Robust Real-time Segmentation of Bio-Morphological Features in Human Cherenkov Imaging during Radiotherapy via Deep Learning

Cherenkov imaging enables real-time visualization of megavoltage X-ray or electron beam delivery to the patient during Radiation Therapy (RT). Bio-morphological features, such as vasculature, seen in these images are patient-specific signatures that can be used for verification of positioning and motion management that are essential to precise RT treatment. However until now, no concerted analysis of this biological feature-based tracking was utilized because of the slow speed and accuracy of conventional image processing for feature segmentation. This study demonstrated the first deep learning framework for such an application, achieving video frame rate processing. To address the challenge of limited annotation of these features in Cherenkov images, a transfer learning strategy was applied. A fundus photography dataset including 20,529 patch retina images with ground-truth vessel annotation was used to pre-train a ResNet segmentation framework. Subsequently, a small Cherenkov dataset (1,483 images from 212 treatment fractions of 19 breast cancer patients) with known annotated vasculature masks was used to fine-tune the model for accurate segmentation prediction. This deep learning framework achieved consistent and rapid segmentation of Cherenkov-imaged bio-morphological features on another 19 patients, including subcutaneous veins, scars, and pigmented skin. Average segmentation by the model achieved Dice score of 0.85 and required less than 0.7 milliseconds processing time per instance. The model demonstrated outstanding consistency against input image variances and speed compared to conventional manual segmentation methods, laying the foundation for online segmentation in real-time monitoring in a prospective setting.

CDSD: Chinese Dysarthria Speech Database

We present the Chinese Dysarthria Speech Database (CDSD) as a valuable resource for dysarthria research. This database comprises speech data from 24 participants with dysarthria. Among these participants, one recorded an additional 10 hours of speech data, while each recorded one hour, resulting in 34 hours of speech material. To accommodate participants with varying cognitive levels, our text pool primarily consists of content from the AISHELL-1 dataset and speeches by primary and secondary school students. When participants read these texts, they must use a mobile device or the ZOOM F8n multi-track field recorder to record their speeches. In this paper, we elucidate the data collection and annotation processes and present an approach for establishing a baseline for dysarthric speech recognition. Furthermore, we conducted a speaker-dependent dysarthric speech recognition experiment using an additional 10 hours of speech data from one of our participants. Our research findings indicate that, through extensive data-driven model training, fine-tuning limited quantities of specific individual data yields commendable results in speaker-dependent dysarthric speech recognition. However, we observe significant variations in recognition results among different dysarthric speakers. These insights provide valuable reference points for speaker-dependent dysarthric speech recognition.