AICyte-alone capabilities as an independent screener for triaging cervical cytology using a 50% negative cutoff value.

BACKGROUND: AICyte has previously demonstrated a potential role in cervical cytology screening for reducing the workload by using a 50% negative cutoff value. The aim of the current study is to evaluate this hypothesis. METHODS: The authors used the Ruiqian WSI-2400 (with the registered trademark AICyte) to evaluate a collection of 163,848 original cervical cytology cases from 2018 to 2023 that were collected from four different hospital systems in China. A breakdown of cases included 46,060 from Shenzhen, 67,472 from Zhengzhou, 25,667 from Shijiazhuang, and 24,649 from Jinan. These collected cases were evaluated using the AICyte system, and the data collected were statistically compared with the original interpretative results. RESULTS: In 98.80% of all artificial intelligence cases that were designated as not needing further review, the corresponding original diagnosis was also determined to be negative. For any cases that were designated atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion or higher, the sensitivity and negative predictive value were 90.77% and 98.80%, respectively. The sensitivity and negative predictive value were greater in cases designated as low-grade squamous intraepithelial lesion or higher at 98.92% and 99.94%, respectively. Of the 49 low-grade squamous intraepithelial lesion or higher that were designed by AICyte as not needing further review, the cytohistologic correlation revealed eight cases of cervical intraepithelial neoplasia 1 and 18 negative cases; and the remaining cases were without histologic follow-up. In practice, AICyte used at a 50% negative cutoff value could reduce the anticipated workload if a protocol were implemented to label cases that qualified within the negative cutoff value as not needing further review, thereby finalizing the case as negative for intraepithelial lesions and malignancy. CONCLUSIONS: For pathologic practices that do not have cytotechnologists or in which the workflow is sought to be optimized, the artificial intelligence system AICyte alone to be an independent screening tool by using a 50% negative cutoff value, which is a potential assistive method for cervical cancer screening.

FGR-associated placental insufficiency and capillary angiogenesis involves disruptions in human placental miRNAs and mRNAs.

Fetal growth restriction (FGR) is one of the most common pregnancy complications culminating in adverse fetal outcome, including preterm birth, neonatal mortality and stillbirth. Compromised placental development and function, especially disruption in angiogenesis and inadequate nutrient supply are contributing factors. Fetal sex also influences placental function. Knowledge of gene expression changes and epigenetic factors contributing to placental dysfunction in FGR pregnancies will help identify biomarkers and help target interventions. This study tested the hypothesis that FGR pregnancies are associated with disruptions in miRNA - an epigenetic factor and mRNAs involving key mediators of angiogenesis and microvessel development. Changes in expression of key genes/proteins involved in placental dysfunction by RT-PCR and immunohistochemistry and miRNA changes by RNA sequencing were undertaken with term placenta from 12 control and 20 FGR pregnancies. Findings showed changes in expression of genes involved in steroidogenesis, steroid action, IGF family members, inflammatory cytokines and angiogenic factors in FGR pregnancies. In addition, upregulation of MIR451A and downregulation of MIR543 in placentas from FGR group with female newborns and upregulation of MIR520G in placentas from FGR group with male newborns were also noted. MIR451A and MIR543 have been implicated in angiogenesis. Consistent with gene changes, CD34, the microvessel angiogenesis marker, also showed reduced staining only in female FGR group. These findings provide evidence that epigentically regulated gene expression changes in angiogenesis and capillary development influence placental impairment in FGR pregnancies. Our preliminary observations also support for these changes to be driven in a sex-specific manner.

An Underwater Time Reversal Communication Method Using Symbol-Based Doppler Compensation with a Single Sound Pressure Sensor.

Due to the significant multipath and Doppler effects in the underwater acoustic (UWA) channel, the quality of the received signal is degraded, which seriously affects the performance of UWA communication. The paper proposes a time reversal UWA communication method combined with a symbol-based Doppler compensation (SBDC) technique to solve those problems. A single element time reversal mirror (TRM) is used to realize channel equalization and mitigate the inter-symbol interference (ISI) resulting from multipath propagation. The SBDC technique is subsequently used to compensate Doppler effects in the received signal, thereby reducing the bit error rate (BER) and improving the communication performance. In order to verify the performance of the proposed communication method, some simulations with real sounding channels were performed. Moreover, a field UWA communication experiment was conducted in the Songhua River (Harbin, China). The UWA communication experiment achieves nearly error-free performance with a communication rate of 100 bit/s in the bandwidth of 2 kHz. The results of the experiment demonstrate the feasibility and robustness of the proposed UWA communication method.

Application and Extension of Vertical Intensity Lower-Mode in Methods for Target Depth-Resolution with a Single-Vector Sensor.

In this paper, based on the reactive component of the vertical intensity, the method for target depth resolution has been improved. In the previous existing research results, using the reactive component of vertical intensity, the research objects for target depth resolution in shallow water, can only be the targets whose frequencies can only excite the first two normal modes, and the depth of targets whose frequencies excite more than two normal modes cannot be correctly identified. The basic idea of the improved method is to classify targets on the foundation of the lower-mode correlation quantity of the vertical intensity. Based on the improved method, we can realize depth resolution of the targets whose frequency can excite the first three normal modes so as to effectively expand the working band useful for target depth resolution. Finally, we can realize the three-dimensional target depth resolution so as to distinguish the aerial, surface and underwater targets. The feasibility of the algorithm is verified by simulation and experimental data processing.

A Three-Dimensional Target Depth-Resolution Method with a Single-Vector Sensor.

This paper mainly studies and verifies the target number category-resolution method in multi-target cases and the target depth-resolution method of aerial targets. Firstly, target depth resolution is performed by using the sign distribution of the reactive component of the vertical complex acoustic intensity; the target category and the number resolution in multi-target cases is realized with a combination of the bearing-time recording information; and the corresponding simulation verification is carried out. The algorithm proposed in this paper can distinguish between the single-target multi-line spectrum case and the multi-target multi-line spectrum case. This paper presents an improved azimuth-estimation method for multi-target cases, which makes the estimation results more accurate. Using the Monte Carlo simulation, the feasibility of the proposed target number and category-resolution algorithm in multi-target cases is verified. In addition, by studying the field characteristics of the aerial and surface targets, the simulation results verify that there is only amplitude difference between the aerial target field and the surface target field under the same environmental parameters, and an aerial target can be treated as a special case of a surface target; the aerial target category resolution can then be realized based on the sign distribution of the reactive component of the vertical acoustic intensity so as to realize three-dimensional target depth resolution. By processing data from a sea experiment, the feasibility of the proposed aerial target three-dimensional depth-resolution algorithm is verified.

An Improved Aerial Target Localization Method with a Single Vector Sensor.

This paper focuses on the problems encountered in the actual data processing with the use of the existing aerial target localization methods, analyzes the causes of the problems, and proposes an improved algorithm. Through the processing of the sea experiment data, it is found that the existing algorithms have higher requirements for the accuracy of the angle estimation. The improved algorithm reduces the requirements of the angle estimation accuracy and obtains the robust estimation results. The closest distance matching estimation algorithm and the horizontal distance estimation compensation algorithm are proposed. The smoothing effect of the data after being post-processed by using the forward and backward two-direction double-filtering method has been improved, thus the initial stage data can be filtered, so that the filtering results retain more useful information. In this paper, the aerial target height measurement methods are studied, the estimation results of the aerial target are given, so as to realize the three-dimensional localization of the aerial target and increase the understanding of the underwater platform to the aerial target, so that the underwater platform has better mobility and concealment.

Experimental Demonstration of Long-Range Underwater Acoustic Communication Using a Vertical Sensor Array.

This paper proposes a composite channel virtual time reversal mirror (CCVTRM) for vertical sensor array (VSA) processing and applies it to long-range underwater acoustic (UWA) communication in shallow water. Because of weak signal-to-noise ratio (SNR), it is unable to accurately estimate the channel impulse response of each sensor of the VSA, thus the traditional passive time reversal mirror (PTRM) cannot perform well in long-range UWA communication in shallow water. However, CCVTRM only needs to estimate the composite channel of the VSA to accomplish time reversal mirror (TRM), which can effectively mitigate the inter-symbol interference (ISI) and reduce the bit error rate (BER). In addition, the calculation of CCVTRM is simpler than traditional PTRM. An UWA communication experiment using a VSA of 12 sensors was conducted in the South China Sea. The experiment achieves a very low BER communication at communication rate of 66.7 bit/s over an 80 km range. The results of the sea trial demonstrate that CCVTRM is feasible and can be applied to long-range UWA communication in shallow water.