Abstract:Defining and separating cancer subtypes is essential for facilitating personalized therapy modality and prognosis of patients. The definition of subtypes has been constantly recalibrated as a result of our deepened understanding. During this recalibration, researchers often rely on clustering of cancer data to provide an intuitive visual reference that could reveal the intrinsic characteristics of subtypes. The data being clustered are often omics data such as transcriptomics that have strong correlations to the underlying biological mechanism. However, while existing studies have shown promising results, they suffer from issues associated with omics data: sample scarcity and high dimensionality. As such, existing methods often impose unrealistic assumptions to extract useful features from the data while avoiding overfitting to spurious correlations. In this paper, we propose to leverage a recent strong generative model, Vector Quantized Variational AutoEncoder (VQ-VAE), to tackle the data issues and extract informative latent features that are crucial to the quality of subsequent clustering by retaining only information relevant to reconstructing the input. VQ-VAE does not impose strict assumptions and hence its latent features are better representations of the input, capable of yielding superior clustering performance with any mainstream clustering method. Extensive experiments and medical analysis on multiple datasets comprising 10 distinct cancers demonstrate the VQ-VAE clustering results can significantly and robustly improve prognosis over prevalent subtyping systems.
Abstract:Considering the natural frequency characteristics in sleep medicine, this paper first proposes a time-frequency framework for the representation learning of the electroencephalogram (EEG) following the definition of the American Academy of Sleep Medicine. To meet the temporal-random and transient nature of the defining characteristics of sleep stages, we further design a context-sensitive flexible pipeline that automatically adapts to the attributes of data itself. That is, the input EEG spectrogram is partitioned into a sequence of patches in the time and frequency axes, and then input to a delicate deep learning network for further representation learning to extract the stage-dependent features, which are used in the classification step finally. The proposed pipeline is validated against a large database, i.e., the Sleep Heart Health Study (SHHS), and the results demonstrate that the competitive performance for the wake, N2, and N3 stages outperforms the state-of-art works, with the F1 scores being 0.93, 0.88, and 0.87, respectively, and the proposed method has a high inter-rater reliability of 0.80 kappa. Importantly, we visualize the stage scoring process of the model decision with the Layer-wise Relevance Propagation (LRP) method, which shows that the proposed pipeline is more sensitive and perceivable in the decision-making process than the baseline pipelines. Therefore, the pipeline together with the LRP method can provide better model interpretability, which is important for clinical support.
Abstract:Cancer is one of the deadliest diseases worldwide. Accurate diagnosis and classification of cancer subtypes are indispensable for effective clinical treatment. Promising results on automatic cancer subtyping systems have been published recently with the emergence of various deep learning methods. However, such automatic systems often overfit the data due to the high dimensionality and scarcity. In this paper, we propose to investigate automatic subtyping from an unsupervised learning perspective by directly constructing the underlying data distribution itself, hence sufficient data can be generated to alleviate the issue of overfitting. Specifically, we bypass the strong Gaussianity assumption that typically exists but fails in the unsupervised learning subtyping literature due to small-sized samples by vector quantization. Our proposed method better captures the latent space features and models the cancer subtype manifestation on a molecular basis, as demonstrated by the extensive experimental results.