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  1. Article ; Online: Robust prostate disease classification using transformers with discrete representations.

    Santhirasekaram, Ainkaran / Winkler, Mathias / Rockall, Andrea / Glocker, Ben

    International journal of computer assisted radiology and surgery

    2024  

    Abstract: Purpose: Automated prostate disease classification on multi-parametric MRI has recently shown promising results with the use of convolutional neural networks (CNNs). The vision transformer (ViT) is a convolutional free architecture which only exploits ... ...

    Abstract Purpose: Automated prostate disease classification on multi-parametric MRI has recently shown promising results with the use of convolutional neural networks (CNNs). The vision transformer (ViT) is a convolutional free architecture which only exploits the self-attention mechanism and has surpassed CNNs in some natural imaging classification tasks. However, these models are not very robust to textural shifts in the input space. In MRI, we often have to deal with textural shift arising from varying acquisition protocols. Here, we focus on the ability of models to generalise well to new magnet strengths for MRI.
    Method: We propose a new framework to improve the robustness of vision transformer-based models for disease classification by constructing discrete representations of the data using vector quantisation. We sample a subset of the discrete representations to form the input into a transformer-based model. We use cross-attention in our transformer model to combine the discrete representations of T2-weighted and apparent diffusion coefficient (ADC) images.
    Results: We analyse the robustness of our model by training on a 1.5 T scanner and test on a 3 T scanner and vice versa. Our approach achieves SOTA performance for classification of lesions on prostate MRI and outperforms various other CNN and transformer-based models in terms of robustness to domain shift and perturbations in the input space.
    Conclusion: We develop a method to improve the robustness of transformer-based disease classification of prostate lesions on MRI using discrete representations of the T2-weighted and ADC images.
    Language English
    Publishing date 2024-05-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2365628-1
    ISSN 1861-6429 ; 1861-6410
    ISSN (online) 1861-6429
    ISSN 1861-6410
    DOI 10.1007/s11548-024-03153-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Thesis: Verlauf nach Nierentransplantation bei vorbestehendem vesikoureterorenalem Reflux

    Winkler, Mathias

    1992  

    Author's details vorgelegt von Mathias Winkler
    Size S. 309 - 311, Bl. 38 - 40 : graph. Darst.
    Edition Sonderdr.
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Erlangen-Nürnberg, Univ., Diss., 1992
    Note Aus: Nieren- und Hochdruckkrankheiten ; 19.1990, zus. mit J. Weißmüller ; W. Schafhauser
    HBZ-ID HT004339487
    Database Catalogue ZB MED Medicine, Health

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  3. Book ; Audio / Video ; Thesis: Die radikale Prostatektomie in Südengland in den Jahren 1989 bis 2001

    Winkler-Wulff, Mathias

    untersuchungen zur Indikation, Tumorstadiumverschiebung, PSA-Rezidivrate und der Rolle von präoperativen Faktoren zur Senkung der Rezidivrate

    2005  

    Author's details vorgelegt von Mathias Winkler-Wulff
    Language German
    Size 1 CD-ROM, 12 cm
    Publishing country Germany
    Document type Book ; Audio / Video ; Thesis
    Thesis / German Habilitation thesis Magdeburg, Univ., Diss., 2005
    HBZ-ID HT014872925
    Database Catalogue ZB MED Medicine, Health

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  4. Book ; Thesis: Urodynamische Untersuchungen bei Marshall-Marchetti-Krantz-Operationen

    Winkler, Mathias

    1986  

    Size 35 S. : graph. Darst.
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Erlangen-Nürnberg, Univ., Diss., 1986
    HBZ-ID HT003243711
    Database Catalogue ZB MED Medicine, Health

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  5. Article ; Online: Attenuation of slow (10-40 eV) electrons in soft nanoparticles: Size matters in argon clusters.

    Winkler, Mathias / Børve, Knut J

    Physical review. E

    2018  Volume 97, Issue 1-1, Page(s) 12604

    Abstract: Electron attenuation due to inelastic and elastic scattering in condensed media can often be described in terms of the effective attenuation length (EAL) of the electron. The EAL is thus an important parameter for describing electron transport processes ... ...

    Abstract Electron attenuation due to inelastic and elastic scattering in condensed media can often be described in terms of the effective attenuation length (EAL) of the electron. The EAL is thus an important parameter for describing electron transport processes as exemplified by dissipation of energy following radiolysis. Focusing on electrons at low electron kinetic energies (10-40 eV) in condensed argon, we determine EAL from x-ray photoelectron spectra of argon nanoparticles and compare to values obtained from valence ionization in thin argon films as well as from gas-phase electron-scattering data. EAL determined from argon clusters shows variation with cluster size. Moreover, the values are significantly lower than those obtained in valence-ionization studies and from scattering data. Our results corroborate recent x-ray photoelectron spectroscopy-based determination of EALs of water showing large differences to the EALs determined by other methods in amorphous ice at low kinetic energies of the photoelectron [Y.-I. Suzuki, K. Nishizawa, N. Kurahashi, and T. Suzuki, Phys. Rev. E 90, 010302 (2014)PLEEE81539-375510.1103/PhysRevE.90.010302], underlining that care must be taken when using EAL values from other sources for core-level electrons.
    Language English
    Publishing date 2018-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2844562-4
    ISSN 2470-0053 ; 2470-0045
    ISSN (online) 2470-0053
    ISSN 2470-0045
    DOI 10.1103/PhysRevE.97.012604
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: COVID-19 pandemic - is virtual urology clinic the answer to keeping the cancer pathway moving?

    Connor, Martin J / Winkler, Mathias / Miah, Saiful

    BJU international

    2020  Volume 125, Issue 6, Page(s) E3–E4

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Delivery of Health Care/organization & administration ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Referral and Consultation ; SARS-CoV-2 ; Telemedicine ; United Kingdom/epidemiology ; Urologic Neoplasms/diagnosis ; Urologic Neoplasms/therapy ; Urology Department, Hospital/organization & administration
    Keywords covid19
    Language English
    Publishing date 2020-04-24
    Publishing country England
    Document type Letter
    ZDB-ID 1462191-5
    ISSN 1464-410X ; 1464-4096 ; 1358-8672
    ISSN (online) 1464-410X
    ISSN 1464-4096 ; 1358-8672
    DOI 10.1111/bju.15061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Landmarks in the evolution of prostate biopsy.

    Connor, Martin J / Gorin, Michael A / Eldred-Evans, David / Bass, Edward J / Desai, Ankit / Dudderidge, Tim / Winkler, Mathias / Ahmed, Hashim U

    Nature reviews. Urology

    2023  Volume 20, Issue 4, Page(s) 241–258

    Abstract: Approaches and techniques used for diagnostic prostate biopsy have undergone considerable evolution over the past few decades: from the original finger-guided techniques to the latest MRI-directed strategies, from aspiration cytology to tissue core ... ...

    Abstract Approaches and techniques used for diagnostic prostate biopsy have undergone considerable evolution over the past few decades: from the original finger-guided techniques to the latest MRI-directed strategies, from aspiration cytology to tissue core sampling, and from transrectal to transperineal approaches. In particular, increased adoption of transperineal biopsy approaches have led to reduced infectious complications and improved antibiotic stewardship. Furthermore, as image fusion has become integral, these novel techniques could be incorporated into prostate biopsy methods in the future, enabling 3D-ultrasonography fusion reconstruction, molecular targeting based on PET imaging and autonomous robotic-assisted biopsy.
    MeSH term(s) Male ; Humans ; Prostate/diagnostic imaging ; Prostate/pathology ; Prostatic Neoplasms/diagnosis ; Image-Guided Biopsy ; Biopsy ; Ultrasonography ; Magnetic Resonance Imaging/methods ; Ultrasonography, Interventional/methods
    Language English
    Publishing date 2023-01-18
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2493737-X
    ISSN 1759-4820 ; 1759-4812
    ISSN (online) 1759-4820
    ISSN 1759-4812
    DOI 10.1038/s41585-022-00684-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Book ; Online: Vector Quantisation for Robust Segmentation

    Santhirasekaram, Ainkaran / Kori, Avinash / Winkler, Mathias / Rockall, Andrea / Glocker, Ben

    2022  

    Abstract: The reliability of segmentation models in the medical domain depends on the model's robustness to perturbations in the input space. Robustness is a particular challenge in medical imaging exhibiting various sources of image noise, corruptions, and domain ...

    Abstract The reliability of segmentation models in the medical domain depends on the model's robustness to perturbations in the input space. Robustness is a particular challenge in medical imaging exhibiting various sources of image noise, corruptions, and domain shifts. Obtaining robustness is often attempted via simulating heterogeneous environments, either heuristically in the form of data augmentation or by learning to generate specific perturbations in an adversarial manner. We propose and justify that learning a discrete representation in a low dimensional embedding space improves robustness of a segmentation model. This is achieved with a dictionary learning method called vector quantisation. We use a set of experiments designed to analyse robustness in both the latent and output space under domain shift and noise perturbations in the input space. We adapt the popular UNet architecture, inserting a quantisation block in the bottleneck. We demonstrate improved segmentation accuracy and better robustness on three segmentation tasks. Code is available at \url{https://github.com/AinkaranSanthi/Vector-Quantisation-for-Robust-Segmentation}
    Keywords Electrical Engineering and Systems Science - Image and Video Processing ; Computer Science - Computer Vision and Pattern Recognition ; Computer Science - Machine Learning
    Subject code 006 ; 004
    Publishing date 2022-07-05
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Survival in Oligometastatic Prostate Cancer-A New Dawn or the Will Rogers Phenomenon?

    Connor, Martin J / Winkler, Mathias / Ahmed, Hashim U

    JAMA oncology

    2019  Volume 6, Issue 2, Page(s) 185–186

    MeSH term(s) Clinical Trials as Topic ; Humans ; Male ; Prostatic Neoplasms/diagnosis ; Prostatic Neoplasms/mortality ; Prostatic Neoplasms/pathology ; Prostatic Neoplasms/therapy ; Survival Analysis
    Language English
    Publishing date 2019-12-05
    Publishing country United States
    Document type Journal Article
    ISSN 2374-2445
    ISSN (online) 2374-2445
    DOI 10.1001/jamaoncol.2019.4724
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Re: Predictors of Infectious Complications After Targeted Prophylaxis for Prostate Needle Biopsy.

    Miah, Saiful / Winkler, Mathias / Ahmed, Hashim U

    European urology

    2018  Volume 74, Issue 4, Page(s) 523–524

    MeSH term(s) Antibiotic Prophylaxis ; Biopsy, Needle ; Humans ; Male ; Prostate
    Language English
    Publishing date 2018-04-22
    Publishing country Switzerland
    Document type Journal Article ; Comment
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2018.04.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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