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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.

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Networking:IFIP International Conferences on Networking。 Explanation:國際網絡會議。 Publisher:IFIP。 SIT:

Collaborative Filtering (CF) is a pivotal research area in recommender systems that capitalizes on collaborative similarities between users and items to provide personalized recommendations. With the remarkable achievements of node embedding-based Graph Neural Networks (GNNs), we explore the upper bounds of expressiveness inherent to embedding-based methodologies and tackle the challenges by reframing the CF task as a graph signal processing problem. To this end, we propose PolyCF, a flexible graph signal filter that leverages polynomial graph filters to process interaction signals. PolyCF exhibits the capability to capture spectral features across multiple eigenspaces through a series of Generalized Gram filters and is able to approximate the optimal polynomial response function for recovering missing interactions. A graph optimization objective and a pair-wise ranking objective are jointly used to optimize the parameters of the convolution kernel. Experiments on three widely adopted datasets demonstrate the superiority of PolyCF over current state-of-the-art CF methods. Moreover, comprehensive studies empirically validate each component's efficacy in the proposed PolyCF.

Echocardiography has become an indispensable clinical imaging modality for general heart health assessment. From calculating biomarkers such as ejection fraction to the probability of a patient's heart failure, accurate segmentation of the heart and its structures allows doctors to plan and execute treatments with greater precision and accuracy. However, achieving accurate and robust left ventricle segmentation is time-consuming and challenging due to different reasons. This work introduces a novel approach for consistent left ventricular (LV) segmentation from sparsely annotated echocardiogram videos. We achieve this through (1) self-supervised learning (SSL) using temporal masking followed by (2) weakly supervised training. We investigate two different segmentation approaches: 3D segmentation and a novel 2D superimage (SI). We demonstrate how our proposed method outperforms the state-of-the-art solutions by achieving a 93.32% (95%CI 93.21-93.43%) dice score on a large-scale dataset (EchoNet-Dynamic) while being more efficient. To show the effectiveness of our approach, we provide extensive ablation studies, including pre-training settings and various deep learning backbones. Additionally, we discuss how our proposed methodology achieves high data utility by incorporating unlabeled frames in the training process. To help support the AI in medicine community, the complete solution with the source code will be made publicly available upon acceptance.

Most existing graph neural networks (GNNs) are limited to undirected graphs, whose restricted scope of the captured relational information hinders their expressive capabilities and deployments in real-world scenarios. Compared with undirected graphs, directed graphs (digraphs) fit the demand for modeling more complex topological systems by capturing more intricate relationships between nodes, such as formulating transportation and financial networks. While some directed GNNs have been introduced, their inspiration mainly comes from deep learning architectures, which lead to redundant complexity and computation, making them inapplicable to large-scale databases. To address these issues, we propose LightDiC, a scalable variant of the digraph convolution based on the magnetic Laplacian. Since topology-related computations are conducted solely during offline pre-processing, LightDiC achieves exceptional scalability, enabling downstream predictions to be trained separately without incurring recursive computational costs. Theoretical analysis shows that LightDiC utilizes directed information to achieve message passing based on the complex field, which corresponds to the proximal gradient descent process of the Dirichlet energy optimization function from the perspective of digraph signal denoising, ensuring its expressiveness. Experimental results demonstrate that LightDiC performs comparably well or even outperforms other SOTA methods in various downstream tasks, with fewer learnable parameters and higher training efficiency. Notably, LightDiC is the first DiGNN to provide satisfactory results in the most representative large-scale database (ogbn-papers100M).

Spiking Neural Networks (SNNs), as the third generation of neural networks, have gained prominence for their biological plausibility and computational efficiency, especially in processing diverse datasets. The integration of attention mechanisms, inspired by advancements in neural network architectures, has led to the development of Spiking Transformers. These have shown promise in enhancing SNNs' capabilities, particularly in the realms of both static and neuromorphic datasets. Despite their progress, a discernible gap exists in these systems, specifically in the Spiking Self Attention (SSA) mechanism's effectiveness in leveraging the temporal processing potential of SNNs. To address this, we introduce the Temporal Interaction Module (TIM), a novel, convolution-based enhancement designed to augment the temporal data processing abilities within SNN architectures. TIM's integration into existing SNN frameworks is seamless and efficient, requiring minimal additional parameters while significantly boosting their temporal information handling capabilities. Through rigorous experimentation, TIM has demonstrated its effectiveness in exploiting temporal information, leading to state-of-the-art performance across various neuromorphic datasets.

In the face of rapidly expanding online medical literature, automated systems for aggregating and summarizing information are becoming increasingly crucial for healthcare professionals and patients. Large Language Models (LLMs), with their advanced generative capabilities, have shown promise in various NLP tasks, and their potential in the healthcare domain, particularly for Closed-Book Generative QnA, is significant. However, the performance of these models in domain-specific tasks such as medical Q&A remains largely unexplored. This study aims to fill this gap by comparing the performance of general and medical-specific distilled LMs for medical Q&A. We aim to evaluate the effectiveness of fine-tuning domain-specific LMs and compare the performance of different families of Language Models. The study will address critical questions about these models' reliability, comparative performance, and effectiveness in the context of medical Q&A. The findings will provide valuable insights into the suitability of different LMs for specific applications in the medical domain.

Routine blood pressure (BP) monitoring, crucial for health assessment, faces challenges such as limited access to medical-grade equipment and expertise. Portable cuff BP devices, on the other hand, are cumbersome to carry all day and often cost-prohibitive in less developed countries. Besides, these sphygmomanometer-based devices can cause discomfort and disrupt blood flow during measurement. This study explores the use of smartphones for continuous BP monitoring, focusing on overcoming the trust barriers associated with the opacity of machine learning models in predicting BP from low-quality PPG signals. Our approach included developing models based on cardiovascular literature, using simple statistical methods to estimate BP from smartphone PPG signals with comprehensive data pre-processing, applying SHAP for enhanced interpretability and feature identification, and comparing our methods against standard references using Bland-Altman analysis. Validated with data from 125 participants, the study demonstrated significant correlations in waveform features between smartphone and reference BP monitoring devices. The cross-validation of linear regression [MAE=9.86 and 8.01 mmHg for systolic blood pressure (SBP) and diastolic blood pressure (DBP), respectively] and random forest model (MAE=8.91 and 6.68 mmHg for SBP and DBP) using waveform-only variables demonstrated the feasibility of using a smartphone to estimate BP. Although SHAP analysis identified key feature sets, Bland-Altman results did not fully meet established thresholds (84.64% and 94.69% of MAE<15 mmHg for SBP and DBP, respectively). The study suggests the potential of smartphone cameras to enhance the accuracy and interpretability of machine learning models for daily BP estimation, but also indicates that smartphone PPG-based BP prediction is not yet a replacement for traditional medical devices.

Unsupervised anomaly detection has gained significant attention in the field of medical imaging due to its capability of relieving the costly pixel-level annotation. To achieve this, modern approaches usually utilize generative models to produce healthy references of the diseased images and then identify the abnormalities by comparing the healthy references and the original diseased images. Recently, diffusion models have exhibited promising potential for unsupervised anomaly detection in medical images for their good mode coverage and high sample quality. However, the intrinsic characteristics of the medical images, e.g. the low contrast, and the intricate anatomical structure of the human body make the reconstruction challenging. Besides, the global information of medical images often remain underutilized. To address these two issues, we propose a novel Masked Autoencoder-enhanced Diffusion Model (MAEDiff) for unsupervised anomaly detection in brain images. The MAEDiff involves a hierarchical patch partition. It generates healthy images by overlapping upper-level patches and implements a mechanism based on the masked autoencoders operating on the sub-level patches to enhance the condition on the unnoised regions. Extensive experiments on data of tumors and multiple sclerosis lesions demonstrate the effectiveness of our method.

Inspired by the human cognitive system, attention is a mechanism that imitates the human cognitive awareness about specific information, amplifying critical details to focus more on the essential aspects of data. Deep learning has employed attention to boost performance for many applications. Interestingly, the same attention design can suit processing different data modalities and can easily be incorporated into large networks. Furthermore, multiple complementary attention mechanisms can be incorporated in one network. Hence, attention techniques have become extremely attractive. However, the literature lacks a comprehensive survey specific to attention techniques to guide researchers in employing attention in their deep models. Note that, besides being demanding in terms of training data and computational resources, transformers only cover a single category in self-attention out of the many categories available. We fill this gap and provide an in-depth survey of 50 attention techniques categorizing them by their most prominent features. We initiate our discussion by introducing the fundamental concepts behind the success of attention mechanism. Next, we furnish some essentials such as the strengths and limitations of each attention category, describe their fundamental building blocks, basic formulations with primary usage, and applications specifically for computer vision. We also discuss the challenges and open questions related to attention mechanism in general. Finally, we recommend possible future research directions for deep attention.

Following unprecedented success on the natural language tasks, Transformers have been successfully applied to several computer vision problems, achieving state-of-the-art results and prompting researchers to reconsider the supremacy of convolutional neural networks (CNNs) as {de facto} operators. Capitalizing on these advances in computer vision, the medical imaging field has also witnessed growing interest for Transformers that can capture global context compared to CNNs with local receptive fields. Inspired from this transition, in this survey, we attempt to provide a comprehensive review of the applications of Transformers in medical imaging covering various aspects, ranging from recently proposed architectural designs to unsolved issues. Specifically, we survey the use of Transformers in medical image segmentation, detection, classification, reconstruction, synthesis, registration, clinical report generation, and other tasks. In particular, for each of these applications, we develop taxonomy, identify application-specific challenges as well as provide insights to solve them, and highlight recent trends. Further, we provide a critical discussion of the field's current state as a whole, including the identification of key challenges, open problems, and outlining promising future directions. We hope this survey will ignite further interest in the community and provide researchers with an up-to-date reference regarding applications of Transformer models in medical imaging. Finally, to cope with the rapid development in this field, we intend to regularly update the relevant latest papers and their open-source implementations at \url{//github.com/fahadshamshad/awesome-transformers-in-medical-imaging}.

With the advent of deep neural networks, learning-based approaches for 3D reconstruction have gained popularity. However, unlike for images, in 3D there is no canonical representation which is both computationally and memory efficient yet allows for representing high-resolution geometry of arbitrary topology. Many of the state-of-the-art learning-based 3D reconstruction approaches can hence only represent very coarse 3D geometry or are limited to a restricted domain. In this paper, we propose occupancy networks, a new representation for learning-based 3D reconstruction methods. Occupancy networks implicitly represent the 3D surface as the continuous decision boundary of a deep neural network classifier. In contrast to existing approaches, our representation encodes a description of the 3D output at infinite resolution without excessive memory footprint. We validate that our representation can efficiently encode 3D structure and can be inferred from various kinds of input. Our experiments demonstrate competitive results, both qualitatively and quantitatively, for the challenging tasks of 3D reconstruction from single images, noisy point clouds and coarse discrete voxel grids. We believe that occupancy networks will become a useful tool in a wide variety of learning-based 3D tasks.

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