A BERT-GNN Approach for Metastatic Breast Cancer Prediction Using Histopathology Reports.

Metastatic breast cancer (MBC) continues to be a leading cause of cancer-related deaths among women. This work introduces an innovative non-invasive breast cancer classification model designed to improve the identification of cancer metastases. While this study marks the initial exploration into predicting MBC, additional investigations are essential to validate the occurrence of MBC. Our approach combines the strengths of large language models (LLMs), specifically the bidirectional encoder representations from transformers (BERT) model, with the powerful capabilities of graph neural networks (GNNs) to predict MBC patients based on their histopathology reports. This paper introduces a BERT-GNN approach for metastatic breast cancer prediction (BG-MBC) that integrates graph information derived from the BERT model. In this model, nodes are constructed from patient medical records, while BERT embeddings are employed to vectorise representations of the words in histopathology reports, thereby capturing semantic information crucial for classification by employing three distinct approaches (namely univariate selection, extra trees classifier for feature importance, and Shapley values to identify the features that have the most significant impact). Identifying the most crucial 30 features out of 676 generated as embeddings during model training, our model further enhances its predictive capabilities. The BG-MBC model achieves outstanding accuracy, with a detection rate of 0.98 and an area under curve (AUC) of 0.98, in identifying MBC patients. This remarkable performance is credited to the model's utilisation of attention scores generated by the LLM from histopathology reports, effectively capturing pertinent features for classification.

Bayesian Activity Estimation and Uncertainty Quantification of Spent Nuclear Fuel Using Passive Gamma Emission Tomography.

In this paper, we address the problem of activity estimation in passive gamma emission tomography (PGET) of spent nuclear fuel. Two different noise models are considered and compared, namely, the isotropic Gaussian and the Poisson noise models. The problem is formulated within a Bayesian framework as a linear inverse problem and prior distributions are assigned to the unknown model parameters. In particular, a Bernoulli-truncated Gaussian prior model is considered to promote sparse pin configurations. A Markov chain Monte Carlo (MCMC) method, based on a split and augmented Gibbs sampler, is then used to sample the posterior distribution of the unknown parameters. The proposed algorithm is first validated by simulations conducted using synthetic data, generated using the nominal models. We then consider more realistic data simulated using a bespoke simulator, whose forward model is non-linear and not available analytically. In that case, the linear models used are mis-specified and we analyse their robustness for activity estimation. The results demonstrate superior performance of the proposed approach in estimating the pin activities in different assembly patterns, in addition to being able to quantify their uncertainty measures, in comparison with existing methods.

Bayesian bacterial detection using irregularly sampled optical endomicroscopy images.

Pneumonia is a major cause of morbidity and mortality of patients in intensive care. Rapid determination of the presence and gram status of the pathogenic bacteria in the distal lung may enable a more tailored treatment regime. Optical Endomicroscopy (OEM) is an emerging medical imaging platform with preclinical and clinical utility. Pulmonary OEM via multi-core fibre bundles has the potential to provide in vivo, in situ, fluorescent molecular signatures of the causes of infection and inflammation. This paper presents a Bayesian approach for bacterial detection in OEM images. The model considered assumes that the observed pixel fluorescence is a linear combination of the actual intensity value associated with tissues or background, corrupted by additive Gaussian noise and potentially by an additional sparse outlier term modelling anomalies (bacteria). The bacteria detection problem is formulated in a Bayesian framework and prior distributions are assigned to the unknown model parameters. A Markov chain Monte Carlo algorithm based on a partially collapsed Gibbs sampler is used to sample the posterior distribution of the unknown parameters. The proposed algorithm is first validated by simulations conducted using synthetic datasets for which good performance is obtained. Analysis is then conducted using two ex vivo lung datasets in which fluorescently labelled bacteria are present in the distal lung. A good correlation between bacteria counts identified by a trained clinician and those of the proposed method, which detects most of the manually annotated regions, is observed.