Indrin Chetty

Chengyin Li, Prashant Khanduri, Yao Qiang et al.

Segment Anything Model (SAM) is one of the pioneering prompt-based foundation models for image segmentation and has been rapidly adopted for various medical imaging applications. However, in clinical settings, creating effective prompts is notably challenging and time-consuming, requiring the expertise of domain specialists such as physicians. This requirement significantly diminishes SAM's primary advantage, its interactive capability with end users, in medical applications. Moreover, recent studies have indicated that SAM, originally designed for 2D natural images, performs suboptimally on 3D medical image segmentation tasks. This subpar performance is attributed to the domain gaps between natural and medical images and the disparities in spatial arrangements between 2D and 3D images, particularly in multi-organ segmentation applications. To overcome these challenges, we present a novel technique termed AutoProSAM. This method automates 3D multi-organ CT-based segmentation by leveraging SAM's foundational model capabilities without relying on domain experts for prompts. The approach utilizes parameter-efficient adaptation techniques to adapt SAM for 3D medical imagery and incorporates an effective automatic prompt learning paradigm specific to this domain. By eliminating the need for manual prompts, it enhances SAM's capabilities for 3D medical image segmentation and achieves state-of-the-art (SOTA) performance in CT-based multi-organ segmentation tasks. The code is in this {\href{https://github.com/ChengyinLee/AutoProSAM_2024}{link}}.

Weiwei Zong, Eric Carver, Simeng Zhu et al.

Automatic diagnosis of malignant prostate cancer patients from mpMRI has been studied heavily in the past years. Model interpretation and domain drift have been the main road blocks for clinical utilization. As an extension from our previous work where we trained a customized convolutional neural network on a public cohort with 201 patients and the cropped 2D patches around the region of interest were used as the input, the cropped 2.5D slices of the prostate glands were used as the input, and the optimal model were searched in the model space using autoKeras. Something different was peripheral zone (PZ) and central gland (CG) were trained and tested separately, the PZ detector and CG detector were demonstrated effectively in highlighting the most suspicious slices out of a sequence, hopefully to greatly ease the workload for the physicians.

Reza Khanmohammadi, Ahmed I Ghanem, Kyle Verdecchia et al.

This study introduces a novel teacher-student architecture utilizing Large Language Models (LLMs) to improve prostate cancer radiotherapy symptom extraction from clinical notes. Mixtral, the student model, initially extracts symptoms, followed by GPT-4, the teacher model, which refines prompts based on Mixtral's performance. This iterative process involved 294 single symptom clinical notes across 12 symptoms, with up to 16 rounds of refinement per epoch. Results showed significant improvements in extracting symptoms from both single and multi-symptom notes. For 59 single symptom notes, accuracy increased from 0.51 to 0.71, precision from 0.52 to 0.82, recall from 0.52 to 0.72, and F1 score from 0.49 to 0.73. In 375 multi-symptom notes, accuracy rose from 0.24 to 0.43, precision from 0.6 to 0.76, recall from 0.24 to 0.43, and F1 score from 0.20 to 0.44. These results demonstrate the effectiveness of advanced prompt engineering in LLMs for radiation oncology use.

Weiwei Zong, Joon Lee, Chang Liu et al.

Deep learning models have had a great success in disease classifications using large data pools of skin cancer images or lung X-rays. However, data scarcity has been the roadblock of applying deep learning models directly on prostate multiparametric MRI (mpMRI). Although model interpretation has been heavily studied for natural images for the past few years, there has been a lack of interpretation of deep learning models trained on medical images. This work designs a customized workflow for the small and imbalanced data set of prostate mpMRI where features were extracted from a deep learning model and then analyzed by a traditional machine learning classifier. In addition, this work contributes to revealing how deep learning models interpret mpMRI for prostate cancer patients stratification.