Eur J Radiol. 2024 Mar 2;174:111403. doi: 10.1016/j.ejrad.2024.111403. Online ahead of print.

ABSTRACT

BACKGROUND: Mild cognitive impairment (MCI)/Alzheimer's disease (AD) is associated with cognitive decline beyond normal aging and linked to the alterations of brain volume quantified by magnetic resonance imaging (MRI) and amyloid-beta (Aβ) quantified by positron emission tomography (PET). Yet, the complex relationships between these regional imaging measures and cognition in MCI/AD remain unclear. Explainable artificial intelligence (AI) may uncover such relationships.

METHOD: We integrate the AI-based deep learning neural network and Shapley additive explanations (SHAP) approaches and introduce the Deep-SHAP method to investigate the multivariate relationships between regional imaging measures and cognition. After validating this approach on simulated data, we apply it to real experimental data from MCI/AD patients.

RESULTS: Deep-SHAP significantly predicted cognition using simulated regional features and identified the ground-truth simulated regions as the most significant multivariate predictors. When applied to experimental MRI data, Deep-SHAP revealed that the insula, lateral occipital, medial frontal, temporal pole, and occipital fusiform gyrus are the primary contributors to global cognitive decline in MCI/AD. Furthermore, when applied to experimental amyloid Pittsburgh compound B (PiB)-PET data, Deep-SHAP identified the key brain regions for global cognitive decline in MCI/AD as the inferior temporal, parahippocampal, inferior frontal, supratemporal, and lateral frontal gray matter.

CONCLUSION: Deep-SHAP method uncovered the multivariate relationships between regional brain features and cognition, offering insights into the most critical modality-specific brain regions involved in MCI/AD mechanisms.

PMID:38452732 | DOI:10.1016/j.ejrad.2024.111403

Comput Methods Programs Biomed. 2024 Mar 5;248:108110. doi: 10.1016/j.cmpb.2024.108110. Online ahead of print.

ABSTRACT

BACKGROUND AND OBJECTIVE: High-resolution (HR) MR images provide rich structural detail to assist physicians in clinical diagnosis and treatment plan. However, it is arduous to acquire HR MRI due to equipment limitations, scanning time or patient comfort. Instead, HR MRI could be obtained through a number of computer assisted post-processing methods that have proven to be effective and reliable. This paper aims to develop a convolutional neural network (CNN) based super-resolution reconstruction framework for low-resolution (LR) T2w images.

METHOD: In this paper, we propose a novel multi-modal HR MRI generation framework based on deep learning techniques. Specifically, we construct a CNN based on multi-resolution analysis to learn an end-to-end mapping between LR T2w and HR T2w, where HR T1w is fed into the network to offer detailed a priori information to help generate HR T2w. Furthermore, a low-frequency filtering module is introduced to filter out the interference from HR-T1w during high-frequency information extraction. Based on the idea of multi-resolution analysis, detailed features extracted from HR T1w and LR T2w are fused at two scales in the network and then HR T2w is reconstructed by upsampling and dense connectivity module.

RESULTS: Extensive quantitative and qualitative evaluations demonstrate that the proposed method enhances the recovered HR T2w details and outperforms other state-of-the-art methods. In addition, the experimental results also suggest that our network has a lightweight structure and favorable generalization performance.

CONCLUSION: The results show that the proposed method is capable of reconstructing HR T2w with higher accuracy. Meanwhile, the super-resolution reconstruction results on other dataset illustrate the excellent generalization ability of the method.

PMID:38452685 | DOI:10.1016/j.cmpb.2024.108110

Comput Methods Programs Biomed. 2024 Feb 29;247:108106. doi: 10.1016/j.cmpb.2024.108106. Online ahead of print.

ABSTRACT

BACKGROUND: In the last decade, long-tail learning has become a popular research focus in deep learning applications in medicine. However, no scientometric reports have provided a systematic overview of this scientific field. We utilized bibliometric techniques to identify and analyze the literature on long-tailed learning in deep learning applications in medicine and investigate research trends, core authors, and core journals. We expanded our understanding of the primary components and principal methodologies of long-tail learning research in the medical field.

METHODS: Web of Science was utilized to collect all articles on long-tailed learning in medicine published until December 2023. The suitability of all retrieved titles and abstracts was evaluated. For bibliometric analysis, all numerical data were extracted. CiteSpace was used to create clustered and visual knowledge graphs based on keywords.

RESULTS: A total of 579 articles met the evaluation criteria. Over the last decade, the annual number of publications and citation frequency both showed significant growth, following a power-law and exponential trend, respectively. Noteworthy contributors to this field include Husanbir Singh Pannu, Fadi Thabtah, and Talha Mahboob Alam, while leading journals such as IEEE ACCESS, COMPUTERS IN BIOLOGY AND MEDICINE, IEEE TRANSACTIONS ON MEDICAL IMAGING, and COMPUTERIZED MEDICAL IMAGING AND GRAPHICS have emerged as pivotal platforms for disseminating research in this area. The core of long-tailed learning research within the medical domain is encapsulated in six principal themes: deep learning for imbalanced data, model optimization, neural networks in image analysis, data imbalance in health records, CNN in diagnostics and risk assessment, and genetic information in disease mechanisms.

CONCLUSION: This study summarizes recent advancements in applying long-tail learning to deep learning in medicine through bibliometric analysis and visual knowledge graphs. It explains new trends, sources, core authors, journals, and research hotspots. Although this field has shown great promise in medical deep learning research, our findings will provide pertinent and valuable insights for future research and clinical practice.

PMID:38452661 | DOI:10.1016/j.cmpb.2024.108106

Food Chem. 2024 Mar 2;447:138915. doi: 10.1016/j.foodchem.2024.138915. Online ahead of print.

ABSTRACT

Peanuts, sourced from various regions, exhibit noticeable differences in quality owing to the impact of their natural environments. This study proposes a fast and nondestructive detection method to identify peanut quality by combining an electronic nose system with a hyperspectral system. First, the electronic nose and hyperspectral systems are used to gather gas and spectral information from peanuts. Second, a module for extracting gas and spectral information is designed, combining the lightweight multi-head transposed attention mechanism (LMTA) and convolutional computation. The fusion of gas and spectral information is achieved through matrix combination and lightweight convolution. A hybrid neural network, named UnitFormer, is designed based on the information extraction and fusion processes. UnitFormer demonstrates an accuracy of 99.06 %, a precision of 99.12 %, and a recall of 99.05 %. In conclusion, UnitFormer effectively distinguishes quality differences among peanuts from various regions, offering an effective technological solution for quality supervision in the food market.

PMID:38452539 | DOI:10.1016/j.foodchem.2024.138915

Comput Biol Med. 2024 Feb 19;172:108197. doi: 10.1016/j.compbiomed.2024.108197. Online ahead of print.

ABSTRACT

BACKGROUND: Health-related patient-reported outcomes (HR-PROs) are crucial for assessing the quality of life among individuals experiencing low back pain. However, manual data entry from paper forms, while convenient for patients, imposes a considerable tallying burden on collectors. In this study, we developed a deep learning (DL) model capable of automatically reading these paper forms.

METHODS: We employed the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire, a globally recognized assessment tool for low back pain. The questionnaire comprised 25 low back pain-related multiple-choice questions and three pain-related visual analog scales (VASs). We collected 1305 forms from an academic medical center as the training set, and 483 forms from a community medical center as the test set. The performance of our DL model for multiple-choice questions was evaluated using accuracy as a categorical classification task. The performance for VASs was evaluated using the correlation coefficient and absolute error as regression tasks.

RESULT: In external validation, the mean accuracy of the categorical questions was 0.997. When outputs for categorical questions with low probability (threshold: 0.9996) were excluded, the accuracy reached 1.000 for the remaining 65 % of questions. Regarding the VASs, the average of the correlation coefficients was 0.989, with the mean absolute error being 0.25.

CONCLUSION: Our DL model demonstrated remarkable accuracy and correlation coefficients when automatic reading paper-based HR-PROs during external validation.

PMID:38452472 | DOI:10.1016/j.compbiomed.2024.108197

Comput Biol Med. 2024 Feb 28;172:108233. doi: 10.1016/j.compbiomed.2024.108233. Online ahead of print.

ABSTRACT

BACKGROUND: Cancer cachexia is a severe metabolic syndrome marked by skeletal muscle atrophy. A successful clinical intervention for cancer cachexia is currently lacking. The study of cachexia mechanisms is largely based on preclinical animal models and the availability of high-throughput transcriptomic datasets of cachectic mouse muscles is increasing through the extensive use of next generation sequencing technologies.

METHODS: Cachectic mouse muscle transcriptomic datasets of ten different studies were combined and mined by seven attribute weighting models, which analysed both categorical variables and numerical variables. The transcriptomic signature of cancer cachexia was identified by attribute weighting algorithms and was used to evaluate the performance of eleven pattern discovery models. The signature was employed to find the best combination of drugs (drug repurposing) for developing cancer cachexia treatment strategies, as well as to evaluate currently used cachexia drugs by literature mining.

RESULTS: Attribute weighting algorithms ranked 26 genes as the transcriptomic signature of muscle from mice with cancer cachexia. Deep Learning and Random Forest models performed better in differentiating cancer cachexia cases based on muscle transcriptomic data. Literature mining revealed that a combination of melatonin and infliximab has negative interactions with 2 key genes (Rorc and Fbxo32) upregulated in the transcriptomic signature of cancer cachexia in muscle.

CONCLUSIONS: The integration of machine learning, meta-analysis and literature mining was found to be an efficient approach to identifying a robust transcriptomic signature for cancer cachexia, with implications for improving clinical diagnosis and management of this condition.

PMID:38452471 | DOI:10.1016/j.compbiomed.2024.108233

Bioinspir Biomim. 2024 Mar 7. doi: 10.1088/1748-3190/ad311e. Online ahead of print.

ABSTRACT

Achieving autonomous operation in complex natural environment remains an unsolved challenge. Conventional engineering approaches to this problem have focused on collecting large amounts of sensory data that are used to create detailed digital models of the environment. However, this only postpones solving the challenge of identifying the relevant sensory information and linking it to action control to the domain of the digital world model. Furthermore, it imposes high demands in terms of computing power and introduces large processing latencies that hamper autonomous real-time performance. Certain species of bats that are able to navigate and hunt their prey in dense vegetation could be a biological model system for an alternative approach to addressing the fundamental issues associated with autonomy in complex natural environments. Bats navigating in dense vegetation rely on clutter echoes, i.e., signals that consist of unresolved contributions from many scatters. Yet, the animals are able to extract the relevant information from these input signals with brains that are often less than one gram in mass. Pilot results indicate that information relevant to location identification and passageway finding can be directly obtained from clutter echoes, opening up the possibility that the bats' skill can be replicated in man-made autonomous systems.&#xD.

PMID:38452384 | DOI:10.1088/1748-3190/ad311e

Bioinformatics. 2024 Mar 7:btae142. doi: 10.1093/bioinformatics/btae142. Online ahead of print.

ABSTRACT

MOTIVATION: Anticancer peptides (ACPs) have natural cationic properties and can act on the anionic cell membrane of cancer cells to kill cancer cells. Therefore, ACPs have become a potential anticancer drug with good research value and prospect.

RESULTS: In this paper, we propose AACFlow, an end-to-end model for identification of ACPs based on deep learning. End-to-end models have more room to automatically adjust according to the data, making the overall fit better and reducing error propagation. The combination of attention augmented convolutional neural network (AAConv) and multi-layer convolutional neural network (CNN) forms a deep representation learning module, which is used to obtain global and local information on the sequence. Based on the concept of flow network, multi-head flow-attention mechanism is introduced to mine the deep features of the sequence to improve the efficiency of the model. On the independent test dataset, the ACC, Sn, Sp, and AUC values of AACFlow are 83.9%, 83.0%, 84.8%, and 0.892, respectively, which are 4.9%, 1.5%, 8.0%, and 0.016 higher than those of the baseline model. The MCC value is 67.85%. In addition, we visualize the features extracted by each module to enhance the interpretability of the model. Various experiments show that our model is more competitive in predicting ACPs.

AVAILABILITY: The codes and datasets are accessible at https://github.com/z11code/AACFlow.

SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

PMID:38452348 | DOI:10.1093/bioinformatics/btae142

Am J Respir Crit Care Med. 2024 Mar 7. doi: 10.1164/rccm.202311-2185OC. Online ahead of print.

ABSTRACT

RATIONALE: Despite evidence demonstrating a prognostic role for CT scans in IPF, image-based biomarkers are not routinely used in clinical practice or trials.

OBJECTIVES: Develop automated imaging biomarkers using deep learning based segmentation of CT scans.

METHODS: We developed segmentation processes for four anatomical biomarkers which were applied to a unique cohort of treatment-naive IPF patients enrolled in the PROFILE study and tested against a further UK cohort. The relationship between CT biomarkers, lung function, disease progression and mortality were assessed.

MEASUREMENTS AND MAIN RESULTS: Data was analysed from 446 PROFILE patients. Median follow-up was 39.1 months (IQR 18.1-66.4) with cumulative incidence of death of 277 over 5 years (62.1%). Segmentation was successful on 97.8% of all scans, across multiple imaging vendors at slice thicknesses 0.5-5mm. Of 4 segmentations, lung volume showed strongest correlation with FVC (r=0.82, p<0.001). Lung, vascular and fibrosis volumes were consistently associated across cohorts with differential five-year survival, which persisted after adjustment for baseline GAP score. Lower lung volume (HR 0.98, CI 0.96-0.99, p=0.001), increased vascular volume (HR 1.30, CI 1.12-1.51, p=0.001) and increased fibrosis volume (HR 1.17, CI 1.12-1.22, p=<0.001) were associated with reduced two-year progression-free survival in the pooled PROFILE cohort. Longitudinally, decreasing lung volume (HR 3.41; 95% CI 1.36-8.54; p=0.009) and increasing fibrosis volume (HR 2.23; 95% CI 1.22-4.08; p=0.009) were associated with differential survival.

CONCLUSIONS: Automated models can rapidly segment IPF CT scans, providing prognostic near and long-term information, which could be used in routine clinical practice or as key trial endpoints. This article is open access and distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).

PMID:38452227 | DOI:10.1164/rccm.202311-2185OC

PLoS One. 2024 Mar 7;19(3):e0299295. doi: 10.1371/journal.pone.0299295. eCollection 2024.

ABSTRACT

BACKGROUND: Accelerometers are widely adopted in research and consumer devices as a tool to measure physical activity. However, existing algorithms used to estimate activity intensity are wear-site-specific. Non-compliance to wear instructions may lead to misspecifications. In this study, we developed deep neural network models to classify device placement and activity intensity based on raw acceleration data. Performances of these models were evaluated by making comparisons to the ground truth and results derived from existing count-based algorithms.

METHODS: 54 participants (26 adults 26.9±8.7 years; 28 children, 12.1±2.3 years) completed a series of activity tasks in a laboratory with accelerometers attached to each of their hip, wrist, and chest. Their metabolic rates at rest and during activity periods were measured using the portable COSMED K5; data were then converted to metabolic equivalents, and used as the ground truth for activity intensity. Deep neutral networks using the Long Short-Term Memory approach were trained and evaluated based on raw acceleration data collected from accelerometers. Models to classify wear-site and activity intensity, respectively, were evaluated.

RESULTS: The trained models correctly classified wear-sites and activity intensities over 90% of the time, which outperformed count-based algorithms (wear-site correctly specified: 83% to 85%; wear-site misspecified: 64% to 75%). When additional parameters of age, height and weight of participants were specified, the accuracy of some prediction models surpassed 95%.

CONCLUSIONS: Results of the study suggest that accelerometer placement could be determined prospectively, and non-wear-site-specific algorithms had satisfactory accuracies. The performances, in terms of intensity classification, of these models also exceeded typical count-based algorithms. Without being restricted to one specific wear-site, research protocols for accelerometers wear could allow more autonomy to participants, which may in turn improve their acceptance and compliance to wear protocols, and in turn more accurate results.

PMID:38452147 | DOI:10.1371/journal.pone.0299295

Science. 2024 Mar 7:eadl2528. doi: 10.1126/science.adl2528. Online ahead of print.

ABSTRACT

Deep learning methods have revolutionized protein structure prediction and design but are currently limited to protein-only systems. We describe RoseTTAFold All-Atom (RFAA) which combines a residue-based representation of amino acids and DNA bases with an atomic representation of all other groups to model assemblies containing proteins, nucleic acids, small molecules, metals, and covalent modifications given their sequences and chemical structures. By fine tuning on denoising tasks we obtain RFdiffusionAA, which builds protein structures around small molecules. Starting from random distributions of amino acid residues surrounding target small molecules, we design and experimentally validate, through crystallography and binding measurements, proteins that bind the cardiac disease therapeutic digoxigenin, the enzymatic cofactor heme, and the light harvesting molecule bilin.

PMID:38452047 | DOI:10.1126/science.adl2528

Inflamm Bowel Dis. 2024 Mar 7:izae030. doi: 10.1093/ibd/izae030. Online ahead of print.

ABSTRACT

Endoscopy, histology, and cross-sectional imaging serve as fundamental pillars in the detection, monitoring, and prognostication of inflammatory bowel disease (IBD). However, interpretation of these studies often relies on subjective human judgment, which can lead to delays, intra- and interobserver variability, and potential diagnostic discrepancies. With the rising incidence of IBD globally coupled with the exponential digitization of these data, there is a growing demand for innovative approaches to streamline diagnosis and elevate clinical decision-making. In this context, artificial intelligence (AI) technologies emerge as a timely solution to address the evolving challenges in IBD. Early studies using deep learning and radiomics approaches for endoscopy, histology, and imaging in IBD have demonstrated promising results for using AI to detect, diagnose, characterize, phenotype, and prognosticate IBD. Nonetheless, the available literature has inherent limitations and knowledge gaps that need to be addressed before AI can transition into a mainstream clinical tool for IBD. To better understand the potential value of integrating AI in IBD, we review the available literature to summarize our current understanding and identify gaps in knowledge to inform future investigations.

PMID:38452040 | DOI:10.1093/ibd/izae030

PLoS One. 2024 Mar 7;19(3):e0296070. doi: 10.1371/journal.pone.0296070. eCollection 2024.

ABSTRACT

BACKGROUND: Tongue diagnosis in traditional Chinese medicine (TCM) provides clinically important, objective evidence from direct observation of specific features that assist with diagnosis. However, the current interpretation of tongue features requires a significant amount of manpower and time. TCM physicians may have different interpretations of features displayed by the same tongue. An automated interpretation system that interprets tongue features would expedite the interpretation process and yield more consistent results.

MATERIALS AND METHODS: This study applied deep learning visualization to tongue diagnosis. After collecting tongue images and corresponding interpretation reports by TCM physicians in a single teaching hospital, various tongue features such as fissures, tooth marks, and different types of coatings were annotated manually with rectangles. These annotated data and images were used to train a deep learning object detection model. Upon completion of training, the position of each tongue feature was dynamically marked.

RESULTS: A large high-quality manually annotated tongue feature dataset was constructed and analyzed. A detection model was trained with average precision (AP) 47.67%, 58.94%, 71.25% and 59.78% for fissures, tooth marks, thick and yellow coatings, respectively. At over 40 frames per second on a NVIDIA GeForce GTX 1060, the model was capable of detecting tongue features from any viewpoint in real time.

CONCLUSIONS/SIGNIFICANCE: This study constructed a tongue feature dataset and trained a deep learning object detection model to locate tongue features in real time. The model provided interpretability and intuitiveness that are often lacking in general neural network models and implies good feasibility for clinical application.

PMID:38452007 | DOI:10.1371/journal.pone.0296070

PLoS One. 2024 Mar 7;19(3):e0299471. doi: 10.1371/journal.pone.0299471. eCollection 2024.

ABSTRACT

Structural planes decrease the strength and stability of rock masses, severely affecting their mechanical properties and deformation and failure characteristics. Therefore, investigation and analysis of structural planes are crucial tasks in mining rock mechanics. The drilling camera obtains image information of deep structural planes of rock masses through high-definition camera methods, providing important data sources for the analysis of deep structural planes of rock masses. This paper addresses the problems of high workload, low efficiency, high subjectivity, and poor accuracy brought about by manual processing based on current borehole image analysis and conducts an intelligent segmentation study of borehole image structural planes based on the U2-Net network. By collecting data from 20 different borehole images in different lithological regions, a dataset consisting of 1,013 borehole images with structural plane type, lithology, and color was established. Data augmentation methods such as image flipping, color jittering, blurring, and mixup were applied to expand the dataset to 12,421 images, meeting the requirements for deep network training data. Based on the PyTorch deep learning framework, the initial U2-Net network weights were set, the learning rate was set to 0.001, the training batch was 4, and the Adam optimizer adaptively adjusted the learning rate during the training process. A dedicated network model for segmenting structural planes was obtained, and the model achieved a maximum F-measure value of 0.749 when the confidence threshold was set to 0.7, with an accuracy rate of up to 0.85 within the range of recall rate greater than 0.5. Overall, the model has high accuracy for segmenting structural planes and very low mean absolute error, indicating good segmentation accuracy and certain generalization of the network. The research method in this paper can serve as a reference for the study of intelligent identification of structural planes in borehole images.

PMID:38451909 | DOI:10.1371/journal.pone.0299471

An Acad Bras Cienc. 2024 Mar 1;96(1):e20230409. doi: 10.1590/0001-3765202420230409. eCollection 2024.

ABSTRACT

This study utilizes Fourier transform infrared (FTIR) data from honey samples to cluster and categorize them based on their spectral characteristics. The aim is to group similar samples together, revealing patterns and aiding in classification. The process begins by determining the number of clusters using the elbow method, resulting in five distinct clusters. Principal Component Analysis (PCA) is then applied to reduce the dataset's dimensionality by capturing its significant variances. Hierarchical Cluster Analysis (HCA) further refines the sample clusters. 20% of the data, representing identified clusters, is randomly selected for testing, while the remainder serves as training data for a deep learning algorithm employing a multilayer perceptron (MLP). Following training, the test data are evaluated, revealing an impressive 96.15% accuracy. Accuracy measures the machine learning model's ability to predict class labels for new data accurately. This approach offers reliable honey sample clustering without necessitating extensive preprocessing. Moreover, its swiftness and cost-effectiveness enhance its practicality. Ultimately, by leveraging FTIR spectral data, this method successfully identifies similarities among honey samples, enabling efficient categorization and demonstrating promise in the field of spectral analysis in food science.

PMID:38451625 | DOI:10.1590/0001-3765202420230409

JAMA Ophthalmol. 2024 Mar 7. doi: 10.1001/jamaophthalmol.2024.0045. Online ahead of print.

ABSTRACT

IMPORTANCE: Retinopathy of prematurity (ROP) is a leading cause of blindness in children, with significant disparities in outcomes between high-income and low-income countries, due in part to insufficient access to ROP screening.

OBJECTIVE: To evaluate how well autonomous artificial intelligence (AI)-based ROP screening can detect more-than-mild ROP (mtmROP) and type 1 ROP.

DESIGN, SETTING, AND PARTICIPANTS: This diagnostic study evaluated the performance of an AI algorithm, trained and calibrated using 2530 examinations from 843 infants in the Imaging and Informatics in Retinopathy of Prematurity (i-ROP) study, on 2 external datasets (6245 examinations from 1545 infants in the Stanford University Network for Diagnosis of ROP [SUNDROP] and 5635 examinations from 2699 infants in the Aravind Eye Care Systems [AECS] telemedicine programs). Data were taken from 11 and 48 neonatal care units in the US and India, respectively. Data were collected from January 2012 to July 2021, and data were analyzed from July to December 2023.

EXPOSURES: An imaging processing pipeline was created using deep learning to autonomously identify mtmROP and type 1 ROP in eye examinations performed via telemedicine.

MAIN OUTCOMES AND MEASURES: The area under the receiver operating characteristics curve (AUROC) as well as sensitivity and specificity for detection of mtmROP and type 1 ROP at the eye examination and patient levels.

RESULTS: The prevalence of mtmROP and type 1 ROP were 5.9% (91 of 1545) and 1.2% (18 of 1545), respectively, in the SUNDROP dataset and 6.2% (168 of 2699) and 2.5% (68 of 2699) in the AECS dataset. Examination-level AUROCs for mtmROP and type 1 ROP were 0.896 and 0.985, respectively, in the SUNDROP dataset and 0.920 and 0.982 in the AECS dataset. At the cross-sectional examination level, mtmROP detection had high sensitivity (SUNDROP: mtmROP, 83.5%; 95% CI, 76.6-87.7; type 1 ROP, 82.2%; 95% CI, 81.2-83.1; AECS: mtmROP, 80.8%; 95% CI, 76.2-84.9; type 1 ROP, 87.8%; 95% CI, 86.8-88.7). At the patient level, all infants who developed type 1 ROP screened positive (SUNDROP: 100%; 95% CI, 81.4-100; AECS: 100%; 95% CI, 94.7-100) prior to diagnosis.

CONCLUSIONS AND RELEVANCE: Where and when ROP telemedicine programs can be implemented, autonomous ROP screening may be an effective force multiplier for secondary prevention of ROP.

PMID:38451496 | DOI:10.1001/jamaophthalmol.2024.0045

Phys Eng Sci Med. 2024 Mar 7. doi: 10.1007/s13246-024-01400-5. Online ahead of print.

ABSTRACT

Contrast resolution is an important index for evaluating the signal detectability of computed tomographic (CT) images. Recently, various noise reduction algorithms, such as iterative reconstruction (IR) and deep learning reconstruction (DLR), have been proposed to reduce the image noise in CT images. However, these algorithms cause changes in the image noise texture and blurred image signals in CT images. Furthermore, the contrast-to-noise ratio (CNR) cannot be accurately evaluated in CT images reconstructed using noise reduction methods. Therefore, in this study, we devised a new method, namely, "effective CNR analysis," for evaluating the contrast resolution of CT images. We verified whether the proposed algorithm could evaluate the effective contrast resolution based on the signal detectability of CT images. The findings showed that the effective CNR values obtained using the proposed method correlated well with the subjective visual impressions of CT images. To investigate whether signal detectability was appropriately evaluated using effective CNR analysis, the conventional CNR analysis method was compared with the proposed method. The CNRs of the IR and DLR images calculated using conventional CNR analysis were 13.2 and 10.7, respectively. By contrast, those calculated using the effective CNR analysis were estimated to be 0.7 and 1.1, respectively. Considering that the signal visibility of DLR images was superior to that of IR images, our proposed effective CNR analysis was shown to be appropriate for evaluating the contrast resolution of CT images.

PMID:38451464 | DOI:10.1007/s13246-024-01400-5

Cancer Res. 2024 Mar 7. doi: 10.1158/0008-5472.CAN-23-4070. Online ahead of print.

ABSTRACT

Longitudinal monitoring of patients with advanced cancers is crucial to evaluate both disease burden and treatment response. Current liquid biopsy approaches mostly rely on the detection of DNA-based biomarkers. However, plasma RNA analysis can unleash tremendous opportunities for tumor state interrogation and molecular subtyping. Through the application of deep learning algorithms to the deconvolved transcriptomes of RNA within plasma extracellular vesicles (evRNA), we successfully predict consensus molecular subtypes in metastatic colorectal cancer patients. We further demonstrate the ability to monitor changes in transcriptomic subtype under treatment selection pressure and identify molecular pathways in evRNA associated with recurrence. Our approach also identified expressed gene fusions and neoepitopes from evRNA. These results demonstrate the feasibility of transcriptomic-based liquid biopsy platforms for precision oncology approaches, spanning from the longitudinal monitoring of tumor subtype changes to identification of expressed fusions and neoantigens as cancer-specific therapeutic targets, sans the need for tissue-based sampling.

PMID:38451249 | DOI:10.1158/0008-5472.CAN-23-4070

J Biomol Struct Dyn. 2024 Mar 7:1-11. doi: 10.1080/07391102.2024.2323144. Online ahead of print.

ABSTRACT

Vascular endothelial growth factor (VEGF) is involved in the development and progression of various diseases, including cancer, diabetic retinopathy, macular degeneration and arthritis. Understanding the role of VEGF in various disorders has led to the development of effective treatments, including anti-VEGF drugs, which have significantly improved therapeutic methods. Accurate VEGF identification is critical, yet experimental identification is expensive and time-consuming. This study presents Deep-VEGF, a novel computational model for VEGF prediction based on deep-stacked ensemble learning. We formulated two datasets using primary sequences. A novel feature descriptor named K-Space Tri Slicing-Bigram position-specific scoring metrix (KSTS-BPSSM) is constructed to extract numerical features from primary sequences. The model training is performed by deep learning techniques, including gated recurrent unit (GRU), generative adversarial network (GAN) and convolutional neural network (CNN). The GRU and CNN are ensembled using stacking learning approach. KSTS-BPSSM-based ensemble model secured the most accurate predictive outcomes, surpassing other competitive predictors across both training and testing datasets. This demonstrates the potential of leveraging deep learning for accurate VEGF prediction as a powerful tool to accelerate research, streamline drug discovery and uncover novel therapeutic targets. This insightful approach holds promise for expanding our knowledge of VEGF's role in health and disease.Communicated by Ramaswamy H. Sarma.

PMID:38450715 | DOI:10.1080/07391102.2024.2323144

Anal Chem. 2024 Mar 7. doi: 10.1021/acs.analchem.4c00064. Online ahead of print.

ABSTRACT

Accurate and rapid differentiation and authentication of agricultural products based on their origin and quality are crucial to ensuring food safety and quality control. However, similar chemical compositions and complex matrices often hinder precise identification, particularly for adulterated samples. Herein, we propose a novel method combining multiplex surface-enhanced Raman scattering (SERS) fingerprinting with a one-dimensional convolutional neural network (1D-CNN), which enables the effective differentiation of the category, origin, and grade of agricultural products. This strategy leverages three different SERS-active nanoparticles as multiplex sensors, each tailored to selectively amplify the signals of preferentially adsorbed chemicals within the sample. By strategically combining SERS spectra from different NPs, a 'SERS super-fingerprint' is constructed, offering a more comprehensive representation of the characteristic information on agricultural products. Subsequently, utilizing a custom-designed 1D-CNN model for feature extraction from the 'super-fingerprint' significantly enhances the predictive accuracy for agricultural products. This strategy successfully identified various agricultural products and simulated adulterated samples with exceptional accuracy, reaching 97.7% and 94.8%, respectively. Notably, the entire identification process, encompassing sample preparation, SERS measurement, and deep learning analysis, takes only 35 min. This development of deep learning-assisted multiplex SERS fingerprinting establishes a rapid and reliable method for the identification and authentication of agricultural products.

PMID:38450485 | DOI:10.1021/acs.analchem.4c00064