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1.
Nat Commun ; 15(1): 2907, 2024 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-38649369

RESUMO

Holographic displays can generate light fields by dynamically modulating the wavefront of a coherent beam of light using a spatial light modulator, promising rich virtual and augmented reality applications. However, the limited spatial resolution of existing dynamic spatial light modulators imposes a tight bound on the diffraction angle. As a result, modern holographic displays possess low étendue, which is the product of the display area and the maximum solid angle of diffracted light. The low étendue forces a sacrifice of either the field-of-view (FOV) or the display size. In this work, we lift this limitation by presenting neural étendue expanders. This new breed of optical elements, which is learned from a natural image dataset, enables higher diffraction angles for ultra-wide FOV while maintaining both a compact form factor and the fidelity of displayed contents to human viewers. With neural étendue expanders, we experimentally achieve 64 × étendue expansion of natural images in full color, expanding the FOV by an order of magnitude horizontally and vertically, with high-fidelity reconstruction quality (measured in PSNR) over 29 dB on retinal-resolution images.

2.
Nat Commun ; 12(1): 6493, 2021 11 29.
Artigo em Inglês | MEDLINE | ID: mdl-34845201

RESUMO

Nano-optic imagers that modulate light at sub-wavelength scales could enable new applications in diverse domains ranging from robotics to medicine. Although metasurface optics offer a path to such ultra-small imagers, existing methods have achieved image quality far worse than bulky refractive alternatives, fundamentally limited by aberrations at large apertures and low f-numbers. In this work, we close this performance gap by introducing a neural nano-optics imager. We devise a fully differentiable learning framework that learns a metasurface physical structure in conjunction with a neural feature-based image reconstruction algorithm. Experimentally validating the proposed method, we achieve an order of magnitude lower reconstruction error than existing approaches. As such, we present a high-quality, nano-optic imager that combines the widest field-of-view for full-color metasurface operation while simultaneously achieving the largest demonstrated aperture of 0.5 mm at an f-number of 2.

3.
Magn Reson Med ; 84(5): 2788-2800, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32378776

RESUMO

PURPOSE: Quantification of myocardial perfusion has the potential to improve the detection of regional and global flow reduction. Significant effort has been made to automate the workflow, where one essential step is the arterial input function (AIF) extraction. Failure to accurately identify the left ventricle (LV) prevents AIF estimation required for quantification, therefore high detection accuracy is required. This study presents a robust LV detection method using the convolutional neural network (CNN). METHODS: CNN models were trained by assembling 25,027 scans (N = 12,984 patients) from three hospitals, seven scanners. Performance was evaluated using a hold-out test set of 5721 scans (N = 2805 patients). Model inputs were a time series of AIF images (2D+T). Two variations were investigated: (1) two classes (2CS) for background and foreground (LV mask), and (2) three classes (3CS) for background, LV, and RV. The final model was deployed on MRI scanners using the Gadgetron reconstruction software framework. RESULTS: Model loading on the MRI scanner took ~340 ms and applying the model took ~180 ms. The 3CS model successfully detected the LV in 99.98% of all test cases (1 failure out of 5721). The mean Dice ratio for 3CS was 0.87 ± 0.08 with 92.0% of all cases having Dice >0.75. The 2CS model gave a lower Dice ratio of 0.82 ± 0.22 (P < 1e-5). There was no significant difference in foot-time, peak-time, first-pass duration, peak value, and area-under-curve (P > .2) comparing automatically extracted AIF signals with signals from manually drawn contours. CONCLUSIONS: A CNN-based solution to detect the LV blood pool from the arterial input function image series was developed, validated, and deployed. A high LV detection accuracy of 99.98% was achieved.


Assuntos
Aprendizado Profundo , Ventrículos do Coração , Algoritmos , Ventrículos do Coração/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Perfusão
4.
Appl Clin Inform ; 11(2): 265-275, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32268390

RESUMO

BACKGROUND: UW Medicine was one of the first health systems to encounter and treat COVID-19 patients in the United States, starting in late February 2020. OBJECTIVE: Here we describe the rapid rollout of capabilities by UW Medicine Information Technology Services (ITS) to support our clinical response to the COVID-19 pandemic and provide recommendations for health systems to urgently consider, as they plan their own response to this and potentially other future pandemics. METHODS: Our recommendations include establishing a hospital incident command structure that includes tight integration with IT, creating automated dashboards for incident command, optimizing emergency communication to staff and patients, and preparing human resources, security, other policies, and equipment to support the transition of all nonessential staff to telework.We describe how UW Medicine quickly expanded telemedicine capabilities to include most primary care providers and increasing numbers of specialty providers. We look at how we managed expedited change control processes to quickly update electronic health records (EHR) with new COVID-19 laboratory and clinical workflows. We also examine the integration of new technology such as tele-intensive care (ICU) equipment and improved integration with teleconferencing software into our EHR. To support the rapid preparation for COVID-19 at other health systems, we include samples of the UW Medicine's COVID-19 order set, COVID-19 documentation template, dashboard metric categories, and a list of the top 10 things your health care IT organization can do now to prepare. CONCLUSION: The COVID-19 response requires new and expedited ways of approaching ITS support to clinical needs. UW Medicine ITS leadership hope that by quickly sharing our nimble response to clinical and operational requests, we can help other systems prepare to respond to this public health emergency.


Assuntos
Infecções por Coronavirus , Atenção à Saúde/organização & administração , Tecnologia da Informação , Informática Médica , Pandemias , Pneumonia Viral , Betacoronavirus , COVID-19 , Comunicação , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Sistemas de Apoio a Decisões Clínicas , Registros Eletrônicos de Saúde , Sistemas Pré-Pagos de Saúde , Humanos , Noroeste dos Estados Unidos , Pandemias/prevenção & controle , Pneumonia Viral/diagnóstico , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Saúde Pública , SARS-CoV-2 , Telemedicina , Fluxo de Trabalho
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