Jiawen Li

Jiawen Li, Yunqian Huang, Sheng Song et al.

The objective of this study is to develop a deep-learning based detection and diagnosis technique for carotid atherosclerosis using a portable freehand 3D ultrasound (US) imaging system. A total of 127 3D carotid artery scans were acquired using a portable 3D US system which consisted of a handheld US scanner and an electromagnetic tracking system. A U-Net segmentation network was firstly applied to extract the carotid artery on 2D transverse frame, then a novel 3D reconstruction algorithm using fast dot projection (FDP) method with position regularization was proposed to reconstruct the carotid artery volume. Furthermore, a convolutional neural network was used to classify healthy and diseased cases qualitatively. 3D volume analysis methods including longitudinal image acquisition and stenosis grade measurement were developed to obtain the clinical metrics quantitatively. The proposed system achieved sensitivity of 0.714, specificity of 0.851 and accuracy of 0.803 respectively for diagnosis of carotid atherosclerosis. The automatically measured stenosis grade illustrated good correlation (r=0.762) with the experienced expert measurement. The developed technique based on 3D US imaging can be applied to the automatic diagnosis of carotid atherosclerosis. The proposed deep-learning based technique was specially designed for a portable 3D freehand US system, which can provide more convenient carotid atherosclerosis examination and decrease the dependence on clinician's experience.

Yuxuan Chen, Jiawen Li, Huijuan Shi et al.

Bone metastasis analysis is a significant challenge in pathology and plays a critical role in determining patient quality of life and treatment strategies. The microenvironment and specific tissue structures are essential for pathologists to predict the primary bone cancer origins and primary bone cancer subtyping. By digitizing bone tissue sections into whole slide images (WSIs) and leveraging deep learning to model slide embeddings, this analysis can be enhanced. However, tumor metastasis involves complex multivariate interactions with diverse bone tissue structures, which traditional WSI analysis methods such as multiple instance learning (MIL) fail to capture. Moreover, graph neural networks (GNNs), limited to modeling pairwise relationships, are hard to represent high-order biological associations. To address these challenges, we propose a dynamic hypergraph neural network (DyHG) that overcomes the edge construction limitations of traditional graph representations by connecting multiple nodes via hyperedges. A low-rank strategy is used to reduce the complexity of parameters in learning hypergraph structures, while a Gumbel-Softmax-based sampling strategy optimizes the patch distribution across hyperedges. An MIL aggregator is then used to derive a graph-level embedding for comprehensive WSI analysis. To evaluate the effectiveness of DyHG, we construct two large-scale datasets for primary bone cancer origins and subtyping classification based on real-world bone metastasis scenarios. Extensive experiments demonstrate that DyHG significantly outperforms state-of-the-art (SOTA) baselines, showcasing its ability to model complex biological interactions and improve the accuracy of bone metastasis analysis.