{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:17:36Z","timestamp":1791915456186,"version":"4.3.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T00:00:00Z","timestamp":1737244800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Technology and Health Care"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diabetic foot ulcers (DFU) are a severe consequence of diabetes that, if left untreated, can lead to amputation, blindness, renal failure, and other serious complications. The high treatment expense and length of treatment for this therapeutic technique are both disadvantages. Despite the effectiveness of this strategy, a distant, cost-effective, and comfortable DFU diagnostic therapy is necessary.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study proposed the Advanced Machine Learning Practical Method for Diabetic Foot Ulcer Classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This unique and cost-effective healthcare solution uses Practical Methodologies with the reinforcement learning algorithm for DFU imaging. The categorization was based on constant technological advancements, and the benefits of Machine Learning (ML) for use in DFU treatment are numerous, including enhanced clinical decision-making based on Ulcer classification and healing progress. The ML greatly impacted DFU data analysis, with categorization and risk assessment among the findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The machine-learning technique can potentially create a paradigm shift by providing a 92.5% classification accuracy evaluation in the diabetic foot Ulcer problem. According to Clustering Scenario Analysis of Diabetic Foot Ulcer, when compared to Mild To Moderate Localized Cellulitis (Cluster 1 produces classification efficiency from 71% to 88%), Moderate To Severe Cellulitis (Cluster 2 delivers classification efficiency from 85% to 97%), Moderate To Severe Cellulitis With Ischemia (Cluster 3 produces classification efficiency from 90% to 98%), and Life-Or Limb-Threatening Infection (Cluster 4), the results were promising (Cluster 4 makes classification efficiency from 93.5% to 98.2%). The efficiency of this is Cluster 78.45 percent higher than the existing procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The proposed Advanced Machine Learning Practical Method demonstrates significant improvements in DFU classification accuracy and efficiency, presenting a cost-effective and effective alternative to traditional diagnostic approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09287329241296417","type":"journal-article","created":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T23:46:26Z","timestamp":1737330386000},"page":"1645-1660","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Diabetic foot ulcer classification assessment employing an improved machine learning algorithm"],"prefix":"10.1177","volume":"33","author":[{"given":"Raj Kumar","family":"Gudivaka","sequence":"first","affiliation":[{"name":"Surge Technology Solutions Inc, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajya Lakshmi","family":"Gudivaka","sequence":"additional","affiliation":[{"name":"Wipro, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basava Ramanjaneyulu","family":"Gudivaka","sequence":"additional","affiliation":[{"name":"Raas Infotek, Delaware, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh Kumar Reddy","family":"Basani","sequence":"additional","affiliation":[{"name":"CGI, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri Harsha","family":"Grandhi","sequence":"additional","affiliation":[{"name":"Intel, Folsom, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faheem","family":"khan","sequence":"additional","affiliation":[{"name":"Gachon University, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-021-01051-3"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-021-00503-6"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3233\/SHTI210897"},{"key":"e_1_3_2_5_2","first-page":"90","volume-title":"Diabetic foot ulcers grand challenge","author":"Cassidy B","year":"2021","unstructured":"Cassidy B, Kendrick C, Reeves ND, et\u00a0al. 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