1,721,018 research outputs found
A Deep Learning Model for V50%, V60%, and V66.7% Prediction in LINAC-based Treatment Planning of Single-Iso-Multiple-Targets (SIMT) Stereotactic Radiosurgery (SRS)
Brain metastases are a common complication of many types of cancer, including lung, breast, and melanoma. Approximately 30-40% of patients develop brain metastases that originate from primary systemic tumors during the course of cancer treatment. One treatment method is a LINAC-based single-isocenter multiple-target (SIMT) stereotactic radiosurgery (SRS). High plan quality has been one of the important goals in radiotherapy treatment planning. Generation of a high quality SRS treatment plan, particularly a SIMT plan, usually requires planners’ extensive planning experience, multiple runs of planning and trial-and-error, and frequent communication among planners, physicians and other radiation oncology team members. In clinical practice with potentially limited resources, SIMT SRS planning could be time-consuming and may have large variations in plan dosimetric quality. Therefore, an estimation of achievable dosimetric outcome can help reduce plan quality variation and improve planning efficiency. Assuming 20Gy in a single fraction of treatment, the volume of normal brain tissue receiving 10Gy (V50%), 12Gy (V60%), and 13Gy (V66.7%) are known predictors of brain tissue toxicity, or radionecrosis. We developed deep learning networks for the prediction of V50%, V60%, and V66.7% based on each patient’s target delineation. A prediction of achievable V10Gy, V12Gy, and V13Gy (assuming 20Gy x 1fx) can assist physicians in the determination of fractionation schemes (i.e., single fx vs. multiple fx). Such predictions can be used as guidelines for planners to generate a SIMT plan more rapidly with reduced dosimetric variability. A key technical innovation of this work is the spherical projection design: by projecting target distribution on a spherical surface, the target distribution in 3D is collapsed to a polar-azimuthal angular distribution map. This transformation enables a dimensional reduction for deep learning input without losing volumetric information.
Our results indicate promising potential but there is a need for further work to improve the accuracy of our predictions.</p
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Novel Designs of Radiomics-Integrated Deep Learning Models
Purpose: To investigate the feasibility of integrate radiomics and deep learning in computer-aided medical imaging analysis
Methods:
Two different approaches were investigated to integrate radiomics and deep leaning on two independent tasks respectively. In the first approach, a 2D sliding kernel was implemented to map the impulse response of radiomic features throughout the entire chest X-ray image; thus, each feature is rendered as a 2D map in the same dimension as the X-ray image. Based on each of the three investigated deep neural network architectures, including VGG-16, VGG-19, and DenseNet-121, a pilot model was trained using X-ray images only. Subsequently, 2 radiomic feature maps (RFMs) were selected based on cross-correlation analysis in reference to the pilot model saliency map results. The radiomics-boosted model was then trained based on the same deep neural network architecture using X-ray images plus the selected RFMs as input.
The proposed radiomics-boosted design was developed using 812 chest X-ray images with 262/288/262 COVID-19/Non-COVID-19 pneumonia/healthy cases, and 649/163 cases were assigned as training-validation/independent test sets. For each model, 50 runs were trained with random assignments of training/validation cases following the 7:1 ratio in the training-validation set. Sensitivity, specificity, accuracy, and ROC curves together with Area-Under-the-Curve (AUC) from all three deep neural network architectures were evaluated.
In the second approach, a cohort of 235 GBM patients with complete surgical resection was divided into short-term/long-term survival groups with 1-yr survival time threshold. Each patient received a pre-surgery multi-parametric MRI exam with 4 scans: T1, contrast-enhanced T1 (T1ce), T2, and FLAIR. Three tumor subregions were segmented by neuroradiologists, and the whole dataset was divided into training, validation, and test groups following a 7:1:2 ratio.
The developed model comprises three data source branches: in the 1st radiomics branch, 456 radiomics features (RF) were calculated from the three tumor subregions of each patient’s MR images; in the 2nd deep learning branch, an encoding neural network architecture was trained for survival group prediction using each single MR modality, and high-dimensional parameters from the last two network layers were extracted as deep features (DF). The extracted radiomics features and deep features were processed by a feature selection procedure to reduce the dimension size of each feature space. In the 3rd branch, patient-specific clinical features (PSCF), including patient age and three tumor subregions volumes, were collected from the dataset. Finally, data sources from all three branches were fused as an integrated input for a supporting vector machine (SVM) execution for survival group prediction. Different strategies of model design were investigated in comparison studies, including 1) 2D/3D-based image analysis, 2) different radiomics feature space dimension reduction methods, and 3) different data source combinations in SVM input design.
Results:
In the first approach, all three investigated deep neural network architectures demonstrated improved sensitivity, specificity, accuracy, and ROC AUC results in COVID-19 and healthy individual classifications. VGG-16 showed the largest improvement in COVID-19 classification ROC (AUC from 0.963 to 0.993), and DenseNet-121 showed the largest improvement in healthy individual classification ROC (AUC from 0.962 to 0.989). The reduced variations suggested improved robustness of the model to data partition. For the challenging Non-COVID-19 pneumonia classification task, radiomics-boosted implementation of VGG-16 (AUC from 0.918 to 0.969) and VGG-19 (AUC from 0.964 to 0.970) improved ROC results, while DenseNet-121 showed a slight yet insignificant ROC performance reduction (AUC from 0.963 to 0.949). The achieved highest accuracy of COVID-19/Non-COVID-19 pneumonia/healthy individual classifications were 0.973 (VGG-19)/0.936 (VGG-19)/ 0.933 (VGG-16), respectively.
In the second approach, the model achieved 0.638 prediction accuracy in the test set when using patient-specific clinical features only, which was higher than the results using radiomics features/deep features as sole input of SVM in both 2D and 3D based analysis. The inclusion of radiomics features or deep features with patient-specific clinical features improved accuracy results in 3D analysis. The most accurate models in 2D/3D analysis reached the highest accuracy of 0.745 with different combinations of dissimilarity-selected radiomics features, deep features, and patient-specific clinical features, and the corresponding ROC area-under-curve (AUC) results were 0.69 (2D) and 0.71 (3D), respectively. Conclusions: The integration of radiomic analysis in deep learning model design improved the performance and robustness computer-aided diagnosis and outcome predication, which holds great potential for clinical applications and provides a radiomics perspective for deep learning interpretation.
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Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
A Radiomics-Incorporated Deep Ensemble Learning Model for Multi-Parametric MRI-based Glioma Segmentation
AbstractPurpose: To develop a deep ensemble learning model with a radiomics spatial encoding execution for improved glioma segmentation accuracy using multi-parametric MRI (mp-MRI).
Materials/Methods: This radiomics-incorporated deep ensemble learning model was developed using 369 glioma patients with a 4-modality mp-MRI protocol: T1, contrast-enhanced T1 (T1-Ce), T2, and FLAIR. In each modality volume, a 3D sliding kernel was implemented across the brain to capture image heterogeneity: fifty-six radiomic features were extracted within the kernel, resulting in a 4th order tensor. Each radiomic feature can then be encoded as a 3D image volume, namely a radiomic feature map (RFM). For each patient, all RFMs extracted from all 4 modalities were processed by the Principal Component Analysis (PCA) for dimension reduction, and the first 4 principal components (PCs) were selected. Next, four deep neural networks following the U-net’s architecture were trained for the segmenting of a region-of-interest (ROI): each network utilizes the mp-MRI and 1 of the 4 PCs as a 5-channel input for 2D execution. Last, the 4 softmax probability results given by the U-net ensemble were superimposed and binarized by Otsu’s method as the segmentation result. Three deep ensemble models were trained to segment enhancing tumor (ET), tumor core (TC), and whole tumor (WT), respectively. Segmentation results given by the proposed ensemble were compared to the mp-MRI-only U-net results.
Results: All 3 radiomics-incorporated deep learning ensemble models were successfully implemented: Compared to mp-MRI-only U-net results, the dice coefficients of ET (0.777→0.817), TC (0.742→0.757), and WT (0.823→0.854) demonstrated improvements. Accuracy, sensitivity, and specificity results demonstrated the same patterns.
Conclusion: The adopted radiomics spatial encoding execution enriches the image heterogeneity information that leads to the successful demonstration of the proposed neural network ensemble design, which offers a new tool for mp-MRI-based medical image segmentation.
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Appropriate Similarity Measures for Author Cocitation Analysis
We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
A Radiomics Machine Learning Model for Post-Radiotherapy Overall Survival Prediction of Non-Small Cell Lung Cancer (NSCLC)
Purpose: To predict post-radiotherapy overall survival group of NSCLC patients based on clinical information and radiomics analysis of simulation CT.
Materials/Methods: A total of 258 non-adenocarcinoma patients who received radical
radiotherapy or chemo-radiation were studied: 45/50/163 patients were identified as
short(0-6mos)/mid(6-12mos)/long(12+mos) survival groups, respectively. For each
patient, we first extracted 76 radiomics features within the gross tumor volume(GTV)
identified in the simulation CT; these features were combined with patient clinical
information (age, overall stage, and GTV volume) as a patient-specific feature vector,
which was utilized by a 2-step machine learning model for survival group prediction.
This model first identifies patients with long survival prediction via a supervised binary
classifier; for those with otherwise prediction, a 2nd classifier further generates short/mid
survival prediction. Two machine learning classifiers, explainable boosting
machine(EBM) and balanced random forest(BRF), were interrogated as a comparison
study. During the model training, all patients were divided into training/test sets by an
8:2 ratio, and 100-fold random sampling were applied to the training set with a 7:1
validation ratio. Model performances were evaluated by the sensitivity, accuracy, and
ROC results.
Results: The model with EBM demonstrated an overall ROC AUC (0.58±0.04) with
limited sensitivities in short (0.02±0.04) and mid group (0.11±0.08) predictions due to
imbalanced data sample distribution. In contrast, the model with BRF improved
short/mid group sensitivities to 0.32±0.11/0.29±0.16, respectively, but the improvement
of ROC AUC (0.60±0.04) is limited. Nevertheless, both EBM (0.46±0.04) and BRF
(0.57±0.04) approaches achieved limited overall accuracy; a noticeable overlap was
found in their feature lists with top 10 feature weight rankings.
Conclusion: The proposed two-step machine learning model with BRF classifier
possesses a better performance than the one with EBM classifier in the post-radiotherapy
survival group prediction of NSCLC. Future works, preferably in the joint use of deep
learning, are in demand to further improve the prediction results.</p
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