Yiran Wei

Yiran Wei, Xi Chen, Lei Zhu et al.

The isocitrate dehydrogenase (IDH) gene mutation is an essential biomarker for the diagnosis and prognosis of glioma. It is promising to better predict glioma genotype by integrating focal tumor image and geometric features with brain network features derived from MRI. Convolutions neural networks show reasonable performance in predicting IDH mutation, which, however, cannot learn from non-Euclidean data, e.g., geometric and network data. In this study, we propose a multi-modal learning framework using three separate encoders to extract features of focal tumor image, tumor geometrics and global brain networks. To mitigate the limited availability of diffusion MRI, we develop a self-supervised approach to generate brain networks from anatomical multi-sequence MRI. Moreover, to extract tumor-related features from the brain network, we design a hierarchical attention module for the brain network encoder. Further, we design a bi-level multi-modal contrastive loss to align the multi-modal features and tackle the domain gap at the focal tumor and global brain. Finally, we propose a weighted population graph to integrate the multi-modal features for genotype prediction. Experimental results on the testing set show that the proposed model outperforms the baseline deep learning models. The ablation experiments validate the performance of different components of the framework. The visualized interpretation corresponds to clinical knowledge with further validation. In conclusion, the proposed learning framework provides a novel approach for predicting the genotype of glioma.

Yiran Wei, Stephen J. Price, Carola-Bibiane Schönlieb et al.

Alzheimer's disease (AD) is the most common age-related dementia. Mild cognitive impairment (MCI) is the early stage of cognitive decline before AD. It is crucial to predict the MCI-to-AD conversion for precise management, which remains challenging due to the diversity of patients. Previous evidence shows that the brain network generated from diffusion MRI promises to classify dementia using deep learning. However, the limited availability of diffusion MRI challenges the model training. In this study, we develop a self-supervised contrastive learning approach to generate structural brain networks from routine anatomical MRI under the guidance of diffusion MRI. The generated brain networks are applied to train a learning framework for predicting the MCI-to-AD conversion. Instead of directly modelling the AD brain networks, we train a graph encoder and a variational autoencoder to model the healthy ageing trajectories from brain networks of healthy controls. To predict the MCI-to-AD conversion, we further design a recurrent neural networks based approach to model the longitudinal deviation of patients' brain networks from the healthy ageing trajectory. Numerical results show that the proposed methods outperform the benchmarks in the prediction task. We also visualize the model interpretation to explain the prediction and identify abnormal changes of white matter tracts.

Lipei Zhang, Yiran Wei, Ying Fu et al.

Whole slide images (WSI) provide valuable phenotypic information for histological assessment and malignancy grading of tumors. The WSI-based grading promises to provide rapid diagnostic support and facilitate digital health. Currently, the most commonly used WSIs are derived from formalin-fixed paraffin-embedded (FFPE) and Frozen section. The majority of automatic tumor grading models are developed based on FFPE sections, which could be affected by the artifacts introduced by tissue processing. The frozen section exists problems such as low quality that might influence training within single modality as well. To overcome this problem in a single modal training and achieve better multi-modal and discriminative representation disentanglement in brain tumor, we propose a mutual contrastive low-rank learning (MCL) scheme to integrate FFPE and frozen sections for glioma grading. We first design a mutual learning scheme to jointly optimize the model training based on FFPE and frozen sections. In this proposed scheme, we design a normalized modality contrastive loss (NMC-loss), which could promote to disentangle multi-modality complementary representation of FFPE and frozen sections from the same patient. To reduce intra-class variance, and increase inter-class margin at intra- and inter-patient levels, we conduct a low-rank (LR) loss. Our experiments show that the proposed scheme achieves better performance than the model trained based on each single modality or mixed modalities and even improves the feature extraction in classical attention-based multiple instances learning methods (MIL). The combination of NMC-loss and low-rank loss outperforms other typical contrastive loss functions.

Hao Yang, Hongyuan Lu, Xinhua Zeng et al.

In the rapidly evolving field of natural language processing, dialogue systems primarily employ a single-step dialogue paradigm. Although this paradigm is efficient, it lacks the depth and fluidity of human interactions and does not appear natural. We introduce a novel \textbf{Step}-by-Step Dialogue Paradigm (Stephanie), designed to mimic the ongoing dynamic nature of human conversations. By employing a dual learning strategy and a further-split post-editing method, we generated and utilized a high-quality step-by-step dialogue dataset to fine-tune existing large language models, enabling them to perform step-by-step dialogues. We thoroughly present Stephanie. Tailored automatic and human evaluations are conducted to assess its effectiveness compared to the traditional single-step dialogue paradigm. We will release code, Stephanie datasets, and Stephanie LLMs to facilitate the future of chatbot eras.

Wei Hui, Liping Yu, Yiran Wei

Understanding the shape and structure of objects is undoubtedly extremely important for object recognition, but the most common pattern recognition method currently used is machine learning, which often requires a large number of training data. The problem is that this kind of object-oriented learning lacks a priori knowledge. The amount of training data and the complexity of computations are very large, and it is hard to extract explicit knowledge after learning. This is typically called "knowing how without knowing why". We adopted a method of inductive learning, hoping to derive conceptual knowledge of the shape of an object and its formal representation based on a small number of positive examples. It is clear that implementing object recognition is not based on simple physical features such as colors, edges, textures, etc., but on their common geometry, such as topologies, which are stable, persistent, and essential to recognition. In this paper, a formal representation of topological structure based on object's skeleton (RTS) was proposed and the induction process of "seeking common ground" is realized. This research helps promote the method of object recognition from empiricism to rationalism.

David A. Wood, Emily Guilhem, Sina Kafiabadi et al.

Artificial neural networks trained on large, expert-labelled datasets are considered state-of-the-art for a range of medical image recognition tasks. However, categorically labelled datasets are time-consuming to generate and constrain classification to a pre-defined, fixed set of classes. For neuroradiological applications in particular, this represents a barrier to clinical adoption. To address these challenges, we present a self-supervised text-vision framework that learns to detect clinically relevant abnormalities in brain MRI scans by directly leveraging the rich information contained in accompanying free-text neuroradiology reports. Our training approach consisted of two-steps. First, a dedicated neuroradiological language model - NeuroBERT - was trained to generate fixed-dimensional vector representations of neuroradiology reports (N = 50,523) via domain-specific self-supervised learning tasks. Next, convolutional neural networks (one per MRI sequence) learnt to map individual brain scans to their corresponding text vector representations by optimising a mean square error loss. Once trained, our text-vision framework can be used to detect abnormalities in unreported brain MRI examinations by scoring scans against suitable query sentences (e.g., 'there is an acute stroke', 'there is hydrocephalus' etc.), enabling a range of classification-based applications including automated triage. Potentially, our framework could also serve as a clinical decision support tool, not only by suggesting findings to radiologists and detecting errors in provisional reports, but also by retrieving and displaying examples of pathologies from historical examinations that could be relevant to the current case based on textual descriptors.

Yiran Wei, Chao Li, Xi Chen et al.

The isocitrate dehydrogenase (IDH) gene mutation status is an important biomarker for glioma patients. The gold standard of IDH mutation detection requires tumour tissue obtained via invasive approaches and is usually expensive. Recent advancement in radiogenomics provides a non-invasive approach for predicting IDH mutation based on MRI. Meanwhile, tumor geometrics encompass crucial information for tumour phenotyping. Here we propose a collaborative learning framework that learns both tumor images and tumor geometrics using convolutional neural networks (CNN) and graph neural networks (GNN), respectively. Our results show that the proposed model outperforms the baseline model of 3D-DenseNet121. Further, the collaborative learning model achieves better performance than either the CNN or the GNN alone. The model interpretation shows that the CNN and GNN could identify common and unique regions of interest for IDH mutation prediction. In conclusion, collaborating image and geometric learners provides a novel approach for predicting genotype and characterising glioma.

Yiran Wei, Yonghao Li, Xi Chen et al.

Glioma is a common malignant brain tumor with distinct survival among patients. The isocitrate dehydrogenase (IDH) gene mutation provides critical diagnostic and prognostic value for glioma. It is of crucial significance to non-invasively predict IDH mutation based on pre-treatment MRI. Machine learning/deep learning models show reasonable performance in predicting IDH mutation using MRI. However, most models neglect the systematic brain alterations caused by tumor invasion, where widespread infiltration along white matter tracts is a hallmark of glioma. Structural brain network provides an effective tool to characterize brain organisation, which could be captured by the graph neural networks (GNN) to more accurately predict IDH mutation. Here we propose a method to predict IDH mutation using GNN, based on the structural brain network of patients. Specifically, we firstly construct a network template of healthy subjects, consisting of atlases of edges (white matter tracts) and nodes (cortical/subcortical brain regions) to provide regions of interest (ROIs). Next, we employ autoencoders to extract the latent multi-modal MRI features from the ROIs of edges and nodes in patients, to train a GNN architecture for predicting IDH mutation. The results show that the proposed method outperforms the baseline models using the 3D-CNN and 3D-DenseNet. In addition, model interpretation suggests its ability to identify the tracts infiltrated by tumor, corresponding to clinical prior knowledge. In conclusion, integrating brain networks with GNN offers a new avenue to study brain lesions using computational neuroscience and computer vision approaches.

Yifan Li, Chao Li, Yiran Wei et al.

Glioblastoma is profoundly heterogeneous in regional microstructure and vasculature. Characterizing the spatial heterogeneity of glioblastoma could lead to more precise treatment. With unsupervised learning techniques, glioblastoma MRI-derived radiomic features have been widely utilized for tumor sub-region segmentation and survival prediction. However, the reliability of algorithm outcomes is often challenged by both ambiguous intermediate process and instability introduced by the randomness of clustering algorithms, especially for data from heterogeneous patients. In this paper, we propose an adaptive unsupervised learning approach for efficient MRI intra-tumor partitioning and glioblastoma survival prediction. A novel and problem-specific Feature-enhanced Auto-Encoder (FAE) is developed to enhance the representation of pairwise clinical modalities and therefore improve clustering stability of unsupervised learning algorithms such as K-means. Moreover, the entire process is modelled by the Bayesian optimization (BO) technique with a custom loss function that the hyper-parameters can be adaptively optimized in a reasonably few steps. The results demonstrate that the proposed approach can produce robust and clinically relevant MRI sub-regions and statistically significant survival predictions.