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Dicrotic Notch (DN), one of the most significant and indicative features of the arterial blood pressure (ABP) waveform, becomes less pronounced and thus harder to identify as a matter of aging and pathological vascular stiffness. Generalizable and automatic DN identification for such edge cases is even more challenging in the presence of unexpected ABP waveform deformations that happen due to internal and external noise sources or pathological conditions that cause hemodynamic instability. We propose a physics-aware approach, named Physiowise (PW), that first employs a cardiovascular model to augment the original ABP waveform and reduce unexpected deformations, then apply a set of predefined rules on the augmented signal to find DN locations. We have tested the proposed method on in-vivo data gathered from 14 pigs under hemorrhage and sepsis study. Our result indicates 52% overall mean error improvement with 16% higher detection accuracy within the lowest permitted error range of 30 ms. An additional hybrid methodology is also proposed to allow combining augmentation with any application-specific user-defined rule set.

 

Despite recent promising results on semi-supervised learning (SSL), data imbalance, particularly in the unlabeled dataset, could significantly impact the training performance of a SSL algorithm if there is a mismatch between the expected and actual class distributions. The efforts on how to construct a robust SSL framework that can effectively learn from datasets with unknown distributions remain limited. We first investigate the feasibility of adding weights to the consistency loss and then we verify the necessity of smoothed weighting schemes. Based on this study, we propose a self-adaptive algorithm, named Smoothed Adaptive Weighting (SAW). SAW is designed to enhance the robustness of SSL by estimating the learning difficulty of each class and synthesizing the weights in the consistency loss based on such estimation. We show that SAW can complement recent consistency-based SSL algorithms and improve their reliability on various datasets including three standard datasets and one gigapixel medical imaging application without making any assumptions about the distribution of the unlabeled set. 

Abstract In this paper, we study the L 1 / L 2 minimization on the gradient for imaging applications. Several recent works have demonstrated that L 1 / L 2 is better than the L 1 norm when approximating the L 0 norm to promote sparsity. Consequently, we postulate that applying L 1 / L 2 on the gradient is better than the classic total variation (the L 1 norm on the gradient) to enforce the sparsity of the image gradient. Numerically, we design a specific splitting scheme, under which we can prove subsequential and global convergence for the alternating direction method of multipliers (ADMM) under certain conditions. Experimentally, we demonstrate visible improvements of L 1 / L 2 over L 1 and other nonconvex regularizations for image recovery from low-frequency measurements and two medical applications of magnetic resonance imaging and computed tomography reconstruction. Finally, we reveal some empirical evidence on the superiority of L 1 / L 2 over L 1 when recovering piecewise constant signals from low-frequency measurements to shed light on future works. 

Recent advances in Critical Congenital Heart Disease (CCHD) research using Photoplethysmography (PPG) signals have yielded an Internet of Things (IoT) based enhanced screening method that performs CCHD detection comparable to SpO2 screening. The use of PPG signals, however, poses a challenge due to its measurements being prone to artifacts. To comprehensively study the most effective way to remove the artifact segments from PPG waveforms, we performed feature engineering and investigated both Machine Learning (ML) and rule based algorithms to identify the optimal method of artifact detection. Our proposed artifact detection system utilizes a 3-stage ML model that incorporates both Gradient Boosting (GB) and Random Forest (RF). The proposed system achieved 84.01% of Intersection over Union (IoU), which is competitive to state-of-the-art artifact detection methods tested on higher resolution PPG. 

Automated segmentation of grey matter (GM) and white matter (WM) in gigapixel histopathology images is advantageous to analyzing distributions of disease pathologies, further aiding in neuropathologic deep phenotyping. Although supervised deep learning methods have shown good performance, its requirement of a large amount of labeled data may not be cost-effective for large scale projects. In the case of GM/WM segmentation, trained experts need to carefully trace the delineation in gigapixel images. To minimize manual labeling, we consider semi-surprised learning (SSL) and deploy one state-of-the-art SSL method (FixMatch) on WSIs. Then we propose a two-stage scheme to further improve the performance of SSL: the first stage is a self-supervised module to train an encoder to learn the visual representations of unlabeled data, subsequently, this well-trained encoder will be an initialization of consistency loss-based SSL in the second stage. We test our method on Amyloid-β stained histopathology images and the results outperform FixMatch with the mean IoU score at around 2% by using 6,000 labeled tiles while over 10% by using only 600 labeled tiles from 2 WSIs.Clinical relevance— this work minimizes the required labeling efforts by trained personnel. An improved GM/WM segmentation method could further aid in the study of brain diseases, such as Alzheimer’s disease. 

The need for manual and detailed annotations limits the applicability of supervised deep learning algorithms in medical image analyses, specifically in the field of pathology. Semi-supervised learning (SSL) provides an effective way for leveraging unlabeled data to relieve the heavy reliance on the amount of labeled samples when training a model. Although SSL has shown good performance, the performance of recent state-of-the-art SSL methods on pathology images is still under study. The problem for selecting the most optimal data to label for SSL is not fully explored. To tackle this challenge, we propose a semi-supervised active learning framework with a region-based selection criterion. This framework iteratively selects regions for an-notation query to quickly expand the diversity and volume of the labeled set. We evaluate our framework on a grey-matter/white-matter segmentation problem using gigapixel pathology images from autopsied human brain tissues. With only 0.1% regions labeled, our proposed algorithm can reach a competitive IoU score compared to fully-supervised learning and outperform the current state-of-the-art SSL by more than 10% of IoU score and DICE coefficient.