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Coronary angiography continues to serve as the primary method for diagnosing coronary artery disease (CAD), which is the leading global cause of mortality. The severity of CAD is quantified by the location, degree of narrowing (stenosis), and number of arteries involved. In current practice, this quantification is performed manually using visual inspection and thus suffers from poor inter- and intra-rater reliability. The MICCAI grand challenge: Automatic Region-based Coronary Artery Disease diagnostics using the X-ray angiography imagEs (ARCADE) curated a dataset with stenosis annotations, with the goal of creating an automated stenosis detection algorithm. Using a combination of machine learning and other computer vision techniques, we propose the architecture and algorithm StenUNet to accurately detect stenosis from X-ray Coronary Angiography. Our submission to the ARCADE challenge placed 3rd among all teams. We achieved an F1 score of 0.5348 on the test set, 0.0005 lower than the 2nd place.

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《計(ji)(ji)算機輔助設(she)計(ji)(ji)》是一(yi)份領先的(de)(de)(de)國際期刊,為學術(shu)界(jie)和(he)工業界(jie)提供有關計(ji)(ji)算機應用(yong)于設(she)計(ji)(ji)的(de)(de)(de)研(yan)究(jiu)和(he)發展(zhan)的(de)(de)(de)重(zhong)要(yao)論文。計(ji)(ji)算機輔助設(she)計(ji)(ji)邀請(qing)論文報告新的(de)(de)(de)研(yan)究(jiu)以及新穎或特別重(zhong)要(yao)的(de)(de)(de)應用(yong),在廣泛的(de)(de)(de)主題中(zhong),跨(kua)越所有階段的(de)(de)(de)設(she)計(ji)(ji)過程,從概念創造(zao)到制造(zao)超(chao)越。 官網(wang)地址(zhi):

Driven by curiosity, humans have continually sought to explore and understand the world around them, leading to the invention of various tools to satiate this inquisitiveness. Despite not having the capacity to process and memorize vast amounts of information in their brains, humans excel in critical thinking, planning, reflection, and harnessing available tools to interact with and interpret the world, enabling them to find answers efficiently. The recent advancements in large language models (LLMs) suggest that machines might also possess the aforementioned human-like capabilities, allowing them to exhibit powerful abilities even with a constrained parameter count. In this paper, we introduce KwaiAgents, a generalized information-seeking agent system based on LLMs. Within KwaiAgents, we propose an agent system that employs LLMs as its cognitive core, which is capable of understanding a user's query, behavior guidelines, and referencing external documents. The agent can also update and retrieve information from its internal memory, plan and execute actions using a time-aware search-browse toolkit, and ultimately provide a comprehensive response. We further investigate the system's performance when powered by LLMs less advanced than GPT-4, and introduce the Meta-Agent Tuning (MAT) framework, designed to ensure even an open-sourced 7B or 13B model performs well among many agent systems. We exploit both benchmark and human evaluations to systematically validate these capabilities. Extensive experiments show the superiority of our agent system compared to other autonomous agents and highlight the enhanced generalized agent-abilities of our fine-tuned LLMs.

Digital Imaging and Communication System (DICOM) is widely used throughout the public health sector for portability in medical imaging. However, these DICOM files have vulnerabilities present in the preamble section. Successful exploitation of these vulnerabilities can allow attackers to embed executable codes in the 128-Byte preamble of DICOM files. Embedding the malicious executable will not interfere with the readability or functionality of DICOM imagery. However, it will affect the underline system silently upon viewing these files. This paper shows the infiltration of Windows malware executables into DICOM files. On viewing the files, the malicious DICOM will get executed and eventually infect the entire hospital network through the radiologist's workstation. The code injection process of executing malware in DICOM files affects the hospital networks and workstations' memory. Memory forensics for the infected radiologist's workstation is crucial as it can detect which malware disrupts the hospital environment, and future detection methods can be deployed. In this paper, we consider the machine learning (ML) algorithms to conduct memory forensics on three memory dump categories: Trojan, Spyware, and Ransomware, taken from the CIC-MalMem-2022 dataset. We obtain the highest accuracy of 75% with the Random Forest model. For estimating the feature importance for ML model prediction, we leveraged the concept of Shapley values.

Deep neural networks (DNNs) are vulnerable to adversarial perturbation, where an imperceptible perturbation is added to the image that can fool the DNNs. Diffusion-based adversarial purification focuses on using the diffusion model to generate a clean image against such adversarial attacks. Unfortunately, the generative process of the diffusion model is also inevitably affected by adversarial perturbation since the diffusion model is also a deep network where its input has adversarial perturbation. In this work, we propose MimicDiffusion, a new diffusion-based adversarial purification technique, that directly approximates the generative process of the diffusion model with the clean image as input. Concretely, we analyze the differences between the guided terms using the clean image and the adversarial sample. After that, we first implement MimicDiffusion based on Manhattan distance. Then, we propose two guidance to purify the adversarial perturbation and approximate the clean diffusion model. Extensive experiments on three image datasets including CIFAR-10, CIFAR-100, and ImageNet with three classifier backbones including WideResNet-70-16, WideResNet-28-10, and ResNet50 demonstrate that MimicDiffusion significantly performs better than the state-of-the-art baselines. On CIFAR-10, CIFAR-100, and ImageNet, it achieves 92.67\%, 61.35\%, and 61.53\% average robust accuracy, which are 18.49\%, 13.23\%, and 17.64\% higher, respectively. The code is available in the supplementary material.

The discovery of therapeutics to treat genetically-driven pathologies relies on identifying genes involved in the underlying disease mechanisms. Existing approaches search over the billions of potential interventions to maximize the expected influence on the target phenotype. However, to reduce the risk of failure in future stages of trials, practical experiment design aims to find a set of interventions that maximally change a target phenotype via diverse mechanisms. We propose DiscoBAX, a sample-efficient method for maximizing the rate of significant discoveries per experiment while simultaneously probing for a wide range of diverse mechanisms during a genomic experiment campaign. We provide theoretical guarantees of approximate optimality under standard assumptions, and conduct a comprehensive experimental evaluation covering both synthetic as well as real-world experimental design tasks. DiscoBAX outperforms existing state-of-the-art methods for experimental design, selecting effective and diverse perturbations in biological systems.

Large Language Models (LLMs) have demonstrated impressive inferential capabilities, with numerous research endeavors devoted to enhancing this capacity through prompting. Despite these efforts, a unified epistemological foundation is still conspicuously absent. Drawing inspiration from Kant's a priori philosophy, we propose the UPAR prompting framework, designed to emulate the structure of human cognition within LLMs. The UPAR framework is delineated into four phases: "Understand", "Plan", "Act", and "Reflect", enabling the extraction of structured information from complex contexts, prior planning of solutions, execution according to plan, and self-reflection. This structure significantly augments the explainability and accuracy of LLM inference, producing a human-understandable and inspectable inferential trajectory. Furthermore, our work offers an epistemological foundation for existing prompting techniques, allowing for a possible systematic integration of these methods. With GPT-4, our approach elevates the accuracy from COT baseline of 22.92% to 58.33% in a challenging subset of GSM8K, and from 67.91% to 75.40% in the causal judgment task. Without using few-shot examples or external tools, UPAR significantly outperforms existing prompting methods on SCIBENCH, a challenging dataset containing collegiate-level mathematics, chemistry, and physics scientific problems.

Extractive question answering (QA) systems can enable physicians and researchers to query medical records, a foundational capability for designing clinical studies and understanding patient medical history. However, building these systems typically requires expert-annotated QA pairs. Large language models (LLMs), which can perform extractive QA, depend on high quality data in their prompts, specialized for the application domain. We introduce a novel approach, XAIQA, for generating synthetic QA pairs at scale from data naturally available in electronic health records. Our method uses the idea of a classification model explainer to generate questions and answers about medical concepts corresponding to medical codes. In an expert evaluation with two physicians, our method identifies $2.2\times$ more semantic matches and $3.8\times$ more clinical abbreviations than two popular approaches that use sentence transformers to create QA pairs. In an ML evaluation, adding our QA pairs improves performance of GPT-4 as an extractive QA model, including on difficult questions. In both the expert and ML evaluations, we examine trade-offs between our method and sentence transformers for QA pair generation depending on question difficulty.

The conventional pretraining-and-finetuning paradigm, while effective for common diseases with ample data, faces challenges in diagnosing data-scarce occupational diseases like pneumoconiosis. Recently, large language models (LLMs) have exhibits unprecedented ability when conducting multiple tasks in dialogue, bringing opportunities to diagnosis. A common strategy might involve using adapter layers for vision-language alignment and diagnosis in a dialogic manner. Yet, this approach often requires optimization of extensive learnable parameters in the text branch and the dialogue head, potentially diminishing the LLMs' efficacy, especially with limited training data. In our work, we innovate by eliminating the text branch and substituting the dialogue head with a classification head. This approach presents a more effective method for harnessing LLMs in diagnosis with fewer learnable parameters. Furthermore, to balance the retention of detailed image information with progression towards accurate diagnosis, we introduce the contextual multi-token engine. This engine is specialized in adaptively generating diagnostic tokens. Additionally, we propose the information emitter module, which unidirectionally emits information from image tokens to diagnosis tokens. Comprehensive experiments validate the superiority of our methods and the effectiveness of proposed modules. Our codes can be found at //github.com/CodeMonsterPHD/PneumoLLM/tree/main.

Recently many efforts have been devoted to applying graph neural networks (GNNs) to molecular property prediction which is a fundamental task for computational drug and material discovery. One of major obstacles to hinder the successful prediction of molecule property by GNNs is the scarcity of labeled data. Though graph contrastive learning (GCL) methods have achieved extraordinary performance with insufficient labeled data, most focused on designing data augmentation schemes for general graphs. However, the fundamental property of a molecule could be altered with the augmentation method (like random perturbation) on molecular graphs. Whereas, the critical geometric information of molecules remains rarely explored under the current GNN and GCL architectures. To this end, we propose a novel graph contrastive learning method utilizing the geometry of the molecule across 2D and 3D views, which is named GeomGCL. Specifically, we first devise a dual-view geometric message passing network (GeomMPNN) to adaptively leverage the rich information of both 2D and 3D graphs of a molecule. The incorporation of geometric properties at different levels can greatly facilitate the molecular representation learning. Then a novel geometric graph contrastive scheme is designed to make both geometric views collaboratively supervise each other to improve the generalization ability of GeomMPNN. We evaluate GeomGCL on various downstream property prediction tasks via a finetune process. Experimental results on seven real-life molecular datasets demonstrate the effectiveness of our proposed GeomGCL against state-of-the-art baselines.

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.

We study the problem of named entity recognition (NER) from electronic medical records, which is one of the most fundamental and critical problems for medical text mining. Medical records which are written by clinicians from different specialties usually contain quite different terminologies and writing styles. The difference of specialties and the cost of human annotation makes it particularly difficult to train a universal medical NER system. In this paper, we propose a label-aware double transfer learning framework (La-DTL) for cross-specialty NER, so that a medical NER system designed for one specialty could be conveniently applied to another one with minimal annotation efforts. The transferability is guaranteed by two components: (i) we propose label-aware MMD for feature representation transfer, and (ii) we perform parameter transfer with a theoretical upper bound which is also label aware. We conduct extensive experiments on 12 cross-specialty NER tasks. The experimental results demonstrate that La-DTL provides consistent accuracy improvement over strong baselines. Besides, the promising experimental results on non-medical NER scenarios indicate that La-DTL is potential to be seamlessly adapted to a wide range of NER tasks.

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