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Qilong Sun

Publications and source records attributed to Qilong Sun.

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TECM*: A Data-Driven Assessment to Reinforcement Learning Methods and Application to Heparin Treatment Strategy for Surgical Sepsis

Objective: Sepsis is a life-threatening condition caused by severe infection leading to acute organ dysfunction. This study proposes a data-driven metric and a continuous reward function to optimize personalized heparin therapy in surgical sepsis patients. Methods: Data from the MIMIC-IV v1.0 and eICU v2.0 databases were used for model development and evaluation. The training cohort consisted of abdominal surgery patients receiving unfractionated heparin (UFH) after postoperative sepsis onset. We introduce a new RL-based framework: converting the discrete SOFA score to a continuous cxSOFA for more nuanced state and reward functions; Second, defining "good" or "bad" strategies based on cxSOFA by a stepwise manner; Third, proposing a Treatment Effect Comparison Matrix (TECM), analogous to a confusion matrix for classification tasks, to evaluate the treatment strategies. We applied different RL algorithms, Q-Learning, DQN, DDQN, BCQ and CQL to optimize the treatment and comprehensively evaluated the framework. Results: Among the AI-derived strategies, the cxSOFA-CQL model achieved the best performance, reducing mortality from 1.83% to 0.74% with the average hospital stay from 11.11 to 9.42 days. TECM demonstrated consistent outcomes across models, highlighting robustness. Conclusion: The proposed RL framework enables interpretable and robust optimization of heparin therapy in surgical sepsis. Continuous cxSOFA scoring and TECM-based evaluation provide nuanced treatment assessment, showing promise for improving clinical outcomes and decision-support reliability.

cs.LG

TSP-OCS: A Time-Series Prediction for Optimal Camera Selection in Multi-Viewpoint Surgical Video Analysis

Recording the open surgery process is essential for educational and medical evaluation purposes; however, traditional single-camera methods often face challenges such as occlusions caused by the surgeon's head and body, as well as limitations due to fixed camera angles, which reduce comprehensibility of the video content. This study addresses these limitations by employing a multi-viewpoint camera recording system, capturing the surgical procedure from six different angles to mitigate occlusions. We propose a fully supervised learning-based time series prediction method to choose the best shot sequences from multiple simultaneously recorded video streams, ensuring optimal viewpoints at each moment. Our time series prediction model forecasts future camera selections by extracting and fusing visual and semantic features from surgical videos using pre-trained models. These features are processed by a temporal prediction network with TimeBlocks to capture sequential dependencies. A linear embedding layer reduces dimensionality, and a Softmax classifier selects the optimal camera view based on the highest probability. In our experiments, we created five groups of open thyroidectomy videos, each with simultaneous recordings from six different angles. The results demonstrate that our method achieves competitive accuracy compared to traditional supervised methods, even when predicting over longer time horizons. Furthermore, our approach outperforms state-of-the-art time series prediction techniques on our dataset. This manuscript makes a unique contribution by presenting an innovative framework that advances surgical video analysis techniques, with significant implications for improving surgical education and patient safety.

cs.CV

Focusing on Persons: Colorizing Old Images Learning from Modern Historical Movies

In industry, there exist plenty of scenarios where old gray photos need to be automatically colored, such as video sites and archives. In this paper, we present the HistoryNet focusing on historical person's diverse high fidelity clothing colorization based on fine grained semantic understanding and prior. Colorization of historical persons is realistic and practical, however, existing methods do not perform well in the regards. In this paper, a HistoryNet including three parts, namely, classification, fine grained semantic parsing and colorization, is proposed. Classification sub-module supplies classifying of images according to the eras, nationalities and garment types; Parsing sub-network supplies the semantic for person contours, clothing and background in the image to achieve more accurate colorization of clothes and persons and prevent color overflow. In the training process, we integrate classification and semantic parsing features into the coloring generation network to improve colorization. Through the design of classification and parsing subnetwork, the accuracy of image colorization can be improved and the boundary of each part of image can be more clearly. Moreover, we also propose a novel Modern Historical Movies Dataset (MHMD) containing 1,353,166 images and 42 labels of eras, nationalities, and garment types for automatic colorization from 147 historical movies or TV series made in modern time. Various quantitative and qualitative comparisons demonstrate that our method outperforms the state-of-the-art colorization methods, especially on military uniforms, which has correct colors according to the historical literatures.

cs.CV