Despite considerable efforts, however, the exclusive stereocomplex (SC) formation in neat high-molecular-weight (high-MW) poly(l-lactide)/poly(d-lactide) (PLLA/PDLA) blends remains challenging. ...This challenge in part arises from the incomplete understanding of the influence of processing conditions. Here, the cold crystallization behavior from the glassy state of high-MW racemic PLLA/PDLA blends prepared via spin-coating and solution-casting methods was investigated mainly by infrared spectroscopy, calorimetry, and atomic force microscopy (AFM). It was found that the rate of solvent evaporation greatly affected the crystallization and stereocomplexation behavior of glassy PLLA/PDLA blends. Particularly, upon cold crystallization at temperatures well below the melting temperature of homocrystals, it was demonstrated that the exclusive SC crystallization occurred from the glassy state that was established from dilute solution by sufficiently fast spin-coating, whereas the homocrystallization was prohibited even at a low-temperature range close to the glass transition temperature . AFM observations indicated that sufficiently rapid solvent evaporation resulted in the homogeneous mixing state, which is a crucial prerequisite for the exclusive stereocomplexation, whereas slow solvent evaporation led to the phase-separated structure that was probably dominated by spinodal decomposition and thus to the predominant homocrystallization. On the basis of the Flory–Huggins theory, the results were reasonably explained by the suppression of phase separation, which was achieved via rapid solvent evaporation. The present findings not only provide a new approach toward exclusive SC formation in neat high-MW PLLA/PDLA blends but also have important implications for further mechanistic understanding of the SC crystallization of polymers.
Automatic classification of tissue types of region of interest (ROI) plays an important role in computer-aided diagnosis. In the current study, we focus on the classification of three types of brain ...tumors (i.e., meningioma, glioma, and pituitary tumor) in T1-weighted contrast-enhanced MRI (CE-MRI) images. Spatial pyramid matching (SPM), which splits the image into increasingly fine rectangular subregions and computes histograms of local features from each subregion, exhibits excellent results for natural scene classification. However, this approach is not applicable for brain tumors, because of the great variations in tumor shape and size. In this paper, we propose a method to enhance the classification performance. First, the augmented tumor region via image dilation is used as the ROI instead of the original tumor region because tumor surrounding tissues can also offer important clues for tumor types. Second, the augmented tumor region is split into increasingly fine ring-form subregions. We evaluate the efficacy of the proposed method on a large dataset with three feature extraction methods, namely, intensity histogram, gray level co-occurrence matrix (GLCM), and bag-of-words (BoW) model. Compared with using tumor region as ROI, using augmented tumor region as ROI improves the accuracies to 82.31% from 71.39%, 84.75% from 78.18%, and 88.19% from 83.54% for intensity histogram, GLCM, and BoW model, respectively. In addition to region augmentation, ring-form partition can further improve the accuracies up to 87.54%, 89.72%, and 91.28%. These experimental results demonstrate that the proposed method is feasible and effective for the classification of brain tumors in T1-weighted CE-MRI.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
TFE3 Xp11.2 translocation renal cell carcinoma (TFE3-RCC) generally progresses more aggressively compared with other RCC subtypes, but it is challenging to diagnose TFE3-RCC by traditional visual ...inspection of pathological images. In this study, we collect hematoxylin and eosin- stained histopathology whole-slide images of 74 TFE3-RCC cases (the largest cohort to date) and 74 clear cell RCC cases (ccRCC, the most common RCC subtype) with matched gender and tumor grade. An automatic computational pipeline is implemented to extract image features. Comparative study identifies 52 image features with significant differences between TFE3-RCC and ccRCC. Machine learning models are built to distinguish TFE3-RCC from ccRCC. Tests of the classification models on an external validation set reveal high accuracy with areas under ROC curve ranging from 0.842 to 0.894. Our results suggest that automatically derived image features can capture subtle morphological differences between TFE3-RCC and ccRCC and contribute to a potential guideline for TFE3-RCC diagnosis.
Purpose
To identify optimal machine learning methods for radiomics-based differentiation of local recurrence
versus
inflammation from post-treatment nasopharyngeal positron emission tomography/X-ray ...computed tomography (PET/CT) images.
Procedures
Seventy-six nasopharyngeal carcinoma (NPC) patients were enrolled (41/35 local recurrence/inflammation as confirmed by pathology). Four hundred eighty-seven radiomics features were extracted from PET images for each patient. The diagnostic performance was investigated for 42 cross-combinations derived from 6 feature selection methods and 7 classifiers. Of the original cohort, 70 % was applied for feature selection and classifier development, and the remaining 30 % used as an independent validation set. The diagnostic performance was evaluated using area under the ROC curve (AUC), test error, sensitivity, and specificity. Furthermore, the performance of the radiomics signatures against routine features was statistically compared using DeLong’s method.
Results
The cross-combination fisher score (FSCR) +
k
-nearest neighborhood (KNN), FSCR + support vector machines with radial basis function kernel (RBF-SVM), FSCR + random forest (RF), and minimum redundancy maximum relevance (MRMR) + RBF-SVM outperformed others in terms of accuracy (AUC 0.883, 0.867, 0.892, 0.883; sensitivity 0.833, 0.864, 0.831, 0.750; specificity 1, 1, 0.873, 1) and reliability (test error 0.091, 0.136, 0.150, 0.136). Compared with conventional metrics, the radiomics signatures showed higher AUC values (0.867–0.892
vs.
0.817), though the differences were not statistically significant (
p
= 0.462–0.560).
Conclusion
This study identified the most accurate and reliable machine learning methods, which could enhance the application of radiomics methods in the precision of diagnosis of NPC.
Content-based image retrieval (CBIR) techniques have currently gained increasing popularity in the medical field because they can use numerous and valuable archived images to support clinical ...decisions. In this paper, we concentrate on developing a CBIR system for retrieving brain tumors in T1-weighted contrast-enhanced MRI images. Specifically, when the user roughly outlines the tumor region of a query image, brain tumor images in the database of the same pathological type are expected to be returned. We propose a novel feature extraction framework to improve the retrieval performance. The proposed framework consists of three steps. First, we augment the tumor region and use the augmented tumor region as the region of interest to incorporate informative contextual information. Second, the augmented tumor region is split into subregions by an adaptive spatial division method based on intensity orders; within each subregion, we extract raw image patches as local features. Third, we apply the Fisher kernel framework to aggregate the local features of each subregion into a respective single vector representation and concatenate these per-subregion vector representations to obtain an image-level signature. After feature extraction, a closed-form metric learning algorithm is applied to measure the similarity between the query image and database images. Extensive experiments are conducted on a large dataset of 3604 images with three types of brain tumors, namely, meningiomas, gliomas, and pituitary tumors. The mean average precision can reach 94.68%. Experimental results demonstrate the power of the proposed algorithm against some related state-of-the-art methods on the same dataset.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Objectives
To predict sentinel lymph node (SLN) metastasis in breast cancer patients using radiomics based on T
2
-weighted fat suppression (T
2
-FS) and diffusion-weighted MRI (DWI).
Methods
We ...enrolled 146 patients with histologically proven breast cancer. All underwent pretreatment T
2
-FS and DWI MRI scan. In all, 10,962 texture and four non-texture features were extracted for each patient. The 0.623 + bootstrap method and the area under the curve (AUC) were used to select the features. We constructed ten logistic regression models (orders of 1–10) based on different combination of image features using stepwise forward method.
Results
For T
2
-FS, model 10 with ten features yielded the highest AUC of 0.847 in the training set and 0.770 in the validation set. For DWI, model 8 with eight features reached the highest AUC of 0.847 in the training set and 0.787 in the validation set. For joint T
2
-FS and DWI, model 10 with ten features yielded an AUC of 0.863 in the training set and 0.805 in the validation set.
Conclusions
Full utilisation of breast cancer-specific textural features extracted from anatomical and functional MRI images improves the performance of radiomics in predicting SLN metastasis, providing a non-invasive approach in clinical practice.
Key Points
•
SLN biopsy to access breast cancer metastasis has multiple complications.
• Radiomics uses features extracted from medical images to characterise intratumour heterogeneity.
• We combined T
2
-FS and DWI textural features to predict SLN metastasis non-invasively.
In cancer, both histopathologic images and genomic signatures are used for diagnosis, prognosis, and subtyping. However, combining histopathologic images with genomic data for predicting prognosis, ...as well as the relationships between them, has rarely been explored. In this study, we present an integrative genomics framework for constructing a prognostic model for clear cell renal cell carcinoma. We used patient data from The Cancer Genome Atlas (
= 410), extracting hundreds of cellular morphologic features from digitized whole-slide images and eigengenes from functional genomics data to predict patient outcome. The risk index generated by our model correlated strongly with survival, outperforming predictions based on considering morphologic features or eigengenes separately. The predicted risk index also effectively stratified patients in early-stage (stage I and stage II) tumors, whereas no significant survival difference was observed using staging alone. The prognostic value of our model was independent of other known clinical and molecular prognostic factors for patients with clear cell renal cell carcinoma. Overall, this workflow and the shared software code provide building blocks for applying similar approaches in other cancers.
.
Purpose
We aim to accurately differentiate between active pulmonary tuberculosis (TB) and lung cancer (LC) based on radiomics and semantic features as extracted from pre-treatment positron emission ...tomography/X-ray computed tomography (PET/CT) images.
Procedures
A total of 174 patients (77/97 pulmonary TB/LC as confirmed by pathology) were retrospectively selected, with 122 in the training cohort and 52 in the validation cohort. Four hundred eighty-seven radiomics features were initially extracted to quantify phenotypic characteristics of the lesion region in both PET and CT images. Eleven semantic features were additionally defined by two experienced nuclear medicine physicians. Feature selection was performed in 5 steps to enable derivation of robust and effective signatures. Multivariable logistic regression analysis was subsequently used to develop a radiomics nomogram. The calibration, discrimination, and clinical usefulness of the nomogram were evaluated in both the training and independent validation cohorts.
Results
The individualized radiomics nomogram, which combined PET/CT radiomics signature with semantic features, demonstrated good calibration and significantly improved the diagnostic performance with respect to the semantic model alone or PET/CT signature alone in training cohort (AUC 0.97
vs.
0.94 or 0.91,
p
= 0.0392 or 0.0056), whereas did not significantly improve the performance in validation cohort (AUC 0.93
vs.
0.89 or 0.91,
p
= 0.3098 or 0.3323).
Conclusion
The radiomics nomogram showed potential for individualized differential diagnosis between solid active pulmonary TB and solid LC, although the improvement of performance was not significant relative to semantic model.
Predicting malignant potential is one of the most critical components of a computer-aided diagnosis system for gastrointestinal stromal tumors (GISTs). These tumors have been studied only on the ...basis of subjective computed tomography findings. Among various methodologies, radiomics, and deep learning algorithms, specifically convolutional neural networks (CNNs), have recently been confirmed to achieve significant success by outperforming the state-of-the-art performance in medical image pattern classification and have rapidly become leading methodologies in this field. However, the existing methods generally use radiomics or deep convolutional features independently for pattern classification, which tend to take into account only global or local features, respectively. In this paper, we introduce and evaluate a hybrid structure that includes different features selected with radiomics model and CNNs and integrates these features to deal with GISTs classification. The Radiomics model and CNNs are constructed for global radiomics and local convolutional feature selection, respectively. Subsequently, we utilize distinct radiomics and deep convolutional features to perform pattern classification for GISTs. Specifically, we propose a new pooling strategy to assemble the deep convolutional features of 54 three-dimensional patches from the same case and integrate these features with the radiomics features for independent case, followed by random forest classifier. Our method can be extensively evaluated using multiple clinical datasets. The classification performance (area under the curve (AUC): 0.882; 95% confidence interval (CI): 0.816-0.947) consistently outperforms those of independent radiomics (AUC: 0.807; 95% CI: 0.724-0.892) and CNNs (AUC: 0.826; 95% CI: 0.795-0.856) approaches.
In this article, a novel method for continuous blood pressure (BP) estimation based on multi-scale feature extraction by the neural network with multi-task learning (MST-net) has been proposed and ...evaluated. First, we preprocess the target (Electrocardiograph; Photoplethysmography) and label signals (arterial blood pressure), especially using peak-to-peak time limits of signals to eliminate the interference of the false peak. Then, we design a MST-net to extract multi-scale features related to BP, fully excavate and learn the relationship between multi-scale features and BP, and then estimate three BP values simultaneously. Finally, the performance of the developed neural network is verified by using a public multi-parameter intelligent monitoring waveform database. The results show that the mean absolute error ± standard deviation for systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) with the proposed method against reference are 4.04 ± 5.81, 2.29 ± 3.55, and 2.46 ± 3.58 mmHg, respectively; the correlation coefficients of SBP, DBP, and MAP are 0.96, 0.92, and 0.94, respectively, which meet the Association for the Advancement of Medical Instrumentation standard and reach A level of the British Hypertension Society standard. This study provides insights into the improvement of accuracy and efficiency of a continuous BP estimation method with a simple structure and without calibration. The proposed algorithm for BP estimation could potentially enable continuous BP monitoring by mobile health devices.