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Qi Duan

Publications and source records attributed to Qi Duan.

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Development, Evaluation, and Multicenter Clinical-Trial Application of an Artificial Intelligence-Assisted MRI Method for Quantitative Knee Cartilage Morphometry

Objective: To develop and evaluate an AI-assisted MRI method for quantitative knee cartilage morphometry in a multicenter phase III knee osteoarthritis trial. Methods: AI pre-segmentation used 3D full-resolution nnU-Net. Version 1.0 used separate femorotibial- and patellar-cartilage models, whereas version 2.0 used a unified three-class model trained on gold-standard annotations. Trial images then underwent two-reader correction and third-reader adjudication. Adjudicated masks were partitioned into medial/lateral femoral and tibial cartilage plus patellar cartilage. Cartilage volume was measured in physical coordinates, mean thickness by 3D ray tracing (3D-RT), and surface area with local thickness <1.5 mm by a 3D ray-based area method (3D-RBA). Evaluation included 1,189 phase III MRI examinations, reader agreement, 20 synthetic thinning models, and a 69-participant longitudinal comparison with 3D-PMA and three comparator thickness methods. Results: Overall pre-segmentation Dice was 0.964 +/- 0.030 (median 0.970), with 78.7% achieving Dice >=0.95. Inter-reader ICCs for cartilage volume were 0.959-0.995. In the 69-participant subset, total cartilage volume increased from 14,184.366 mm^3 at V0 to 15,359.345 mm^3 at V8; 3D-RBA and 3D-PMA decreased by 4.70% and 6.88%, and all four thickness measures were highest at V8. In 20 geometric experiments, MAPE was 5.73%, CCC 0.822, and Dice 0.956. The workflow was applied to 1,188 MRI examinations from 416 participants. From V0 to V8, the treatment group showed +3.45% total cartilage volume, +2.46% mean thickness, and -4.54% 3D-RBA, versus -2.08%, -1.32%, and +0.16% in controls. Conclusion: This workflow provided a reproducible MRI cartilage assessment framework for a multicenter KOA trial. Cross-method agreement and geometric validation supported 3D-RT and 3D-RBA for therapeutic efficacy evaluation.

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An \(O(\log n)\)-Approximation for Three-Terminal Reachability-Preserving Minimum Edge Cut

In the three-terminal Reachability-Preserving Minimum Edge Cut problem, the input is an undirected edge-weighted graph with terminals \(s_1,s_2,t\). The objective is to delete a minimum-cost set of edges that separates \(t\) from both \(s_1\) and \(s_2\), while preserving connectivity between \(s_1\) and \(s_2\). We give a polynomial-time \(O(\log n)\)-approximation algorithm. The algorithm uses a probabilistic distribution of cut-dominating decomposition trees. A direct transfer of a connected tree solution to the original graph is not valid because a connected tree cluster may induce a disconnected vertex set in the graph. We overcome this obstruction by expanding every rooted tree cluster into the connected components it induces in the original graph. These components form a node-weighted auxiliary graph. A minimum node-weighted path in this auxiliary graph produces a connected feasible source side. The main structural observation is that the total graph-boundary cost of all connected components of a rooted tree cluster is no greater than the capacity of the corresponding tree edge. This permits the auxiliary path to be compared with a tree cut separating an optimal preserved \(s_1\)-\(s_2\) path from \(t\). Combining this comparison with the expected \(O(\log n)\) cut distortion of the decomposition trees proves the approximation guarantee.

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Directed Reachability-Preserving Minimum Edge Cut: Approximation and Planar Hardness

We study a directed version of the three-terminal reachability-preserving minimum edge cut problem. Given a directed graph $G=(V,A)$ with arc costs and terminals $s_1,s_2,t$, the one-way directed RPMEC problem asks for a minimum-cost set of arcs whose deletion preserves the reachability $s_1\leadsto s_2$ while destroying the reachability $s_1\leadsto t$. We first give a path--cut formulation in terms of a rooted directed cut function. Using a root-linear approximation for the associated polymatroid, we obtain an $O(\sqrt r)$-approximation, where $r$ is the number of relevant vertices with positive singleton cut value. In particular this gives an $O(\sqrt n)$-approximation in general directed graphs. For acyclic directed graphs, we give an additional singleton-length algorithm and obtain an $O(\min\{\sqrt r,h\})$ guarantee, where $h$ is the maximum number of relevant vertices on an $s_1$-$s_2$ path. Finally, we prove that directed planar RPMEC is NP-hard, even on acyclic planar digraphs with nonnegative costs, by reducing from independent set on cubic planar graphs through a finite-bimodal directed node-cut construction and a planar node-to-edge split.

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Threshold Minimum Cut with Terminal Quotas: Logarithmic and Planar Approximation Algorithms

We study threshold minimum cut problems with a distinguished root vertex, a set of terminals, and a quota. In the threshold minimum edge cut problem (\TMEC), the goal is to find a minimum-cost edge cut that disconnects at least $k$ terminals from the root. In the threshold minimum node cut problem (\TMNC), the goal is to delete a minimum-cost set of nonterminal, nonroot vertices so that at least $k$ terminals become disconnected from the root. We prove three approximation guarantees. First, undirected general-graph \TMEC{} admits a randomized polynomial-time expected $O(\log n)$ approximation via a R\"acke-style cut-dominating tree decomposition and an exact dynamic program on trees. A standard repetition argument gives the same asymptotic ratio with high probability. Second, planar \TMEC{} admits a factor-$2$ approximation by reducing the threshold condition to planar weighted balanced cut. Third, bounded-degree planar \TMNC{} admits a $2\Delta$-approximation, where $\Delta$ is the maximum degree of a deletable vertex, by reducing the node-cost problem to the planar edge-cut problem on the same graph. The results separate exact-quota guarantees from bicriteria small-set-expansion-type guarantees and identify the unbounded-degree planar node-cut case as the main remaining obstacle.

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Three-Terminal Reachability-Preserving Minimum Node Cut: Planar Hardness and a General-Graph \(O(\sqrt n)\)-Approximation

We study the three-terminal reachability-preserving minimum node cut problem (\RPMNC). The input is an undirected graph \(G=(V,E)\), nonnegative vertex weights on nonterminal vertices, two protected terminals \(s_1,s_2\), and a target terminal \(t\). The goal is to delete a minimum-weight set of nonterminal vertices so that \(t\) is disconnected from the protected terminals, while \(s_1\) and \(s_2\) remain connected. This problem captures a basic ``separate while preserve'' requirement that arises in biological intervention design, image analysis with connectivity constraints, and cyber-security attack graph mitigation, where deleting or blocking a node represents preventing the corresponding action, state, or biological entity from participating in a harmful pathway. We prove two results. First, the weighted planar version of three-terminal \RPMNC{} is NP-complete. The reduction is from \textsc{Independent Set} on 3-regular Hamiltonian planar graphs and uses a one-sided blocker construction. Second, we give a polynomial-time \(O(\sqrt n)\)-approximation algorithm for general graphs. The algorithm is based on an exact path--separator identity, a directed split-graph representation of rooted vertex separators, and a root-linear approximation of a monotone submodular separator function.

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A Polynomial-Time $O(\sqrt n)$-Approximation for Undirected Three-Terminal Reachability-Preserving Minimum Edge Cut

We study the undirected three-terminal reachability-preserving minimum edge cut problem. The input is an undirected graph $G=(V,E)$ with nonnegative edge costs, two protected terminals $s_1,s_2$, and a target terminal $t$. The goal is to remove a minimum-cost edge set so that $t$ is disconnected from the protected terminals while $s_1$ and $s_2$ remain connected. This problem captures a basic tension between separation and connectivity preservation. Prior work on connectivity-preserving cuts established polynomial-time solvability for some special cases, such as planar edge-cut instances, and strong hardness for node-cut variants, but a general-graph approximation guarantee for the undirected three-terminal edge-cut version does not appear to have been known. We give a polynomial-time $O(\sqrt n)$-approximation algorithm in this paper. This is the first known approximation algorithm for the problem

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Project Imaging-X: A Survey of 1000+ Open-Access Medical Imaging Datasets for Foundation Model Development

Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.

cs.CV

Outsourcing SAT-based Verification Computations in Network Security

The emergence of cloud computing gives huge impact on large computations. Cloud computing platforms offer servers with large computation power to be available for customers. These servers can be used efficiently to solve problems that are complex by nature, for example, satisfiability (SAT) problems. Many practical problems can be converted to SAT, for example, circuit verification and network configuration analysis. However, outsourcing SAT instances to the servers may cause data leakage that can jeopardize system's security. Before outsourcing the SAT instance, one needs to hide the input information. One way to preserve privacy and hide information is to randomize the SAT instance before outsourcing. In this paper, we present multiple novel methods to randomize SAT instances. We present a novel method to randomize the SAT instance, a variable randomization method to randomize the solution set, and methods to randomize Mincost SAT and MAX3SAT instances. Our analysis and evaluation show the correctness and feasibility of these randomization methods. The scalability and generality of our methods make it applicable for real world problems.

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Range and Topology Mutation Based Wireless Agility

In this paper, we present formal foundations for two wireless agility techniques: (1) Random Range Mutation (RNM) that allows for periodic changes of AP coverage range randomly, and (2) Ran- dom Topology Mutation (RTM) that allows for random motion and placement of APs in the wireless infrastructure. The goal of these techniques is to proactively defend against targeted attacks (e.g., DoS and eavesdropping) by forcing the wireless clients to change their AP association randomly. We apply Satisfiability Modulo The- ories (SMT) and Answer Set Programming (ASP) based constraint solving methods that allow for optimizing wireless AP mutation while maintaining service requirements including coverage, secu- rity and energy properties under incomplete information about the adversary strategies. Our evaluation validates the feasibility, scalability, and effectiveness of the formal methods based technical approaches.

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Firewall Regulatory Networks for Autonomous Cyber Defense

In this paper, we present the principles of designing new self-organising and autonomous management protocol to govern the dynamics of bio-inspired decentralized firewall architecture based on Biological Regularity Networks. The new architecture called Firewall Regulatory Networks (FRN) exhibits the following features (1) automatic rule policy configuration with provable utility-risk appetite guarantee, (2) resilient response for changing risks or new service requirements, and (3) globally optimized access control policy reconciliation. We present the FRN protocol and formalize the constraints to synthesize the undetermined components in the protocol to produce interactions that can achieve these objectives. We illustrate the feasibility of the FRN architecture in multiple case studies.

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MedFMC: A Real-world Dataset and Benchmark For Foundation Model Adaptation in Medical Image Classification

Foundation models, often pre-trained with large-scale data, have achieved paramount success in jump-starting various vision and language applications. Recent advances further enable adapting foundation models in downstream tasks efficiently using only a few training samples, e.g., in-context learning. Yet, the application of such learning paradigms in medical image analysis remains scarce due to the shortage of publicly accessible data and benchmarks. In this paper, we aim at approaches adapting the foundation models for medical image classification and present a novel dataset and benchmark for the evaluation, i.e., examining the overall performance of accommodating the large-scale foundation models downstream on a set of diverse real-world clinical tasks. We collect five sets of medical imaging data from multiple institutes targeting a variety of real-world clinical tasks (22,349 images in total), i.e., thoracic diseases screening in X-rays, pathological lesion tissue screening, lesion detection in endoscopy images, neonatal jaundice evaluation, and diabetic retinopathy grading. Results of multiple baseline methods are demonstrated using the proposed dataset from both accuracy and cost-effective perspectives.

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SenseCare: A Research Platform for Medical Image Informatics and Interactive 3D Visualization

Clinical research on smart health has an increasing demand for intelligent and clinic-oriented medical image computing algorithms and platforms that support various applications. To this end, we have developed SenseCare research platform, which is designed to facilitate translational research on intelligent diagnosis and treatment planning in various clinical scenarios. To enable clinical research with Artificial Intelligence (AI), SenseCare provides a range of AI toolkits for different tasks, including image segmentation, registration, lesion and landmark detection from various image modalities ranging from radiology to pathology. In addition, SenseCare is clinic-oriented and supports a wide range of clinical applications such as diagnosis and surgical planning for lung cancer, pelvic tumor, coronary artery disease, etc. SenseCare provides several appealing functions and features such as advanced 3D visualization, concurrent and efficient web-based access, fast data synchronization and high data security, multi-center deployment, support for collaborative research, etc. In this report, we present an overview of SenseCare as an efficient platform providing comprehensive toolkits and high extensibility for intelligent image analysis and clinical research in different application scenarios. We also summarize the research outcome through the collaboration with multiple hospitals.

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Hybrid Supervision Learning for Pathology Whole Slide Image Classification

Weak supervision learning on classification labels has demonstrated high performance in various tasks, while a few pixel-level fine annotations are also affordable. Naturally a question comes to us that whether the combination of pixel-level (e.g., segmentation) and image level (e.g., classification) annotation can introduce further improvement. However in computational pathology this is a difficult task for this reason: High resolution of whole slide images makes it difficult to do end-to-end classification model training, which is challenging to research of weak or hybrid supervision learning in the past. To handle this problem, we propose a hybrid supervision learning framework for this kind of high resolution images with sufficient image-level coarse annotations and a few pixel-level fine labels. This framework, when applied in training patch model, can carefully make use of coarse image-level labels to refine generated pixel-level pseudo labels. Complete strategy is proposed to suppress pixel-level false positives and false negatives. A large hybrid annotated dataset is used to evaluate the effectiveness of hybrid supervision learning. By extracting pixel-level pseudo labels in initially image-level labeled samples, we achieve 5.2% higher specificity than purely training on existing labels while retaining 100% sensitivity, in the task of image-level classification to be positive or negative.

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Large-scale Gastric Cancer Screening and Localization Using Multi-task Deep Neural Network

Gastric cancer is one of the most common cancers, which ranks third among the leading causes of cancer death. Biopsy of gastric mucosa is a standard procedure in gastric cancer screening test. However, manual pathological inspection is labor-intensive and time-consuming. Besides, it is challenging for an automated algorithm to locate the small lesion regions in the gigapixel whole-slide image and make the decision correctly.To tackle these issues, we collected large-scale whole-slide image dataset with detailed lesion region annotation and designed a whole-slide image analyzing framework consisting of 3 networks which could not only determine the screening result but also present the suspicious areas to the pathologist for reference. Experiments demonstrated that our proposed framework achieves sensitivity of 97.05% and specificity of 92.72% in screening task and Dice coefficient of 0.8331 in segmentation task. Furthermore, we tested our best model in real-world scenario on 10,315 whole-slide images collected from 4 medical centers.

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The Panacea Threat Intelligence and Active Defense Platform

We describe Panacea, a system that supports natural language processing (NLP) components for active defenses against social engineering attacks. We deploy a pipeline of human language technology, including Ask and Framing Detection, Named Entity Recognition, Dialogue Engineering, and Stylometry. Panacea processes modern message formats through a plug-in architecture to accommodate innovative approaches for message analysis, knowledge representation and dialogue generation. The novelty of the Panacea system is that uses NLP for cyber defense and engages the attacker using bots to elicit evidence to attribute to the attacker and to waste the attacker's time and resources.

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Signet Ring Cell Detection With a Semi-supervised Learning Framework

Signet ring cell carcinoma is a type of rare adenocarcinoma with poor prognosis. Early detection leads to huge improvement of patients' survival rate. However, pathologists can only visually detect signet ring cells under the microscope. This procedure is not only laborious but also prone to omission. An automatic and accurate signet ring cell detection solution is thus important but has not been investigated before. In this paper, we take the first step to present a semi-supervised learning framework for the signet ring cell detection problem. Self-training is proposed to deal with the challenge of incomplete annotations, and cooperative-training is adapted to explore the unlabeled regions. Combining the two techniques, our semi-supervised learning framework can make better use of both labeled and unlabeled data. Experiments on large real clinical data demonstrate the effectiveness of our design. Our framework achieves accurate signet ring cell detection and can be readily applied in the clinical trails. The dataset will be released soon to facilitate the development of the area.

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On DDoS Attack Related Minimum Cut Problems

In this paper, we study two important extensions of the classical minimum cut problem, called {\em Connectivity Preserving Minimum Cut (CPMC)} problem and {\em Threshold Minimum Cut (TMC)} problem, which have important applications in large-scale DDoS attacks. In CPMC problem, a minimum cut is sought to separate a of source from a destination node and meanwhile preserve the connectivity between the source and its partner node(s). The CPMC problem also has important applications in many other areas such as emergency responding, image processing, pattern recognition, and medical sciences. In TMC problem, a minimum cut is sought to isolate a target node from a threshold number of partner nodes. TMC problem is an important special case of network inhibition problem and has important applications in network security. We show that the general CPMC problem cannot be approximated within $logn$ unless $NP=P$ has quasi-polynomial algorithms. We also show that a special case of two group CPMC problem in planar graphs can be solved in polynomial time. The corollary of this result is that the network diversion problem in planar graphs is in $P$, a previously open problem. We show that the threshold minimum node cut (TMNC) problem can be approximated within ratio $O(\sqrt{n})$ and the threshold minimum edge cut problem (TMEC) can be approximated within ratio $O(\log^2{n})$. \emph{We also answer another long standing open problem: the hardness of the network inhibition problem and network interdiction problem. We show that both of them cannot be approximated within any constant ratio. unless $NP \nsubseteq \cap_{δ>0} BPTIME(2^{n^δ})$.

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On the Connectivity Preserving Minimum Cut Problem

In this paper, we study a generalization of the classical minimum cut prob- lem, called Connectivity Preserving Minimum Cut (CPMC) problem, which seeks a minimum cut to separate a pair (or pairs) of source and destination nodes and meanwhile ensure the connectivity between the source and its partner node(s). The CPMC problem is a rather powerful formulation for a set of problems and finds applications in many other areas, such as network security, image processing, data mining, pattern recognition, and machine learning. For this important problem, we consider two variants, connectiv- ity preserving minimum node cut (CPMNC) and connectivity preserving minimum edge cut (CPMEC). For CPMNC, we show that it cannot be ap- proximated within αlogn for some constant α unless P=NP, and cannot be approximated within any poly(logn) unless NP has quasi-polynomial time algorithms. The hardness results hold even for graphs with unit weight and bipartite graphs. Particularly, we show that polynomial time solutions exist for CPMEC in planar graphs and for CPMNC in some special planar graphs. The hardness of CPMEC in general graphs remains open, but the polynomial time algorithm in planar graphs still has important practical applications.

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