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Pediatric central nervous system tumors are the leading cause of cancer-related deaths in children. The five-year survival rate for high-grade glioma in children is less than 20%. The development of new treatments is dependent upon multi-institutional collaborative clinical trials requiring reproducible and accurate centralized response assessment. We present the results of the BraTS-PEDs 2023 challenge, the first Brain Tumor Segmentation (BraTS) challenge focused on pediatric brain tumors. This challenge utilized data acquired from multiple international consortia dedicated to pediatric neuro-oncology and clinical trials. BraTS-PEDs 2023 aimed to evaluate volumetric segmentation algorithms for pediatric brain gliomas from magnetic resonance imaging using standardized quantitative performance evaluation metrics employed across the BraTS 2023 challenges. The top-performing AI approaches for pediatric tumor analysis included ensembles of nnU-Net and Swin UNETR, Auto3DSeg, or nnU-Net with a self-supervised framework. The BraTSPEDs 2023 challenge fostered collaboration between clinicians (neuro-oncologists, neuroradiologists) and AI/imaging scientists, promoting faster data sharing and the development of automated volumetric analysis techniques. These advancements could significantly benefit clinical trials and improve the care of children with brain tumors.

The optimal control problem for open quantum systems can be formulated as a time-dependent Lindbladian that is parameterized by a number of time-dependent control variables. Given an observable and an initial state, the goal is to tune the control variables so that the expected value of some observable with respect to the final state is maximized. In this paper, we present algorithms for solving this optimal control problem efficiently, i.e., having a poly-logarithmic dependency on the system dimension, which is exponentially faster than best-known classical algorithms. Our algorithms are hybrid, consisting of both quantum and classical components. The quantum procedure simulates time-dependent Lindblad evolution that drives the initial state to the final state, and it also provides access to the gradients of the objective function via quantum gradient estimation. The classical procedure uses the gradient information to update the control variables. At the technical level, we provide the first (to the best of our knowledge) simulation algorithm for time-dependent Lindbladians with an $\ell_1$-norm dependence. As an alternative, we also present a simulation algorithm in the interaction picture to improve the algorithm for the cases where the time-independent component of a Lindbladian dominates the time-dependent part. On the classical side, we heavily adapt the state-of-the-art classical optimization analysis to interface with the quantum part of our algorithms. Both the quantum simulation techniques and the classical optimization analyses might be of independent interest., Comment: 52 pages. To appear in the proceedings of TQC 2024

The 2024 Brain Tumor Segmentation Meningioma Radiotherapy (BraTS-MEN-RT) challenge aims to advance automated segmentation algorithms using the largest known multi-institutional dataset of radiotherapy planning brain MRIs with expert-annotated target labels for patients with intact or postoperative meningioma that underwent either conventional external beam radiotherapy or stereotactic radiosurgery. Each case includes a defaced 3D post-contrast T1-weighted radiotherapy planning MRI in its native acquisition space, accompanied by a single-label "target volume" representing the gross tumor volume (GTV) and any at-risk postoperative site. Target volume annotations adhere to established radiotherapy planning protocols, ensuring consistency across cases and institutions. For preoperative meningiomas, the target volume encompasses the entire GTV and associated nodular dural tail, while for postoperative cases, it includes at-risk resection cavity margins as determined by the treating institution. Case annotations were reviewed and approved by expert neuroradiologists and radiation oncologists. Participating teams will develop, containerize, and evaluate automated segmentation models using this comprehensive dataset. Model performance will be assessed using an adapted lesion-wise Dice Similarity Coefficient and the 95% Hausdorff distance. The top-performing teams will be recognized at the Medical Image Computing and Computer Assisted Intervention Conference in October 2024. BraTS-MEN-RT is expected to significantly advance automated radiotherapy planning by enabling precise tumor segmentation and facilitating tailored treatment, ultimately improving patient outcomes., Comment: 14 pages, 9 figures, 1 table

We describe the design and results from the BraTS 2023 Intracranial Meningioma Segmentation Challenge. The BraTS Meningioma Challenge differed from prior BraTS Glioma challenges in that it focused on meningiomas, which are typically benign extra-axial tumors with diverse radiologic and anatomical presentation and a propensity for multiplicity. Nine participating teams each developed deep-learning automated segmentation models using image data from the largest multi-institutional systematically expert annotated multilabel multi-sequence meningioma MRI dataset to date, which included 1000 training set cases, 141 validation set cases, and 283 hidden test set cases. Each case included T2, T2/FLAIR, T1, and T1Gd brain MRI sequences with associated tumor compartment labels delineating enhancing tumor, non-enhancing tumor, and surrounding non-enhancing T2/FLAIR hyperintensity. Participant automated segmentation models were evaluated and ranked based on a scoring system evaluating lesion-wise metrics including dice similarity coefficient (DSC) and 95% Hausdorff Distance. The top ranked team had a lesion-wise median dice similarity coefficient (DSC) of 0.976, 0.976, and 0.964 for enhancing tumor, tumor core, and whole tumor, respectively and a corresponding average DSC of 0.899, 0.904, and 0.871, respectively. These results serve as state-of-the-art benchmarks for future pre-operative meningioma automated segmentation algorithms. Additionally, we found that 1286 of 1424 cases (90.3%) had at least 1 compartment voxel abutting the edge of the skull-stripped image edge, which requires further investigation into optimal pre-processing face anonymization steps., Comment: 16 pages, 11 tables, 10 figures, MICCAI

Pediatric tumors of the central nervous system are the most common cause of cancer-related death in children. The five-year survival rate for high-grade gliomas in children is less than 20%. Due to their rarity, the diagnosis of these entities is often delayed, their treatment is mainly based on historic treatment concepts, and clinical trials require multi-institutional collaborations. Here we present the CBTN-CONNECT-DIPGR-ASNR-MICCAI BraTS-PEDs challenge, focused on pediatric brain tumors with data acquired across multiple international consortia dedicated to pediatric neuro-oncology and clinical trials. The CBTN-CONNECT-DIPGR-ASNR-MICCAI BraTS-PEDs challenge brings together clinicians and AI/imaging scientists to lead to faster development of automated segmentation techniques that could benefit clinical trials, and ultimately the care of children with brain tumors., Comment: arXiv admin note: substantial text overlap with arXiv:2305.17033

We present quantum algorithms for sampling from non-logconcave probability distributions in the form of $\pi(x) \propto \exp(-\beta f(x))$. Here, $f$ can be written as a finite sum $f(x):= \frac{1}{N}\sum_{k=1}^N f_k(x)$. Our approach is based on quantum simulated annealing on slowly varying Markov chains derived from unadjusted Langevin algorithms, removing the necessity for function evaluations which can be computationally expensive for large data sets in mixture modeling and multi-stable systems. We also incorporate a stochastic gradient oracle that implements the quantum walk operators inexactly by only using mini-batch gradients. As a result, our stochastic gradient based algorithm only accesses small subsets of data points in implementing the quantum walk. One challenge of quantizing the resulting Markov chains is that they do not satisfy the detailed balance condition in general. Consequently, the mixing time of the algorithm cannot be expressed in terms of the spectral gap of the transition density, making the quantum algorithms nontrivial to analyze. To overcome these challenges, we first build a hypothetical Markov chain that is reversible, and also converges to the target distribution. Then, we quantified the distance between our algorithm's output and the target distribution by using this hypothetical chain as a bridge to establish the total complexity. Our quantum algorithms exhibit polynomial speedups in terms of both dimension and precision dependencies when compared to the best-known classical algorithms., Comment: 32 pages

Density-functional theory (DFT) has revolutionized computer simulations in chemistry and material science. A faithful implementation of the theory requires self-consistent calculations. However, this effort involves repeatedly diagonalizing the Hamiltonian, for which a classical algorithm typically requires a computational complexity that scales cubically with respect to the number of electrons. This limits DFT's applicability to large-scale problems with complex chemical environments and microstructures. This article presents a quantum algorithm that has a linear scaling with respect to the number of atoms, which is much smaller than the number of electrons. Our algorithm leverages the quantum singular value transformation (QSVT) to generate a quantum circuit to encode the density-matrix, and an estimation method for computing the output electron density. In addition, we present a randomized block coordinate fixed-point method to accelerate the self-consistent field calculations by reducing the number of components of the electron density that needs to be estimated. The proposed framework is accompanied by a rigorous error analysis that quantifies the function approximation error, the statistical fluctuation, and the iteration complexity. In particular, the analysis of our self-consistent iterations takes into account the measurement noise from the quantum circuit. These advancements offer a promising avenue for tackling large-scale DFT problems, enabling simulations of complex systems that were previously computationally infeasible.

The translation of AI-generated brain metastases (BM) segmentation into clinical practice relies heavily on diverse, high-quality annotated medical imaging datasets. The BraTS-METS 2023 challenge has gained momentum for testing and benchmarking algorithms using rigorously annotated internationally compiled real-world datasets. This study presents the results of the segmentation challenge and characterizes the challenging cases that impacted the performance of the winning algorithms. Untreated brain metastases on standard anatomic MRI sequences (T1, T2, FLAIR, T1PG) from eight contributed international datasets were annotated in stepwise method: published UNET algorithms, student, neuroradiologist, final approver neuroradiologist. Segmentations were ranked based on lesion-wise Dice and Hausdorff distance (HD95) scores. False positives (FP) and false negatives (FN) were rigorously penalized, receiving a score of 0 for Dice and a fixed penalty of 374 for HD95. Eight datasets comprising 1303 studies were annotated, with 402 studies (3076 lesions) released on Synapse as publicly available datasets to challenge competitors. Additionally, 31 studies (139 lesions) were held out for validation, and 59 studies (218 lesions) were used for testing. Segmentation accuracy was measured as rank across subjects, with the winning team achieving a LesionWise mean score of 7.9. Common errors among the leading teams included false negatives for small lesions and misregistration of masks in space.The BraTS-METS 2023 challenge successfully curated well-annotated, diverse datasets and identified common errors, facilitating the translation of BM segmentation across varied clinical environments and providing personalized volumetric reports to patients undergoing BM treatment.

Gliomas are the most common type of primary brain tumors. Although gliomas are relatively rare, they are among the deadliest types of cancer, with a survival rate of less than 2 years after diagnosis. Gliomas are challenging to diagnose, hard to treat and inherently resistant to conventional therapy. Years of extensive research to improve diagnosis and treatment of gliomas have decreased mortality rates across the Global North, while chances of survival among individuals in low- and middle-income countries (LMICs) remain unchanged and are significantly worse in Sub-Saharan Africa (SSA) populations. Long-term survival with glioma is associated with the identification of appropriate pathological features on brain MRI and confirmation by histopathology. Since 2012, the Brain Tumor Segmentation (BraTS) Challenge have evaluated state-of-the-art machine learning methods to detect, characterize, and classify gliomas. However, it is unclear if the state-of-the-art methods can be widely implemented in SSA given the extensive use of lower-quality MRI technology, which produces poor image contrast and resolution and more importantly, the propensity for late presentation of disease at advanced stages as well as the unique characteristics of gliomas in SSA (i.e., suspected higher rates of gliomatosis cerebri). Thus, the BraTS-Africa Challenge provides a unique opportunity to include brain MRI glioma cases from SSA in global efforts through the BraTS Challenge to develop and evaluate computer-aided-diagnostic (CAD) methods for the detection and characterization of glioma in resource-limited settings, where the potential for CAD tools to transform healthcare are more likely., Comment: arXiv admin note: text overlap with arXiv:2107.02314

Pediatric tumors of the central nervous system are the most common cause of cancer-related death in children. The five-year survival rate for high-grade gliomas in children is less than 20\%. Due to their rarity, the diagnosis of these entities is often delayed, their treatment is mainly based on historic treatment concepts, and clinical trials require multi-institutional collaborations. The MICCAI Brain Tumor Segmentation (BraTS) Challenge is a landmark community benchmark event with a successful history of 12 years of resource creation for the segmentation and analysis of adult glioma. Here we present the CBTN-CONNECT-DIPGR-ASNR-MICCAI BraTS-PEDs 2023 challenge, which represents the first BraTS challenge focused on pediatric brain tumors with data acquired across multiple international consortia dedicated to pediatric neuro-oncology and clinical trials. The BraTS-PEDs 2023 challenge focuses on benchmarking the development of volumentric segmentation algorithms for pediatric brain glioma through standardized quantitative performance evaluation metrics utilized across the BraTS 2023 cluster of challenges. Models gaining knowledge from the BraTS-PEDs multi-parametric structural MRI (mpMRI) training data will be evaluated on separate validation and unseen test mpMRI dataof high-grade pediatric glioma. The CBTN-CONNECT-DIPGR-ASNR-MICCAI BraTS-PEDs 2023 challenge brings together clinicians and AI/imaging scientists to lead to faster development of automated segmentation techniques that could benefit clinical trials, and ultimately the care of children with brain tumors.

Automated brain tumor segmentation methods have become well-established and reached performance levels offering clear clinical utility. These methods typically rely on four input magnetic resonance imaging (MRI) modalities: T1-weighted images with and without contrast enhancement, T2-weighted images, and FLAIR images. However, some sequences are often missing in clinical practice due to time constraints or image artifacts, such as patient motion. Consequently, the ability to substitute missing modalities and gain segmentation performance is highly desirable and necessary for the broader adoption of these algorithms in the clinical routine. In this work, we present the establishment of the Brain MR Image Synthesis Benchmark (BraSyn) in conjunction with the Medical Image Computing and Computer-Assisted Intervention (MICCAI) 2023. The primary objective of this challenge is to evaluate image synthesis methods that can realistically generate missing MRI modalities when multiple available images are provided. The ultimate aim is to facilitate automated brain tumor segmentation pipelines. The image dataset used in the benchmark is diverse and multi-modal, created through collaboration with various hospitals and research institutions., Comment: Technical report of BraSyn

A myriad of algorithms for the automatic analysis of brain MR images is available to support clinicians in their decision-making. For brain tumor patients, the image acquisition time series typically starts with a scan that is already pathological. This poses problems, as many algorithms are designed to analyze healthy brains and provide no guarantees for images featuring lesions. Examples include but are not limited to algorithms for brain anatomy parcellation, tissue segmentation, and brain extraction. To solve this dilemma, we introduce the BraTS 2023 inpainting challenge. Here, the participants' task is to explore inpainting techniques to synthesize healthy brain scans from lesioned ones. The following manuscript contains the task formulation, dataset, and submission procedure. Later it will be updated to summarize the findings of the challenge. The challenge is organized as part of the BraTS 2023 challenge hosted at the MICCAI 2023 conference in Vancouver, Canada., Comment: 5 pages, 1 figure

Meningiomas are the most common primary intracranial tumor in adults and can be associated with significant morbidity and mortality. Radiologists, neurosurgeons, neuro-oncologists, and radiation oncologists rely on multiparametric MRI (mpMRI) for diagnosis, treatment planning, and longitudinal treatment monitoring; yet automated, objective, and quantitative tools for non-invasive assessment of meningiomas on mpMRI are lacking. The BraTS meningioma 2023 challenge will provide a community standard and benchmark for state-of-the-art automated intracranial meningioma segmentation models based on the largest expert annotated multilabel meningioma mpMRI dataset to date. Challenge competitors will develop automated segmentation models to predict three distinct meningioma sub-regions on MRI including enhancing tumor, non-enhancing tumor core, and surrounding nonenhancing T2/FLAIR hyperintensity. Models will be evaluated on separate validation and held-out test datasets using standardized metrics utilized across the BraTS 2023 series of challenges including the Dice similarity coefficient and Hausdorff distance. The models developed during the course of this challenge will aid in incorporation of automated meningioma MRI segmentation into clinical practice, which will ultimately improve care of patients with meningioma.

In this paper, we present efficient quantum algorithms that are exponentially faster than classical algorithms for solving the quantum optimal control problem. This problem involves finding the control variable that maximizes a physical quantity at time $T$, where the system is governed by a time-dependent Schr\"odinger equation. This type of control problem also has an intricate relation with machine learning. Our algorithms are based on a time-dependent Hamiltonian simulation method and a fast gradient-estimation algorithm. We also provide a comprehensive error analysis to quantify the total error from various steps, such as the finite-dimensional representation of the control function, the discretization of the Schr\"odinger equation, the numerical quadrature, and optimization. Our quantum algorithms require fault-tolerant quantum computers., Comment: 18 pages, 2 figures. Minor corrections. In ICML 2023

We developed a deep ensemble learning model with a radiomics spatial encoding execution for improved glioma segmentation accuracy using multi-parametric MRI (mp-MRI). This model was developed using 369 glioma patients with a 4-modality mp-MRI protocol: T1, contrast-enhanced T1 (T1-Ce), T2, and FLAIR. In each modality volume, a 3D sliding kernel was implemented across the brain to capture image heterogeneity: fifty-six radiomic features were extracted within the kernel, resulting in a 4th order tensor. Each radiomic feature can then be encoded as a 3D image volume, namely a radiomic feature map (RFM). PCA was employed for data dimension reduction and the first 4 PCs were selected. Four deep neural networks as sub-models following the U-Net architecture were trained for the segmenting of a region-of-interest (ROI): each sub-model utilizes the mp-MRI and 1 of the 4 PCs as a 5-channel input for a 2D execution. The 4 softmax probability results given by the U-net ensemble were superimposed and binarized by Otsu method as the segmentation result. Three ensemble models were trained to segment enhancing tumor (ET), tumor core (TC), and whole tumor (WT). The adopted radiomics spatial encoding execution enriches the image heterogeneity information that leads to the successful demonstration of the proposed deep ensemble model, which offers a new tool for mp-MRI based medical image segmentation.

We present an efficient quantum algorithm for simulating the dynamics of Markovian open quantum systems. The performance of our algorithm is similar to the previous state-of-the-art quantum algorithm, i.e., it scales linearly in evolution time and poly-logarithmically in inverse precision. However, our algorithm is conceptually cleaner, and it only uses simple quantum primitives without compressed encoding. Our approach is based on a novel mathematical treatment of the evolution map, which involves a higher-order series expansion based on Duhamel's principle and approximating multiple integrals using scaled Gaussian quadrature. Our method easily generalizes to simulating quantum dynamics with time-dependent Lindbladians. Furthermore, our method of approximating multiple integrals using scaled Gaussian quadrature could potentially be used to produce a more efficient approximation of time-ordered integrals, and therefore can simplify existing quantum algorithms for simulating time-dependent Hamiltonians based on a truncated Dyson series., Comment: 28 pages, various minor changes. To appear in the 50th EATCS International Colloquium on Automata, Languages and Programming (ICALP 2023)

Given a convex function $f\colon\mathbb{R}^{d}\to\mathbb{R}$, the problem of sampling from a distribution $\propto e^{-f(x)}$ is called log-concave sampling. This task has wide applications in machine learning, physics, statistics, etc. In this work, we develop quantum algorithms for sampling log-concave distributions and for estimating their normalizing constants $\int_{\mathbb{R}^d}e^{-f(x)}\mathrm{d} x$. First, we use underdamped Langevin diffusion to develop quantum algorithms that match the query complexity (in terms of the condition number $\kappa$ and dimension $d$) of analogous classical algorithms that use gradient (first-order) queries, even though the quantum algorithms use only evaluation (zeroth-order) queries. For estimating normalizing constants, these algorithms also achieve quadratic speedup in the multiplicative error $\epsilon$. Second, we develop quantum Metropolis-adjusted Langevin algorithms with query complexity $\widetilde{O}(\kappa^{1/2}d)$ and $\widetilde{O}(\kappa^{1/2}d^{3/2}/\epsilon)$ for log-concave sampling and normalizing constant estimation, respectively, achieving polynomial speedups in $\kappa,d,\epsilon$ over the best known classical algorithms by exploiting quantum analogs of the Monte Carlo method and quantum walks. We also prove a $1/\epsilon^{1-o(1)}$ quantum lower bound for estimating normalizing constants, implying near-optimality of our quantum algorithms in $\epsilon$., Comment: To appear in the proceedings of NeurIPS 2022

The projection of planar MRI data onto a spherical surface is equivalent to a nonlinear image transformation that retains global anatomical information. By incorporating this image transformation process in our proposed spherical projection-based U-Net (SPU-Net) segmentation model design, multiple independent segmentation predictions can be obtained from a single MRI. The final segmentation is the average of all available results, and the variation can be visualized as a pixel-wise uncertainty map. An uncertainty score was introduced to evaluate and compare the performance of uncertainty measurements. The proposed SPU-Net model was implemented on the basis of 369 glioma patients with MP-MRI scans (T1, T1-Ce, T2, and FLAIR). Three SPU-Net models were trained to segment enhancing tumor (ET), tumor core (TC), and whole tumor (WT), respectively. The SPU-Net model was compared with (1) the classic U-Net model with test-time augmentation (TTA) and (2) linear scaling-based U-Net (LSU-Net) segmentation models in terms of both segmentation accuracy (Dice coefficient, sensitivity, specificity, and accuracy) and segmentation uncertainty (uncertainty map and uncertainty score). The developed SPU-Net model successfully achieved low uncertainty for correct segmentation predictions (e.g., tumor interior or healthy tissue interior) and high uncertainty for incorrect results (e.g., tumor boundaries). This model could allow the identification of missed tumor targets or segmentation errors in U-Net. Quantitatively, the SPU-Net model achieved the highest uncertainty scores for three segmentation targets (ET/TC/WT): 0.826/0.848/0.936, compared to 0.784/0.643/0.872 using the U-Net with TTA and 0.743/0.702/0.876 with the LSU-Net (scaling factor = 2). The SPU-Net also achieved statistically significantly higher Dice coefficients, underscoring the improved segmentation accuracy., Comment: 31 pages, 9 figures, 1 table

A promising avenue for the preparation of Gibbs states on a quantum computer is to simulate the physical thermalization process. The Davies generator describes the dynamics of an open quantum system that is in contact with a heat bath. Crucially, it does not require simulation of the heat bath itself, only the system we hope to thermalize. Using the state-of-the-art techniques for quantum simulation of the Lindblad equation, we devise a technique for the preparation of Gibbs states via thermalization as specified by the Davies generator. In doing so, we encounter a severe technical challenge: implementation of the Davies generator demands the ability to estimate the energy of the system unambiguously. That is, each energy of the system must be deterministically mapped to a unique estimate. Previous work showed that this is only possible if the system satisfies an unphysical 'rounding promise' assumption. We solve this problem by engineering a random ensemble of rounding promises that simultaneously solves three problems: First, each rounding promise admits preparation of a 'promised' thermal state via a Davies generator. Second, these Davies generators have a similar mixing time as the ideal Davies generator. Third, the average of these promised thermal states approximates the ideal thermal state., Comment: Accepted in Quantum

Purpose: To develop a novel deep-learning model that integrates radiomics analysis in a multi-dimensional feature fusion workflow for glioblastoma (GBM) post-resection survival prediction. Methods: A cohort of 235 GBM patients with complete surgical resection was divided into short-term/long-term survival groups with 1-yr survival time threshold. Each patient received a pre-surgery multi-parametric MRI exam, and three tumor subregions were segmented by neuroradiologists. The developed model comprises three data source branches: in the 1st radiomics branch, 456 radiomics features (RF) were from each patient; in the 2nd deep learning branch, an encoding neural network architecture was trained for survival group prediction using each single MR modality, and high-dimensional parameters of the last two network layers were extracted as deep features (DF). The extracted radiomics features and deep features were processed by a feature selection procedure to reduce dimension size of each feature space. In the 3rd branch, non-image-based patient-specific clinical features (PSCF) were collected. Finally, data sources from all three branches were fused as an integrated input for a supporting vector machine (SVM) execution for survival group prediction. Different strategies of model design, including 1) 2D/3D-based image analysis, and 2) different data source combinations in SVM input design, were investigated in comparison studies. Results: The model achieved 0.638 prediction accuracy when using PSCF only, which was higher than the results using RF or DF only in both 2D and 3D analysis. The joint use of RF/PSCF improved accuracy results to 0.681 in 3D analysis. The most accurate models in 2D/3D analysis reached the highest accuracy 0.745 with different combinations of RF/DF/ PSCF, and the corresponding ROC AUC results were 0.69(2D) and 0.71(3D), respectively.

Purpose: To develop a neural ordinary differential equation (ODE) model for visualizing deep neural network (DNN) behavior during multi-parametric MRI (mp-MRI) based glioma segmentation as a method to enhance deep learning explainability. Methods: By hypothesizing that deep feature extraction can be modeled as a spatiotemporally continuous process, we designed a novel deep learning model, neural ODE, in which deep feature extraction was governed by an ODE without explicit expression. The dynamics of 1) MR images after interactions with DNN and 2) segmentation formation can be visualized after solving ODE. An accumulative contribution curve (ACC) was designed to quantitatively evaluate the utilization of each MRI by DNN towards the final segmentation results. The proposed neural ODE model was demonstrated using 369 glioma patients with a 4-modality mp-MRI protocol: T1, contrast-enhanced T1 (T1-Ce), T2, and FLAIR. Three neural ODE models were trained to segment enhancing tumor (ET), tumor core (TC), and whole tumor (WT). The key MR modalities with significant utilization by DNN were identified based on ACC analysis. Segmentation results by DNN using only the key MR modalities were compared to the ones using all 4 MR modalities. Results: All neural ODE models successfully illustrated image dynamics as expected. ACC analysis identified T1-Ce as the only key modality in ET and TC segmentations, while both FLAIR and T2 were key modalities in WT segmentation. Compared to the U-Net results using all 4 MR modalities, Dice coefficient of ET (0.784->0.775), TC (0.760->0.758), and WT (0.841->0.837) using the key modalities only had minimal differences without significance. Conclusion: The neural ODE model offers a new tool for optimizing the deep learning model inputs with enhanced explainability. The presented methodology can be generalized to other medical image-related deep learning applications., Comment: 30 pages, 7 figures, 2 tables

Non-Markovian open quantum systems represent the most general dynamics when the quantum system is coupled with a bath environment. The quantum dynamics arising from many important applications are non-Markovian. Although for special cases, such as Hamiltonian evolution and Lindblad evolution, quantum simulation algorithms have been extensively studied, efficient quantum simulations for the dynamics of non-Markovian open quantum systems remain underexplored. The most immediate obstacle for studying such systems is the lack of a universal succinct description of their dynamics. In this work, we fulfill the gap of studying such dynamics by 1) providing a succinct representation of the dynamics of non-Markovian open quantum systems with quantifiable error, and 2) developing an efficient quantum algorithm for simulating such dynamics with cost $O(t\, \mathrm{polylog}(t/\epsilon))$ for evolution time $t$ and precision $\epsilon$. Our derivation of the succinct representation is based on stochastic Schr\"odinger equations, which could lead to new alternatives to deal with open quantum systems as well., Comment: 39 pages, no figures. To appear in Communications in Mathematical Physics

To develop a deep-learning model that integrates radiomics analysis for enhanced performance of COVID-19 and Non-COVID-19 pneumonia detection using chest X-ray image, two deep-learning models were trained based on a pre-trained VGG-16 architecture: in the 1st model, X-ray image was the sole input; in the 2nd model, X-ray image and 2 radiomic feature maps (RFM) selected by the saliency map analysis of the 1st model were stacked as the input. Both models were developed using 812 chest X-ray images with 262/288/262 COVID-19/Non-COVID-19 pneumonia/healthy cases, and 649/163 cases were assigned as training-validation/independent test sets. In 1st model using X-ray as the sole input, the 1) sensitivity, 2) specificity, 3) accuracy, and 4) ROC Area-Under-the-Curve of COVID-19 vs Non-COVID-19 pneumonia detection were 1) 0.90$\pm$0.07 vs 0.78$\pm$0.09, 2) 0.94$\pm$0.04 vs 0.94$\pm$0.04, 3) 0.93$\pm$0.03 vs 0.89$\pm$0.03, and 4) 0.96$\pm$0.02 vs 0.92$\pm$0.04. In the 2nd model, two RFMs, Entropy and Short-Run-Emphasize, were selected with their highest cross-correlations with the saliency maps of the 1st model. The corresponding results demonstrated significant improvements (p<0.05) of COVID-19 vs Non-COVID-19 pneumonia detection: 1) 0.95$\pm$0.04 vs 0.85$\pm$0.04, 2) 0.97$\pm$0.02 vs 0.96$\pm$0.02, 3) 0.97$\pm$0.02 vs 0.93$\pm$0.02, and 4) 0.99$\pm$0.01 vs 0.97$\pm$0.02. The reduced variations suggested a superior robustness of 2nd model design.

Purpose: To develop a radiomics filtering technique for characterizing spatial-encoded regional pulmonary ventilation information on lung CT. Methods: The lung volume was segmented on 46 CT images, and a 3D sliding window kernel was implemented across the lung volume to capture the spatial-encoded image information. Fifty-three radiomic features were extracted within the kernel, resulting in a 4th order tensor object. As such, each voxel coordinate of the original lung was represented as a 53-dimensional feature vector, such that radiomic features could be viewed as feature maps within the lungs. To test the technique as a potential pulmonary ventilation biomarker, the radiomic feature maps were compared to paired functional images (Galligas PET or DTPA-SPECT) based on Spearman correlation (r) analysis. Results: The radiomic feature map GLRLM-based Run-Length Non-Uniformity and GLCOM-based Sum Average are found to be highly correlated with the functional imaging. The achieved r (median [range]) for the two features are 0.46 [0.05, 0.67] and 0.45 [0.21, 0.65] across 46 patients and 2 functional imaging modalities, respectively. Conclusions: The results provide evidence that local regions of sparsely encoded heterogeneous lung parenchyma on CT are associated with diminished radiotracer uptake and measured lung ventilation defects on PET/SPECT imaging. These findings demonstrate the potential of radiomics to serve as a complementary tool to the current lung quantification techniques and provide hypothesis-generating data for future studies., Comment: 21 pages, 3 figures, 3 tables

This paper develops a method of biologically guided deep learning for post-radiation FDG-PET image outcome prediction based on pre-radiation images and radiotherapy dose information. Based on the classic reaction-diffusion mechanism, a novel biological model was proposed using a partial differential equation that incorporates spatial radiation dose distribution as a patient-specific treatment information variable. A 7-layer encoder-decoder-based convolutional neural network (CNN) was designed and trained to learn the proposed biological model. As such, the model could generate post-radiation FDG-PET image outcome predictions with possible time-series transition from pre-radiotherapy image states to post-radiotherapy states. The proposed method was developed using 64 oropharyngeal patients with paired FDG-PET studies before and after 20Gy delivery (2Gy/daily fraction) by IMRT. In a two-branch deep learning execution, the proposed CNN learns specific terms in the biological model from paired FDG-PET images and spatial dose distribution as in one branch, and the biological model generates post-20Gy FDG-PET image prediction in the other branch. The proposed method successfully generated post-20Gy FDG-PET image outcome prediction with breakdown illustrations of biological model components. Time-series FDG-PET image predictions were generated to demonstrate the feasibility of disease response rendering. The developed biologically guided deep learning method achieved post-20Gy FDG-PET image outcome predictions in good agreement with ground-truth results. With break-down biological modeling components, the outcome image predictions could be used in adaptive radiotherapy decision-making to optimize personalized plans for the best outcome in the future., Comment: 26 pages, 5 figures

We investigate sublinear classical and quantum algorithms for matrix games, a fundamental problem in optimization and machine learning, with provable guarantees. Given a matrix $A\in\mathbb{R}^{n\times d}$, sublinear algorithms for the matrix game $\min_{x\in\mathcal{X}}\max_{y\in\mathcal{Y}} y^{\top} Ax$ were previously known only for two special cases: (1) $\mathcal{Y}$ being the $\ell_{1}$-norm unit ball, and (2) $\mathcal{X}$ being either the $\ell_{1}$- or the $\ell_{2}$-norm unit ball. We give a sublinear classical algorithm that can interpolate smoothly between these two cases: for any fixed $q\in (1,2]$, we solve the matrix game where $\mathcal{X}$ is a $\ell_{q}$-norm unit ball within additive error $\epsilon$ in time $\tilde{O}((n+d)/{\epsilon^{2}})$. We also provide a corresponding sublinear quantum algorithm that solves the same task in time $\tilde{O}((\sqrt{n}+\sqrt{d})\textrm{poly}(1/\epsilon))$ with a quadratic improvement in both $n$ and $d$. Both our classical and quantum algorithms are optimal in the dimension parameters $n$ and $d$ up to poly-logarithmic factors. Finally, we propose sublinear classical and quantum algorithms for the approximate Carath\'eodory problem and the $\ell_{q}$-margin support vector machines as applications., Comment: 16 pages, 2 figures. To appear in the Thirty-Fifth AAAI Conference on Artificial Intelligence (AAAI 2021)

Purpose: To develop an Artificial Intelligence (AI) agent for fully-automated rapid head and neck (H&N) IMRT plan generation without time-consuming inverse planning.$$$$ Methods: This AI agent was trained using a conditional Generative Adversarial Network architecture. The generator, PyraNet, is a novel Deep Learning network that implements 28 classic ResNet blocks in pyramid-like concatenations. The discriminator is a customized 4-layer DenseNet. The AI agent first generates customized 2D projections at 9 template beam angles from 3D CT volume and structures of a patient. These projections are then stacked as 4D inputs of PyraNet, from which 9 radiation fluence maps are generated simultaneously. Finally, the predicted fluence maps are imported into a commercial treatment planning system (TPS) for plan integrity checks. The AI agent was built and tested upon 231 oropharyngeal plans from a TPS plan library. Only the primary plans in the sequential boost regime were studied. A customized Harr wavelet loss was adopted for fluence map comparison. Isodose distributions in test AI plans and TPS plans were qualitatively evaluated. Key dosimetric metrics were statistically compared.$$$$ Results: All test AI plans were successfully generated. Isodose gradients outside of PTV in AI plans were comparable with TPS plans. After PTV coverage normalization, $D_{mean}$ of parotids and oral cavity in AI plans and TPS plans were comparable without statistical significance. AI plans achieved comparable $D_{max}$ at 0.01cc of brainstem and cord+5mm without clinically relevant differences, but body $D_{max}$ was higher than the TPS plan results. The AI agent needs ~3s per case to predict fluence maps.$$$$ Conclusions: The developed AI agent can generate H&N IMRT plans with satisfying dosimetry quality. With rapid and fully automated implementation, it holds great potential for clinical applications., Comment: Withdraw for internal review

Pancreas stereotactic body radiotherapy treatment planning requires planners to make sequential, time consuming interactions with the treatment planning system (TPS) to reach the optimal dose distribution. We seek to develop a reinforcement learning (RL)-based planning bot to systematically address complex tradeoffs and achieve high plan quality consistently and efficiently. The focus of pancreas SBRT planning is finding a balance between organs-at-risk sparing and planning target volume (PTV) coverage. Planners evaluate dose distributions and make planning adjustments to optimize PTV coverage while adhering to OAR dose constraints. We have formulated such interactions between the planner and the TPS into a finite-horizon RL model. First, planning status features are evaluated based on human planner experience and defined as planning states. Second, planning actions are defined to represent steps that planners would commonly implement to address different planning needs. Finally, we have derived a reward system based on an objective function guided by physician-assigned constraints. The planning bot trained itself with 48 plans augmented from 16 previously treated patients and generated plans for 24 cases in a separate validation set. All 24 bot-generated plans achieve similar PTV coverages compared to clinical plans while satisfying all clinical planning constraints. Moreover, the knowledge learned by the bot can be visualized and interpreted as consistent with human planning knowledge, and the knowledge maps learned in separate training sessions are consistent, indicating reproducibility of the learning process., Comment: 13 pages, 5 figures, and a table. Submitted to International Journal of Radiation Oncology Biology Physics

The closest pair problem is a fundamental problem of computational geometry: given a set of $n$ points in a $d$-dimensional space, find a pair with the smallest distance. A classical algorithm taught in introductory courses solves this problem in $O(n\log n)$ time in constant dimensions (i.e., when $d=O(1)$). This paper asks and answers the question of the problem's quantum time complexity. Specifically, we give an $\tilde{O}(n^{2/3})$ algorithm in constant dimensions, which is optimal up to a polylogarithmic factor by the lower bound on the quantum query complexity of element distinctness. The key to our algorithm is an efficient history-independent data structure that supports quantum interference. In $\mathrm{polylog}(n)$ dimensions, no known quantum algorithms perform better than brute force search, with a quadratic speedup provided by Grover's algorithm. To give evidence that the quadratic speedup is nearly optimal, we initiate the study of quantum fine-grained complexity and introduce the Quantum Strong Exponential Time Hypothesis (QSETH), which is based on the assumption that Grover's algorithm is optimal for CNF-SAT when the clause width is large. We show that the na\"{i}ve Grover approach to closest pair in higher dimensions is optimal up to an $n^{o(1)}$ factor unless QSETH is false. We also study the bichromatic closest pair problem and the orthogonal vectors problem, with broadly similar results., Comment: 46 pages, 3 figures, presentation improved

We present an algorithmic framework for quantum-inspired classical algorithms on close-to-low-rank matrices, generalizing the series of results started by Tang's breakthrough quantum-inspired algorithm for recommendation systems [STOC'19]. Motivated by quantum linear algebra algorithms and the quantum singular value transformation (SVT) framework of Gily\'en, Su, Low, and Wiebe [STOC'19], we develop classical algorithms for SVT that run in time independent of input dimension, under suitable quantum-inspired sampling assumptions. Our results give compelling evidence that in the corresponding QRAM data structure input model, quantum SVT does not yield exponential quantum speedups. Since the quantum SVT framework generalizes essentially all known techniques for quantum linear algebra, our results, combined with sampling lemmas from previous work, suffice to generalize all recent results about dequantizing quantum machine learning algorithms. In particular, our classical SVT framework recovers and often improves the dequantization results on recommendation systems, principal component analysis, supervised clustering, support vector machines, low-rank regression, and semidefinite program solving. We also give additional dequantization results on low-rank Hamiltonian simulation and discriminant analysis. Our improvements come from identifying the key feature of the quantum-inspired input model that is at the core of all prior quantum-inspired results: $\ell^2$-norm sampling can approximate matrix products in time independent of their dimension. We reduce all our main results to this fact, making our exposition concise, self-contained, and intuitive., Comment: 77 pages, 2 figures. v2: revised to add more connection to QSVT, improve existing results. v3: revised structure, introduction rewritten for clarity. v4: minor correction to regression result

Estimating the volume of a convex body is a central problem in convex geometry and can be viewed as a continuous version of counting. We present a quantum algorithm that estimates the volume of an $n$-dimensional convex body within multiplicative error $\epsilon$ using $\tilde{O}(n^{3}+n^{2.5}/\epsilon)$ queries to a membership oracle and $\tilde{O}(n^{5}+n^{4.5}/\epsilon)$ additional arithmetic operations. For comparison, the best known classical algorithm uses $\tilde{O}(n^{4}+n^{3}/\epsilon^{2})$ queries and $\tilde{O}(n^{6}+n^{5}/\epsilon^{2})$ additional arithmetic operations. To the best of our knowledge, this is the first quantum speedup for volume estimation. Our algorithm is based on a refined framework for speeding up simulated annealing algorithms that might be of independent interest. This framework applies in the setting of "Chebyshev cooling", where the solution is expressed as a telescoping product of ratios, each having bounded variance. We develop several novel techniques when implementing our framework, including a theory of continuous-space quantum walks with rigorous bounds on discretization error. To complement our quantum algorithms, we also prove that volume estimation requires $\Omega(\sqrt n+1/\epsilon)$ quantum membership queries, which rules out the possibility of exponential quantum speedup in $n$ and shows optimality of our algorithm in $1/\epsilon$ up to poly-logarithmic factors., Comment: 61 pages, 8 figures. v2: Quantum query complexity improved to $\tilde{O}(n^{3}+n^{2.5}/\epsilon)$ and number of additional arithmetic operations improved to $\tilde{O}(n^{5}+n^{4.5}/\epsilon)$. v3: Improved Section 4.3.3 on nondestructive mean estimation and Section 6 on quantum lower bounds; various minor changes

Semidefinite programming (SDP) is a central topic in mathematical optimization with extensive studies on its efficient solvers. In this paper, we present a proof-of-principle sublinear-time algorithm for solving SDPs with low-rank constraints; specifically, given an SDP with $m$ constraint matrices, each of dimension $n$ and rank $r$, our algorithm can compute any entry and efficient descriptions of the spectral decomposition of the solution matrix. The algorithm runs in time $O(m\cdot\mathrm{poly}(\log n,r,1/\varepsilon))$ given access to a sampling-based low-overhead data structure for the constraint matrices, where $\varepsilon$ is the precision of the solution. In addition, we apply our algorithm to a quantum state learning task as an application. Technically, our approach aligns with 1) SDP solvers based on the matrix multiplicative weight (MMW) framework by Arora and Kale [TOC '12]; 2) sampling-based dequantizing framework pioneered by Tang [STOC '19]. In order to compute the matrix exponential required in the MMW framework, we introduce two new techniques that may be of independent interest: $\bullet$ Weighted sampling: assuming sampling access to each individual constraint matrix $A_{1},\ldots,A_{\tau}$, we propose a procedure that gives a good approximation of $A=A_{1}+\cdots+A_{\tau}$. $\bullet$ Symmetric approximation: we propose a sampling procedure that gives the \emph{spectral decomposition} of a low-rank Hermitian matrix $A$. To the best of our knowledge, this is the first sampling-based algorithm for spectral decomposition, as previous works only give singular values and vectors., Comment: 37 pages, 1 figure. To appear in the Proceedings of the 45th International Symposium on Mathematical Foundations of Computer Science (MFCS 2020)

We present classical sublinear-time algorithms for solving low-rank linear systems of equations. Our algorithms are inspired by the HHL quantum algorithm for solving linear systems and the recent breakthrough by Tang of dequantizing the quantum algorithm for recommendation systems. Let $A \in \mathbb{C}^{m \times n}$ be a rank-$k$ matrix, and $b \in \mathbb{C}^m$ be a vector. We present two algorithms: a "sampling" algorithm that provides a sample from $A^{-1}b$ and a "query" algorithm that outputs an estimate of an entry of $A^{-1}b$, where $A^{-1}$ denotes the Moore-Penrose pseudo-inverse. Both of our algorithms have query and time complexity $O(\mathrm{poly}(k, \kappa, \|A\|_F, 1/\epsilon)\,\mathrm{polylog}(m, n))$, where $\kappa$ is the condition number of $A$ and $\epsilon$ is the precision parameter. Note that the algorithms we consider are sublinear time, so they cannot write and read the whole matrix or vectors. In this paper, we assume that $A$ and $b$ come with well-known low-overhead data structures such that entries of $A$ and $b$ can be sampled according to some natural probability distributions. Alternatively, when $A$ is positive semidefinite, our algorithms can be adapted so that the sampling assumption on $b$ is not required.