Search

Septic cardiomyopathy (SCM) is characterized by an abnormal inflammatory response and increased mortality. The role of efferocytosis in SCM is not well understood. We used integrated multi-omics analysis to explore the clinical and genetic roles of efferocytosis in SCM. We identified six module genes (ATP11C, CD36, CEBPB, MAPK3, MAPKAPK2, PECAM1) strongly associated with SCM, leading to an accurate predictive model. Subgroups defined by EFFscore exhibited distinct clinical features and immune infiltration levels. Survival analysis showed that the C1 subtype with a lower EFFscore had better survival outcomes. scRNA-seq analysis of peripheral blood mononuclear cells (PBMCs) from sepsis patients identified four genes (CEBPB, CD36, PECAM1, MAPKAPK2) associated with high EFFscores, highlighting their role in SCM. Molecular docking confirmed interactions between diagnostic genes and tamibarotene. Experimental validation supported our computational results. In conclusion, our study identifies a novel efferocytosis-related SCM subtype and diagnostic biomarkers, offering new insights for clinical diagnosis and therapy., Competing Interests: Declaration of competing interest The authors have declared that no competing interest exists., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Glioblastoma (GBM) is the most malignant and lethal intracranial tumor, with extremely limited treatment options. Immunotherapy has been widely studied in GBM, but none can significantly prolong the overall survival (OS) of patients without selection. Considering that GBM cancer stem cells (CSCs) play a non-negligible role in tumorigenesis and chemoradiotherapy resistance, we proposed a novel stemness-based classification of GBM and screened out certain population more responsive to immunotherapy. The one-class logistic regression algorithm was used to calculate the stemness index (mRNAsi) of 518 GBM patients from The Cancer Genome Atlas (TCGA) database based on transcriptomics of GBM and pluripotent stem cells. Based on their stemness signature, GBM patients were divided into two subtypes via consensus clustering, and patients in Stemness Subtype I presented significantly better OS but poorer progression-free survival than Stemness Subtype II. Genomic variations revealed patients in Stemness Subtype I had higher somatic mutation loads and copy number alteration burdens. Additionally, two stemness subtypes had distinct tumor immune microenvironment patterns. Tumor Immune Dysfunction and Exclusion and subclass mapping analysis further demonstrated patients in Stemness Subtype I were more likely to respond to immunotherapy, especially anti-PD1 treatment. The pRRophetic algorithm also indicated patients in Stemness Subtype I were more resistant to temozolomide therapy. Finally, multiple machine learning algorithms were used to develop a 7-gene Stemness Subtype Predictor, which were further validated in two external independent GBM cohorts. This novel stemness-based classification could provide a promising prognostic predictor for GBM and may guide physicians in selecting potential responders for preferential use of immunotherapy., (© The Author(s) 2021. Published by Oxford University Press.)

Objective: Facial changes are common among nearly all acromegalic patients. As they develop slowly, patients often fail to notice such changes before they become obvious. Consequently, diagnosis and treatment are often delayed. So far, convenient and accurate early detection of this disease is still unavailable. This study is designed to combine the use of 3D imaging and machine learning techniques in facial feature analysis and identification of acromegalic patients, in an effort to ascertain how both techniques performed in terms of applicability and value in the early detection of the disease. Methods: One hundred and twenty-four participants including 62 patients with acromegaly and 62 matched controls were enrolled. Using three-dimensional imaging techniques, 58 facial parameters were measured on each face. A two-way analysis of variance (ANOVA) and a post-hoc t -tests were conducted to examine the variations of these parameters with disease status and gender. Using linear discriminant analysis (LDA), we further distinguished patients from controls, characterized what combinations of the parameters could best predict disease state and their relative contributions. Results: Patients are significantly different from normal subjects in many variables, and facial changes of male patients are more significant than female ones. Both male and female patients present following major changes: the increase of facial length and breadth, the widening and elevation of the nose, the thickening of vermilion and the enlargement of the mandible. Facial variables which strongly related to the pathological states can be used to predict the morbid state with high accuracy (prediction accuracies 92.86% in females, p < 0.0001 and 75% in males, p < 0.001). We have further testified that only a few variables play a vital role in disease prediction and the vital combination of variables vary with gender. Conclusions: Three-dimensional imaging enables comprehensive and accurate quantification of facial characteristics, which makes it a promising technique to investigate facial features of acromegalic patients. In combination with machine learning technique, patients can be accurately identified and predicted by their facial variables. This approach might be beneficial for the early detection of acromegalic patients and timely consultation to improve their outcomes., (Copyright © 2020 Meng, Guo, Lian, Deng, Gao, Wang, Huang, Wang, Long and Xing.)

As the optical lenses for cameras always have limited depth of field, the captured images with the same scene are not all in focus. Multifocus image fusion is an efficient technology that can synthesize an all-in-focus image using several partially focused images. Previous methods have accomplished the fusion task in spatial or transform domains. However, fusion rules are always a problem in most methods. In this letter, from the aspect of focus region detection, we propose a novel multifocus image fusion method based on a fully convolutional network (FCN) learned from synthesized multifocus images. The primary novelty of this method is that the pixel-wise focus regions are detected through a learning FCN, and the entire image, not just the image patches, are exploited to train the FCN. First, we synthesize 4500 pairs of multifocus images by repeatedly using a gaussian filter for each image from PASCAL VOC 2012, to train the FCN. After that, a pair of source images is fed into the trained FCN, and two score maps indicating the focus property are generated. Next, an inversed score map is averaged with another score map to produce an aggregative score map, which take full advantage of focus probabilities in two score maps. We implement the fully connected conditional random field (CRF) on the aggregative score map to accomplish and refine a binary decision map for the fusion task. Finally, we exploit the weighted strategy based on the refined decision map to produce the fused image. To demonstrate the performance of the proposed method, we compare its fused results with several start-of-the-art methods not only on a gray data set but also on a color data set. Experimental results show that the proposed method can achieve superior fusion performance in both human visual quality and objective assessment.

Optical coherence tomography (OCT) is a new intravascular imaging technique with high resolution and could provide accurate morphological information for plaques in coronary arteries. However, its segmentation is still commonly performed manually by experts which is time-consuming. The aim of this study was to develop automatic techniques to characterize plaque components and quantify plaque cap thickness using 3 machine learning methods including convolutional neural network (CNN) with U-Net architecture, CNN with Fully convolutional DenseNet (FC-DenseNet) architecture and support vector machine (SVM). In vivo OCT and intravascular ultrasound (IVUS) images were acquired from two patients at Emory University with informed consent obtained. Eighteen OCT image slices which included lipid core and with acceptable image quality were selected for our study. Manual segmentation from imaging experts was used as the gold standard for model training and validation. Since OCT has limited penetration, virtual histology IVUS was combined with OCT data to improve reliability. A 3-fold cross-validation method was used for model training and validation. The overall tissue classification accuracy for the 18 slices studied (total classification database sample size was 8580096 pixels) was 96.36% and 92.72% for U-Net and FC-DenseNet, respectively. The best average prediction accuracy for lipid was 91.29% based on SVM, compared to 82.84% and 78.91% from U-Net and FC-DenseNet, respectively. The overall average accuracy (Acc) differentiating lipid and fibrous tissue were 95.58%, 92.33% and 81.84% for U-Net, FC-DenseNet and SVM, respectively. The average errors of U-Net, FC-DenseNet and SVM from the 18 slices for cap thickness quantification were 8.83%, 10.71% and 15.85%. The average relative errors of minimum cap thickness from 18 slices of U-Net, FC-DenseNet and SVM were 17.46%, 13.06% and 22.20%, respectively. To conclude, CNN-based segmentation methods can better characterize plaque compositions and quantify plaque cap thickness on OCT images and are more likely to be used in the clinical arena. Large-scale studies are needed to further develop the methods and validate our findings. [ABSTRACT FROM AUTHOR]

Introduction: The body of glioma-related literature has grown significantly over the past 25 years. Despite this growth in the amount of published research, gliomas remain one of the most intransigent cancers. The purpose of this study was to analyze the landscape of glioma-related research over the past 25 years using machine learning and text analysis. Methods: In April 2019, we downloaded glioma-related publications indexed in PubMed between 1994 and 2018. We used Python to extract the title, publication date, MeSH terms, and abstract from the metadata of each publication for bibliometric assessment. Latent Dirichlet allocation (LDA) was applied to the abstracts to identify publications' research topics with greater specificity. Results: We identified and analyzed a total of 52,625 publications in our study. We found that research on prognosis and the treatment of glioblastoma increased the most in terms of volume and rate of publications over the past 25 years. However, publications regarding clinical trials accounted for <5% of all publications considered in this study. The current research landscape covers clinical, pre-clinical, biological, and technical aspects of glioblastoma; at present, researchers appear to be less concerned with glioblastoma's psychological effects or patients' end-of-life care. Conclusion: Publication of glioma-related research has expanded rapidly over the past 25 years. Common topics include the disease's molecular background, patients' survival, and treatment outcomes; more research needs to be done on the psychological aspects of glioblastoma and end-of-life care. [ABSTRACT FROM AUTHOR]

• A random forest model for early functional outcomes following acute care after traumatic brain injury (TBI) was developed and validated. • The BI score at admission, age, use of nonsurgical treatment, neurosurgery status, and mCCI score were the top 5 prognostic predictors. • The predictive model is generalisable by using hospital discharge abstract data. • The model can inform decision-making regarding TBI patient management and facilitate health care quality assessment and resource allocation. Few studies on early functional outcomes following acute care after traumatic brain injury (TBI) are available. The aim of this study was to develop and validate a predictive model for functional outcomes at discharge for TBI patients using machine learning methods. In this retrospective study, data from 5281 TBI patients admitted for acute care who were identified in the Beijing hospital discharge abstract database were analysed. Data from 4181 patients in 52 tertiary hospitals were used for model derivation and internal validation. Data from 1100 patients in 21 secondary hospitals were used for external validation. A poor outcome was defined as a Barthel Index (BI) score ≤ 60 at discharge. Logistic regression, XGBoost, random forest, decision tree, and back propagation neural network models were used to fit classification models. Performance was evaluated by the area under the receiver operating characteristic curve (AUC), the area under the precision-recall curve (AP), calibration plots, sensitivity/recall, specificity, positive predictive value (PPV)/precision, negative predictive value (NPV) and F1-score. Compared to the other models, the random forest model demonstrated superior performance in internal validation (AUC of 0.856, AP of 0.786, and F1-score of 0.724) and external validation (AUC of 0.779, AP of 0.630, and F1-score of 0.604). The sensitivity/recall, specificity, PPV/precision, and NPV of the model were 71.8%, 69.2%, 52.2%, and 84.0%, respectively, in external validation. The BI score at admission, age, use of nonsurgical treatment, neurosurgery status, and modified Charlson Comorbidity Index were identified as the top 5 predictors for functional outcome at discharge. We established a random forest model that performed well in predicting early functional outcomes following acute care after TBI. The model has utility for informing decision-making regarding patient management and discharge planning and for facilitating health care quality assessment and resource allocation for TBI treatment. [ABSTRACT FROM AUTHOR]