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Wuman Luo

Publications and source records attributed to Wuman Luo.

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Multi-Agent Deep Reinforcement Learning for Multiple Anesthetics Collaborative Control

Automated control of personalized multiple anesthetics in clinical Total Intravenous Anesthesia (TIVA) is crucial yet challenging. Current systems, including target-controlled infusion (TCI) and closed-loop systems, either rely on relatively static pharmacokinetic/pharmacodynamic (PK/PD) models or focus on single anesthetic control, limiting personalization and collaborative control. To address these issues, we propose a novel framework, Value Decomposition Multi-Agent Deep Reinforcement Learning (VD-MADRL). VD-MADRL optimizes the collaboration between two anesthetics propofol (Agent I) and remifentanil (Agent II). And It uses a Markov Game (MG) to identify optimal actions among heterogeneous agents. We employ various value function decomposition methods to resolve the credit allocation problem and enhance collaborative control. We also introduce a multivariate environment model based on random forest (RF) for anesthesia state simulation. Additionally, a data resampling and alignment technique ensures synchronized trajectory data. Our experiments on general and thoracic surgery datasets show that VD-MADRL performs better than human experience. It improves dose precision and keeps anesthesia states stable, providing great clinical value.

eess.SY

MPRE: Multi-perspective Patient Representation Extractor for Disease Prediction

Patient representation learning based on electronic health records (EHR) is a critical task for disease prediction. This task aims to effectively extract useful information on dynamic features. Although various existing works have achieved remarkable progress, the model performance can be further improved by fully extracting the trends, variations, and the correlation between the trends and variations in dynamic features. In addition, sparse visit records limit the performance of deep learning models. To address these issues, we propose the Multi-perspective Patient Representation Extractor (MPRE) for disease prediction. Specifically, we propose Frequency Transformation Module (FTM) to extract the trend and variation information of dynamic features in the time-frequency domain, which can enhance the feature representation. In the 2D Multi-Extraction Network (2D MEN), we form the 2D temporal tensor based on trend and variation. Then, the correlations between trend and variation are captured by the proposed dilated operation. Moreover, we propose the First-Order Difference Attention Mechanism (FODAM) to calculate the contributions of differences in adjacent variations to the disease diagnosis adaptively. To evaluate the performance of MPRE and baseline methods, we conduct extensive experiments on two real-world public datasets. The experiment results show that MPRE outperforms state-of-the-art baseline methods in terms of AUROC and AUPRC.

cs.LG

Image Projective Transformation Rectification with Synthetic Data for Smartphone-captured Chest X-ray Photos Classification

Classification on smartphone-captured chest X-ray (CXR) photos to detect pathologies is challenging due to the projective transformation caused by the non-ideal camera position. Recently, various rectification methods have been proposed for different photo rectification tasks such as document photos, license plate photos, etc. Unfortunately, we found that none of them is suitable for CXR photos, due to their specific transformation type, image appearance, annotation type, etc. In this paper, we propose an innovative deep learning-based Projective Transformation Rectification Network (PTRN) to automatically rectify CXR photos by predicting the projective transformation matrix. To the best of our knowledge, it is the first work to predict the projective transformation matrix as the learning goal for photo rectification. Additionally, to avoid the expensive collection of natural data, synthetic CXR photos are generated under the consideration of natural perturbations, extra screens, etc. We evaluate the proposed approach in the CheXphoto smartphone-captured CXR photos classification competition hosted by the Stanford University Machine Learning Group, our approach won first place with a huge performance improvement (ours 0.850, second-best 0.762, in AUC). A deeper study demonstrates that the use of PTRN successfully achieves the classification performance on the spatially transformed CXR photos to the same level as on the high-quality digital CXR images, indicating PTRN can eliminate all negative impacts of projective transformation on the CXR photos.

cs.CV