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While computer vision has achieved tremendous success with multimodal encoding and direct textual interaction with images via chat-based large language models, similar advancements in medical imaging AI, particularly in 3D imaging, have been limited due to the scarcity of comprehensive datasets. To address this critical gap, we introduce CT-RATE, the first dataset that pairs 3D medical images with corresponding textual reports. CT-RATE comprises 25,692 non-contrast 3D chest CT scans from 21,304 unique patients. Through various reconstructions, these scans are expanded to 50,188 volumes, totaling over 14.3 million 2D slices. Each scan is accompanied by its corresponding radiology report. Leveraging CT-RATE, we develop CT-CLIP, a CT-focused contrastive language-image pretraining framework designed for broad applications without the need for task-specific training. We demonstrate how CT-CLIP can be used in two tasks: multi-abnormality detection and case retrieval. Remarkably, in multi-abnormality detection, CT-CLIP outperforms state-of-the-art fully supervised models across all key metrics, effectively eliminating the need for manual annotation. In case retrieval, it efficiently retrieves relevant cases using either image or textual queries, thereby enhancing knowledge dissemination. By combining CT-CLIP's vision encoder with a pretrained large language model, we create CT-CHAT, a vision-language foundational chat model for 3D chest CT volumes. Finetuned on over 2.7 million question-answer pairs derived from the CT-RATE dataset, CT-CHAT surpasses other multimodal AI assistants, underscoring the necessity for specialized methods in 3D medical imaging. Collectively, the open-source release of CT-RATE, CT-CLIP, and CT-CHAT not only addresses critical challenges in 3D medical imaging but also lays the groundwork for future innovations in medical AI and improved patient care.

GenerateCT, the first approach to generating 3D medical imaging conditioned on free-form medical text prompts, incorporates a text encoder and three key components: a novel causal vision transformer for encoding 3D CT volumes, a text-image transformer for aligning CT and text tokens, and a text-conditional super-resolution diffusion model. Without directly comparable methods in 3D medical imaging, we benchmarked GenerateCT against cutting-edge methods, demonstrating its superiority across all key metrics. Importantly, we evaluated GenerateCT's clinical applications in a multi-abnormality classification task. First, we established a baseline by training a multi-abnormality classifier on our real dataset. To further assess the model's generalization to external data and performance with unseen prompts in a zero-shot scenario, we employed an external set to train the classifier, setting an additional benchmark. We conducted two experiments in which we doubled the training datasets by synthesizing an equal number of volumes for each set using GenerateCT. The first experiment demonstrated an 11% improvement in the AP score when training the classifier jointly on real and generated volumes. The second experiment showed a 7% improvement when training on both real and generated volumes based on unseen prompts. Moreover, GenerateCT enables the scaling of synthetic training datasets to arbitrary sizes. As an example, we generated 100,000 3D CTs, fivefold the number in our real set, and trained the classifier exclusively on these synthetic CTs. Impressively, this classifier surpassed the performance of the one trained on all available real data by a margin of 8%. Last, domain experts evaluated the generated volumes, confirming a high degree of alignment with the text prompt. Access our code, model weights, training data, and generated data at https://github.com/ibrahimethemhamamci/GenerateCT

In this study, the four joint time-frequency (TF) moments; mean, variance, skewness, and kurtosis of TF matrix obtained from Multivariate Synchrosqueezing Transform (MSST) are proposed as features for hand gesture recognition. A publicly available dataset containing surface EMG (sEMG) signals of 40 subjects performing 10 hand gestures, was used. The distinguishing power of the feature variables for the tested gestures was evaluated according to their p values obtained from the Kruskal-Wallis (KW) test. It is concluded that the mean, variance, skewness, and kurtosis of TF matrices can be candidate feature sets for the recognition of hand gestures., Comment: Conference Paper, 5 pages, Translated Title (TR): El Hareketi Siniflandirmasi icin Cok-Degiskenli Senkrosikistirma Donusumune Dayali Zaman-Frekans Ozniteliklerinin Istatistiksel Analizi Proceedings: https://www.tipcih.com/books/ICMD2022_Proceedings-DRAFT.pdf Website: https://www.tipcih.com/

EEG signals are complex and low-frequency signals. Therefore, they are easily influenced by external factors. EEG artifact removal is crucial in neuroscience because artifacts have a significant impact on the results of EEG analysis. The removal of ocular artifacts is the most challenging among these artifacts. In this study, a novel ocular artifact removal method is presented by developing bidirectional long-short term memory (BiLSTM)-based deep learning (DL) models. We created a benchmarking dataset to train and test proposed DL models by combining the EEGdenoiseNet and DEAP datasets. We also augmented the data by contaminating ground-truth clean EEG signals with EOG at various SNR levels. The BiLSTM network is then fed to features extracted from augmented signals using highly-localized time-frequency (TF) coefficients obtained by wavelet synchrosqueezed transform (WSST). We also compare the WSST-based DL model results with traditional TF analysis (TFA) methods namely short-time Fourier transformation (STFT) and continuous wavelet transform (CWT) as well as augmented raw signals. The best average MSE value of 0.3066 was obtained by the first time-proposed BiLSTM-based WSST-Net model. Our results demonstrated the WSST-Net model significantly improves artifact removal performance compared to traditional TF and raw signal methods. Also, the proposed EOG removal approach reveals that it outperforms many conventional and DL-based ocular artifact removal methods in the literature., Comment: 6 pages, 3 figures

Plasma is defined as the fourth state of matter and non-thermal plasma can be produced at atmospheric pressure under a high electrical field. The strong and broad-spectrum antimicrobial effect of plasma-activated liquids (PALs) is now well known. The proven applicability of machine learning (ML) in the medical field is encouraging for its application in the field of plasma medicine as well. Thus, ML applications on PALs could present a new perspective to better understand the influences of various parameters on their antimicrobial effects. In this paper, comparative supervised ML models are presented by using previously obtained data to qualitatively predict the in vitro antimicrobial activity of PALs. A literature search was performed and data is collected from 33 relevant articles. After the required preprocessing steps, two supervised ML methods, namely classification, and regression are applied to data to obtain microbial inactivation (MI) predictions. For classification, MI is labeled in four categories and for regression, MI is used as a continuous variable. Two different robust cross-validation strategies are conducted for classification and regression models to evaluate the proposed method; repeated stratified k-fold cross-validation and k-fold cross-validation, respectively. We also investigate the effect of different features on models. The results demonstrated that the hyperparameter-optimized Random Forest Classifier (oRFC) and Random Forest Regressor (oRFR) provided better results than other models for the classification and regression, respectively. Finally, the best test accuracy of 82.68% for oRFC and R2 of 0.75 for the oRFR are obtained. ML techniques could contribute to a better understanding of plasma parameters that have a dominant role in the desired antimicrobial effect. Furthermore, such findings may contribute to the definition of a plasma dose in the future., Comment: 45 pages, 11 figures, 5 tables

The postoperative range of motion is one of the crucial factors indicating the outcome of Total Knee Arthroplasty (TKA). Although the correlation between range of knee flexion and posterior condylar offset (PCO) is controversial in the literature, PCO maintains its importance on evaluation of TKA. Due to limitations on PCO measurement, two novel parameters, posterior condylar offset ratio (PCOR) and anterior condylar offset ratio (ACOR), were introduced. Nowadays, the calculation of PCOR and ACOR on plain lateral radiographs is done manually by orthopedic surgeons. In this regard, we developed a software, AutoCOR, to calculate PCOR and ACOR autonomously, utilizing unsupervised machine learning algorithm (k-means clustering) and digital image processing techniques. The software AutoCOR is capable of detecting the anterior/posterior edge points and anterior/posterior cortex of the femoral shaft on true postoperative lateral conventional radiographs. To test the algorithm, 50 postoperative true lateral radiographs from Istanbul Kosuyolu Medipol Hospital Database were used (32 patients). The mean PCOR was 0.984 (SD 0.235) in software results and 0.972 (SD 0.164) in ground truth values. It shows strong and significant correlation between software and ground truth values (Pearson r=0.845 p<0.0001). The mean ACOR was 0.107 (SD 0.092) in software results and 0.107 (SD 0.070) in ground truth values. It shows moderate and significant correlation between software and ground truth values (Spearman's rs=0.519 p=0.0001412). We suggest that AutoCOR is a useful tool that can be used in clinical practice., Comment: 9 pages