Hao Wu

Tao Hu, Joshua Freeze, Prerna Singh et al.

Background: Recent studies have used basic epicardial adipose tissue (EAT) assessments (e.g., volume and mean HU) to predict risk of atherosclerosis-related, major adverse cardiovascular events (MACE). Objectives: Create novel, hand-crafted EAT features, 'fat-omics', to capture the pathophysiology of EAT and improve MACE prediction. Methods: We segmented EAT using a previously-validated deep learning method with optional manual correction. We extracted 148 radiomic features (morphological, spatial, and intensity) and used Cox elastic-net for feature reduction and prediction of MACE. Results: Traditional fat features gave marginal prediction (EAT-volume/EAT-mean-HU/ BMI gave C-index 0.53/0.55/0.57, respectively). Significant improvement was obtained with 15 fat-omics features (C-index=0.69, test set). High-risk features included volume-of-voxels-having-elevated-HU-[-50, -30-HU] and HU-negative-skewness, both of which assess high HU, which as been implicated in fat inflammation. Other high-risk features include kurtosis-of-EAT-thickness, reflecting the heterogeneity of thicknesses, and EAT-volume-in-the-top-25%-of-the-heart, emphasizing adipose near the proximal coronary arteries. Kaplan-Meyer plots of Cox-identified, high- and low-risk patients were well separated with the median of the fat-omics risk, while high-risk group having HR 2.4 times that of the low-risk group (P<0.001). Conclusion: Preliminary findings indicate an opportunity to use more finely tuned, explainable assessments on EAT for improved cardiovascular risk prediction.

Yingnan Song, Hao Wu, Juhwan Lee et al.

We investigated the feasibility and advantages of using non-contrast CT calcium score (CTCS) images to assess pericoronary adipose tissue (PCAT) and its association with major adverse cardiovascular events (MACE). PCAT features from coronary CTA (CCTA) have been shown to be associated with cardiovascular risk but are potentially confounded by iodine. If PCAT in CTCS images can be similarly analyzed, it would avoid this issue and enable its inclusion in formal risk assessment from readily available, low-cost CTCS images. To identify coronaries in CTCS images that have subtle visual evidence of vessels, we registered CTCS with paired CCTA images having coronary labels. We developed a novel axial-disk method giving regions for analyzing PCAT features in three main coronary arteries. We analyzed novel hand-crafted and radiomic features using univariate and multivariate logistic regression prediction of MACE and compared results against those from CCTA. Registration accuracy was sufficient to enable the identification of PCAT regions in CTCS images. Motion or beam hardening artifacts were often present in high-contrast CCTA but not CTCS. Mean HU and volume were increased in both CTCS and CCTA for MACE group. There were significant positive correlations between some CTCS and CCTA features, suggesting that similar characteristics were obtained. Using hand-crafted/radiomics from CTCS and CCTA, AUCs were 0.82/0.79 and 0.83/0.77 respectively, while Agatston gave AUC=0.73. Preliminarily, PCAT features can be assessed from three main coronary arteries in non-contrast CTCS images with performance characteristics that are at the very least comparable to CCTA.

Wei Zhou, Ji Sun, Xuanhe Zhou et al.

In the financial industry, data is the lifeblood of operations, and DBAs shoulder significant responsibilities for SQL tuning, database deployment, diagnosis, and service repair. In recent years, both database vendors and customers have increasingly turned to autonomous database platforms in an effort to alleviate the heavy workload of DBAs. However, existing autonomous database platforms are limited in their capabilities, primarily addressing single-point issues such as NL2SQL, anomaly detection, and SQL tuning. Manual intervention remains a necessity for comprehensive database maintenance. GaussMaster aims to revolutionize this landscape by introducing an LLM-based database copilot system. This innovative solution is designed not only to assist developers in writing efficient SQL queries but also to provide comprehensive care for database services. When database instances exhibit abnormal behavior, GaussMaster is capable of orchestrating the entire maintenance process automatically. It achieves this by analyzing hundreds of metrics and logs, employing a Tree-of-thought approach to identify root causes, and invoking appropriate tools to resolve issues. We have successfully implemented GaussMaster in real-world scenarios, such as the banking industry, where it has achieved zero human intervention for over 34 database maintenance scenarios. In this paper, we present significant improvements in these tasks with code at https://gitcode.com/opengauss/openGauss-GaussMaster.

Yihong Wang, Zhonglin Jiang, Ningyuan Xi et al.

Decoder-only language models, such as GPT and LLaMA, generally decode on the last layer. Motivated by human's hierarchical thinking capability, we propose that a hierarchical decoder architecture could be built with different layers decoding texts simultaneously. Due to limited time and computationally resources, we choose to adapt a pretrained language model into this form of hierarchical decoder. Language heads of the last layer are copied to different selected intermediate layers, and fine-tuned with different task inputs. By thorough experiments, we validate that these selective intermediate layers could be adapted to speak meaningful and reasonable contents, and this paradigm of hierarchical decoder can obtain state-of-the-art performances on multiple tasks such as hierarchical text classification, classification-guided generation, and hierarchical text generation. HdLM outperforms all baselines on WoS, DBpedia, ESconv, EmpatheticDialogues, and several cognitive tests. We also provide thorough theoretical analysis to validate the convergence and computational savings of our methodology. This study suggests the possibility of a generalized hierarchical reasoner, pretraining from scratch.

Tingrui Zhang, Honglin Wu, Zekun Jiang et al.

Aimed to develop and validate a CT radiomics-based explainable machine learning model for precise diagnosing malignancy and benignity specifically in endometrial cancer (EC) patients. A total of 83 EC patients from two centers, including 46 with malignant and 37 with benign conditions, were included, with data split into a training set (n=59) and a testing set (n=24). The regions of interest (ROIs) were manually segmented from pre-surgical CT scans, and 1132 radiomic features were extracted from the pre-surgical CT scans using Pyradiomics. Six explainable machine learning (ML) modeling algorithms were implemented respectively, for determining the optimal radiomics pipeline. The diagnostic performance of the radiomic model was evaluated by using sensitivity, specificity, accuracy, precision, F1 score, AUROC, and AUPRC. To enhance clinical understanding and usability, we separately implemented SHAP analysis and feature mapping visualization, and evaluated the calibration curve and decision curve. By comparing six modeling strategies, the Random Forest model emerged as the optimal choice for diagnosing EC, with a training AUROC of 1.00 and a testing AUROC of 0.96. SHAP identified the most important radiomic features, revealing that all selected features were significantly associated with EC (P < 0.05). Radiomics feature maps also provide a feasible assessment tool for clinical applications. Decision Curve Analysis (DCA) indicated a higher net benefit for our model compared to the "All" and "None" strategies, suggesting its clinical utility in identifying high-risk cases and reducing unnecessary interventions. In conclusion, the CT radiomics-based explainable ML model achieved high diagnostic performance, which could be used as an intelligent auxiliary tool for the diagnosis of endometrial cancer.