T2-Only Prostate Cancer Prediction by Meta-Learning from Bi-Parametric MR Imaging

Current imaging-based prostate cancer diagnosis requires both MR T2-weighted (T2w) and diffusion-weighted imaging (DWI) sequences, with additional sequences for potentially greater accuracy improvement. However, measuring diffusion patterns in DWI sequences can be time-consuming, prone to artifacts and sensitive to imaging parameters. While machine learning (ML) models have demonstrated radiologist-level accuracy in detecting prostate cancer from these two sequences, this study investigates the potential of ML-enabled methods using only the T2w sequence as input during inference time. We first discuss the technical feasibility of such a T2-only approach, and then propose a novel ML formulation, where DWI sequences - readily available for training purposes - are only used to train a meta-learning model, which subsequently only uses T2w sequences at inference. Using multiple datasets from more than 3,000 prostate cancer patients, we report superior or comparable performance in localising radiologist-identified prostate cancer using our proposed T2-only models, compared with alternative models using T2-only or both sequences as input. Real patient cases are presented and discussed to demonstrate, for the first time, the exclusively true-positive cases from models with different input sequences.

AI-assisted prostate cancer detection and localisation on biparametric MR by classifying radiologist-positives

Prostate cancer diagnosis through MR imaging have currently relied on radiologists' interpretation, whilst modern AI-based methods have been developed to detect clinically significant cancers independent of radiologists. In this study, we propose to develop deep learning models that improve the overall cancer diagnostic accuracy, by classifying radiologist-identified patients or lesions (i.e. radiologist-positives), as opposed to the existing models that are trained to discriminate over all patients. We develop a single voxel-level classification model, with a simple percentage threshold to determine positive cases, at levels of lesions, Barzell-zones and patients. Based on the presented experiments from two clinical data sets, consisting of histopathology-labelled MR images from more than 800 and 500 patients in the respective UCLA and UCL PROMIS studies, we show that the proposed strategy can improve the diagnostic accuracy, by augmenting the radiologist reading of the MR imaging. Among varying definition of clinical significance, the proposed strategy, for example, achieved a specificity of 44.1% (with AI assistance) from 36.3% (by radiologists alone), at a controlled sensitivity of 80.0% on the publicly available UCLA data set. This provides measurable clinical values in a range of applications such as reducing unnecessary biopsies, lowering cost in cancer screening and quantifying risk in therapies.

Students Rather Than Experts: A New AI For Education Pipeline To Model More Human-Like And Personalised Early Adolescences

The capabilities of large language models (LLMs) have been applied in expert systems across various domains, providing new opportunities for AI in Education. Educational interactions involve a cyclical exchange between teachers and students. Current research predominantly focuses on using LLMs to simulate teachers, leveraging their expertise to enhance student learning outcomes. However, the simulation of students, which could improve teachers' instructional skills, has received insufficient attention due to the challenges of modeling and evaluating virtual students. This research asks: Can LLMs be utilized to develop virtual student agents that mimic human-like behavior and individual variability? Unlike expert systems focusing on knowledge delivery, virtual students must replicate learning difficulties, emotional responses, and linguistic uncertainties. These traits present significant challenges in both modeling and evaluation. To address these issues, this study focuses on language learning as a context for modeling virtual student agents. We propose a novel AI4Education framework, called SOE (Scene-Object-Evaluation), to systematically construct LVSA (LLM-based Virtual Student Agents). By curating a dataset of personalized teacher-student interactions with various personality traits, question types, and learning stages, and fine-tuning LLMs using LoRA, we conduct multi-dimensional evaluation experiments. Specifically, we: (1) develop a theoretical framework for generating LVSA; (2) integrate human subjective evaluation metrics into GPT-4 assessments, demonstrating a strong correlation between human evaluators and GPT-4 in judging LVSA authenticity; and (3) validate that LLMs can generate human-like, personalized virtual student agents in educational contexts, laying a foundation for future applications in pre-service teacher training and multi-agent simulation environments.

Can LVLMs Describe Videos like Humans? A Five-in-One Video Annotations Benchmark for Better Human-Machine Comparison

Large vision-language models (LVLMs) have made significant strides in addressing complex video tasks, sparking researchers' interest in their human-like multimodal understanding capabilities. Video description serves as a fundamental task for evaluating video comprehension, necessitating a deep understanding of spatial and temporal dynamics, which presents challenges for both humans and machines. Thus, investigating whether LVLMs can describe videos as comprehensively as humans (through reasonable human-machine comparisons using video captioning as a proxy task) will enhance our understanding and application of these models. However, current benchmarks for video comprehension have notable limitations, including short video durations, brief annotations, and reliance on a single annotator's perspective. These factors hinder a comprehensive assessment of LVLMs' ability to understand complex, lengthy videos and prevent the establishment of a robust human baseline that accurately reflects human video comprehension capabilities. To address these issues, we propose a novel benchmark, FIOVA (Five In One Video Annotations), designed to evaluate the differences between LVLMs and human understanding more comprehensively. FIOVA includes 3,002 long video sequences (averaging 33.6 seconds) that cover diverse scenarios with complex spatiotemporal relationships. Each video is annotated by five distinct annotators, capturing a wide range of perspectives and resulting in captions that are 4-15 times longer than existing benchmarks, thereby establishing a robust baseline that represents human understanding comprehensively for the first time in video description tasks. Using the FIOVA benchmark, we conducted an in-depth evaluation of six state-of-the-art LVLMs, comparing their performance with humans. More detailed information can be found at https://huuuuusy.github.io/fiova/.

Poisson Ordinal Network for Gleason Group Estimation Using Bi-Parametric MRI

The Gleason groups serve as the primary histological grading system for prostate cancer, providing crucial insights into the cancer's potential for growth and metastasis. In clinical practice, pathologists determine the Gleason groups based on specimens obtained from ultrasound-guided biopsies. In this study, we investigate the feasibility of directly estimating the Gleason groups from MRI scans to reduce otherwise required biopsies. We identify two characteristics of this task, ordinality and the resulting dependent yet unknown variances between Gleason groups. In addition to the inter- / intra- observer variability in a multi-step Gleason scoring process based on the interpretation of Gleason patterns, our MR-based prediction is also subject to specimen sampling variance and, to a lesser degree, varying MR imaging protocols. To address this challenge, we propose a novel Poisson ordinal network (PON). PONs model the prediction using a Poisson distribution and leverages Poisson encoding and Poisson focal loss to capture a learnable dependency between ordinal classes (here, Gleason groups), rather than relying solely on the numerical ground-truth (e.g. Gleason Groups 1-5 or Gleason Scores 6-10). To improve this modelling efficacy, PONs also employ contrastive learning with a memory bank to regularise intra-class variance, decoupling the memory requirement of contrast learning from the batch size. Experimental results based on the images labelled by saturation biopsies from 265 prior-biopsy-blind patients, across two tasks demonstrate the superiority and effectiveness of our proposed method.

Knowledge Adaptation from Large Language Model to Recommendation for Practical Industrial Application

Contemporary recommender systems predominantly rely on collaborative filtering techniques, employing ID-embedding to capture latent associations among users and items. However, this approach overlooks the wealth of semantic information embedded within textual descriptions of items, leading to suboptimal performance in cold-start scenarios and long-tail user recommendations. Leveraging the capabilities of Large Language Models (LLMs) pretrained on massive text corpus presents a promising avenue for enhancing recommender systems by integrating open-world domain knowledge. In this paper, we propose an Llm-driven knowlEdge Adaptive RecommeNdation (LEARN) framework that synergizes open-world knowledge with collaborative knowledge. We address computational complexity concerns by utilizing pretrained LLMs as item encoders and freezing LLM parameters to avoid catastrophic forgetting and preserve open-world knowledge. To bridge the gap between the open-world and collaborative domains, we design a twin-tower structure supervised by the recommendation task and tailored for practical industrial application. Through offline experiments on the large-scale industrial dataset and online experiments on A/B tests, we demonstrate the efficacy of our approach.

Learning the irreversible progression trajectory of Alzheimer's disease

Alzheimer's disease (AD) is a progressive and irreversible brain disorder that unfolds over the course of 30 years. Therefore, it is critical to capture the disease progression in an early stage such that intervention can be applied before the onset of symptoms. Machine learning (ML) models have been shown effective in predicting the onset of AD. Yet for subjects with follow-up visits, existing techniques for AD classification only aim for accurate group assignment, where the monotonically increasing risk across follow-up visits is usually ignored. Resulted fluctuating risk scores across visits violate the irreversibility of AD, hampering the trustworthiness of models and also providing little value to understanding the disease progression. To address this issue, we propose a novel regularization approach to predict AD longitudinally. Our technique aims to maintain the expected monotonicity of increasing disease risk during progression while preserving expressiveness. Specifically, we introduce a monotonicity constraint that encourages the model to predict disease risk in a consistent and ordered manner across follow-up visits. We evaluate our method using the longitudinal structural MRI and amyloid-PET imaging data from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Our model outperforms existing techniques in capturing the progressiveness of disease risk, and at the same time preserves prediction accuracy.

Semi-weakly-supervised neural network training for medical image registration

For training registration networks, weak supervision from segmented corresponding regions-of-interest (ROIs) have been proven effective for (a) supplementing unsupervised methods, and (b) being used independently in registration tasks in which unsupervised losses are unavailable or ineffective. This correspondence-informing supervision entails cost in annotation that requires significant specialised effort. This paper describes a semi-weakly-supervised registration pipeline that improves the model performance, when only a small corresponding-ROI-labelled dataset is available, by exploiting unlabelled image pairs. We examine two types of augmentation methods by perturbation on network weights and image resampling, such that consistency-based unsupervised losses can be applied on unlabelled data. The novel WarpDDF and RegCut approaches are proposed to allow commutative perturbation between an image pair and the predicted spatial transformation (i.e. respective input and output of registration networks), distinct from existing perturbation methods for classification or segmentation. Experiments using 589 male pelvic MR images, labelled with eight anatomical ROIs, show the improvement in registration performance and the ablated contributions from the individual strategies. Furthermore, this study attempts to construct one of the first computational atlases for pelvic structures, enabled by registering inter-subject MRs, and quantifies the significant differences due to the proposed semi-weak supervision with a discussion on the potential clinical use of example atlas-derived statistics.

BioDrone: A Bionic Drone-based Single Object Tracking Benchmark for Robust Vision

Single object tracking (SOT) is a fundamental problem in computer vision, with a wide range of applications, including autonomous driving, augmented reality, and robot navigation. The robustness of SOT faces two main challenges: tiny target and fast motion. These challenges are especially manifested in videos captured by unmanned aerial vehicles (UAV), where the target is usually far away from the camera and often with significant motion relative to the camera. To evaluate the robustness of SOT methods, we propose BioDrone -- the first bionic drone-based visual benchmark for SOT. Unlike existing UAV datasets, BioDrone features videos captured from a flapping-wing UAV system with a major camera shake due to its aerodynamics. BioDrone hence highlights the tracking of tiny targets with drastic changes between consecutive frames, providing a new robust vision benchmark for SOT. To date, BioDrone offers the largest UAV-based SOT benchmark with high-quality fine-grained manual annotations and automatically generates frame-level labels, designed for robust vision analyses. Leveraging our proposed BioDrone, we conduct a systematic evaluation of existing SOT methods, comparing the performance of 20 representative models and studying novel means of optimizing a SOTA method (KeepTrack KeepTrack) for robust SOT. Our evaluation leads to new baselines and insights for robust SOT. Moving forward, we hope that BioDrone will not only serve as a high-quality benchmark for robust SOT, but also invite future research into robust computer vision. The database, toolkits, evaluation server, and baseline results are available at http://biodrone.aitestunion.com.

Prototypical few-shot segmentation for cross-institution male pelvic structures with spatial registration

The prowess that makes few-shot learning desirable in medical image analysis is the efficient use of the support image data, which are labelled to classify or segment new classes, a task that otherwise requires substantially more training images and expert annotations. This work describes a fully 3D prototypical few-shot segmentation algorithm, such that the trained networks can be effectively adapted to clinically interesting structures that are absent in training, using only a few labelled images from a different institute. First, to compensate for the widely recognised spatial variability between institutions in episodic adaptation of novel classes, a novel spatial registration mechanism is integrated into prototypical learning, consisting of a segmentation head and an spatial alignment module. Second, to assist the training with observed imperfect alignment, support mask conditioning module is proposed to further utilise the annotation available from the support images. Extensive experiments are presented in an application of segmenting eight anatomical structures important for interventional planning, using a data set of 589 pelvic T2-weighted MR images, acquired at seven institutes. The results demonstrate the efficacy in each of the 3D formulation, the spatial registration, and the support mask conditioning, all of which made positive contributions independently or collectively. Compared with the previously proposed 2D alternatives, the few-shot segmentation performance was improved with statistical significance, regardless whether the support data come from the same or different institutes.