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Reasonably and effectively monitoring arrhythmias through ECG signals has significant implications for human health. With the development of deep learning, numerous ECG classification algorithms based on deep learning have emerged. However, most existing algorithms trade off high accuracy for complex models, resulting in high storage usage and power consumption. This also inevitably increases the difficulty of implementation on wearable Artificial Intelligence-of-Things (AIoT) devices with limited resources. In this study, we proposed a universally applicable ultra-lightweight binary neural network(BNN) that is capable of 5-class and 17-class arrhythmia classification based on ECG signals. Our BNN achieves 96.90% (full precision 97.09%) and 97.50% (full precision 98.00%) accuracy for 5-class and 17-class classification, respectively, with state-of-the-art storage usage (3.76 KB and 4.45 KB). Compared to other binarization works, our approach excels in supporting two multi-classification modes while achieving the smallest known storage space. Moreover, our model achieves optimal accuracy in 17-class classification and boasts an elegantly simple network architecture. The algorithm we use is optimized specifically for hardware implementation. Our research showcases the potential of lightweight deep learning models in the healthcare industry, specifically in wearable medical devices, which hold great promise for improving patient outcomes and quality of life. Code is available on: //github.com/xpww/ECG_BNN_Net

Whole slide image (WSI) analysis has become increasingly important in the medical imaging community, enabling automated and objective diagnosis, prognosis, and therapeutic-response prediction. However, in clinical practice, the ever-evolving environment hamper the utility of WSI analysis models. In this paper, we propose the FIRST continual learning framework for WSI analysis, named ConSlide, to tackle the challenges of enormous image size, utilization of hierarchical structure, and catastrophic forgetting by progressive model updating on multiple sequential datasets. Our framework contains three key components. The Hierarchical Interaction Transformer (HIT) is proposed to model and utilize the hierarchical structural knowledge of WSI. The Breakup-Reorganize (BuRo) rehearsal method is developed for WSI data replay with efficient region storing buffer and WSI reorganizing operation. The asynchronous updating mechanism is devised to encourage the network to learn generic and specific knowledge respectively during the replay stage, based on a nested cross-scale similarity learning (CSSL) module. We evaluated the proposed ConSlide on four public WSI datasets from TCGA projects. It performs best over other state-of-the-art methods with a fair WSI-based continual learning setting and achieves a better trade-off of the overall performance and forgetting on previous task

Accurate classification of white blood cells in peripheral blood is essential for diagnosing hematological diseases. Due to constantly evolving clinical settings, data sources, and disease classifications, it is necessary to update machine learning classification models regularly for practical real-world use. Such models significantly benefit from sequentially learning from incoming data streams without forgetting previously acquired knowledge. However, models can suffer from catastrophic forgetting, causing a drop in performance on previous tasks when fine-tuned on new data. Here, we propose a rehearsal-based continual learning approach for class incremental and domain incremental scenarios in white blood cell classification. To choose representative samples from previous tasks, we employ exemplar set selection based on the model's predictions. This involves selecting the most confident samples and the most challenging samples identified through uncertainty estimation of the model. We thoroughly evaluated our proposed approach on three white blood cell classification datasets that differ in color, resolution, and class composition, including scenarios where new domains or new classes are introduced to the model with every task. We also test a long class incremental experiment with both new domains and new classes. Our results demonstrate that our approach outperforms established baselines in continual learning, including existing iCaRL and EWC methods for classifying white blood cells in cross-domain environments.

In clinical dictation, utterances after automatic speech recognition (ASR) without explicit punctuation marks may lead to the misunderstanding of dictated reports. To give a precise and understandable clinical report with ASR, automatic punctuation restoration is required. Considering a practical scenario, we propose a fast and light pre-trained model for Chinese medical punctuation restoration based on 'pretraining and fine-tuning' paradigm. In this work, we distill pre-trained models by incorporating supervised contrastive learning and a novel auxiliary pre-training task (Punctuation Mark Prediction) to make it well-suited for punctuation restoration. Our experiments on various distilled models reveal that our model can achieve 95% performance while 10% model size relative to state-of-the-art Chinese RoBERTa.

Precision medicine fundamentally aims to establish causality between dysregulated biochemical mechanisms and cancer subtypes. Omics-based cancer subtyping has emerged as a revolutionary approach, as different level of omics records the biochemical products of multistep processes in cancers. This paper focuses on fully exploiting the potential of multi-omics data to improve cancer subtyping outcomes, and hence developed MoCLIM, a representation learning framework. MoCLIM independently extracts the informative features from distinct omics modalities. Using a unified representation informed by contrastive learning of different omics modalities, we can well-cluster the subtypes, given cancer, into a lower latent space. This contrast can be interpreted as a projection of inter-omics inference observed in biological networks. Experimental results on six cancer datasets demonstrate that our approach significantly improves data fit and subtyping performance in fewer high-dimensional cancer instances. Moreover, our framework incorporates various medical evaluations as the final component, providing high interpretability in medical analysis.

Depression, a common mental disorder, significantly influences individuals and imposes considerable societal impacts. The complexity and heterogeneity of the disorder necessitate prompt and effective detection, which nonetheless, poses a difficult challenge. This situation highlights an urgent requirement for improved detection methods. Exploiting auditory data through advanced machine learning paradigms presents promising research directions. Yet, existing techniques mainly rely on single-dimensional feature models, potentially neglecting the abundance of information hidden in various speech characteristics. To rectify this, we present the novel Attention-Based Acoustic Feature Fusion Network (ABAFnet) for depression detection. ABAFnet combines four different acoustic features into a comprehensive deep learning model, thereby effectively integrating and blending multi-tiered features. We present a novel weight adjustment module for late fusion that boosts performance by efficaciously synthesizing these features. The effectiveness of our approach is confirmed via extensive validation on two clinical speech databases, CNRAC and CS-NRAC, thereby outperforming previous methods in depression detection and subtype classification. Further in-depth analysis confirms the key role of each feature and highlights the importance of MFCCrelated features in speech-based depression detection.

Image registration is a critical component in the applications of various medical image analyses. In recent years, there has been a tremendous surge in the development of deep learning (DL)-based medical image registration models. This paper provides a comprehensive review of medical image registration. Firstly, a discussion is provided for supervised registration categories, for example, fully supervised, dual supervised, and weakly supervised registration. Next, similarity-based as well as generative adversarial network (GAN)-based registration are presented as part of unsupervised registration. Deep iterative registration is then described with emphasis on deep similarity-based and reinforcement learning-based registration. Moreover, the application areas of medical image registration are reviewed. This review focuses on monomodal and multimodal registration and associated imaging, for instance, X-ray, CT scan, ultrasound, and MRI. The existing challenges are highlighted in this review, where it is shown that a major challenge is the absence of a training dataset with known transformations. Finally, a discussion is provided on the promising future research areas in the field of DL-based medical image registration.

Human doctors with well-structured medical knowledge can diagnose a disease merely via a few conversations with patients about symptoms. In contrast, existing knowledge-grounded dialogue systems often require a large number of dialogue instances to learn as they fail to capture the correlations between different diseases and neglect the diagnostic experience shared among them. To address this issue, we propose a more natural and practical paradigm, i.e., low-resource medical dialogue generation, which can transfer the diagnostic experience from source diseases to target ones with a handful of data for adaptation. It is capitalized on a commonsense knowledge graph to characterize the prior disease-symptom relations. Besides, we develop a Graph-Evolving Meta-Learning (GEML) framework that learns to evolve the commonsense graph for reasoning disease-symptom correlations in a new disease, which effectively alleviates the needs of a large number of dialogues. More importantly, by dynamically evolving disease-symptom graphs, GEML also well addresses the real-world challenges that the disease-symptom correlations of each disease may vary or evolve along with more diagnostic cases. Extensive experiment results on the CMDD dataset and our newly-collected Chunyu dataset testify the superiority of our approach over state-of-the-art approaches. Besides, our GEML can generate an enriched dialogue-sensitive knowledge graph in an online manner, which could benefit other tasks grounded on knowledge graph.

Applying artificial intelligence techniques in medical imaging is one of the most promising areas in medicine. However, most of the recent success in this area highly relies on large amounts of carefully annotated data, whereas annotating medical images is a costly process. In this paper, we propose a novel method, called FocalMix, which, to the best of our knowledge, is the first to leverage recent advances in semi-supervised learning (SSL) for 3D medical image detection. We conducted extensive experiments on two widely used datasets for lung nodule detection, LUNA16 and NLST. Results show that our proposed SSL methods can achieve a substantial improvement of up to 17.3% over state-of-the-art supervised learning approaches with 400 unlabeled CT scans.

Multi-relation Question Answering is a challenging task, due to the requirement of elaborated analysis on questions and reasoning over multiple fact triples in knowledge base. In this paper, we present a novel model called Interpretable Reasoning Network that employs an interpretable, hop-by-hop reasoning process for question answering. The model dynamically decides which part of an input question should be analyzed at each hop; predicts a relation that corresponds to the current parsed results; utilizes the predicted relation to update the question representation and the state of the reasoning process; and then drives the next-hop reasoning. Experiments show that our model yields state-of-the-art results on two datasets. More interestingly, the model can offer traceable and observable intermediate predictions for reasoning analysis and failure diagnosis.