Segmenting stroke lesions and assessing the thrombolysis in cerebral infarction (TICI) grade are two important but challenging prerequisites for an auxiliary diagnosis of the stroke. However, most previous studies have focused only on a single one of two tasks, without considering the relation between them. In our study, we propose a simulated quantum mechanics-based joint learning network (SQMLP-net) that simultaneously segments a stroke lesion and assesses the TICI grade. The correlation and heterogeneity between the two tasks are tackled with a single-input double-output hybrid network. SQMLP-net has a segmentation branch and a classification branch. These two branches share an encoder, which extracts and shares the spatial and global semantic information for the segmentation and classification tasks. Both tasks are optimized by a novel joint loss function that learns the intra- and inter-task weights between these two tasks. Finally, we evaluate SQMLP-net with a public stroke dataset (ATLAS R2.0). SQMLP-net obtains state-of-the-art metrics (Dice:70.98% and accuracy:86.78%) and outperforms single-task and existing advanced methods. An analysis found a negative correlation between the severity of TICI grading and the accuracy of stroke lesion segmentation.
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http://dx.doi.org/10.1109/JBHI.2023.3270861 | DOI Listing |
Br J Hosp Med (Lond)
January 2025
Speech and Language Rehabilitation Department, Beijing Rehabilitation Hospital Affiliated with Capital Medical University, Beijing, China.
The background for establishing and verifying a dehydration prediction model for elderly patients with post-stroke dysphagia (PSD) based on General Utility for Latent Process (GULP) is as follows: For elderly patients with PSD, GULP technology is utilized to build a dehydration prediction model. This aims to improve the accuracy of dehydration risk assessment and provide clinical intervention, thereby offering a scientific basis and enhancing patient prognosis. This research highlights the innovative application of GULP technology in constructing complex medical prediction models and addresses the special health needs of elderly stroke patients.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Kissing aneurysms, a rare and intriguing cerebrovascular anomaly, challenge even the most advanced neurosurgical techniques. These lesions, characterized by two intimately apposed aneurysms with shared arterial walls, often masquerade as single, irregular aneurysms. This report documents a case of ruptured kissing aneurysms in the M1 segment of the right middle cerebral artery (MCA), complicated by ischemic stroke and pulmonary thromboembolism (PTE)-a convergence of severe complications rarely encountered.
View Article and Find Full Text PDFLife (Basel)
January 2025
Department of Neurosciences, Iuliu Hațieganu University of Medicine and Pharmacy, No. 8 Victor Babeș Street, 400012 Cluj-Napoca, Romania.
Acute ischemic stroke (AIS) is frequently associated with long-term post-stroke cognitive impairment (PSCI) and dementia. While the mechanisms behind PSCI are not fully understood, the brain and cognitive reserve concepts are topics of ongoing research exploring the ability of individuals to maintain intact cognitive performance despite ischemic injuries. Brain reserve refers to the brain's structural capacity to compensate for damage, with markers like hippocampal atrophy and white matter lesions indicating reduced reserve.
View Article and Find Full Text PDFSci Rep
January 2025
Department of Cardiology, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
In this research, we explored the relationship between the AIP and clinical outcomes in patients undergoing PCI. A total of 2533 consecutive patients who underwent PCI were included in this retrospective cohort study, and the data from 2098 patients were used. AIP is calculated based on the log (triglycerides/high-density lipoprotein-cholesterol).
View Article and Find Full Text PDFAnn Vasc Surg
January 2025
Department of Vascular Surgery, First Hospital of Tsinghua University, Beijing, China. Electronic address:
Background: Adjacent bony structures may directly rub the carotid artery during swallowing or head and/neck movement. Long-term repeated stimulation might be considered to be a potential risk factor for carotid atherosclerotic plaque formation, development, and hazard. we defined the process as "Osteal Kneading".
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