Screening prioritisation in medical systematic reviews aims to rank the set of documents retrieved by complex Boolean queries. Prioritising the most important documents ensures that subsequent review steps can be carried out more efficiently and effectively. The current state of the art uses the final title of the review as a query to rank the documents using BERT-based neural rankers. However, the final title is only formulated at the end of the review process, which makes this approach impractical as it relies on ex post facto information. At the time of screening, only a rough working title is available, with which the BERT-based ranker performs significantly worse than with the final title. In this paper, we explore alternative sources of queries for prioritising screening, such as the Boolean query used to retrieve the documents to be screened and queries generated by instruction-based generative large-scale language models such as ChatGPT and Alpaca. Our best approach is not only viable based on the information available at the time of screening, but also has similar effectiveness to the final title.

Despite its wide use in medicine, ultrasound imaging faces several challenges related to its poor signal-to-noise ratio and several sources of noise and artefacts. Enhancing ultrasound image quality involves balancing concurrent factors like contrast, resolution, and speckle preservation. In recent years, there has been progress both in model-based and learning-based approaches to improve ultrasound image reconstruction. Bringing the best from both worlds, we propose a hybrid approach leveraging advances in diffusion models. To this end, we adapt Denoising Diffusion Restoration Models (DDRM) to incorporate ultrasound physics through a linear direct model and an unsupervised fine-tuning of the prior diffusion model. We conduct comprehensive experiments on simulated, in-vitro, and in-vivo data, demonstrating the efficacy of our approach in achieving high-quality image reconstructions from a single plane wave input and in comparison to state-of-the-art methods. Finally, given the stochastic nature of the method, we analyse in depth the statistical properties of single and multiple-sample reconstructions, experimentally show the informativeness of their variance, and provide an empirical model relating this behaviour to speckle noise. The code and data are available at: (upon acceptance).

Automated malaria diagnosis is a difficult but high-value target for machine learning (ML), and effective algorithms could save many thousands of children's lives. However, current ML efforts largely neglect crucial use case constraints and are thus not clinically useful. Two factors in particular are crucial to developing algorithms translatable to clinical field settings: (i) Clear understanding of the clinical needs that ML solutions must accommodate; and (ii) task-relevant metrics for guiding and evaluating ML models. Neglect of these factors has seriously hampered past ML work on malaria, because the resulting algorithms do not align with clinical needs. In this paper we address these two issues in the context of automated malaria diagnosis via microscopy on Giemsa-stained blood films. First, we describe why domain expertise is crucial to effectively apply ML to malaria, and list technical documents and other resources that provide this domain knowledge. Second, we detail performance metrics tailored to the clinical requirements of malaria diagnosis, to guide development of ML models and evaluate model performance through the lens of clinical needs (versus a generic ML lens). We highlight the importance of a patient-level perspective, interpatient variability, false positive rates, limit of detection, and different types of error. We also discuss reasons why ROC curves, AUC, and F1, as commonly used in ML work, are poorly suited to this context. These findings also apply to other diseases involving parasite loads, including neglected tropical diseases (NTDs) such as schistosomiasis.

Graph Neural Networks (GNNs) are promising surrogates for quantum mechanical calculations as they establish unprecedented low errors on collections of molecular dynamics (MD) trajectories. Thanks to their fast inference times they promise to accelerate computational chemistry applications. Unfortunately, despite low in-distribution (ID) errors, such GNNs might be horribly wrong for out-of-distribution (OOD) samples. Uncertainty estimation (UE) may aid in such situations by communicating the model's certainty about its prediction. Here, we take a closer look at the problem and identify six key desiderata for UE in molecular force fields, three 'physics-informed' and three 'application-focused' ones. To overview the field, we survey existing methods from the field of UE and analyze how they fit to the set desiderata. By our analysis, we conclude that none of the previous works satisfies all criteria. To fill this gap, we propose Localized Neural Kernel (LNK) a Gaussian Process (GP)-based extension to existing GNNs satisfying the desiderata. In our extensive experimental evaluation, we test four different UE with three different backbones and two datasets. In out-of-equilibrium detection, we find LNK yielding up to 2.5 and 2.1 times lower errors in terms of AUC-ROC score than dropout or evidential regression-based methods while maintaining high predictive performance.

Automatic blood vessel segmentation from retinal images plays an important role in the diagnosis of many systemic and eye diseases, including retinopathy of prematurity. Current state-of-the-art research in blood vessel segmentation from retinal images is based on convolutional neural networks. The solutions proposed so far are trained and tested on images from a few available retinal blood vessel segmentation datasets, which might limit their performance when given an image with retinopathy of prematurity signs. In this paper, we evaluate the performance of three high-performing convolutional neural networks for retinal blood vessel segmentation in the context of blood vessel segmentation on retinopathy of prematurity retinal images. The main motive behind the study is to test if existing public datasets suffice to develop a high-performing predictor that could assist an ophthalmologist in retinopathy of prematurity diagnosis. To do so, we create a dataset consisting solely of retinopathy of prematurity images with retinal blood vessel annotations manually labeled by two observers, where one is the ophthalmologist experienced in retinopathy of prematurity treatment. Experimental results show that all three solutions have difficulties in detecting the retinal blood vessels of infants due to a lower contrast compared to images from public datasets as demonstrated by a significant drop in classification sensitivity. All three solutions segment alongside retinal also choroidal blood vessels which are not used to diagnose retinopathy of prematurity, but instead represent noise and are confused with retinal blood vessels. By visual and numerical observations, we observe that existing solutions for retinal blood vessel segmentation need improvement toward more detailed datasets or deeper models in order to assist the ophthalmologist in retinopathy of prematurity diagnosis.

Ultrasound (US) is one of the most commonly used imaging modalities in both diagnosis and surgical interventions due to its low-cost, safety, and non-invasive characteristic. US image segmentation is currently a unique challenge because of the presence of speckle noise. As manual segmentation requires considerable efforts and time, the development of automatic segmentation algorithms has attracted researchers attention. Although recent methodologies based on convolutional neural networks have shown promising performances, their success relies on the availability of a large number of training data, which is prohibitively difficult for many applications. Therefore, in this study we propose the use of simulated US images and natural images as auxiliary datasets in order to pre-train our segmentation network, and then to fine-tune with limited in vivo data. We show that with as little as 19 in vivo images, fine-tuning the pre-trained network improves the dice score by 21% compared to training from scratch. We also demonstrate that if the same number of natural and simulation US images is available, pre-training on simulation data is preferable.