Reconstruction of Cardiac Cine MRI under Free-breathing using Motion-guided Deformable Alignment and Multi-resolution Fusion

Objective: Cardiac cine magnetic resonance imaging (MRI) is one of the important means to assess cardiac functions and vascular abnormalities. However, due to cardiac beat, blood flow, or the patient's involuntary movement during the long acquisition, the reconstructed images are prone to motion artifacts that affect the clinical diagnosis. Therefore, accelerated cardiac cine MRI acquisition to achieve high-quality images is necessary for clinical practice. Approach: A novel end-to-end deep learning network is developed to improve cardiac cine MRI reconstruction under free breathing conditions. First, a U-Net is adopted to obtain the initial reconstructed images in k-space. Further to remove the motion artifacts, the Motion-Guided Deformable Alignment (MGDA) method with second-order bidirectional propagation is introduced to align the adjacent cine MRI frames by maximizing spatial-temporal information to alleviate motion artifacts. Finally, the Multi-Resolution Fusion (MRF) module is designed to correct the blur and artifacts generated from alignment operation and obtain the last high-quality reconstructed cardiac images. Main results: At an 8$\times$ acceleration rate, the numerical measurements on the ACDC dataset are SSIM of 78.40%$\pm$4.57%, PSNR of 30.46$\pm$1.22 dB, and NMSE of 0.0468$\pm$0.0075. On the ACMRI dataset, the results are SSIM of 87.65%$\pm$4.20%, PSNR of 30.04$\pm$1.18 dB, and NMSE of 0.0473$\pm$0.0072. Significance: The proposed method exhibits high-quality results with richer details and fewer artifacts for cardiac cine MRI reconstruction on different accelerations under free breathing conditions.Comment: 28 pages, 5 tables, 11 figure

EDMAE: An Efficient Decoupled Masked Autoencoder for Standard View Identification in Pediatric Echocardiography

This paper introduces the Efficient Decoupled Masked Autoencoder (EDMAE), a novel self-supervised method for recognizing standard views in pediatric echocardiography. EDMAE introduces a new proxy task based on the encoder-decoder structure. The EDMAE encoder is composed of a teacher and a student encoder. The teacher encoder extracts the potential representation of the masked image blocks, while the student encoder extracts the potential representation of the visible image blocks. The loss is calculated between the feature maps output by the two encoders to ensure consistency in the latent representations they extract. EDMAE uses pure convolution operations instead of the ViT structure in the MAE encoder. This improves training efficiency and convergence speed. EDMAE is pre-trained on a large-scale private dataset of pediatric echocardiography using self-supervised learning, and then fine-tuned for standard view recognition. The proposed method achieves high classification accuracy in 27 standard views of pediatric echocardiography. To further verify the effectiveness of the proposed method, the authors perform another downstream task of cardiac ultrasound segmentation on the public dataset CAMUS. The experimental results demonstrate that the proposed method outperforms some popular supervised and recent self-supervised methods, and is more competitive on different downstream tasks.Comment: 15 pages, 5 figures, 8 tables, Published in Biomedical Signal Processing and Contro

Hand, Foot, and Mouth Disease in China: critical community size and spatial vaccination strategies

Hand Foot and Mouth Disease (HFMD) constitutes a considerable burden for health care systems across China. Yet this burden displays important geographic heterogeneity that directly affects the local persistence and the dynamics of the disease, and thus the ability to control it through vaccination campaigns. Here, we use detailed geographic surveillance data and epidemic models to estimate the critical community size (CCS) of HFMD associated enterovirus serotypes CV-A16 and EV-A71 and we explore what spatial vaccination strategies may best reduce the burden of HFMD. We found CCS ranging from 336,979 (±225,866) to 722,372 (±150,562) with the lowest estimates associated with EV-A71 in the southern region of China where multiple transmission seasons have previously been identified. Our results suggest the existence of a regional immigration-recolonization dynamic driven by urban centers. If EV-A71 vaccines doses are limited, these would be optimally deployed in highly populated urban centers and in high-prevalence areas. If HFMD vaccines are included in China's National Immunization Program in order to achieve high coverage rates (>85%), routine vaccination of newborns largely outperforms strategies in which the equivalent number of doses is equally divided between routine vaccination of newborns and pulse vaccination of the community at large

Clinical Evaluation of Targeted Arterial Infusion of Verapamil in the Interventional Chemotherapy of Primary Hepatocellular Carcinoma

This study evaluates the clinical effectiveness of targeted arterial infusion of verapamil in interventional treatment of primary hepatocellular carcinoma. For this purpose, in 273 patients with middle- or late-stage primary hepatocellular carcinoma, verapamil, IL-2, and chemotherapeutic agents were infused into the target tumor vasculature through femoral artery using Seldinger technique. The medications were infused as serial dilutions, and effectiveness was evaluated after two treatment cycles. Among these 273 patients, 76 cases showed clinical cure or significant improvement, 119 cases improved, 64 cases stabilized, while 14 cases progressed or deteriorated. In 238 patients, KPS score and body weights were stabilized. Regarding side effects, 99 patients (36.3%) developed leukopenia; 160 patients had gastrointestinal reactions (58.6%); 80 patients (29.3%) presented with elevated ALT/AST profile; and 65 cases (23.8%) had pyrexia; however, these side effects abated quickly. No elevations in BUN/Cr and/or allergic reactions were observed. Pre- and post-intervention cardiac function did not change in all the patients. No significant change was observed in ECG. Liver function was also improved after two cycles of treatment. It was concluded that verapamil management via targeted arterial infusion could effectively reverse the multidrug resistance in cancer cells in primary hepatocellular carcinoma patients and therefore enhanced the efficacy of chemotherapy

The NANOGrav 15-year Data Set: Evidence for a Gravitational-Wave Background

We report multiple lines of evidence for a stochastic signal that is correlated among 67 pulsars from the 15-year pulsar-timing data set collected by the North American Nanohertz Observatory for Gravitational Waves. The correlations follow the Hellings-Downs pattern expected for a stochastic gravitational-wave background. The presence of such a gravitational-wave background with a power-law-spectrum is favored over a model with only independent pulsar noises with a Bayes factor in excess of $10^{14}$, and this same model is favored over an uncorrelated common power-law-spectrum model with Bayes factors of 200-1000, depending on spectral modeling choices. We have built a statistical background distribution for these latter Bayes factors using a method that removes inter-pulsar correlations from our data set, finding $p = 10^{-3}$ (approx. $3\sigma$) for the observed Bayes factors in the null no-correlation scenario. A frequentist test statistic built directly as a weighted sum of inter-pulsar correlations yields $p = 5 \times 10^{-5} - 1.9 \times 10^{-4}$ (approx. $3.5 - 4\sigma$). Assuming a fiducial $f^{-2/3}$ characteristic-strain spectrum, as appropriate for an ensemble of binary supermassive black-hole inspirals, the strain amplitude is $2.4^{+0.7}_{-0.6} \times 10^{-15}$ (median + 90% credible interval) at a reference frequency of 1/(1 yr). The inferred gravitational-wave background amplitude and spectrum are consistent with astrophysical expectations for a signal from a population of supermassive black-hole binaries, although more exotic cosmological and astrophysical sources cannot be excluded. The observation of Hellings-Downs correlations points to the gravitational-wave origin of this signal.Comment: 30 pages, 18 figures. Published in Astrophysical Journal Letters as part of Focus on NANOGrav's 15-year Data Set and the Gravitational Wave Background. For questions or comments, please email [email protected]

Kinematic Analysis of a 3-Axis Parallel Manipulator: The P3

This paper presents kinematic analysis of a 3-axis parallel manipulator, called P3. The P3 parallel manipulator is developed based on a 3-PRRU parallel mechanism, where P denotes prismatic pair, R revolute pair, and U universal joint. The P3 parallel manipulator can undergo two rotations and one translation without parasitic motion. First, a brief description of the P3 is presented. Then, forward and inverse kinematic solutions of the P3 are derived. Parasitic motion is discussed. The Jacobian matrix is obtained based on the velocity equations. Further, singular configurations of the P3 are identified. A special configuration where the actuation fails is also detected based on screw theory. The workspace of P3 is investigated

Gravity-Based Kinetostatic Modeling of Parallel Manipulators Using Screw Theory

Abstract The pose accuracy of parallel manipulators (PMs) is a key index to measure their performance. Establishing the gravity-based kinetostatic model of a parallel robot provides an important basis for its error composition and accuracy improvement. In this paper, a kinetostatic modeling approach that takes real gravity distribution into consideration is proposed to analyze the influence of gravity on the infinitesimal twist and actuator forces of PMs. First, the duality of the twist screw and constraint wrenches are used to derive the gravity-attached constraint wrenches independent of the external load and the limb stiffness matrix corresponding to the kinematics-based constraint wrenches. Second, the gravity model of the mechanism is established based on the screw theory and the principle of virtual work. Finally, the analytical formulas of the infinitesimal twist and the actuator force of PMs are obtained, and the influences of the external load, platform gravity, and rod gravity on the stiffness of the mechanism are decoupled. The non-overconstrained 3RPS and overconstrained 2PRU-UPR PMs are taken as examples to verify the proposed method. This research proposes a methodology to analyze the infinitesimal deformation of the mechanism under the influence of gravity