physics.med-ph

arXiv:2501.01157v1 Announce Type: cross Abstract: Lung ultrasound is a growing modality in clinics for diagnosing and monitoring acute and chronic lung diseases due to its low cost and accessibility. Lung ultrasound works by emitting diagnostic pulses, receiving pressure waves and converting them into radio frequency (RF) data, which are then processed into B-mode images with beamformers for radiologists to interpret. However, unlike conventional ultrasound for soft tissue anatomical imaging, lung ultrasound interpretation is complicated by complex reverberations from the pleural interface caused by the inability of ultrasound to penetrate air. The indirect B-mode images make interpretation highly dependent on reader expertise, requiring years of training, which limits its widespread use despite its potential for high accuracy in skilled hands. To address these challenges and democratize ultrasound lung imaging as a reliable diagnostic tool, we propose LUNA, an AI model that directly reconstructs lung aeration maps from RF data, bypassing the need for traditional beamformers and indirect interpretation of B-mode images. LUNA uses a Fourier neural operator, which processes RF data efficiently in Fourier space, enabling accurate reconstruction of lung aeration maps. LUNA offers a quantitative, reader-independent alternative to traditional semi-quantitative lung ultrasound scoring methods. The development of LUNA involves synthetic and real data: We simulate synthetic data with an experimentally validated approach and scan ex vivo swine lungs as real data. Trained on abundant simulated data and fine-tuned with a small amount of real-world data, LUNA achieves robust performance, demonstrated by an aeration estimation error of 9% in ex-vivo lung scans. We demonstrate the potential of reconstructing lung aeration maps from RF data, providing a foundation for improving lung ultrasound reproducibility and diagnostic utility.

arXiv:2412.18549v1 Announce Type: cross Abstract: The collection of updated data on social contact patterns following the COVID-19 pandemic disruptions is crucial for future epidemiological assessments and evaluating non-pharmaceutical interventions (NPIs) based on physical distancing. We conducted two waves of an online survey in March 2022 and March 2023 in Italy, gathering data from a representative population sample on direct (verbal/physical interactions) and indirect (prolonged co-location in indoor spaces) contacts. Using a generalized linear mixed model, we examined determinants of individuals' total social contacts and evaluated the potential impact of work-from-home and distance learning on the transmissibility of respiratory pathogens. In-person attendance at work or school emerged as a primary driver of social contacts. Adults attending in person reported a mean of 1.69 (95% CI: 1.56-1.84) times the contacts of those staying home; among children and adolescents, this ratio increased to 2.38 (95% CI: 1.98-2.87). We estimated that suspending all non-essential work alone would marginally reduce transmissibility. However, combining distance learning for all education levels with work-from-home policies could decrease transmissibility by up to 23.7% (95% CI: 18.2%-29.0%). Extending these measures to early childcare services would yield only minimal additional benefits. These results provide useful data for modelling the transmission of respiratory pathogens in Italy after the end of the COVID-19 emergency. They also provide insights into the potential epidemiological effectiveness of social distancing interventions targeting work and school attendance, supporting considerations on the balance between the expected benefits and their heavy societal costs.

arXiv:2412.16758v1 Announce Type: cross Abstract: BACKGROUND: Radiomics provides quantitative features of pulmonary nodules (PNs) which could aid lung cancer diagnosis, but medical image acquisition variability is an obstacle to clinical application. Acquisition effects may differ between radiomic features from benign vs. malignant PNs. PURPOSE: We evaluated how to account for differences between benign and malignant PNs when correcting radiomic features' acquisition dependency. METHODS: We used 567 chest CT scans grouped as benign, malignant, or lung cancer screening (mixed benign, malignant). ComBat harmonization was applied to extracted features for variation in 4 acquisition parameters. We compared: harmonizing without distinction, harmonizing with a covariate to preserve distinctions between subgroups, and harmonizing subgroups separately. Significant ($p\le0.05$) Kruskal-Wallis tests showed whether harmonization removed acquisition dependency. A LASSO-SVM pipeline was trained on successfully harmonized features to predict malignancy. To evaluate predictive information in these features, the trained harmonization estimators and predictive model were applied to unseen test sets. Harmonization and predictive performance were assessed for 10 trials of 5-fold cross-validation. RESULTS: An average 2.1% of features (95% CI:1.9-2.4%) were acquisition-independent when harmonized without distinction, 27.3% (95% CI:25.7-28.9%) when harmonized with a covariate, and 90.9% (95% CI:90.4-91.5%) when harmonized separately. Data harmonized separately or with a covariate trained models with higher ROC-AUC for screening scans than data harmonized without distinction between benign and malignant PNs (Delong test, adjusted $p\le0.05$). CONCLUSIONS: Radiomic features of benign and malignant PNs need different corrective transformations to recover acquisition-independent distributions. This can be done by harmonizing separately or with a covariate.

arXiv:2412.16118v1 Announce Type: cross Abstract: Focused ultrasound (FUS) therapy is a promising tool for optimally targeted treatment of spinal cord injuries (SCI), offering submillimeter precision to enhance blood flow at injury sites while minimizing impact on surrounding tissues. However, its efficacy is highly sensitive to the placement of the ultrasound source, as the spinal cord's complex geometry and acoustic heterogeneity distort and attenuate the FUS signal. Current approaches rely on computer simulations to solve the governing wave propagation equations and compute patient-specific pressure maps using ultrasound images of the spinal cord anatomy. While accurate, these high-fidelity simulations are computationally intensive, taking up to hours to complete parameter sweeps, which is impractical for real-time surgical decision-making. To address this bottleneck, we propose a convolutional deep operator network (DeepONet) to rapidly predict FUS pressure fields in patient spinal cords. Unlike conventional neural networks, DeepONets are well equipped to approximate the solution operator of the parametric partial differential equations (PDEs) that govern the behavior of FUS waves with varying initial and boundary conditions (i.e., new transducer locations or spinal cord geometries) without requiring extensive simulations. Trained on simulated pressure maps across diverse patient anatomies, this surrogate model achieves real-time predictions with only a 2% loss on the test set, significantly accelerating the modeling of nonlinear physical systems in heterogeneous domains. By facilitating rapid parameter sweeps in surgical settings, this work provides a crucial step toward precise and individualized solutions in neurosurgical treatments.

arXiv:2311.15856v3 Announce Type: replace-cross Abstract: Magnetic Resonance Imaging (MRI) represents an important diagnostic modality; however, its inherently slow acquisition process poses challenges in obtaining fully-sampled $k$-space data under motion. In the absence of fully-sampled acquisitions, serving as ground truths, training deep learning algorithms in a supervised manner to predict the underlying ground truth image becomes challenging. To address this limitation, self-supervised methods have emerged as a viable alternative, leveraging available subsampled $k$-space data to train deep neural networks for MRI reconstruction. Nevertheless, these approaches often fall short when compared to supervised methods. We propose Joint Supervised and Self-supervised Learning (JSSL), a novel training approach for deep learning-based MRI reconstruction algorithms aimed at enhancing reconstruction quality in cases where target datasets containing fully-sampled $k$-space measurements are unavailable. JSSL operates by simultaneously training a model in a self-supervised learning setting, using subsampled data from the target dataset(s), and in a supervised learning manner, utilizing datasets with fully-sampled $k$-space data, referred to as proxy datasets. We demonstrate JSSL's efficacy using subsampled prostate or cardiac MRI data as the target datasets, with fully-sampled brain and knee, or brain, knee and prostate $k$-space acquisitions, respectively, as proxy datasets. Our results showcase substantial improvements over conventional self-supervised methods, validated using common image quality metrics. Furthermore, we provide theoretical motivations for JSSL and establish "rule-of-thumb" guidelines for training MRI reconstruction models. JSSL effectively enhances MRI reconstruction quality in scenarios where fully-sampled $k$-space data is not available, leveraging the strengths of supervised learning by incorporating proxy datasets.