Transurethral En Bloc Resection Versus Standard Resection of Bladder Tumour: A Randomised, Multicentre, Phase 3 Trial.

BACKGROUND: Conventionally, standard resection (SR) is performed by resecting the bladder tumour in a piecemeal manner. En bloc resection of the bladder tumour (ERBT) has been proposed as an alternative technique in treating non-muscle-invasive bladder cancer (NMIBC). OBJECTIVE: To investigate whether ERBT could improve the 1-yr recurrence rate of NMIBC, as compared with SR. DESIGN, SETTING, AND PARTICIPANTS: A multicentre, randomised, phase 3 trial was conducted in Hong Kong. Adults with bladder tumour(s) of ≤3 cm were enrolled from April 2017 to December 2020, and followed up until 1 yr after surgery. INTERVENTION: Patients were randomly assigned to receive either ERBT or SR in a 1:1 ratio. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: The primary outcome was 1-yr recurrence rate. A modified intention-to-treat analysis on patients with histologically confirmed NMIBC was performed. The main secondary outcomes included detrusor muscle sampling rate, operative time, hospital stay, 30-d complications, any residual or upstaging of disease upon second-look transurethral resection, and 1-yr progression rate. RESULTS AND LIMITATIONS: A total of 350 patients underwent randomisation, and 276 patients were histologically confirmed to have NMIBC. At 1 yr, 31 patients in the ERBT group and 46 in the SR group developed recurrence; the Kaplan-Meier estimate of 1-yr recurrence rates were 29% (95% confidence interval, 18-37) in the ERBT group and 38% (95% confidence interval, 28-46) in the SR group (p = 0.007). Upon a subgroup analysis, patients with 1-3 cm tumour, single tumour, Ta disease, or intermediate-risk NMIBC had a significant benefit from ERBT. None of the patients in the ERBT group and three patients in the SR group developed progression to muscle-invasive bladder cancer; the Kaplan-Meier estimates of 1-yr progression rates were 0% in the ERBT group and 2.6% (95% confidence interval, 0-5.5) in the SR group (p = 0.065). The median operative time was 28 min (interquartile range, 20-45) in the ERBT group and 22 min (interquartile range, 15-30) in the SR group (p < 0.001). All other secondary outcomes were similar in the two groups. CONCLUSIONS: In patients with NMIBC of ≤3 cm, ERBT resulted in a significant reduction in the 1-yr recurrence rate when compared with SR (funded by GRF/ECS, RGC, reference no.: 24116518; ClinicalTrials.gov number, NCT02993211). PATIENT SUMMARY: Conventionally, non-muscle-invasive bladder cancer is treated by resecting the bladder tumour in a piecemeal manner. In this study, we found that en bloc resection, that is, removal of the bladder tumour in one piece, could reduce the 1-yr recurrence rate of non-muscle-invasive bladder cancer.

Deep Learning Methods for Calibrated Photometric Stereo and Beyond.

Photometric stereo recovers the surface normals of an object from multiple images with varying shading cues, i.e., modeling the relationship between surface orientation and intensity at each pixel. Photometric stereo prevails in superior per-pixel resolution and fine reconstruction details. However, it is a complicated problem because of the non-linear relationship caused by non-Lambertian surface reflectance. Recently, various deep learning methods have shown a powerful ability in the context of photometric stereo against non-Lambertian surfaces. This paper provides a comprehensive review of existing deep learning-based calibrated photometric stereo methods utilizing orthographic cameras and directional light sources. We first analyze these methods from different perspectives, including input processing, supervision, and network architecture. We summarize the performance of deep learning photometric stereo models on the most widely-used benchmark data set. This demonstrates the advanced performance of deep learning-based photometric stereo methods. Finally, we give suggestions and propose future research trends based on the limitations of existing models.

Landmark Localization from Medical Images with Generative Distribution Prior.

In medical image analysis, anatomical landmarks usually contain strong prior knowledge of their structural information. In this paper, we propose to promote medical landmark localization by modeling the underlying landmark distribution via normalizing flows. Specifically, we introduce the flow-based landmark distribution prior as a learnable objective function into a regression-based landmark localization framework. Moreover, we employ an integral operation to make the mapping from heatmaps to coordinates differentiable to further enhance heatmap-based localization with the learned distribution prior. Our proposed Normalizing Flow-based Distribution Prior (NFDP) employs a straightforward backbone and non-problem-tailored architecture (i.e., ResNet18), which delivers high-fidelity outputs across three X-ray-based landmark localization datasets. Remarkably, the proposed NFDP can do the job with minimal additional computational burden as the normalizing flows module is detached from the framework on inferencing. As compared to existing techniques, our proposed NFDP provides a superior balance between prediction accuracy and inference speed, making it a highly efficient and effective approach. The source code of this paper is available at https://github.com/jacksonhzx95/NFDP.

Active Compliance Smart Control Strategy of Hybrid Mechanism for Bonnet Polishing.

Compliance control strategies have been utilised for the ultraprecision polishing process for many years. Most researchers execute active compliance control strategies by employing impedance control law on a robot development platform. However, these methods are limited by the load capacity, positioning accuracy, and repeatability of polishing mechanisms. Moreover, a sophisticated actuator mounted at the end of the end-effector of robots is difficult to maintain in the polishing scenario. In contrast, a hybrid mechanism for polishing that possesses the advantages of serial and parallel mechanisms can mitigate the above problems, especially when an active compliance control strategy is employed. In this research, a high-frequency-impedance robust force control strategy is proposed. It outputs a position adjustment value directly according to a contact pressure adjustment value. An open architecture control system with customised software is developed to respond to external interrupts during the polishing procedure, implementing the active compliance control strategy on a hybrid mechanism. Through this method, the hybrid mechanism can adapt to the external environment with a given contact pressure automatically instead of relying on estimating the environment stiffness. Experimental results show that the proposed strategy adapts the unknown freeform surface without overshooting and improves the surface quality. The average surface roughness value decreases from 0.057 um to 0.027 um.

GR-PSN: Learning to Estimate Surface Normal and Reconstruct Photometric Stereo Images.

In this paper, we propose a novel method, namely GR-PSN, which learns surface normals from photometric stereo images and generates the photometric images under distant illumination from different lighting directions and surface materials. The framework is composed of two subnetworks, named GeometryNet and ReconstructNet, which are cascaded to perform shape reconstruction and image rendering in an end-to-end manner. ReconstructNet introduces additional supervision for surface-normal recovery, forming a closed-loop structure with GeometryNet. We also encode lighting and surface reflectance in ReconstructNet, to achieve arbitrary rendering. In training, we set up a parallel framework to simultaneously learn two arbitrary materials for an object, providing an additional transform loss. Therefore, our method is trained based on the supervision by three different loss functions, namely the surface-normal loss, reconstruction loss, and transform loss. We alternately input the predicted surface-normal map and the ground-truth into ReconstructNet, to achieve stable training for ReconstructNet. Experiments show that our method can accurately recover the surface normals of an object with an arbitrary number of inputs, and can re-render images of the object with arbitrary surface materials. Extensive experimental results show that our proposed method outperforms those methods based on a single surface recovery network and shows realistic rendering results on 100 different materials. Our code can be found in https://github.com/Kelvin-Ju/GR-PSN.

Distilling Privileged Knowledge for Anomalous Event Detection From Weakly Labeled Videos.

Weakly supervised video anomaly detection (WS-VAD) aims to identify the snippets involving anomalous events in long untrimmed videos, with solely video-level binary labels. A typical paradigm among the existing WS-VAD methods is to employ multiple modalities as inputs, e.g., RGB, optical flow, and audio, as they can provide sufficient discriminative clues that are robust to the diverse, complicated real-world scenes. However, such a pipeline has high reliance on the availability of multiple modalities and is computationally expensive and storage demanding in processing long sequences, which limits its use in some applications. To address this dilemma, we propose a privileged knowledge distillation (KD) framework dedicated to the WS-VAD task, which can maintain the benefits of exploiting additional modalities, while avoiding the need for using multimodal data in the inference phase. We argue that the performance of the privileged KD framework mainly depends on two factors: 1) the effectiveness of the multimodal teacher network and 2) the completeness of the useful information transfer. To obtain a reliable teacher network, we propose a cross-modal interactive learning strategy and an anomaly normal discrimination loss, which target learning task-specific cross-modal features and encourage the separability of anomalous and normal representations, respectively. Furthermore, we design both representation-and logits-level distillation loss functions, which force the unimodal student network to distill abundant privileged knowledge from the well-trained multimodal teacher network, in a snippet-to-video fashion. Extensive experimental results on three public benchmarks demonstrate that the proposed privileged KD framework can train a lightweight yet effective detector, for localizing anomaly events under the supervision of video-level annotations.

Holistic-Guided Disentangled Learning With Cross-Video Semantics Mining for Concurrent First-Person and Third-Person Activity Recognition.

The popularity of wearable devices has increased the demands for the research on first-person activity recognition. However, most of the current first-person activity datasets are built based on the assumption that only the human-object interaction (HOI) activities, performed by the camera-wearer, are captured in the field of view. Since humans live in complicated scenarios, in addition to the first-person activities, it is likely that third-person activities performed by other people also appear. Analyzing and recognizing these two types of activities simultaneously occurring in a scene is important for the camera-wearer to understand the surrounding environments. To facilitate the research on concurrent first-and third-person activity recognition (CFT-AR), we first created a new activity dataset, namely PolyU concurrent first-and third-person (CFT) Daily, which exhibits distinct properties and challenges, compared with previous activity datasets. Since temporal asynchronism and appearance gap usually exist between the first-and third-person activities, it is crucial to learn robust representations from all the activity-related spatio-temporal positions. Thus, we explore both holistic scene-level and local instance-level (person-level) features to provide comprehensive and discriminative patterns for recognizing both first-and third-person activities. On the one hand, the holistic scene-level features are extracted by a 3-D convolutional neural network, which is trained to mine shared and sample-unique semantics between video pairs, via two well-designed attention-based modules and a self-knowledge distillation (SKD) strategy. On the other hand, we further leverage the extracted holistic features to guide the learning of instance-level features in a disentangled fashion, which aims to discover both spatially conspicuous patterns and temporally varied, yet critical, cues. Experimental results on the PolyU CFT Daily dataset validate that our method achieves the state-of-the-art performance.

MGF6mARice: prediction of DNA N6-methyladenine sites in rice by exploiting molecular graph feature and residual block.

DNA N6-methyladenine (6mA) is produced by the N6 position of the adenine being methylated, which occurs at the molecular level, and is involved in numerous vital biological processes in the rice genome. Given the shortcomings of biological experiments, researchers have developed many computational methods to predict 6mA sites and achieved good performance. However, the existing methods do not consider the occurrence mechanism of 6mA to extract features from the molecular structure. In this paper, a novel deep learning method is proposed by devising DNA molecular graph feature and residual block structure for 6mA sites prediction in rice, named MGF6mARice. Firstly, the DNA sequence is changed into a simplified molecular input line entry system (SMILES) format, which reflects chemical molecular structure. Secondly, for the molecular structure data, we construct the DNA molecular graph feature based on the principle of graph convolutional network. Then, the residual block is designed to extract higher level, distinguishable features from molecular graph features. Finally, the prediction module is used to obtain the result of whether it is a 6mA site. By means of 10-fold cross-validation, MGF6mARice outperforms the state-of-the-art approaches. Multiple experiments have shown that the molecular graph feature and residual block can promote the performance of MGF6mARice in 6mA prediction. To the best of our knowledge, it is the first time to derive a feature of DNA sequence by considering the chemical molecular structure. We hope that MGF6mARice will be helpful for researchers to analyze 6mA sites in rice.

Joint Spine Segmentation and Noise Removal From Ultrasound Volume Projection Images With Selective Feature Sharing.

Volume Projection Imaging from ultrasound data is a promising technique to visualize spine features and diagnose Adolescent Idiopathic Scoliosis. In this paper, we present a novel multi-task framework to reduce the scan noise in volume projection images and to segment different spine features simultaneously, which provides an appealing alternative for intelligent scoliosis assessment in clinical applications. Our proposed framework consists of two streams: i) A noise removal stream based on generative adversarial networks, which aims to achieve effective scan noise removal in a weakly-supervised manner, i.e., without paired noisy-clean samples for learning; ii) A spine segmentation stream, which aims to predict accurate bone masks. To establish the interaction between these two tasks, we propose a selective feature-sharing strategy to transfer only the beneficial features, while filtering out the useless or harmful information. We evaluate our proposed framework on both scan noise removal and spine segmentation tasks. The experimental results demonstrate that our proposed method achieves promising performance on both tasks, which provides an appealing approach to facilitating clinical diagnosis.

Invertible Image Decolorization.

Invertible image decolorization is a useful color compression technique to reduce the cost in multimedia systems. Invertible decolorization aims to synthesize faithful grayscales from color images, which can be fully restored to the original color version. In this paper, we propose a novel color compression method to produce invertible grayscale images using invertible neural networks (INNs). Our key idea is to separate the color information from color images, and encode the color information into a set of Gaussian distributed latent variables via INNs. By this means, we force the color information lost in grayscale generation to be independent of the input color image. Therefore, the original color version can be efficiently recovered by randomly re-sampling a new set of Gaussian distributed variables, together with the synthetic grayscale, through the reverse mapping of INNs. To effectively learn the invertible grayscale, we introduce the wavelet transformation into a UNet-like INN architecture, and further present a quantization embedding to prevent the information omission in format conversion, which improves the generalizability of the framework in real-world scenarios. Extensive experiments on three widely used benchmarks demonstrate that the proposed method achieves a state-of-the-art performance in terms of both qualitative and quantitative results, which shows its superiority in multimedia communication and storage systems.

Do demographic factors and a health-promoting lifestyle influence the self-rated health of college nursing students?

BACKGROUND: To adopt a healthy lifestyle is considered an essential component of nursing education. Self-rated health is a subjective assessment of health status and is consistent with objective health status. Previous studies have shown an association between self-rated health and engagement in a healthy lifestyle. Nursing students need to feel good about their subjective health status and to be able to adopt health improvements in their lifestyle before attempting to disseminate health messages to clients. The aims of this study were to compare the difference in self-rated health and health promotion lifestyle profile between senior and junior nursing students, describe correlations between self-rated health and health promotion lifestyle profile, and identify the predictors of self-rated health. METHODS: A cross-sectional descriptive survey was adopted. The study sample consisted of 314 junior and senior year nursing students from a tertiary institution. The self-reported questionnaire consisted of a single-item question to examine their self-rated health. The Health Promoting Lifestyle Profile-II: Chinese version short form (HPLP-IICR) was used to investigate the health-promoting lifestyles of the students. Descriptive statistics, Mann-Whitney U test, Chi-square test, Fisher's exact test, Spearman's correlation, and ordinal logistic regression were used to analyze the data. RESULTS: The median scores for self-rated health were 3 (Mean 3.26, IQR 3-4) and 3 (Mean 3.19, IQR 3-4) out of 5 for Year 2 and Year 5 students, respectively, with no significant difference between the two groups. The two groups of students showed no significant differences in overall score and in most subscales of the HPLP-IICR. An ordinal logistic regression showed that those students with higher health management score (OR: 1.12, 95% CI: 1.04-1.21) and who had experienced no family conflicts in the recent month than having family conflict (OR: 1.64, 95% CI: 1.01-2.66) were more likely to have higher self-rated health. CONCLUSION: Nursing education and clinical practice can undoubtedly increase the health knowledge of students, but may not lead to changes in actual health-promoting behaviours. Students with a higher health management score and no family conflicts are more likely to give a positive appraisal of their health status.

A Level Set Approach to Image Segmentation With Intensity Inhomogeneity.

It is often a difficult task to accurately segment images with intensity inhomogeneity, because most of representative algorithms are region-based that depend on intensity homogeneity of the interested object. In this paper, we present a novel level set method for image segmentation in the presence of intensity inhomogeneity. The inhomogeneous objects are modeled as Gaussian distributions of different means and variances in which a sliding window is used to map the original image into another domain, where the intensity distribution of each object is still Gaussian but better separated. The means of the Gaussian distributions in the transformed domain can be adaptively estimated by multiplying a bias field with the original signal within the window. A maximum likelihood energy functional is then defined on the whole image region, which combines the bias field, the level set function, and the piecewise constant function approximating the true image signal. The proposed level set method can be directly applied to simultaneous segmentation and bias correction for 3 and 7T magnetic resonance images. Extensive evaluation on synthetic and real-images demonstrate the superiority of the proposed method over other representative algorithms.

An Innovative Free-Hand Puncture Technique to Reduce Radiation in Percutaneous Nephrolithotomy Using Ultrasound with Navigation System Under Magnetic Field: A Single-Center Experience in Hong Kong.

OBJECTIVE: Traditionally, fluoroscopy or ultrasound (US) or both are used for guiding tract creation during percutaneous nephrolithotomy (PCNL). However, the use of fluoroscopy inevitably incurs radiation exposure, which should be cut down as much as possible in view of its potential adverse effects on health: both deterministic effects and stochastic effects. Conventional US guidance, being radiation free, can serve the purpose, but it is difficult to visualize the needle tract during screening without a needle-guiding system fixed to the transducer, and hence, there is a lack of predictability and sense of security. The objective of this study is to assess the feasibility of using US with navigation system (USNS) to solve the above problems. PATIENTS AND METHODS: In 2014, we performed PCNL on 18 patients with USNS guidance. During the puncture step, the magnetic field-based navigation US could help visualize the position of the needle tract in relation to the target calix. The procedure was done in free hand without the usage of needle-guiding system attached to the transducer. Needle deviation could be detected and adjusted immediately to achieve precise puncture. RESULTS: Of the 18 patients, 83.3% (15/18) of them had their punctures effectively done with a single attempt. Three puncture procedures were performed by two urologic trainees without any previous USNS experience. The mean fluoroscopy time during dilatation was 74.6s, with no radiation at all during the puncture step. The stone clearance rate was 72.2%, with 66.7% (12/18) being tubeless procedures. The mean length of hospital stay was 4.8 days. No immediate complications related to the puncture procedure were found. CONCLUSIONS: USNS can provide radiation-free guidance for tract creation in PCNL. It is predictable, precise, reliable, and safe. Most importantly, the technique is easy to learn, particularly for urologists who are new to PCNL.

Computer-Aided Diagnosis for Distinguishing Pancreatic Mucinous Cystic Neoplasms From Serous Oligocystic Adenomas in Spectral CT Images.

OBJECTIVE: This preliminary study aims to verify the effectiveness of the additional information provided by spectral computed tomography (CT) with the proposed computer-aided diagnosis (CAD) scheme to differentiate pancreatic serous oligocystic adenomas (SOAs) from mucinous cystic neoplasms of pancreas cystic lesions. MATERIALS AND METHODS: This study was conducted from January 2010 to October 2013. Twenty-three patients (5 men and 18 women; mean age, 43.96 years old) with SOA and 19 patients (3 men and 16 women; mean age, 41.74 years old) with MCN were included in this retrospective study. Two types of features were collected by dual-energy spectral CT imaging as follows: conventional and additional quantitative spectral CT features. Classification results of the CAD scheme were compared using the conventional features and full feature data set. Important features were selected using support vector machine classification method combined with feature-selection technique. The optimal cutoff values of selected features were determined through receiver-operating characteristic curve analyses. RESULTS: Combining conventional features with additional spectral CT features improved the overall accuracy from 88.37% to 93.02%. The selected features of the proposed CAD scheme were tumor size, contour, location, and low-energy CT values (43 keV). Iodine-water basis material pair densities in both arterial phase (AP) and portal venous phase (PP) were important factors for differential diagnosis of SOA and MCN. The optimal cutoff values of long axis, short axis, 40 keV monochromatic CT value in AP, iodine (water) density in AP, 43 keV monochromatic CT value in PP, and iodine (water) density in PP were 3.4 mm, 3.1 mm, 35.7 Hu, 0.32533 mg/mL, 39.4 Hu, and 0.348 mg/mL, respectively. CONCLUSION: The combination of conventional features and additional information provided by dual-energy spectral CT shows a high accuracy in the CAD scheme. The quantitative information of spectral CT may prove useful in the diagnosis and classification of SOAs and MCNs with machine learning algorithms.

An Effective Approach for NRSFM of Small-Size Image Sequences.

In recent years, non-rigid structure from motion (NRSFM) has become one of the hottest issues in computer vision due to its wide applications. In practice, the number of available high-quality images may be limited in many cases. Under such a condition, the performances may not be satisfactory when existing NRSFM algorithms are applied directly to estimate the 3D coordinates of a small-size image sequence. In this paper, a sub-sequence-based integrated algorithm is proposed to deal with the NRSFM problem with small sequence sizes. In the proposed method, sub-sequences are first extracted from the original sequence. In order to obtain diversified estimations, multiple weaker estimators are constructed by applying the extracted sub-sequences to a recent NRSFM algorithm with a rotation-invariant kernel (RIK). Compared to other first-order statistics, the trimmed mean is a relatively robust statistic. Considering the fact that the estimations of some weaker estimators may have large errors, the trimmed means of the outputs for all the weaker estimators are computed to determine the final estimated 3D shapes. Compared to some existing methods, the proposed algorithm can achieve a higher estimation accuracy, and has better robustness. Experimental results on several widely used image sequences demonstrate the effectiveness and feasibility of the proposed algorithm.

Prediction of mortality after radical cystectomy for bladder cancer by machine learning techniques.

Bladder cancer is a common cancer in genitourinary malignancy. For muscle invasive bladder cancer, surgical removal of the bladder, i.e. radical cystectomy, is in general the definitive treatment which, unfortunately, carries significant morbidities and mortalities. Accurate prediction of the mortality of radical cystectomy is therefore needed. Statistical methods have conventionally been used for this purpose, despite the complex interactions of high-dimensional medical data. Machine learning has emerged as a promising technique for handling high-dimensional data, with increasing application in clinical decision support, e.g. cancer prediction and prognosis. Its ability to reveal the hidden nonlinear interactions and interpretable rules between dependent and independent variables is favorable for constructing models of effective generalization performance. In this paper, seven machine learning methods are utilized to predict the 5-year mortality of radical cystectomy, including back-propagation neural network (BPN), radial basis function (RBFN), extreme learning machine (ELM), regularized ELM (RELM), support vector machine (SVM), naive Bayes (NB) classifier and k-nearest neighbour (KNN), on a clinicopathological dataset of 117 patients of the urology unit of a hospital in Hong Kong. The experimental results indicate that RELM achieved the highest average prediction accuracy of 0.8 at a fast learning speed. The research findings demonstrate the potential of applying machine learning techniques to support clinical decision making.

High-resolution face verification using pore-scale facial features.

Face recognition methods, which usually represent face images using holistic or local facial features, rely heavily on alignment. Their performances also suffer a severe degradation under variations in expressions or poses, especially when there is one gallery per subject only. With the easy access to high-resolution (HR) face images nowadays, some HR face databases have recently been developed. However, few studies have tackled the use of HR information for face recognition or verification. In this paper, we propose a pose-invariant face-verification method, which is robust to alignment errors, using the HR information based on pore-scale facial features. A new keypoint descriptor, namely, pore-Principal Component Analysis (PCA)-Scale Invariant Feature Transform (PPCASIFT)-adapted from PCA-SIFT-is devised for the extraction of a compact set of distinctive pore-scale facial features. Having matched the pore-scale features of two-face regions, an effective robust-fitting scheme is proposed for the face-verification task. Experiments show that, with one frontal-view gallery only per subject, our proposed method outperforms a number of standard verification methods, and can achieve excellent accuracy even the faces are under large variations in expression and pose.

Computer-aided diagnosis for preoperative invasion depth of gastric cancer with dual-energy spectral CT imaging.

RATIONALE AND OBJECTIVES: This study evaluates the accuracy of dual-energy spectral computed tomography (DEsCT) imaging with the aid of computer-aided diagnosis (CAD) system in assessing serosal invasion in patients with gastric cancer. MATERIALS AND METHODS: Thirty patients with gastric cancer were enrolled in this study. Two types of features (information) were collected with the use of DEsCT imaging: conventional features including patient's clinical information (eg, age, gender) and descriptive characteristics on the CT images (eg, location of the lesion, wall thickness at the gastric cardia) and additional spectral CT features extracted from monochromatic images (eg, 60 keV) and material-decomposition images (eg, iodine- and water-density images). The classification results of the CAD system were compared to pathologic findings. Important features can be found out using support vector machine classification method in combination with feature-selection technique thereby helping the radiologists diagnose better. RESULTS: Statistical analysis showed that for the collected cases, the feature "long axis" was significantly different between group A (serosa negative) and group B (serosa positive) (P < .05). By adding quantitative spectral features from several regions of interest (ROIs), the total classification accuracy was improved from 83.33% to 90.00%. Two feature ranking algorithms were used in the CAD scheme to derive the top-ranked features. The results demonstrated that low single-energy (approximately 60 keV) CT values, tumor size (long axis and short axis), iodine (water) density, and Effective-Z values of ROIs were important for classification. These findings concurred with the experience of the radiologist. CONCLUSIONS: The CAD system designed using machine-learning algorithms may be used to improve the identification accuracy in the assessment of serosal invasion in patients of gastric cancer with DEsCT imaging and provide some indicators which may be useful in predicting prognosis.

Visual-Patch-Attention-Aware Saliency Detection.

The human visual system (HVS) can reliably perceive salient objects in an image, but, it remains a challenge to computationally model the process of detecting salient objects without prior knowledge of the image contents. This paper proposes a visual-attention-aware model to mimic the HVS for salient-object detection. The informative and directional patches can be seen as visual stimuli, and used as neuronal cues for humans to interpret and detect salient objects. In order to simulate this process, two typical patches are extracted individually and in parallel from the intensity channel and the discriminant color channel, respectively, as the primitives. In our algorithm, an improved wavelet-based salient-patch detector is used to extract the visually informative patches. In addition, as humans are sensitive to orientation features, and as directional patches are reliable cues, we also propose a method for extracting directional patches. These two different types of patches are then combined to form the most important patches, which are called preferential patches and are considered as the visual stimuli applied to the HVS for salient-object detection. Compared with the state-of-the-art methods for salient-object detection, experimental results using publicly available datasets show that our produced algorithm is reliable and effective.

Microarray data classification using the spectral-feature-based TLS ensemble algorithm.

The reliable and accurate identification of cancer categories is crucial to a successful diagnosis and a proper treatment of the disease. In most existing work, samples of gene expression data are treated as one-dimensional signals, and are analyzed by means of some statistical signal processing techniques or intelligent computation algorithms. In this paper, from an image-processing viewpoint, a spectral-feature-based Tikhonov-regularized least-squares (TLS) ensemble algorithm is proposed for cancer classification using gene expression data. In the TLS model, a test sample is represented as a linear combination of the atoms of a dictionary. Two types of dictionaries, namely singular value decomposition (SVD)-based eigenassays and independent component analysis (ICA)-based eigenassays, are proposed for the TLS model, and both are extracted via a two-stage approach. The proposed algorithm is inspired by our finding that, among these eigenassays, the categories of some of the testing samples can be assigned correctly by using the TLS models formed from some of the spectral features, but not for those formed from the original samples only. In order to retain the positive characteristics of these spectral features in making correct category assignments, a strategy of classifier committee learning (CCL) is designed to combine the results obtained from the different spectral features. Experimental results on standard databases demonstrate the feasibility and effectiveness of the proposed method.