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Zongsheng Hu

Publications and source records attributed to Zongsheng Hu.

6 recordsLinked to original sources

Ridge-filter crosstalk in conformal proton FLASH planning: dependence on beamlet pitch and iterative mitigation

Objective: Patient-specific ridge filters (PSRFs) can enable conformal single-energy proton FLASH delivery without energy switching. However, converting optimized spot-based dose distributions into physically adjacent ridge-filter structures may introduce inter-beamlet modulation errors not captured by conventional isolated-spot optimization. This study characterized ridge-filter (RF) crosstalk, evaluated its dependence on the beam-width-to-pitch relationship, and developed an iterative mitigation strategy. Approach: A Monte Carlo dose influence matrix was generated for monoenergetic proton beamlets passing through RFs of varying thickness. A baseline spot-weighted IMPT plan was optimized to meet dose constraints and converted into PSRF geometries. PSRF dose distributions were calculated by explicitly modeling the PSRF in the scanned beam path. RF crosstalk was quantified by comparing PSRF and baseline IMPT plans. Lateral beamlet spacings of 8, 10, 12, and 15 mm were evaluated using gamma analysis, DVH metrics, and mean relative dose difference. An iterative re-optimization method was tested in water-phantom and patient CT geometries. Results: RF crosstalk produced hot and cold spots, reducing agreement between PSRF and baseline IMPT plans. For the same spot size and target geometry, crosstalk increased as beamlet spacing decreased. Iterative re-optimization substantially reduced dose discrepancies, lowering the mean relative dose difference in the target from 8.9% to 3.4% in water and from 3.7% to 1.8% in CT. Significance: RF crosstalk is an important source of dose inconsistency in ridge-filter-based conformal proton FLASH planning. Its dependence on the beam-width-to-pitch relationship and mitigation through iterative re-optimization provide a practical framework for improving the accuracy and robustness of patient-specific single-energy proton FLASH delivery.

physics.med-ph

Quantifying U-Net Uncertainty in Multi-Parametric MRI-based Glioma Segmentation by Spherical Image Projection

The projection of planar MRI data onto a spherical surface is equivalent to a nonlinear image transformation that retains global anatomical information. By incorporating this image transformation process in our proposed spherical projection-based U-Net (SPU-Net) segmentation model design, multiple independent segmentation predictions can be obtained from a single MRI. The final segmentation is the average of all available results, and the variation can be visualized as a pixel-wise uncertainty map. An uncertainty score was introduced to evaluate and compare the performance of uncertainty measurements. The proposed SPU-Net model was implemented on the basis of 369 glioma patients with MP-MRI scans (T1, T1-Ce, T2, and FLAIR). Three SPU-Net models were trained to segment enhancing tumor (ET), tumor core (TC), and whole tumor (WT), respectively. The SPU-Net model was compared with (1) the classic U-Net model with test-time augmentation (TTA) and (2) linear scaling-based U-Net (LSU-Net) segmentation models in terms of both segmentation accuracy (Dice coefficient, sensitivity, specificity, and accuracy) and segmentation uncertainty (uncertainty map and uncertainty score). The developed SPU-Net model successfully achieved low uncertainty for correct segmentation predictions (e.g., tumor interior or healthy tissue interior) and high uncertainty for incorrect results (e.g., tumor boundaries). This model could allow the identification of missed tumor targets or segmentation errors in U-Net. Quantitatively, the SPU-Net model achieved the highest uncertainty scores for three segmentation targets (ET/TC/WT): 0.826/0.848/0.936, compared to 0.784/0.643/0.872 using the U-Net with TTA and 0.743/0.702/0.876 with the LSU-Net (scaling factor = 2). The SPU-Net also achieved statistically significantly higher Dice coefficients, underscoring the improved segmentation accuracy.

q-bio.QM

Sensitivity analysis of biological washout and depth selection for a machine learning based dose verification framework in proton therapy

Dose verification based on proton-induced positron emitters is a promising quality assurance tool and may leverage the strength of artificial intelligence. To move a step closer towards practical application, the sensitivity analysis of two factors needs to be performed: biological washout and depth selection. selection. A bi-directional recurrent neural network (RNN) model was developed. The training dataset was generated based upon a CT image-based phantom (abdomen region) and multiple beam energies/pathways, using Monte-Carlo simulation (1 mm spatial resolution, no biological washout). For the modeling of biological washout, a simplified analytical model was applied to change raw activity profiles over a period of 5 minutes, incorporating both physical decay and biological washout. For the study of depth selection (a challenge linked to multi field/angle irradiation), truncations were applied at different window lengths (100, 125, 150 mm) to raw activity profiles. Finally, the performance of a worst-case scenario was examined by combining both factors (depth selection: 125 mm, biological washout: 5 mins). The accuracy was quantitatively evaluated in terms of range uncertainty, mean absolute error (MAE) and mean relative errors (MRE). Our proposed AI framework shows good immunity to the perturbation associated with two factors. The detection of proton-induced positron emitters, combined with machine learning, has great potential to implement online patient-specific verification in proton therapy.

physics.med-ph

A Neural Ordinary Differential Equation Model for Visualizing Deep Neural Network Behaviors in Multi-Parametric MRI based Glioma Segmentation

Purpose: To develop a neural ordinary differential equation (ODE) model for visualizing deep neural network (DNN) behavior during multi-parametric MRI (mp-MRI) based glioma segmentation as a method to enhance deep learning explainability. Methods: By hypothesizing that deep feature extraction can be modeled as a spatiotemporally continuous process, we designed a novel deep learning model, neural ODE, in which deep feature extraction was governed by an ODE without explicit expression. The dynamics of 1) MR images after interactions with DNN and 2) segmentation formation can be visualized after solving ODE. An accumulative contribution curve (ACC) was designed to quantitatively evaluate the utilization of each MRI by DNN towards the final segmentation results. The proposed neural ODE model was demonstrated using 369 glioma patients with a 4-modality mp-MRI protocol: T1, contrast-enhanced T1 (T1-Ce), T2, and FLAIR. Three neural ODE models were trained to segment enhancing tumor (ET), tumor core (TC), and whole tumor (WT). The key MR modalities with significant utilization by DNN were identified based on ACC analysis. Segmentation results by DNN using only the key MR modalities were compared to the ones using all 4 MR modalities. Results: All neural ODE models successfully illustrated image dynamics as expected. ACC analysis identified T1-Ce as the only key modality in ET and TC segmentations, while both FLAIR and T2 were key modalities in WT segmentation. Compared to the U-Net results using all 4 MR modalities, Dice coefficient of ET (0.784->0.775), TC (0.760->0.758), and WT (0.841->0.837) using the key modalities only had minimal differences without significance. Conclusion: The neural ODE model offers a new tool for optimizing the deep learning model inputs with enhanced explainability. The presented methodology can be generalized to other medical image-related deep learning applications.

q-bio.QM

A Deep Learning Model with Radiomics Analysis Integration for Glioblastoma Post-Resection Survival Prediction

Purpose: To develop a novel deep-learning model that integrates radiomics analysis in a multi-dimensional feature fusion workflow for glioblastoma (GBM) post-resection survival prediction. Methods: A cohort of 235 GBM patients with complete surgical resection was divided into short-term/long-term survival groups with 1-yr survival time threshold. Each patient received a pre-surgery multi-parametric MRI exam, and three tumor subregions were segmented by neuroradiologists. The developed model comprises three data source branches: in the 1st radiomics branch, 456 radiomics features (RF) were from each patient; in the 2nd deep learning branch, an encoding neural network architecture was trained for survival group prediction using each single MR modality, and high-dimensional parameters of the last two network layers were extracted as deep features (DF). The extracted radiomics features and deep features were processed by a feature selection procedure to reduce dimension size of each feature space. In the 3rd branch, non-image-based patient-specific clinical features (PSCF) were collected. Finally, data sources from all three branches were fused as an integrated input for a supporting vector machine (SVM) execution for survival group prediction. Different strategies of model design, including 1) 2D/3D-based image analysis, and 2) different data source combinations in SVM input design, were investigated in comparison studies. Results: The model achieved 0.638 prediction accuracy when using PSCF only, which was higher than the results using RF or DF only in both 2D and 3D analysis. The joint use of RF/PSCF improved accuracy results to 0.681 in 3D analysis. The most accurate models in 2D/3D analysis reached the highest accuracy 0.745 with different combinations of RF/DF/ PSCF, and the corresponding ROC AUC results were 0.69(2D) and 0.71(3D), respectively.

physics.med-ph

A Radiomics-Boosted Deep-Learning Model for COVID-19 and Non-COVID-19 Pneumonia Classification Using Chest X-ray Image

To develop a deep-learning model that integrates radiomics analysis for enhanced performance of COVID-19 and Non-COVID-19 pneumonia detection using chest X-ray image, two deep-learning models were trained based on a pre-trained VGG-16 architecture: in the 1st model, X-ray image was the sole input; in the 2nd model, X-ray image and 2 radiomic feature maps (RFM) selected by the saliency map analysis of the 1st model were stacked as the input. Both models were developed using 812 chest X-ray images with 262/288/262 COVID-19/Non-COVID-19 pneumonia/healthy cases, and 649/163 cases were assigned as training-validation/independent test sets. In 1st model using X-ray as the sole input, the 1) sensitivity, 2) specificity, 3) accuracy, and 4) ROC Area-Under-the-Curve of COVID-19 vs Non-COVID-19 pneumonia detection were 1) 0.90$\pm$0.07 vs 0.78$\pm$0.09, 2) 0.94$\pm$0.04 vs 0.94$\pm$0.04, 3) 0.93$\pm$0.03 vs 0.89$\pm$0.03, and 4) 0.96$\pm$0.02 vs 0.92$\pm$0.04. In the 2nd model, two RFMs, Entropy and Short-Run-Emphasize, were selected with their highest cross-correlations with the saliency maps of the 1st model. The corresponding results demonstrated significant improvements (p<0.05) of COVID-19 vs Non-COVID-19 pneumonia detection: 1) 0.95$\pm$0.04 vs 0.85$\pm$0.04, 2) 0.97$\pm$0.02 vs 0.96$\pm$0.02, 3) 0.97$\pm$0.02 vs 0.93$\pm$0.02, and 4) 0.99$\pm$0.01 vs 0.97$\pm$0.02. The reduced variations suggested a superior robustness of 2nd model design.

eess.IV