The Unreasonable Effectiveness of Encoder-Decoder Networks for Retinal Vessel Segmentation

We propose an encoder-decoder framework for the segmentation of blood vessels in retinal images that relies on the extraction of large-scale patches at multiple image-scales during training. Experiments on three fundus image datasets demonstrate that this approach achieves state-of-the-art results and can be implemented using a simple and efficient fully-convolutional network with a parameter count of less than 0.8M. Furthermore, we show that this framework - called VLight - avoids overfitting to specific training images and generalizes well across different datasets, which makes it highly suitable for real-world applications where robustness, accuracy as well as low inference time on high-resolution fundus images is required

LDA-based term profiles for expert finding in a political setting

A common task in many political institutions (i.e. Parliament) is to find politicians who are experts in a particular field. In order to tackle this problem, the first step is to obtain politician profiles which include their interests, and these can be automatically learned from their speeches. As a politician may have various areas of expertise, one alternative is to use a set of subprofiles, each of which covers a different subject. In this study, we propose a novel approach for this task by using latent Dirichlet allocation (LDA) to determine the main underlying topics of each political speech, and to distribute the related terms among the different topic-based subprofiles. With this objective, we propose the use of fifteen distance and similarity measures to automatically determine the optimal number of topics discussed in a document, and to demonstrate that every measure converges into five strategies: Euclidean, Dice, Sorensen, Cosine and Overlap. Our experimental results showed that the scores of the different accuracy metrics of the proposed strategies tended to be higher than those of the baselines for expert recommendation tasks, and that the use of an appropriate number of topics has proved relevant.This work has been funded by the Spanish Ministerio de Economı́a y Competitividad under projects TIN2016-77902-C3-2-P and PID2019-106758GB-C31, and the European Regional Development Fund (ERDF-FEDER)

Evaluation of prognostic risk models for postoperative pulmonary complications in adult patients undergoing major abdominal surgery: a systematic review and international external validation cohort study

Background Stratifying risk of postoperative pulmonary complications after major abdominal surgery allows clinicians to modify risk through targeted interventions and enhanced monitoring. In this study, we aimed to identify and validate prognostic models against a new consensus definition of postoperative pulmonary complications. Methods We did a systematic review and international external validation cohort study. The systematic review was done in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched MEDLINE and Embase on March 1, 2020, for articles published in English that reported on risk prediction models for postoperative pulmonary complications following abdominal surgery. External validation of existing models was done within a prospective international cohort study of adult patients (≥18 years) undergoing major abdominal surgery. Data were collected between Jan 1, 2019, and April 30, 2019, in the UK, Ireland, and Australia. Discriminative ability and prognostic accuracy summary statistics were compared between models for the 30-day postoperative pulmonary complication rate as defined by the Standardised Endpoints in Perioperative Medicine Core Outcome Measures in Perioperative and Anaesthetic Care (StEP-COMPAC). Model performance was compared using the area under the receiver operating characteristic curve (AUROCC). Findings In total, we identified 2903 records from our literature search; of which, 2514 (86·6%) unique records were screened, 121 (4·8%) of 2514 full texts were assessed for eligibility, and 29 unique prognostic models were identified. Nine (31·0%) of 29 models had score development reported only, 19 (65·5%) had undergone internal validation, and only four (13·8%) had been externally validated. Data to validate six eligible models were collected in the international external validation cohort study. Data from 11 591 patients were available, with an overall postoperative pulmonary complication rate of 7·8% (n=903). None of the six models showed good discrimination (defined as AUROCC ≥0·70) for identifying postoperative pulmonary complications, with the Assess Respiratory Risk in Surgical Patients in Catalonia score showing the best discrimination (AUROCC 0·700 [95% CI 0·683–0·717]). Interpretation In the pre-COVID-19 pandemic data, variability in the risk of pulmonary complications (StEP-COMPAC definition) following major abdominal surgery was poorly described by existing prognostication tools. To improve surgical safety during the COVID-19 pandemic recovery and beyond, novel risk stratification tools are required. Funding British Journal of Surgery Society