A Multi-GPU Programming Library for Real-Time Applications

We present MGPU, a C++ programming library targeted at single-node multi-GPU systems. Such systems combine disproportionate floating point performance with high data locality and are thus well suited to implement real-time algorithms. We describe the library design, programming interface and implementation details in light of this specific problem domain. The core concepts of this work are a novel kind of container abstraction and MPI-like communication methods for intra-system communication. We further demonstrate how MGPU is used as a framework for porting existing GPU libraries to multi-device architectures. Putting our library to the test, we accelerate an iterative non-linear image reconstruction algorithm for real-time magnetic resonance imaging using multiple GPUs. We achieve a speed-up of about 1.7 using 2 GPUs and reach a final speed-up of 2.1 with 4 GPUs. These promising results lead us to conclude that multi-GPU systems are a viable solution for real-time MRI reconstruction as well as signal-processing applications in general.Comment: 15 pages, 10 figure

Accelerated Computing in Magnetic Resonance Imaging: Real-Time Imaging Using Nonlinear Inverse Reconstruction

Purpose. To develop generic optimization strategies for image reconstruction using graphical processing units (GPUs) in magnetic resonance imaging (MRI) and to exemplarily report on our experience with a highly accelerated implementation of the nonlinear inversion (NLINV) algorithm for dynamic MRI with high frame rates. Methods. The NLINV algorithm is optimized and ported to run on a multi-GPU single-node server. The algorithm is mapped to multiple GPUs by decomposing the data domain along the channel dimension. Furthermore, the algorithm is decomposed along the temporal domain by relaxing a temporal regularization constraint, allowing the algorithm to work on multiple frames in parallel. Finally, an autotuning method is presented that is capable of combining different decomposition variants to achieve optimal algorithm performance in different imaging scenarios. Results. The algorithm is successfully ported to a multi-GPU system and allows online image reconstruction with high frame rates. Real-time reconstruction with low latency and frame rates up to 30 frames per second is demonstrated. Conclusion. Novel parallel decomposition methods are presented which are applicable to many iterative algorithms for dynamic MRI. Using these methods to parallelize the NLINV algorithm on multiple GPUs, it is possible to achieve online image reconstruction with high frame rates

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population.The aim of this study was to inform vaccination prioritization by modelling the impact of vaccination on elective inpatient surgery. The study found that patients aged at least 70 years needing elective surgery should be prioritized alongside other high-risk groups during early vaccination programmes. Once vaccines are rolled out to younger populations, prioritizing surgical patients is advantageous