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Overcoming barriers on the use of multi-center data for medical analytics is challenging due to privacy protection and data heterogeneity in the healthcare system. In this study, we propose the Distributed Synthetic Learning (DSL) architecture to learn across multiple medical centers and ensure the protection of sensitive personal information. DSL enables the building of a homogeneous dataset with entirely synthetic medical images via a form of GAN-based synthetic learning. The proposed DSL architecture has the following key functionalities: multi-modality learning, missing modality completion learning, and continual learning. We systematically evaluate the performance of DSL on different medical applications using cardiac computed tomography angiography (CTA), brain tumor MRI, and histopathology nuclei datasets. Extensive experiments demonstrate the superior performance of DSL as a high-quality synthetic medical image provider by the use of an ideal synthetic quality metric called Dist-FID. We show that DSL can be adapted to heterogeneous data and remarkably outperforms the real misaligned modalities segmentation model by 55% and the temporal datasets segmentation model by 8%.

 

The success of training computer-vision models heavily relies on the support of large-scale, real-world images with annotations. Yet such an annotation-ready dataset is difficult to curate in pathology due to the privacy protection and excessive annotation burden. To aid in computational pathology, synthetic data generation, curation, and annotation present a cost-effective means to quickly enable data diversity that is required to boost model performance at different stages. In this study, we introduce a large-scale synthetic pathological image dataset paired with the annotation for nuclei semantic segmentation, termed as Synthetic Nuclei and annOtation Wizard (SNOW). The proposed SNOW is developed via a standardized workflow by applying the off-the-shelf image generator and nuclei annotator. The dataset contains overall 20k image tiles and 1,448,522 annotated nuclei with the CC-BY license. We show that SNOW can be used in both supervised and semi-supervised training scenarios. Extensive results suggest that synthetic-data-trained models are competitive under a variety of model training settings, expanding the scope of better using synthetic images for enhancing downstream data-driven clinical tasks.

 

Breast carcinoma is the most common cancer among women worldwide that consists of a heterogeneous group of subtype diseases. The whole-slide images (WSIs) can capture the cell-level heterogeneity, and are routinely used for cancer diagnosis by pathologists. However, key driver genetic mutations related to targeted therapies are identified by genomic analysis like high-throughput molecular profiling. In this study, we develop a deep-learning model to predict the genetic mutations and biological pathway activities directly from WSIs. Our study offers unique insights into WSI visual interactions between mutation and its related pathway, enabling a head-to-head comparison to reinforce our major findings. Using the histopathology images from the Genomic Data Commons Database, our model can predict the point mutations of six important genes (AUC 0.68–0.85) and copy number alteration of another six genes (AUC 0.69–0.79). Additionally, the trained models can predict the activities of three out of ten canonical pathways (AUC 0.65–0.79). Next, we visualized the weight maps of tumor tiles in WSI to understand the decision-making process of deep-learning models via a self-attention mechanism. We further validated our models on liver and lung cancers that are related to metastatic breast cancer. Our results provide insights into the association between pathological image features, molecular outcomes, and targeted therapies for breast cancer patients.

 

Goal: Lifting is a common manual material handling task performed in the workplaces. It is considered as one of the main risk factors for work-related musculoskeletal disorders. An important criterion to identify the unsafe lifting task is the values of the net force and moment at L5/S1 joint. These values are mainly calculated in a laboratory environment, which utilizes marker-based sensors to collect three-dimensional (3-D) information and force plates to measure the external forces and moments. However, this method is usually expensive to set up, time-consuming in process, and sensitive to the surrounding environment. In this study, we propose a deep neural network (DNN)-based framework for 3-D pose estimation, which addresses the aforementioned limitations, and we employ the results for L5/S1 moment and force calculation. Methods: At the first step of the proposed framework, full body 3-D pose is captured using a DNN, then at the second step, estimated 3-D body pose along with the subject's anthropometric information is utilized to calculate L5/S1 join's kinetic by a top-down inverse dynamic algorithm. Results: To fully evaluate our approach, we conducted experiments using a lifting dataset consisting of 12 subjects performing various types of lifting tasks. The results are validated against a marker-based motion capture system as a reference. The grand mean ± SD of the total moment/force absolute errors across all the dataset was 9.06 ± 7.60 N·m/4.85 ± 4.85 N. Conclusion: The proposed method provides a reliable tool for assessment of the lower back kinetics during lifting and can be an alternative when the use of marker-based motion capture systems is not possible.