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Objectives CD146 is an adhesive molecule that was originally reported on malignant melanoma cells as a protein crucial for cell adhesion. It is now known that high expression of the CD146 protein is not only characteristic of melanoma, but it occurs on a number of cancers, contributing to worse prognosis and increased aggressiveness. Independent in vitro studies in breast cancer have shown that CD146 protein alone can induce a change in epithelial to mesenchymal transcriptional profile, which is the basis of the tumor aggressiveness and metastasis. Methods In the following work, the correlation coefficients were analyzed between the genes of the mesenchymal profile and the CD146 gene in 10 independent transcriptomic data of breast cancer patients. Results The analysis confirmed the relationship between CD146 expression and mesenchymal profile genes, pointing VIMENTIN as the gene which expression is most strongly correlated with the CD146 , suggesting that both genes, CD146 and VIM may be directly controlled by the same mechanism or regulate one another. Conclusions The analysis points a potential route for research on the CD146 gene expression, which may lead to understanding of its regulation in breast cancer, contributing to the development of new therapeutic strategies targeting highly metastatic breast cancer cells.

Objectives The focus of this paper is to introduce an automated early Diabetic Retinopathy (DR) detection scheme from colour fundus images through enhanced segmentation and classification strategies by analyzing blood vessels. Methods The occurrence of DR is increasing from the past years, impacting the eyes due to a sudden rise in the glucose level of blood. All over the world, half of the people who are under age 70 are severely suffered from diabetes. The patients who are affected by DR will lose their vision during the absence of early recognition of DR and appropriate treatment. To decrease the growth and occurrence of loss of vision, the early detection and timely treatment of DR are desirable. At present, deep learning models have presented better performance using retinal images for DR detection. In this work, the input retinal fundus images are initially subjected to pre-processing that undergoes contrast enhancement by Contrast Limited Adaptive Histogram Equalization (CLAHE) and average filtering. Further, the optimized binary thresholding-based segmentation is done for blood vessel segmentation. For the segmented image, Tri-level Discrete Level Decomposition (Tri-DWT) is performed to decompose it. In the feature extraction phase, Local Binary Pattern (LBP), and Gray-Level Co-occurrence Matrices (GLCMs) are extracted. Next, the classification of images is done through the combination of two algorithms, one is Neural Network (NN), and the other Convolutional Neural Network (CNN). The extracted features are subjected to NN, and the tri-DWT-based segmented image is subjected to CNN. Both the segmentation and classification phases are enhanced by the improved meta-heuristic algorithm called Fitness Rate-based Crow Search Algorithm (FR-CSA), in which few parameters are optimized for attaining maximum detection accuracy. Results The proposed DR detection model was implemented in MATLAB 2018a, and the analysis was done using three datasets, HRF, Messidor, and DIARETDB. Conclusions The developed FR-CSA algorithm has the best detection accuracy in diagnosing DR.

Objectives Spinal cord damage is one of the traumatic situations in persons that may cause the loss of sensation and proper functioning of the muscles either temporarily or permanently. Hence, steps to assure the recovery through the early functioning and precaution could safe-guard a proper interceptive. To ensure the recovery of spinal cord damage through optimized recurrent neural network. Methods The research on the spinal cord injury classification and level detection is done using the CT images, which is initially given to the segmentation that is done using the adaptive thresholding methodology. Once the segments are formed, the disc is localized using the sparse fuzzy C-means clustering approach. In the next step, the features are extracted from the localized disc and the features include the connectivity features, statistical features, image-level features, grid-level features, Histogram of Oriented Gradients (HOG), and Linear Gradient Pattern (LGP). Then, the injury detection is done based on the Crow search Rider Optimization algorithm-based Deep Convolutional Neural Network (CS-ROA-based DCNN). Once the result regarding the presence of the injury is obtained, the injury-level classification is done based on the proposed Deep Recurrent Neural Network (Deep RNN), and in case of the absence of injury, the process is terminated. Therefore, the injury detection classifier derives the level of the injury, such as normal, wedge, biconcavity, and crush. Results The experimentation is carried out using an Osteoporotic vertebral fractures database. The performance of the injury level detection based on the proposed model is evaluated based on accuracy, sensitivity, and specificity. The proposed model achieves the maximal accuracy of 0.895, maximal sensitivity of 0.871, and the maximal specificity of 0.933 with respect to K-Fold. Conclusions The experimental results show that the proposed model is better than the existing models in terms of accuracy, sensitivity, and specificity.

Objectives The main aim of this work is to introduce a robust controller for controlling the drug dosage. Methods The presented work establishes a novel robust controller that controls the drug dosage and it also carried out parameters estimation. Along with this, a Regularized Error Function-based EKF (REF-EKF) is introduced for estimating the tumor cells that could be adapted for different conditions. It also assists in solving the overfitting problems, which occur during the drug dosage estimation. Moreover, the performance of the adopted controller is compared over other conventional schemes, and the attained outcomes reveal the appropriate impact of drug dosage injection on immune, normal, and tumor cells. It is also ensured that the presented controller does a robust performance on the parameter uncertainties. Moreover, to enhance the performance of the proposed system and for fast convergence, it is aimed to fine-tune the initial state of EKF optimally using a new Improved Gray Wolf Optimization (GWO) termed as Adaptive GWO (AGWO). Finally, analysis is held to validate the betterment of the presented model. Results The outcomes, the proposed method has accomplished a minimal value of error with an increase in time, when evaluated over the compared models. Conclusions Thus, the improvement of the proposed REF-EKF-AGWO model is proved from the attained results.

There have been significant developments in clinical, experimental, and theoretical approaches to understand the biomechanics of tumor cells and immune cells. Cytotoxic T lymphocytes (CTLs) are regarded as a major antitumor mechanism of immune cells. Mathematical modeling of tumor growth is an important and useful tool to observe and understand clinical phenomena analytically. This work develops a novel two-variable mathematical model to describe the interaction of tumor cells and CTLs. The designed model is providing an integrated framework to investigate the complexity of tumor progression and answer clinical questions that cannot always be reached with experimental tools. The parameters of the model are estimated from experimental study and stability analysis of the model is performed through nullclines. A global sensitivity analysis is also performed to check the uncertainty of the parameters. The results of numerical simulations of the model support the importance of the CTLs and demonstrate that CTLs can eliminate small tumors. The proposed model provides efficacious information to study and demonstrate the complex dynamics of breast cancer.