Segmentation of nodules in thyroid ultrasound imaging plays a crucial role in the detection and treatment of thyroid cancer. However, owing to the diversity of scanner vendors and imaging protocols in different hospitals, the automatic segmentation model, which has already demonstrated expert-level accuracy in the field of medical image segmentation, finds its accuracy reduced as the result of its weak generalization performance when being applied in clinically realistic environments. To address this issue, the present paper proposes ASTN, a framework for thyroid nodule segmentation achieved through a new type co-registration network. By extracting latent semantic information from the atlas and target images and utilizing in-depth features to accomplish the co-registration of nodules in thyroid ultrasound images, this framework can ensure the integrity of anatomical structure and reduce the impact on segmentation as the result of overall differences in image caused by different devices. In addition, this paper also provides an atlas selection algorithm to mitigate the difficulty of co-registration. As shown by the evaluation results collected from the datasets of different devices, thanks to the method we proposed, the model generalization has been greatly improved while maintaining a high level of segmentation accuracy.
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Cameras and LiDARs are both important sensors for autonomous driving, playing critical roles in 3D object detection. Camera-LiDAR Fusion has been a prevalent solution for robust and accurate driving perception. In contrast to the vast majority of existing arts that focus on how to improve the performance of 3D target detection through cross-modal schemes, deep learning algorithms, and training tricks, we devote attention to the impact of sensor configurations on the performance of learning-based methods. To achieve this, we propose a unified information-theoretic surrogate metric for camera and LiDAR evaluation based on the proposed sensor perception model. We also design an accelerated high-quality framework for data acquisition, model training, and performance evaluation that functions with the CARLA simulator. To show the correlation between detection performance and our surrogate metrics, We conduct experiments using several camera-LiDAR placements and parameters inspired by self-driving companies and research institutions. Extensive experimental results of representative algorithms on nuScenes dataset validate the effectiveness of our surrogate metric, demonstrating that sensor configurations significantly impact point-cloud-image fusion based detection models, which contribute up to 30% discrepancy in terms of the average precision.
Diabetic retinopathy (DR) is a leading global cause of blindness. Early detection of hard exudates plays a crucial role in identifying DR, which aids in treating diabetes and preventing vision loss. However, the unique characteristics of hard exudates, ranging from their inconsistent shapes to indistinct boundaries, pose significant challenges to existing segmentation techniques. To address these issues, we present a novel supervised contrastive learning framework to optimize hard exudate segmentation. Specifically, we introduce a patch-wise density contrasting scheme to distinguish between areas with varying lesion concentrations, and therefore improve the model's proficiency in segmenting small lesions. To handle the ambiguous boundaries, we develop a discriminative edge inspection module to dynamically analyze the pixels that lie around the boundaries and accurately delineate the exudates. Upon evaluation using the IDRiD dataset and comparison with state-of-the-art frameworks, our method exhibits its effectiveness and shows potential for computer-assisted hard exudate detection. The code to replicate experiments is available at github.com/wetang7/HECL/.
Phase I clinical trials are essential to bringing novel therapies from chemical development to widespread use. Traditional approaches to dose-finding in Phase I trials, such as the '3+3' method and the Continual Reassessment Method (CRM), provide a principled approach for escalating across dose levels. However, these methods lack the ability to incorporate uncertainty regarding the dose-toxicity ordering as found in combination drug trials. Under this setting, dose-levels vary across multiple drugs simultaneously, leading to multiple possible dose-toxicity orderings. The Partial Ordering CRM (POCRM) extends to these settings by allowing for multiple dose-toxicity orderings. In this work, it is shown that the POCRM is vulnerable to 'estimation incoherency' whereby toxicity estimates shift in an illogical way, threatening patient safety and undermining clinician trust in dose-finding models. To this end, the Bayesian model averaged POCRM (BMA-POCRM) is proposed. BMA-POCRM uses Bayesian model averaging to take into account all possible orderings simultaneously, reducing the frequency of estimation incoherencies. The effectiveness of BMA-POCRM in drug combination settings is demonstrated through a specific instance of estimate incoherency of POCRM and simulation studies. The results highlight the improved safety, accuracy and reduced occurrence of estimate incoherency in trials applying the BMA-POCRM relative to the POCRM model.
Organ at risk (OAR) segmentation is a critical process in radiotherapy treatment planning such as head and neck tumors. Nevertheless, in clinical practice, radiation oncologists predominantly perform OAR segmentations manually on CT scans. This manual process is highly time-consuming and expensive, limiting the number of patients who can receive timely radiotherapy. Additionally, CT scans offer lower soft-tissue contrast compared to MRI. Despite MRI providing superior soft-tissue visualization, its time-consuming nature makes it infeasible for real-time treatment planning. To address these challenges, we propose a method called SegReg, which utilizes Elastic Symmetric Normalization for registering MRI to perform OAR segmentation. SegReg outperforms the CT-only baseline by 16.78% in mDSC and 18.77% in mIoU, showing that it effectively combines the geometric accuracy of CT with the superior soft-tissue contrast of MRI, making accurate automated OAR segmentation for clinical practice become possible. See project website //steve-zeyu-zhang.github.io/SegReg
Functional Magnetic Resonance Imaging (fMRI) data is a widely used kind of four-dimensional biomedical data, which requires effective compression. However, fMRI compressing poses unique challenges due to its intricate temporal dynamics, low signal-to-noise ratio, and complicated underlying redundancies. This paper reports a novel compression paradigm specifically tailored for fMRI data based on Implicit Neural Representation (INR). The proposed approach focuses on removing the various redundancies among the time series by employing several methods, including (i) conducting spatial correlation modeling for intra-region dynamics, (ii) decomposing reusable neuronal activation patterns, and (iii) using proper initialization together with nonlinear fusion to describe the inter-region similarity. This scheme appropriately incorporates the unique features of fMRI data, and experimental results on publicly available datasets demonstrate the effectiveness of the proposed method, surpassing state-of-the-art algorithms in both conventional image quality evaluation metrics and fMRI downstream tasks. This work in this paper paves the way for sharing massive fMRI data at low bandwidth and high fidelity.
Atmospheric turbulence poses a challenge for the interpretation and visual perception of visual imagery due to its distortion effects. Model-based approaches have been used to address this, but such methods often suffer from artefacts associated with moving content. Conversely, deep learning based methods are dependent on large and diverse datasets that may not effectively represent any specific content. In this paper, we address these problems with a self-supervised learning method that does not require ground truth. The proposed method is not dependent on any dataset outside of the single data sequence being processed but is also able to improve the quality of any input raw sequences or pre-processed sequences. Specifically, our method is based on an accelerated Deep Image Prior (DIP), but integrates temporal information using pixel shuffling and a temporal sliding window. This efficiently learns spatio-temporal priors leading to a system that effectively mitigates atmospheric turbulence distortions. The experiments show that our method improves visual quality results qualitatively and quantitatively.
The Deep Learning revolution has enabled groundbreaking achievements in recent years. From breast cancer detection to protein folding, deep learning algorithms have been at the core of very important advancements. However, these modern advancements are becoming more and more data-hungry, especially on labeled data whose availability is scarce: this is even more prevalent in the medical context. In this work, we show how active learning could be very effective in data scarcity situations, where obtaining labeled data (or annotation budget is very limited). We compare several selection criteria (BALD, MeanSTD, and MaxEntropy) on the ISIC 2016 dataset. We also explored the effect of acquired pool size on the model's performance. Our results suggest that uncertainty is useful to the Melanoma detection task, and confirms the hypotheses of the author of the paper of interest, that \textit{bald} performs on average better than other acquisition functions. Our extended analyses however revealed that all acquisition functions perform badly on the positive (cancerous) samples, suggesting exploitation of class unbalance, which could be crucial in real-world settings. We finish by suggesting future work directions that would be useful to improve this current work. The code of our implementation is open-sourced at \url{//github.com/bonaventuredossou/ece526_course_project}
Recent artificial intelligence (AI) systems have reached milestones in "grand challenges" ranging from Go to protein-folding. The capability to retrieve medical knowledge, reason over it, and answer medical questions comparably to physicians has long been viewed as one such grand challenge. Large language models (LLMs) have catalyzed significant progress in medical question answering; Med-PaLM was the first model to exceed a "passing" score in US Medical Licensing Examination (USMLE) style questions with a score of 67.2% on the MedQA dataset. However, this and other prior work suggested significant room for improvement, especially when models' answers were compared to clinicians' answers. Here we present Med-PaLM 2, which bridges these gaps by leveraging a combination of base LLM improvements (PaLM 2), medical domain finetuning, and prompting strategies including a novel ensemble refinement approach. Med-PaLM 2 scored up to 86.5% on the MedQA dataset, improving upon Med-PaLM by over 19% and setting a new state-of-the-art. We also observed performance approaching or exceeding state-of-the-art across MedMCQA, PubMedQA, and MMLU clinical topics datasets. We performed detailed human evaluations on long-form questions along multiple axes relevant to clinical applications. In pairwise comparative ranking of 1066 consumer medical questions, physicians preferred Med-PaLM 2 answers to those produced by physicians on eight of nine axes pertaining to clinical utility (p < 0.001). We also observed significant improvements compared to Med-PaLM on every evaluation axis (p < 0.001) on newly introduced datasets of 240 long-form "adversarial" questions to probe LLM limitations. While further studies are necessary to validate the efficacy of these models in real-world settings, these results highlight rapid progress towards physician-level performance in medical question answering.
We investigate the problem of automatically determining what type of shoe left an impression found at a crime scene. This recognition problem is made difficult by the variability in types of crime scene evidence (ranging from traces of dust or oil on hard surfaces to impressions made in soil) and the lack of comprehensive databases of shoe outsole tread patterns. We find that mid-level features extracted by pre-trained convolutional neural nets are surprisingly effective descriptors for this specialized domains. However, the choice of similarity measure for matching exemplars to a query image is essential to good performance. For matching multi-channel deep features, we propose the use of multi-channel normalized cross-correlation and analyze its effectiveness. Our proposed metric significantly improves performance in matching crime scene shoeprints to laboratory test impressions. We also show its effectiveness in other cross-domain image retrieval problems: matching facade images to segmentation labels and aerial photos to map images. Finally, we introduce a discriminatively trained variant and fine-tune our system through our proposed metric, obtaining state-of-the-art performance.
Object tracking is challenging as target objects often undergo drastic appearance changes over time. Recently, adaptive correlation filters have been successfully applied to object tracking. However, tracking algorithms relying on highly adaptive correlation filters are prone to drift due to noisy updates. Moreover, as these algorithms do not maintain long-term memory of target appearance, they cannot recover from tracking failures caused by heavy occlusion or target disappearance in the camera view. In this paper, we propose to learn multiple adaptive correlation filters with both long-term and short-term memory of target appearance for robust object tracking. First, we learn a kernelized correlation filter with an aggressive learning rate for locating target objects precisely. We take into account the appropriate size of surrounding context and the feature representations. Second, we learn a correlation filter over a feature pyramid centered at the estimated target position for predicting scale changes. Third, we learn a complementary correlation filter with a conservative learning rate to maintain long-term memory of target appearance. We use the output responses of this long-term filter to determine if tracking failure occurs. In the case of tracking failures, we apply an incrementally learned detector to recover the target position in a sliding window fashion. Extensive experimental results on large-scale benchmark datasets demonstrate that the proposed algorithm performs favorably against the state-of-the-art methods in terms of efficiency, accuracy, and robustness.
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