Publications by authors named "GuoTong Xie"

This study aims to quantify fundus tessellated (FT) density and optic disc (OD) morphology using deep learning (DL) techniques and to investigate the correlations between these fundus characteristics and refractive function in young patients with myopia. We constructed two DL-based segmentation models to delineate the FT, OD, peripapillary atrophy (PPA), and macula at a pixel-level resolution. The study sought to identify differences in fundus characteristics between eyes categorized as having high myopia versus mild or moderate myopia.

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Motivation: Natural language is poised to become a key medium for human-machine interactions in the era of large language models. In the field of biochemistry, tasks such as property prediction and molecule mining are critically important yet technically challenging. Bridging molecular expressions in natural language and chemical language can significantly enhance the interpretability and ease of these tasks.

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  • The study focuses on using artificial intelligence to optimize mechanical ventilation settings in ICU patients, addressing how incorrect settings can cause lung injury.
  • A reinforcement learning-based AI model was created using data from various ICUs, aiming to tailor ventilation strategies based on individual patient conditions and ultimately reduce hospital mortality.
  • The analysis included thousands of ICU patients, revealing estimated hospital mortality rates and the effectiveness of the AI in predicting optimal ventilation settings.
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  • - The study aimed to create and validate a deep learning model called CMD-Net that can effectively identify and classify mechanisms of angle-closure (AC) in eye images obtained from anterior segment optical coherence tomography (AS-OCT).
  • - Researchers analyzed 11,035 AS-OCT images from 1,455 participants, comparing the deep learning model's performance against human ophthalmologists in classifying AC mechanisms, ultimately showing CMD-Net's superior accuracy with mean AUC scores of up to 0.988.
  • - Findings indicate that CMD-Net may serve as a reliable tool for classifying AC mechanisms in clinical settings, although further testing is necessary to confirm its effectiveness.
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Background: Machine learning (ML) risk prediction models, although much more accurate than traditional statistical methods, are inconvenient to use in clinical practice due to their nontransparency and requirement of a large number of input variables.

Objective: We aimed to develop a precise, explainable, and flexible ML model to predict the risk of in-hospital mortality in patients with ST-segment elevation myocardial infarction (STEMI).

Methods: This study recruited 18,744 patients enrolled in the 2013 China Acute Myocardial Infarction (CAMI) registry and 12,018 patients from the China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE)-Retrospective Acute Myocardial Infarction Study.

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Purpose: To facilitate the assessment of choroid vascular layer thickness in patients with wet age-related macular degeneration (AMD) using artificial intelligence (AI).

Methods: We included 194 patients with wet AMD and 225 healthy participants. Choroid images were obtained using swept-source optical coherence tomography.

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  • A dynamic deep learning model has been developed to predict kidney outcomes in patients with IgA nephropathy, using comprehensive longitudinal data to enhance accuracy and interpretability.
  • Previous studies lacked the effective use of longitudinal data, limiting their ability to accurately reflect the chronic nature of IgA nephropathy.
  • In a study of 2056 patients, the new model demonstrated improved predictive performance, achieving a C-statistic of 0.93—significantly higher than 0.84 from earlier models that relied solely on baseline information.
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  • Glomerular lesions are key indicators in diabetic nephropathy, but current manual methods for quantifying these features are inefficient and time-consuming.
  • A convolutional neural network (CNN) was developed to automate the identification and classification of glomerular features in diabetic nephropathy patients, showing strong performance in distinguishing various lesions.
  • The CNN model's classifications correlated well with those of pathologists and demonstrated similar effectiveness in predicting renal function, indicating its potential to improve diagnostic efficiency in clinical settings.
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Background: Gut microbiota is significantly influenced by altitude. However, the dynamics of gut microbiota in relation to altitude remains undisclosed.

Methods: In this study, we investigated the microbiome profile of 610 healthy young men from three different places in China, grouped by altitude, duration of residence, and ethnicity.

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Introduction: This study aimed to compare retinal vascular parameters and density in patients with moyamoya disease using the optical coherence tomography angiography.

Methods: This clinical trial totally enrolls 78 eyes from 39 participants, and all these patients with moyamoya disease (N = 13) are set as experimental group and participants with health who matched with age and gender are considered as the control group (N = 26). Then all these participants receive optical coherence tomography angiography detection.

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Background: The analytical renal pathology system (ARPS) based on convolutional neural networks has been used successfully in native IgA nephropathy (IgAN) patients. Considering the similarity of pathologic features, we aim to evaluate the performance of the ARPS in allograft IgAN patients and broaden its implementation.

Methods: Biopsy-proven allograft IgAN patients from two different centers were enrolled for internal and external validation.

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Background: Several studies have proposed grading systems for risk stratification of early-stage lung adenocarcinoma based on histological patterns. However, the reproducibility of these systems is poor in clinical practice, indicating the need to develop a new grading system which is easy to apply and has high accuracy in prognostic stratification of patients.

Methods: Patients with stage I invasive nonmucinous lung adenocarcinoma were retrospectively collected from pathology archives between 2009 and 2016.

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Background: As the retinal microvasculature shares similarities with the cerebral microvasculature, numerous studies have shown that retinal vascular is associated with cognitive decline. In addition, several population-based studies have confirmed the association between retinal vascular and cerebral small vessel disease (CSVD) burden. However, the association of retinal vascular with CSVD burden as well as cognitive function has not been explored simultaneously.

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Background: The current literature shows a strong relationship between retinal neuronal and vascular alterations in dementia. The purpose of the study was to use NFN+ deep learning models to analyze retinal vessel characteristics for cognitive impairment (CI) recognition.

Methods: We included 908 participants from a community-based cohort followed for over 15 years (the prospective KaiLuan Study) who underwent brain magnetic resonance imaging (MRI) and fundus photography between 2021 and 2022.

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Objective: Patients with atrial fibrillation (AF) are highly heterogeneous, and current risk stratification scores are only modestly good at predicting an individual's stroke risk. We aim to identify distinct AF clinical phenotypes with cluster analysis to optimize stroke prevention practices.

Methods: From the prospective Chinese Atrial Fibrillation Registry cohort study, we included 4337 AF patients with CHA DS -VASc≥2 for males and 3 for females who were not treated with oral anticoagulation.

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Understanding the selectivity mechanisms of inhibitors toward highly similar proteins is very important in new drug discovery. Developing highly selective targeting of leucine-rich repeat kinase 2 (LRRK2) kinases for the treatment of Parkinson's disease (PD) is challenging because of the similarity of the kinase ATP binding pocket. During the development of LRRK2 inhibitors, off-target effects on other kinases, especially TTK and JAK2 kinases, have been observed.

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  • The study aimed to create a special computer program called αDiar that helps design treatment plans for lung cancer patients who are getting a type of radiation therapy called IMRT.
  • They used information from 612 previous treatment plans to build a database for this program.
  • In tests, about 54% of the plans made by αDiar met important medical guidelines, and 93% were close enough to be useful for the patients.
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Background: Dysregulation of lipid metabolism is closely associated with cancer progression. The study aimed to establish a prognostic model to predict distant metastasis-free survival (DMFS) in patients with nasopharyngeal carcinoma (NPC), based on lipidomics.

Methods: The plasma lipid profiles of 179 patients with locoregionally advanced NPC (LANPC) were measured and quantified using widely targeted quantitative lipidomics.

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Objective: The aim of this study was to quantify abdominal adiposity and generate data-driven adiposity subtypes with different diabetes risks.

Methods: A total of 3817 participants from the Pinggu Metabolic Disease Study were recruited. A deep-learning-based recognition model on abdominal computed tomography (CT) images (A-CT model) was developed and validated in 100 randomly selected cases.

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Rapid and accurate prediction of drug-target affinity can accelerate and improve the drug discovery process. Recent studies show that deep learning models may have the potential to provide fast and accurate drug-target affinity prediction. However, the existing deep learning models still have their own disadvantages that make it difficult to complete the task satisfactorily.

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Background: Functional adrenal tumors (FATs) are mainly diagnosed by biochemical analysis. Traditional imaging tests have limitations and cannot be used alone to diagnose FATs. In this study, we aimed to establish an artificially intelligent diagnostic model based on computed tomography (CT) images to distinguish different types of FATs.

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Prognostic prediction of traumatic brain injury (TBI) in patients is crucial in clinical decision and health care policy making. This study aimed to develop and validate prediction models for in-hospital mortality after severe traumatic brain injury (sTBI). We developed and validated logistic regression (LR), LASSO regression, and machine learning (ML) algorithms including support vector machines (SVM) and XGBoost models.

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Background: Prediction of bleeding is critical for acute myocardial infarction (AMI) patients after percutaneous coronary intervention (PCI). Machine learning methods can automatically select the combination of the important features and learn their underlying relationship with the outcome.

Objectives: We aimed to evaluate the predictive value of machine learning methods to predict in-hospital bleeding for AMI patients.

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Deep learning-based in silico alternatives have been demonstrated to be of significant importance in the acceleration of the drug discovery process and enhancement of success rates. Cyclin-dependent kinase 12 (CDK12) is a transcription-related cyclin-dependent kinase that may act as a biomarker and therapeutic target for cancers. However, currently, there is no high selective CDK12 inhibitor in clinical development and the identification of new specific CDK12 inhibitors has become increasingly challenging due to their similarity with CDK13.

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Background: Intensive care unit (ICU) resources are inadequate for the large population in China, so it is essential for physicians to evaluate the condition of patients at admission. In this study, our objective was to construct a machine-learning risk prediction model for mortality in respiratory intensive care units (RICUs).

Methods: This study involved 817 patients who made 1,063 visits and who were admitted to the RICU from 2012 to 2017.

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