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Prediction of causal genes at GWAS loci with pleiotropic gene regulatory effects using sets of correlated instrumental variables. 利用相关工具变量集预测具有多向性基因调控效应的 GWAS 基因位点上的因果基因。
Pub Date : 2024-09-20
Mariyam Khan, Adriaan-Alexander Ludl, Sean Bankier, Johan Lm Björkegren, Tom Michoel

Multivariate Mendelian randomization (MVMR) is a statistical technique that uses sets of genetic instruments to estimate the direct causal effects of multiple exposures on an outcome of interest. At genomic loci with pleiotropic gene regulatory effects, that is, loci where the same genetic variants are associated to multiple nearby genes, MVMR can potentially be used to predict candidate causal genes. However, consensus in the field dictates that the genetic instruments in MVMR must be independent (not in linkage disequilibrium, which is usually not possible when considering a group of candidate genes from the same locus. Here we used causal inference theory to show that MVMR with correlated instruments satisfies the instrumental set condition. This is a classical result by Brito and Pearl (2002) for structural equation models that guarantees the identifiability of individual causal effects in situations where multiple exposures collectively, but not individually, separate a set of instrumental variables from an outcome variable. Extensive simulations confirmed the validity and usefulness of these theoretical results. Importantly, the causal effect estimates remained unbiased and their variance small even when instruments are highly correlated, while bias introduced by horizontal pleiotropy or LD matrix sampling error was comparable to standard MR. We applied MVMR with correlated instrumental variable sets at genome-wide significant loci for coronary artery disease (CAD) risk using expression Quantitative Trait Loci (eQTL) data from seven vascular and metabolic tissues in the STARNET study. Our method predicts causal genes at twelve loci, each associated with multiple colocated genes in multiple tissues. We confirm causal roles for PHACTR 1 and ADAMTS 7 in arterial tissues, among others. However, the extensive degree of regulatory pleiotropy across tissues and the limited number of causal variants in each locus still require that MVMR is run on a tissue-by-tissue basis, and testing all gene-tissue pairs with cis-eQTL associations at a given locus in a single model to predict causal gene-tissue combinations remains infeasible. Our results show that within tissues, MVMR with dependent, as opposed to independent, sets of instrumental variables significantly expands the scope for predicting causal genes in disease risk loci with pleiotropic regulatory effects. However, considering risk loci with regulatory pleiotropy that also spans across tissues remains an unsolved problem.

多变量孟德尔随机化(Multivariate Mendelian randomization,MVMR)是一种统计技术,它利用成套的遗传工具来估计多种暴露因素对相关结果的直接因果效应。在具有多向基因调控效应的基因组位点上,即相同的基因变异与附近多个基因相关的位点上,MVMR 可用于预测候选因果基因。然而,该领域的共识是 MVMR 中的遗传工具必须是独立的,而在考虑来自同一基因座的一组候选基因时,这通常是不可能的。我们利用因果推理理论证明,具有相关工具的 MVMR 满足工具集条件。这是 Brito 和 Pearl(2002 年)针对结构方程模型得出的经典结果,它保证了在多重暴露共同而非单独地将一组工具变量与结果变量分开的情况下,因果效应的可识别性。广泛的模拟证实了这些理论结果的有效性和实用性,即使样本量不大。重要的是,当工具高度相关时,因果效应估计值仍然是无偏的,其方差也很小。我们利用 STARNET 研究的 eQTL 数据,将 MVMR 应用于冠心病全基因组关联研究(GWAS)风险位点的相关工具变量集。我们的方法预测了 12 个位点的因果基因,每个位点都与多个组织中的多个共位基因相关。然而,由于各组织间存在大量的调控多效性,而每个位点的因果变异体数量有限,因此 MVMR 仍需按组织逐一运行,在单一模型中测试给定位点的所有基因-组织对以预测因果基因-组织组合仍不可行。
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引用次数: 0
Cross-domain Fiber Cluster Shape Analysis for Language Performance Cognitive Score Prediction. 用于语言成绩认知分数预测的跨域纤维聚类形状分析。
Pub Date : 2024-09-18
Yui Lo, Yuqian Chen, Dongnan Liu, Wan Liu, Leo Zekelman, Fan Zhang, Yogesh Rathi, Nikos Makris, Alexandra J Golby, Weidong Cai, Lauren J O'Donnell

Shape plays an important role in computer graphics, offering informative features to convey an object's morphology and functionality. Shape analysis in brain imaging can help interpret structural and functionality correlations of the human brain. In this work, we investigate the shape of the brain's 3D white matter connections and its potential predictive relationship to human cognitive function. We reconstruct brain connections as sequences of 3D points using diffusion magnetic resonance imaging (dMRI) tractography. To describe each connection, we extract 12 shape descriptors in addition to traditional dMRI connectivity and tissue microstructure features. We introduce a novel framework, Shape--fused Fiber Cluster Transformer (SFFormer), that leverages a multi-head cross-attention feature fusion module to predict subject-specific language performance based on dMRI tractography. We assess the performance of the method on a large dataset including 1065 healthy young adults. The results demonstrate that both the transformer-based SFFormer model and its inter/intra feature fusion with shape, microstructure, and connectivity are informative, and together, they improve the prediction of subject-specific language performance scores. Overall, our results indicate that the shape of the brain's connections is predictive of human language function.

形状在计算机图形学中扮演着重要角色,它提供了传达物体形态和功能的信息特征。大脑成像中的形状分析有助于解释人脑结构和功能的相关性。在这项工作中,我们研究了大脑三维白质连接的形状及其与人类认知功能的潜在预测关系。我们利用扩散磁共振成像(dMRI)束成像技术将大脑连接重建为三维点序列。为了描述每个连接,除了传统的 dMRI 连接和组织微结构特征外,我们还提取了 12 个形状描述符。我们引入了一个新颖的框架--形状融合纤维簇变换器(SFFormer),该框架利用多头交叉注意特征融合模块,根据 dMRI 牵引成像预测特定主题的语言表达能力。我们在一个包括 1065 名健康年轻人的大型数据集上评估了该方法的性能。结果表明,基于变压器的 SFFormer 模型及其与形状、微观结构和连接性的内部/外部特征融合都具有信息量大的特点,它们共同提高了对特定受试者语言表达能力分数的预测。总之,我们的研究结果表明,大脑连接的形状可以预测人类的语言功能。
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引用次数: 0
A standardised open science framework for sharing and re-analysing neural data acquired to continuous stimuli. 一个标准化的开放科学框架,用于共享和重新分析连续感官刺激获得的神经数据。
Pub Date : 2024-09-16
Giovanni M Di Liberto, Aaron Nidiffer, Michael J Crosse, Nathaniel J Zuk, Stephanie Haro, Giorgia Cantisani, Martin M Winchester, Aoife Igoe, Ross McCrann, Satwik Chandra, Edmund C Lalor, Giacomo Baruzzo

Neurophysiology research has demonstrated that it is possible and valuable to investigate sensory processing in scenarios involving continuous sensory streams, such as speech and music. Over the past 10 years or so, novel analytic frameworks combined with the growing participation in data sharing has led to a surge of publicly available datasets involving continuous sensory experiments. However, open science efforts in this domain of research remain scattered, lacking a cohesive set of guidelines. This paper presents an end-to-end open science framework for the storage, analysis, sharing, and re-analysis of neural data recorded during continuous sensory experiments. We propose a data structure that builds on existing custom structures (Continuous-event Neural Data or CND), providing precise naming conventions and data types, as well as a workflow for storing and loading data in the general-purpose BIDS structure. The framework has been designed to interface with existing EEG/MEG analysis toolboxes, such as Eelbrain, NAPLib, MNE, and mTRF-Toolbox. We present guidelines by taking both the user view (rapidly re-analyse existing data) and the experimenter view (store, analyse, and share), making the process straightforward and accessible. Additionally, we introduce a web-based data browser that enables the effortless replication of published results and data re-analysis.

神经生理学研究表明,在涉及连续感觉流的场景(如语音和音乐聆听)中研究感觉处理是可能的,也是有价值的。在过去10年左右的时间里,用于分析连续感觉流的神经处理的新分析框架,加上对数据共享的日益参与,导致了涉及连续感觉实验的公开可用数据集的激增。然而,这一研究领域的开放科学努力仍然分散,缺乏一套连贯的指导方针。因此,可以获得许多数据格式和分析工具包,研究之间的兼容性有限或没有兼容性。本文提出了一个端到端的开放科学框架,用于存储、分析、共享和重新分析连续感官实验中记录的神经数据。该框架被设计为易于与现有工具箱(例如,EelBrain、NapLib、MNE、mTRF Toolbox)对接。我们通过用户视图(如何加载和快速重新分析现有数据)和实验者视图(如何存储、分析和共享)来提供指导方针。此外,我们还引入了一个基于web的数据浏览器,可以轻松复制已发布的结果和数据重新分析。在这样做的过程中,我们的目标是促进数据共享,促进透明的研究实践,同时让所有用户都能尽可能直接和方便地了解这一过程。
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引用次数: 0
Mimicking large spot-scanning radiation fields for proton FLASH preclinical studies with a robotic motion platform. 利用机器人运动平台为质子 FLASH 临床前研究模拟大光斑扫描辐射场。
Pub Date : 2024-09-14
Fada Guan, Dadi Jiang, Xiaochun Wang, Ming Yang, Kiminori Iga, Yuting Li, Lawrence Bronk, Julianna Bronk, Liang Wang, Youming Guo, Narayan Sahoo, David R Grosshans, Albert C Koong, Xiaorong R Zhu, Radhe Mohan

Previously, a synchrotron-based horizontal proton beamline (87.2 MeV) was successfully commissioned to deliver radiation doses in FLASH and conventional dose rate modes to small fields and volumes. In this study, we developed a strategy to increase the effective radiation field size using a custom robotic motion platform to automatically shift the positions of biological samples. The beam was first broadened with a thin tungsten scatterer and shaped by customized brass collimators for irradiating cell/organoid cultures in 96-well plates (a 7-mm-diameter circle) or for irradiating mice (1-cm2 square). Motion patterns of the robotic platform were written in G-code, with 9-mm spot spacing used for the 96-well plates and 10.6-mm spacing for the mice. The accuracy of target positioning was verified with a self-leveling laser system. The dose delivered in the experimental conditions was validated with EBT-XD film attached to the 96-well plate or the back of the mouse. Our film-measured dose profiles matched Monte Carlo calculations well (1D gamma pass rate >95%). The FLASH dose rates were 113.7 Gy/s for cell/organoid irradiation and 191.3 Gy/s for mouse irradiation. These promising results indicate that this robotic platform can be used to effectively increase the field size for preclinical experiments with proton FLASH.

在此之前,同步加速器水平质子束线(87.2 MeV)已成功投入使用,以 FLASH 和传统剂量率模式向小场和小体积提供辐射剂量。在这项研究中,我们开发了一种策略,利用定制的机器人运动平台自动移动生物样本的位置,以增加有效辐射场的大小。首先用一个薄钨散射器拓宽光束,然后用定制的黄铜准直器对光束进行塑形,以便照射 96 孔板中的细胞/类器官培养物(直径为 7 毫米的圆形)或照射小鼠(1 平方厘米的正方形)。机器人平台的运动模式是用 G 代码编写的,96 孔板的光斑间距为 9 毫米,小鼠的光斑间距为 10.6 毫米。目标定位的准确性由自动调平激光系统验证。通过在 96 孔板或小鼠背部粘贴 EBT-XD 薄膜,对实验条件下的剂量进行了验证。薄膜测量的剂量曲线与蒙特卡洛计算结果非常吻合(一维伽马通过率大于 95%)。细胞/类器官辐照的 FLASH 剂量率为 113.7 Gy/s,小鼠辐照的 FLASH 剂量率为 191.3 Gy/s。这些令人鼓舞的结果表明,这种机器人平台可用于有效增加质子FLASH临床前实验的磁场尺寸。
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引用次数: 0
Hyperedge Representations with Hypergraph Wavelets: Applications to Spatial Transcriptomics. 超图小波的超edge表示:空间转录组学应用。
Pub Date : 2024-09-14
Xingzhi Sun, Charles Xu, João F Rocha, Chen Liu, Benjamin Hollander-Bodie, Laney Goldman, Marcello DiStasio, Michael Perlmutter, Smita Krishnaswamy

In many data-driven applications, higher-order relationships among multiple objects are essential in capturing complex interactions. Hypergraphs, which generalize graphs by allowing edges to connect any number of nodes, provide a flexible and powerful framework for modeling such higher-order relationships. In this work, we introduce hypergraph diffusion wavelets and describe their favorable spectral and spatial properties. We demonstrate their utility for biomedical discovery in spatially resolved transcriptomics by applying the method to represent disease-relevant cellular niches for Alzheimer's disease.

在许多数据驱动型应用中,多个对象之间的高阶关系对于捕捉复杂的交互关系至关重要。超图允许边连接任意数量的节点,从而对图进行了概括,为此类高阶关系的建模提供了一个灵活而强大的框架。在这项工作中,我们介绍了超图扩散小波,并描述了其有利的频谱和空间特性。通过应用这种方法来表示阿尔茨海默病的疾病相关细胞龛,我们展示了它们在空间解析转录组学的生物医学发现中的实用性。
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引用次数: 0
A practical approach to calculating magnetic Johnson noise for precision measurements. 计算精确测量的磁性约翰逊噪声的实用方法。
Pub Date : 2024-09-13
N S Phan, S M Clayton, Y J Kim, T M Ito

Magnetic Johnson noise is an important consideration for many applications involving precision magnetometry, and its significance will only increase in the future with improvements in measurement sensitivity. The fluctuation-dissipation theorem can be utilized to derive analytic expressions for magnetic Johnson noise in certain situations. But when used in conjunction with finite element analysis tools, the combined approach is particularly powerful as it provides a practical means to calculate the magnetic Johnson noise arising from conductors of arbitrary geometry and permeability. In this paper, we demonstrate this method to be one of the most comprehensive approaches presently available to calculate thermal magnetic noise. In particular, its applicability is shown to not be limited to cases where the noise is evaluated at a point in space but also can be expanded to include cases where the magnetic field detector has a more general shape, such as a finite size loop, a gradiometer, or a detector that consists of a polarized atomic species trapped in a volume. Furthermore, some physics insights gained through studies made using this method are discussed.

磁约翰逊噪声是许多涉及精密磁力测量应用的重要考虑因素,其重要性只会随着测量灵敏度的提高而增加。在某些情况下,可以利用波动消散定理推导出磁约翰逊噪声的解析表达式。但是,当与市面上的有限元分析工具结合使用时,这种组合方法就显得尤为强大,因为它提供了一种实用的方法来计算任意几何形状和磁导率的导体所产生的磁性约翰逊噪声。在本文中,我们证明这种方法是目前可用来计算热磁噪声的最全面的方法之一。特别是,它的适用性并不局限于在空间某点评估噪声的情况,还可以扩展到包括磁场探测器具有更一般形状的情况,如有限尺寸环、梯度仪或由被困在一个体积中的极化原子物种组成的探测器。此外,还讨论了通过使用这种方法进行研究而获得的一些物理学见解。
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引用次数: 0
Adapting Machine Learning Diagnostic Models to New Populations Using a Small Amount of Data: Results from Clinical Neuroscience. 使用少量数据使机器学习诊断模型适应新人群:临床神经科学的研究成果。
Pub Date : 2024-09-13
Rongguang Wang, Guray Erus, Pratik Chaudhari, Christos Davatzikos

Machine learning (ML) is revolutionizing many areas of engineering and science, including healthcare. However, it is also facing a reproducibility crisis, especially in healthcare. ML models that are carefully constructed from and evaluated on data from one part of the population may not generalize well on data from a different population group, or acquisition instrument settings and acquisition protocols. We tackle this problem in the context of neuroimaging of Alzheimer's disease (AD), schizophrenia (SZ) and brain aging. We develop a weighted empirical risk minimization approach that optimally combines data from a source group, e.g., subjects are stratified by attributes such as sex, age group, race and clinical cohort to make predictions on a target group, e.g., other sex, age group, etc. using a small fraction (10%) of data from the target group. We apply this method to multi-source data of 15,363 individuals from 20 neuroimaging studies to build ML models for diagnosis of AD and SZ, and estimation of brain age. We found that this approach achieves substantially better accuracy than existing domain adaptation techniques: it obtains area under curve greater than 0.95 for AD classification, area under curve greater than 0.7 for SZ classification and mean absolute error less than 5 years for brain age prediction on all target groups, achieving robustness to variations of scanners, protocols, and demographic or clinical characteristics. In some cases, it is even better than training on all data from the target group, because it leverages the diversity and size of a larger training set. We also demonstrate the utility of our models for prognostic tasks such as predicting disease progression in individuals with mild cognitive impairment. Critically, our brain age prediction models lead to new clinical insights regarding correlations with neurophysiological tests. In summary, we present a relatively simple methodology, along with ample experimental evidence, supporting the good generalization of ML models to new datasets and patient cohorts.

机器学习(ML)为包括医疗保健在内的多个领域带来了巨大的变革前景。然而,它也面临着可重复性危机,尤其是在医学领域。根据训练集精心构建和评估的 ML 模型,可能无法很好地泛化来自不同患者群体或采集仪器设置和协议的数据。我们以阿尔茨海默病(AD)、精神分裂症(SZ)和脑衰老的神经成像为背景来解决这个问题。我们开发了一种加权经验风险最小化方法,该方法可优化组合来自源群体的数据,例如按性别、年龄组、种族和临床队列等属性对受试者进行分层,从而利用来自目标群体的一小部分(10%)数据对目标群体(例如其他性别、年龄组等)进行预测。我们将这种方法应用于来自 20 项神经影像研究的 15,363 个个体的多源数据,建立了用于诊断 AD 和 SZ 以及估算脑年龄的 ML 模型。我们发现,这种方法比现有的领域适应技术获得了更高的准确性:它对 AD 分类的曲线下面积大于 0.95,对 SZ 分类的曲线下面积大于 0.7,对所有目标群体的脑年龄预测的平均绝对误差小于 5 岁,实现了对扫描仪、协议、人口统计或临床特征变化的鲁棒性。在某些情况下,它甚至比在目标群体的所有数据上进行训练更好,因为它充分利用了更大训练集的多样性和规模。我们还证明了我们的模型在预后任务中的实用性,如预测轻度认知障碍患者的疾病进展。重要的是,我们的脑年龄预测模型在与神经生理学测试的相关性方面带来了新的临床见解。
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引用次数: 0
wgatools: an ultrafast toolkit for manipulating whole genome alignments. wgatools:用于操作全基因组比对的超快工具包。
Pub Date : 2024-09-13
Wenjie Wei, Songtao Gui, Jian Yang, Erik Garrison, Jianbing Yan, Hai-Jun Liu

Summary: With the rapid development of long-read sequencing technologies, the era of individual complete genomes is approaching. We have developed wgatools, a cross-platform, ultrafast toolkit that supports a range of whole genome alignment (WGA) formats, offering practical tools for conversion, processing, statistical evaluation, and visualization of alignments, thereby facilitating population-level genome analysis and advancing functional and evolutionary genomics.

Availability and implementation: wgatools supports diverse formats and can process, filter, and statistically evaluate alignments, perform alignment-based variant calling, and visualize alignments both locally and genome-wide. Built with Rust for efficiency and safe memory usage, it ensures fast performance and can handle large datasets consisting of hundreds of genomes. wgatools is published as free software under the MIT open-source license, and its source code is freely available at https://github.com/wjwei-handsome/wgatools.

随着长线程测序技术的快速发展,个体完整基因组的时代即将到来。我们开发的 wgatools 是一个跨平台的超快工具包,支持一系列全基因组比对 (WGA) 格式,为比对的转换、处理、统计评估和可视化提供了实用工具,从而促进了群体级基因组分析,推动了功能和进化基因组学的发展。可用性和实现:wgatools 支持多种格式,可以处理、过滤和统计评估排列,执行基于排列的变异调用,并可视化本地和全基因组的排列。wgatools 是根据 MIT 开源许可证发布的免费软件,其源代码可在 https://github.com/wjwei-handsome/wgatools 免费获取。联系方式:weiwenjie@westlake.edu.cn (W.W.) 或 liuhaijun@yzwlab.cn (H.-J.L.)。
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引用次数: 0
Dendrites endow artificial neural networks with accurate, robust and parameter-efficient learning. 树突赋予人工神经网络准确、稳健和参数高效的学习能力。
Pub Date : 2024-09-13
Spyridon Chavlis, Panayiota Poirazi

Artificial neural networks (ANNs) are at the core of most Deep learning (DL) algorithms that successfully tackle complex problems like image recognition, autonomous driving, and natural language processing. However, unlike biological brains who tackle similar problems in a very efficient manner, DL algorithms require a large number of trainable parameters, making them energy-intensive and prone to overfitting. Here, we show that a new ANN architecture that incorporates the structured connectivity and restricted sampling properties of biological dendrites counteracts these limitations. We find that dendritic ANNs are more robust to overfitting and outperform traditional ANNs on several image classification tasks while using significantly fewer trainable parameters. These advantages are likely the result of a different learning strategy, whereby most of the nodes in dendritic ANNs respond to multiple classes, unlike classical ANNs that strive for class-specificity. Our findings suggest that the incorporation of dendritic properties can make learning in ANNs more precise, resilient, and parameter-efficient and shed new light on how biological features can impact the learning strategies of ANNs.

人工神经网络(ANN)是大多数深度学习(DL)算法的核心,这些算法成功地解决了图像识别、自动驾驶和自然语言处理等复杂问题。然而,与以非常高效的方式解决类似问题的生物大脑不同,深度学习算法需要大量可训练参数,这使其成为能源密集型算法,并且容易出现过度拟合。在这里,我们展示了一种新的方差分析网络架构,它结合了生物树突的结构连接和受限采样特性,从而抵消了这些局限性。我们发现,树突状元模型对过拟合的鲁棒性更强,在多项图像分类任务中的表现优于传统的树突状元模型,而使用的可训练参数却少得多。这些优势很可能是不同学习策略的结果,树枝状网络中的大多数节点都能对多个类别做出响应,这与追求类别特异性的传统网络不同。我们的研究结果表明,树突特性的加入可以使自动分类法的学习更加精确、有弹性和参数效率更高,并为生物特征如何影响自动分类法的学习策略提供了新的启示。
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引用次数: 0
CTLESS: A scatter-window projection and deep learning-based transmission-less attenuation compensation method for myocardial perfusion SPECT. CTLESS:用于心肌灌注 SPECT 的散射窗投影和基于深度学习的无传输衰减补偿方法。
Pub Date : 2024-09-12
Zitong Yu, Md Ashequr Rahman, Craig K Abbey, Richard Laforest, Nancy A Obuchowski, Barry A Siegel, Abhinav K Jha

Attenuation compensation (AC), while being beneficial for visual-interpretation tasks in myocardial perfusion imaging (MPI) by SPECT, typically requires the availability of a separate X-ray CT component, leading to additional radiation dose, higher costs, and potentially inaccurate diagnosis due to SPECT/CT misalignment. To address these issues, we developed a method for cardiac SPECT AC using deep learning and emission scatter-window photons without a separate transmission scan (CTLESS). In this method, an estimated attenuation map reconstructed from scatter-energy window projections is segmented into different regions using a multi-channel input multi-decoder network trained on CT scans. Pre-defined attenuation coefficients are assigned to these regions, yielding the attenuation map used for AC. We objectively evaluated this method in a retrospective study with anonymized clinical SPECT/CT stress MPI images on the clinical task of detecting defects with an anthropomorphic model observer. CTLESS yielded statistically non-inferior performance compared to a CT-based AC (CTAC) method and significantly outperformed a non-AC (NAC) method on this clinical task. Similar results were observed in stratified analyses with different sexes, defect extents and severities. The method was observed to generalize across two SPECT scanners, each with a different camera. In addition, CTLESS yielded similar performance as CTAC and outperformed NAC method on the metrics of root mean squared error and structural similarity index measure. Moreover, as we reduced the training dataset size, CTLESS yielded relatively stable AUC values and generally outperformed another DL-based AC method that directly estimated the attenuation coefficient within each voxel. These results demonstrate the capability of the CTLESS method for transmission-less AC in SPECT and motivate further clinical evaluation.

衰减补偿(AC)虽然有利于通过 SPECT 进行心肌灌注成像(MPI)的视觉解读任务,但通常需要单独的 X 射线 CT 组件,从而导致额外的辐射剂量、更高的成本,并可能因 SPECT/CT 错位而导致诊断不准确。为了解决这些问题,我们开发了一种使用深度学习和发射散射窗光子的心脏 SPECT AC 方法,无需单独的透射扫描(CTLESS)。在这种方法中,利用在 CT 扫描上训练的多通道输入多解码器网络,将从散射能量窗投影重建的估计衰减图分割成不同的区域。将预先确定的衰减系数分配给这些区域,得到用于 AC 的衰减图。在一项回顾性研究中,我们使用匿名临床 SPECT/CT 应力 MPI 图像对该方法进行了客观评估,该图像是通过拟人模型观察者检测缺陷的临床任务。与基于 CT 的 AC(CTAC)方法相比,CTLESS 在统计学上的表现并不逊色,而且在这项临床任务中的表现明显优于非 AC(NAC)方法。在对不同性别、缺陷范围和严重程度进行分层分析时,也观察到了类似的结果。据观察,该方法适用于两台 SPECT 扫描仪,每台扫描仪都配有不同的摄像头。此外,CTLESS 的性能与 CTAC 相似,在均方根误差和结构相似性指数测量指标上优于 NAC 方法。此外,随着训练数据集规模的缩小,CTLESS 的 AUC 值也相对稳定,总体上优于另一种基于 DL 的 AC 方法(该方法直接估计每个体素内的衰减系数)。这些结果证明了CTLESS方法在SPECT无透射AC方面的能力,并推动了进一步的临床评估。
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