Publications by authors named "Zhenchao Tang"

Ultrasound-guided transverse thoracic plane (TTP) block has been shown to be highly effective in relieving postoperative pain in a variety of surgeries involving the anterior chest wall. Accurate identification of the target structure on ultrasound images is key to the successful implementation of TTP block. Nevertheless, the complexity of anatomical structures in the targeted blockade area coupled with the potential for adverse clinical incidents presents considerable challenges, particularly for anesthesiologists who are less experienced.

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Recently, Magnetic Particle Imaging, an emerging functional imaging modality, has exhibited outstanding spatial-temporal resolution and sensitivity. The general reconstruction pipeline of Magnetic Particle Imaging involves calibrating a System Matrix and then solving an ill-posed inverse problem combined with the measured particle signals. However, the introduction of noise during the System Matrix calibration procedure is inevitable, which degrades the detailed information in the reconstructed images.

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Accurately predicting binding affinities between drugs and targets is crucial for drug discovery but remains challenging due to the complexity of modeling interactions between small drug and large targets. This study proposes DMFF-DTA, a dual-modality neural network model integrates sequence and graph structure information from drugs and proteins for drug-target affinity prediction. The model introduces a binding site-focused graph construction approach to extract binding information, enabling more balanced and efficient modeling of drug-target interactions.

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Background: This study aims to develop a hierarchical classification method to automatically assess the severity of knee osteoarthritis (KOA).

Methods: This retrospective study recruited 4074 patients. Clinical diagnostic indicators and clinical diagnostic processes were applied to develop a hierarchical classification method that involved four sub-task classifications.

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Measurement techniques often result in domain gaps among batches of cellular data from a specific modality. The effectiveness of cross-batch annotation methods is influenced by inductive bias, which refers to a set of assumptions that describe the behavior of model predictions. Different annotation methods possess distinct inductive biases, leading to varying degrees of generalizability and interpretability.

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Article Synopsis
  • Heterogeneous feature spaces and technical noise make it tough to integrate and analyze multi-modality single-cell data effectively; high costs of matching data across different modalities add to the challenge.
  • To tackle these problems, the Modal-Nexus Auto-Encoder (Monae) is introduced, which uses deep learning techniques to improve cell representations by leveraging relationships between different data modalities.
  • Monae and its extension, Monae-E, have shown strong performance and reliability in accurately integrating and imputing complex multi-modality cellular data across various datasets, facilitating better insights into cellular behaviors.
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Ultrasound-guided quadratus lumborum block (QLB) technology has become a widely used perioperative analgesia method during abdominal and pelvic surgeries. Due to the anatomical complexity and individual variability of the quadratus lumborum muscle (QLM) on ultrasound images, nerve blocks heavily rely on anesthesiologist experience. Therefore, using artificial intelligence (AI) to identify different tissue regions in ultrasound images is crucial.

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Background: Echocardiography-based ultrasomics analysis aids Kawasaki disease (KD) diagnosis but its role in predicting coronary artery lesions (CALs) progression remains unknown. We aimed to develop and validate a predictive model combining echocardiogram-based ultrasomics with clinical parameters for CALs progression in KD.

Methods: Total 371 KD patients with CALs at baseline were enrolled from a retrospective cohort (cohort 1, n = 316) and a prospective cohort (cohort 2, n = 55).

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Article Synopsis
  • Coronary computed tomography angiography (CCTA) can help assess the difficulty of performing percutaneous coronary interventions (PCI) in patients with chronic total occlusion (CTO) by analyzing plaque characteristics through radiomics.
  • The study involved 551 patients, and the developed radiomics model demonstrated a higher predictive ability for guidewire success than existing models, showing an area under the curve (AUC) of 0.86 in external testing.
  • The effectiveness of the radiomics model relies on factors like the presence of calcification, the location of the CTO, the involvement of adjacent branches, and the experience level of the operators performing the procedure.
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Objective: Magnetic Particle Imaging (MPI) is a radiation-free tracer-based imaging technology that visualizes the spatial distribution of superparamagnetic iron oxide nanoparticles. Conventional spatial encoding methods in MPI rely on a gradient magnetic field with a constant gradient strength to generate a field-free point or line for spatial scanning. However, increasing the gradient strength can enhance theoretical spatial resolution but also lead to a decrease in the Signal-to-Noise Ratio (SNR) and sensitivity of the imaging system.

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In the realm of utilizing artificial intelligence (AI) for medical image analysis, the paradigm of 'signal-image-knowledge' has remained unchanged. However, the process of 'signal to image' inevitably introduces information distortion, ultimately leading to irrecoverable biases in the 'image to knowledge' process. Our goal is to skip reconstruction and build a diagnostic model directly from the raw data (signal).

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The severity evaluation of Parkinson's disease (PD) is of great significance for the treatment of PD. However, existing methods either have limitations based on prior knowledge or are invasive methods. To propose a more generalized severity evaluation model, this paper proposes an explainable 3D multi-head attention residual convolution network.

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Objective: Patients with gastric atrophy and intestinal metaplasia (IM) were at risk for gastric cancer, necessitating an accurate risk assessment. We aimed to establish and validate a diagnostic approach for gastric biopsy specimens using deep learning and OLGA/OLGIM for individual gastric cancer risk classification.

Methods: In this study, we prospectively enrolled 545 patients suspected of atrophic gastritis during endoscopy from 13 tertiary hospitals between December 22, 2017, to September 25, 2020, with a total of 2725 whole-slide images (WSIs).

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Drug-drug interactions (DDIs) trigger unexpected pharmacological effects in vivo, often with unknown causal mechanisms. Deep learning methods have been developed to better understand DDI. However, learning domain-invariant representations for DDI remains a challenge.

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Background: This study aimed to develop an artificial intelligence-based computer-aided diagnosis system (AI-CAD) emulating the diagnostic logic of radiologists for lymph node metastasis (LNM) in esophageal squamous cell carcinoma (ESCC) patients, which contributed to clinical treatment decision-making.

Methods: A total of 689 ESCC patients with PET/CT images were enrolled from three hospitals and divided into a training cohort and two external validation cohorts. 452 CT images from three publicly available datasets were also included for pretraining the model.

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Acquired immune deficiency syndrome infection can lead to cognitive dysfunction represented by changes in the default mode network. Most recent studies have been cross-sectional and thus have not revealed dynamic changes in the default mode network following acquired immune deficiency syndrome infection and antiretroviral therapy. Specifically, when brain imaging data at only one time point are analyzed, determining the duration at which the default mode network is the most effective following antiretroviral therapy after the occurrence of acquired immune deficiency syndrome.

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Background: Lymph node (LN) metastasis is significantly associated with worse prognosis for patients with intrahepatic cholangiocarcinoma (ICC). Improvement in preoperative assessment on LN metastasis helps in treatment decision-making. We aimed to investigate the role of radiomics-based method in predicting LN metastasis for patients with ICC.

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Objectives: To build radiomics based OS prediction tools for local advanced cervical cancer (LACC) patients treated by concurrent chemoradiotherapy (CCRT) alone or followed by adjuvant chemotherapy (ACT). And, to construct adjuvant chemotherapy decision aid.

Methods: 83 patients treated by ACT following CCRT and 47 patients treated by CCRT were included in the ACT cohort and non-ACT cohort.

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Background: The present study aimed to explore the difference in the brain function and structure between patients with major depressive disorder (MDD) and healthy controls (HCs) using two-center and multi-modal MRI data, which would be helpful to investigate the pathogenesis of MDD.

Methods: The subjects were collected from two hospitals. One including 140 patients with MDD and 138 HCs was used as primary cohort.

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In clinical practice, about 35% of MRI scans are enhanced with Gadolinium - based contrast agents (GBCAs) worldwide currently. Injecting GBCAs can make the lesions much more visible on contrast-enhanced scans. However, the injection of GBCAs is high-risk, time-consuming, and expensive.

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Purpose: For timely treatment of extrahepatic metastasis and macrovascular invasion (aggressive progressive disease [PD]) in hepatocellular carcinoma, models aimed at stratifying the risks of subsequent aggressive PD should be constructed.

Patients And Methods: After dividing 332 patients from five hospitals into training (n = 236) and validation (n = 96) datasets, non-invasive models, including clinical/semantic factors (Model), deep learning radiomics (Model), and both (Model), were constructed to stratify patients according to the risk of aggressive PD. We examined the discrimination and calibration; similarly, we plotted a decision curve and devised a nomogram.

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Background: Accurate predictions of distant metastasis (DM) in locally advanced rectal cancer (LARC) patients receiving neoadjuvant chemoradiotherapy (nCRT) are helpful in developing appropriate treatment plans. This study aimed to perform DM prediction through deep learning radiomics.

Methods: We retrospectively sampled 235 patients receiving nCRT with the minimum 36 months' postoperative follow-up from three hospitals.

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The present study aimed to evaluate the performance of radiomics features in the preoperative prediction of epileptic seizure following surgery in patients with LGG. This retrospective study collected 130 patients with LGG. Radiomics features were extracted from the T2-weighted MR images obtained before surgery.

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Coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is spreading rapidly around the world, resulting in a massive death toll. Lung infection or pneumonia is the common complication of COVID-19, and imaging techniques, especially computed tomography (CT), have played an important role in diagnosis and treatment assessment of the disease. Herein, we review the imaging characteristics and computing models that have been applied for the management of COVID-19.

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The majority of patients with low-grade gliomas (LGGs) experience tumor-related epilepsy during the disease course. Our study aimed to build a radiomic prediction model for LGG-related epilepsy type based on magnetic resonance imaging (MRI) data. A total of 205 cases with LGG-related epilepsy were enrolled in the retrospective study and divided into training and validation cohorts (1:1) according to their surgery time.

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Synopsis of recent research by authors named "Zhenchao Tang"

  • - Zhenchao Tang's research primarily focuses on the integration of artificial intelligence and deep learning in medical imaging and diagnostics, highlighting the development of innovative algorithms for various clinical applications, such as ultrasound-guided nerve blocks and predicting disease progression in conditions like Kawasaki disease.
  • - His studies emphasize the importance of addressing technical challenges in multi-modality data integration, as seen in works utilizing modal-nexus auto-encoders for cellular data, as well as leveraging radiomic analyses for predicting outcomes in cardiac interventions.
  • - Tang's findings contribute to advancements in explainable AI models and computer-aided diagnosis systems, demonstrating significant potential in enhancing diagnostic accuracy and treatment strategies across multiple domains, including oncology and neurology.