Publications by authors named "Mishka Gidwani"

Article Synopsis
  • * Through advanced imaging techniques, researchers assessed the relationship between the vascular structure of the tumors and the treatment response, revealing that tumors responding to the drug had a more balanced blood vessel composition compared to resistant ones.
  • * The findings suggest that understanding the vascular architecture could enhance our knowledge of how immune therapies work in the brain, potentially guiding future treatment strategies.
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Article Synopsis
  • Tumor angiogenesis often leads to abnormal blood vessel development, which is linked to treatment resistance and immune suppression in cancers, specifically brain metastases.
  • A study using perfusion MRI on 44 patients treated with the immune checkpoint inhibitor pembrolizumab revealed that responsive tumors had balanced vascular structures, promoting better blood flow and a supportive immune environment.
  • In contrast, resistant tumors exhibited chaotic blood vessels and low immune cell presence, with early functional changes detectable through MRI that indicated resistance before conventional imaging could.
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Deep learning (DL) models have provided state-of-the-art performance in various medical imaging benchmarking challenges, including the Brain Tumor Segmentation (BraTS) challenges. However, the task of focal pathology multi-compartment segmentation (e.g.

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Background Radiomics is the extraction of predefined mathematic features from medical images for the prediction of variables of clinical interest. While some studies report superlative accuracy of radiomic machine learning (ML) models, the published methodology is often incomplete, and the results are rarely validated in external testing data sets. Purpose To characterize the type, prevalence, and statistical impact of methodologic errors present in radiomic ML studies.

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Purpose: To evaluate the trustworthiness of saliency maps for abnormality localization in medical imaging.

Materials And Methods: Using two large publicly available radiology datasets (Society for Imaging Informatics in Medicine-American College of Radiology Pneumothorax Segmentation dataset and Radiological Society of North America Pneumonia Detection Challenge dataset), the performance of eight commonly used saliency map techniques were quantified in regard to localization utility (segmentation and detection), sensitivity to model weight randomization, repeatability, and reproducibility. Their performances versus baseline methods and localization network architectures were compared, using area under the precision-recall curve (AUPRC) and structural similarity index measure (SSIM) as metrics.

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Purpose: To develop an automated measure of COVID-19 pulmonary disease severity on chest radiographs (CXRs), for longitudinal disease tracking and outcome prediction.

Materials And Methods: A convolutional Siamese neural network-based algorithm was trained to output a measure of pulmonary disease severity on CXRs (pulmonary x-ray severity (PXS) score), using weakly-supervised pretraining on ∼160,000 anterior-posterior images from CheXpert and transfer learning on 314 frontal CXRs from COVID-19 patients. The algorithm was evaluated on internal and external test sets from different hospitals (154 and 113 CXRs respectively).

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Purpose To develop an automated measure of COVID-19 pulmonary disease severity on chest radiographs (CXRs), for longitudinal disease evaluation and clinical risk stratification. Materials and Methods A convolutional Siamese neural network-based algorithm was trained to output a measure of pulmonary disease severity on anterior-posterior CXRs (pulmonary x-ray severity (PXS) score), using weakly-supervised pretraining on ~160,000 images from CheXpert and transfer learning on 314 CXRs from patients with COVID-19. The algorithm was evaluated on internal and external test sets from different hospitals, containing 154 and 113 CXRs respectively.

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Background: Radiotherapy continues to be delivered uniformly without consideration of individual tumor characteristics. To advance toward more precise treatments in radiotherapy, we queried the lung computed tomography (CT)-derived feature space to identify radiation sensitivity parameters that can predict treatment failure and hence guide the individualization of radiotherapy dose.

Methods: We used a cohort-based registry of 849 patients with cancer in the lung treated with high dose radiotherapy using stereotactic body radiotherapy.

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Hematogeneous metastasis can occur via a cascade of circulating tumor cell adhesion events to the endothelial lining of the vasculature, i.e. the metastatic cascade.

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