arXiv subjects

Yujiang Wang

Publications and source records attributed to Yujiang Wang.

At least 37 records · Page 2Linked to original sources

arXiv2025

Combined impact of grey and superficial white matter abnormalities: implications for epilepsy surgery

Drug-resistant focal epilepsy is associated with abnormalities in the brain in both grey matter (GM) and superficial white matter (SWM). However, it is unknown if both types of abnormalities are important in supporting seizures. Here, we test if surgical removal of GM and/or SWM abnormalities relates to post-surgical seizure outcome in people with temporal lobe epilepsy (TLE). We analyzed structural imaging data from 143 TLE patients (pre-op dMRI and pre-op T1-weighted MRI) and 97 healthy controls. We calculated GM volume abnormalities and SWM mean diffusivity abnormalities and evaluated if their surgical removal distinguished seizure outcome groups post-surgically. At a group level, GM and SWM abnormalities were most common in the ipsilateral temporal lobe and hippocampus in people with TLE. Analyzing both modalities together, compared to in isolation, improved surgical outcome discrimination (GM AUC = 0.68, p < 0.01, WM AUC = 0.65, p < 0.01; Union AUC = 0.72, p < 0.01, Concordance AUC = 0.64, p = 0.04). Additionally, 100% of people who had all concordant abnormal regions resected had ILAE$_{1,2}$ outcomes. These findings suggest that regions identified as abnormal from both diffusion-weighted and T1-weighted MRIs are involved in the epileptogenic network and that resection of both types of abnormalities may enhance the chances of living without disabling seizures.

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arXiv2025

Automated generation of epilepsy surgery resection masks; The RAMPS pipeline

MRI-based delineation of brain tissue removed by epilepsy surgery can be challenging due to post-operative brain shift. In consequence, most studies use manual approaches which are prohibitively time-consuming for large sample sizes, require expertise, and can be prone to errors. We propose RAMPS (Resections And Masks in Preoperative Space), an automated pipeline to generate a 3D resection mask of pre-operative tissue. Our pipeline leverages existing software including FreeSurfer, SynthStrip, Sythnseg and ANTS to generate a mask in the same space as the patient's pre-operative T1 weighted MRI. We compare our automated masks against manually drawn masks and two other existing pipelines (Epic-CHOP and ResectVol). Comparing to manual masks (N=87), RAMPS achieved a median(IQR) dice similarity of 0.86(0.078) in temporal lobe resections, and 0.72(0.32) in extratemporal resections. In comparison to other pipelines, RAMPS had higher dice similarities (N=62) (RAMPS:0.86, Epic-CHOP: 0.72, ResectVol: 0.72). We release a user-friendly, easy to use pipeline, RAMPS, open source for accurate delineation of resected tissue.

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arXiv2024

Comparing Methodological Variations in Seizure Onset Localisation Algorithms using intracranial EEG

During clinical treatment for epilepsy, the area of the brain thought to be responsible for pathological activity is identified. This identification is typically performed through visual assessment of EEG recordings; however, this is time consuming and prone to subjective inconsistency. Automated onset localisation algorithms provide objective identification of the onset location by highlighting changes in signal features associated with seizure onset. In this work we investigate how methodological differences in such algorithms can result in different onset locations being identified. We analysed ictal intracranial EEG (icEEG) recordings in 16 subjects (100 seizures) with drug-resistant epilepsy from the SWEZ-ETHZ public database. We identified a series of key methodological differences that must be considered when designing or selecting an onset localisation algorithm. These differences were demonstrated using three distinct algorithms that capture different, but complementary, seizure onset features: Imprint, Epileptogenicity Index, and Low Entropy Map. We assessed methodological differences (or Decision Points), and their impact on the identified onset locations. Our independent application of all three algorithms to the same ictal icEEG dataset revealed low agreement between them: 27-60% of onset channels showed minimal or no overlap. Therefore, we investigated the effect of three key differences: (i) how to define a baseline, (ii) whether low-frequency components are considered, and finally (iii) whether electrodecrement is considered. Changes at each Decision Point were found to substantially influence resultant onset channels (r>0.3). Our results demonstrate how seemingly small methodological changes can result in large differences in onset locations. We propose that key Decision Points must be considered when using or designing an onset localisation algorithm.

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arXiv2024

Anti-seizure medication tapering correlates with daytime delta band power reduction in the cortex

Anti-seizure medications (ASMs) are the primary treatment for epilepsy, yet medication tapering effects have not been investigated in a dose, region, and time-dependent manner, despite their potential impact on research and clinical practice. We examined over 3000 hours of intracranial EEG recordings in 32 subjects during long-term monitoring, of which 22 underwent concurrent ASM tapering. We estimated ASM plasma levels based on known pharmaco-kinetics of all the major ASM types. We found an overall decrease in the power of delta band activity around the period of maximum medication withdrawal in most (80%) subjects, independent of their epilepsy type or medication combination. The degree of withdrawal correlated positively with the magnitude of delta power decrease. This dose-dependent effect was evident across all recorded cortical regions during daytime; but not in sub-cortical regions, or during night time. We found no evidence of a differential effect in seizure onset, spiking, or pathological brain regions. The finding of decreased delta band power during ASM tapering agrees with previous literature. Our observed dose-dependent effect indicates that monitoring ASM levels in cortical regions may be feasible for applications such as medication reminder systems, or closed-loop ASM delivery systems. ASMs are also used in other neurological and psychiatric conditions, making our findings relevant to a general neuroscience and neurology audience.

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arXiv2024

Efficient Task Grouping Through Samplewise Optimisation Landscape Analysis

Shared training approaches, such as multi-task learning (MTL) and gradient-based meta-learning, are widely used in various machine learning applications, but they often suffer from negative transfer, leading to performance degradation in specific tasks. While several optimisation techniques have been developed to mitigate this issue for pre-selected task cohorts, identifying optimal task combinations for joint learning - known as task grouping - remains underexplored and computationally challenging due to the exponential growth in task combinations and the need for extensive training and evaluation cycles. This paper introduces an efficient task grouping framework designed to reduce these overwhelming computational demands of the existing methods. The proposed framework infers pairwise task similarities through a sample-wise optimisation landscape analysis, eliminating the need for the shared model training required to infer task similarities in existing methods. With task similarities acquired, a graph-based clustering algorithm is employed to pinpoint near-optimal task groups, providing an approximate yet efficient and effective solution to the originally NP-hard problem. Empirical assessments conducted on 8 different datasets highlight the effectiveness of the proposed framework, revealing a five-fold speed enhancement compared to previous state-of-the-art methods. Moreover, the framework consistently demonstrates comparable performance, confirming its remarkable efficiency and effectiveness in task grouping.

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arXiv2024

Bayesian inference on the order of stationary vector autoregressions

Vector autoregressions (VARs) are a widely used tool for modelling multivariate time-series. It is common to assume a VAR is stationary; this can be enforced by imposing the stationarity condition which restricts the parameter space of the autoregressive coefficients to the stationary region. However, implementing this constraint is difficult due to the complex geometry of the stationary region. Fortunately, recent work has provided a solution for autoregressions of fixed order $p$ based on a reparameterization in terms of a set of interpretable and unconstrained transformed partial autocorrelation matrices. In this work, focus is placed on the difficult problem of allowing $p$ to be unknown, developing a prior and computational inference that takes full account of order uncertainty. Specifically, the multiplicative gamma process is used to build a prior which encourages increasing shrinkage of the partial autocorrelations with increasing lag. Identifying the lag beyond which the partial autocorrelations become equal to zero then determines $p$. Based on classic time-series theory, a principled choice of truncation criterion identifies whether a partial autocorrelation matrix is effectively zero. Posterior inference utilizes Hamiltonian Monte Carlo via Stan. The work is illustrated in a substantive application to neural activity data to investigate ultradian brain rhythms.

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arXiv2024

Multiscale cortical morphometry reveals pronounced regional and scale-dependent variations across the lifespan

Motivation: Characterising the changes in cortical morphology across the lifespan is fundamental for a range of research and clinical applications. Most studies to date have found a monotonic decrease in commonly used morphometrics, such as cortical thickness and volume, across the entire brain with increasing age. Any regional variations reported are subtle changes in the rate of decrease. However, these descriptions of morphological changes have been limited to a single length scale. Here, we delineate the morphological changes associated with the healthy lifespan in multiscale morphometrics. Methods: We applied multiscale morphometric analysis to structural MRI from subjects aged 6-88 years from NKI (n=833) and CamCAN (n=641). These multiscale morphometrics were obtained at both the cortical hemisphere and lobe level. Results: On the level of whole cortical hemispheres, lifespan trajectories show diverging and even opposing trends at different spatial scales, in contrast to the monotonic decreases of volume and thickness described so far. Importantly, larger scales displayed most dramatic changes across the lifespan (up to 60%). More pronounced lobal differences in lifespan trajectories also became apparent in scales over 0.7mm. In a proof-of-principle application in brain age prediction, we also demonstrate added information contributed by multiscale morphometrics. Conclusion: Our study provides a comprehensive multiscale description of lifespan effects on cortical morphology in an age range from 6-88~years. In future, this can form the foundations for a normative model to compare individuals or cohorts, hence identifying multiscale morphological abnormalities. Our results reveal the complementary information contained in different spatial scales, suggesting that morphometrics should not be considered on a single scale, but as functions of length scale.

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arXiv2024

Multi-centre normative brain mapping of intracranial EEG lifespan patterns in the human brain

Background: Understanding healthy human brain function is crucial to identify and map pathological tissue within it. Whilst previous studies have mapped intracranial EEG (icEEG) from non-epileptogenic brain regions, these maps do not consider the effects of age and sex. Further, most existing work on icEEG has often suffered from a small sample size due to the modality's invasive nature. Here, we substantially increase the subject sample size compared to existing literature, to create a multi-centre, normative map of brain activity which additionally considers the effects of age, sex and recording hospital. Methods: Using interictal icEEG recordings from n = 502 subjects originating from 15 centres, we constructed a normative map of non-pathological brain activity by regressing age and sex on relative band power in five frequency bands, whilst accounting for the hospital effect. Results: Recording hospital significantly impacted normative icEEG maps in all frequency bands, and age was a more influential predictor of band power than sex. The age effect varied by frequency band, but no spatial patterns were observed at the region-specific level. Certainty about regression coefficients was also frequency band specific and moderately impacted by sample size. Conclusion: The concept of a normative map is well-established in neuroscience research and particularly relevant to the icEEG modality, which does not allow healthy control baselines. Our key results regarding the hospital site and age effect guide future work utilising normative maps in icEEG.

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arXiv2024

Seizure freedom after surgical resection of diffusion-weighted MRI abnormalities

Importance: Many individuals with drug-resistant epilepsy continue to have seizures after resective surgery. Accurate identification of focal brain abnormalities is essential for successful neurosurgical intervention. Current clinical approaches to identify structural abnormalities for surgical targeting in epilepsy do not use diffusion-weighted MRI (dMRI), despite evidence that dMRI abnormalities are present in epilepsy and may relate to the epileptogenic zone. Objective: To investigate whether surgical resection of diffusion abnormalities relates to post-operative seizure freedom. Design: This retrospective case-control study was conducted between 2009 and 2022. Data were acquired at the National Hospital for Neurology and Neurosurgery, UK. Study participants included 200 individuals with drug-resistant focal epilepsy, who underwent resective surgery, and 97 healthy controls used as a normative baseline. Main Outcomes: Spatial overlap between diffusion abnormality clusters and surgical resection masks, and relation to post-surgical outcome. Results: Surgical resections overlapping with the largest abnormal cluster significantly correlated with sustained seizure freedom at 12 months (83% vs 55%; p<0.0001) and over five years (p<0.0001). Notably, resecting only a small proportion of the largest cluster was associated with better seizure outcomes than cases with no resection of this cluster (p=0.008). Furthermore, sparing the largest cluster but resecting other large clusters still improved seizure freedom rates compared to no overlap (p=0.03). Conclusions: Our results suggest that abnormal clusters, identified using dMRI, are integral to the epileptogenic network, and even a partial removal of such an abnormal cluster is sufficient to achieve seizure freedom. The study highlights the potential of incorporating dMRI into pre-surgical planning to improve outcomes in focal epilepsy.

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arXiv2024

Denoising Reuse: Exploiting Inter-frame Motion Consistency for Efficient Video Latent Generation

Video generation using diffusion-based models is constrained by high computational costs due to the frame-wise iterative diffusion process. This work presents a Diffusion Reuse MOtion (Dr. Mo) network to accelerate latent video generation. Our key discovery is that coarse-grained noises in earlier denoising steps have demonstrated high motion consistency across consecutive video frames. Following this observation, Dr. Mo propagates those coarse-grained noises onto the next frame by incorporating carefully designed, lightweight inter-frame motions, eliminating massive computational redundancy in frame-wise diffusion models. The more sensitive and fine-grained noises are still acquired via later denoising steps, which can be essential to retain visual qualities. As such, deciding which intermediate steps should switch from motion-based propagations to denoising can be a crucial problem and a key tradeoff between efficiency and quality. Dr. Mo employs a meta-network named Denoising Step Selector (DSS) to dynamically determine desirable intermediate steps across video frames. Extensive evaluations on video generation and editing tasks have shown that Dr. Mo can substantially accelerate diffusion models in video tasks with improved visual qualities.

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arXiv2024

Status epilepticus and thinning of the entorhinal cortex

Status epilepticus (SE) carries risks of morbidity and mortality. Experimental studies have implicated the entorhinal cortex in prolonged seizures; however, studies in large human cohorts are limited. We hypothesised that individuals with temporal lobe epilepsy (TLE) and a history of SE would have more severe entorhinal atrophy compared to others with TLE and no history of SE. 357 individuals with drug resistant temporal lobe epilepsy (TLE) and 100 healthy controls were scanned on a 3T MRI. For all subjects the cortex was segmented, parcellated, and the thickness calculated from the T1-weighted anatomical scan. Subcortical volumes were derived similarly. Cohen's d and Wilcoxon rank-sum tests respectively were used to capture effect sizes and significance. Individuals with TLE and SE had reduced entorhinal thickness compared to those with TLE and no history of SE. The entorhinal cortex was more atrophic ipsilaterally (d=0.51, p<0.001) than contralaterally (d=0.37, p=0.01). Reductions in ipsilateral entorhinal thickness were present in both left TLE (n=22:176, d=0.78, p<0.001), and right TLE (n=19:140, d=0.31, p=0.04), albeit with a smaller effect size in right TLE. Several other regions exhibited atrophy in individuals with TLE, but these did not relate to a history of SE. These findings suggest potential involvement or susceptibility of the entorhinal cortex in prolonged seizures.

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arXiv2024

Diminished circadian and ultradian rhythms of human brain activity in pathological tissue in vivo

Chronobiological rhythms, such as the circadian rhythm, have long been linked to neurological disorders, but it is currently unknown how pathological processes affect the expression of biological rhythms in the brain. Here, we use the unique opportunity of long-term, continuous intracranially recorded EEG from 38 patients (totalling 6338 hours) to delineate circadian (daily) and ultradian (minute to hourly) rhythms in different brain regions. We show that functional circadian and ultradian rhythms are diminished in pathological tissue, independent of regional variations. We further demonstrate that these diminished rhythms are persistent in time, regardless of load or occurrence of pathological events. These findings provide evidence that brain pathology is functionally associated with persistently diminished chronobiological rhythms in vivo in humans, independent of regional variations or pathological events. Future work interacting with, and restoring, these modulatory chronobiological rhythms may allow for novel therapies.

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arXiv2024

Neuro-evolutionary evidence for a universal fractal primate brain shape

The cerebral cortex displays a bewildering diversity of shapes and sizes across and within species. Despite this diversity, we present a universal multi-scale description of primate cortices. We show that all cortical shapes can be described as a set of nested folds of different sizes. As neighbouring folds are gradually merged, the cortices of 11 primate species follow a common scale-free morphometric trajectory, that also overlaps with over 70 other mammalian species. Our results indicate that all cerebral cortices are approximations of the same archetypal fractal shape with a fractal dimension of $d_f=2.5$. Importantly, this new understanding enables a more precise quantification of brain morphology as a function of scale. To demonstrate the importance of this new understanding, we show a scale-dependent effect of ageing on brain morphology. We observe a more than four-fold increase in effect size (from 2 standard deviations to 8 standard deviations) at a spatial scale of approximately 2 mm compared to standard morphological analyses. Our new understanding may therefore generate superior biomarkers for a range of conditions in the future.

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arXiv2024

The Imaging Database for Epilepsy And Surgery (IDEAS)

Magnetic resonance imaging (MRI) is a crucial tool to identify brain abnormalities in a wide range of neurological disorders. In focal epilepsy MRI is used to identify structural cerebral abnormalities. For covert lesions, machine learning and artificial intelligence algorithms may improve lesion detection if abnormalities are not evident on visual inspection. The success of this approach depends on the volume and quality of training data. Herein, we release an open-source dataset of preprocessed MRI scans from 442 individuals with drug-refractory focal epilepsy who had neurosurgical resections, and detailed demographic information. The MRI scan data includes the preoperative 3D T1 and where available 3D FLAIR, as well as a manually inspected complete surface reconstruction and volumetric parcellations. Demographic information includes age, sex, age of onset of epilepsy, location of surgery, histopathology of resected specimen, occurrence and frequency of focal seizures with and without impairment of awareness, focal to bilateral tonic-clonic seizures, number of anti-seizure medications (ASMs) at time of surgery, and a total of 1764 patient years of post-surgical follow up. Crucially, we also include resection masks delineated from post-surgical imaging. To demonstrate the veracity of our data, we successfully replicated previous studies showing long-term outcomes of seizure freedom in the range of around 50%. Our imaging data replicates findings of group level atrophy in patients compared to controls. Resection locations in the cohort were predominantly in the temporal and frontal lobes. We envisage our dataset, shared openly with the community, will catalyse the development and application of computational methods in clinical neurology.

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arXiv2024

Vagus nerve stimulation: Laying the groundwork for predictive network-based computer models

Vagus Nerve Stimulation (VNS) is an established palliative treatment for drug resistant epilepsy. While effective for many patients, its mechanism of action is incompletely understood. Predicting individuals' response, or optimum stimulation parameters, is challenging. Computational modelling has informed other problems in epilepsy but, to our knowledge, has not been applied to VNS. We started with an established, four-population neural mass model (NMM), capable of reproducing the seizure-like dynamics of a thalamocortical circuit. We extended this to include 18 further neural populations, representing nine other brain regions relevant to VNS, with connectivity based on existing literature. We modelled stimulated afferent vagal fibres as projecting to the nucleus tractus solitarius (NTS), which receives input from the vagus nerve in vivo. Bifurcation analysis of a deterministic version of the model showed higher background NTS input made the model monostable at a fixed point (FP), representing normal activity, while lower inputs produce bistability between the FP and a limit cycle (LC), representing the seizure state. Adding noise produced transitions between seizure and normal states. This stochastic model spent decreasing time in the seizure state with increasing background NTS input, until seizures were abolished, consistent with the deterministic model. Simulated VNS stimulation, modelled as a 30 Hz square wave, was summed with the background input to the NTS and was found to reduce total seizure duration in a dose-dependent manner, similar to expectations in vivo. We have successfully produced an in silico model of VNS in epilepsy, capturing behaviour seen in vivo. This may aid understanding therapeutic mechanisms of VNS in epilepsy and provides a starting point to (i) determine which patients might respond best to VNS, and (ii) optimise individuals' treatments.

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arXiv2024

Train Faster, Perform Better: Modular Adaptive Training in Over-Parameterized Models

Despite their prevalence in deep-learning communities, over-parameterized models convey high demands of computational costs for proper training. This work studies the fine-grained, modular-level learning dynamics of over-parameterized models to attain a more efficient and fruitful training strategy. Empirical evidence reveals that when scaling down into network modules, such as heads in self-attention models, we can observe varying learning patterns implicitly associated with each module's trainability. To describe such modular-level learning capabilities, we introduce a novel concept dubbed modular neural tangent kernel (mNTK), and we demonstrate that the quality of a module's learning is tightly associated with its mNTK's principal eigenvalue $λ_{\max}$. A large $λ_{\max}$ indicates that the module learns features with better convergence, while those miniature ones may impact generalization negatively. Inspired by the discovery, we propose a novel training strategy termed Modular Adaptive Training (MAT) to update those modules with their $λ_{\max}$ exceeding a dynamic threshold selectively, concentrating the model on learning common features and ignoring those inconsistent ones. Unlike most existing training schemes with a complete BP cycle across all network modules, MAT can significantly save computations by its partially-updating strategy and can further improve performance. Experiments show that MAT nearly halves the computational cost of model training and outperforms the accuracy of baselines.

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arXiv2024

Unsupervised Machine Learning Identifies Latent Ultradian States in Multi-Modal Wearable Sensor Signals

Wearable sensors such as smartwatches have become ubiquitous in recent years, allowing the easy and continual measurement of physiological parameters such as heart rate, physical activity, body temperature, and blood glucose in an every-day setting. This multi-modal data offers the potential to identify latent states occurring across physiological measures, which may represent important bio-behavioural states that could not be observed in any single measure. Here we present an approach, utilising a hidden semi-Markov model, to identify such states in data collected using a smartwatch, electrocardiogram, and blood glucose monitor, over two weeks from a sample of 9 participants. We found 26 latent ultradian states across the sample, with many occurring at particular times of day. Here we describe some of these, as well as their association with subjective mood and time use diaries. These methods provide a novel avenue for developing insights into the physiology of everyday life.

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arXiv2024

XMiner: Efficient Directed Subgraph Matching with Pattern Reduction

Graph pattern matching, one of the fundamental graph mining problems, aims to extract structural patterns of interest from an input graph. The state-of-the-art graph matching algorithms and systems are mainly designed for undirected graphs. Directed graph matching is more complex than undirected graph matching because the edge direction must be taken into account before the exploration of each directed edge. Thus, the technologies (e.g. storage, exploiting symmetry for graph matching) for undirected graph matching may not be fully applicable to directed graphs. For example, the redundancy implied in directed graph pattern can not be detected using the symmetry breaking for undirected pattern graph. Here, we present XMiner for efficient directed graph pattern matching whose core idea is 'pattern reduction'. It first analyzes the relationship between constraints implied in a pattern digraph. Then it reduces the pattern graph into a simplified form by finding a minimum constraint cover. Finally, XMiner generates an execution plan and follows it to extract matchings of the pattern graph. So, XMiner works on simplified pattern graph and avoids much data access and redundant computation throughout the matching process. Our experimental results show that XMiner outperforms state-of the-art stand-alone graph matching systems, and scales to complex graph pattern matching tasks on larger graph.

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