Multi-Center Study on Deep Learning-Assisted Detection and Classification of Fetal Central Nervous System Anomalies Using Ultrasound Imaging

Prenatal ultrasound evaluates fetal growth and detects congenital abnormalities during pregnancy, but the examination of ultrasound images by radiologists requires expertise and sophisticated equipment, which would otherwise fail to improve the rate of identifying specific types of fetal central nervous system (CNS) abnormalities and result in unnecessary patient examinations. We construct a deep learning model to improve the overall accuracy of the diagnosis of fetal cranial anomalies to aid prenatal diagnosis. In our collected multi-center dataset of fetal craniocerebral anomalies covering four typical anomalies of the fetal central nervous system (CNS): anencephaly, encephalocele (including meningocele), holoprosencephaly, and rachischisis, patient-level prediction accuracy reaches 94.5%, with an AUROC value of 99.3%. In the subgroup analyzes, our model is applicable to the entire gestational period, with good identification of fetal anomaly types for any gestational period. Heatmaps superimposed on the ultrasound images not only provide a visual interpretation for the algorithm but also provide an intuitive visual aid to the physician by highlighting key areas that need to be reviewed, helping the physician to quickly identify and validate key areas. Finally, the retrospective reader study demonstrates that by combining the automatic prediction of the DL system with the professional judgment of the radiologist, the diagnostic accuracy and efficiency can be effectively improved and the misdiagnosis rate can be reduced, which has an important clinical application prospect.

CovidLLM: A Robust Large Language Model with Missing Value Adaptation and Multi-Objective Learning Strategy for Predicting Disease Severity and Clinical Outcomes in COVID-19 Patients

Coronavirus Disease 2019 (COVID-19), which emerged in 2019, has caused millions of deaths worldwide. Although effective vaccines have been developed to mitigate severe symptoms, certain populations, particularly the elderly and those with comorbidities, remain at high risk for severe outcomes and increased mortality. Consequently, early identification of the severity and clinical outcomes of the disease in these patients is vital to prevent adverse prognoses. Although traditional machine learning and deep learning models have been widely employed in this area, the potential of large language models (LLMs) remains largely unexplored. Our research focuses primarily on constructing specialized prompts and adopting multi-objective learning strategies. We started by selecting serological indicators that significantly correlate with clinical outcomes and disease severity to serve as input data for the model. Blood test samples often contain numerous missing values, and traditional models generally rely on imputation to handle these gaps in the data. In contrast, LLMs offer the advantage of robust semantic understanding. By setting prompts, we can explicitly inform the model when a feature's value is missing, without the need for imputation. For the multi-objective learning strategy, the model is designed to first predict disease severity and then predict clinical outcomes. Given that LLMs utilize both the input text and the generated tokens as input for generating the next token, the predicted severity is used as a basis for generating the clinical outcome. During the fine-tuning of the LLM, the two objectives influence and improve each other. Our experiments were implemented based on the ChatGLM model. The results demonstrate the effectiveness of LLMs in this task, suggesting promising potential for further development.