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ARORA, H.

Publications and source records attributed to ARORA, H..

3 recordsLinked to original sources

Synthetic Genitourinary Image Synthesis via Generative Adversarial Networks: Enhancing AI Diagnostic Precision

In the realm of computational pathology, the scarcity and restricted diversity of genitourinary (GU) tissue datasets pose significant challenges for training robust diagnostic models. This study explores the potential of Generative Adversarial Networks (GANs) to mitigate these limitations by generating high-quality synthetic images of rare or underrepresented GU tissues. We hypothesized that augmenting the training data of computational pathology models with these GAN-generated images, validated through pathologist evaluation and quantitative similarity measures, would significantly enhance model performance in tasks such as tissue classification, segmentation, and disease detection. To test this hypothesis, we employed a GAN model to produce synthetic images of eight different GU tissues. The quality of these images was rigorously assessed using a Relative Inception Score (RIS) of 17.2 {+/-} 0.15 and a Frechet Inception Distance (FID) that stabilized at 120, metrics that reflect the visual and statistical fidelity of the generated images to real histopathological images. Additionally, the synthetic images received an 80% approval rating from board-certified pathologists, further validating their realism and diagnostic utility. We used an alternative Spatial Heterogeneous Recurrence Quantification Analysis (SHRQA) to assess quality in prostate tissue. This allowed us to make a comparison between original and synthetic data in the context of features, which were further validated by the pathologists evaluation. Future work will focus on implementing a deep learning model to evaluate the performance of the augmented datasets in tasks such as tissue classification, segmentation, and disease detection. This will provide a more comprehensive understanding of the utility of GAN-generated synthetic images in enhancing computational pathology workflows. This study not only confirms the feasibility of using GANs for data augmentation in medical image analysis but also highlights the critical role of synthetic data in addressing the challenges of dataset scarcity and imbalance. Future work will focus on refining the generative models to produce even more diverse and complex tissue representations, potentially transforming the landscape of medical diagnostics with AI-driven solutions. CONSENT FOR PUBLICATIONAll authors have provided their consent for publication.

bioengineering↗

Generative Adversarial Networks Can Create High Quality Artificial Prostate Cancer Magnetic Resonance Images

PurposeRecent integration of open-source data to machine learning models, especially in the medical field, has opened new doors to study disease progression and/or regression. However, the limitation of using medical data for machine learning approaches is the specificity of data to a particular medical condition. In this context, most recent technologies like generative adversarial networks (GAN) could be used to generate high quality synthetic data that preserves the clinical variability. Materials and MethodsIn this study, we used 139 T2-weighted prostate magnetic resonant images (MRI) from various sources as training data for Single Natural Image GAN (SinGAN), to make a generative model. A deep learning semantic segmentation pipeline trained the model to segment the prostate boundary on 2D MRI slices. Synthetic images with a high-level segmentation boundary of the prostate were filtered and used in the quality control assessment by participating scientists with varying degree of experience (more than 10 years, 1 year, or no experience) to work with MRI images. ResultsThe most experienced participating group correctly identified conventional vs synthetic images with 67% accuracy, the group with 1 year of experience correctly identified the images with 58% accuracy, and group with no prior experience reached 50% accuracy. Nearly half (47%) of the synthetic images were mistakenly evaluated as conventional images. Interestingly, a blinded quality assessment by a board-certified radiologist to differentiate conventional and synthetic images was not significantly different in context of the mean quality of synthetic and conventional images. ConclusionsThis study shows promise that high quality synthetic images from MRI can be generated using GAN. Such an AI model may contribute significantly to various clinical applications which involves supervised machine learning approaches.

bioinformatics↗

Nitric oxide S-nitrosylates CSF1R to augment the action 1 of CSF1R inhibition against castration resistant prostate cancer

During progression of prostate cancer, sustained oxidative overload in cancer cells potentiates the overall tumor microenvironment (TME). Targeting the TME using colony-stimulating factor 1 receptor (CSF1R) inhibition is a promising therapy for castration-resistant prostate cancer (CRPC). However, the therapeutic response to sustained CSF1R blockade therapy (CSF1Ri) is limited as a monotherapy. We postulated that one of the causative agents for reduced efficacy of CSF1Ri and increased oxidation in CRPC is endothelial nitric oxide syntheses (eNOS). Results showed that in high grade PCa human specimens, eNOS is positively correlated with CSF1-CSF1R signaling and remains in an un-coupled state. The uncoupling disables eNOS to generate sufficient Nitric oxide (NO) that are required for inducing effective S-nitrosylation of CSF1R molecule at specific cysteine sites (Cys 224, Cys 278 and Cys 830). Importantly, we found that S-nitrosylation of CSF1R molecule at Cys 224, Cys 278 and Cys 830 sites is necessary for effective inhibition of tumor promoting cytokines (which are downstream of CSF1-CSF1R signaling) by CSF1R blockade. In this context, we studied if exogenous NO treatment could rescue the side effects of eNOS uncoupling. Results showed that exogenous NO treatment (using S-nitrosoglutathione (GSNO)) is effective in not only inducing S-Nitrosylation of CSF1R molecule, but it helps in rescuing the excess oxidation in tumor regions, reducing overall tumor burden, suppresses the tumor promoting cytokines which are ineffectively suppressed by CSF1R blockade. Together these results postulated that NO therapy could act as an effective combinatorial partner with CSF1R blockade against CRPC. In this context, results demonstrated that exogenous NO treatment successfully augment the anti-tumor ability of CSF1Ri in murine models of CRPC. Importantly, the overall tumor reduction was most effective in NO-CSF1Ri therapy compared to NO or CSF1Ri mono therapies. Moreover, Immunophenotyping of tumor grafts showed that the NO-CSF1Ri combination significantly decreased intratumoral percentage of anti-inflammatory macrophages, myeloid derived progenitor cells and increased the percentage of pro-inflammatory macrophages, cytotoxic T lymphocytes, and effector T cells respectively. Together, our study suggests that the NO-CSF1Ri combination has the potential to act as a therapeutic agent that restore control over TME and improve the outcomes of PCa patients.

cancer biology↗