A Novel Machine Learning-based Diagnostic Algorithm for Detection of Onychomycosis through Nail Appearance

Onychomycosis is the most common nail fungus disease in clinical practice worldwide, caused by the localization of various fungal agents, including dermatophytes, on the nail. The tests traditionally used for diagnosing onychomycosis are native examination, histopathological examination with periodi...

Full description

Saved in:
Bibliographic Details
Main Authors: Serkan Düzayak, Muhammed Kürşad Uçar
Format: Article
Language:English
Published: Sakarya University 2023-08-01
Series:Sakarya Üniversitesi Fen Bilimleri Enstitüsü Dergisi
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/2821563
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850252394353393664
author Serkan Düzayak
Muhammed Kürşad Uçar
author_facet Serkan Düzayak
Muhammed Kürşad Uçar
author_sort Serkan Düzayak
collection DOAJ
description Onychomycosis is the most common nail fungus disease in clinical practice worldwide, caused by the localization of various fungal agents, including dermatophytes, on the nail. The tests traditionally used for diagnosing onychomycosis are native examination, histopathological examination with periodic acid Schiff (PAS) staining, and nail culture. There is no gold standard method for diagnosing the disease, and the diagnosis process is time-consuming, costly, and quite laborious. Today, new technologies are needed to detect onychomycosis via AI-based ML to reduce the clinician and laboratory-induced error rate and increase diagnostic sensitivity and reliability. The present study aimed to design a decision support system to help the specialist doctor detect toenail fungus with artificial intelligence-based image processing techniques. The toenail images were taken by any camera initially from the individuals referred to the clinic. The image is divided into 12 RGB channels. Three hundred features were removed from each channel as 25 in the time domain. The best features were selected through feature selection algorithms in the next step to increase the performance and reduce the number of features, and models were created by algorithm classification. The average performance values of all proposed models, accuracy, sensitivity, and specificity, are 89.65, 0.9, and 0.89, respectively. The performance values of the most successful model-created accuracy, sensitivity, and specificity are 97.25, 0.96, and 0.98, respectively. Although the proposed method, according to the findings obtained in the study, has many advantages compared to the literature, it can be used as a decision support system for clinician diagnosis.
format Article
id doaj-art-4d88bbf450444023a4fa02b0d1d25205
institution OA Journals
issn 2147-835X
language English
publishDate 2023-08-01
publisher Sakarya University
record_format Article
series Sakarya Üniversitesi Fen Bilimleri Enstitüsü Dergisi
spelling doaj-art-4d88bbf450444023a4fa02b0d1d252052025-08-20T01:57:40ZengSakarya UniversitySakarya Üniversitesi Fen Bilimleri Enstitüsü Dergisi2147-835X2023-08-0127487288610.16984/saufenbilder.121666828A Novel Machine Learning-based Diagnostic Algorithm for Detection of Onychomycosis through Nail AppearanceSerkan Düzayak0https://orcid.org/0000-0002-4853-9860Muhammed Kürşad Uçar1https://orcid.org/0000-0002-0636-8645ADIYAMAN ÜNİVERSİTESİSAKARYA UNIVERSITYOnychomycosis is the most common nail fungus disease in clinical practice worldwide, caused by the localization of various fungal agents, including dermatophytes, on the nail. The tests traditionally used for diagnosing onychomycosis are native examination, histopathological examination with periodic acid Schiff (PAS) staining, and nail culture. There is no gold standard method for diagnosing the disease, and the diagnosis process is time-consuming, costly, and quite laborious. Today, new technologies are needed to detect onychomycosis via AI-based ML to reduce the clinician and laboratory-induced error rate and increase diagnostic sensitivity and reliability. The present study aimed to design a decision support system to help the specialist doctor detect toenail fungus with artificial intelligence-based image processing techniques. The toenail images were taken by any camera initially from the individuals referred to the clinic. The image is divided into 12 RGB channels. Three hundred features were removed from each channel as 25 in the time domain. The best features were selected through feature selection algorithms in the next step to increase the performance and reduce the number of features, and models were created by algorithm classification. The average performance values of all proposed models, accuracy, sensitivity, and specificity, are 89.65, 0.9, and 0.89, respectively. The performance values of the most successful model-created accuracy, sensitivity, and specificity are 97.25, 0.96, and 0.98, respectively. Although the proposed method, according to the findings obtained in the study, has many advantages compared to the literature, it can be used as a decision support system for clinician diagnosis.https://dergipark.org.tr/tr/download/article-file/2821563onychomycosisnail fungusimage processingartificial intelligencemachine learningdecision support systemonychomycosisnail fungusimage processingartificial intelligencemachine learning
spellingShingle Serkan Düzayak
Muhammed Kürşad Uçar
A Novel Machine Learning-based Diagnostic Algorithm for Detection of Onychomycosis through Nail Appearance
Sakarya Üniversitesi Fen Bilimleri Enstitüsü Dergisi
onychomycosis
nail fungus
image processing
artificial intelligence
machine learning
decision support system
onychomycosis
nail fungus
image processing
artificial intelligence
machine learning
title A Novel Machine Learning-based Diagnostic Algorithm for Detection of Onychomycosis through Nail Appearance
title_full A Novel Machine Learning-based Diagnostic Algorithm for Detection of Onychomycosis through Nail Appearance
title_fullStr A Novel Machine Learning-based Diagnostic Algorithm for Detection of Onychomycosis through Nail Appearance
title_full_unstemmed A Novel Machine Learning-based Diagnostic Algorithm for Detection of Onychomycosis through Nail Appearance
title_short A Novel Machine Learning-based Diagnostic Algorithm for Detection of Onychomycosis through Nail Appearance
title_sort novel machine learning based diagnostic algorithm for detection of onychomycosis through nail appearance
topic onychomycosis
nail fungus
image processing
artificial intelligence
machine learning
decision support system
onychomycosis
nail fungus
image processing
artificial intelligence
machine learning
url https://dergipark.org.tr/tr/download/article-file/2821563
work_keys_str_mv AT serkanduzayak anovelmachinelearningbaseddiagnosticalgorithmfordetectionofonychomycosisthroughnailappearance
AT muhammedkursaducar anovelmachinelearningbaseddiagnosticalgorithmfordetectionofonychomycosisthroughnailappearance
AT serkanduzayak novelmachinelearningbaseddiagnosticalgorithmfordetectionofonychomycosisthroughnailappearance
AT muhammedkursaducar novelmachinelearningbaseddiagnosticalgorithmfordetectionofonychomycosisthroughnailappearance