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Yu-Chun Hsu

Publications and source records attributed to Yu-Chun Hsu.

4 recordsLinked to original sources

From Performance to Practice: Knowledge-Distilled Segmentator for On-Premises Clinical Workflows

Deploying medical image segmentation models in routine clinical workflows is often constrained by on-premises infrastructure, where computational resources are fixed and cloud-based inference may be restricted by governance and security policies. While high-capacity models achieve strong segmentation accuracy, their computational demands hinder practical deployment and long-term maintainability in hospital environments. We present a deployment-oriented framework that leverages knowledge distillation to translate a high-performing segmentation model into a scalable family of compact student models, without modifying the inference pipeline. The proposed approach preserves architectural compatibility with existing clinical systems while enabling systematic capacity reduction. The framework is evaluated on a multi-site brain MRI dataset comprising 1,104 3D volumes, with independent testing on 101 curated cases, and is further examined on abdominal CT to assess cross-modality generalizability. Under aggressive parameter reduction (94%), the distilled student model preserves nearly all of the teacher's segmentation accuracy (98.7%), while achieving substantial efficiency gains, including up to a 67% reduction in CPU inference latency without additional deployment overhead. These results demonstrate that knowledge distillation provides a practical and reliable pathway for converting research-grade segmentation models into maintainable, deployment-ready components for on-premises clinical workflows in real-world health systems.

cs.CV

ReCo-KD: Region- and Context-Aware Knowledge Distillation for Efficient 3D Medical Image Segmentation

Accurate 3D medical image segmentation is vital for diagnosis and treatment planning, but state-of-the-art models are often too large for clinics with limited computing resources. Lightweight architectures typically suffer significant performance loss. To address these deployment and speed constraints, we propose Region- and Context-aware Knowledge Distillation (ReCo-KD), a training-only framework that transfers both fine-grained anatomical detail and long-range contextual information from a high-capacity teacher to a compact student network. The framework integrates Multi-Scale Structure-Aware Region Distillation (MS-SARD), which applies class-aware masks and scale-normalized weighting to emphasize small but clinically important regions, and Multi-Scale Context Alignment (MS-CA), which aligns teacher-student affinity patterns across feature levels. Implemented on nnU-Net in a backbone-agnostic manner, ReCo-KD requires no custom student design and is easily adapted to other architectures. Experiments on multiple public 3D medical segmentation datasets and a challenging aggregated dataset show that the distilled lightweight model attains accuracy close to the teacher while markedly reducing parameters and inference latency, underscoring its practicality for clinical deployment.

cs.CV

Robust Privacy Amidst Innovation with Large Language Models Through a Critical Assessment of the Risks

This study examines integrating EHRs and NLP with large language models (LLMs) to improve healthcare data management and patient care. It focuses on using advanced models to create secure, HIPAA-compliant synthetic patient notes for biomedical research. The study used de-identified and re-identified MIMIC III datasets with GPT-3.5, GPT-4, and Mistral 7B to generate synthetic notes. Text generation employed templates and keyword extraction for contextually relevant notes, with one-shot generation for comparison. Privacy assessment checked PHI occurrence, while text utility was tested using an ICD-9 coding task. Text quality was evaluated with ROUGE and cosine similarity metrics to measure semantic similarity with source notes. Analysis of PHI occurrence and text utility via the ICD-9 coding task showed that the keyword-based method had low risk and good performance. One-shot generation showed the highest PHI exposure and PHI co-occurrence, especially in geographic location and date categories. The Normalized One-shot method achieved the highest classification accuracy. Privacy analysis revealed a critical balance between data utility and privacy protection, influencing future data use and sharing. Re-identified data consistently outperformed de-identified data. This study demonstrates the effectiveness of keyword-based methods in generating privacy-protecting synthetic clinical notes that retain data usability, potentially transforming clinical data-sharing practices. The superior performance of re-identified over de-identified data suggests a shift towards methods that enhance utility and privacy by using dummy PHIs to perplex privacy attacks.

cs.CL

Quantum phase transitions in superconductor--quantum-dot--superconductor Josephson structures with attractive intradot interaction

We theoretically study the superconducting proximity effect in a quantum dot coupled to two superconducting leads when the intradot interaction between electrons is made attractive. Because of the superconducting proximity effect, the electronic states for the embedded quantum dot are either spin-polarized states with an odd occupation number or BCS-like states with an even occupation number. We show that in the presence of an external magnetic field, the system can exhibit quantum phase transitions of fermion parity associated with the occupation number. In this work, we adopt a self-consistent theoretical method to extend our considerations beyond the so-called superconducting atomic limit in which the superconducting gap for the leads is assumed to be the largest energy scale. The method enables us to numerically investigate the electronic structure of the dot as results of the attractive interaction. For energy phase diagrams in the regime away from the atomic limit, we find a reentrant behavior where a BCS-like phase of the dot exists in an intermediate range of the hybridization strength between the quantum dot and the leads. We also consider Josephson current phase relations and identify a number of examples showing $0-π$ phase transitions that may offer important switching effects.

cond-mat.supr-con