Deep learning
A safe-enhanced fully closed-loop artificial pancreas controller based on deep reinforcement learning
PLoS One. 2025 Jan 27;20(1):e0317662. doi: 10.1371/journal.pone.0317662. eCollection 2025.
ABSTRACT
Patients with type 1 diabetes and their physicians have long desired a fully closed-loop artificial pancreas (AP) system that can alleviate the burden of blood glucose regulation. Although deep reinforcement learning (DRL) methods theoretically enable adaptive insulin dosing control, they face numerous challenges, including safety and training efficiency, which have hindered their clinical application. This paper proposes a safe and efficient adaptive insulin delivery controller based on DRL. It employed ten tricks to enhance the proximal policy optimization (PPO) algorithm, improving training efficiency. Additionally, a dual safety mechanism of 'proactive guidance + reactive correction' was introduced to reduce the risks of hyperglycemia and hypoglycemia and to prevent emergencies. Performance evaluations in the Simglucose simulator demonstrate that the proposed controller achieved an 87.45% time in range (TIR) median, superior to baseline methods, with a lower incidence of hypoglycemia, notably eliminating severe hypoglycemia and treatment failures. These encouraging results indicate that the DRL-based fully closed-loop AP controller has taken an essential step toward clinical implementation.
PMID:39869550 | DOI:10.1371/journal.pone.0317662
Use of AI methods to assessment of lower limb peak torque in deaf and hearing football players group
Acta Bioeng Biomech. 2025 Jan 27;26(3):123-134. doi: 10.37190/abb-02474-2024-02. Print 2024 Sep 1.
ABSTRACT
Purpose: Monitoring and assessing the level of lower limb motor skills using the Biodex System plays an important role in the training of football players and in post-traumatic rehabilitation. The aim of this study was to build and test an artificial intelligence-based model to assess the peak torque of the lower limb extensors and flexors. The model was based on real-world results in three groups: hearing (n = 19) and deaf football players (n = 28) and non-training deaf pupils (n = 46). Methods: The research used a 4-layer forward CNN neural network with two hidden layers with typical normalization for small data sets and Multilayer Perceptron (MLP) based on MatlabR2023a software with Neural Networks and Deep Learning toolkits and semiautomated learning algorithm selection using ML.NET. Results: The 70-90% accuracy shown in the article is sufficient here. AI provides a highly accurate, objective and efficient means of assessing neuromuscular performance, which can improve injury prevention and rehabilitation strategies. Conclusions: The high accuracy shows that AI-based models can help with this, but their wider practical implementation requires further cross-disciplinary research. AI, and in particular MLP and CNN can support both training methods and various gaming aspects. The contribution of the research is to use an innovative approach to derive computational rules/guidelines from an explicitly given dataset and then identify the relevant physiological torque of the lower limb extensors and flexors in the knee joint. The model complements existing methodologies for describing physiology of peak torque of lower limbs with using fuzzy logic, with a so-called dynamic norm built into the model.
PMID:39869478 | DOI:10.37190/abb-02474-2024-02
Clinical value of aortic arch morphology in transfemoral TAVR: artificial intelligence evaluation
Int J Surg. 2025 Jan 24. doi: 10.1097/JS9.0000000000002232. Online ahead of print.
ABSTRACT
BACKGROUND: The impact of aortic arch (AA) morphology on the management of the procedural details and the clinical outcomes of the transfemoral artery (TF)-transcatheter aortic valve replacement (TAVR) has not been evaluated. The goal of this study was to evaluate the AA morphology of patients who had TF-TAVR using an artificial intelligence algorithm and then to evaluate its predictive value for clinical outcomes.
MATERIALS AND METHODS: A total of 1480 consecutive patients undergoing TF-TAVR using a new-generation transcatheter heart valve at 12 institutes were included in this retrospective study. The AA measurements were evaluated by deep learning, and then the approach index (IA) was determined. The machine learning algorithm was used to construct the predictive model and was validated externally.
RESULTS: The area under the curve of the IA model using random forest and logistic regression was 0.675 [95% confidence interval (CI): 0.586-0.764] and 0.757 (95% CI: 0.665-0.849), respectively. The IA model was validated externally, and consistent distinctions were obtained. After we used a generalized propensity score matching method for continuous exposure, the IA was the strongest correlation factor for major procedural events (odds ratio: 3.87; 95% CI: 2.13-7.59, P < 0.001). When leaflet morphology or transcatheter heart valve type was an interactive item with IA, neither of them was statistically significant in terms of clinical outcomes.
CONCLUSION: IA may be used to identify the impact of AA morphology on procedural and clinical outcomes in patients having TF-TAVR and to help to predict the procedural complications.
PMID:39869394 | DOI:10.1097/JS9.0000000000002232
Deep learning for kidney trauma detection: CT image algorithm performance and external validation: experimental study
Int J Surg. 2025 Jan 24. doi: 10.1097/JS9.0000000000002221. Online ahead of print.
ABSTRACT
BACKGROUND: Detecting kidney trauma on CT scans can be challenging and is sometimes overlooked. While deep learning (DL) has shown promise in medical imaging, its application to kidney injuries remains underexplored. This study aims to develop and validate a DL algorithm for detecting kidney trauma, using institutional trauma data and the Radiological Society of North America (RSNA) dataset for external validation.
METHODS: We developed RenoTrNet, a DL model trained on institutional data. We evaluated the model's performance through external validation on randomly selected cases from the RSNA dataset. Performance metrics included the accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Heatmap visualizations were used to aid interpretability.
RESULTS: In the internal testing dataset, the model achieved an accuracy of 0.88 (95% CI: 0.82-0.92), with a sensitivity of 0.75 (95% CI: 0.62-0.85) and a specificity of 0.95 (95% CI: 0.89-0.98). PPV and NPV were 0.89 (95% CI: 0.76-0.95) and 0.88 (95% CI: 0.81-0.93), respectively. In external RSNA validation, the algorithm c demonstrated robust performance with an accuracy of 0.93 (0.91-0.95), a sensitivity of 0.73 (0.60-0.83), a specificity of 0.94 (0.93-0.96), a PPV of 0.45 (0.35-0.56), and an NPV of 0.98 (0.97-0.99).
CONCLUSION: The RenoTrNet DL algorithm demonstrated high accuracy in detecting kidney trauma on CT scans, both in internal and external validation. By optimizing image segmentation and computational efficiency, this model has potential for clinical deployment, potentially aiding in trauma diagnosis in real-world clinical scenarios.
PMID:39869390 | DOI:10.1097/JS9.0000000000002221
Deep Learning of CYP450 Binding of Small Molecules by Quantum Information
J Chem Inf Model. 2025 Jan 27. doi: 10.1021/acs.jcim.4c01735. Online ahead of print.
ABSTRACT
Drug-drug interaction can lead to diminished therapeutic effects or increased toxicity, posing significant risks, especially in polypharmacy, and cytochrome P450 plays an indispensable role in this interaction. Cytochrome P450, responsible for the metabolism and detoxification of most drugs, metabolizes about 90% of Food and Drug Administration-approved drugs, making early detection of potential drug-drug interactions. Over the years, in-silico modeling has become a valuable tool for predicting drug-drug interactions. Still, conventional molecular descriptors focusing on the structural properties of drugs often overlook complex electronic interactions critical for accurate predictions. To address this, we implemented the Manifold Embedding of Molecular Surface (MEMS) approach, which retains the quantum mechanical characteristics of molecules. MEMS-generated electronic attributes were embedded and featurized for deep learning using the DeepSets architecture, where our models achieved high accuracy, particularly for cytochrome P450 enzyme 1A2 (CYP1A2), with F1 scores reaching up to 0.866. This study highlights the potential of integrating detailed electronic properties with deep learning to improve predictive models for drug-drug interactions, addressing the limitations of traditional molecular descriptors and machine-learning techniques.
PMID:39869197 | DOI:10.1021/acs.jcim.4c01735
Predicting inflammatory response of biomimetic nanofibre scaffolds for tissue regeneration using machine learning and graph theory
J Mater Chem B. 2025 Jan 27. doi: 10.1039/d4tb02494j. Online ahead of print.
ABSTRACT
Tissue regeneration after a wound occurs through three main overlapping and interrelated stages namely inflammatory, proliferative, and remodelling phases, respectively. The inflammatory phase is key for successful tissue reconstruction and triggers the proliferative phase. The macrophages in the non-healing wounds remain in the inflammatory loop, but their phenotypes can be changed via interactions with nanofibre-based scaffolds mimicking the organisation of the native structural support of healthy tissues. However, the organisation of extracellular matrix (ECM) is highly complex, combining order and disorder, which makes it difficult to replicate. The possibility of predicting the desirable biomimetic geometry and chemistry of these nanofibre scaffolds would streamline the scaffold design process. Fifteen families of nanofibre scaffolds, electrospun from combinations of polyesters (polylactide, polyhydroxybutyrate), polysaccharides (polysucrose, carrageenan, cellulose), and polyester ether (polydioxanone) were investigated and analysed using machine learning (ML). The Random Forest model had the best performance (92.8%) in predicting inflammatory responses of macrophages on the nanoscaffolds using tumour necrosis factor-alpha as the output. CellProfiler proved to be an effective tool to process scanning electron microscopy (SEM) images of the macrophages on the scaffolds, successfully extracting various features and measurements related to cell phenotypes M0, M1, and M2. Deep learning modelling indicated that convolutional neural network models have the potential to be applied to SEM images to classify macrophage cells according to their phenotypes. The complex organisation of the nanofibre scaffolds can be analysed using graph theory (GT), revealing the underlying connectivity patterns of the nanofibres. Analysis of GT descriptors showed that the electrospun membranes closely mimic the connectivity patterns of the ECM. We conclude that ML-facilitated, GT-quantified engineering of cellular scaffolds has the potential to predict cell interactions, streamlining the pipeline for tissue engineering.
PMID:39869000 | DOI:10.1039/d4tb02494j
QuanFormer: A Transformer-Based Precise Peak Detection and Quantification Tool in LC-MS-Based Metabolomics
Anal Chem. 2025 Jan 27. doi: 10.1021/acs.analchem.4c04531. Online ahead of print.
ABSTRACT
In metabolomic analysis based on liquid chromatography coupled with mass spectrometry, detecting and quantifying intricate objects is a massive job. Current peak picking methods still cause high rates of incorrectly picked peaks to influence the reliability and reproducibility of results. To address these challenges, we developed QuanFormer, a deep learning method based on object detection designed to accurately quantify peak signals. Our algorithm combines the feature extraction capabilities of convolutional neural networks (CNNs) with the global computation capability of Transformer architecture. Data training in QuanFormer by using nearly 20,000 annotated regions-of-interest (ROIs) ensures unique prediction via bipartite matching, achieving 96.5% of the average precision value on the test set. Even without retraining, QuanFormer achieves over 90% accuracy in distinguishing true from false peaks. Performance was further analyzed using visualization techniques applied to the encoder and decoder layers. We also demonstrated that QuanFormer could correct retention time shifts for peak alignment and generally surpass the existing methods, including MZmine 3 and PeakDetective, to obtain a larger number of picked peaks and higher accurate quantification. Finally, we also carried out metabolomic analysis in a clinical cohort of breast cancer patients and utilized QuanFormer to detect and quantify the potential biomarkers. QuanFormer is open-source and available at https://github.com/LinShuhaiLAB/QuanFormer.
PMID:39868899 | DOI:10.1021/acs.analchem.4c04531
Opportunistic assessment of steatotic liver disease in lung cancer screening eligible individuals
J Intern Med. 2025 Jan 27. doi: 10.1111/joim.20053. Online ahead of print.
ABSTRACT
BACKGROUND: Steatotic liver disease (SLD) is a potentially reversible condition but often goes unnoticed with the risk for end-stage liver disease.
PURPOSE: To opportunistically estimate SLD on lung screening chest computed tomography (CT) and investigate its prognostic value in heavy smokers participating in the National Lung Screening Trial (NLST).
MATERIAL AND METHODS: We used a deep learning model to segment the liver on non-contrast-enhanced chest CT scans of 19,774 NLST participants (age 61.4 ± 5.0 years; 41.2% female) at baseline and on the 1-year follow-up scan if no cancer was detected. SLD was defined as hepatic fat fraction (HFF) ≥5% derived from Hounsfield unit measures of the segmented liver. Participants with SLD were categorized as lean (body mass index [BMI] < 25 kg/m2) and overweight (BMI ≥ 25 kg/m2). The primary outcome was all-cause mortality. Cox proportional hazard regression assessed the association between (1) SLD and mortality at baseline and (2) the association between a change in HFF and mortality within 1 year.
RESULTS: There were 5.1% (1000/19,760) all-cause deaths over a median follow-up of 6 (range, 0.8-6) years. At baseline, SLD was associated with increased mortality in lean but not in overweight/obese participants as compared to participants without SLD (hazard ratio [HR] adjusted for risk factors: 1.93 [95% confidence interval 1.52-2.45]; p = 0.001). Individuals with an increase in HFF within 1 year had a significantly worse outcome than participants with stable HFF (HR adjusted for risk factors: 1.29 [1.01-1.65]; p = 0.04).
CONCLUSION: SLD is an independent predictor for long-term mortality in heavy smokers beyond known clinical risk factors.
PMID:39868889 | DOI:10.1111/joim.20053
Identifying Primary Sites of Spinal Metastases: Expert-Derived Features vs. ResNet50 Model Using Nonenhanced MRI
J Magn Reson Imaging. 2025 Jan 27. doi: 10.1002/jmri.29720. Online ahead of print.
ABSTRACT
BACKGROUND: The spinal column is a frequent site for metastases, affecting over 30% of solid tumor patients. Identifying the primary tumor is essential for guiding clinical decisions but often requires resource-intensive diagnostics.
PURPOSE: To develop and validate artificial intelligence (AI) models using noncontrast MRI to identify primary sites of spinal metastases, aiming to enhance diagnostic efficiency.
STUDY TYPE: Retrospective.
POPULATION: A total of 514 patients with pathologically confirmed spinal metastases (mean age, 59.3 ± 11.2 years; 294 males) were included, split into a development set (360) and a test set (154).
FIELD STRENGTH/SEQUENCE: Noncontrast sagittal MRI sequences (T1-weighted, T2-weighted, and fat-suppressed T2) were acquired using 1.5 T and 3 T scanners.
ASSESSMENT: Two models were evaluated for identifying primary sites of spinal metastases: the expert-derived features (EDF) model using radiologist-identified imaging features and a ResNet50-based deep learning (DL) model trained on noncontrast MRI. Performance was assessed using accuracy, precision, recall, F1 score, and the area under the receiver operating characteristic curve (ROC-AUC) for top-1, top-2, and top-3 indicators.
STATISTICAL TESTS: Statistical analyses included Shapiro-Wilk, t tests, Mann-Whitney U test, and chi-squared tests. ROC-AUCs were compared via DeLong tests, with 95% confidence intervals from 1000 bootstrap replications and significance at P < 0.05.
RESULTS: The EDF model outperformed the DL model in top-3 accuracy (0.88 vs. 0.69) and AUC (0.80 vs. 0.71). Subgroup analysis showed superior EDF performance for common sites like lung and kidney (e.g., kidney F1: 0.94 vs. 0.76), while the DL model had higher recall for rare sites like thyroid (0.80 vs. 0.20). SHapley Additive exPlanations (SHAP) analysis identified sex (SHAP: -0.57 to 0.68), age (-0.48 to 0.98), T1WI signal intensity (-0.29 to 0.72), and pathological fractures (-0.76 to 0.25) as key features.
DATA CONCLUSION: AI techniques using noncontrast MRI improve diagnostic efficiency for spinal metastases. The EDF model outperformed the DL model, showing greater clinical potential.
PLAIN LANGUAGE SUMMARY: Spinal metastases, or cancer spreading to the spine, are common in patients with advanced cancer, often requiring extensive tests to determine the original tumor site. Our study explored whether artificial intelligence could make this process faster and more accurate using noncontrast MRI scans. We tested two methods: one based on radiologists' expertise in identifying imaging features and another using a deep learning model trained to analyze MRI images. The expert-based method was more reliable, correctly identifying the tumor site in 88% of cases when considering the top three likely diagnoses. This approach may help doctors reduce diagnostic time and improve patient care.
LEVEL OF EVIDENCE: 3 TECHNICAL EFFICACY: Stage 2.
PMID:39868626 | DOI:10.1002/jmri.29720
Has AlphaFold3 achieved success for RNA?
Acta Crystallogr D Struct Biol. 2025 Feb 1. doi: 10.1107/S2059798325000592. Online ahead of print.
ABSTRACT
Predicting the 3D structure of RNA is a significant challenge despite ongoing advancements in the field. Although AlphaFold has successfully addressed this problem for proteins, RNA structure prediction raises difficulties due to the fundamental differences between proteins and RNA, which hinder its direct adaptation. The latest release of AlphaFold, AlphaFold3, has broadened its scope to include multiple different molecules such as DNA, ligands and RNA. While the AlphaFold3 article discussed the results for the last CASP-RNA data set, the scope of its performance and the limitations for RNA are unclear. In this article, we provide a comprehensive analysis of the performance of AlphaFold3 in the prediction of 3D structures of RNA. Through an extensive benchmark over five different test sets, we discuss the performance and limitations of AlphaFold3. We also compare its performance with ten existing state-of-the-art ab initio, template-based and deep-learning approaches. Our results are freely available on the EvryRNA platform at https://evryrna.ibisc.univ-evry.fr/evryrna/alphafold3/.
PMID:39868559 | DOI:10.1107/S2059798325000592
Deep Learning-Assisted Fluorescence Single-Particle Detection of Fumonisin B(1) Powered by Entropy-Driven Catalysis and Argonaute
Anal Chem. 2025 Jan 27. doi: 10.1021/acs.analchem.4c05913. Online ahead of print.
ABSTRACT
Timely and accurate detection of trace mycotoxins in agricultural products and food is significant for ensuring food safety and public health. Herein, a deep learning-assisted and entropy-driven catalysis (EDC)-Argonaute powered fluorescence single-particle aptasensing platform was developed for ultrasensitive detection of fumonisin B1 (FB1) using single-stranded DNA modified with biotin and red fluorescence-encoded microspheres as a signal probe and streptavidin-conjugated magnetic beads as separation carriers. The binding of aptamer with FB1 releases the trigger sequence to mediate EDC cycle to produce numerous 5'-phosphorylated output sequences, which can be used as the guide DNA to activate downstream Thermus thermophilus Argonaute (TtAgo) for cleaving the signal probe, resulting in increased number of fluorescence microspheres remaining in the final reaction supernatant after magnetic separation. Subsequently, through fast and accurate counting of red bright particles in the captured confocal fluorescence images from the supernatant via a YOLOv9 deep learning model, the sensitive and specific detection of FB1 could be realized. This approach has a limit of detection (LOD) of 0.89 pg/mL with a linear range from 1 pg/mL to 100 ng/mL, and satisfactory recovery (87.2-113.5%) in real food samples indicates its practicality. The integration of the aptamer and EDC with TtAgo broadens the target range of Argonaute and enhances sensitivity. Furthermore, incorporating deep learning significantly improves the analytical efficiency of single-particle detection. This work provides a promising analytical strategy in biosensing and promotes the application of fluorescence single-particle detection in food safety monitoring.
PMID:39868471 | DOI:10.1021/acs.analchem.4c05913
A stacking ensemble system for identifying the presence of histological variants in bladder carcinoma: a multicenter study
Front Oncol. 2025 Jan 10;14:1469427. doi: 10.3389/fonc.2024.1469427. eCollection 2024.
ABSTRACT
PURPOSE: To create a system to enable the identification of histological variants of bladder cancer in a simple, efficient, and noninvasive manner.
MATERIAL AND METHODS: In this multicenter diagnostic study, we retrospectively collected basic information and CT images about the patients concerned from three hospitals. An interactive deep learning-based bladder cancer image segmentation framework was constructed using the Swin UNETR algorithm for further features extraction. Radiomic features and deep learning features were extracted for further stacking ensemble system construction. The segmentation model' performance was assessed by using Dice Similarity (Dice) metrics, Intersection Over Union (IOU), Sensitivity (SEN) and Specificity (SPE). To evaluate the system's performance, we used the Receiver Operating Characteristics (ROC) curve, the Accuracy Score (ACC) and Decision Curve Analysis (DCA).
RESULTS: 410 patients from one hospital were included in the training set, while 60 patients from two other hospitals were included in the test set. A total of 50 features comprising 46 radiomic features and 4 deep learning features were finally retained for further stacking ensemble model building. The interactive segmentation model and system exhibited excellent performance in both training (Dice = 0.78, IOU = 0.65, SEN = 0.83, SPE = 1.00, AUC = 0.940, ACC = 0.868) and testing datasets (Dice = 0.80, IOU = 0.67, SEN = 0.89, SPE = 1.00, AUC = 0.905, ACC = 0.900).
CONCLUSION: We successfully constructed a stacking ensemble machine learning model for early, non-invasive identification of histological variants in bladder cancer which will help urologists make clinical decisions.
PMID:39868365 | PMC:PMC11757263 | DOI:10.3389/fonc.2024.1469427
Abundant repressor binding sites in human enhancers are associated with the fine-tuning of gene regulation
iScience. 2024 Dec 20;28(1):111658. doi: 10.1016/j.isci.2024.111658. eCollection 2025 Jan 17.
ABSTRACT
The regulation of gene expression relies on the coordinated action of transcription factors (TFs) at enhancers, including both activator and repressor TFs. We employed deep learning (DL) to dissect HepG2 enhancers into positive (PAR), negative (NAR), and neutral activity regions. Sharpr-MPRA and STARR-seq highlight the dichotomy impact of NARs and PARs on modulating and catalyzing the activity of enhancers, respectively. Approximately 22% of HepG2 enhancers, termed "repressive impact enhancers" (RIEs), are predominantly populated by NARs and transcriptional repression motifs. Genes flanking RIEs exhibit a stage-specific decline in expression during late development, suggesting RIEs' role in trimming enhancer activities. About 16.7% of human NARs emerge from neutral rhesus macaque DNA. This gain of repressor binding sites in RIEs is associated with a 30% decrease in the average expression of flanking genes in humans compared to rhesus macaque. Our work reveals modulated enhancer activity and adaptable gene regulation through the evolutionary dynamics of TF binding sites.
PMID:39868043 | PMC:PMC11761325 | DOI:10.1016/j.isci.2024.111658
Deep learning uncovers histological patterns of YAP1/TEAD activity related to disease aggressiveness in cancer patients
iScience. 2024 Dec 20;28(1):111638. doi: 10.1016/j.isci.2024.111638. eCollection 2025 Jan 17.
ABSTRACT
Over the last decade, Hippo signaling has emerged as a major tumor-suppressing pathway. Its dysregulation is associated with abnormal expression of YAP1 and TEAD-family genes. Recent works have highlighted the role of YAP1/TEAD activity in several cancers and its potential therapeutic implications. Therefore, identifying patients with a dysregulated Hippo pathway is key to enhancing treatment impact. Although recent studies have derived RNA-seq-based signatures, there remains a need for a reproducible and cost-effective method to measure the pathway activation. In recent years, deep learning applied to histology slides have emerged as an effective way to predict molecular information from a data modality available in clinical routine. Here, we trained models to predict YAP1/TEAD activity from H&E-stained histology slides in multiple cancers. The robustness of our approach was assessed in seven independent validation cohorts. Finally, we showed that histological markers of disease aggressiveness were associated with dysfunctional Hippo signaling.
PMID:39868035 | PMC:PMC11758823 | DOI:10.1016/j.isci.2024.111638
Research on grading detection methods for diabetic retinopathy based on deep learning
Pak J Med Sci. 2025 Jan;41(1):225-229. doi: 10.12669/pjms.41.1.9171.
ABSTRACT
OBJECTIVE: To design a deep learning-based model for early screening of diabetic retinopathy, predict the condition, and provide interpretable justifications.
METHODS: The experiment's model structure is designed based on the Vision Transformer architecture which was initiated in March 2023 and the first version was produced in July 2023 at Affiliated Hospital of Hangzhou Normal University. We use the publicly available EyePACS dataset as input to train the model. Using the trained model, we predict whether a given patient's fundus images indicate diabetic retinopathy and provide the relevant affected areas as the basis for the judgement.
RESULTS: The model was validated using two subsets of the IDRiD dataset. Our model not only achieved good results in terms of detection accuracy, reaching around 0.88, but also performed comparably to similar models annotated for affected areas in predicting the affected regions.
CONCLUSION: Utilizing image-level annotations, we implemented a method for detecting diabetic retinopathy through deep learning and provided interpretable justifications to assist clinicians in diagnosis.
PMID:39867796 | PMC:PMC11755306 | DOI:10.12669/pjms.41.1.9171
Liver fibrosis classification on trichrome histology slides using weakly supervised learning in children and young adults
J Pathol Inform. 2024 Dec 11;16:100416. doi: 10.1016/j.jpi.2024.100416. eCollection 2025 Jan.
ABSTRACT
BACKGROUND: Traditional liver fibrosis staging via percutaneous biopsy suffers from sampling bias and variable inter-pathologist agreement, highlighting the need for more objective techniques. Deep learning models for disease staging from medical images have shown potential to decrease diagnostic variability, with recent weakly supervised learning strategies showing promising results even with limited manual annotation.
PURPOSE: To study the clustering-constrained attention multiple instance learning (CLAM) approach for staging liver fibrosis on trichrome whole slide images (WSIs) of children and young adults.
METHODS: This is an ethics board approved retrospective study utilizing 217 trichrome WSI from pediatric liver biopsies for model development and testing. Two pediatric pathologists scored WSI using two liver fibrosis staging systems, METAVIR and Ishak. Cases were then secondarily categorized into either high- or low-stage liver fibrosis and used for model development. The CLAM pipeline was used to develop binary classification models for histological liver fibrosis. Model performance was evaluated using area under the curve (AUC), accuracy, sensitivity, specificity, and Cohen's Kappa.
RESULTS: The CLAM models showed strong diagnostic performance, with sensitivities up to 0.76 and AUCs up to 0.92 for distinguishing low- and high-stage fibrosis. The agreement between model predictions and average pathologist scores was moderate to substantial (Kappa: 0.57-0.69), whereas pathologist agreement on the METAVIR and Ishak scoring systems was only fair (Kappa: 0.39-0.46).
CONCLUSIONS: CLAM pipeline showed promise in detecting features important for differentiating low- and high-stage fibrosis from trichrome WSI based on the results, offering a promising objective method for liver fibrosis detection in children and young adults.
PMID:39867463 | PMC:PMC11760786 | DOI:10.1016/j.jpi.2024.100416
Who is WithMe? EEG features for attention in a visual task, with auditory and rhythmic support
Front Neurosci. 2025 Jan 10;18:1434444. doi: 10.3389/fnins.2024.1434444. eCollection 2024.
ABSTRACT
INTRODUCTION: The study of attention has been pivotal in advancing our comprehension of cognition. The goal of this study is to investigate which EEG data representations or features are most closely linked to attention, and to what extent they can handle the cross-subject variability.
METHODS: We explore the features obtained from the univariate time series from a single EEG channel, such as time domain features and recurrence plots, as well as representations obtained directly from the multivariate time series, such as global field power or functional brain networks. To address the cross-subject variability in EEG data, we also investigate persistent homology features that are robust to different types of noise. The performance of the different EEG representations is evaluated with the Support Vector Machine (SVM) accuracy on the WithMe data derived from a modified digit span experiment, and is benchmarked against baseline EEG-specific models, including a deep learning architecture known for effectively learning task-specific features.
RESULTS: The raw EEG time series outperform each of the considered data representations, but can fall short in comparison with the black-box deep learning approach that learns the best features.
DISCUSSION: The findings are limited to the WithMe experimental paradigm, highlighting the need for further studies on diverse tasks to provide a more comprehensive understanding of their utility in the analysis of EEG data.
PMID:39867449 | PMC:PMC11758281 | DOI:10.3389/fnins.2024.1434444
Reusable specimen-level inference in computational pathology
ArXiv [Preprint]. 2025 Jan 10:arXiv:2501.05945v1.
ABSTRACT
Foundation models for computational pathology have shown great promise for specimen-level tasks and are increasingly accessible to researchers. However, specimen-level models built on these foundation models remain largely unavailable, hindering their broader utility and impact. To address this gap, we developed SpinPath, a toolkit designed to democratize specimen-level deep learning by providing a zoo of pretrained specimen-level models, a Python-based inference engine, and a JavaScript-based inference platform. We demonstrate the utility of SpinPath in metastasis detection tasks across nine foundation models. SpinPath may foster reproducibility, simplify experimentation, and accelerate the adoption of specimen-level deep learning in computational pathology research.
PMID:39867428 | PMC:PMC11759856
An easy-to-use three-dimensional protein-structure-prediction online platform "DPL3D" based on deep learning algorithms
Curr Res Struct Biol. 2025 Jan 3;9:100163. doi: 10.1016/j.crstbi.2024.100163. eCollection 2025 Jun.
ABSTRACT
The change in the three-dimensional (3D) structure of a protein can affect its own function or interaction with other protein(s), which may lead to disease(s). Gene mutations, especially missense mutations, are the main cause of changes in protein structure. Due to the lack of protein crystal structure data, about three-quarters of human mutant proteins cannot be predicted or accurately predicted, and the pathogenicity of missense mutations can only be indirectly evaluated by evolutionary conservation. Recently, many computational methods have been developed to predict protein 3D structures with accuracy comparable to experiments. This progress enables the information of structural biology to be further utilized by clinicians. Thus, we developed a user-friendly platform named DPL3D (http://nsbio.tech:3000) which can predict and visualize the 3D structure of mutant proteins. The crystal structure and other information of proteins were downloaded together with the software including AlphaFold 2, RoseTTAFold, RoseTTAFold All-Atom, and trRosettaX-Single. We implemented a query module for 210,180 molecular structures, including 52,248 human proteins. Visualization of protein two-dimensional (2D) and 3D structure prediction can be generated via LiteMol automatically or manually and interactively. This platform will allow users to easily and quickly retrieve large-scale structural information for biological discovery.
PMID:39867105 | PMC:PMC11761317 | DOI:10.1016/j.crstbi.2024.100163
Technological Advancements in Augmented, Mixed, and Virtual Reality Technologies for Surgery: A Systematic Review
Cureus. 2024 Dec 26;16(12):e76428. doi: 10.7759/cureus.76428. eCollection 2024 Dec.
ABSTRACT
Recent advancements in artificial intelligence (AI) have shown significant potential in the medical field, although many applications are still in the research phase. This paper provides a comprehensive review of advancements in augmented reality (AR), mixed reality (MR), and virtual reality (VR) for surgical applications from 2019 to 2024 to accelerate the transition of AI from the research to the clinical phase. This paper also provides an overview of proposed databases for further use in extended reality (XR), which includes AR, MR, and VR, as well as a summary of typical research applications involving XR in surgical practices. Additionally, this paper concludes by discussing challenges and proposed solutions for the application of XR in the medical field. Although the areas of focus and specific implementations vary among AR, MR, and VR, current trends in XR focus mainly on reducing workload and minimizing surgical errors through navigation, training, and machine learning-based visualization. Through analyzing these trends, AR and MR have greater advantages for intraoperative surgical functions, whereas VR is limited to preoperative training and surgical preparation. VR faces additional limitations, and its use has been reduced in research since the first applications of XR, which likely suggests the same will happen with further development. Nonetheless, with increased access to technology and the ability to overcome the black box problem, XR's applications in medical fields and surgery will increase to guarantee further accuracy and precision while reducing risk and workload.
PMID:39867005 | PMC:PMC11763273 | DOI:10.7759/cureus.76428