Zhenyu Zhao

Liangrui Pan, Zhenyu Zhao, Ying Lu et al.

Influenced by ChatGPT, artificial intelligence (AI) large models have witnessed a global upsurge in large model research and development. As people enjoy the convenience by this AI large model, more and more large models in subdivided fields are gradually being proposed, especially large models in radiology imaging field. This article first introduces the development history of large models, technical details, workflow, working principles of multimodal large models and working principles of video generation large models. Secondly, we summarize the latest research progress of AI large models in radiology education, radiology report generation, applications of unimodal and multimodal radiology. Finally, this paper also summarizes some of the challenges of large AI models in radiology, with the aim of better promoting the rapid revolution in the field of radiography.

Liangrui Pan, Qingchun Liang, Wenwu Zeng et al.

Spread through air spaces (STAS) is a distinct invasion pattern in lung cancer, crucial for prognosis assessment and guiding surgical decisions. Histopathology is the gold standard for STAS detection, yet traditional methods are subjective, time-consuming, and prone to misdiagnosis, limiting large-scale applications. We present VERN, an image analysis model utilizing a feature-interactive Siamese graph encoder to predict STAS from lung cancer histopathological images. VERN captures spatial topological features with feature sharing and skip connections to enhance model training. Using 1,546 histopathology slides, we built a large single-cohort STAS lung cancer dataset. VERN achieved an AUC of 0.9215 in internal validation and AUCs of 0.8275 and 0.8829 in frozen and paraffin-embedded test sections, respectively, demonstrating clinical-grade performance. Validated on a single-cohort and three external datasets, VERN showed robust predictive performance and generalizability, providing an open platform (http://plr.20210706.xyz:5000/) to enhance STAS diagnosis efficiency and accuracy.