J Phys Chem A. 2024 Nov 14. doi: 10.1021/acs.jpca.4c05389. Online ahead of print.

ABSTRACT

The inherently serial nature and requirement for short integration time steps in the numerical integration of molecular dynamics (MD) calculations place strong limitations on the accessible simulation time scales and statistical uncertainties in sampling slowly relaxing dynamical modes and rare events. Molecular latent space simulators (LSSs) are a data-driven approach to learning a surrogate dynamical model of the molecular system from modest MD training trajectories that can generate synthetic trajectories at a fraction of the computational cost. The training data may comprise single long trajectories or multiple short, discontinuous trajectories collected over, for example, distributed computing resources. Provided the training data provide sufficient sampling of the relevant thermodynamic states and dynamical transitions to robustly learn the underlying microscopic propagator, an LSS furnishes a global model of the dynamics capable of producing temporally and spatially continuous molecular trajectories. Trained LSS models have produced simulation trajectories at up to 6 orders of magnitude lower cost than standard MD to enable dense sampling of molecular phase space and large reduction of the statistical errors in structural, thermodynamic, and kinetic observables. The LSS employs three deep learning architectures to solve three independent learning problems over the training data: (i) an encoding of the high-dimensional MD into a low-dimensional slow latent space using state-free reversible VAMPnets (SRVs), (ii) a propagator of the microscopic dynamics within the low-dimensional latent space using mixture density networks (MDNs), and (iii) a generative decoding of the low-dimensional latent coordinates back to the original high-dimensional molecular configuration space using conditional Wasserstein generative adversarial networks (cWGANs) or denoising diffusion probability models (DDPMs). In this software tutorial, we introduce the mathematical and numerical background and theory of LSS and present example applications of a user-friendly Python package software implementation to alanine dipeptide and a 28-residue beta-beta-alpha (BBA) protein within simple Google Colab notebooks.

PMID:39540914 | DOI:10.1021/acs.jpca.4c05389

Infect Dis (Lond). 2024 Nov 14:1-26. doi: 10.1080/23744235.2024.2425712. Online ahead of print.

ABSTRACT

Infectious diseases remain a global health challenge, necessitating innovative approaches for their early diagnosis and effective treatment. Artificial Intelligence (AI) has emerged as a transformative force in healthcare, offering promising solutions to address this challenge. This review article provides a comprehensive overview of the pivotal role AI can play in the early diagnosis and treatment of infectious diseases. It explores how AI-driven diagnostic tools, including machine learning algorithms, deep learning, and image recognition systems, enhance the accuracy and efficiency of disease detection and surveillance. Furthermore, it delves into the potential of AI to predict disease outbreaks, optimise treatment strategies, and personalise interventions based on individual patient data and how AI can be used to gear up the drug discovery and development (D3) process.The ethical considerations, challenges, and limitations associated with the integration of AI in infectious disease management are also examined. By harnessing the capabilities of AI, healthcare systems can significantly improve their preparedness, responsiveness, and outcomes in the battle against infectious diseases.

PMID:39540872 | DOI:10.1080/23744235.2024.2425712

Phys Chem Chem Phys. 2024 Nov 14. doi: 10.1039/d4cp04020a. Online ahead of print.

ABSTRACT

Water isotope separation, specifically separating heavy from light water, is a technologically important problem due to the usage of heavy water in applications such as nuclear magnetic resonance, nuclear power, and spectroscopy. Separation of heavy water from light water is difficult due to very similar physical and chemical properties between the isotopes. We show that a catalytically active ultrathin membrane (e.g., a nanopore in MoS2) can enable chemical exchange processes and physicochemical mechanisms that lead to efficient separation of deuterium from hydrogen. The separation process is inherently multiscale in nature with the shorter times representing chemical exchange processes and the longer timescales representing the transport phenomena. To bridge the timescales, we employ a deep learning methodology which uses short time scale ab initio molecular dynamics data for training and extends the timescales to the classical molecular dynamics regime to demonstrate isotope separation and reveal the underlying complex physicochemical processes.

PMID:39540828 | DOI:10.1039/d4cp04020a

Radiol Cardiothorac Imaging. 2024 Dec;6(6):e230419. doi: 10.1148/ryct.230419.

ABSTRACT

Purpose To assess the influence of deep learning (DL)-based image reconstruction on acquisition time, volumetric results, and image quality of cine sequences in cardiac MRI. Materials and Methods This prospective study (performed from January 2023 to March 2023) included 55 healthy volunteers who underwent a noncontrast cardiac MRI examination at 1.5 T. Short-axis stack DL cine sequences of the left ventricle (LV) were performed over one (1RR), three (3RR), and six cardiac (6RR) cycles and compared with a standard cine sequence (without DL, performed over 10-12 cardiac cycles) in regard to acquisition time, subjective image quality, edge sharpness, and volumetric results. Results Total acquisition time (median) for a short-axis stack was 47 seconds for the 1RR cine, 108 seconds for 3RR cine, 184 seconds for 6RR cine, and 227 seconds for the standard sequence. Volumetric results showed no difference for the conventional cine (median LV ejection fraction [EF] 63%), 6RR cine (median LVEF, 62%), and 3RR cine (median LVEF, 61%). The 1RR cine sequence significantly underestimated EF (57%) because of a different segmentation of the papillary muscles. Subjective image quality (P = .37) and edge sharpness (P = .06) of the three-heartbeat DL cine did not differ from the reference standard, while both metrics were lower for single-heartbeat DL cine and higher for six-heartbeat DL cine. Conclusion For DL-based cine sequences, acquisition over three cardiac cycles appears to be the optimal compromise, with no evidence of differences in image quality, edge sharpness, and volumetric results, but with a greater than 50% reduced acquisition time compared with the reference sequence. Keywords: MR Imaging, Cardiac, Heart, Technical Aspects, Cardiac MRI, Deep Learning, Clinical Imaging, Accelerated Imaging Supplemental material is available for this article. © RSNA, 2024.

PMID:39540821 | DOI:10.1148/ryct.230419

Med Phys. 2024 Nov 14. doi: 10.1002/mp.17513. Online ahead of print.

ABSTRACT

BACKGROUND: Four-dimensional computed tomography (4DCT) is an es sential tool in radiation therapy. However, the 4D acquisition process may cause motion artifacts which can obscure anatomy and distort functional measurements from CT scans.

PURPOSE: We describe a deep learning algorithm to identify the location of artifacts within 4DCT images. Our method is flexible enough to handle different types of artifacts, including duplication, misalignment, truncation, and interpolation.

METHODS: We trained and validated a U-net convolutional neural network artifact detection model on more than 23 000 coronal slices extracted from 98 4DCT scans. The receiver operating characteristic (ROC) curve and precision-recall curve were used to evaluate the model's performance at identifying artifacts compared to a manually identified ground truth. The model was adjusted so that the sensitivity in identifying artifacts was equivalent to that of a human observer, as measured by computing the average ratio of artifact volume to lung volume in a given scan.

RESULTS: The model achieved a sensitivity, specificity, and precision of 0.78, 0.99, and 0.58, respectively. The ROC area-under-the-curve (AUC) was 0.99 and the precision-recall AUC was 0.73. Our model sensitivity is 8% higher than previously reported state-of-the-art artifact detection methods.

CONCLUSIONS: The model developed in this study is versatile, designed to handle duplication, misalignment, truncation, and interpolation artifacts within a single image, unlike earlier models that were designed for a single artifact type.

PMID:39540716 | DOI:10.1002/mp.17513

Bioinformatics. 2024 Nov 14:btae678. doi: 10.1093/bioinformatics/btae678. Online ahead of print.

ABSTRACT

MOTIVATION: RNA is implicated in numerous aberrant cellular functions and disease progressions, highlighting the crucial importance of RNA-targeted drugs. To accelerate the discovery of such drugs, it is essential to develop an effective computational method for predicting RNA-small molecule affinity (RSMA). Recently, deep learning based computational methods have been promising due to their powerful nonlinear modeling ability. However, the leveraging of advanced deep learning methods to mine the diverse information of RNAs, small molecules and their interaction still remains a great challenge.

RESULTS: In this study, we present DeepRSMA, an innovative cross-attention-based deep learning method for RSMA prediction. To effectively capture fine-grained features from RNA and small molecules, we developed nucleotide-level and atomic-level feature extraction modules for RNA and small molecules, respectively. Additionally, we incorporated both sequence and graph views into these modules to capture features from multiple perspectives. Moreover, a Transformer-based cross-fusion module is introduced to learn the general patterns of interactions between RNAs and small molecules. To achieve effective RSMA prediction, we integrated the RNA and small molecule representations from the feature extraction and cross-fusion modules. Our results show that DeepRSMA outperforms baseline methods in multiple test settings. The interpretability analysis and the case study on spinal muscular atrophy (SMA) demonstrate that DeepRSMA has the potential to guide RNA-targeted drug design.

AVAILABILITY: The codes and data are publicly available at https://github.com/Hhhzj-7/DeepRSMA.

SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

PMID:39540702 | DOI:10.1093/bioinformatics/btae678

BMC Musculoskelet Disord. 2024 Nov 13;25(1):906. doi: 10.1186/s12891-024-08035-3.

ABSTRACT

OBJECTIVES: Anteroposterior pelvic radiographs remains the most widely employed method for diagnosing developmental dysplasia of the hip. This study aims to evaluate the accuracy of an artificial intelligence model in measuring angles in pelvic radiographs of the hip. The assessment seeks to demonstrate the efficacy of the artificial intelligence model in diagnosing both developmental dysplasia of the hip and borderline developmental dysplasia of the hip through the analysis of pelvic radiographs.

METHODS: A total of 1,029 patients, including 273 men and 757 women, were retrospectively included in this study. The anteroposterior pelvic radiographs were randomly divided into three sets: the training set (720 cases), the validation set (103 cases), and the test set (206 cases). Key anatomical points on the anteroposterior pelvic radiographs were identified. The Sharp, Tönnis, and Center Edge angles were calculated automatically based on the corresponding criteria. The hip development status was compared between measurements obtained from the artificial intelligence model and those defined manually by two radiologists. The area under the receiver operating characteristic curve was utilized to assess the diagnostic performance of the artificial intelligence model.

RESULTS: The results obtained from both manual measurements and the artificial intelligence model demonstrated no significant differences in the Sharp, Tönnis, and Center edge angles (all p > 0.05). The intra-class correlation coefficients and correlation coefficient r values exceeded 0.75, indicating that both the artificial intelligence model and manual measurements exhibited good repeatability and a positive correlation. Notably, the artificial intelligence model provided measurements more faster than those conducted by radiologists (p = 0.001). The artificial intelligence model also demonstrated high diagnostic accuracy, sensitivity, and specificity for developmental dysplasia of the hip. The performance of the artificial intelligence model in diagnosing developmental dysplasia of the hip was robust. Additionally, the results from the artificial intelligence model and manual measurements were largely consistent with clinical diagnosis results (p = 0.01). The artificial intelligence model can effectively evaluate hip conditions by measuring the Sharp, Tönnis, and Center edge angles, which are consistent closely with clinical diagnosis results.

CONCLUSIONS: The results of the artificial intelligence model measurements demonstrate a high degree of consistency with those obtained through manual measurements. The angles of Sharp, Tönnis, and Center edge, as evaluated by the deep learning-based convolutional neural network model, exhibit robust diagnostic performance in identifying both developmental dysplasia of the hip and borderline developmental dysplasia of the hip. Consequently, the artificial intelligence model has the potential to fully replace manual measurements of these critical hip angles, providing a more efficient and precise alternative for diagnosing both conditions of the hip.

PMID:39538255 | DOI:10.1186/s12891-024-08035-3

BMC Oral Health. 2024 Nov 13;24(1):1373. doi: 10.1186/s12903-024-04850-1.

ABSTRACT

OBJECTIVES: This study aimed to assess the accuracy of a two-stage deep learning (DL) model for (1) detecting mandibular third molars (MTMs) and the mandibular canal (MC), and (2) classifying the anatomical relationship between these structures (contact/no contact) on panoramic radiographs.

METHOD: MTMs and MCs were labeled on panoramic radiographs by a calibrated examiner using bounding boxes. Each bounding box contained MTM and MC on one side. The relationship of MTMs with the MC was assessed on CBCT scans by two independent examiners without the knowledge of the condition of MTM and MC on the corresponding panoramic image, and dichotomized as contact/no contact. Data were split into training, validation, and testing sets with a ratio of 80:10:10. Faster R-CNN was used for detecting MTMs and MCs and ResNeXt for classifying their relationship. AP50 and AP75 were used as outcomes for detecting MTMs and MCs, and accuracy, precision, recall, F1-score, and the area-under-the-receiver-operating-characteristics curve (AUROC) were used to assess classification performance. The training and validation of the models were conducted using the Python programming language with the PyTorch framework.

RESULTS: Three hundred eighty-seven panoramic radiographs were evaluated. MTMs were present bilaterally on 232 and unilaterally on 155 radiographs. In total, 619 images were collected which included MTMs and MCs. AP50 and AP75 indicating accuracy for detecting MTMs and MCs were 0.99 and 0.90 respectively. Classification accuracy, recall, specificity, F1-score, precision, and AUROC values were 0.85, 0.85, 0.93, 0.84, 0.86, and 0.91, respectively.

CONCLUSION: DL can detect MTMs and MCs and accurately assess their anatomical relationship on panoramic radiographs.

PMID:39538183 | DOI:10.1186/s12903-024-04850-1

BMC Plant Biol. 2024 Nov 13;24(1):1069. doi: 10.1186/s12870-024-05797-9.

ABSTRACT

Tomato leaf diseases significantly impact the yield and quality of tomatoes during cultivation, the main of which are septoria leaf spot, leaf curl virus, verticillium wilt, and early blight. These diseases necessitate prompt detection and management strategies to mitigate their deleterious effects on crop productivity. Due to the considerable scale variations in diseased tomato leaves, accurate and rapid detection and diagnosis remain challenging. To address the detection of tomato leaf diseases at different scales, we propose a real-time detection model incorporating a Multi-kernel Inception Aggregation Diffusion Network. In this paper, (1) We present a Multi-kernel Inception Aggregation Diffusion Network (MIADN) for the feature processing stage, which facilitates the aggregation and diffusion of multi-scale features across hierarchical levels, benefiting the detection of targets at various scales. (2) We present the Multi-kernel Inception Module (MKIM), designed to extract multi-scale object features using diverse convolution kernels, thereby enhancing the model's feature fusion and representation capabilities. (3) We incorporate the efficient FasterNet network at the feature extraction stage to preserve feature diversity and improve the model's ability to extract complex target features. (4) Extensive comparative and ablation experiments demonstrate that our method achieves the mean average precision (mAP50) of 96.6%, surpassing the baseline model by 4.1% and the advanced YOLOv9s model by 2.0%. This method provides an effective solution for high-quality tomato cultivation.

PMID:39538144 | DOI:10.1186/s12870-024-05797-9

Jpn J Radiol. 2024 Nov 14. doi: 10.1007/s11604-024-01702-4. Online ahead of print.

ABSTRACT

Fractures are one of the most common reasons of admission to emergency department affecting individuals of all ages and regions worldwide that can be misdiagnosed during radiologic examination. Accurate and timely diagnosis of fracture is crucial for patients, and artificial intelligence that uses algorithms to imitate human intelligence to aid or enhance human performs is a promising solution to address this issue. In the last few years, numerous commercially available algorithms have been developed to enhance radiology practice and a large number of studies apply artificial intelligence to fracture detection. Recent contributions in literature have described numerous advantages showing how artificial intelligence performs better than doctors who have less experience in interpreting musculoskeletal X-rays, and assisting radiologists increases diagnostic accuracy and sensitivity, improves efficiency, and reduces interpretation time. Furthermore, algorithms perform better when they are trained with big data on a wide range of fracture patterns and variants and can provide standardized fracture identification across different radiologist, thanks to the structured report. In this review article, we discuss the use of artificial intelligence in fracture identification and its benefits and disadvantages. We also discuss its current potential impact on the field of radiology and radiomics.

PMID:39538068 | DOI:10.1007/s11604-024-01702-4

Jpn J Radiol. 2024 Nov 14. doi: 10.1007/s11604-024-01685-2. Online ahead of print.

ABSTRACT

PURPOSE: To compare image quality and visibility of anatomical structures on contrast-enhanced thin-slice abdominal CT images reconstructed using super-resolution deep learning reconstruction (SR-DLR), deep learning-based reconstruction (DLR), and hybrid iterative reconstruction (HIR) algorithms.

MATERIALS AND METHODS: This retrospective study included 54 consecutive patients who underwent contrast-enhanced abdominal CT. Thin-slice images (0.5 mm thickness) were reconstructed using SR-DLR, DLR, and HIR. Objective image noise and contrast-to-noise ratio (CNR) for liver parenchyma relative to muscle were assessed. Two radiologists independently graded image quality using a 5-point rating scale for image noise, sharpness, artifact/blur, and overall image quality. They also graded the visibility of small vessels, main pancreatic duct, ureters, adrenal glands, and right adrenal vein on a 5-point scale.

RESULTS: SR-DLR yielded significantly lower objective image noise and higher CNR than DLR and HIR (P < .001). The visual scores of SR-DLR for image noise, sharpness, and overall image quality were significantly higher than those of DLR and HIR for both readers (P < .001). Both readers scored significantly higher on SR-DLR than on HIR for visibility for all structures (P < .01), and at least one reader scored significantly higher on SR-DLR than on DLR for visibility for all structures (P < .05).

CONCLUSION: SR-DLR reduced image noise and improved image quality of thin-slice abdominal CT images compared to HIR and DLR. This technique is expected to enable further detailed evaluation of small structures.

PMID:39538066 | DOI:10.1007/s11604-024-01685-2

J Imaging Inform Med. 2024 Nov 13. doi: 10.1007/s10278-024-01319-z. Online ahead of print.

ABSTRACT

The advancement of medical image deep learning necessitates tools that can accurately identify body regions from whole-body scans to serve as an essential pre-processing step for downstream tasks. Typically, these deep learning models rely on labeled data and supervised learning, which is labor-intensive. However, the emergence of self-supervised learning is revolutionizing the field by eliminating the need for labels. The purpose of this study was to compare neural network architectures of self-supervised models that produced a body part regression (BPR) slice score to aid in the development of anatomically localized segmentation models. VGG, ResNet, DenseNet, ConvNext, and EfficientNet BPR models were implemented in the MONAI/Pytorch framework. Landmark organs were correlated to slice scores and mean absolute error (MAE) was calculated from the predicted slice and the actual slice of various organ landmarks. Four localized DynUNet segmentation models (thorax, upper abdomen, lower abdomen, and pelvis) were developed using the BPR slice scores. Dice similarity coefficient (DSC) was compared between the localized and baseline segmentation models. The best performing BPR model was the EfficientNet architecture with an overall 3.18 MAE, compared to the VGG baseline model with a MAE of 6.29. The localized segmentation model significantly outperformed the baseline in 16 out of 20 organs with a DSC of 0.88. Enhanced neural networks like EfficientNet have a large performance increase in localizing anatomical structures in a CT compared in BPR task. Utilizing BPR slice score is shown to be effective in anatomically localized segmentation tasks with improved performance.

PMID:39538050 | DOI:10.1007/s10278-024-01319-z

J Imaging Inform Med. 2024 Nov 13. doi: 10.1007/s10278-024-01305-5. Online ahead of print.

ABSTRACT

To establish a quantitative reference for brain structural changes in children with neurological disorders, we employed deep learning technique to brain region segmentation and volumetric analysis within a cohort of healthy children. In this study, we recruited 312 participants aged 1.5 to 14.5 years (210 boys and 102 girls), dividing them into five age groups. High-resolution structural T1-weighted images were obtained, and an established toolkit utilizing deep learning algorithms was employed for brain region segmentation. For each age group, the volumes of gray matter and white matter, along with the thickness and surface area of the cortex, were calculated and compared between boys and girls. The results indicated that the volumes of gray matter and white matter in both bilateral cerebral hemispheres, as well as the total brain volume, increased with age. Furthermore, the volumes of the left and right hippocampus, amygdala, and thalamus also demonstrated an increase as age progressed. Conversely, cortical thickness and surface area decreased with age. Our findings provide a quantitative reference for understanding brain structural changes in children with neurological disorders.

PMID:39538049 | DOI:10.1007/s10278-024-01305-5

Nature. 2024 Nov;635(8038):337-344. doi: 10.1038/s41586-024-08157-7. Epub 2024 Nov 13.

ABSTRACT

Lower-limb exoskeletons have the potential to transform the way we move1-14, but current state-of-the-art controllers cannot accommodate the rich set of possible human behaviours that range from cyclic and predictable to transitory and unstructured. We introduce a task-agnostic controller that assists the user on the basis of instantaneous estimates of lower-limb biological joint moments from a deep neural network. By estimating both hip and knee moments in-the-loop, our approach provided multi-joint, coordinated assistance through our autonomous, clothing-integrated exoskeleton. When deployed during 28 activities, spanning cyclic locomotion to unstructured tasks (for example, passive meandering and high-speed lateral cutting), the network accurately estimated hip and knee moments with an average R2 of 0.83 relative to ground truth. Further, our approach significantly outperformed a best-case task classifier-based method constructed from splines and impedance parameters. When tested on ten activities (including level walking, running, lifting a 25 lb (roughly 11 kg) weight and lunging), our controller significantly reduced user energetics (metabolic cost or lower-limb biological joint work depending on the task) relative to the zero torque condition, ranging from 5.3 to 19.7%, without any manual controller modifications among activities. Thus, this task-agnostic controller can enable exoskeletons to aid users across a broad spectrum of human activities, a necessity for real-world viability.

PMID:39537888 | DOI:10.1038/s41586-024-08157-7

Sci Rep. 2024 Nov 13;14(1):27798. doi: 10.1038/s41598-024-79067-x.

ABSTRACT

Face detection is a multidisciplinary research subject that employs fundamental computer algorithms, image processing, and patterning. Neural networks, on the other hand, have been widely developed to solve challenges in the domains of feature extraction, pattern detection, and the like in general. The presented study investigates the DNN (deep neural networks) use in the creation of facial detection operating systems. In this study, a novel optimized deep network has been presented to face detection. In this paper, after using some preprocessing stages for contrast enhancement and increasing the data number for the next deep tool, they fed to a bidirectional recurrent neural network (BRNN). The network is optimized via a novel enhanced version of Ebola optimization algorithm to provide far greater accuracy. The suggested procedure is examined on GTFD (Georgia Tech Face Database) and the results indicate that the proposed technique significantly outperforms other comparative methods, attaining an accuracy of 94.3%, a precision of 93.51%, a recall of 94.53%, and an F1-score of 92.47%. Furthermore, the method exhibits resilience against various challenges, achieving an accuracy of 95.6% under occlusions, 96.3% under lighting variations, 94.8% under pose variations, and 92.4% under low resolution conditions. Simulation results depict that the suggested technique gives far greater accuracy in comparison with the other comparative approaches.

PMID:39537839 | DOI:10.1038/s41598-024-79067-x

Sci Rep. 2024 Nov 13;14(1):27828. doi: 10.1038/s41598-024-79468-y.

NO ABSTRACT

PMID:39537823 | DOI:10.1038/s41598-024-79468-y

Clin Cancer Res. 2024 Nov 13. doi: 10.1158/1078-0432.CCR-24-2356. Online ahead of print.

ABSTRACT

PURPOSE: 8-28% of Papillary thyroid carcinoma (PTC) experience recurrence, complicating risk stratification and treatment. We previously identified an inflammatory molecular subtype of PTC associated with poor prognosis. Based on this subtype, we aimed to develop and validate a noninvasive radiomic signature to predict prognosis and treatment response in PTC patients.

EXPERIMENTAL DESIGN: We collected preoperative ultrasound images from two large independent centers (n=2506) to develop and validate a Deep Learning Radiomics signature of Inflammation (DLRI) for predicting the inflammatory subtype of PTC, including its correlation with prognosis and anti-inflammatory traditional Chinese medicine (TCM) treatment. Training set 1 (n=64) and internal validation set 2 (n=1108) were from Tianjin Medical University Cancer Institute and Hospital. External validation set 1 (n=76) and 2 (n=1258) were from Fudan University Shanghai Cancer Center.

RESULTS: We developed DLRI to accurately predict PTC's inflammatory subtype (AUC=0.97 in the training set 1 and AUC=0.82 in the external validation set 1). High-risk DLRI was significantly associated with poor disease-free survival in the first cohort (HR=16.49, 95% CI: 7.92-34.35, P<0.001) and second cohort (HR=5.42, 95%: 3.67-8.02, P<0.001). DLRI independently predicted disease-free survival, irrespective of clinicopathological variables (P<0.001 for all). Furthermore, patients with high-risk DLRI were likely to benefit from anti-inflammatory TCM treatment (HR=0.19, 95% CI: 0.06-0.55, P=0.002), whereas those in low-risk DLRI did not.

CONCLUSIONS: DLRI is a reliable noninvasive tool for evaluating prognosis and guiding anti-inflammatory TCM treatment in PTC patients. Prospective studies are needed to confirm these findings.

PMID:39535738 | DOI:10.1158/1078-0432.CCR-24-2356

Abdom Radiol (NY). 2024 Nov 13. doi: 10.1007/s00261-024-04675-0. Online ahead of print.

ABSTRACT

PURPOSE: To evaluate the feasibility of a high-precision single-shot fast spin-echo (SS-FSE) sequence using the deep learning-based Precise IQ Engine (PIQE) algorithm in comparison with standard SS-FSE for T2-weighted MR imaging of the abdomen, and to compare the image quality with a multi-shot (MS)-FSE sequence using the PIQE algorithm.

METHODS: This retrospective study included 105 patients who underwent abdominal MR including T2-weighted sequences using the PIQE reconstruction algorithm. The image quality, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) in high-precision SS-FSE sequences using PIQE were compared to those in standard SS-FSE without PIQE and MS-FSE sequences using PIQE.

RESULTS: The scores for all qualitative parameters were significantly higher in high-precision SS-FSE sequence using PIQE than in standard SS-FSE sequence without PIQE (all p < 0.001). In the comparison between two high-precision sequences using PIQE, the SS-FSE sequence showed significantly better scores for the blurring, ghosts or motion/flow artifacts, conspicuity of intrahepatic structures, focal nonsolid hepatic and pancreatic cystic lesions, and overall image quality, in comparison to the MS-FSE sequence (all p < 0.001). Additionally, the SS-FSE sequence using PIQE showed significantly higher SNR of the liver and CNR of nonsolid hepatic lesions than the MS-FSE sequence using PIQE (p < 0.001).

CONCLUSIONS: A high-precision SS-FSE sequence using the PIQE algorithm is a feasible alternative to the standard FSE sequence in T2-weighted MR imaging of the abdomen. It can improve image quality, the SNR of the liver, and the ability to visualize nonsolid focal liver lesions and pancreatic cystic lesions in comparison to a high-precision MS-FSE sequence using PIQE although this study was limited by single-center design and lack of pathological confirmation.

PMID:39535616 | DOI:10.1007/s00261-024-04675-0

Minerva Cardiol Angiol. 2024 Nov 13. doi: 10.23736/S2724-5683.24.06288-4. Online ahead of print.

ABSTRACT

The chest X-ray (CXR) has a wide range of clinical indications in the field of cardiology, from the assessment of acute pathology to disease surveillance and screening. Despite many technological advancements, CXR interpretation error rates have remained constant for decades. The application of machine learning has the potential to substantially improve clinical workflow efficiency, pathology detection accuracy, error rates and clinical decision making in cardiology. To date, machine learning has been developed to improve image processing, facilitate pathology detection, optimize the clinical workflow, and facilitate risk stratification. This review explores the current and potential future applications of machine learning for chest radiography to facilitate clinical decision making in cardiology. It maps the current state of the science and considers additional potential use cases from the perspective of clinicians and technologists actively engaged in the development and deployment of deep learning driven clinical decision support systems.

PMID:39535525 | DOI:10.23736/S2724-5683.24.06288-4

Adv Sci (Weinh). 2024 Nov 13:e2400458. doi: 10.1002/advs.202400458. Online ahead of print.

ABSTRACT

Understanding the etiological complexity of diseases requires identifying biomarkers longitudinally associated with specific phenotypes. Advanced sequencing tools generate dynamic microbiome data, providing insights into microbial community functions and their impact on health. This review aims to explore the current roles and future visionary endeavors of dynamic methods for integrating longitudinal microbiome multi-omics data in personalized and precision medicine. This work seeks to synthesize existing research, propose best practices, and highlight innovative techniques. The development and application of advanced dynamic methods, including the unified analytical frameworks and deep learning tools in artificial intelligence, are critically examined. Aggregating data on microbes, metabolites, genes, and other entities offers profound insights into the interactions among microorganisms, host physiology, and external stimuli. Despite progress, the absence of gold standards for validating analytical protocols and data resources of various longitudinal multi-omics studies remains a significant challenge. The interdependence of workflow steps critically affects overall outcomes. This work provides a comprehensive roadmap for best practices, addressing current challenges with advanced dynamic methods. The review underscores the biological effects of clinical, experimental, and analytical protocol settings on outcomes. Establishing consensus on dynamic microbiome inter-studies and advancing reliable analytical protocols are pivotal for the future of personalized and precision medicine.

PMID:39535493 | DOI:10.1002/advs.202400458