6.6LGMar 19, 2023
A hybrid CNN-RNN approach for survival analysis in a Lung Cancer Screening studyYaozhi Lu, Shahab Aslani, An Zhao et al.
In this study, we present a hybrid CNN-RNN approach to investigate long-term survival of subjects in a lung cancer screening study. Subjects who died of cardiovascular and respiratory causes were identified whereby the CNN model was used to capture imaging features in the CT scans and the RNN model was used to investigate time series and thus global information. The models were trained on subjects who underwent cardiovascular and respiratory deaths and a control cohort matched to participant age, gender, and smoking history. The combined model can achieve an AUC of 0.76 which outperforms humans at cardiovascular mortality prediction. The corresponding F1 and Matthews Correlation Coefficient are 0.63 and 0.42 respectively. The generalisability of the model is further validated on an 'external' cohort. The same models were applied to survival analysis with the Cox Proportional Hazard model. It was demonstrated that incorporating the follow-up history can lead to improvement in survival prediction. The Cox neural network can achieve an IPCW C-index of 0.75 on the internal dataset and 0.69 on an external dataset. Delineating imaging features associated with long-term survival can help focus preventative interventions appropriately, particularly for under-recognised pathologies thereby potentially reducing patient morbidity.
2.7IVMar 12, 2022
VAFO-Loss: VAscular Feature Optimised Loss Function for Retinal Artery/Vein SegmentationYukun Zhou, Moucheng Xu, Yipeng Hu et al.
Estimating clinically-relevant vascular features following vessel segmentation is a standard pipeline for retinal vessel analysis, which provides potential ocular biomarkers for both ophthalmic disease and systemic disease. In this work, we integrate these clinical features into a novel vascular feature optimised loss function (VAFO-Loss), in order to regularise networks to produce segmentation maps, with which more accurate vascular features can be derived. Two common vascular features, vessel density and fractal dimension, are identified to be sensitive to intra-segment misclassification, which is a well-recognised problem in multi-class artery/vein segmentation particularly hindering the estimation of these vascular features. Thus we encode these two features into VAFO-Loss. We first show that incorporating our end-to-end VAFO-Loss in standard segmentation networks indeed improves vascular feature estimation, yielding quantitative improvement in stroke incidence prediction, a clinical downstream task. We also report a technically interesting finding that the trained segmentation network, albeit biased by the feature optimised loss VAFO-Loss, shows statistically significant improvement in segmentation metrics, compared to those trained with other state-of-the-art segmentation losses.
Optimizing Short-Time Fourier Transform Parameters via Gradient DescentAn Zhao, Krishna Subramani, Paris Smaragdis
The Short-Time Fourier Transform (STFT) has been a staple of signal processing, often being the first step for many audio tasks. A very familiar process when using the STFT is the search for the best STFT parameters, as they often have significant side effects if chosen poorly. These parameters are often defined in terms of an integer number of samples, which makes their optimization non-trivial. In this paper we show an approach that allows us to obtain a gradient for STFT parameters with respect to arbitrary cost functions, and thus enable the ability to employ gradient descent optimization of quantities like the STFT window length, or the STFT hop size. We do so for parameter values that stay constant throughout an input, but also for cases where these parameters have to dynamically change over time to accommodate varying signal characteristics.