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Xiaofeng Yang

Publications and source records attributed to Xiaofeng Yang.

At least 163 records · Page 9Linked to original sources

Early in vivo Radiation Damage Quantification for Pediatric Craniospinal Irradiation Using Longitudinal MRI for Intensity Modulated Proton Therapy

Purpose: Proton vertebral body sparing craniospinal irradiation (VBS CSI) treats the thecal sac while avoiding the anterior vertebral bodies in effort to reduce myelosuppression and growth inhibition. However, robust treatment planning needs to compensate proton range uncertainty, contributing unwanted doses within the vertebral bodies. This work aims to develop an early in vivo radiation damage quantification method using longitudinal magnetic resonance (MR) scans to quantify dose effect during fractionated CSI. Materials and methods: Ten pediatric patients were enrolled in a prospective clinical trial of proton VBS CSI receiving 23.4-36 Gy. Monte Carlo robust planning was used with spinal clinical target volumes defined as the thecal sac and neural foramina. T1/T2-weighted MR scans were acquired before, during, and after treatments to detect transition from hematopoietic to less metabolically active fatty marrow. MR signal intensity histograms at each time point were analyzed and fitted by multi-Gaussian models to quantify radiation damages. Results: Fatty marrow filtration was observed on MR images as early as the fifth fraction of treatment. Maximum radiation-induced marrow damage occurred 40-50 days from the treatment start, followed by marrow regeneration. The mean damage ratios were 0.23, 0.41, 0.59, and 0.54 corresponding to 10, 20, 40, and 60 days from the treatment start. Conclusions: We demonstrated a non-invasive method to identify early vertebral marrow damage based on radiation-induced fatty marrow replacement. The proposed method can be potentially used to quantify the quality of CSI vertebral sparing to preserve metabolically active hematopoietic bone marrow.

physics.med-ph↗

Deep learning-based Fast Volumetric Image Generation for Image-guided Proton FLASH Radiotherapy

Proton FLASH therapy leverages ultra-high dose-rate radiation to enhance the sparing of organs at risk without compromising tumor control probability. To prepare for the delivery of high doses to targets, we aim to develop a deep learning-based image-guide framework to enable fast volumetric image reconstruction for accurate target localization before FLSAH beam delivery. The proposed framework comprises four modules, including orthogonal kV x-ray projection acquisition, DL-based volumetric image generation, image quality analyses, and water equivalent thickness evaluation. We investigated volumetric image reconstruction using four kV projection pairs with different source angles. Thirty lung patients were identified from the institutional database, and each patient contains a four-dimensional computed tomography dataset with ten respiratory phases. The retrospective patient study indicated that the proposed framework could reconstruct patient volumetric anatomy, including tumors and organs at risk from orthogonal x-ray projections. Considering all evaluation metrics, the kV projections with source angles of 135 and 225 degrees yielded the optimal volumetric images. The proposed framework has been demonstrated to reconstruct volumetric images with accurate lesion locations from two orthogonal x-ray projections. The embedded WET module can be used to detect potential proton beam-specific patient anatomy variations. The framework can deliver fast volumetric image generation and can potentially guide treatment delivery systems for proton FLASH therapy.

physics.med-ph↗

MRI-based Material Mass Density and Relative Stopping Power Estimation via Deep Learning for Proton Therapy

Magnetic Resonance Imaging (MRI) is increasingly incorporated into treatment planning, because of its superior soft tissue contrast used for tumor and soft tissue delineation versus computed tomography (CT). However, MRI cannot directly provide mass density or relative stopping power (RSP) maps required for proton radiotherapy dose calculation. To demonstrate the feasibility of MRI-only based mass density and RSP estimation using deep learning (DL) for proton radiotherapy. A DL-based framework was developed to discover underlying voxel-wise correlation between MR images and mass density and RSP. Five tissue substitute phantoms including skin, muscle, adipose, 45% hydroxyapatite (HA), and spongiosa bone were customized for MRI scanning based on material composition information from ICRP reports. Two animal tissue phantoms made of pig brain and liver were prepared for DL training. In the phantom study, two DL models were trained: one containing clinical T1 and T2 MRIs and another incorporating zero echo time (ZTE) MRIs as input. In the patient application study, two DL models were trained: one including T1 and T2 MRIs as input, and one incorporating synthetic dual-energy computed tomography (sDECT) images to provide bone tissue information. In the phantom study, DL model based on T1 and T2 MRI demonstrated higher accuracy mass density and RSP estimation in skin, muscle, adipose, brain, and liver with mean absolute percentage errors (MAPE) of 0.42%, 0.14%, 0.19%, 0.78% and 0.26% for mass density and 0.30%, 0.11%, 0.16%, 0.61% and 0.23% for RSP, respectively. DL model incorporating ZTE MRI improved the accuracy of mass density and RSP estimation in 45% HA and spongiosa bone with MAPE at 0.23% and 0.09% for mass density and 0.19% and 0.07% for RSP, respectively. Results show feasibility of MRI-only based mass density and RSP estimation for proton therapy treatment planning using DL method.

physics.med-ph↗

Feasibility Study of Hybrid Inverse Planning with Transmission Beams and Single-energy Spread-out Bragg Peaks for Proton Flash Radiotherapy

Ultra-high dose rate (FLASH) proton planning with only transmission beams (TBs) has limitations in normal tissue sparing. The single-energy spread-out Bragg peaks (SESOBPs) of FLASH dose rate have been demonstrated feasible for proton FLASH planning. A hybrid inverse optimization method was developed to combine the TBs and SESOBPs (TB-SESOBP) for FLASH planning. The SESOBPs were generated from spreading out the BPs by pre-designed general bar ridge filters and placed at the central target by range shifters to obtain a uniform dose within the target. The SESOBPs and TBs were fully sampled field-by-field allowing automatic spot selection and weighting in the optimization process. The TB-SESOBP plans were validated in comparison with the TB only (TB-only) plans and the plans with the combination of TBs and BPs (TB-BP) regarding 3D dose and dose rate distributions for five lung cases. Comparing to the TB-only plans, the mean spinal cord D1.2cc drastically reduced 41%, the mean lung V7Gy and V7.4Gy moderately reduced by up to 17% and the target dose homogeneity slightly increased in the TB-SESOBP plans. Comparable dose homogeneity was achieved in both TB-SESOBP and TB-BP plans. Besides, prominent improvements were achieved in lung sparing for the cases of relatively large targets by the TB-SESOBP plans comparing to the TB-BP plans. The targets were fully covered with the FLASH dose rate in all the three plans. For the OARs, V40Gy/s = 100% was achieved by the TB-only plans while V40Gy/s > 85% was obtained by the other two plans. We have demonstrated that the hybrid TB-SESOBP planning was feasible to achieve FLASH dose rate for proton therapy. The hybrid TB-SESOBP planning has great potential in improving OAR sparing while maintaining high target dose homogeneity, and can be potentially implemented for adaptive radiotherapy.

physics.med-ph↗

Landmark Tracking in Liver US images Using Cascade Convolutional Neural Networks with Long Short-Term Memory

This study proposed a deep learning-based tracking method for ultrasound (US) image-guided radiation therapy. The proposed cascade deep learning model is composed of an attention network, a mask region-based convolutional neural network (mask R-CNN), and a long short-term memory (LSTM) network. The attention network learns a mapping from a US image to a suspected area of landmark motion in order to reduce the search region. The mask R-CNN then produces multiple region-of-interest (ROI) proposals in the reduced region and identifies the proposed landmark via three network heads: bounding box regression, proposal classification, and landmark segmentation. The LSTM network models the temporal relationship among the successive image frames for bounding box regression and proposal classification. To consolidate the final proposal, a selection method is designed according to the similarities between sequential frames. The proposed method was tested on the liver US tracking datasets used in the Medical Image Computing and Computer Assisted Interventions (MICCAI) 2015 challenges, where the landmarks were annotated by three experienced observers to obtain their mean positions. Five-fold cross-validation on the 24 given US sequences with ground truths shows that the mean tracking error for all landmarks is 0.65+/-0.56 mm, and the errors of all landmarks are within 2 mm. We further tested the proposed model on 69 landmarks from the testing dataset that has a similar image pattern to the training pattern, resulting in a mean tracking error of 0.94+/-0.83 mm. Our experimental results have demonstrated the feasibility and accuracy of our proposed method in tracking liver anatomic landmarks using US images, providing a potential solution for real-time liver tracking for active motion management during radiation therapy.

cs.CV↗

Measurement of the time structure of FLASH beams using prompt gamma rays and secondary neutrons as surrogates

We aim to investigate the feasibility of online monitoring of irradiation time (IRT) and scan time for FLASH radiotherapy using a pixelated semiconductor detector. Measurements of the time structure of FLASH irradiations were performed using fast, pixelated spectral detectors, AdvaPIX-TPX3 and Minipix-TPX3. The latter has a fraction of its sensor coated with a neutron sensitive material. With little or no dead time and an ability to resolve events that are closely spaced in time (tens of ns), both detectors can accurately determine IRTs as long as pile-ups are avoided. To avoid pile-ups, we placed the detectors beyond the Bragg peak or at a large scattering angle. We acquired prompt gamma rays and secondary neutrons and calculated IRTs based on timestamps of the first (beam-on) and the last (beam-off) charged species. We also measured scan times in x, y, and diagonal directions. We performed these measurements for a single spot, a small animal field, a patient field, and a ridge filter optimized field to demonstrate in vivo online monitoring of IRT. All measurements were compared to vendor log files. Differences between measurements and log files for a single spot, a small animal field, and a patient field were within 1%, 0.3% and 1%, respectively. In vivo monitoring of IRTs was accurate within 0.1% for AdvaPIX-TPX3 and within 6.1% for Minipix-TPX3. The scan times in x, y, and diagonal directions were 4.0, 3.4, and 4.0 ms, respectively. Overall, the AdvaPIX-TPX3 can measure FLASH IRTs within 1% accuracy, indicating that prompt gamma rays are a good surrogate for primary protons. The Minipix-TPX3 showed a higher discrepancy, suggesting a need for further investigation. The scan times (3.4 \pm 0.05 ms) in the 60-mm distance of y-direction were less than (4.0 \pm 0.06 ms) in the 24-mm distance of x-direction, confirming the much faster scanning speed of the Y magnets than that of X.

physics.med-ph↗

Deformable Image Registration using Unsupervised Deep Learning for CBCT-guided Abdominal Radiotherapy

CBCTs in image-guided radiotherapy provide crucial anatomy information for patient setup and plan evaluation. Longitudinal CBCT image registration could quantify the inter-fractional anatomic changes. The purpose of this study is to propose an unsupervised deep learning based CBCT-CBCT deformable image registration. The proposed deformable registration workflow consists of training and inference stages that share the same feed-forward path through a spatial transformation-based network (STN). The STN consists of a global generative adversarial network (GlobalGAN) and a local GAN (LocalGAN) to predict the coarse- and fine-scale motions, respectively. The network was trained by minimizing the image similarity loss and the deformable vector field (DVF) regularization loss without the supervision of ground truth DVFs. During the inference stage, patches of local DVF were predicted by the trained LocalGAN and fused to form a whole-image DVF. The local whole-image DVF was subsequently combined with the GlobalGAN generated DVF to obtain final DVF. The proposed method was evaluated using 100 fractional CBCTs from 20 abdominal cancer patients in the experiments and 105 fractional CBCTs from a cohort of 21 different abdominal cancer patients in a holdout test. Qualitatively, the registration results show great alignment between the deformed CBCT images and the target CBCT image. Quantitatively, the average target registration error (TRE) calculated on the fiducial markers and manually identified landmarks was 1.91+-1.11 mm. The average mean absolute error (MAE), normalized cross correlation (NCC) between the deformed CBCT and target CBCT were 33.42+-7.48 HU, 0.94+-0.04, respectively. This promising registration method could provide fast and accurate longitudinal CBCT alignment to facilitate inter-fractional anatomic changes analysis and prediction.

eess.IV↗

Multimodal Imaging-based Material Mass Density Estimation for Proton Therapy Using Physics-Constrained Deep Learning

Mapping computed tomography (CT) number to material property dominates the proton range uncertainty. This work aims to develop a physics-constrained deep learning-based multimodal imaging (PDMI) framework to integrate physics, deep learning, magnetic resonance imaging (MRI), and advanced dual-energy CT (DECT) to derive accurate patient mass density maps. Seven tissue substitute MRI phantoms were used for PDMI-based material calibration. The training inputs are from MRI and twin-beam dual-energy images acquired at 120 kVp with gold and tin filters. The feasibility investigation included an empirical DECT correlation and four residual networks (ResNet) derived from different training inputs and strategies by the PDMI framework. PRN-MR-DE and RN-MR-DE denote ResNet trained with and without a physics constraint using MRI and DECT images. PRN-DE and RN-DE represent ResNet trained with and without a physics constraint using DECT-only images. For the tissue surrogate study, PRN-MR-DE, PRN-DE, and RN-MR-DE result in mean mass density errors: -0.72%, 2.62%, -3.58% for adipose; -0.03%, -0.61%, and -0.18% for muscle; -0.58%, -1.36%, and -4.86% for 45% HA bone. The retrospective patient study indicated that PRN-MR-DE predicted the densities of soft tissue and bone within expected intervals based on the literature survey, while PRN-DE generated large density deviations. The proposed PDMI framework can generate accurate mass density maps using MRI and DECT images. The physics-constrained training can further enhance model efficacy, making PRN-MR-DE outperform RN-MR-DE. The patient investigation also shows that the PDMI framework has the potential to improve proton range uncertainty with accurate patient mass density maps.

physics.med-ph↗

An Integrated Biological Optimization framework for proton SBRT FLASH treatment planning allows dose, dose rate, and LET optimization using patient-specific ridge filters

Purpose: Patient-specific ridge filters can modulate proton energy to obtain a conformal dose. We describe a new framework for optimization of filter design and spot maps to meet the unique demands of FLASH radiotherapy. We demonstrate an Integrated Biological Optimization IMPT (IBO-IMPT) approach for optimization of dose, dose-averaged dose rate (DADR), and dose-averaged LET (LETd). Methods: We developed inverse planning software to design patient-specific ridge filters that spread the Bragg peak from a fixed-energy, 250 MeV beam to a proximal beam-specific planning target volume. The software optimizes patient-specific ridge filter and uses a Monte Carlo calculation engine, based on Geant4, to provide dose and LET influence matrices. Plan optimization, using matRAD, accommodates the IBO-IMPT objective function considering dose, dose rate, and LET simultaneously with minimum MU constraints. The framework enables design of both regularly spaced and sparse-optimized ridge filters, which allow faster delivery and selective LET optimization. Volume distributions and histograms for dose, DADR, and LETd are compared using evaluation structures specific to the heart and lung. Results: We used IBO-IMPT to design ridge filters for a central lung tumor patient. The IBO-IMPT framework selectively spared heart and lung by reducing LET and increasing dose rate, relative to IMPT planning. Sparse-optimized ridge filters were superior to regularly spaced ridge filters in dose rate. Together, these innovations substantially increased the DADR in the heart and lung while maintaining good target coverage. The volume that received a FLASH dose rate of higher 40 Gy/second increased by 31% for heart and 50% for lung. Conclusion: This proof-of-concept study demonstrates the feasibility of using an IBO-IMPT framework to accomplish proton FLASH SBPT, accounting for dose, DADR, and LETd simultaneously.

physics.med-ph↗

Reinforcement Learning in Medical Image Analysis: Concepts, Applications, Challenges, and Future Directions

Motivation: Medical image analysis involves tasks to assist physicians in qualitative and quantitative analysis of lesions or anatomical structures, significantly improving the accuracy and reliability of diagnosis and prognosis. Traditionally, these tasks are finished by physicians or medical physicists and lead to two major problems: (i) low efficiency; (ii) biased by personal experience. In the past decade, many machine learning methods have been applied to accelerate and automate the image analysis process. Compared to the enormous deployments of supervised and unsupervised learning models, attempts to use reinforcement learning in medical image analysis are scarce. This review article could serve as the stepping-stone for related research. Significance: From our observation, though reinforcement learning has gradually gained momentum in recent years, many researchers in the medical analysis field find it hard to understand and deploy in clinics. One cause is lacking well-organized review articles targeting readers lacking professional computer science backgrounds. Rather than providing a comprehensive list of all reinforcement learning models in medical image analysis, this paper may help the readers to learn how to formulate and solve their medical image analysis research as reinforcement learning problems. Approach & Results: We selected published articles from Google Scholar and PubMed. Considering the scarcity of related articles, we also included some outstanding newest preprints. The papers are carefully reviewed and categorized according to the type of image analysis task. We first review the basic concepts and popular models of reinforcement learning. Then we explore the applications of reinforcement learning models in landmark detection. Finally, we conclude the article by discussing the reviewed reinforcement learning approaches' limitations and possible improvements.

cs.CV↗

Multi-organ Segmentation Network with Adversarial Performance Validator

CT organ segmentation on computed tomography (CT) images becomes a significant brick for modern medical image analysis, supporting clinic workflows in multiple domains. Previous segmentation methods include 2D convolution neural networks (CNN) based approaches, fed by CT image slices that lack the structural knowledge in axial view, and 3D CNN-based methods with the expensive computation cost in multi-organ segmentation applications. This paper introduces an adversarial performance validation network into a 2D-to-3D segmentation framework. The classifier and performance validator competition contribute to accurate segmentation results via back-propagation. The proposed network organically converts the 2D-coarse result to 3D high-quality segmentation masks in a coarse-to-fine manner, allowing joint optimization to improve segmentation accuracy. Besides, the structural information of one specific organ is depicted by a statistics-meaningful prior bounding box, which is transformed into a global feature leveraging the learning process in 3D fine segmentation. The experiments on the NIH pancreas segmentation dataset demonstrate the proposed network achieves state-of-the-art accuracy on small organ segmentation and outperforms the previous best. High accuracy is also reported on multi-organ segmentation in a dataset collected by ourselves.

eess.IV↗

Deep Q-learning of global optimizer of multiply model parameters for viscoelastic imaging

Objective: Estimation of the global optima of multiple model parameters is valuable in imaging to form a reliable diagnostic image. Given non convexity of the objective function, it is challenging to avoid from different local minima. Methods: We first formulate the global searching of multiply parameters to be a k-D move in the parametric space, and convert parameters updating to be state-action decision-making problem. We proposed a novel Deep Q-learning of Model Parameters (DQMP) method for global optimization of model parameters by updating the parameter configurations through actions that maximize a Q-value, which employs a Deep Reward Network designed to learn global reward values from both visible curve fitting errors and hidden parameter errors. Results: The DQMP method was evaluated by viscoelastic imaging on soft matter by Kelvin-Voigt fractional derivative (KVFD) modeling. In comparison to other methods, imaging of parameters by DQMP yielded the smallest errors (< 2%) to the ground truth images. DQMP was applied to viscoelastic imaging on biological tissues, which indicated a great potential of imaging on physical parameters in diagnostic applications. Conclusions: DQMP method is able to achieve global optima, yielding accurate model parameter estimates in viscoelastic imaging. Assessment of DQMP by simulation imaging and ultrasound breast imaging demonstrated the consistency, reliability of the imaged parameters, and powerful global searching ability of DQMP. Significance: DQMP method is promising for imaging of multiple parameters, and can be generalized to global optimization for many other complex nonconvex functions and imaging of physical parameters.

cs.LG↗

New insights into the classical molecular transport theory

In the classical transport theory, the coefficients such as the diffusion, thermal conductivity and viscosity of fluid are usually expressed in a form proportional to the mean free path of molecules. We point out that this may cause a great misunderstanding in the molecular transport theory and prove from multiple perspectives of theory and simulation that the molecular transport coefficient is actually proportional to the mean square free path, i.e., the second moment of the free path distribution function. For two systems with the same mean free path but different molecular free path distributions, the classical expression gives the same transport coefficient, whereas the expression with the mean square free path predicts different transport coefficients, in which their difference may vary from zero to several times as the distribution function becomes more dispersed.

cond-mat.stat-mech↗

Automatic Inverse Treatment Planning for Gamma Knife Radiosurgery via Deep Reinforcement Learning

Purpose: Several inverse planning algorithms have been developed for Gamma Knife (GK) radiosurgery to determine a large number of plan parameters via solving an optimization problem, which typically consists of multiple objectives. The priorities among these objectives need to be repetitively adjusted to achieve a clinically good plan for each patient. This study aimed to achieve automatic and intelligent priority-tuning, by developing a deep reinforcement learning (DRL) based method to model the tuning behaviors of human planners. Methods: We built a priority-tuning policy network using deep convolutional neural networks. Its input was a vector composed of the plan metrics that were used in our institution for GK plan evaluation. The network can determine which tuning action to take, based on the observed quality of the intermediate plan. We trained the network using an end-to-end DRL framework to approximate the optimal action-value function. A scoring function was designed to measure the plan quality. Results: Vestibular schwannoma was chosen as the test bed in this study. The number of training, validation and testing cases were 5, 5, and 16, respectively. For these three datasets, the average plan scores with initial priorities were 3.63 $\pm$ 1.34, 3.83 $\pm$ 0.86 and 4.20 $\pm$ 0.78, respectively, while can be improved to 5.28 $\pm$ 0.23, 4.97 $\pm$ 0.44 and 5.22 $\pm$ 0.26 through manual priority tuning by human expert planners. Our network achieved competitive results with 5.42 $\pm$ 0.11, 5.10 $\pm$ 0. 42, 5.28 $\pm$ 0.20, respectively. Conclusions: Our network can generate GK plans of comparable or slightly higher quality comparing with the plans generated by human planners via manual priority tuning. The network can potentially be incorporated into the clinical workflow to improve GK planning efficiency.

physics.med-ph↗

Intra-Day Variability Observations of Two Dozens of Blazars at 4.8 GHz

Two dozens of radio loud active galactic nuclei (AGNs) have been observed with Urumqi 25 m radio telescope in order to search for intra-day variability (IDV). The target sources are blazars (namely flat spectrum radio quasars and BL Lac objects) which are mostly selected from the observing list of RadioAstron AGN monitoring campaigns. The observations were carried out at 4.8 GHz in two sessions of 8-12 February 2014 and 7-9 March respectively. We report the data reduction and the first results of observations. The results show that the majority of the blazars exhibit IDV in 99.9% confidence level, some of them show quite strong IDV. We find the strong IDV of blazar 1357 + 769 for the first time. The IDV at centimeter-wavelength is believed to be predominately caused by the scintillation of blazar emission through the local interstellar medium in a few hundreds parsecs away from Sun. No significant correlation between the IDV strength and either redshift or Galactic latitude is found in our sample. The IDV timescale along with source structure and brightness temperature analysis will be presented in a forthcoming paper.

astro-ph.HE↗

DMBGN: Deep Multi-Behavior Graph Networks for Voucher Redemption Rate Prediction

In E-commerce, vouchers are important marketing tools to enhance users' engagement and boost sales and revenue. The likelihood that a user redeems a voucher is a key factor in voucher distribution decision. User-item Click-Through-Rate (CTR) models are often applied to predict the user-voucher redemption rate. However, the voucher scenario involves more complicated relations among users, items and vouchers. The users' historical behavior in a voucher collection activity reflects users' voucher usage patterns, which is nevertheless overlooked by the CTR-based solutions. In this paper, we propose a Deep Multi-behavior Graph Networks (DMBGN) to shed light on this field for the voucher redemption rate prediction. The complex structural user-voucher-item relationships are captured by a User-Behavior Voucher Graph (UVG). User behavior happening both before and after voucher collection is taken into consideration, and a high-level representation is extracted by Higher-order Graph Neural Networks. On top of a sequence of UVGs, an attention network is built which can help to learn users' long-term voucher redemption preference. Extensive experiments on three large-scale production datasets demonstrate the proposed DMBGN model is effective, with 10% to 16% relative AUC improvement over Deep Neural Networks (DNN), and 2% to 4% AUC improvement over Deep Interest Network (DIN). Source code and a sample dataset are made publicly available to facilitate future research.

cs.IR↗

Artificial Intelligence in Tumor Subregion Analysis Based on Medical Imaging: A Review

Medical imaging is widely used in cancer diagnosis and treatment, and artificial intelligence (AI) has achieved tremendous success in various tasks of medical image analysis. This paper reviews AI-based tumor subregion analysis in medical imaging. We summarize the latest AI-based methods for tumor subregion analysis and their applications. Specifically, we categorize the AI-based methods by training strategy: supervised and unsupervised. A detailed review of each category is presented, highlighting important contributions and achievements. Specific challenges and potential AI applications in tumor subregion analysis are discussed.

eess.IV↗

Generative Adversarial Network for Image Synthesis

This chapter reviews recent developments of generative adversarial networks (GAN)-based methods for medical and biomedical image synthesis tasks. These methods are classified into conditional GAN and Cycle-GAN according to the network architecture designs. For each category, a literature survey is given, which covers discussions of the network architecture designs, highlights important contributions and identifies specific challenges.

physics.med-ph↗