Thomas Niedermayr

Praveenbalaji Rajendran, Yong Yang, Thomas R. Niedermayr et al.

Radiation therapy (RT) is one of the most effective treatments for cancer, and its success relies on the accurate delineation of targets. However, target delineation is a comprehensive medical decision that currently relies purely on manual processes by human experts. Manual delineation is time-consuming, laborious, and subject to interobserver variations. Although the advancements in artificial intelligence (AI) techniques have significantly enhanced the auto-contouring of normal tissues, accurate delineation of RT target volumes remains a challenge. In this study, we propose a visual language model-based RT target volume auto-delineation network termed Radformer. The Radformer utilizes a hierarichal vision transformer as the backbone and incorporates large language models to extract text-rich features from clinical data. We introduce a visual language attention module (VLAM) for integrating visual and linguistic features for language-aware visual encoding (LAVE). The Radformer has been evaluated on a dataset comprising 2985 patients with head-and-neck cancer who underwent RT. Metrics, including the Dice similarity coefficient (DSC), intersection over union (IOU), and 95th percentile Hausdorff distance (HD95), were used to evaluate the performance of the model quantitatively. Our results demonstrate that the Radformer has superior segmentation performance compared to other state-of-the-art models, validating its potential for adoption in RT practice.

Edward Chen, Natalie Dullerud, Thomas Niedermayr et al.

Countless science and engineering applications in multi-objective optimization (MOO) necessitate that decision-makers (DMs) select a Pareto-optimal solution which aligns with their preferences. Evaluating individual solutions is often expensive, necessitating cost-sensitive optimization techniques. Due to competing objectives, the space of trade-offs is also expansive -- thus, examining the full Pareto frontier may prove overwhelming to a DM. Such real-world settings generally have loosely-defined and context-specific desirable regions for each objective function that can aid in constraining the search over the Pareto frontier. We introduce a novel conceptual framework that operationalizes these priors using soft-hard functions, SHFs, which allow for the DM to intuitively impose soft and hard bounds on each objective -- which has been lacking in previous MOO frameworks. Leveraging a novel minimax formulation for Pareto frontier sampling, we propose a two-step process for obtaining a compact set of Pareto-optimal points which respect the user-defined soft and hard bounds: (1) densely sample the Pareto frontier using Bayesian optimization, and (2) sparsify the selected set to surface to the user, using robust submodular function optimization. We prove that (2) obtains the optimal compact Pareto-optimal set of points from (1). We further show that many practical problems fit within the SHF framework and provide extensive empirical validation on diverse domains, including brachytherapy, engineering design, and large language model personalization. Specifically, for brachytherapy, our approach returns a compact set of points with over 3% greater SHF-defined utility than the next best approach. Among the other diverse experiments, our approach consistently leads in utility, allowing the DM to reach >99% of their maximum possible desired utility within validation of 5 points.