Shuwei Xing

Ningtao Liu, Ruoxi Gao, Jing Yuan et al.

Electronic health records (EHRs) are usually highly dimensional, heterogeneous, and multimodal. Besides, the random recording of clinical variables results in high missing rates and uneven time intervals between adjacent records in the multivariate clinical time-series data extracted from EHRs. Current works using clinical time-series data for patient representation regard the patients' physiological status as a discrete process described by sporadically collected records. However, changes in the patient's physiological condition are continuous and dynamic processes. The perception of time and velocity of change is crucial for patient representation learning. In this study, we propose a time- and velocity-aware gated recurrent unit model (GRU-TV) for patient representation learning of clinical multivariate time-series data in a time-continuous manner. The neural ordinary differential equations (ODEs) and velocity perception mechanism are applied to perceive the time interval between adjacent records and changing rate of the patient's physiological status, respectively. Our experiments on two real clinical EHR datasets (PhysioNet2012, MIMIC-III) establish that GRU-TV is a robust model on computer-aided diagnosis (CAD) tasks, especially on sequences with high-variance time intervals.

Shuwei Xing, Derek W. Cool, David Tessier et al.

3D ultrasound (US) imaging has shown significant benefits in enhancing the outcomes of percutaneous liver tumour ablation. Its clinical integration is crucial for transitioning 3D US into the therapeutic domain. However, challenges of tumour identification in US images continue to hinder its broader adoption. In this work, we propose a novel framework for integrating 3D US into the standard ablation workflow. We present a key component, a clinically viable 2D US-CT/MRI registration approach, leveraging 3D US as an intermediary to reduce registration complexity. To facilitate efficient verification of the registration workflow, we also propose an intuitive multimodal image visualization technique. In our study, 2D US-CT/MRI registration achieved a landmark distance error of approximately 2-4 mm with a runtime of 0.22s per image pair. Additionally, non-rigid registration reduced the mean alignment error by approximately 40% compared to rigid registration. Results demonstrated the efficacy of the proposed 2D US-CT/MRI registration workflow. Our integration framework advanced the capabilities of 3D US imaging in improving percutaneous tumour ablation, demonstrating the potential to expand the therapeutic role of 3D US in clinical interventions.