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1.
Cell ; 169(5): 945-955.e10, 2017 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-28525759

RESUMO

Gene-editing technologies have made it feasible to create nonhuman primate models for human genetic disorders. Here, we report detailed genotypes and phenotypes of TALEN-edited MECP2 mutant cynomolgus monkeys serving as a model for a neurodevelopmental disorder, Rett syndrome (RTT), which is caused by loss-of-function mutations in the human MECP2 gene. Male mutant monkeys were embryonic lethal, reiterating that RTT is a disease of females. Through a battery of behavioral analyses, including primate-unique eye-tracking tests, in combination with brain imaging via MRI, we found a series of physiological, behavioral, and structural abnormalities resembling clinical manifestations of RTT. Moreover, blood transcriptome profiling revealed that mutant monkeys resembled RTT patients in immune gene dysregulation. Taken together, the stark similarity in phenotype and/or endophenotype between monkeys and patients suggested that gene-edited RTT founder monkeys would be of value for disease mechanistic studies as well as development of potential therapeutic interventions for RTT.


Assuntos
Proteína 2 de Ligação a Metil-CpG/genética , Síndrome de Rett/genética , Animais , Encéfalo/fisiologia , Cromossomos Humanos X , Ritmo Circadiano , Modelos Animais de Doenças , Eletrocardiografia , Feminino , Edição de Genes , Humanos , Macaca fascicularis , Imageamento por Ressonância Magnética , Masculino , Mutação , Dor , Síndrome de Rett/fisiopatologia , Sono , Nucleases dos Efetores Semelhantes a Ativadores de Transcrição/metabolismo , Transcriptoma
2.
Semin Cancer Biol ; 96: 11-25, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37704183

RESUMO

Breast cancer is a significant global health burden, with increasing morbidity and mortality worldwide. Early screening and accurate diagnosis are crucial for improving prognosis. Radiographic imaging modalities such as digital mammography (DM), digital breast tomosynthesis (DBT), magnetic resonance imaging (MRI), ultrasound (US), and nuclear medicine techniques, are commonly used for breast cancer assessment. And histopathology (HP) serves as the gold standard for confirming malignancy. Artificial intelligence (AI) technologies show great potential for quantitative representation of medical images to effectively assist in segmentation, diagnosis, and prognosis of breast cancer. In this review, we overview the recent advancements of AI technologies for breast cancer, including 1) improving image quality by data augmentation, 2) fast detection and segmentation of breast lesions and diagnosis of malignancy, 3) biological characterization of the cancer such as staging and subtyping by AI-based classification technologies, 4) prediction of clinical outcomes such as metastasis, treatment response, and survival by integrating multi-omics data. Then, we then summarize large-scale databases available to help train robust, generalizable, and reproducible deep learning models. Furthermore, we conclude the challenges faced by AI in real-world applications, including data curating, model interpretability, and practice regulations. Besides, we expect that clinical implementation of AI will provide important guidance for the patient-tailored management.


Assuntos
Neoplasias da Mama , Humanos , Feminino , Neoplasias da Mama/diagnóstico por imagem , Inteligência Artificial , Prognóstico , Mamografia , Multiômica , Mama
3.
Magn Reson Med ; 91(3): 1149-1164, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37929695

RESUMO

PURPOSE: Preclinical MR fingerprinting (MRF) suffers from long acquisition time for organ-level coverage due to demanding image resolution and limited undersampling capacity. This study aims to develop a deep learning-assisted fast MRF framework for sub-millimeter T1 and T2 mapping of entire macaque brain on a preclinical 9.4 T MR system. METHODS: Three dimensional MRF images were reconstructed by singular value decomposition (SVD) compressed reconstruction. T1 and T2 mapping for each axial slice exploited a self-attention assisted residual U-Net to suppress aliasing-induced quantification errors, and the transmit-field (B1 + ) measurements for robustness against B1 + inhomogeneity. Supervised network training used MRF images simulated via virtual parametric maps and a desired undersampling scheme. This strategy bypassed the difficulties of acquiring fully sampled preclinical MRF data to guide network training. The proposed fast MRF framework was tested on experimental data acquired from ex vivo and in vivo macaque brains. RESULTS: The trained network showed reasonable adaptability to experimental MRF images, enabling robust delineation of various T1 and T2 distributions in the brain tissues. Further, the proposed MRF framework outperformed several existing fast MRF methods in handling the aliasing artifacts and capturing detailed cerebral structures in the mapping results. Parametric mapping of entire macaque brain at nominal resolution of 0.35 × $$ \times $$ 0.35 × $$ \times $$ 1 mm3 can be realized via a 20-min 3D MRF scan, which was sixfold faster than the baseline protocol. CONCLUSION: Introducing deep learning to MRF framework paves the way for efficient organ-level high-resolution quantitative MRI in preclinical applications.


Assuntos
Aprendizado Profundo , Encéfalo/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Imageamento Tridimensional/métodos , Imagens de Fantasmas , Processamento de Imagem Assistida por Computador/métodos
4.
Cereb Cortex ; 33(24): 11486-11500, 2023 12 09.
Artigo em Inglês | MEDLINE | ID: mdl-37833708

RESUMO

Defining the early status of Alzheimer's disease is challenging. Theoretically, the statuses in the Alzheimer's disease continuum are expected to share common features. Here, we explore to verify and refine candidature early statuses of Alzheimer's disease with features learned from deep learning. We train models on brain functional networks to accurately classify between amnestic and non-amnestic mild cognitive impairments and between healthy controls and mild cognitive impairments. The trained models are applied to Alzheimer's disease and subjective cognitive decline groups to suggest feature similarities among the statuses and identify informative subpopulations. The amnestic mild cognitive impairment vs non-amnestic mild cognitive impairments classifier believes that 71.8% of Alzheimer's disease are amnestic mild cognitive impairment. And 73.5% of subjective cognitive declines are labeled as mild cognitive impairments, 88.8% of which are further suggested as "amnestic mild cognitive impairment." Further multimodal analyses suggest that the amnestic mild cognitive impairment-like Alzheimer's disease, mild cognitive impairment-like subjective cognitive decline, and amnestic mild cognitive impairment-like subjective cognitive decline exhibit more Alzheimer's disease -related pathological changes (elaborated ß-amyloid depositions, reduced glucose metabolism, and gray matter atrophy) than non-amnestic mild cognitive impairments -like Alzheimer's disease, healthy control-like subjective cognitive decline, and non-amnestic mild cognitive impairments -like subjective cognitive decline. The test-retest reliability of the subpopulation identification is fair to good in general. The study indicates overall similarity among subjective cognitive decline, amnestic mild cognitive impairment, and Alzheimer's disease and implies their progression relationships. The results support "deep feature comparison" as a potential beneficial framework to verify and refine early Alzheimer's disease status.


Assuntos
Doença de Alzheimer , Disfunção Cognitiva , Humanos , Doença de Alzheimer/patologia , Reprodutibilidade dos Testes , Disfunção Cognitiva/patologia , Encéfalo , Substância Cinzenta/patologia , Progressão da Doença
5.
Hum Brain Mapp ; 44(12): 4523-4534, 2023 08 15.
Artigo em Inglês | MEDLINE | ID: mdl-37318814

RESUMO

The explorations of brain functional connectivity network (FCN) using resting-state functional magnetic resonance imaging can provide crucial insights into discriminative analysis of neuropsychiatric disorders, such as schizophrenia (SZ). Pearson's correlation (PC) is widely used to construct a densely connected FCN which may overlook some complex interactions of paired regions of interest (ROIs) under confounding effect of other ROIs. Although the method of sparse representation takes into account this issue, it penalizes each edge equally, which often makes the FCN look like a random network. In this paper, we establish a new framework, called convolutional neural network with sparsity-guided multiple functional connectivity, for SZ classification. The framework consists of two components. (1) The first component constructs a sparse FCN by integrating PC and weighted sparse representation (WSR). The FCN retains the intrinsic correlation between paired ROIs, and eliminates false connection simultaneously, resulting in sparse interactions among multiple ROIs with the confounding effect regressed out. (2) In the second component, we develop a functional connectivity convolution to learn discriminative features for SZ classification from multiple FCNs by mining the joint spatial mapping of FCNs. Finally, an occlusion strategy is employed to explore the contributive regions and connections, to derive the potential biomarkers in identifying associated aberrant connectivity of SZ. The experiments on SZ identification verify the rationality and advantages of our proposed method. This framework also can be used as a diagnostic tool for other neuropsychiatric disorders.


Assuntos
Esquizofrenia , Humanos , Mapeamento Encefálico/métodos , Imageamento por Ressonância Magnética/métodos , Vias Neurais/diagnóstico por imagem , Encéfalo
6.
Hum Brain Mapp ; 44(4): 1779-1792, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36515219

RESUMO

Precise segmentation of infant brain magnetic resonance (MR) images into gray matter (GM), white matter (WM), and cerebrospinal fluid (CSF) are essential for studying neuroanatomical hallmarks of early brain development. However, for 6-month-old infants, the extremely low-intensity contrast caused by inherent myelination hinders accurate tissue segmentation. Existing convolutional neural networks (CNNs) based segmentation models for this task generally employ single-scale symmetric convolutions, which are inefficient for encoding the isointense tissue boundaries in baby brain images. Here, we propose a 3D mixed-scale asymmetric convolutional segmentation network (3D-MASNet) framework for brain MR images of 6-month-old infants. We replaced the traditional convolutional layer of an existing to-be-trained network with a 3D mixed-scale convolution block consisting of asymmetric kernels (MixACB) during the training phase and then equivalently converted it into the original network. Five canonical CNN segmentation models were evaluated using both T1- and T2-weighted images of 23 6-month-old infants from iSeg-2019 datasets, which contained manual labels as ground truth. MixACB significantly enhanced the average accuracy of all five models and obtained the most considerable improvement in the fully convolutional network model (CC-3D-FCN) and the highest performance in the Dense U-Net model. This approach further obtained Dice coefficient accuracies of 0.931, 0.912, and 0.961 in GM, WM, and CSF, respectively, ranking first among 30 teams on the validation dataset of the iSeg-2019 Grand Challenge. Thus, the proposed 3D-MASNet can improve the accuracy of existing CNNs-based segmentation models as a plug-and-play solution that offers a promising technique for future infant brain MRI studies.


Assuntos
Encéfalo , Processamento de Imagem Assistida por Computador , Humanos , Lactente , Processamento de Imagem Assistida por Computador/métodos , Encéfalo/diagnóstico por imagem , Redes Neurais de Computação , Imageamento por Ressonância Magnética/métodos , Substância Cinzenta
7.
Hum Brain Mapp ; 44(3): 861-875, 2023 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-36269199

RESUMO

It is an essential task to construct brain templates and analyze their anatomical structures in neurological and cognitive science. Generally, templates constructed from magnetic resonance imaging (MRI) of a group of subjects can provide a standard reference space for analyzing the structural and functional characteristics of the group. With recent development of artificial intelligence (AI) techniques, it is desirable to explore AI registration methods for quantifying age-specific brain variations and tendencies across different ages. In this article, we present an AI-based age-specific template construction (called ASTC) framework for longitudinal structural brain analysis using T1-weighted MRIs of 646 subjects from 18 to 82 years old collected from four medical centers. Altogether, 13 longitudinal templates were constructed at a 5-year age interval using ASTC, and tissue segmentation and substructure parcellation were performed for analysis across different age groups. The results indicated consistent changes in brain structures along with aging and demonstrated the capability of ASTC for longitudinal neuroimaging study.


Assuntos
Inteligência Artificial , Encéfalo , Humanos , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Encéfalo/patologia , Imageamento por Ressonância Magnética/métodos , Inteligência , Fatores Etários , Processamento de Imagem Assistida por Computador/métodos
8.
Annu Rev Biomed Eng ; 24: 179-201, 2022 06 06.
Artigo em Inglês | MEDLINE | ID: mdl-35316609

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has imposed dramatic challenges to health-care organizations worldwide. To combat the global crisis, the use of thoracic imaging has played a major role in the diagnosis, prediction, and management of COVID-19 patients with moderate to severe symptoms or with evidence of worsening respiratory status. In response, the medical image analysis community acted quickly to develop and disseminate deep learning models and tools to meet the urgent need of managing and interpreting large amounts of COVID-19 imaging data. This review aims to not only summarize existing deep learning and medical image analysis methods but also offer in-depth discussions and recommendations for future investigations. We believe that the wide availability of high-quality, curated, and benchmarked COVID-19 imaging data sets offers the great promise of a transformative test bed to develop, validate, and disseminate novel deep learning methods in the frontiers of data science and artificial intelligence.


Assuntos
COVID-19 , Aprendizado Profundo , Inteligência Artificial , Teste para COVID-19 , Humanos , SARS-CoV-2
9.
J Neurooncol ; 163(1): 71-82, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37173511

RESUMO

PURPOSE: Classification and grading of central nervous system (CNS) tumours play a critical role in the clinic. When WHO CNS5 simplifies the histopathology diagnosis and places greater emphasis on molecular pathology, artificial intelligence (AI) has been widely used to meet the increased need for an automatic histopathology scheme that could liberate pathologists from laborious work. This study was to explore the diagnosis scope and practicality of AI. METHODS: A one-stop Histopathology Auxiliary System for Brain tumours (HAS-Bt) is introduced based on a pipeline-structured multiple instance learning (pMIL) framework developed with 1,385,163 patches from 1038 hematoxylin and eosin (H&E) slides. The system provides a streamlined service including slide scanning, whole-slide image (WSI) analysis and information management. A logical algorithm is used when molecular profiles are available. RESULTS: The pMIL achieved an accuracy of 0.94 in a 9-type classification task on an independent dataset composed of 268 H&E slides. Three auxiliary functions are developed and a built-in decision tree with multiple molecular markers is used to automatically formed integrated diagnosis. The processing efficiency was 443.0 s per slide. CONCLUSION: HAS-Bt shows outstanding performance and provides a novel aid for the integrated neuropathological diagnostic workflow of brain tumours using CNS 5 pipeline.


Assuntos
Inteligência Artificial , Neoplasias Encefálicas , Humanos , Algoritmos , Aprendizado de Máquina Supervisionado , Organização Mundial da Saúde
10.
Cereb Cortex ; 32(21): 4641-4656, 2022 10 20.
Artigo em Inglês | MEDLINE | ID: mdl-35136966

RESUMO

Subcortical ischemic vascular disease could induce subcortical vascular cognitive impairments (SVCIs), such as amnestic mild cognitive impairment (aMCI) and non-amnestic MCI (naMCI), or sometimes no cognitive impairment (NCI). Previous SVCI studies focused on focal structural lesions such as lacunes and microbleeds, while the functional connectivity networks (FCNs) from functional magnetic resonance imaging are drawing increasing attentions. Considering remarkable variations in structural lesion sizes, we expect that seeking abnormalities in the multiscale hierarchy of brain FCNs could be more informative to differentiate SVCI patients with varied outcomes (NCI, aMCI, and naMCI). Driven by this hypothesis, we first build FCNs based on the atlases at multiple spatial scales for group comparisons and found distributed FCN differences across different spatial scales. We then verify that combining multiscale features in a prediction model could improve differentiation accuracy among NCI, aMCI, and naMCI. Furthermore, we propose a graph convolutional network to integrate the naturally emerged multiscale features based on the brain network hierarchy, which significantly outperforms all other competing methods. In addition, the predictive features derived from our method consistently emphasize the limbic network in identifying aMCI across the different scales. The proposed analysis provides a better understanding of SVCI and may benefit its clinical diagnosis.


Assuntos
Disfunção Cognitiva , Conectoma , Doenças Vasculares , Humanos , Disfunção Cognitiva/psicologia , Encéfalo , Imageamento por Ressonância Magnética/métodos , Doenças Vasculares/patologia
11.
Cereb Cortex ; 32(2): 367-379, 2022 01 10.
Artigo em Inglês | MEDLINE | ID: mdl-34231837

RESUMO

Genetic influences on cortical thickness (CT) and surface area (SA) are known to vary across the life span. Little is known about the extent to which genetic factors influence CT and SA in infancy and toddlerhood. We performed the first longitudinal assessment of genetic influences on variation in CT and SA in 501 twins who were aged 0-2 years. We observed substantial additive genetic influences on both average CT (0.48 in neonates, 0.37 in 1-year-olds, and 0.44 in 2-year-olds) and total SA (0.59 in neonates, 0.74 in 1-year-olds, and 0.73 in 2-year-olds). In addition, we found strong heritability of the change in average CT (0.49) from neonates to 1-year-olds, but not from 1- to 2-year-olds. Moreover, we found strong genetic correlations for average CT (rG = 0.92) between 1- and 2-year-olds and strong genetic correlations for total SA across all timepoints (rG = 0.96 between neonates and 1-year-olds, rG = 1 between 1- and 2-year-olds). In addition, we found CT and SA are strongly genetic correlated at birth, but weaken over time. Overall, results suggest a dynamic genetic relationship between CT and SA during first 2 years of life and provide novel insights into how genetic influences shape the cortical structure during early brain development.


Assuntos
Córtex Cerebral , Imageamento por Ressonância Magnética , Córtex Cerebral/diagnóstico por imagem , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Longevidade , Gêmeos/genética
12.
Cereb Cortex ; 32(15): 3206-3223, 2022 07 21.
Artigo em Inglês | MEDLINE | ID: mdl-34952542

RESUMO

Sex differences in the human brain emerge as early as mid-gestation and have been linked to sex hormones, particularly testosterone. Here, we analyzed the influence of markers of early sex hormone exposure (polygenic risk score (PRS) for testosterone, salivary testosterone, number of CAG repeats, digit ratios, and PRS for estradiol) on the growth pattern of cortical surface area in a longitudinal cohort of 722 infants. We found PRS for testosterone and right-hand digit ratio to be significantly associated with surface area, but only in females. PRS for testosterone at the most stringent P value threshold was positively associated with surface area development over time. Higher right-hand digit ratio, which is indicative of low prenatal testosterone levels, was negatively related to surface area in females. The current work suggests that variation in testosterone levels during both the prenatal and postnatal period may contribute to cortical surface area development in female infants.


Assuntos
Dedos , Hormônios Esteroides Gonadais , Estradiol/farmacologia , Feminino , Humanos , Lactente , Masculino , Gravidez , Caracteres Sexuais , Testosterona
13.
Proc Natl Acad Sci U S A ; 117(38): 23904-23913, 2020 09 22.
Artigo em Inglês | MEDLINE | ID: mdl-32868436

RESUMO

Adult brains are functionally flexible, a unique characteristic that is thought to contribute to cognitive flexibility. While tools to assess cognitive flexibility during early infancy are lacking, we aimed to assess the spatiotemporal developmental features of "neural flexibility" during the first 2 y of life. Fifty-two typically developing children 0 to 2 y old were longitudinally imaged up to seven times during natural sleep using resting-state functional MRI. Using a sliding window approach, MR-derived neural flexibility, a quantitative measure of the frequency at which brain regions change their allegiance from one functional module to another during a given time period, was used to evaluate the temporal emergence of neural flexibility during early infancy. Results showed that neural flexibility of whole brain, motor, and high-order brain functional networks/regions increased significantly with age, while visual regions exhibited a temporally stable pattern, suggesting spatially and temporally nonuniform developmental features of neural flexibility. Additionally, the neural flexibility of the primary visual network at 3 mo of age was significantly and negatively associated with cognitive ability evaluated at 5/6 y of age. The "flexible club," comprising brain regions with neural flexibility significantly higher than whole-brain neural flexibility, were consistent with brain regions known to govern cognitive flexibility in adults and exhibited unique characteristics when compared to the functional hub and diverse club regions. Thus, MR-derived neural flexibility has the potential to reveal the underlying neural substrates for developing a cognitively flexible brain during early infancy.


Assuntos
Encéfalo/crescimento & desenvolvimento , Encéfalo/fisiologia , Encéfalo/diagnóstico por imagem , Pré-Escolar , Cognição/fisiologia , Feminino , Humanos , Lactente , Recém-Nascido , Imageamento por Ressonância Magnética , Masculino , Descanso/fisiologia
14.
Stat Sin ; 33(1): 27-53, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37854586

RESUMO

In modern scientific research, data heterogeneity is commonly observed owing to the abundance of complex data. We propose a factor regression model for data with heterogeneous subpopulations. The proposed model can be represented as a decomposition of heterogeneous and homogeneous terms. The heterogeneous term is driven by latent factors in different subpopulations. The homogeneous term captures common variation in the covariates and shares common regression coefficients across subpopulations. Our proposed model attains a good balance between a global model and a group-specific model. The global model ignores the data heterogeneity, while the group-specific model fits each subgroup separately. We prove the estimation and prediction consistency for our proposed estimators, and show that it has better convergence rates than those of the group-specific and global models. We show that the extra cost of estimating latent factors is asymptotically negligible and the minimax rate is still attainable. We further demonstrate the robustness of our proposed method by studying its prediction error under a mis-specified group-specific model. Finally, we conduct simulation studies and analyze a data set from the Alzheimer's Disease Neuroimaging Initiative and an aggregated microarray data set to further demonstrate the competitiveness and interpretability of our proposed factor regression model.

15.
Neuroimage ; 254: 119127, 2022 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-35337965

RESUMO

Resting-state functional magnetic resonance imaging (rs-fMRI) is a non-invasive functional neuroimaging modality that has been widely used to investigate functional connectomes in the brain. Since noise and artifacts generated by non-neuronal physiological activities are predominant in raw rs-fMRI data, effective noise removal is one of the most important preprocessing steps prior to any subsequent analysis. For rs-fMRI denoising, a common trend is to decompose rs-fMRI data into multiple components and then regress out noise-related components. Therefore, various machine learning techniques have been used in such analyses with predefined procedures and manually engineered features. However, the lack of a universal definition of a noise-related source or artifact complicates manual feature engineering. Manual feature selection can result in the failure to capture unknown types of noise. Furthermore, the possibility that the hand-crafted features will only work for the broader population (e.g., healthy adults) but not for "outliers" (e.g., infants or subjects that belong to a disease cohort) is quite high. In practice, we have limited knowledge of which features should be extracted; thus, multi-classifier assembly must be implemented to improve performance, although this process is quite time-consuming. However, in real rs-fMRI applications, fast and accurate automatic identification of noise-related components on different datasets is critical. To solve this problem, we propose a novel, automatic, and end-to-end deep learning framework dedicated to noise-related component identification via a faster and more effective multi-layer feature extraction strategy that learns deeply embedded spatio-temporal features of the components. In this study, we achieved remarkable performance on various rs-fMRI datasets, including multiple adult rs-fMRI datasets from different rs-fMRI studies and an infant rs-fMRI dataset, which is quite heterogeneous and differs from that of adults. Our proposed framework also dramatically increases the noise detection speed owing to its inherent ability for deep learning (< 1s for single-component classification). It can be easily integrated into any preprocessing pipeline, even those that do not use standard procedures but depend on alternative toolboxes.


Assuntos
Conectoma , Imageamento por Ressonância Magnética , Adulto , Algoritmos , Artefatos , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Humanos , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos
16.
Hum Brain Mapp ; 43(10): 3023-3036, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35357053

RESUMO

Ischemic stroke is the most common type of stroke, ranked as the second leading cause of death worldwide. The Alberta Stroke Program Early CT Score (ASPECTS) is considered as a systematic method of assessing ischemic change on non-contrast CT scans (NCCT) of acute ischemic stroke (AIS) patients, while still suffering from the requirement of experts' experience and also the inconsistent results between readers. In this study, we proposed an automated ASPECTS method to utilize the powerful learning ability of neural networks for objectively scoring CT scans of AIS patients. First, we proposed to use the CT perfusion (CTP) from one-stop stroke imaging to provide the golden standard of ischemic regions for ASPECTS scoring. Second, we designed an asymmetry network to capture features when comparing the left and right sides for each ASPECTS region to estimate its ischemic status. Third, we performed experiments in a large main dataset of 870 patients, as well as an independent testing dataset consisting of 207 patients with radiologists' scorings. Experimental results show that our network achieved remarkable performance, as sensitivity and accuracy of 93.7 and 92.4% in the main dataset, and 95.5 and 91.3% in the independent testing dataset, respectively. In the latter dataset, our analysis revealed a high positive correlation between the ASPECTS score and the prognosis of patients in 90DmRs. Also, we found ASPECTS score is a good indicator of the size of CTP core volume of an infraction. The proposed method shows its potential for automated ASPECTS scoring on NCCT images.


Assuntos
Isquemia Encefálica , Aprendizado Profundo , AVC Isquêmico , Acidente Vascular Cerebral , Humanos , Alberta , Isquemia Encefálica/diagnóstico por imagem , AVC Isquêmico/diagnóstico por imagem , Estudos Retrospectivos , Acidente Vascular Cerebral/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos
17.
Ann Surg Oncol ; 2022 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-35286532

RESUMO

BACKGROUND: Exploring the genomic landscape of hepatocellular carcinoma (HCC) provides clues for therapeutic decision-making. Phosphatidylinositol-3 kinase (PI3K) signaling is one of the key pathways regulating HCC aggressiveness, and its genomic alterations have been correlated with sorafenib response. In this study, we aimed to predict somatic mutations of the PI3K signaling pathway in HCC samples through machine-learning-based radiomic analysis. METHODS: HCC patients who underwent next-generation sequencing and preoperative contrast-enhanced CT were recruited from West China Hospital and The Cancer Genome Atlas for model training and validation, respectively. Radiomic features were extracted from volumes of interest (VOIs) covering the tumor (VOItumor) and peritumoral areas (5 mm [VOI5mm], 10 mm [VOI10mm], and 20 mm [VOI20mm] from tumor margin). Factor analysis, logistic regression analysis, least absolute shrinkage and selection operator, and random forest analysis were applied for feature selection and model construction. Model performance was characterized based on the area under the receiver operating characteristic curve (AUC). RESULTS: A total of 132 HCC patients (mean age: 61.1 ± 14.7 years; 108 men) were enrolled. In the training set, the AUCs of radiomic signatures based on single CT phases were moderate (AUC 0.694-0.771). In the external validation set, the radiomic signature based on VOI10mm in arterial phase demonstrated the highest AUC (0.733) among all models. No improvement in model performance was achieved after adding the tumor radiomic features or manually assessed qualitative features. CONCLUSIONS: Machine-learning-based radiomic analysis had potential for characterizing alterations of PI3K signaling in HCC and could help identify potential candidates for sorafenib treatment.

18.
Brain Topogr ; 35(5-6): 559-571, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36138188

RESUMO

Functional connectivity networks (FCN) analysis is instructive for the diagnosis of brain diseases, such as mild cognitive impairment (MCI) and major depressive disorder (MDD) at their early stages. As the critical step of FCN analysis, feature representation provides the basis for finding potential biomarkers of brain diseases. In previous studies, different node statistics (e.g. local efficiency and local clustering coefficients) are usually extracted from FCNs as features for the diagnosis/classification task, which can specifically locate disease-related regions on the node level, so as to help us understand the neurodevelopmental roots of brain disorders. However, each node statistic is proposed only considering a kind of specific network property, which has one-sidedness and limitations. As a result, it is incomplete to represent a node with only one statistic. To resolve this issue, we put forward a novel scheme to select multiple node statistics jointly from the estimated FCNs for automated classification, called multiple node statistics feature selection (MNSFS). Specifically, we first extract multiple statistics from the same nodes and assign each kind of statistic into a group. Then, sparse group least absolute shrinkage and selection operator (sgLASSO) is used to select groups (nodes) and statistics in the groups towards a better classification performance. Such a technique enables us to simultaneously locate the discriminative brain regions, as well as the specific statistics associated with these brain regions, making the classification results more interpretable. We conducted our scheme on two public databases for identifying subjects with MCI and MDD from normal controls. Experimental results show that the proposed scheme achieves superior classification accuracy and features interpreted on the benchmark datasets.


Assuntos
Encefalopatias , Disfunção Cognitiva , Transtorno Depressivo Maior , Humanos , Mapeamento Encefálico , Imageamento por Ressonância Magnética/métodos , Algoritmos , Encéfalo
19.
J Biomed Inform ; 127: 103999, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35104642

RESUMO

The coronavirus disease (COVID-19) has claimed the lives of over 350,000 people and infected more than 173 million people worldwide, it triggers researchers from diverse fields are accelerating their research to help diagnostics, therapies, and vaccines. Researchers also publish their recent research progress through scientific papers. However, manually writing the abstract of a paper is time-consuming, and it increases the writing burden of the researchers. Abstractive summarization technique which automatically provides researchers reliable draft abstracts, can alleviate this problem. In this work, we propose a linguistically enriched SciBERT-based summarization model for COVID-19 scientific papers, named COVIDSum. Specifically, we first extract salient sentences from source papers and construct word co-occurrence graphs. Then, we adopt a SciBERT-based sequence encoder and a Graph Attention Networks-based graph encoder to encode sentences and word co-occurrence graphs, respectively. Finally, we fuse the above two encodings and generate an abstractive summary of each scientific paper. When evaluated on the publicly available COVID-19 open research dataset, the performance of our proposed model achieves significant improvement compared with other document summarization models.


Assuntos
COVID-19 , Humanos , Idioma , Editoração , SARS-CoV-2
20.
Cereb Cortex ; 31(2): 1259-1269, 2021 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-33078190

RESUMO

Functional connectivity (FC) matrices measure the regional interactions in the brain and have been widely used in neurological brain disease classification. A brain network, also named as connectome, could form a graph structure naturally, the nodes of which are brain regions and the edges are interregional connectivity. Thus, in this study, we proposed novel graph convolutional networks (GCNs) to extract efficient disease-related features from FC matrices. Considering the time-dependent nature of brain activity, we computed dynamic FC matrices with sliding windows and implemented a graph convolution-based LSTM (long short-term memory) layer to process dynamic graphs. Moreover, the demographics of patients were also used as additional outputs to guide the classification. In this paper, we proposed to utilize the demographic information as extra outputs and to share parameters among three networks predicting subject status, gender, and age, which serve as assistant tasks. We tested the performance of the proposed architecture in ADNI II dataset to classify Alzheimer's disease patients from normal controls. The classification accuracy, sensitivity, and specificity reach 90.0%, 91.7%, and 88.6%, respectively, on ADNI II dataset.


Assuntos
Doença de Alzheimer/fisiopatologia , Encéfalo/fisiologia , Conectoma/classificação , Conectoma/métodos , Bases de Dados Factuais/classificação , Redes Neurais de Computação , Fatores Etários , Humanos , Fatores Sexuais
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