancement approach improved the model’s recognition accuracy by approximately 4.33% compared with the non-enhanced method, confirming that enhancement effectively supports subsequent model learning. Ultimately, the proposed system achieved an accuracy of 93.27%, representing a substantial improvement of 21.30% over the 77.00% reported in previous studies, highlighting its significant advancement in pleural effusion detection. Conclusions: This system can serve as an assistive diagnostic tool for physicians, providing standardized detection results, reducing the workload associated with manual interpretation, and improving the overall efficiency of pulmonary care.

Background/Objectives: The precise localization of cervical vertebrae in X-ray imaging was essential for effective diagnosis and treatment planning, particularly as the prevalence of cervical degenerative conditions increased with an aging population. Vertebrae from C2 to C7 were commonly affected by disorders such as ossification of the posterior longitudinal ligament (OPLL) and nerve compression caused by posterior osteophytes, necessitating thorough evaluation. However, manual annotation remained a major aspect of traditional clinical procedures, making it challenging to manage increasing patient volumes and large-scale medical imaging data. Methods: To address this issue, this study presented an automated approach for localizing cervical vertebrae and measuring neural foraminal distance. The proposed technique analyzed the neural foramen distance and intervertebral space using image enhancement to determine the degree of nerve compression. YOLOv8 was employed to detect and segment the cervical vertebrae. Moreover, by integrating automated cervical spine analysis with advanced imaging technologies, the system enabled rapid detection of abnormal intervertebral disc gaps, facilitating early identification of degenerative changes. Results: According to the results, the system achieved a spine localization accuracy of 99.5%, representing an 11.7% improvement over existing approaches. Notably, it outperformed previous methods by 66.67% in recognizing the C7 vertebra, achieving a perfect 100% accuracy. Conclusions: Furthermore, the system significantly streamlined the diagnostic workflow by processing each X-ray image in just 17.9 milliseconds. This approach markedly improved overall diagnostic efficiency.