Time-series deep survival prediction for hemodialysis patients using an attention-based Bi-GRU network

Adaptive machine learning method for photoacoustic computed tomography based on sparse array sensor data

BACKGROUND AND OBJECTIVE

Photoacoustic computed tomography (PACT) is a non-invasive biomedical imaging technology that has developed rapidly in recent decades, especially has shown potential for small animal studies and early diagnosis of human diseases. To obtain high-quality images, the photoacoustic imaging system needs a high-element-density detector array. However, in practical applications, due to the cost limitation, manufacturing technology, and the system requirement in miniaturization and robustness, it is challenging to achieve sufficient elements and high-quality reconstructed images, which may even suffer from artifacts. Different from the latest machine learning methods based on removing distortions and artifacts to recover high-quality images, this paper proposes an adaptive machine learning method to firstly predict and complement the photoacoustic sensor channel data from sparse array sampling and then reconstruct images through conventional reconstruction algorithms.

METHODS

We develop an adaptive machine learning method to predict and complement the photoacoustic sensor channel data. The model consists of XGBoost and a neural network named SS-net. To handle data sets of different sizes and improve the generalization, a tunable parameter is used to control the weights of XGBoost and SS-net outputs.

RESULTS

The proposed method achieved superior performance as demonstrated by simulation, phantom experiments, and in vivo experiment results. Compared with linear interpolation, XGBoost, CAE, and U-net, the simulation results show that the SSIM value is increased by 12.83%, 6.78%, 21.46%, and 12.33%. Moreover, the median R2 is increased by 34.4%, 8.1%, 28.6%, and 84.1% with the in vivo data.

CONCLUSIONS

This model provides a framework to predict the missed photoacoustic sensor data on a sparse ring-shaped array for PACT imaging and has achieved considerable improvements in reconstructing the objects. Compared with linear interpolation and other deep learning methods qualitatively and quantitatively, our proposed methods can effectively suppress artifacts and improve image quality. The advantage of our methods is that there is no need for preparing a large number of images as the training dataset, and the data for training is directly from the sensors. It has the potential to be applied to a wide range of photoacoustic imaging detector arrays for low-cost and user-friendly clinical applications.

Interpretable recurrent neural network models for dynamic prediction of the extubation failure risk in patients with invasive mechanical ventilation in the intensive care unit

Background

Clinical decision of extubation is a challenge in the treatment of patient with invasive mechanical ventilation (IMV), since existing extubation protocols are not capable of precisely predicting extubation failure (EF). This study aims to develop and validate interpretable recurrent neural network (RNN) models for dynamically predicting EF risk.

Methods

A retrospective cohort study was conducted on IMV patients from the Medical Information Mart for Intensive Care IV (MIMIC-IV) database. Time series with a 4-h resolution were built for all included patients. Two types of RNN models, the long short-term memory (LSTM) and the gated recurrent unit (GRU), were developed. A stepwise logistic regression model was used to select key features for developing light-version RNN models. The RNN models were compared to other five non-temporal machine learning models. The Shapley additive explanations (SHAP) value was applied to explain the influence of the features on model prediction.

Results

Of 8,599 included patients, 2,609 had EF (30.3%). The area under receiver operating characteristic curve (AUROC) of LSTM and GRU showed no statistical difference on the test set (0.828 vs. 0.829). The light-version RNN models based on the 26 features selected out of a total of 89 features showed comparable performance as their corresponding full-version models. Among the non-temporal models, only the random forest (RF) (AUROC: 0.820) and the extreme gradient boosting (XGB) model (AUROC: 0.823) were comparable to the RNN models, but their calibration was deviated.

Conclusions

The RNN models have excellent predictive performance for predicting EF risk and have potential to become real-time assistant decision-making systems for extubation.

Supplementary Information

The online version contains supplementary material available at 10.1186/s13040-022-00309-7.