Predicting pathological complete response based on weakly and semi-supervised joint learning from breast cancer MRI.

Neoadjuvant chemotherapy (NAC) is the standard treatment for breast cancer patients. Patients achieving complete pathological response (pCR) after NAC usually have a good prognosis. However, automatic pCR prediction has been a challenging problem due to lacking well annotations in 3D MRI. Thus far, unifying different annotation information to predict the tumor's early response to NAC has not been systematically addressed. This paper proposes a weakly and semi-supervised joint learning method that integrates attentional features from multi-parametric MRI with radiomic features for predicting pCR to NAC in breast cancer patients. The attention-based multi-instance learning (MIL) is first developed to generate informative MRI bag-level features and mine key instances. The mean-teacher framework is then employed to segment tumor regions in a semi-supervised setting for extracting radiomic features. We perform experiments on 442 patients' data and show that our method achieves an AUC value of 0.85 in pCR prediction, which is superior to comparative methods. It is also shown that learning from multi-parametric MRI outperforms that of single-parameter MRI in pCR prediction.

Machine Learning Models for Predicting Adverse Pregnancy Outcomes in Pregnant Women with Systemic Lupus Erythematosus.

Predicting adverse outcomes is essential for pregnant women with systemic lupus erythematosus (SLE) to minimize risks. Applying statistical analysis may be limited for the small sample size of childbearing patients, while the informative medical records could be provided. This study aimed to develop predictive models applying machine learning (ML) techniques to explore more information. We performed a retrospective analysis of 51 pregnant women exhibiting SLE, including 288 variables. After correlation analysis and feature selection, six ML models were applied to the filtered dataset. The efficiency of these overall models was evaluated by the Receiver Operating Characteristic Curve. Meanwhile, real-time models with different timespans based on gestation were also explored. Eighteen variables demonstrated statistical differences between the two groups; more than forty variables were screened out by ML variable selection strategies as contributing predictors, while the overlap of variables were the influential indicators testified by the two selection strategies. The Random Forest (RF) algorithm demonstrated the best discrimination ability under the current dataset for overall predictive models regardless of the data missing rate, while Multi-Layer Perceptron models ranked second. Meanwhile, RF achieved best performance when assessing the real-time predictive accuracy of models. ML models could compensate the limitation of statistical methods when the small sample size problem happens along with numerous variables acquired, while RF classifier performed relatively best when applied to such structured medical records.

Comparison of machine learning and logistic regression as predictive models for adverse maternal and neonatal outcomes of preeclampsia: A retrospective study.

Introduction: Preeclampsia, one of the leading causes of maternal and fetal morbidity and mortality, demands accurate predictive models for the lack of effective treatment. Predictive models based on machine learning algorithms demonstrate promising potential, while there is a controversial discussion about whether machine learning methods should be recommended preferably, compared to traditional statistical models. Methods: We employed both logistic regression and six machine learning methods as binary predictive models for a dataset containing 733 women diagnosed with preeclampsia. Participants were grouped by four different pregnancy outcomes. After the imputation of missing values, statistical description and comparison were conducted preliminarily to explore the characteristics of documented 73 variables. Sequentially, correlation analysis and feature selection were performed as preprocessing steps to filter contributing variables for developing models. The models were evaluated by multiple criteria. Results: We first figured out that the influential variables screened by preprocessing steps did not overlap with those determined by statistical differences. Secondly, the most accurate imputation method is K-Nearest Neighbor, and the imputation process did not affect the performance of the developed models much. Finally, the performance of models was investigated. The random forest classifier, multi-layer perceptron, and support vector machine demonstrated better discriminative power for prediction evaluated by the area under the receiver operating characteristic curve, while the decision tree classifier, random forest, and logistic regression yielded better calibration ability verified, as by the calibration curve. Conclusion: Machine learning algorithms can accomplish prediction modeling and demonstrate superior discrimination, while Logistic Regression can be calibrated well. Statistical analysis and machine learning are two scientific domains sharing similar themes. The predictive abilities of such developed models vary according to the characteristics of datasets, which still need larger sample sizes and more influential predictors to accumulate evidence.

Cross-Subject Emotion Recognition Using Fused Entropy Features of EEG.

Emotion recognition based on electroencephalography (EEG) has attracted high interest in fields such as health care, user experience evaluation, and human-computer interaction (HCI), as it plays an important role in human daily life. Although various approaches have been proposed to detect emotion states in previous studies, there is still a need to further study the dynamic changes of EEG in different emotions to detect emotion states accurately. Entropy-based features have been proved to be effective in mining the complexity information in EEG in many areas. However, different entropy features vary in revealing the implicit information of EEG. To improve system reliability, in this paper, we propose a framework for EEG-based cross-subject emotion recognition using fused entropy features and a Bidirectional Long Short-term Memory (BiLSTM) network. Features including approximate entropy (AE), fuzzy entropy (FE), Rényi entropy (RE), differential entropy (DE), and multi-scale entropy (MSE) are first calculated to study dynamic emotional information. Then, we train a BiLSTM classifier with the inputs of entropy features to identify different emotions. Our results show that MSE of EEG is more efficient than other single-entropy features in recognizing emotions. The performance of BiLSTM is further improved with an accuracy of 70.05% using fused entropy features compared with that of single-type feature.

Decoding brain activities of literary metaphor comprehension: An event-related potential and EEG spectral analysis.

Novel metaphors in literary texts (hereinafter referred to as literary metaphors) seem to be more creative and open-ended in meaning than metaphors in non-literary texts (non-literary metaphors). However, some disagreement still exists on how literary metaphors differ from non-literary metaphors. Therefore, this study explored the neural mechanisms of literary metaphors extracted from modern Chinese poetry by using the methods of Event-Related Potentials (ERPs) and Event-Related Spectral Perturbations (ERSPs), as compared with non-literary conventional metaphors and literal expressions outside literary texts. Forty-eight subjects were recruited to make the semantic relatedness judgment after reading the prime-target pairs in three linguistic conditions. According to the ERPs results, the earliest differences were presented during the time window of P200 component (170-260 ms) in the frontal and central areas, with the amplitude of P200 for literary metaphors more positive than the other two conditions, reflecting the early allocation of attention and the early conscious experience of the experimental stimuli. Meanwhile, significant differences were presented during the time window of N400 effect (430-530 ms), with the waveform of literary metaphors more negative than others in the frontal and central topography of scalp distributions, suggesting more efforts in retrieving conceptual knowledge for literary metaphors. The ERSPs analysis revealed that the frequency bands of delta and theta were both involved in the cognitive process of literary metaphor comprehension, with delta band distributed in the frontal and central scalp and theta band in parietal and occipital electrodes. Increases in the two power bands during different time windows provided extra evidences that the processing of literary metaphors required more attention and effort than non-literary metaphors and literal expressions in the semantic related tasks, suggesting that the cognitive process of literary metaphors was distinguished by different EEG spectral patterns.

Optimal Number of Clusters by Measuring Similarity Among Topographies for Spatio-Temporal ERP Analysis.

Averaging amplitudes over consecutive time samples (i.e., time window) is widely used to calculate the peak amplitude of event-related potentials (ERPs). Cluster analysis of the spatio-temporal ERP data is a promising tool to determine the time window of an ERP of interest. However, determining an appropriate number of clusters to optimally represent ERPs is still challenging. Here, we develop a new method to estimate the optimal number of clusters utilizing consensus clustering. Various polarity dependent clustering methods, namely, k-means, hierarchical clustering, fuzzy c-means, self-organizing map, spectral clustering, and Gaussian mixture model, are used to configure consensus clustering after assessing them individually. When a range of clusters is applied many times, the optimal number of clusters should correspond to the expectation, which is the average of the obtained mean inner-similarities of estimated time windows across all conditions and groups converge in the satisfactory thresholds. In order to assess our method, the proposed method has been applied to simulated data and prospective memory experiment ERP data aimed to qualify N2 and P3, and N300 and prospective positivity components, respectively. The results of determining the optimal number of clusters meet at six cluster maps for both ERP data. In addition, our results revealed that the proposed method could be reliably applied to ERP data to determine the appropriate time window for the ERP of interest when the measurement interval is not accurately defined.

Exploring Oscillatory Dysconnectivity Networks in Major Depression During Resting State Using Coupled Tensor Decomposition.

Dysconnectivity of large-scale brain networks has been linked to major depression disorder (MDD) during resting state. Recent researches show that the temporal evolution of brain networks regulated by oscillations reveals novel mechanisms and neural characteristics of MDD. Our study applied a novel coupled tensor decomposition model to investigate the dysconnectivity networks characterized by spatio-temporal-spectral modes of covariation in MDD using resting electroencephalography. The phase lag index is used to calculate the functional connectivity within each time window at each frequency bin. Then, two adjacency tensors with the dimension of time × frequency × connectivity × subject are constructed for the healthy group and the major depression group. We assume that the two groups share the same features for group similarity and retain individual characteristics for group differences. Considering that the constructed tensors are nonnegative and the components in spectral and adjacency modes are partially consistent among the two groups, we formulate a double-coupled nonnegative tensor decomposition model. To reduce computational complexity, we introduce the low-rank approximation. Then, the fast hierarchical alternative least squares algorithm is applied for model optimization. After clustering analysis, we summarize four oscillatory networks characterizing the healthy group and four oscillatory networks characterizing the major depression group, respectively. The proposed model may reveal novel mechanisms of pathoconnectomics in MDD during rest, and it can be easily extended to other psychiatric disorders.

Identifying Oscillatory Hyperconnectivity and Hypoconnectivity Networks in Major Depression Using Coupled Tensor Decomposition.

Previous researches demonstrate that major depression disorder (MDD) is associated with widespread network dysconnectivity, and the dynamics of functional connectivity networks are important to delineate the neural mechanisms of MDD. Neural oscillations exert a key role in coordinating the activity of remote brain regions, and various assemblies of oscillations can modulate different networks to support different cognitive tasks. Studies have demonstrated that the dysconnectivity of electroencephalography (EEG) oscillatory networks is related with MDD. In this study, we investigated the oscillatory hyperconnectivity and hypoconnectivity networks in MDD under a naturalistic and continuous stimuli condition of music listening. With the assumption that the healthy group and the MDD group share similar brain topology from the same stimuli and also retain individual brain topology for group differences, we applied the coupled nonnegative tensor decomposition algorithm on two adjacency tensors with the dimension of time × frequency × connectivity × subject, and imposed double-coupled constraints on spatial and spectral modes. The music-induced oscillatory networks were identified by a correlation analysis approach based on the permutation test between extracted temporal factors and musical features. We obtained three hyperconnectivity networks from the individual features of MDD and three hypoconnectivity networks from common features. The results demonstrated that the dysfunction of oscillatory networks could affect the involvement in music perception for MDD patients. Those oscillatory dysconnectivity networks may provide promising references to reveal the pathoconnectomics of MDD and potential biomarkers for the diagnosis of MDD.

Availability and End-to-end Reliability in Low Duty Cycle Multihop Wireless Sensor Networks.

A wireless sensor network (WSN) is an ad-hoc technology that may even consist of thousands of nodes, which necessitates autonomic, self-organizing and multihop operations. A typical WSN node is battery powered, which makes the network lifetime the primary concern. The highest energy efficiency is achieved with low duty cycle operation, however, this alone is not enough. WSNs are deployed for different uses, each requiring acceptable Quality of Service (QoS). Due to the unique characteristics of WSNs, such as dynamic wireless multihop routing and resource constraints, the legacy QoS metrics are not feasible as such. We give a new definition to measure and implement QoS in low duty cycle WSNs, namely availability and reliability. Then, we analyze the effect of duty cycling for reaching the availability and reliability. The results are obtained by simulations with ZigBee and proprietary TUTWSN protocols. Based on the results, we also propose a data forwarding algorithm suitable for resource constrained WSNs that guarantees end-to-end reliability while adding a small overhead that is relative to the packet error rate (PER). The forwarding algorithm guarantees reliability up to 30% PER.