Hiram A. Gay

Zong Fan, Xiaohui Zhang, Jacob A. Gasienica et al.

Deep learning (DL) techniques have been extensively utilized for medical image classification. Most DL-based classification networks are generally structured hierarchically and optimized through the minimization of a single loss function measured at the end of the networks. However, such a single loss design could potentially lead to optimization of one specific value of interest but fail to leverage informative features from intermediate layers that might benefit classification performance and reduce the risk of overfitting. Recently, auxiliary convolutional neural networks (AuxCNNs) have been employed on top of traditional classification networks to facilitate the training of intermediate layers to improve classification performance and robustness. In this study, we proposed an adversarial learning-based AuxCNN to support the training of deep neural networks for medical image classification. Two main innovations were adopted in our AuxCNN classification framework. First, the proposed AuxCNN architecture includes an image generator and an image discriminator for extracting more informative image features for medical image classification, motivated by the concept of generative adversarial network (GAN) and its impressive ability in approximating target data distribution. Second, a hybrid loss function is designed to guide the model training by incorporating different objectives of the classification network and AuxCNN to reduce overfitting. Comprehensive experimental studies demonstrated the superior classification performance of the proposed model. The effect of the network-related factors on classification performance was investigated.

Zehao Dong, Yixin Chen, Hiram Gay et al.

Treatment planning is currently a patient specific, time-consuming, and resource demanding task in radiotherapy. Dose-volume histogram (DVH) prediction plays a critical role in automating this process. The geometric relationship between DVHs in radiotherapy plans and organs-at-risk (OAR) and planning target volume (PTV) has been well established. This study explores the potential of deep learning models for predicting DVHs using images and subsequent human intervention facilitated by a large-language model (LLM) to enhance the planning quality. We propose a pipeline to convert unstructured images to a structured graph consisting of image-patch nodes and dose nodes. A novel Dose Graph Neural Network (DoseGNN) model is developed for predicting DVHs from the structured graph. The proposed DoseGNN is enhanced with the LLM to encode massive knowledge from prescriptions and interactive instructions from clinicians. In this study, we introduced an online human-AI collaboration (OHAC) system as a practical implementation of the concept proposed for the automation of intensity-modulated radiotherapy (IMRT) planning. In comparison to the widely-employed DL models used in radiotherapy, DoseGNN achieved mean square errors that were 80$\%$, 76$\%$ and 41.0$\%$ of those predicted by Swin U-Net Transformer, 3D U-Net CNN and vanilla MLP, respectively. Moreover, the LLM-empowered DoseGNN model facilitates seamless adjustment to treatment plans through interaction with clinicians using natural language.

Zhuangzhuang Zhang, Tianyu Zhao, Hiram Gay et al.

Automated segmentation can assist radiotherapy treatment planning by saving manual contouring efforts and reducing intra-observer and inter-observer variations. The recent development of deep learning approaches has revoluted medical data processing, including semantic segmentation, by dramatically improving performance. However, training effective deep learning models usually require a large amount of high-quality labeled data, which are often costly to collect. We developed a novel semi-supervised adversarial deep learning approach for 3D pelvic CT image semantic segmentation. Unlike supervised deep learning methods, the new approach can utilize both annotated and un-annotated data for training. It generates un-annotated synthetic data by a data augmentation scheme using generative adversarial networks (GANs). We applied the new approach to segmenting multiple organs in male pelvic CT images, where CT images without annotations and GAN-synthesized un-annotated images were used in semi-supervised learning. Experimental results, evaluated by three metrics (Dice similarity coefficient, average Hausdorff distance, and average surface Hausdorff distance), showed that the new method achieved either comparable performance with substantially fewer annotated images or better performance with the same amount of annotated data, outperforming the existing state-of-the-art methods.