Background: Differentiating adrenal adenomas from metastases poses a significant challenge, particularly in patients with a history of extra-adrenal malignancy. This study investigates the performance of three-phase computed tomography (CT) based robust federal learning algorithm and traditional deep learning for distinguishing metastases from benign adrenal lesions. Material and methods: This retrospective analysis includes 1187 instances who underwent three-phase CT scans between January 2008 and March 2021, comprising 720 benign lesions and 467 metastases. Utilizing the three-phase CT images, both a Robust Federal Learning Signature (RFLS) and a traditional Deep Learning Signature (DLS) were constructed using the Least Absolute Shrinkage and Selection Operator (LASSO) logistic regression. Their diagnostic capabilities were subsequently validated and compared using metrics such as the Areas Under the Receiver Operating Curve (AUCs), Net Reclassification Improvement (NRI), and Decision Curve Analysis (DCA). Results: Compared with DLS, the RFLS showed better capability in distinguishing metastases from benign adrenal lesions (average AUC: 0.816 vs.0.798, NRI = 0.126, P < 0.072; 0.889 vs.0.838, NRI = 0.209, P < 0.001; 0.903 vs.0.825, NRI = 0.643, p < 0.001) in the four-testing cohort, respectively. DCA showed that the RFLS added more net benefit than DLS for clinical utility. Moreover, Comparison with state-of-the-art federal learning methods, the results once again confirmed that the RFLS significantly improved the diagnostic performance based on three-phase CT (AUC: AP, 0.727 vs. 0.757 vs. 0.739 vs. 0.796; PCP, 0.781 vs. 0.851 vs. 0.790 vs. 0.882; VP, 0.789 vs. 0.814 vs. 0.779 vs. 0.886). Conclusion: RFLS was superior to DLS for preoperative distinguishing metastases from benign adrenal lesions with multi-phase CT Images.

OBJECTIVES:To develop and externally validate multiphase CT-based deep learning (DL) models for differentiating adrenal metastases from benign lesions. MATERIALS AND METHODS:This retrospective two-center study included 1146 adrenal lesions from 1059 patients who underwent multiphase CT scanning between January 2008 and March 2021. The study encompassed 564 surgically confirmed adenomas, along with 135 benign lesions and 447 metastases confirmed by observation. DL models based on multiphase CT images were developed, validated and tested. The diagnostic performance of the classification models, imaging phases and radiologists with or without DL were compared using accuracy (ACC) and receiver operating characteristic (ROC) curves. Integrated discrimination improvement (IDI) analysis and the DeLong test were used to compare the area under the curve (AUC) among models. Decision curve analysis (DCA) was used to assess the clinical usefulness of the predictive models. RESULTS:The DL signature based on LASSO (DLSL) had a higher AUC than that of the other classification models (IDI > 0, P < 0.05). Furthermore, the precontrast phase (PCP)-based DLSL performed best in the independent external validation (AUC = 0.881, ACC = 82.9 %) and clinical test cohorts (AUC = 0.790, ACC = 70.4 %), outperforming DLSL based on the other single-phase or three-phase images (IDI > 0, P < 0.05). DCA demonstrated that PCP-based DLSL provided a higher net benefit (0.01-0.95). The diagnostic performance led to statistically significant improvements when radiologists incorporated the DL model, with the AUC improving by 0.056-0.159 and the ACC improving by 0.069-0.178 (P < 0.05). CONCLUSION:The DL model based on PCP CT images performed acceptably in differentiating adrenal metastases from benign lesions, and it may assist radiologists in accurate tumor staging for patients with a history of extra-adrenal malignancy.

IntroductionMotor imagery electroencephalography (MI-EEG) has significant application value in the field of rehabilitation, and is a research hotspot in the brain-computer interface (BCI) field. Due to the small training sample size of MI-EEG of a single subject and the large individual differences among different subjects, existing classification models have low accuracy and poor generalization ability in MI classification tasks. MethodsTo solve this problem, this paper proposes a electroencephalography (EEG) joint feature classification algorithm based on instance transfer and ensemble learning. Firstly, the source domain and target domain data are preprocessed, and then common space mode (CSP) and power spectral density (PSD) are used to extract spatial and frequency domain features respectively, which are combined into EEG joint features. Finally, an ensemble learning algorithm based on kernel mean matching (KMM) and transfer learning adaptive boosting (TrAdaBoost) is used to classify MI-EEG. ResultsTo validate the effectiveness of the algorithm, this paper compared and analyzed different algorithms on the BCI Competition IV Dataset 2a, and further verified the stability and effectiveness of the algorithm on the BCI Competition IV Dataset 2b. The experimental results show that the algorithm has an average accuracy of 91.5% and 83.7% on Dataset 2a and Dataset 2b, respectively, which is significantly better than other algorithms. DiscussionThe statement explains that the algorithm fully exploits EEG signals and enriches EEG features, improves the recognition of the MI signals, and provides a new approach to solving the above problem.

IntroductionElectroencephalogram (EEG)-based motor imagery (MI) classification is an important aspect in brain-computer interfaces (BCIs), which bridges between neural system and computer devices decoding brain signals into recognizable machine commands. However, due to the small number of training samples of MI electroencephalogram (MI-EEG) for a single subject and the great individual differences of MI-EEG among different subjects, the generalization and accuracy of the model on the specific MI task may be poor. MethodsTo solve these problems, an adaptive cross-subject transfer learning algorithm is proposed, which is based on kernel mean matching (KMM) and transfer learning adaptive boosting (TrAdaBoost) method. First, the common spatial pattern (CSP) is used to extract the spatial features. Then, in order to make the feature distribution more similar among different subjects, the KMM algorithm is used to compute a sample weight matrix for aligning the mean between source and target domains and reducing distribution differences among different subjects. Finally, the sample weight matrix from KMM is used as the initialization weight of TrAdaBoost, and then TrAdaBoost is used to adaptively select source domain samples that are closer to the target task distribution to assist in building a classification model. ResultsIn order to verify the effectiveness and feasibility of the proposed method, the algorithm is applied to BCI Competition IV datasets and in-house datasets. The results show that the average classification accuracy of the proposed method on the public datasets is 89.1%, and the average classification accuracy on the in-house datasets is 80.4%. DiscussionCompared with the existing methods, the proposed method effectively improves the classification accuracy of MI-EEG signals. At the same time, this paper also applies the proposed algorithm to the in-house dataset, the results verify the effectiveness of the algorithm again, and the results of this study have certain clinical guiding significance for brain rehabilitation.

Abstract Due to the low contrast, blurred boundary and intensity inhomogeneity of the images, accurate segmentation of breast cancer lesions with dynamic contrast‐enhanced magnetic resonance imaging (DCE‐MRI) still has great challenges. This paper proposed an improved active contour model (ACM) for segmenting breast cancer lesions in DCE‐MRI images. First, based on the extreme learning machine (ELM) method, a robust function is proposed that combines image intensities and time‐domain features to enhance the difference between the lesions and other tissues. Second, an edge‐stop function (ESF) is introduced by combining the image intensity, time‐domain feature, and Hessian shape index to detect the irregular and blurred boundaries. At the boundary of breast cancer lesions, the energy function of ACM is minimized and the evolution of the contour curve completes, so the accurate lesion region of breast cancer can be segmented. The mean Dice similar coefficient (DICE), Jaccard similarity (JC) and Hausdorff distance (HD) of the segmentation of the proposed model in 50 samples are 85.88±6.62%, 75.72±9.68% and 11.62±4.72 mm, respectively. The results segmented by the proposed ACM are more similar to the manual segmentation than the compared models.