Past alcohol consumption and incident atrial fibrillation: The Atherosclerosis Risk in Communities (ARIC) Study.

BackgroundAlthough current alcohol consumption is a risk factor for incident atrial fibrillation (AF), the more clinically relevant question may be whether alcohol cessation is associated with a reduced risk.Methods and resultsWe studied participants enrolled in the Atherosclerosis Risk in Communities Study (ARIC) between 1987 and 1989 without prevalent AF. Past and current alcohol consumption were ascertained at baseline and at 3 subsequent visits. Incident AF was ascertained via study ECGs, hospital discharge ICD-9 codes, and death certificates. Of 15,222 participants, 2,886 (19.0%) were former drinkers. During a median follow-up of 19.7 years, there were 1,631 cases of incident AF, 370 occurring in former consumers. Former drinkers had a higher rate of AF compared to lifetime abstainers and current drinkers. After adjustment for potential confounders, every decade abstinent from alcohol was associated with an approximate 20% (95% CI 11-28%) lower rate of incident AF; every additional decade of past alcohol consumption was associated with a 13% (95% CI 3-25%) higher rate of AF; and every additional drink per day during former drinking was associated with a 4% (95% CI 0-8%) higher rate of AF.ConclusionsAmong former drinkers, the number of years of drinking and the amount of alcohol consumed may each confer an increased risk of AF. Given that a longer duration of abstinence was associated with a decreased risk of AF, earlier modification of alcohol use may have a greater influence on AF prevention

Dynamic MLP for MRI Reconstruction

As convolutional neural networks (CNN) become the most successful reconstruction technique for accelerated Magnetic Resonance Imaging (MRI), CNN reaches its limit on image quality especially in sharpness. Further improvement on image quality often comes at massive computational costs, hindering their practicability in the clinic setting. MRI reconstruction is essentially a deconvolution problem, which demands long-distance information that is difficult to be captured by CNNs with small convolution kernels. The multi-layer perceptron (MLP) is able to model such long-distance information, but it restricts a fixed input size while the reconstruction of images in flexible resolutions is required in the clinic setting. In this paper, we proposed a hybrid CNN and MLP reconstruction strategy, featured by dynamic MLP (dMLP) that accepts arbitrary image sizes. Experiments were conducted using 3D multi-coil MRI. Our results suggested the proposed dMLP can improve image sharpness compared to its pure CNN counterpart, while costing minor additional GPU memory and computation time. We further compared the proposed dMLP with CNNs using large kernels and studied pure MLP-based reconstruction using a stack of 1D dMLPs, as well as its CNN counterpart using only 1D convolutions. We observed the enlarged receptive field has noticeably improved image quality, while simply using CNN with a large kernel leads to difficulties in training. Noticeably, the pure MLP-based method has been outperformed by CNN-involved methods, which matches the observations in other computer vision tasks for natural images