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1.
Nature ; 623(7989): 1026-1033, 2023 Nov.
Article in English | MEDLINE | ID: mdl-37993716

ABSTRACT

Human immunodeficiency virus 1 (HIV-1) infection is initiated by binding of the viral envelope glycoprotein (Env) to the cell-surface receptor CD41-4. Although high-resolution structures of Env in a complex with the soluble domains of CD4 have been determined, the binding process is less understood in native membranes5-13. Here we used cryo-electron tomography to monitor Env-CD4 interactions at the membrane-membrane interfaces formed between HIV-1 and CD4-presenting virus-like particles. Env-CD4 complexes organized into clusters and rings, bringing the opposing membranes closer together. Env-CD4 clustering was dependent on capsid maturation. Subtomogram averaging and classification revealed that Env bound to one, two and finally three CD4 molecules, after which Env adopted an open state. Our data indicate that asymmetric HIV-1 Env trimers bound to one and two CD4 molecules are detectable intermediates during virus binding to host cell membranes, which probably has consequences for antibody-mediated immune responses and vaccine immunogen design.


Subject(s)
CD4 Antigens , Cell Membrane , HIV Envelope Protein gp120 , HIV-1 , Protein Multimerization , Humans , AIDS Vaccines/chemistry , AIDS Vaccines/immunology , Capsid/chemistry , Capsid/metabolism , Capsid/ultrastructure , CD4 Antigens/chemistry , CD4 Antigens/metabolism , CD4 Antigens/ultrastructure , Cell Membrane/chemistry , Cell Membrane/metabolism , Cell Membrane/ultrastructure , Cryoelectron Microscopy , Electron Microscope Tomography , HIV Antibodies/immunology , HIV Envelope Protein gp120/chemistry , HIV Envelope Protein gp120/metabolism , HIV Envelope Protein gp120/ultrastructure , HIV Infections/virology , HIV-1/chemistry , HIV-1/ultrastructure , Virion/chemistry , Virion/metabolism , Virion/ultrastructure
2.
Nat Methods ; 20(7): 1021-1024, 2023 07.
Article in English | MEDLINE | ID: mdl-37248387

ABSTRACT

We propose two new measures of resolution anisotropy for cryogenic electron microscopy maps: Fourier shell occupancy (FSO), and the Bingham test (BT). FSO varies from 1 to 0, with 1 representing perfect isotropy, and lower values indicating increasing anisotropy. The threshold FSO = 0.5 occurs at Fourier shell correlation resolution. BT is a hypothesis test that complements the FSO to ensure the existence of anisotropy. FSO and BT allow visualization of resolution anisotropy. We illustrate their use with different experimental cryogenic electron microscopy maps.


Subject(s)
Cryoelectron Microscopy , Anisotropy , Microscopy, Electron
3.
Magn Reson Med ; 92(6): 2723-2733, 2024 Dec.
Article in English | MEDLINE | ID: mdl-38988054

ABSTRACT

PURPOSE: To standardize T 2 $$ {}_2 $$ -weighted images from clinical Turbo Spin Echo (TSE) scans by generating corresponding T 2 $$ {}_2 $$ maps with the goal of removing scanner- and/or protocol-specific heterogeneity. METHODS: The T 2 $$ {}_2 $$ map is estimated by minimizing an objective function containing a data fidelity term in a Virtual Conjugate Coils (VCC) framework, where the signal evolution model is expressed as a linear constraint. The objective function is minimized by Projected Gradient Descent (PGD). RESULTS: The algorithm achieves accuracy comparable to methods with customized sampling schemes for accelerated T 2 $$ {}_2 $$ mapping. The results are insensitive to the tunable parameters, and the relaxed background phase prior produces better T 2 $$ {}_2 $$ maps compared to the strict real-value enforcement. It is worth noting that the algorithm works well with challenging T 2 $$ {}_2 $$ w-TSE data using typical clinical parameters. The observed normalized root mean square error ranges from 6.8% to 12.3% over grey and white matter, a clinically common level of quantitative map error. CONCLUSION: The novel methodological development creates an efficient algorithm that allows for T 2 $$ {}_2 $$ map generated from TSE data with typical clinical parameters, such as high resolution, long echo train length, and low echo spacing. Reconstruction of T 2 $$ {}_2 $$ maps from TSE data with typical clinical parameters has not been previously reported.


Subject(s)
Algorithms , Brain , Magnetic Resonance Imaging , Humans , Magnetic Resonance Imaging/methods , Brain/diagnostic imaging , Image Processing, Computer-Assisted/methods , Phantoms, Imaging , Reproducibility of Results , Image Interpretation, Computer-Assisted/methods
4.
Neuroimage ; 152: 299-311, 2017 05 15.
Article in English | MEDLINE | ID: mdl-28254511

ABSTRACT

A comprehensive analysis of the Parkinson's Progression Markers Initiative (PPMI) Dopamine Transporter Single Photon Emission Computed Tomography (DaTscan) images is carried out using a voxel-based logistic lasso model. The model reveals that sub-regional voxels in the caudate, the putamen, as well as in the globus pallidus are informative for classifying images into control and PD classes. Further, a new technique called logistic component analysis is developed. This technique reveals that intra-population differences in dopamine transporter concentration and imperfect normalization are significant factors influencing logistic analysis. The interactions with handedness, sex, and age are also evaluated.


Subject(s)
Brain Mapping/methods , Brain/diagnostic imaging , Imaging, Three-Dimensional/methods , Parkinson Disease/diagnostic imaging , Tomography, Emission-Computed, Single-Photon/methods , Adult , Aged , Aged, 80 and over , Caudate Nucleus/diagnostic imaging , Disease Progression , Female , Globus Pallidus/diagnostic imaging , Humans , Machine Learning , Male , Middle Aged , Parkinson Disease/classification , Principal Component Analysis , Putamen/diagnostic imaging , Signal Processing, Computer-Assisted , Tropanes/administration & dosage
5.
Nat Methods ; 11(1): 63-5, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24213166

ABSTRACT

We propose a definition of local resolution for three-dimensional electron cryo-microscopy (cryo-EM) density maps that uses local sinusoidal features. Our algorithm has no free parameters and is applicable to other imaging modalities, including tomography. By evaluating the local resolution of single-particle reconstructions and subtomogram averages for four example data sets, we report variable resolution across a 4- to 40-Å range.


Subject(s)
Cryoelectron Microscopy/methods , Proteins/chemistry , Algorithms , Alleles , Fourier Analysis , Imaging, Three-Dimensional , Likelihood Functions , Models, Theoretical , Normal Distribution , Ribosomes/chemistry , Software , Viruses/chemistry
6.
Opt Lett ; 41(9): 2029-32, 2016 May 01.
Article in English | MEDLINE | ID: mdl-27128066

ABSTRACT

A general-purpose all-fiber spectrometer is demonstrated to overcome the trade-off between spectral resolution and bandwidth. By integrating a wavelength division multiplexer with five multimode optical fibers, we have achieved 100 nm bandwidth with 0.03 nm resolution at wavelength 1500 nm. An efficient algorithm is developed to reconstruct the spectrum from the speckle pattern produced by interference of guided modes in the multimode fibers. Such an algorithm enables a rapid, accurate reconstruction of both sparse and dense spectra in the presence of noise.

7.
J Neurosci ; 34(50): 16851-5, 2014 Dec 10.
Article in English | MEDLINE | ID: mdl-25505336

ABSTRACT

Cigarette smoking is a major public health danger. Women and men smoke for different reasons and cessation treatments, such as the nicotine patch, are preferentially beneficial to men. The biological substrates of these sex differences are unknown. Earlier PET studies reported conflicting findings but were each hampered by experimental and/or analytical limitations. Our new image analysis technique, lp-ntPET (Normandin et al., 2012; Morris et al., 2013; Kim et al., 2014), has been optimized for capturing brief (lasting only minutes) and highly localized dopaminergic events in dynamic PET data. We coupled our analysis technique with high-resolution brain scanning and high-frequency motion correction to create the optimal experiment for capturing and characterizing the effects of smoking on the mesolimbic dopamine system in humans. Our main finding is that male smokers smoking in the PET scanner activate dopamine in the right ventral striatum during smoking but female smokers do not. This finding-men activating more ventrally than women-is consistent with the established notion that men smoke for the reinforcing drug effect of cigarettes whereas women smoke for other reasons, such as mood regulation and cue reactivity. lp-ntPET analysis produces a novel multidimensional endpoint: voxel-level temporal patterns of neurotransmitter release ("DA movies") in individual subjects. By examining these endpoints quantitatively, we demonstrate that the timing of dopaminergic responses to cigarette smoking differs between men and women. Men respond consistently and rapidly in the ventral striatum whereas women respond faster in a discrete subregion of the dorsal putamen.


Subject(s)
Brain/diagnostic imaging , Brain/metabolism , Dopamine/metabolism , Sex Characteristics , Smoking/metabolism , Adult , Female , Humans , Male , Middle Aged , Positron-Emission Tomography/methods , Young Adult
8.
J Struct Biol ; 190(2): 200-14, 2015 May.
Article in English | MEDLINE | ID: mdl-25839831

ABSTRACT

Single particle reconstruction methods based on the maximum-likelihood principle and the expectation-maximization (E-M) algorithm are popular because of their ability to produce high resolution structures. However, these algorithms are computationally very expensive, requiring a network of computational servers. To overcome this computational bottleneck, we propose a new mathematical framework for accelerating maximum-likelihood reconstructions. The speedup is by orders of magnitude and the proposed algorithm produces similar quality reconstructions compared to the standard maximum-likelihood formulation. Our approach uses subspace approximations of the cryo-electron microscopy (cryo-EM) data and projection images, greatly reducing the number of image transformations and comparisons that are computed. Experiments using simulated and actual cryo-EM data show that speedup in overall execution time compared to traditional maximum-likelihood reconstruction reaches factors of over 300.


Subject(s)
Algorithms , Cryoelectron Microscopy/methods , Image Processing, Computer-Assisted/methods , Macromolecular Substances/chemistry , Models, Molecular , Models, Theoretical , Likelihood Functions
9.
J Struct Biol ; 191(2): 245-62, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26049077

ABSTRACT

Structural heterogeneity of particles can be investigated by their three-dimensional principal components. This paper addresses the question of whether, and with what algorithm, the three-dimensional principal components can be directly recovered from cryo-EM images. The first part of the paper extends the Fourier slice theorem to covariance functions showing that the three-dimensional covariance, and hence the principal components, of a heterogeneous particle can indeed be recovered from two-dimensional cryo-EM images. The second part of the paper proposes a practical algorithm for reconstructing the principal components directly from cryo-EM images without the intermediate step of calculating covariances. This algorithm is based on maximizing the posterior likelihood using the Expectation-Maximization algorithm. The last part of the paper applies this algorithm to simulated data and to two real cryo-EM data sets: a data set of the 70S ribosome with and without Elongation Factor-G (EF-G), and a data set of the influenza virus RNA dependent RNA Polymerase (RdRP). The first principal component of the 70S ribosome data set reveals the expected conformational changes of the ribosome as the EF-G binds and unbinds. The first principal component of the RdRP data set reveals a conformational change in the two dimers of the RdRP.


Subject(s)
RNA-Dependent RNA Polymerase/chemistry , Ribosomes/chemistry , Algorithms , Computer Simulation , Cryoelectron Microscopy , Influenza A virus/enzymology , Likelihood Functions , Models, Molecular , Principal Component Analysis , Protein Folding , Protein Structure, Tertiary , RNA-Dependent RNA Polymerase/ultrastructure , Ribosomes/ultrastructure
10.
Magn Reson Med ; 73(6): 2212-24, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25042143

ABSTRACT

PURPOSE: Nonlinear spatial encoding magnetic (SEM) field strategies such as O-space imaging have previously reported dispersed artifacts during accelerated scans. Compressed sensing (CS) has shown a sparsity-promoting convex program allows image reconstruction from a reduced data set when using the appropriate sampling. The development of a pseudo-random center placement (CP) O-space CS approach optimizes incoherence through SEM field modulation to reconstruct an image with reduced error. THEORY AND METHODS: The incoherence parameter determines the sparsity levels for which CS is valid and the related transform point spread function measures the maximum interference for a single point. The O-space acquisition is optimized for CS by perturbing the Z(2) strength within 30% of the nominal value and demonstrated on a human 3T scanner. RESULTS: Pseudo-random CP O-space imaging is shown to improve incoherence between the sensing and sparse domains. Images indicate pseudo-random CP O-space has reduced mean squared error compared with a typical linear SEM field acquisition method. CONCLUSION: Pseudo-random CP O-space imaging, with a nonlinear SEM field designed for CS, is shown to reduce mean squared error of images at high acceleration over linear encoding methods for a 2D slice when using an eight channel circumferential receiver array for parallel imaging.


Subject(s)
Brain Mapping/methods , Data Compression/methods , Magnetic Resonance Imaging/methods , Algorithms , Computer Simulation , Humans , Image Enhancement/methods , Image Processing, Computer-Assisted/methods
11.
Magn Reson Med ; 73(4): 1643-53, 2015 Apr.
Article in English | MEDLINE | ID: mdl-24753213

ABSTRACT

PURPOSE: To investigate algebraic reconstruction technique (ART) for parallel imaging reconstruction of radial data, applied to accelerated cardiac cine. METHODS: A graphics processing unit (GPU)-accelerated ART reconstruction was implemented and applied to simulations, point spread functions and in 12 subjects imaged with radial cardiac cine acquisitions. Cine images were reconstructed with radial ART at multiple undersampling levels (192 Nr × Np = 96 to 16). Images were qualitatively and quantitatively analyzed for sharpness and artifacts, and compared to filtered back-projection, and conjugate gradient SENSE. RESULTS: Radial ART provided reduced artifacts and mainly preserved spatial resolution, for both simulations and in vivo data. Artifacts were qualitatively and quantitatively less with ART than filtered back-projection using 48, 32, and 24 Np , although filtered back-projection provided quantitatively sharper images at undersampling levels of 48-24 Np (all P < 0.05). Use of undersampled radial data for generating auto-calibrated coil-sensitivity profiles resulted in slightly reduced quality. ART was comparable to conjugate gradient SENSE. GPU-acceleration increased ART reconstruction speed 15-fold, with little impact on the images. CONCLUSION: GPU-accelerated ART is an alternative approach to image reconstruction for parallel radial MR imaging, providing reduced artifacts while mainly maintaining sharpness compared to filtered back-projection, as shown by its first application in cardiac studies.


Subject(s)
Algorithms , Heart Ventricles/anatomy & histology , Image Enhancement/methods , Image Interpretation, Computer-Assisted/methods , Magnetic Resonance Imaging, Cine/methods , Adult , Computer Simulation , Female , Humans , Male , Models, Statistical , Reproducibility of Results , Sample Size , Sensitivity and Specificity , Signal Processing, Computer-Assisted
12.
Acad Radiol ; 31(2): 582-595, 2024 Feb.
Article in English | MEDLINE | ID: mdl-37407374

ABSTRACT

RATIONALE AND OBJECTIVES: MR images can be challenging for machine learning and other large-scale analyses because most clinical images, for example, T2-weighted (T2w) images, reflect not only the biologically relevant T2 of tissue but also hardware and acquisition parameters that vary from site to site. Quantitative T2 mapping avoids these confounds because it quantitatively isolates the biological parameter of interest, thus representing a universal standardization across sites. However, efforts to incorporate quantitative mapping sequences into routine clinical practice have seen slow adoption. Here we show, for the first time, that the routine T2w complex raw dataset can be successfully regarded as a quantitative mapping sequence that can be reconstructed with classical optimization methods and physics-based constraints. MATERIALS AND METHODS: While previous constrained reconstruction methods are unable to reconstruct a T2 map based on this data, the expanding-constrained alternating minimization for parameter mapping (e-CAMP), which employs stepwise initialization, a linearized version of the exponential model and a phase conjugacy constraint, is demonstrated to provide useful quantitative maps directly from a vendor T2w single image data. RESULTS: This paper introduces the method and demonstrates its performance using simulations, retrospectively undersampled brain images, and prospectively acquired T2w images taken on both phantom and brain. CONCLUSION: Because T2w scans are included in nearly every protocol, this approach could open the door to creating large, standardized datasets without requiring widespread changes in clinical protocols.


Subject(s)
Algorithms , Magnetic Resonance Imaging , Humans , Magnetic Resonance Imaging/methods , Retrospective Studies , Brain/diagnostic imaging , Head , Image Processing, Computer-Assisted/methods
13.
Commun Biol ; 7(1): 1421, 2024 Oct 31.
Article in English | MEDLINE | ID: mdl-39482410

ABSTRACT

Cryo-EM particle identification from micrographs ("picking") is challenging due to the low signal-to-noise ratio and lack of ground truth for particle locations. State-of-the-art computational algorithms ("pickers") identify different particle sets, complicating the selection of the best-suited picker for a protein of interest. Here, we present REliable PIcking by Consensus (REPIC), a computational approach to identifying particles common to the output of multiple pickers. We frame consensus particle picking as a graph problem, which REPIC solves using integer linear programming. REPIC picks high-quality particles even when the best picker is not known a priori or a protein is difficult-to-pick (e.g., NOMPC ion channel). Reconstructions using consensus particles without particle filtering achieve resolutions comparable to those from particles picked by experts. Our results show that REPIC requires minimal (often no) manual intervention, and considerably reduces the burden on cryo-EM users for picker selection and particle picking. Availability: https://github.com/ccameron/REPIC .


Subject(s)
Algorithms , Cryoelectron Microscopy , Cryoelectron Microscopy/methods , Image Processing, Computer-Assisted/methods , Consensus , Software , Signal-To-Noise Ratio
14.
Magn Reson Imaging ; 110: 176-183, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38657714

ABSTRACT

OBJECTIVE: To improve image quality in highly accelerated parameter mapping by incorporating a linear constraint that relates consecutive images. APPROACH: In multi-echo T1 or T2 mapping, scan time is often shortened by acquiring undersampled but complementary measures of k-space at each TE or TI. However, residual undersampling artifacts from the individual images can then degrade the quality of the final parameter maps. In this work, a new reconstruction method, dubbed Constrained Alternating Minimization for Parameter mapping (CAMP), is introduced. This method simultaneously extracts T2 or T1* maps in addition to an image for each TE or TI from accelerated datasets, leveraging the constraints of the decay to improve the reconstructed image quality. The model enforces exponential decay through a linear constraint, resulting in a biconvex objective function that lends itself to alternating minimization. The method was tested in four in vivo volunteer experiments and validated in phantom studies and healthy subjects, using T2 and T1 mapping, with accelerations of up to 12. MAIN RESULTS: CAMP is demonstrated for accelerated radial and Cartesian acquisitions in T2 and T1 mapping. The method is even applied to generate an entire T2 weighted image series from a single TSE dataset, despite the blockwise k-space sampling at each echo time. Experimental undersampled phantom and in vivo results processed with CAMP exhibit reduced artifacts without introducing bias. SIGNIFICANCE: For a wide array of applications, CAMP linearizes the model cost function without sacrificing model accuracy so that the well-conditioned and highly efficient reconstruction algorithm improves the image quality of accelerated parameter maps.


Subject(s)
Algorithms , Image Processing, Computer-Assisted , Magnetic Resonance Imaging , Phantoms, Imaging , Humans , Image Processing, Computer-Assisted/methods , Magnetic Resonance Imaging/methods , Artifacts , Brain/diagnostic imaging , Reproducibility of Results , Image Enhancement/methods
15.
J Struct Biol ; 179(1): 56-67, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22564910

ABSTRACT

Traditional single particle reconstruction methods use either the Fourier or the delta function basis to represent the particle density map. This paper proposes a more flexible algorithm that adaptively chooses the basis based on the data. Because the basis adapts to the data, the reconstruction resolution and signal-to-noise ratio (SNR) is improved compared to a reconstruction with a fixed basis. Moreover, the algorithm automatically masks the particle, thereby separating it from the background. This eliminates the need for ad hoc filtering or masking in the refinement loop. The algorithm is formulated in a Bayesian maximum-a-posteriori framework and uses an efficient optimization algorithm for the maximization. Evaluations using simulated and actual cryogenic electron microscopy data show resolution and SNR improvements as well as the effective masking of particle from background.


Subject(s)
Algorithms , Bayes Theorem , Image Processing, Computer-Assisted/methods , Imaging, Three-Dimensional/methods , Molecular Dynamics Simulation , Cryoelectron Microscopy/methods , Image Enhancement , Image Interpretation, Computer-Assisted/methods , Signal-To-Noise Ratio , Wavelet Analysis
16.
IEEE J Biomed Health Inform ; 26(7): 3507-3516, 2022 07.
Article in English | MEDLINE | ID: mdl-35349462

ABSTRACT

Clinical scores (disease rating scales) are ordinal in nature. Longitudinal studies which use clinical scores produce ordinal time series. These time series tend to be noisy and often have a short-duration. This paper proposes a denoising method for such time series. The method uses a hierarchical approach to draw statistical power from the entire population of a study's patients to give reliable, subject-specific results. The denoising method is applied to MDS-UPDRS motor scores for Parkinson's disease.


Subject(s)
Disability Evaluation , Parkinson Disease , Humans , Longitudinal Studies , Parkinson Disease/diagnosis , Severity of Illness Index , Time Factors
17.
SIAM J Imaging Sci ; 15(2): 670-700, 2022.
Article in English | MEDLINE | ID: mdl-36425343

ABSTRACT

Steerable filter pairs that are near quadrature have many image processing applications. This paper proposes a new methodology for designing such filters. The key idea is to design steerable filters by minimizing a departure-from-quadrature function. These minimizing filter pairs are almost exactly in quadrature. The polar part of the filters is nonnegative, monotonic, and highly focused around an axis, and asymptotically the filters achieve exact quadrature. These results are established by exploiting a relation between the filters and generalized Hilbert matrices. These near-quadrature filters closely approximate three dimensional Gabor filters. We experimentally verify the asymptotic mathematical results and further demonstrate the use of these filter pairs by efficient calculation of local Fourier shell correlation of cryogenic electron microscopy.

18.
Plant Commun ; 3(3): 100310, 2022 05 09.
Article in English | MEDLINE | ID: mdl-35576154

ABSTRACT

Targeted proteolysis is a hallmark of life. It is especially important in long-lived cells that can be found in higher eukaryotes, like plants. This task is mainly fulfilled by the ubiquitin-proteasome system. Thus, proteolysis by the 26S proteasome is vital to development, immunity, and cell division. Although the yeast and animal proteasomes are well characterized, there is only limited information on the plant proteasome. We determined the first plant 26S proteasome structure from Spinacia oleracea by single-particle electron cryogenic microscopy at an overall resolution of 3.3 Å. We found an almost identical overall architecture of the spinach proteasome compared with the known structures from mammals and yeast. Nevertheless, we noticed a structural difference in the proteolytic active ß1 subunit. Furthermore, we uncovered an unseen compression state by characterizing the proteasome's conformational landscape. We suspect that this new conformation of the 20S core protease, in correlation with a partial opening of the unoccupied gate, may contribute to peptide release after proteolysis. Our data provide a structural basis for the plant proteasome, which is crucial for further studies.


Subject(s)
Cryoelectron Microscopy , Proteasome Endopeptidase Complex , Cryoelectron Microscopy/methods , Plant Proteins/metabolism , Plant Proteins/ultrastructure , Proteasome Endopeptidase Complex/chemistry , Proteasome Endopeptidase Complex/ultrastructure , Ubiquitin
19.
Article in English | MEDLINE | ID: mdl-35425663

ABSTRACT

Classifying SPECT images requires a preprocessing step which normalizes the images using a normalization region. The choice of the normalization region is not standard, and using different normalization regions introduces normalization region-dependent variability. This paper mathematically analyzes the effect of the normalization region to show that normalized-classification is exactly equivalent to a subspace separation of the half rays of the images under multiplicative equivalence. Using this geometry, a new self-normalized classification strategy is proposed. This strategy eliminates the normalizing region altogether. The theory is used to classify DaTscan images of 365 Parkinson's disease (PD) subjects and 208 healthy control (HC) subjects from the Parkinson's Progression Marker Initiative (PPMI). The theory is also used to understand PD progression from baseline to year 4.

20.
Article in English | MEDLINE | ID: mdl-35419210

ABSTRACT

The Hamilton Depression Rating Scale provides ordinal ratings for evaluating different aspects of depression. These ratings are usually quite noisy, and longitudinal patterns in the ratings can be difficult to discern. This paper proposes a hierarchical maximum-a-posteriori (MAP) method for denoising the ordinal time series of such ratings. Real-world data from a clinical trial are analyzed using the model. Denoising reveals subject-specific longitudinal patterns, predicts future ratings, and reveals progression patterns via principal component analysis.

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