Aleksandar Vakanski

Longze Li, Jiang Chang, Aleksandar Vakanski et al.

With the increased use of data-driven approaches and machine learning-based methods in material science, the importance of reliable uncertainty quantification (UQ) of the predicted variables for informed decision-making cannot be overstated. UQ in material property prediction poses unique challenges, including the multi-scale and multi-physics nature of advanced materials, intricate interactions between numerous factors, limited availability of large curated datasets for model training, etc. Recently, Bayesian Neural Networks (BNNs) have emerged as a promising approach for UQ, offering a probabilistic framework for capturing uncertainties within neural networks. In this work, we introduce an approach for UQ within physics-informed BNNs, which integrates knowledge from governing laws in material modeling to guide the models toward physically consistent predictions. To evaluate the effectiveness of this approach, we present case studies for predicting the creep rupture life of steel alloys. Experimental validation with three datasets of collected measurements from creep tests demonstrates the ability of BNNs to produce accurate point and uncertainty estimates that are competitive or exceed the performance of the conventional method of Gaussian Process Regression. Similarly, we evaluated the suitability of BNNs for UQ in an active learning application and reported competitive performance. The most promising framework for creep life prediction is BNNs based on Markov Chain Monte Carlo approximation of the posterior distribution of network parameters, as it provided more reliable results in comparison to BNNs based on variational inference approximation or related NNs with probabilistic outputs. The codes are available at: https://github.com/avakanski/Creep-uncertainty-quantification.

Fadi Alharbi, Aleksandar Vakanski

Cancer is a term that denotes a group of diseases caused by abnormal growth of cells that can spread in different parts of the body. According to the World Health Organization (WHO), cancer is the second major cause of death after cardiovascular diseases. Gene expression can play a fundamental role in the early detection of cancer, as it is indicative of the biochemical processes in tissue and cells, as well as the genetic characteristics of an organism. Deoxyribonucleic Acid (DNA) microarrays and Ribonucleic Acid (RNA)- sequencing methods for gene expression data allow quantifying the expression levels of genes and produce valuable data for computational analysis. This study reviews recent progress in gene expression analysis for cancer classification using machine learning methods. Both conventional and deep learning-based approaches are reviewed, with an emphasis on the ap-plication of deep learning models due to their comparative advantages for identifying gene patterns that are distinctive for various types of cancers. Relevant works that employ the most commonly used deep neural network architectures are covered, including multi-layer perceptrons, convolutional, recurrent, graph, and transformer networks. This survey also presents an overview of the data collection methods for gene expression analysis and lists important datasets that are commonly used for supervised machine learning for this task. Furthermore, reviewed are pertinent techniques for feature engineering and data preprocessing that are typically used to handle the high dimensionality of gene expression data, caused by a large number of genes present in data samples. The paper concludes with a discussion of future research directions for machine learning-based gene expression analysis for cancer classification.

Bryar Shareef, Min Xian, Aleksandar Vakanski et al.

Capturing global contextual information plays a critical role in breast ultrasound (BUS) image classification. Although convolutional neural networks (CNNs) have demonstrated reliable performance in tumor classification, they have inherent limitations for modeling global and long-range dependencies due to the localized nature of convolution operations. Vision Transformers have an improved capability of capturing global contextual information but may distort the local image patterns due to the tokenization operations. In this study, we proposed a hybrid multitask deep neural network called Hybrid-MT-ESTAN, designed to perform BUS tumor classification and segmentation using a hybrid architecture composed of CNNs and Swin Transformer components. The proposed approach was compared to nine BUS classification methods and evaluated using seven quantitative metrics on a dataset of 3,320 BUS images. The results indicate that Hybrid-MT-ESTAN achieved the highest accuracy, sensitivity, and F1 score of 82.7%, 86.4%, and 86.0%, respectively.

Mohammad Karimzadeh, Aleksandar Vakanski, Min Xian et al.

Despite recent medical advancements, breast cancer remains one of the most prevalent and deadly diseases among women. Although machine learning-based Computer-Aided Diagnosis (CAD) systems have shown potential to assist radiologists in analyzing medical images, the opaque nature of the best-performing CAD systems has raised concerns about their trustworthiness and interpretability. This paper proposes MT-BI-RADS, a novel explainable deep learning approach for tumor detection in Breast Ultrasound (BUS) images. The approach offers three levels of explanations to enable radiologists to comprehend the decision-making process in predicting tumor malignancy. Firstly, the proposed model outputs the BI-RADS categories used for BUS image analysis by radiologists. Secondly, the model employs multi-task learning to concurrently segment regions in images that correspond to tumors. Thirdly, the proposed approach outputs quantified contributions of each BI-RADS descriptor toward predicting the benign or malignant class using post-hoc explanations with Shapley Values.

Sujata Butte, Haotian Wang, Aleksandar Vakanski et al.

Histopathology image synthesis aims to address the data shortage issue in training deep learning approaches for accurate cancer detection. However, existing methods struggle to produce realistic images that have accurate nuclei boundaries and less artifacts, which limits the application in downstream tasks. To address the challenges, we propose a novel approach that enhances the quality of synthetic images by using nuclei topology and contour regularization. The proposed approach uses the skeleton map of nuclei to integrate nuclei topology and separate touching nuclei. In the loss function, we propose two new contour regularization terms that enhance the contrast between contour and non-contour pixels and increase the similarity between contour pixels. We evaluate the proposed approach on the two datasets using image quality metrics and a downstream task (nuclei segmentation). The proposed approach outperforms Sharp-GAN in all four image quality metrics on two datasets. By integrating 6k synthetic images from the proposed approach into training, a nuclei segmentation model achieves the state-of-the-art segmentation performance on TNBC dataset and its detection quality (DQ), segmentation quality (SQ), panoptic quality (PQ), and aggregated Jaccard index (AJI) is 0.855, 0.863, 0.691, and 0.683, respectively.

Haotian Wang, Min Xian, Aleksandar Vakanski et al.

Existing deep neural networks for histopathology image synthesis cannot generate image styles that align with different organs, and cannot produce accurate boundaries of clustered nuclei. To address these issues, we propose a style-guided instance-adaptive normalization (SIAN) approach to synthesize realistic color distributions and textures for histopathology images from different organs. SIAN contains four phases, semantization, stylization, instantiation, and modulation. The first two phases synthesize image semantics and styles by using semantic maps and learned image style vectors. The instantiation module integrates geometrical and topological information and generates accurate nuclei boundaries. We validate the proposed approach on a multiple-organ dataset, Extensive experimental results demonstrate that the proposed method generates more realistic histopathology images than four state-of-the-art approaches for five organs. By incorporating synthetic images from the proposed approach to model training, an instance segmentation network can achieve state-of-the-art performance.

Shoukun Sun, Min Xian, Aleksandar Vakanski et al.

Robust self-training (RST) can augment the adversarial robustness of image classification models without significantly sacrificing models' generalizability. However, RST and other state-of-the-art defense approaches failed to preserve the generalizability and reproduce their good adversarial robustness on small medical image sets. In this work, we propose the Multi-instance RST with a drop-max layer, namely MIRST-DM, which involves a sequence of iteratively generated adversarial instances during training to learn smoother decision boundaries on small datasets. The proposed drop-max layer eliminates unstable features and helps learn representations that are robust to image perturbations. The proposed approach was validated using a small breast ultrasound dataset with 1,190 images. The results demonstrate that the proposed approach achieves state-of-the-art adversarial robustness against three prevalent attacks.

Mohammad Karimzadeh, Deekshith Basvoju, Aleksandar Vakanski et al.

Additive Manufacturing (AM) is a transformative manufacturing technology enabling direct fabrication of complex parts layer-be-layer from 3D modeling data. Among AM applications, the fabrication of Functionally Graded Materials (FGMs) has significant importance due to the potential to enhance component performance across several industries. FGMs are manufactured with a gradient composition transition between dissimilar materials, enabling the design of new materials with location-dependent mechanical and physical properties. This study presents a comprehensive review of published literature pertaining to the implementation of Machine Learning (ML) techniques in AM, with an emphasis on ML-based methods for optimizing FGMs fabrication processes. Through an extensive survey of the literature, this review article explores the role of ML in addressing the inherent challenges in FGMs fabrication and encompasses parameter optimization, defect detection, and real-time monitoring. The article also provides a discussion of future research directions and challenges in employing ML-based methods in AM fabrication of FGMs.

Fadi Alharbi, Aleksandar Vakanski, Murtada K. Elbashir et al.

The application of machine learning methods to analyze changes in gene expression patterns has recently emerged as a powerful approach in cancer research, enhancing our understanding of the molecular mechanisms underpinning cancer development and progression. Combining gene expression data with other types of omics data has been reported by numerous works to improve cancer classification outcomes. Despite these advances, effectively integrating high-dimensional multi-omics data and capturing the complex relationships across different biological layers remains challenging. This paper introduces LASSO-MOGAT (LASSO-Multi-Omics Gated ATtention), a novel graph-based deep learning framework that integrates messenger RNA, microRNA, and DNA methylation data to classify 31 cancer types. Utilizing differential expression analysis with LIMMA and LASSO regression for feature selection, and leveraging Graph Attention Networks (GATs) to incorporate protein-protein interaction (PPI) networks, LASSO-MOGAT effectively captures intricate relationships within multi-omics data. Experimental validation using five-fold cross-validation demonstrates the method's precision, reliability, and capacity for providing comprehensive insights into cancer molecular mechanisms. The computation of attention coefficients for the edges in the graph by the proposed graph-attention architecture based on protein-protein interactions proved beneficial for identifying synergies in multi-omics data for cancer classification.

Lawhori Chakrabarti, Jennifer Johnson-Leung, Bert Baumgaertner et al.

Metaphor requires a language model to resolve a token whose contextual meaning diverges from its basic literal sense. Understanding how transformer models organize this reinterpretation across depth remains an open problem in mechanistic interpretability. We introduce conditional scale entropy (CSE), a wavelet-derived measure of how broadly transformer computation engages across frequency scales at each layer position. Two theorems establish that CSE is invariant to update magnitude, isolating the structural pattern of updates from their intensity. Using CSE, we find that metaphorical tokens produce significantly higher spectral breadth than literal tokens at contiguous layer positions on every decoder-only architecture tested, from 124M to 20B parameters (GPT-2 family, LLaMA-2 7B, GPT-oss 20B). The effect survives cluster-based permutation correction, recurs in the early-to-mid relative depth range across models, and converges with an independent analysis of 200 naturalistic VUA pairs. Specificity controls further show that the effect is not explained by semantic complexity or by matched propositional content. These results identify multi-scale coordination as a consistent signature of metaphorical language processing in the decoder-only architectures examined, and establish CSE as a principled tool for characterizing cross-depth structure in transformers.

Mohamed Hassan, Aleksandar Vakanski, Min Xian

Effective clinical deployment of deep learning models in healthcare demands high generalization performance to ensure accurate diagnosis and treatment planning. In recent years, significant research has focused on improving the generalization of deep learning models by regularizing the sharpness of the loss landscape. Among the optimization approaches that explicitly minimize sharpness, Sharpness-Aware Minimization (SAM) has shown potential in enhancing generalization performance on general domain image datasets. This success has led to the development of several advanced sharpness-based algorithms aimed at addressing the limitations of SAM, such as Adaptive SAM, surrogate-Gap SAM, Weighted SAM, and Curvature Regularized SAM. These sharpness-based optimizers have shown improvements in model generalization compared to conventional stochastic gradient descent optimizers and their variants on general domain image datasets, but they have not been thoroughly evaluated on medical images. This work provides a review of recent sharpness-based methods for improving the generalization of deep learning networks and evaluates the methods performance on medical breast ultrasound images. Our findings indicate that the initial SAM method successfully enhances the generalization of various deep learning models. While Adaptive SAM improves generalization of convolutional neural networks, it fails to do so for vision transformers. Other sharpness-based optimizers, however, do not demonstrate consistent results. The results reveal that, contrary to findings in the non-medical domain, SAM is the only recommended sharpness-based optimizer that consistently improves generalization in medical image analysis, and further research is necessary to refine the variants of SAM to enhance generalization performance in this field

Kyle Lucke, Aleksandar Vakanski, Min Xian

In recent years, convolutional neural networks for semantic segmentation of breast ultrasound (BUS) images have shown great success; however, two major challenges still exist. 1) Most current approaches inherently lack the ability to utilize tissue anatomy, resulting in misclassified image regions. 2) They struggle to produce accurate boundaries due to the repeated down-sampling operations. To address these issues, we propose a novel breast anatomy-aware network for capturing fine image details and a new smoothness term that encodes breast anatomy. It incorporates context information across multiple spatial scales to generate more accurate semantic boundaries. Extensive experiments are conducted to compare the proposed method and eight state-of-the-art approaches using a BUS dataset with 325 images. The results demonstrate the proposed method significantly improves the segmentation of the muscle, mammary, and tumor classes and produces more accurate fine details of tissue boundaries.

Matthew Sgambati, Aleksandar Vakanski, Matthew Anderson

Resource allocation in High Performance Computing (HPC) environments presents a complex and multifaceted challenge for job scheduling algorithms. Beyond the efficient allocation of system resources, schedulers must account for and optimize multiple performance metrics, including job wait time and system utilization. While traditional rule-based scheduling algorithms dominate the current deployments of HPC systems, the increasing heterogeneity and scale of those systems is expected to challenge the efficiency and flexibility of those algorithms in minimizing job wait time and maximizing utilization. Recent research efforts have focused on leveraging advancements in Reinforcement Learning (RL) to develop more adaptable and intelligent scheduling strategies. Recent RL-based scheduling approaches have explored a range of algorithms, from Deep Q-Networks (DQN) to Proximal Policy Optimization (PPO), and more recently, hybrid methods that integrate Graph Neural Networks with RL techniques. However, a common limitation across these methods is their reliance on relatively small datasets, and these methods face scalability issues when using large datasets. This study introduces a novel RL-based scheduler utilizing the Decentralized Distributed Proximal Policy Optimization (DD-PPO) algorithm, which supports large-scale distributed training across multiple workers without requiring parameter synchronization at every step. By eliminating reliance on centralized updates to a shared policy, the DD-PPO scheduler enhances scalability, training efficiency, and sample utilization. The validation dataset leveraged over 11.5 million real HPC job traces for comparing DD-PPO performance between traditional and advanced scheduling approaches, and the experimental results demonstrate improved scheduling performance in comparison to both rule-based schedulers and existing RL-based scheduling algorithms.

Fadi Alharbi, Nishant Budhiraja, Aleksandar Vakanski et al.

The integration of heterogeneous multi-omics datasets at a systems level remains a central challenge for developing analytical and computational models in precision cancer diagnostics. This paper introduces Multi-Omics Graph Kolmogorov-Arnold Network (MOGKAN), a deep learning framework that utilizes messenger-RNA, micro-RNA sequences, and DNA methylation samples together with Protein-Protein Interaction (PPI) networks for cancer classification across 31 different cancer types. The proposed approach combines differential gene expression with DESeq2, Linear Models for Microarray (LIMMA), and Least Absolute Shrinkage and Selection Operator (LASSO) regression to reduce multi-omics data dimensionality while preserving relevant biological features. The model architecture is based on the Kolmogorov-Arnold theorem principle and uses trainable univariate functions to enhance interpretability and feature analysis. MOGKAN achieves classification accuracy of 96.28 percent and exhibits low experimental variability in comparison to related deep learning-based models. The biomarkers identified by MOGKAN were validated as cancer-related markers through Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis. By integrating multi-omics data with graph-based deep learning, our proposed approach demonstrates robust predictive performance and interpretability with potential to enhance the translation of complex multi-omics data into clinically actionable cancer diagnostics.

Jiang Chang, Deekshith Basvoju, Aleksandar Vakanski et al.

Recent advancements in machine learning-based methods have demonstrated great potential for improved property prediction in material science. However, reliable estimation of the confidence intervals for the predicted values remains a challenge, due to the inherent complexities in material modeling. This study introduces a novel approach for uncertainty quantification in fatigue life prediction of metal materials based on integrating knowledge from physics-based fatigue life models and machine learning models. The proposed approach employs physics-based input features estimated using the Basquin fatigue model to augment the experimentally collected data of fatigue life. Furthermore, a physics-informed loss function that enforces boundary constraints for the estimated fatigue life of considered materials is introduced for the neural network models. Experimental validation on datasets comprising collected data from fatigue life tests for Titanium alloys and Carbon steel alloys demonstrates the effectiveness of the proposed approach. The synergy between physics-based models and data-driven models enhances the consistency in predicted values and improves uncertainty interval estimates.

Mohamed Hassan, Aleksandar Vakanski, Boyu Zhang et al.

The generalization performance of deep neural networks (DNNs) is a critical factor in achieving robust model behavior on unseen data. Recent studies have highlighted the importance of sharpness-based measures in promoting generalization by encouraging convergence to flatter minima. Among these approaches, Sharpness-Aware Minimization (SAM) has emerged as an effective optimization technique for reducing the sharpness of the loss landscape, thereby improving generalization. However, SAM's computational overhead and sensitivity to noisy gradients limit its scalability and efficiency. To address these challenges, we propose Gradient-Centralized Sharpness-Aware Minimization (GCSAM), which incorporates Gradient Centralization (GC) to stabilize gradients and accelerate convergence. GCSAM normalizes gradients before the ascent step, reducing noise and variance, and improving stability during training. Our evaluations indicate that GCSAM consistently outperforms SAM and the Adam optimizer in terms of generalization and computational efficiency. These findings demonstrate GCSAM's effectiveness across diverse domains, including general and medical imaging tasks.

Jiaqiao Shi, Aleksandar Vakanski, Min Xian et al.

Deep learning-based computer-aided diagnosis has achieved unprecedented performance in breast cancer detection. However, most approaches are computationally intensive, which impedes their broader dissemination in real-world applications. In this work, we propose an efficient and light-weighted multitask learning architecture to classify and segment breast tumors simultaneously. We incorporate a segmentation task into a tumor classification network, which makes the backbone network learn representations focused on tumor regions. Moreover, we propose a new numerically stable loss function that easily controls the balance between the sensitivity and specificity of cancer detection. The proposed approach is evaluated using a breast ultrasound dataset with 1,511 images. The accuracy, sensitivity, and specificity of tumor classification is 88.6%, 94.1%, and 85.3%, respectively. We validate the model using a virtual mobile device, and the average inference time is 0.35 seconds per image.

Sujata Butte, Haotian Wang, Min Xian et al.

Existing deep learning-based approaches for histopathology image analysis require large annotated training sets to achieve good performance; but annotating histopathology images is slow and resource-intensive. Conditional generative adversarial networks have been applied to generate synthetic histopathology images to alleviate this issue, but current approaches fail to generate clear contours for overlapped and touching nuclei. In this study, We propose a sharpness loss regularized generative adversarial network to synthesize realistic histopathology images. The proposed network uses normalized nucleus distance map rather than the binary mask to encode nuclei contour information. The proposed sharpness loss enhances the contrast of nuclei contour pixels. The proposed method is evaluated using four image quality metrics and segmentation results on two public datasets. Both quantitative and qualitative results demonstrate that the proposed approach can generate realistic histopathology images with clear nuclei contours.

Haotian Wang, Min Xian, Aleksandar Vakanski

Gland segmentation is a critical step to quantitatively assess the morphology of glands in histopathology image analysis. However, it is challenging to separate densely clustered glands accurately. Existing deep learning-based approaches attempted to use contour-based techniques to alleviate this issue but only achieved limited success. To address this challenge, we propose a novel topology-aware network (TA-Net) to accurately separate densely clustered and severely deformed glands. The proposed TA-Net has a multitask learning architecture and enhances the generalization of gland segmentation by learning shared representation from two tasks: instance segmentation and gland topology estimation. The proposed topology loss computes gland topology using gland skeletons and markers. It drives the network to generate segmentation results that comply with the true gland topology. We validate the proposed approach on the GlaS and CRAG datasets using three quantitative metrics, F1-score, object-level Dice coefficient, and object-level Hausdorff distance. Extensive experiments demonstrate that TA-Net achieves state-of-the-art performance on the two datasets. TA-Net outperforms other approaches in the presence of densely clustered glands.

Boyu Zhang, Aleksandar Vakanski, Min Xian

In healthcare, it is essential to explain the decision-making process of machine learning models to establish the trustworthiness of clinicians. This paper introduces BI-RADS-Net, a novel explainable deep learning approach for cancer detection in breast ultrasound images. The proposed approach incorporates tasks for explaining and classifying breast tumors, by learning feature representations relevant to clinical diagnosis. Explanations of the predictions (benign or malignant) are provided in terms of morphological features that are used by clinicians for diagnosis and reporting in medical practice. The employed features include the BI-RADS descriptors of shape, orientation, margin, echo pattern, and posterior features. Additionally, our approach predicts the likelihood of malignancy of the findings, which relates to the BI-RADS assessment category reported by clinicians. Experimental validation on a dataset consisting of 1,192 images indicates improved model accuracy, supported by explanations in clinical terms using the BI-RADS lexicon.

Haotian Wang, Aleksandar Vakanski, Changfa Shi et al.

Separating overlapped nuclei is a major challenge in histopathology image analysis. Recently published approaches have achieved promising overall performance on nuclei segmentation; however, their performance on separating overlapped nuclei is quite limited. To address the issue, we propose a novel multitask learning network with a bending loss regularizer to separate overlapped nuclei accurately. The newly proposed multitask learning architecture enhances the generalization by learning shared representation from three tasks: instance segmentation, nuclei distance map prediction, and overlapped nuclei distance map prediction. The proposed bending loss defines high penalties to concave contour points with large curvatures, and applies small penalties to convex contour points with small curvatures. Minimizing the bending loss avoids generating contours that encompass multiple nuclei. In addition, two new quantitative metrics, Aggregated Jaccard Index of overlapped nuclei (AJIO) and Accuracy of overlapped nuclei (ACCO), are designed for the evaluation of overlapped nuclei segmentation. We validate the proposed approach on the CoNSeP and MoNuSegv1 datasets using seven quantitative metrics: Aggregate Jaccard Index, Dice, Segmentation Quality, Recognition Quality, Panoptic Quality, AJIO, and ACCO. Extensive experiments demonstrate that the proposed Bend-Net outperforms eight state-of-the-art approaches.

Sujata Butte, Aleksandar Vakanski, Kasia Duellman et al.

Recent research on the application of remote sensing and deep learning-based analysis in precision agriculture demonstrated a potential for improved crop management and reduced environmental impacts of agricultural production. Despite the promising results, the practical relevance of these technologies for field deployment requires novel algorithms that are customized for analysis of agricultural images and robust to implementation on natural field imagery. The paper presents an approach for analyzing aerial images of a potato (Solanum tuberosum L.) crop using deep neural networks. The main objective is to demonstrate automated spatial recognition of healthy vs. stressed crop at a plant level. Specifically, we examine premature plant senescence resulting in drought stress on Russet Burbank potato plants. We propose a novel deep learning (DL) model for detecting crop stress, named Retina-UNet-Ag. The proposed architecture is a variant of Retina-UNet and includes connections from low-level semantic representation maps to the feature pyramid network. The paper also introduces a dataset of aerial field images acquired with a Parrot Sequoia camera. The dataset includes manually annotated bounding boxes of healthy and stressed plant regions. Experimental validation demonstrated the ability for distinguishing healthy and stressed plants in field images, achieving an average dice score coefficient (DSC) of 0.74. A comparison to related state-of-the-art DL models for object detection revealed that the presented approach is effective for this task. The proposed method is conducive toward the assessment and recognition of potato crop stress in aerial field images collected under natural conditions.

Aleksandar Vakanski, Min Xian

The generalization performance of deep learning models for medical image analysis often decreases on images collected with different devices for data acquisition, device settings, or patient population. A better understanding of the generalization capacity on new images is crucial for clinicians' trustworthiness in deep learning. Although significant research efforts have been recently directed toward establishing generalization bounds and complexity measures, still, there is often a significant discrepancy between the predicted and actual generalization performance. As well, related large empirical studies have been primarily based on validation with general-purpose image datasets. This paper presents an empirical study that investigates the correlation between 25 complexity measures and the generalization abilities of supervised deep learning classifiers for breast ultrasound images. The results indicate that PAC-Bayes flatness-based and path norm-based measures produce the most consistent explanation for the combination of models and data. We also investigate the use of multi-task classification and segmentation approach for breast images, and report that such learning approach acts as an implicit regularizer and is conducive toward improved generalization.

Yalin Liao, Aleksandar Vakanski, Min Xian et al.

Recent advances in data analytics and computer-aided diagnostics stimulate the vision of patient-centric precision healthcare, where treatment plans are customized based on the health records and needs of every patient. In physical rehabilitation, the progress in machine learning and the advent of affordable and reliable motion capture sensors have been conducive to the development of approaches for automated assessment of patient performance and progress toward functional recovery. The presented study reviews computational approaches for evaluating patient performance in rehabilitation programs using motion capture systems. Such approaches will play an important role in supplementing traditional rehabilitation assessment performed by trained clinicians, and in assisting patients participating in home-based rehabilitation. The reviewed computational methods for exercise evaluation are grouped into three main categories: discrete movement score, rule-based, and template-based approaches. The review places an emphasis on the application of machine learning methods for movement evaluation in rehabilitation. Related work in the literature on data representation, feature engineering, movement segmentation, and scoring functions is presented. The study also reviews existing sensors for capturing rehabilitation movements and provides an informative listing of pertinent benchmark datasets. The significance of this paper is in being the first to provide a comprehensive review of computational methods for evaluation of patient performance in rehabilitation programs.

Bryar Shareef, Min Xian, Aleksandar Vakanski

Breast tumor segmentation provides accurate tumor boundary, and serves as a key step toward further cancer quantification. Although deep learning-based approaches have been proposed and achieved promising results, existing approaches have difficulty in detecting small breast tumors. The capacity to detecting small tumors is particularly important in finding early stage cancers using computer-aided diagnosis (CAD) systems. In this paper, we propose a novel deep learning architecture called Small Tumor-Aware Network (STAN), to improve the performance of segmenting tumors with different size. The new architecture integrates both rich context information and high-resolution image features. We validate the proposed approach using seven quantitative metrics on two public breast ultrasound datasets. The proposed approach outperformed the state-of-the-art approaches in segmenting small breast tumors. Index

Haotian Wang, Min Xian, Aleksandar Vakanski

Separating overlapped nuclei is a major challenge in histopathology image analysis. Recently published approaches have achieved promising overall performance on public datasets; however, their performance in segmenting overlapped nuclei are limited. To address the issue, we propose the bending loss regularized network for nuclei segmentation. The proposed bending loss defines high penalties to contour points with large curvatures, and applies small penalties to contour points with small curvature. Minimizing the bending loss can avoid generating contours that encompass multiple nuclei. The proposed approach is validated on the MoNuSeg dataset using five quantitative metrics. It outperforms six state-of-the-art approaches on the following metrics: Aggregate Jaccard Index, Dice, Recognition Quality, and Pan-optic Quality.

Aleksandar Vakanski, Min Xian, Phoebe Freer

Incorporating human domain knowledge for breast tumor diagnosis is challenging, since shape, boundary, curvature, intensity, or other common medical priors vary significantly across patients and cannot be employed. This work proposes a new approach for integrating visual saliency into a deep learning model for breast tumor segmentation in ultrasound images. Visual saliency refers to image maps containing regions that are more likely to attract radiologists visual attention. The proposed approach introduces attention blocks into a U-Net architecture, and learns feature representations that prioritize spatial regions with high saliency levels. The validation results demonstrate increased accuracy for tumor segmentation relative to models without salient attention layers. The approach achieved a Dice similarity coefficient of 90.5 percent on a dataset of 510 images. The salient attention model has potential to enhance accuracy and robustness in processing medical images of other organs, by providing a means to incorporate task-specific knowledge into deep learning architectures.