Ultrasound radiomics-based artificial intelligence model to assist in the differential diagnosis of ovarian endometrioma and ovarian dermoid cyst.

Background: Accurately differentiating between ovarian endometrioma and ovarian dermoid cyst is of clinical significance. However, the ultrasound appearance of these two diseases is variable, occasionally causing confusion and overlap with each other. This study aimed to develop a diagnostic classification model based on ultrasound radiomics to intelligently distinguish and diagnose the two diseases. Methods: We collected ovarian ultrasound images from participants diagnosed as patients with ovarian endometrioma or ovarian dermoid cyst. Feature extraction and selection were performed using the Mann-Whitney U-test, Spearman correlation analysis, and the least absolute shrinkage and selection operator (LASSO) regression. We then input the final features into the machine learning classifiers for model construction. A nomogram was established by combining the radiomic signature and clinical signature. Results: A total of 407 participants with 407 lesions were included and categorized into the ovarian endometriomas group (n = 200) and the dermoid cyst group (n = 207). In the test cohort, Logistic Regression (LR) achieved the highest area under curve (AUC) value (0.981, 95% CI: 0.963-1.000), the highest accuracy (94.8%), and the highest sensitivity (95.5%), while LightGBM achieved the highest specificity (97.1%). A nomogram incorporating both clinical features and radiomic features achieved the highest level of performance (AUC: 0.987, 95% CI: 0.967-1.000, accuracy: 95.1%, sensitivity: 88.0%, specificity: 100.0%, PPV: 100.0%, NPV: 88.0%, precision: 93.6%). No statistical difference in diagnostic performance was observed between the radiomic model and the nomogram (P > 0.05). The diagnostic indexes of radiomic model were comparable to that of senior radiologists and superior to that of junior radiologist. The diagnostic performance of junior radiologists significantly improved with the assistance of the model. Conclusion: This ultrasound radiomics-based model demonstrated superior diagnostic performance compared to those of junior radiologists and comparable diagnostic performance to those of senior radiologists, and it has the potential to enhance the diagnostic performance of junior radiologists.

In-situ formed Co nano-clusters as separator modifier and catalyst to regulate the film-like growth of Li and promote the cycling stability of lithium metal batteries.

Lithium metal batteries (LMBs) are considered a highly prospective next-generation energy storage technology. However, their large-scale commercial application is hampered by the uncontrollable growth of Li dendrites, which accompany the boundless inflation of the battery's volume. In this study, we address this challenge by fabricating a porous structure of the MOF-derived CoP nanocube film (CoP-NC@PP) as a adorned layer for the separator. During the initial cycle, this film facilitates the in situ formation of Li3P with ultrahigh ionic conductivity and a lithiophilic Co, which helps rule the nucleation and deposition behavior of lithium and stabilizes the solid-electrolyte interphase. The symmetric cell incorporating the CoP-NC@PP modified layer exhibits exceptional cycling stability, surpassing 1500 h of continuous operation. The kinetic process of Li interaction with CoP and the structural factors contributing to the high cycling stability and high naminal voltage were investigated by molecular dynamics simulation and density functional theory calculations. Furthermore, full cells employing Li||CoP-NC@PP||LFP (LFP = LiFePO4) configurations demonstrate excellent cycling stability and high capacity, even at a high rate of 5 C (≈5.2 mA cm-2), with the cathode mass loading reaching as high as 10.3 mg cm-2.

Morphology-based deep learning enables accurate detection of senescence in mesenchymal stem cell cultures.

BACKGROUND: Cell senescence is a sign of aging and plays a significant role in the pathogenesis of age-related disorders. For cell therapy, senescence may compromise the quality and efficacy of cells, posing potential safety risks. Mesenchymal stem cells (MSCs) are currently undergoing extensive research for cell therapy, thus necessitating the development of effective methods to evaluate senescence. Senescent MSCs exhibit distinctive morphology that can be used for detection. However, morphological assessment during MSC production is often subjective and uncertain. New tools are required for the reliable evaluation of senescent single cells on a large scale in live imaging of MSCs. RESULTS: We have developed a successful morphology-based Cascade region-based convolution neural network (Cascade R-CNN) system for detecting senescent MSCs, which can automatically locate single cells of different sizes and shapes in multicellular images and assess their senescence state. Additionally, we tested the applicability of the Cascade R-CNN system for MSC senescence and examined the correlation between morphological changes with other senescence indicators. CONCLUSIONS: This deep learning has been applied for the first time to detect senescent MSCs, showing promising performance in both chronic and acute MSC senescence. The system can be a labor-saving and cost-effective option for screening MSC culture conditions and anti-aging drugs, as well as providing a powerful tool for non-invasive and real-time morphological image analysis integrated into cell production.

Intelligent Point Cloud Processing, Sensing, and Understanding.

Point clouds are considered one of the fundamental pillars for representing the 3D digital landscape [...].

HT-RCM: Hashimoto's Thyroiditis Ultrasound Image Classification Model Based on Res-FCT and Res-CAM.

The early lesions of Hashimoto's thyroiditis are inconspicuous, and the ultrasonic features of these early lesions are indistinguishable from other thyroid diseases. This paper proposes a Hashimoto Thyroiditis ultrasound image classification model HT-RCM which consists of a Residual Full Convolution Transformer (Res-FCT) model and a Residual Channel Attention Module (Res-CAM). To collect the low-order information caused by hypoechoic signals accurately, the residual connection is injected between FCTs to form Res-FCT which helps HT-RCM superimpose the low-order input information and high-order output information together. Res-FCT can make HT-RCM focus more on hypoechoic information while avoiding gradient dispersion. The initial feature map is inserted into Res-FCT again through a down-sampling component, which further helps HT-RCM exact multi-level original semantic information in the ultrasound image. Res-CAM is constructed by implementing a residual connection between a channel attention module and a convolution layer. Res-CAM can effectively increase the weights of the lesion channels while suppressing the weights of the noise channels, which makes HT-RCM focus more on the lesion regions. The experimental results on our collected dataset show that HT-RCM outperforms the mainstream models and obtains state-of-the-art performance in HT ultrasound image classification.

Boundary uncertainty aware network for automated polyp segmentation.

Recently, leveraging deep neural networks for automated colorectal polyp segmentation has emerged as a hot topic due to the favored advantages in evading the limitations of visual inspection, e.g., overwork and subjectivity. However, most existing methods do not pay enough attention to the uncertain areas of colonoscopy images and often provide unsatisfactory segmentation performance. In this paper, we propose a novel boundary uncertainty aware network (BUNet) for precise and robust colorectal polyp segmentation. Specifically, considering that polyps vary greatly in size and shape, we first adopt a pyramid vision transformer encoder to learn multi-scale feature representations. Then, a simple yet effective boundary exploration module (BEM) is proposed to explore boundary cues from the low-level features. To make the network focus on the ambiguous area where the prediction score is biased to neither the foreground nor the background, we further introduce a boundary uncertainty aware module (BUM) that explores error-prone regions from the high-level features with the assistance of boundary cues provided by the BEM. Through the top-down hybrid deep supervision, our BUNet implements coarse-to-fine polyp segmentation and finally localizes polyp regions precisely. Extensive experiments on five public datasets show that BUNet is superior to thirteen competing methods in terms of both effectiveness and generalization ability.

Adaptive Cross-Feature Fusion Network With Inconsistency Guidance for Multi-Modal Brain Tumor Segmentation.

In the context of contemporary artificial intelligence, increasing deep learning (DL) based segmentation methods have been recently proposed for brain tumor segmentation (BraTS) via analysis of multi-modal MRI. However, known DL-based works usually directly fuse the information of different modalities at multiple stages without considering the gap between modalities, leaving much room for performance improvement. In this paper, we introduce a novel deep neural network, termed ACFNet, for accurately segmenting brain tumor in multi-modal MRI. Specifically, ACFNet has a parallel structure with three encoder-decoder streams. The upper and lower streams generate coarse predictions from individual modality, while the middle stream integrates the complementary knowledge of different modalities and bridges the gap between them to yield fine prediction. To effectively integrate the complementary information, we propose an adaptive cross-feature fusion (ACF) module at the encoder that first explores the correlation information between the feature representations from upper and lower streams and then refines the fused correlation information. To bridge the gap between the information from multi-modal data, we propose a prediction inconsistency guidance (PIG) module at the decoder that helps the network focus more on error-prone regions through a guidance strategy when incorporating the features from the encoder. The guidance is obtained by calculating the prediction inconsistency between upper and lower streams and highlights the gap between multi-modal data. Extensive experiments on the BraTS 2020 dataset show that ACFNet is competent for the BraTS task with promising results and outperforms six mainstream competing methods.

Liver fibrosis MR images classification based on higher-order interaction and sample distribution rebalancing.

The fractal features of liver fibrosis MR images exhibit an irregular fragmented distribution, and the diffuse feature distribution lacks interconnectivity, result- ing in incomplete feature learning and poor recognition accuracy. In this paper, we insert recursive gated convolution into the ResNet18 network to introduce spatial information interactions during the feature learning process and extend it to higher orders using recursion. Higher-order spatial information interactions enhance the correlation between features and enable the neural network to focus more on the pixel-level dependencies, enabling a global interpretation of liver MR images. Additionally, the existence of light scattering and quantum noise during the imaging process, coupled with environmental factors such as breathing artifacts caused by long time breath holding, affects the quality of the MR images. To improve the classification performance of the neural network and better cap- ture sample features, we introduce the Adaptive Rebalance loss function and incorporate the feature paradigm as a learnable adaptive attribute into the angular margin auxiliary function. Adaptive Rebalance loss function can expand the inter-class distance and narrow the intra-class difference to further enhance discriminative ability of the model. We conduct extensive experiments on liver fibrosis MR imaging involving 209 patients. The results demonstrate an average improvement of two percent in recognition accuracy compared to ResNet18. The github is at https://github.com/XZN1233/paper.git.

Specificity-aware Federated Learning with Dynamic Feature Fusion Network for Imbalanced Medical Image Classification.

Recently, federated learning has become a powerful technique for medical image classification due to its ability to utilize datasets from multiple clinical clients while satisfying privacy constraints. However, there are still some obstacles in federated learning. Firstly, most existing methods directly average the model parameters collected by medical clients on the server, ignoring the specificities of the local models. Secondly, class imbalance is a common issue in medical datasets. In this paper, to handle these two challenges, we propose a novel specificity-aware federated learning framework that benefits from an Adaptive Aggregation Mechanism (AdapAM) and a Dynamic Feature Fusion Strategy (DFFS). Considering the specificity of each local model, we set the AdapAM on the server. The AdapAM utilizes reinforcement learning to adaptively weight and aggregate the parameters of local models based on their data distribution and performance feedback for obtaining the global model parameters. For the class imbalance in local datasets, we propose the DFFS to dynamically fuse the features of majority classes based on the imbalance ratio in the min-batch and collaborate the rest of features. We conduct extensive experiments on a dermoscopic dataset and a fundus image dataset. Experimental results show that our method can achieve state-of-the-art results in these two real-world medical applications.

MHW-GAN: Multidiscriminator Hierarchical Wavelet Generative Adversarial Network for Multimodal Image Fusion.

Image fusion technology aims to obtain a comprehensive image containing a specific target or detailed information by fusing data of different modalities. However, many deep learning-based algorithms consider edge texture information through loss functions instead of specifically constructing network modules. The influence of the middle layer features is ignored, which leads to the loss of detailed information between layers. In this article, we propose a multidiscriminator hierarchical wavelet generative adversarial network (MHW-GAN) for multimodal image fusion. First, we construct a hierarchical wavelet fusion (HWF) module as the generator of MHW-GAN to fuse feature information at different levels and scales, which avoids information loss in the middle layers of different modalities. Second, we design an edge perception module (EPM) to integrate edge information from different modalities to avoid the loss of edge information. Third, we leverage the adversarial learning relationship between the generator and three discriminators for constraining the generation of fusion images. The generator aims to generate a fusion image to fool the three discriminators, while the three discriminators aim to distinguish the fusion image and edge fusion image from two source images and the joint edge image, respectively. The final fusion image contains both intensity information and structure information via adversarial learning. Experiments on public and self-collected four types of multimodal image datasets show that the proposed algorithm is superior to the previous algorithms in terms of both subjective and objective evaluation.

Benchmarking Polyp Segmentation Methods in Narrow-Band Imaging Colonoscopy Images.

In recent years, there has been significant progress in polyp segmentation in white-light imaging (WLI) colonoscopy images, particularly with methods based on deep learning (DL). However, little attention has been paid to the reliability of these methods in narrow-band imaging (NBI) data. NBI improves visibility of blood vessels and helps physicians observe complex polyps more easily than WLI, but NBI images often include polyps with small/flat appearances, background interference, and camouflage properties, making polyp segmentation a challenging task. This paper proposes a new polyp segmentation dataset (PS-NBI2K) consisting of 2,000 NBI colonoscopy images with pixel-wise annotations, and presents benchmarking results and analyses for 24 recently reported DL-based polyp segmentation methods on PS-NBI2K. The results show that existing methods struggle to locate polyps with smaller sizes and stronger interference, and that extracting both local and global features improves performance. There is also a trade-off between effectiveness and efficiency, and most methods cannot achieve the best results in both areas simultaneously. This work highlights potential directions for designing DL-based polyp segmentation methods in NBI colonoscopy images, and the release of PS-NBI2K aims to drive further development in this field.

Adversarial learning-based multi-level dense-transmission knowledge distillation for AP-ROP detection.

The Aggressive Posterior Retinopathy of Prematurity (AP-ROP) is the major cause of blindness for premature infants. The automatic diagnosis method has become an important tool for detecting AP-ROP. However, most existing automatic diagnosis methods were with heavy complexity, which hinders the development of the detecting devices. Hence, a small network (student network) with a high imitation ability is exactly needed, which can mimic a large network (teacher network) with promising diagnostic performance. Also, if the student network is too small due to the increasing gap between teacher and student networks, the diagnostic performance will drop. To tackle the above issues, we propose a novel adversarial learning-based multi-level dense knowledge distillation method for detecting AP-ROP. Specifically, the pre-trained teacher network is utilized to train multiple intermediate-size networks (i.e., teacher-assistant networks) and one student network by dense transmission mode, where the knowledge from all upper-level networks is transmitted to the current lower-level network. To ensure that two adjacent networks can distill the abundant knowledge, the adversarial learning module is leveraged to enforce the lower-level network to generate the features that are similar to those of the upper-level network. Extensive experiments demonstrate that our proposed method can realize the effective knowledge distillation from the teacher to student networks. We achieve a promising knowledge distillation performance for our private dataset and a public dataset, which can provide a new insight for devising lightweight detecting systems of fundus diseases for practical use.

Toward Multicenter Skin Lesion Classification Using Deep Neural Network With Adaptively Weighted Balance Loss.

Recently, deep neural network-based methods have shown promising advantages in accurately recognizing skin lesions from dermoscopic images. However, most existing works focus more on improving the network framework for better feature representation but ignore the data imbalance issue, limiting their flexibility and accuracy across multiple scenarios in multi-center clinics. Generally, different clinical centers have different data distributions, which presents challenging requirements for the network's flexibility and accuracy. In this paper, we divert the attention from framework improvement to the data imbalance issue and propose a new solution for multi-center skin lesion classification by introducing a novel adaptively weighted balance (AWB) loss to the conventional classification network. Benefiting from AWB, the proposed solution has the following advantages: 1) it is easy to satisfy different practical requirements by only changing the backbone; 2) it is user-friendly with no tuning on hyperparameters; and 3) it adaptively enables small intraclass compactness and pays more attention to the minority class. Extensive experiments demonstrate that, compared with solutions equipped with state-of-the-art loss functions, the proposed solution is more flexible and more competent for tackling the multi-center imbalanced skin lesion classification task with considerable performance on two benchmark datasets. In addition, the proposed solution is proved to be effective in handling the imbalanced gastrointestinal disease classification task and the imbalanced DR grading task. Code is available at https://github.com/Weipeishan2021.

Boundary Constraint Network With Cross Layer Feature Integration for Polyp Segmentation.

Clinically, proper polyp localization in endoscopy images plays a vital role in the follow-up treatment (e.g., surgical planning). Deep convolutional neural networks (CNNs) provide a favoured prospect for automatic polyp segmentation and evade the limitations of visual inspection, e.g., subjectivity and overwork. However, most existing CNNs-based methods often provide unsatisfactory segmentation performance. In this paper, we propose a novel boundary constraint network, namely BCNet, for accurate polyp segmentation. The success of BCNet benefits from integrating cross-level context information and leveraging edge information. Specifically, to avoid the drawbacks caused by simple feature addition or concentration, BCNet applies a cross-layer feature integration strategy (CFIS) in fusing the features of the top-three highest layers, yielding a better performance. CFIS consists of three attention-driven cross-layer feature interaction modules (ACFIMs) and two global feature integration modules (GFIMs). ACFIM adaptively fuses the context information of the top-three highest layers via the self-attention mechanism instead of direct addition or concentration. GFIM integrates the fused information across layers with the guidance from global attention. To obtain accurate boundaries, BCNet introduces a bilateral boundary extraction module that explores the polyp and non-polyp information of the shallow layer collaboratively based on the high-level location information and boundary supervision. Through joint supervision of the polyp area and boundary, BCNet is able to get more accurate polyp masks. Experimental results on three public datasets show that the proposed BCNet outperforms seven state-of-the-art competing methods in terms of both effectiveness and generalization.

Composite NiCo2 O4 @CeO2 Microsphere as Cathode Catalyst for High-Performance Lithium-Oxygen Battery.

The large overpotential and poor cycle stability caused by inactive redox reactions are tough challenges for lithium-oxygen batteries (LOBs). Here, a composite microsphere material comprising NiCo2 O4 @CeO2 is synthesized via a hydrothermal approach followed by an annealing processing, which is acted as a high performance electrocatalyst for LOBs. The unique microstructured catalyst can provide enough catalytic surface to facilitate the barrier-free transport of oxygen as well as lithium ions. In addition, the special microsphere and porous nanoneedles structure can effectively accelerate electrolyte penetration and the reversible formation and decomposition process of Li2 O2 , while the introduction of CeO2 can increase oxygen vacancies and optimize the electronic structure of NiCo2 O4 , thereby enhancing the electron transport of the whole electrode. This kind of catalytic cathode material can effectively reduce the overpotential to only 1.07 V with remarkable cycling stability of 400 loops under 500 mA g-1 . Based on the density functional theory calculations, the origin of the enhanced electrochemical performance of NiCo2 O4 @CeO2 is clarified from the perspective of electronic structure and reaction kinetics. This work demonstrates the high efficiency of NiCo2 O4 @CeO2 as an electrocatalyst and confirms the contribution of the current design concept to the development of LOBs cathode materials.

Unsupervised Domain Adaptation Based Image Synthesis and Feature Alignment for Joint Optic Disc and Cup Segmentation.

Due to the discrepancy of different devices for fundus image collection, a well-trained neural network is usually unsuitable for another new dataset. To solve this problem, the unsupervised domain adaptation strategy attracts a lot of attentions. In this paper, we propose an unsupervised domain adaptation method based image synthesis and feature alignment (ISFA) method to segment optic disc and cup on fundus images. The GAN-based image synthesis (IS) mechanism along with the boundary information of optic disc and cup is utilized to generate target-like query images, which serves as the intermediate latent space between source domain and target domain images to alleviate the domain shift problem. Specifically, we use content and style feature alignment (CSFA) to ensure the feature consistency among source domain images, target-like query images and target domain images. The adversarial learning is used to extract domain-invariant features for output-level feature alignment (OLFA). To enhance the representation ability of domain-invariant boundary structure information, we introduce the edge attention module (EAM) for low-level feature maps. Eventually, we train our proposed method on the training set of the REFUGE challenge dataset and test it on Drishti-GS and RIM-ONE_r3 datasets. On the Drishti-GS dataset, our method achieves about 3% improvement of Dice on optic cup segmentation over the next best method. We comprehensively discuss the robustness of our method for small dataset domain adaptation. The experimental results also demonstrate the effectiveness of our method. Our code is available at https://github.com/thinkobj/ISFA.

Induced Pluripotent Stem Cells Detection via Ensemble Yolo Network.

Induced pluripotent stem cells (iPSCs) have huge potential in regenerative medicine research and industrial applications. However, building automatic method without using cell staining technique for iPSCs identification is an important challenge. To improve the efficiency of producing iPSCs, we build an accurate and noninvasive iPSCs colonies detection method via ensemble Yolo network based on the self-collected bright-field microscopy images. Meanwhile, test-time augmentation (TTA) is leveraged to further improve the detection result of our iPSCs colonies detection method. Extensive experimental results on our dataset demonstrate that our method obtains quite favorable detection performance with the highest F1 score of 0.867 and the highest mean average precision score of 0.898, which outperforms most mainstream methods.

Quality evaluation of induced pluripotent stem cell colonies by fusing multi-source features.

BACKGROUND AND OBJECTIVE: Induced pluripotent stem cells (iPSCs) have great potential as the basis of regenerative medicine. In this paper, we propose an automatic quality evaluation model based on multi-source feature ensemble learning to divide the iPSC colonies into three categories: good, medium and bad. METHODS: First, we obtained iPSCs samples using a Sendai virus reprogramming method. Second, we collected the bright field-images of iPSC colonies and processed them with adaptive gamma transform and data enhancement. The evaluation for the iPSC colony quality was further verified with living cell fluorescent staining, currently accepted as the optimal biological method. Third, multi-source features were extracted using three deep convolutional neural networks (DCNNs) and four traditional feature descriptors. Finally, we utilized a support vector machine (SVM) to perform classification. Before feeding into the SVM, the features were processed by principal component analysis algorithm to save computational cost and training time. RESULTS: Experimental results on the collected iPSC dataset (46,500 images) show that the proposed method could obtain 95.55% classification accuracy. CONCLUSIONS: Our study could provide a method to efficiently and quickly judge the biological quality of a single iPSC colony or populations and facilitate the large-scale iPSC manufacturing.

Metal-organic frameworks-derived hollow dodecahedral carbon combined with FeNx moieties and ruthenium nanoparticles as cathode electrocatalyst for lithium oxygen batteries.

Owing to their high energy density, lithium-oxygen batteries (LOBs) have been drawn great attention as one of the promising electrochemical energy sources. However, the sluggish kinetics of oxygen reduction/evolution reaction (ORR/OER) hamper the widespread application of LOBs. Herein, an elaborate designed catalysts which are constructed by FeNx moieties dispersed on the network-like hollow dodecahedral carbon and then decorated with Ru nanoparticles (FeNx-HDC@Ru). Since the homogeneously dispersed FeNx moieties could promote ORR performance, and the Ru nanoparticles could facilitate OER capability, the FeNx-HDC@Ru nanocomposites used as cathode catalysts can significantly improve LOBs performance. A lower discharge and charge overpotentials of 0.15 V and 0.78 V can be detected in the first cycle, respectively, and an excellent cycle performance of 90 cycles at 200 mA g-1 and 89 cycles at 500 mA g-1 can be demonstrated. Herein, the charge transfer kinetics has been enhanced with the internal network-like hollow structure and a low impedance Li2O2/catalysts contact interface could be earned by the constructed Ru nanoparticles, these factors would lead to an efficient acceleration to the formation and decomposition of Li2O2 during discharge and charge process.

RuO2-x decorated CoSnO3 nanoboxes as a high performance cathode catalyst for Li-CO2 batteries.

Rechargeable Li-CO2 batteries contribute towards lessening fossil fuel depletion and alleviating the "greenhouse effect". However, more efforts must be made to figure out the critical problems of a high overpotential and poor cycling stability associated with this type of battery. Here, CoSnO3/RuO2-x nanocomposites were employed as an efficient air cathode for Li-CO2 batteries, which can lower the overpotential and improve their long-term cycling performance (around 145 cycles) remarkably.