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Shu-Xia Li

Publications and source records attributed to Shu-Xia Li.

3 recordsLinked to original sources
arXiv2019

Latent Variable Model for Multivariate Data with Measure-specific Sample Weights and Its Application in Hospital Compare

We developed a single factor model with measure-specific sample weights for multivariate data with multiple observed indicators clustered within a higher level subject. The factor is therefore a latent variable shared by multiple indicators within a same subject and the sample weights are different across different indicators and different subjects. Even after integrating out the latent variable, the likelihood of the data cannot be written as the sum of weighted likelihood of each subject because a subject has different sample weights respectively for its multiple indicators. In addition, the number of available indicators varies across subjects. We derive a pseudo likelihood for the latent variable model with measure-specific weights. We investigate various statistical properties of the latent variable model with measure-specific sample weights and its connection to the traditional factor analysis. We found that the latent variable model provides consistent estimates for its variances when the measure-specific sample weights are properly re-scaled. Two estimation procedures are developed - EM algorithm for the pseudo likelihood and marginalization of the pseudo likelihood by directly integrating out the latent variable to obtain the parameter estimates. This approach is illustrated by the analysis of publicly reported hospitals with indicators and sample weights. Numerical studies are conducted to investigate the influence of weights and their sample distribution.

stat.ME↗
arXiv2018

Automated Characterization of Stenosis in Invasive Coronary Angiography Images with Convolutional Neural Networks

The determination of a coronary stenosis and its severity in current clinical workflow is typically accomplished manually via physician visual assessment (PVA) during invasive coronary angiography. While PVA has shown large inter-rater variability, the more reliable and accurate alternative of Quantitative Coronary Angiography (QCA) is challenging to perform in real-time due to the busy workflow in cardiac catheterization laboratories. We propose a deep learning approach based on Convolutional Neural Networks (CNN) that automatically characterizes and analyzes coronary stenoses in real-time by automating clinical tasks performed during QCA. Our deep learning methods for localization, segmentation and classification of stenosis in still-frame invasive coronary angiography (ICA) images of the right coronary artery (RCA) achieve performance of 72.7% localization accuracy, 0.704 dice coefficient and 0.825 C-statistic in each respective task. Integrated in an end-to-end approach, our model's performance shows statistically significant improvement in false discovery rate over the current standard in real-time clinical stenosis assessment, PVA. To the best of the authors' knowledge, this is the first time an automated machine learning system has been developed that can implement tasks performed in QCA, and the first time an automated machine learning system has demonstrated significant improvement over the current clinical standard for rapid RCA stenosis analysis.

cs.CV↗