High-resolution histopathology whole slide images (WSIs) contain abundant valuable information for cancer prognosis. However, most computational pathology methods for survival prediction have weak interpretability and cannot explain the decision-making processes reasonably. To address this issue, we propose a highly interpretable neural network termed pattern-perceptive survival transformer (Surformer) for cancer survival prediction from WSIs. Notably, Surformer can quantify specific histological patterns through bag-level labels without any patch/cell-level auxiliary information. Specifically, the proposed ratio-reserved cross-attention module (RRCA) generates global and local features with the learnable prototypes (pglobal, plocals) as detectors and quantifies the patches correlative to each plocal in the form of ratio factors (rfs). Afterward, multi-head self&cross-attention modules proceed with the computation for feature enhancement against noise. Eventually, the designed disentangling loss function guides multiple local features to focus on distinct patterns, thereby assisting rfs from RRCA in achieving more explicit histological feature quantification. Extensive experiments on five TCGA datasets illustrate that Surformer outperforms existing state-of-the-art methods. In addition, we highlight its interpretation by visualizing rfs distribution across high-risk and low-risk cohorts and retrieving and analyzing critical histological patterns contributing to the survival prediction. Surformer is expected to be exploited as a useful tool for performing histopathology image data-driven analysis and gaining new insights for interpreting the associations between such images and patient survival states.
10 August 2022 in Computers in Biology and Medicine
Thyroid disease instances have rapidly increased in the past few decades; however, the cause of the disease remains unclear. Understanding the pathogenesis of thyroid disease will potentially reduce morbidity and mortality rates. Currently, the identified risk factors from existing studies are controversial as they were determined through qualitative analysis and were not further confirmed by quantitative implementations. Association rule mining, as a subset of data mining techniques, is dedicated to revealing underlying correlations among multiple attributes from a complex heterogeneous dataset, making it suitable for thyroid disease pathogenesis identification. This study adopts two association rule mining algorithms (i.e., Apriori and FP-Growth Tree) to identify risk factors correlated with thyroid disease. Extensive experiments were conducted to reach impartial findings with respect to knowledge discovery through two independent digital health datasets. The findings confirmed that gender, hypertension, and obesity are positively related to thyroid disease development. The history of I131 treatment and Triiodothyronine level can be potential factors for evaluating subsequent thyroid disease.
Situational Awareness (SA) assessment is of paramount importance in various domains, with particular significance in the military for safe aviation decision-making. It involves encompassing perception, comprehension, and projection levels in human beings. Accurate evaluation of SA statuses across these three levels is crucial for mitigating human false-positive and false-negative rates in monitoring complex scenarios in the aviation context. This study proposes a comprehensive comparative analysis by involving two types of physiological records: electroencephalogram (EEG) signals and brain electrical activity mapping (BEAM) images. These two modalities are leveraged to automate precise SA evaluation using both conventional machine learning and advanced deep learning techniques. Benchmarking experiments reveal that the BEAM-based deep learning models attain state-of-the-art performance scores of 0.955 for both SA perception and comprehension levels, respectively. Conversely, the EEG signals-based manual feature extraction, selection, and classification approach achieved a superior accuracy of 0.929 for the projection level of SA. These findings collectively highlight the potential of deploying diverse physiological records as valuable computational tools for enhancing SA evaluation throughout aviation decision-making safety.