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Self-supervised disc and cup segmentation via non-local deformable convolution and adaptive transformer 基于非局部可变形卷积和自适应变压器的自监督圆盘杯分割。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-08-09 DOI: 10.1016/j.slast.2025.100338
Wenbo Zhao , Yu Wang
Optic disc and cup segmentation is a crucial subfield of computer vision, playing a pivotal role in automated pathological image analysis. It enables precise, efficient, and automated diagnosis of ocular conditions, significantly aiding clinicians in real-world medical applications. However, due to the scarcity of medical segmentation data and the insufficient integration of global contextual information, the segmentation accuracy remains suboptimal. This issue becomes particularly pronounced in optic disc and cup cases with complex anatomical structures and ambiguous boundaries. In order to address these limitations, this paper introduces a self-supervised training strategy integrated with a newly designed network architecture to improve segmentation accuracy. Specifically,we initially propose a non-local dual deformable convolutional block,which aims to capture the irregular image patterns(i.e. boundary). Secondly,we modify the traditional vision transformer and design an adaptive K-Nearest Neighbors(KNN) transformation block to extract the global semantic context from images. Finally,an initialization strategy based on self-supervised training is proposed to reduce the burden on the network on labeled data. Comprehensive experimental evaluations demonstrate the effectiveness of our proposed method, which outperforms previous networks and achieves state-of-the-art performance,with IOU scores of 0.9577 for the optic disc and 0.8399 for the optic cup on the REFUGE dataset.
视盘杯分割是计算机视觉的一个重要分支,在病理图像自动分析中起着举足轻重的作用。它能够精确、高效和自动地诊断眼部疾病,极大地帮助临床医生在现实世界的医疗应用。然而,由于医学分割数据的缺乏和对全局上下文信息的整合不足,分割精度仍然不理想。这个问题变得特别明显视盘和杯病例复杂的解剖结构和模糊的边界。为了解决这些限制,本文引入了一种与新设计的网络架构相结合的自监督训练策略,以提高分割精度。具体来说,我们最初提出了一种非局部对偶可变形卷积块,其目的是捕获不规则的图像模式(即。边界)。其次,对传统的视觉变换进行改进,设计自适应k近邻变换块,从图像中提取全局语义上下文;最后,提出了一种基于自监督训练的初始化策略,以减轻网络对标记数据的负担。综合实验评估证明了我们提出的方法的有效性,该方法优于以前的网络,并达到了最先进的性能,在REFUGE数据集上视盘的IOU得分为0.9577,光学杯的IOU得分为0.8399。
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引用次数: 0
Life sciences discovery and technology highlights 生命科学发现和技术亮点。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-08-06 DOI: 10.1016/j.slast.2025.100340
Tal Murthy , Jamien Lim
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引用次数: 0
Nanosilver Gel, as a novel therapeutic approach, ameliorates wound healing in hand injury patients. 纳米银凝胶作为一种新的治疗方法,改善了手部损伤患者的伤口愈合。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-08-01 DOI: 10.1016/j.slast.2025.100339
Qingyu Wang, Wenyao Zhong, Xingmiao Feng

Background: In recent years, nanosilver gel has gained attention due to its excellent antimicrobial properties and wound healing effects. Meanwhile, the comprehensive care model has improved the rehabilitation environment for patients with its holistic and individualized care approach. This study aimed to investigate the promoting effects of nanosilver gel on wound healing in hand injury patients and the intervention effects of the comprehensive care model.

Methods: This study adopted a randomized controlled trial (RCT) design. A total of 120 hand injury patients admitted to the Hand Surgery Department of Beijing Jishuitan Hospital between January 2020 and January 2023 were enrolled and randomly allocated into three groups (n=40 each). The control group (C group) received standard care, experimental group A (Exp A) underwent a comprehensive nursing intervention, and experimental group B (Exp B) received additional nanosilver gel dressing treatment based on the comprehensive nursing protocol. Primary outcome measures included wound healing time, pain intensity (visual analogue scale (VAS) score), functional recovery (grip strength, hand dexterity, and range of motion), and wound healing rate.

Results: Exp group B had notably better outcomes in terms of wound healing time, pain intensity, functional recovery, and wound healing rate versus C group and Exp group A.

Conclusion: This study demonstrates that the combination of nanosilver gel and the comprehensive care model significantly improves wound healing outcomes in hand injury patients, providing a new and effective possibility for the treatment of hand injuries.

背景:近年来,纳米银凝胶因其优异的抗菌性能和伤口愈合效果而受到人们的关注。同时,综合护理模式以其整体和个性化的护理方式改善了患者的康复环境。本研究旨在探讨纳米银凝胶对手部损伤患者创面愈合的促进作用及综合护理模式的干预效果。方法采用随机对照试验(RCT)设计。选取2020年1月至2023年1月北京积水潭医院手外科收治的120例手部损伤患者,随机分为3组,每组40例。对照组(C组)给予标准护理,实验组A (Exp A)给予综合护理干预,实验组B (Exp B)在综合护理方案的基础上给予纳米银凝胶敷料治疗。主要结局指标包括伤口愈合时间、疼痛强度(视觉模拟量表(VAS)评分)、功能恢复(握力、手灵活性和活动范围)和伤口愈合率。结果:Exp B组在创面愈合时间、疼痛强度、功能恢复、创面愈合率等方面均明显优于C组和Exp a组。结论:本研究表明纳米银凝胶联合综合护理模式显著改善了手外伤患者创面愈合效果,为手外伤治疗提供了新的有效可能。
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引用次数: 0
Bio-inspired computing and Machine learning analytics for a future-oriented mental well-being 面向未来的心理健康的生物启发计算和机器学习分析。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-08-01 DOI: 10.1016/j.slast.2025.100316
Chinmay Chakraborty , Bhuvan Unhelkar , Saïd Mahmoudi
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引用次数: 0
Titanium surface functionalization with calcium-doped ZnO nanoparticles for hard tissue implant applications 钙掺杂ZnO纳米颗粒对钛表面功能化的研究
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-08-01 DOI: 10.1016/j.slast.2025.100337
Komel Tariq, Nosheen Fatima Rana, Sabah Javaid, Muneeba Khadim
Implant-associated infections remain a significant challenge in orthopaedic and dental implants because they frequently result in implant failure, extended hospital stays, reoperations, and increased healthcare costs. Studies have shown that the cost of managing orthopaedic implant infections can range from USD 30,000 to over USD 100,000 per case, depending on severity and required surgical interventions. One of the primary pathogens responsible for these infections is Staphylococcus aureus, known for its potential to make biofilms on the surfaces of implants. To address this problem, this study investigates the formation of calcium phosphate-based biomimetic coatings substituted with calcium-doped ZnO nanoparticles on titanium discs to strengthen the antibacterial properties and enhance tissue integration. The SEM analysis of discs revealed uniform and dense coating layers with negligible surface defects, indicating a strong adhesive coating on titanium discs. The biomimetic-coated titanium implants with Ca-doped ZnO NPs were then evaluated for antibacterial activity using a closed system in an in vitro biofilm model. In case of 14 days treated disc, a significant increase in the antibacterial properties was observed against (Staphylococcus aureus, p < 0.0001). These findings suggest that calcium phosphate-based biomimetic coatings, doped with calcium-doped ZnO NPs show great potential for reducing the risk for implant-associated infections and improving the success rate of implants in clinical settings.
种植体相关感染仍然是骨科和牙科种植体的一个重大挑战,因为它们经常导致种植体失败、延长住院时间、再手术和增加医疗费用。研究表明,根据严重程度和所需的手术干预措施,治疗骨科植入物感染的费用从每例3万美元到10万美元以上不等。造成这些感染的主要病原体之一是金黄色葡萄球菌,它以在植入物表面形成生物膜的潜力而闻名。为了解决这一问题,本研究研究了在钛盘上形成磷酸钙基仿生涂层,取代钙掺杂ZnO纳米颗粒,以增强抗菌性能和增强组织整合。扫描电镜分析表明,钛盘表面涂层均匀致密,表面缺陷可忽略不计,表明钛盘表面具有较强的粘结性涂层。然后在封闭系统的体外生物膜模型中评估了含ca掺杂ZnO NPs的仿生包覆钛植入物的抗菌活性。在治疗椎间盘14天的情况下,观察到对金黄色葡萄球菌的抗菌性能显著增加,p <;0.0001)。这些发现表明,掺钙ZnO纳米粒子的磷酸钙仿生涂层在降低种植体相关感染风险和提高临床种植体成功率方面具有很大的潜力。
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引用次数: 0
Literature highlights column: From the literature life sciences discovery and technology highlights 生命科学发现和技术亮点。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-08-01 DOI: 10.1016/j.slast.2025.100311
Jamien Lim , Tal Murthy
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引用次数: 0
Efficient microaneurysm segmentation in retinal images via a lightweight Attention U-Net for early DR diagnosis 应用轻型Attention U-Net对视网膜图像进行有效的微动脉瘤分割,用于早期DR诊断
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-07-28 DOI: 10.1016/j.slast.2025.100323
Muhammad Zeeshan Tahir , Xingzheng Lyu , Muhammad Nasir , Wengan He , Abeer Aljohani , Sanyuan Zhang
Diabetic Retinopathy (DR) is a complication of diabetes that can cause vision impairment and lead to permanent blindness if left undiagnosed. The increasing number of diabetic patients, coupled with a shortage of ophthalmologists, highlights the urgent need for automated screening tools for early DR diagnosis. Among the earliest and most detectable signs of DR are microaneurysms (MAs). However, detecting MAs in fundus images remains challenging due to several factors, including image quality limitations, the subtle appearance of MA features, and the wide variability in color, shape, and texture. To address these challenges, we propose a novel preprocessing pipeline that enhances the overall image quality, facilitating feature learning and improving the detection of subtle MA features in low-quality fundus images. Building on this preprocessing technique, we further develop a lightweight Attention U-Net model that significantly reduces the number of model parameters while achieving superior performance. By incorporating an attention mechanism, the model focuses on the subtle features of MAs, leading to more precise segmentation results. We evaluated our method on the IDRID dataset, achieving a sensitivity of 0.81 and specificity of 0.99, outperforming existing MA segmentation models. To validate its generalizability, we tested it on the E-Ophtha dataset, where it achieved a sensitivity of 0.59 and specificity of 0.99. Despite its lightweight design, our model demonstrates robust performance under challenging conditions such as noise and varying lighting, making it a promising tool for clinical applications and large-scale DR screening.
糖尿病视网膜病变(DR)是糖尿病的一种并发症,如果不及时诊断,可导致视力损害并导致永久性失明。糖尿病患者数量的增加,加上眼科医生的短缺,凸显了对早期DR诊断的自动筛查工具的迫切需求。微动脉瘤(MAs)是DR最早和最易检测的症状之一。然而,由于几个因素,包括图像质量限制、MA特征的微妙外观以及颜色、形状和纹理的广泛变化,检测眼底图像中的MAs仍然具有挑战性。为了解决这些挑战,我们提出了一种新的预处理管道,以提高整体图像质量,促进特征学习并改进对低质量眼底图像中细微MA特征的检测。在此预处理技术的基础上,我们进一步开发了一个轻量级的注意力U-Net模型,该模型显著减少了模型参数的数量,同时实现了卓越的性能。通过加入注意机制,该模型关注MAs的细微特征,从而获得更精确的分割结果。我们在IDRID数据集上评估了我们的方法,获得了0.81的灵敏度和0.99的特异性,优于现有的MA分割模型。为了验证其普遍性,我们在E-Ophtha数据集上对其进行了测试,其灵敏度为0.59,特异性为0.99。尽管其设计轻巧,但我们的模型在具有挑战性的条件下表现出强大的性能,例如噪音和不同的照明,使其成为临床应用和大规模DR筛查的有前途的工具。
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引用次数: 0
Explainable clinical diagnosis through unexploited yet optimized fine-tuned ConvNeXt Models for accurate monkeypox disease classification 可解释的临床诊断通过未开发但优化微调的ConvNeXt模型准确猴痘疾病分类。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-07-23 DOI: 10.1016/j.slast.2025.100336
Muhammad Waqar , Zeshan Aslam Khan , Shanzey Tariq Khawaja , Naveed Ishtiaq Chaudhary , Saadia Khan , Khalid Mehmood Cheema , Muhammad Farhan Khan , Syed Sohail Ahmed , Muhammad Asif Zahoor Raja
Deep learning (DL) has had an incredible influence on many different scientific areas over the past couple of decades. Particularly in the field of healthcare, DL strategies were able to outclass other existing methodologies in image processing. The rapid expansion of the monkeypox endemic to over 40 nations apart from Africa has prompted serious worries in the realm of public health. Given that monkeypox can have symptoms that are akin to both chickenpox and measles, early detection can be difficult. Fortunately, due to the developments in artificial intelligence approaches, it can be implemented to promptly and accurately identify monkeypox disease using visual data information. Many DL driven techniques have already been exploited in the literature for skin related issues, which have provided accurate results to some extent. These models were dependent on extensive computational and time resources due to which the real-time applicability is difficult. Rather of building and training CNNs from scratch, this study uses transfer learning (TL) technique to fine-tune pre-trained networks, particularly exploiting various versions of ConvNeXt, by substituting last layer with additional task specific ones. A number of pre-processing and data augmentation methods have also been assessed and adjusted with regard to computing time and performance. The proposed study performs the binary and multi class monkeypox disease classification task. Promising accurate results of 99.9 % on the benchmark MSLD (binary class) dataset and 94 % on the MSLD v2.0 (multi-class) dataset is obtained by fine-tuned TL-based ConvNeXtSmall and ConvNeXtBase architecture with Adafactor optimization technique, demonstrating the practicality of the suggested framework as a substitute for the current ones. The proposed model is assessed through both standard train-test split and k-fold cross validation techniques. Furthermore, performance of models is also assessed on several other metrics including recall, F1 score, precision and multiple statistical tests incorporated with explainable AI methods for better interpretability of results. The concerns regarding the real-time applicability are tackled by utilizing the less time consuming and computationally efficient networks through the exploitation of transfer learning capabilities. Moreover, the explainable findings of the proposed study will be highly valuable for the healthcare professionals to understand the decisive behavior of the model and make informed clinical decisions.
在过去的几十年里,深度学习(DL)对许多不同的科学领域产生了令人难以置信的影响。特别是在医疗保健领域,深度学习策略能够超越其他现有的图像处理方法。猴痘地方病迅速蔓延到非洲以外的40多个国家,引起了公共卫生领域的严重担忧。鉴于猴痘可能具有与水痘和麻疹相似的症状,早期发现可能很困难。幸运的是,由于人工智能方法的发展,可以利用视觉数据信息及时准确地识别猴痘疾病。许多深度学习驱动技术已经在文献中用于皮肤相关问题,这些技术在一定程度上提供了准确的结果。这些模型依赖于大量的计算资源和时间资源,实时性较差。本研究不是从头开始构建和训练cnn,而是使用迁移学习(TL)技术来微调预训练的网络,特别是利用各种版本的ConvNeXt,通过将最后一层替换为额外的任务特定层。还就计算时间和性能评估和调整了一些预处理和数据增强方法。本研究完成了二分类和多分类的猴痘疾病分类任务。利用Adafactor优化技术对基于tl的ConvNeXtSmall和ConvNeXtBase架构进行微调,在基准的MSLD(二分类)数据集上获得了99.9%的准确率,在MSLD v2.0(多分类)数据集上获得了94%的准确率,证明了所建议框架作为替代现有框架的实用性。该模型通过标准训练测试分割和k-fold交叉验证技术进行评估。此外,还对模型的性能进行了其他几个指标的评估,包括召回率、F1分数、精度和与可解释的人工智能方法相结合的多个统计测试,以更好地解释结果。通过利用迁移学习能力,利用更少的时间消耗和计算效率的网络来解决实时适用性的问题。此外,该研究的可解释的发现将对医疗保健专业人员了解模型的决定性行为和做出明智的临床决策具有很高的价值。
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引用次数: 0
BrainCNN: Automated brain tumor grading from magnetic resonance images using a convolutional neural network-based customized model BrainCNN:使用基于卷积神经网络的定制模型从磁共振图像中自动分级脑肿瘤。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-07-23 DOI: 10.1016/j.slast.2025.100334
Jing Yang , Muhammad Abubakar Siddique , Hafeez Ullah , Ghulam Gilanie , Lip Yee Por , Samah Alshathri , Walid El-Shafai , Haya Aldossary , Thippa Reddy Gadekallu
Brain tumors pose a significant risk to human life, making accurate grading essential for effective treatment planning and improved survival rates. Magnetic Resonance Imaging (MRI) plays a crucial role in this process. The objective of this study was to develop an automated brain tumor grading system utilizing deep learning techniques. A dataset comprising 293 MRI scans from patients was obtained from the Department of Radiology at Bahawal Victoria Hospital in Bahawalpur, Pakistan. The proposed approach integrates a specialized Convolutional Neural Network (CNN) with pre-trained models to classify brain tumors into low-grade (LGT) and high-grade (HGT) categories with high accuracy. To assess the model's robustness, experiments were conducted using various methods: (1) raw MRI slices, (2) MRI segments containing only the tumor area, (3) feature-extracted slices derived from the original images through the proposed CNN architecture, and (4) feature-extracted slices from tumor area-only segmented images using the proposed CNN. The MRI slices and the features extracted from them were labeled using machine learning models, including Support Vector Machine (SVM) and CNN architectures based on transfer learning, such as MobileNet, Inception V3, and ResNet-50. Additionally, a custom model was specifically developed for this research. The proposed model achieved an impressive peak accuracy of 99.45 %, with classification accuracies of 99.56 % for low-grade tumors and 99.49 % for high-grade tumors, surpassing traditional methods. These results not only enhance the accuracy of brain tumor grading but also improve computational efficiency by reducing processing time and the number of iterations required.
脑肿瘤对人类生命构成重大威胁,因此准确的分级对于有效的治疗计划和提高生存率至关重要。磁共振成像(MRI)在这一过程中起着至关重要的作用。本研究的目的是利用深度学习技术开发一个自动脑肿瘤分级系统。数据集包括来自巴基斯坦巴哈瓦尔布尔Bahawal Victoria医院放射科的293例患者的MRI扫描。该方法将专用卷积神经网络(CNN)与预训练模型相结合,以高精度地将脑肿瘤分为低级别(LGT)和高级别(HGT)两类。为了评估模型的鲁棒性,我们使用了不同的方法进行实验:(1)原始MRI切片,(2)仅包含肿瘤区域的MRI片段,(3)通过本文提出的CNN架构从原始图像中提取特征切片,以及(4)使用本文提出的CNN从仅包含肿瘤区域的分割图像中提取特征切片。使用机器学习模型对MRI切片和从中提取的特征进行标记,包括基于迁移学习的支持向量机(SVM)和CNN架构,如MobileNet、Inception V3和ResNet-50。此外,还专门为本研究开发了一个定制模型。该模型达到了令人印象深刻的99.45%的峰值准确率,对低级别肿瘤的分类准确率为99.56%,对高级别肿瘤的分类准确率为99.49%,超过了传统方法。这些结果不仅提高了脑肿瘤分级的准确性,而且通过减少处理时间和所需的迭代次数提高了计算效率。
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引用次数: 0
An integrated deep learning framework using adaptive enhanced vision fusion and modified mobilenet architecture for precision classification of skin diseases with enhanced diagnostic performance 基于自适应增强视觉融合和改进MobileNet架构的集成深度学习框架用于皮肤病的精确分类,提高诊断性能。
IF 3.7 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-07-16 DOI: 10.1016/j.slast.2025.100331
Ahsan Bilal Tariq , Muhammad Zaheer Sajid , Nauman Ali khan , Muhammad Fareed Hamid , Anwaar UlHaq , Jarrar Amjad
Due to challenges such as illumination variability, noise, and visual distortions, machine learning (ML) and deep learning (DL) approaches for skin disease evaluation remain complex. Traditional methods often neglect these issues, leading to skewed predictions and poor performance. This research leverages a diverse dataset and robust image processing techniques to enhance diagnostic accuracy under such demanding conditions. We propose Dermo-Transfer, a novel architecture that combines MobileNet with dense blocks and residual connections to improve skin disease severity classification by addressing problems such as vanishing gradients and overfitting. Our method incorporates multi-scale Retinex, gamma correction, and histogram equalization to enhance image quality and visibility. Furthermore, a quantum support vector machine (QSVM) classifier is employed to improve classification performance, providing confidence scores and effectively handling multi-class problems. The proposed approach significantly enhances diagnostic accuracy and outperforms previous models. Dermo-Transfer not only improves pattern recognition and classification accuracy but also robustly handles varying image quality and lighting conditions. Dermo-Transfer was trained on 77,314 images covering skin conditions such as molluscum, warts, eczema, psoriasis, lichen planus, seborrheic keratoses, atopic dermatitis, melanoma, basal cell carcinoma (BCC), melanocytic nevi (NV), benign keratosis, and other benign tumors. The Dermo-Transfer classification method achieved accuracies of 99 %, 98.5 %, 97.5 %, and 89 % across four datasets, demonstrating its effectiveness and potential utility for clinical diagnostics. Additionally, Dermo-Transfer outperformed SkinLesNet and MobileNet V2-LSTM in terms of classification accuracy. Experimental results also highlight how IoT devices and mobile applications can enhance the computational efficiency and practical deployment of the Dermo-Transfer model.
由于光照可变性、噪声和视觉扭曲等挑战,用于皮肤病评估的机器学习(ML)和深度学习(DL)方法仍然很复杂。传统方法往往忽略了这些问题,导致预测偏差和表现不佳。本研究利用多样化的数据集和强大的图像处理技术来提高在这种苛刻条件下的诊断准确性。我们提出了Dermo-Transfer,这是一种将MobileNet与密集块和残余连接相结合的新架构,通过解决梯度消失和过拟合等问题来改善皮肤病严重程度分类。我们的方法结合了多尺度Retinex、伽玛校正和直方图均衡化来提高图像质量和可见性。此外,采用量子支持向量机(QSVM)分类器提高分类性能,提供置信度分数并有效处理多类问题。该方法显著提高了诊断的准确性,并优于以往的模型。Dermo-Transfer不仅提高了模式识别和分类精度,而且对不同的图像质量和光照条件也有很强的处理能力。Dermo-Transfer对77314张图像进行了训练,这些图像涵盖了软疣、疣、湿疹、牛皮癣、扁平苔藓、脂溢性角化病、特应性皮炎、黑色素瘤、基底细胞癌(BCC)、黑素细胞痣(NV)、良性角化病和其他良性肿瘤等皮肤病。Dermo-Transfer分类方法在四个数据集上的准确率分别为99%、98.5%、97.5%和89%,证明了其在临床诊断中的有效性和潜在效用。此外,在分类精度方面,Dermo-Transfer优于SkinLesNet和MobileNet V2-LSTM。实验结果还强调了物联网设备和移动应用如何提高Dermo-Transfer模型的计算效率和实际部署。
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