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Domain adaptive semantic segmentation is the task of generating precise and dense predictions for an unlabeled target domain using a model trained on a labeled source domain. While significant efforts have been devoted to improving unsupervised domain adaptation for this task, it is crucial to note that many models rely on a strong assumption that the source data is entirely and accurately labeled, while the target data is unlabeled. In real-world scenarios, however, we often encounter partially or noisy labeled data in source and target domains, referred to as Generalized Domain Adaptation (GDA). In such cases, we suggest leveraging weak or unlabeled data from both domains to narrow the gap between them, resulting in effective adaptation. We introduce the Generalized Gaussian-mixture-based (GenGMM) domain adaptation model, which harnesses the underlying data distribution in both domains to refine noisy weak and pseudo labels. The experiments demonstrate the effectiveness of our approach.

Domain adaptive semantic segmentation aims to generate accurate and dense predictions for an unlabeled target domain by leveraging a supervised model trained on a labeled source domain. The prevalent self-training approach involves retraining the dense discriminative classifier of $p(class|pixel feature)$ using the pseudo-labels from the target domain. While many methods focus on mitigating the issue of noisy pseudo-labels, they often overlook the underlying data distribution p(pixel feature|class) in both the source and target domains. To address this limitation, we propose the multi-prototype Gaussian-Mixture-based (ProtoGMM) model, which incorporates the GMM into contrastive losses to perform guided contrastive learning. Contrastive losses are commonly executed in the literature using memory banks, which can lead to class biases due to underrepresented classes. Furthermore, memory banks often have fixed capacities, potentially restricting the model's ability to capture diverse representations of the target/source domains. An alternative approach is to use global class prototypes (i.e. averaged features per category). However, the global prototypes are based on the unimodal distribution assumption per class, disregarding within-class variation. To address these challenges, we propose the ProtoGMM model. This novel approach involves estimating the underlying multi-prototype source distribution by utilizing the GMM on the feature space of the source samples. The components of the GMM model act as representative prototypes. To achieve increased intra-class semantic similarity, decreased inter-class similarity, and domain alignment between the source and target domains, we employ multi-prototype contrastive learning between source distribution and target samples. The experiments show the effectiveness of our method on UDA benchmarks.

Quantifying the complexity and irregularity of time series data is a primary pursuit across various data-scientific disciplines. Sample entropy (SampEn) is a widely adopted metric for this purpose, but its reliability is sensitive to the choice of its hyperparameters, the embedding dimension $(m)$ and the similarity radius $(r)$, especially for short-duration signals. This paper presents a novel methodology that addresses this challenge. We introduce a Bayesian optimization framework, integrated with a bootstrap-based variance estimator tailored for short signals, to simultaneously and optimally select the values of $m$ and $r$ for reliable SampEn estimation. Through validation on synthetic signal experiments, our approach outperformed existing benchmarks. It achieved a 60 to 90% reduction in relative error for estimating SampEn variance and a 22 to 45% decrease in relative mean squared error for SampEn estimation itself ($p \leq 0.043$). Applying our method to publicly available short-signal benchmarks yielded promising results. Unlike existing competitors, our approach was the only one to successfully identify known entropy differences across all signal sets ($p \leq 0.042$). Additionally, we introduce "EristroPy," an open-source Python package that implements our proposed optimization framework for SampEn hyperparameter selection. This work holds potential for applications where accurate estimation of entropy from short-duration signals is paramount.

Eosinophilic Esophagitis (EoE) represents a challenging condition for medical providers today. The cause is currently unknown, the impact on a patient's daily life is significant, and it is increasing in prevalence. Traditional approaches for medical image diagnosis such as standard deep learning algorithms are limited by the relatively small amount of data and difficulty in generalization. As a response, two methods have arisen that seem to perform well: Diffusion and Multi-Domain methods with current research efforts favoring diffusion methods. For the EoE dataset, we discovered that a Multi-Domain Adversarial Network outperformed a Diffusion based method with a FID of 42.56 compared to 50.65. Future work with diffusion methods should include a comparison with Multi-Domain adaptation methods to ensure that the best performance is achieved., Comment: Preprint, Final Article Submitted to ICMVA 2024 and will be published in the International Conference Proceedings by ACM, Association for Computing Machinery (ISBN: 979-8-4007-1655-3), which will be archived in ACM Digital Library, indexed by Ei Compendex and Scopus

Deep learning for histopathology has been successfully used for disease classification, image segmentation and more. However, combining image and text modalities using current state-of-the-art (SOTA) methods has been a challenge due to the high resolution of histopathology images. Automatic report generation for histopathology images is one such challenge. In this work, we show that using an existing pre-trained Vision Transformer (ViT) to encode 4096x4096 sized patches of the Whole Slide Image (WSI) and a pre-trained Bidirectional Encoder Representations from Transformers (BERT) model for language modeling-based decoder for report generation, we can build a performant and portable report generation mechanism that takes into account the whole high resolution image. Our method allows us to not only generate and evaluate captions that describe the image, but also helps us classify the image into tissue types and the gender of the patient as well. Our best performing model achieves a 89.52% accuracy in Tissue Type classification with a BLEU-4 score of 0.12 in our caption generation task., Comment: Accepted at IEEE ISBI 2024. arXiv admin note: substantial text overlap with arXiv:2311.06176

Deep learning for histopathology has been successfully used for disease classification, image segmentation and more. However, combining image and text modalities using current state-of-the-art methods has been a challenge due to the high resolution of histopathology images. Automatic report generation for histopathology images is one such challenge. In this work, we show that using an existing pre-trained Vision Transformer in a two-step process of first using it to encode 4096x4096 sized patches of the Whole Slide Image (WSI) and then using it as the encoder and an LSTM decoder for report generation, we can build a fairly performant and portable report generation mechanism that takes into account the whole of the high resolution image, instead of just the patches. We are also able to use representations from an existing powerful pre-trained hierarchical vision transformer and show its usefulness in not just zero shot classification but also for report generation., Comment: Extended Abstract presented at Machine Learning for Health (ML4H) symposium 2023, December 10th, 2023, New Orleans, United States, 09 pages

Eosinophilic Esophagitis (EoE) is an allergic condition increasing in prevalence. To diagnose EoE, pathologists must find 15 or more eosinophils within a single high-power field (400X magnification). Determining whether or not a patient has EoE can be an arduous process and any medical imaging approaches used to assist diagnosis must consider both efficiency and precision. We propose an improvement of Adorno et al's approach for quantifying eosinphils using deep image segmentation. Our new approach leverages Monte Carlo Dropout, a common approach in deep learning to reduce overfitting, to provide uncertainty quantification on current deep learning models. The uncertainty can be visualized in an output image to evaluate model performance, provide insight to how deep learning algorithms function, and assist pathologists in identifying eosinophils., Comment: Preprint, Final Article Submitted to ICBRA 2023 and will be published in the International Conference Proceedings by ACM, Association for Computing Machinery (ISBN: 979-8-4007-0815-2), which will be archived in ACM Digital Library, indexed by Ei Compendex and Scopus

Recently, deep learning-based methods achieved promising performance in nuclei detection and classification applications. However, training deep learning-based methods requires a large amount of pixel-wise annotated data, which is time-consuming and labor-intensive, especially in 3D images. An alternative approach is to adapt weak-annotation methods, such as labeling each nucleus with a point, but this method does not extend from 2D histopathology images (for which it was originally developed) to 3D immunofluorescent images. The reason is that 3D images contain multiple channels (z-axis) for nuclei and different markers separately, which makes training using point annotations difficult. To address this challenge, we propose the Label-efficient Contrastive learning-based (LECL) model to detect and classify various types of nuclei in 3D immunofluorescent images. Previous methods use Maximum Intensity Projection (MIP) to convert immunofluorescent images with multiple slices to 2D images, which can cause signals from different z-stacks to falsely appear associated with each other. To overcome this, we devised an Extended Maximum Intensity Projection (EMIP) approach that addresses issues using MIP. Furthermore, we performed a Supervised Contrastive Learning (SCL) approach for weakly supervised settings. We conducted experiments on cardiovascular datasets and found that our proposed framework is effective and efficient in detecting and classifying various types of nuclei in 3D immunofluorescent images., Comment: 11 pages, 5 figures, MICCAI Workshop Conference 2023

Introduction: Technical burdens and time-intensive review processes limit the practical utility of video capsule endoscopy (VCE). Artificial intelligence (AI) is poised to address these limitations, but the intersection of AI and VCE reveals challenges that must first be overcome. We identified five challenges to address. Challenge #1: VCE data are stochastic and contains significant artifact. Challenge #2: VCE interpretation is cost-intensive. Challenge #3: VCE data are inherently imbalanced. Challenge #4: Existing VCE AIMLT are computationally cumbersome. Challenge #5: Clinicians are hesitant to accept AIMLT that cannot explain their process. Methods: An anatomic landmark detection model was used to test the application of convolutional neural networks (CNNs) to the task of classifying VCE data. We also created a tool that assists in expert annotation of VCE data. We then created more elaborate models using different approaches including a multi-frame approach, a CNN based on graph representation, and a few-shot approach based on meta-learning. Results: When used on full-length VCE footage, CNNs accurately identified anatomic landmarks (99.1%), with gradient weighted-class activation mapping showing the parts of each frame that the CNN used to make its decision. The graph CNN with weakly supervised learning (accuracy 89.9%, sensitivity of 91.1%), the few-shot model (accuracy 90.8%, precision 91.4%, sensitivity 90.9%), and the multi-frame model (accuracy 97.5%, precision 91.5%, sensitivity 94.8%) performed well. Discussion: Each of these five challenges is addressed, in part, by one of our AI-based models. Our goal of producing high performance using lightweight models that aim to improve clinician confidence was achieved.

It is shown that various symptoms could remain in the stage of post-acute sequelae of SARS-CoV-2 infection (PASC), otherwise known as Long COVID. A number of COVID patients suffer from heterogeneous symptoms, which severely impact recovery from the pandemic. While scientists are trying to give an unambiguous definition of Long COVID, efforts in prediction of Long COVID could play an important role in understanding the characteristic of this new disease. Vital measurements (e.g. oxygen saturation, heart rate, blood pressure) could reflect body's most basic functions and are measured regularly during hospitalization, so among patients diagnosed COVID positive and hospitalized, we analyze the vital measurements of first 7 days since the hospitalization start date to study the pattern of the vital measurements and predict Long COVID with the information from vital measurements., Comment: Workshop on Machine Learning and Artificial Intelligence in Bioinformatics and Medical Informatics (MABM 2022) in International Conference on Bioinformatics and Biomedicine (BIBM 2022)

Post-acute sequelae of SARS-CoV-2 infection (PASC) or Long COVID is an emerging medical condition that has been observed in several patients with a positive diagnosis for COVID-19. Historical Electronic Health Records (EHR) like diagnosis codes, lab results and clinical notes have been analyzed using deep learning and have been used to predict future clinical events. In this paper, we propose an interpretable deep learning approach to analyze historical diagnosis code data from the National COVID Cohort Collective (N3C) to find the risk factors contributing to developing Long COVID. Using our deep learning approach, we are able to predict if a patient is suffering from Long COVID from a temporally ordered list of diagnosis codes up to 45 days post the first COVID positive test or diagnosis for each patient, with an accuracy of 70.48\%. We are then able to examine the trained model using Gradient-weighted Class Activation Mapping (GradCAM) to give each input diagnoses a score. The highest scored diagnosis were deemed to be the most important for making the correct prediction for a patient. We also propose a way to summarize these top diagnoses for each patient in our cohort and look at their temporal trends to determine which codes contribute towards a positive Long COVID diagnosis.

Two major causes of death in the United States and worldwide are stroke and myocardial infarction. The underlying cause of both is thrombi released from ruptured or eroded unstable atherosclerotic plaques that occlude vessels in the heart (myocardial infarction) or the brain (stroke). Clinical studies show that plaque composition plays a more important role than lesion size in plaque rupture or erosion events. To determine the plaque composition, various cell types in 3D cardiovascular immunofluorescent images of plaque lesions are counted. However, counting these cells manually is expensive, time-consuming, and prone to human error. These challenges of manual counting motivate the need for an automated approach to localize and count the cells in images. The purpose of this study is to develop an automatic approach to accurately detect and count cells in 3D immunofluorescent images with minimal annotation effort. In this study, we used a weakly supervised learning approach to train the HoVer-Net segmentation model using point annotations to detect nuclei in fluorescent images. The advantage of using point annotations is that they require less effort as opposed to pixel-wise annotation. To train the HoVer-Net model using point annotations, we adopted a popularly used cluster labeling approach to transform point annotations into accurate binary masks of cell nuclei. Traditionally, these approaches have generated binary masks from point annotations, leaving a region around the object unlabeled (which is typically ignored during model training). However, these areas may contain important information that helps determine the boundary between cells. Therefore, we used the entropy minimization loss function in these areas to encourage the model to output more confident predictions on the unlabeled areas. Our comparison studies indicate that the HoVer-Net model trained using our weakly ...

In this work, we propose a mutual information (MI) based unsupervised domain adaptation (UDA) method for the cross-domain nuclei segmentation. Nuclei vary substantially in structure and appearances across different cancer types, leading to a drop in performance of deep learning models when trained on one cancer type and tested on another. This domain shift becomes even more critical as accurate segmentation and quantification of nuclei is an essential histopathology task for the diagnosis/ prognosis of patients and annotating nuclei at the pixel level for new cancer types demands extensive effort by medical experts. To address this problem, we maximize the MI between labeled source cancer type data and unlabeled target cancer type data for transferring nuclei segmentation knowledge across domains. We use the Jensen-Shanon divergence bound, requiring only one negative pair per positive pair for MI maximization. We evaluate our set-up for multiple modeling frameworks and on different datasets comprising of over 20 cancer-type domain shifts and demonstrate competitive performance. All the recently proposed approaches consist of multiple components for improving the domain adaptation, whereas our proposed module is light and can be easily incorporated into other methods (Implementation: https://github.com/YashSharma/MaNi )., Comment: Accepted at MICCAI 2022

Exercise testing has been available for more than a half-century and is a remarkably versatile tool for diagnostic and prognostic information of patients for a range of diseases, especially cardiovascular and pulmonary. With rapid advancements in technology, wearables, and learning algorithm in the last decade, its scope has evolved. Specifically, Cardiopulmonary exercise testing (CPX) is one of the most commonly used laboratory tests for objective evaluation of exercise capacity and performance levels in patients. CPX provides a non-invasive, integrative assessment of the pulmonary, cardiovascular, and skeletal muscle systems involving the measurement of gas exchanges. However, its assessment is challenging, requiring the individual to process multiple time series data points, leading to simplification to peak values and slopes. But this simplification can discard the valuable trend information present in these time series. In this work, we encode the time series as images using the Gramian Angular Field and Markov Transition Field and use it with a convolutional neural network and attention pooling approach for the classification of heart failure and metabolic syndrome patients. Using GradCAMs, we highlight the discriminative features identified by the model., Comment: Accepted in NeurIPS 2021 - MLPH Workshop; EMBC 2022. Code: https://github.com/YashSharma/MultivariateTimeSeries