Lei Chen

Haoshen Wang, Lei Chen, Wei-Hua Zhang et al.

Cone beam computed tomography (CBCT)-guided puncture has become an established approach for diagnosing and treating early- to mid-stage thoracic tumours, yet the associated radiation exposure substantially elevates the risk of secondary malignancies. Although multiple low-dose CBCT strategies have been introduced, none have undergone validation using large-scale multicenter retrospective datasets, and prospective clinical evaluation remains lacking. Here, we propose DeepPriorCBCT - a three-stage deep learning framework that achieves diagnostic-grade reconstruction using only one-sixth of the conventional radiation dose. 4102 patients with 8675 CBCT scans from 12 centers were included to develop and validate DeepPriorCBCT. Additionally, a prospective cross-over trial (Registry number: NCT07035977) which recruited 138 patients scheduled for percutaneous thoracic puncture was conducted to assess the model's clinical applicability. Assessment by 11 physicians confirmed that reconstructed images were indistinguishable from original scans. Moreover, diagnostic performance and overall image quality were comparable to those generated by standard reconstruction algorithms. In the prospective trial, five radiologists reported no significant differences in image quality or lesion assessment between DeepPriorCBCT and the clinical standard (all P>0.05). Likewise, 25 interventionalists expressed no preference between model-based and full-sampling images for surgical guidance (Kappa<0.2). Radiation exposure with DeepPriorCBCT was reduced to approximately one-sixth of that with the conventional approach, and collectively, the findings confirm that it enables high-quality CBCT reconstruction under sparse sampling conditions while markedly decreasing intraoperative radiation risk.

Jiawei Zhou, Li Dong, Furu Wei et al.

Information retrieval has transitioned from standalone systems into essential components across broader applications, with indexing efficiency, cost-effectiveness, and freshness becoming increasingly critical yet often overlooked. In this paper, we introduce SemI-parametric Disentangled Retrieval (SiDR), a bi-encoder retrieval framework that decouples retrieval index from neural parameters to enable efficient, low-cost, and parameter-agnostic indexing for emerging use cases. Specifically, in addition to using embeddings as indexes like existing neural retrieval methods, SiDR supports a non-parametric tokenization index for search, achieving BM25-like indexing complexity with significantly better effectiveness. Our comprehensive evaluation across 16 retrieval benchmarks demonstrates that SiDR outperforms both neural and term-based retrieval baselines under the same indexing workload: (i) When using an embedding-based index, SiDR exceeds the performance of conventional neural retrievers while maintaining similar training complexity; (ii) When using a tokenization-based index, SiDR drastically reduces indexing cost and time, matching the complexity of traditional term-based retrieval, while consistently outperforming BM25 on all in-domain datasets; (iii) Additionally, we introduce a late parametric mechanism that matches BM25 index preparation time while outperforming other neural retrieval baselines in effectiveness.