Prediction of Lung Metastasis from Hepatocellular Carcinoma using the SEER Database

Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality, with lung metastases being the most common site of distant spread and significantly worsening prognosis. Despite the growing availability of clinical and demographic data, predictive models for lung metastasis in HCC remain limited in scope and clinical applicability. In this study, we develop and validate an end-to-end machine learning pipeline using data from the Surveillance, Epidemiology, and End Results (SEER) database. We evaluated three machine learning models (Random Forest, XGBoost, and Logistic Regression) alongside a multilayer perceptron (MLP) neural network. Our models achieved high AUROC values and recall, with the Random Forest and MLP models demonstrating the best overall performance (AUROC = 0.82). However, the low precision across models highlights the challenges of accurately predicting positive cases. To address these limitations, we developed a custom loss function incorporating recall optimization, enabling the MLP model to achieve the highest sensitivity. An ensemble approach further improved overall recall by leveraging the strengths of individual models. Feature importance analysis revealed key predictors such as surgery status, tumor staging, and follow up duration, emphasizing the relevance of clinical interventions and disease progression in metastasis prediction. While this study demonstrates the potential of machine learning for identifying high-risk patients, limitations include reliance on imbalanced datasets, incomplete feature annotations, and the low precision of predictions. Future work should leverage the expanding SEER dataset, improve data imputation techniques, and explore advanced pre-trained models to enhance predictive accuracy and clinical utility.

Trends, Challenges, and Future Directions in Deep Learning for Glaucoma: A Systematic Review

Here, we examine the latest advances in glaucoma detection through Deep Learning (DL) algorithms using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). This study focuses on three aspects of DL-based glaucoma detection frameworks: input data modalities, processing strategies, and model architectures and applications. Moreover, we analyze trends in employing each aspect since the onset of DL in this field. Finally, we address current challenges and suggest future research directions.

Open-Source Periorbital Segmentation Dataset for Ophthalmic Applications

Periorbital segmentation and distance prediction using deep learning allows for the objective quantification of disease state, treatment monitoring, and remote medicine. However, there are currently no reports of segmentation datasets for the purposes of training deep learning models with sub mm accuracy on the regions around the eyes. All images (n=2842) had the iris, sclera, lid, caruncle, and brow segmented by five trained annotators. Here, we validate this dataset through intra and intergrader reliability tests and show the utility of the data in training periorbital segmentation networks. All the annotations are publicly available for free download. Having access to segmentation datasets designed specifically for oculoplastic surgery will permit more rapid development of clinically useful segmentation networks which can be leveraged for periorbital distance prediction and disease classification. In addition to the annotations, we also provide an open-source toolkit for periorbital distance prediction from segmentation masks. The weights of all models have also been open-sourced and are publicly available for use by the community.

State-of-the-Art Periorbital Distance Prediction and Disease Classification Using Periorbital Features

Periorbital distances and features around the eyes and lids hold valuable information for disease quantification and monitoring of surgical and medical intervention. These distances are commonly measured manually, a process that is both subjective and highly time-consuming. Here, we set out to developed three deep-learning methods for segmentation and periorbital distance prediction, and also evaluate the utility of periorbital distances for disease classification. The MAE of our deep learning predicted distances was less than or very close to the error observed between trained human annotators. We compared our models to the current state-of-the-art (SOTA) method for periorbital distance prediction and found that our methods outperformed SOTA on all of our datasets on all but one periorbital measurement. We also show that robust segmentation can be achieved on diseased eyes using models trained on open-source, healthy eyes, and that periorbital distances have can be used as high-quality features in downstream classification models. Leveraging segmentation networks as intermediary steps in classification has broad implications for increasing the generalizability of classification models in ophthalmic plastic and craniofacial surgery by avoiding the out-of-distribution problem observed in traditional convolutional neural networks.