Automatic lung lesions segmentation of chest CT scans is considered a pivotal stage towards accurate diagnosis and severity measurement of COVID-19. Traditional U-shaped encoder-decoder architecture and its variants suffer from diminutions of contextual information in pooling/upsampling operations with increased semantic gaps among encoded and decoded feature maps as well as instigate vanishing gradient problems for its sequential gradient propagation that result in sub-optimal performance. Moreover, operating with 3D CT-volume poses further limitations due to the exponential increase of computational complexity making the optimization difficult. In this paper, an automated COVID-19 lesion segmentation scheme is proposed utilizing a highly efficient neural network architecture, namely CovSegNet, to overcome these limitations. Additionally, a two-phase training scheme is introduced where a deeper 2D-network is employed for generating ROI-enhanced CT-volume followed by a shallower 3D-network for further enhancement with more contextual information without increasing computational burden. Along with the traditional vertical expansion of Unet, we have introduced horizontal expansion with multi-stage encoder-decoder modules for achieving optimum performance. Additionally, multi-scale feature maps are integrated into the scale transition process to overcome the loss of contextual information. Moreover, a multi-scale fusion module is introduced with a pyramid fusion scheme to reduce the semantic gaps between subsequent encoder/decoder modules while facilitating the parallel optimization for efficient gradient propagation. Outstanding performances have been achieved in three publicly available datasets that largely outperform other state-of-the-art approaches. The proposed scheme can be easily extended for achieving optimum segmentation performances in a wide variety of applications.
Saratoga High School(萨拉托加高中);Stanford University(斯坦福大学)
Chest X-rays of coronavirus disease 2019 (COVID-19) patients are frequently obtained to determine the extent of lung disease and are a valuable source of data for creating artificial intelligence models. Most work to date assessing disease severity on chest imaging has focused on segmenting computed tomography (CT) images; however, given that CTs are performed much less frequently than chest X-rays for COVID-19 patients, automated lung lesion segmentation on chest X-rays could be clinically valuable. There currently exists a universal shortage of chest X-rays with ground truth COVID-19 lung le…
National Library of Medicine, National Institutes of Health(美国国立医学图书馆,美国国立卫生研究院)
Deep learning (DL) models are state-of-the-art in segmenting anatomical and disease regions of interest (ROIs) in medical images. Particularly, a large number of DL-based techniques have been reported using chest X-rays (CXRs). However, these models are reportedly trained on reduced image resolutions for reasons related to the lack of computational resources. Literature is sparse in discussing the optimal image resolution to train these models for segmenting the Tuberculosis (TB)-consistent lesions in CXRs. In this study, we investigated the performance variations using an Inception-V3 UNet mo…
Concordia University(康考迪亚大学);Sunnybrook Health Sciences Centre(桑尼布鲁克健康科学中心);University of Toronto(多伦多大学);McGill University(麦吉尔大学)
Novel Coronavirus disease (COVID-19) is a highly contagious respiratory infection that has had devastating effects on the world. Recently, new COVID-19 variants are emerging making the situation more challenging and threatening. Evaluation and quantification of COVID-19 lung abnormalities based on chest Computed Tomography (CT) scans can help determining the disease stage, efficiently allocating limited healthcare resources, and making informed treatment decisions. During pandemic era, however, visual assessment and quantification of COVID-19 lung lesions by expert radiologists become expensiv…
Bangladesh University of Engineering and Technology(孟加拉国工程技术大学);The University of Texas at Dallas(德克萨斯大学达拉斯分校)
Rapid and precise diagnosis of COVID-19 is one of the major challenges faced by the global community to control the spread of this overgrowing pandemic. In this paper, a hybrid neural network is proposed, named CovTANet, to provide an end-to-end clinical diagnostic tool for early diagnosis, lesion segmentation, and severity prediction of COVID-19 utilizing chest computer tomography (CT) scans. A multi-phase optimization strategy is introduced for solving the challenges of complicated diagnosis at a very early stage of infection, where an efficient lesion segmentation network is optimized initi…
National Library of Medicine, National Institutes of Health(美国国立卫生研究院国家医学图书馆)
Automated segmentation of tuberculosis (TB)-consistent lesions in chest X-rays (CXRs) using deep learning (DL) methods can help reduce radiologist effort, supplement clinical decision-making, and potentially result in improved patient treatment. The majority of works in the literature discuss training automatic segmentation models using coarse bounding box annotations. However, the granularity of the bounding box annotation could result in the inclusion of a considerable fraction of false positives and negatives at the pixel level that may adversely impact overall semantic segmentation perform…
University of Electronic Science and Technology of China(电子科技大学);Affiliated Hospital of Chengdu University(成都大学附属医院)
Computer-aided X-ray pneumonia lesion recognition is important for accurate diagnosis of pneumonia. With the emergence of deep learning, the identification accuracy of pneumonia has been greatly improved, but there are still some challenges due to the fuzzy appearance of chest X-rays. In this paper, we propose a deep learning framework named Attention-Based Contrastive Learning for Class-Imbalanced X-Ray Pneumonia Lesion Recognition (denoted as Deep Pneumonia). We adopt self-supervised contrastive learning strategy to pre-train the model without using extra pneumonia data for fully mining the …
Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentation
Duke-NUS Medical School(杜克-新加坡国立大学医学院);Duke University(杜克大学);Singapore General Hospital(新加坡中央医院);Institute of High Performance Computing, Agency for Science, Technology and Research(新加坡科技研究局高性能计算研究所);Institute of Data Science, National University of Singapore(新加坡国立大学数据科学研究院)
KU Leuven(鲁汶大学);UZ Leuven(鲁汶大学医院);Vrije Universiteit Brussel (VUB)(布鲁塞尔自由大学);imec
Recent research on COVID-19 suggests that CT imaging provides useful information to assess disease progression and assist diagnosis, in addition to help understanding the disease. There is an increasing number of studies that propose to use deep learning to provide fast and accurate quantification of COVID-19 using chest CT scans. The main tasks of interest are the automatic segmentation of lung and lung lesions in chest CT scans of confirmed or suspected COVID-19 patients. In this study, we compare twelve deep learning algorithms using a multi-center dataset, including both open-source and in…
The University of Texas at Arlington(德克萨斯大学阿灵顿分校);Tencent AI Lab(腾讯人工智能实验室)
Chest X-rays is one of the most commonly available and affordable radiological examinations in clinical practice. While detecting thoracic diseases on chest X-rays is still a challenging task for machine intelligence, due to 1) the highly varied appearance of lesion areas on X-rays from patients of different thoracic disease and 2) the shortage of accurate pixel-level annotations by radiologists for model training. Existing machine learning methods are unable to deal with the challenge that thoracic diseases usually happen in localized disease-specific areas. In this article, we propose a weak…
The Chinese University of Hong Kong(香港中文大学);The Hong Kong University of Science and Technology(香港科技大学);Imsight AI Research Lab(Imsight人工智能研究实验室);Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences(中国科学院深圳先进技术研究院)
Chest X-ray (CXR) is the most typical diagnostic X-ray examination for screening various thoracic diseases. Automatically localizing lesions from CXR is promising for alleviating radiologists' reading burden. However, CXR datasets are often with massive image-level annotations and scarce lesion-level annotations, and more often, without annotations. Thus far, unifying different supervision granularities to develop thoracic disease detection algorithms has not been comprehensively addressed. In this paper, we present OXnet, the first deep omni-supervised thoracic disease detection network to ou…
From Classification to Localization and Clinical Validation: Large-Scale Development of a Deep Learning System for Thoracic Disease Detection on Chest Radiographs in Thailand
Perceptra Co., Ltd.(Perceptra有限公司);Radiology Department, Faculty of Medicine Siriraj Hospital, Mahidol University(玛希隆大学诗里拉吉医院医学院放射科);Institute of Field Robotics, King Mongkut’s University of Technology Thonburi(泰国国王科技大学吞武里分校野外机器人研究所)
The ULS23 Challenge: a Baseline Model and Benchmark Dataset for 3D Universal Lesion Segmentation in Computed Tomography
Radboud University Medical Center(拉德堡德大学医学中心);Jeroen Bosch Hospital(杰伦博世医院);University Medical Center Groningen(格罗宁根大学医学中心);Fraunhofer Institute for Digital Medicine MEVIS(弗劳恩霍夫数字医学梅维斯研究所)
The Chinese University of Hong Kong(香港中文大学);The Hong Kong University of Science and Technology(香港科技大学);Imsight Technology, Co., Ltd.(深圳视见科技有限公司);The University of Hong Kong(香港大学);Shenzhen People's Hospital(深圳市人民医院);Guangdong Provincial People's Hospital(广东省人民医院);Guangdong Academy of Medical Sciences(广东省医学科学院);Queen Marry Hospital(玛丽医院);Hospital Authority(医院管理局);Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences(中国科学院深圳先进技术研究院)
Two DL models were developed using radiograph-level annotations (yes or no disease) and fine-grained lesion-level annotations (lesion bounding boxes), respectively named CheXNet and CheXDet. The models' internal classification performance and lesion localization performance were compared on a testing set (n=2,922), external classification performance was compared on NIH-Google (n=4,376) and PadChest (n=24,536) datasets, and external lesion localization performance was compared on NIH-ChestX-ray14 dataset (n=880). The models were also compared to radiologists on a subset of the internal testing…
Sberbank AI Laboratory(俄罗斯联邦储蓄银行人工智能实验室);New York University(纽约大学)
Analysis of chest CT scans can be used in detecting parts of lungs that are affected by infectious diseases such as COVID-19.Determining the volume of lungs affected by lesions is essential for formulating treatment recommendations and prioritizingpatients by severity of the disease. In this paper we adopted an approach based on using an ensemble of deep convolutionalneural networks for segmentation of slices of lung CT scans. Using our models we are able to segment the lesions, evaluatepatients dynamics, estimate relative volume of lungs affected by lesions and evaluate the lung damage stage.…
The University of Tokyo(东京大学);The University of Tokyo Hospital(东京大学医院)
A computer-aided detection (CAD) system based on machine learning is expected to assist radiologists in making a diagnosis. It is desirable to build CAD systems for the various types of diseases accumulating daily in a hospital. An obstacle in developing a CAD system for a disease is that the number of medical images is typically too small to improve the performance of the machine learning model. In this paper, we aim to explore ways to address this problem through a sim2real transfer approach in medical image fields. To build a platform to evaluate the performance of sim2real transfer methods…
University of Pittsburgh(匹兹堡大学);Tangdu Hospital(唐都医院)
This study aims to automatically diagnose thoracic diseases depicted on the chest x-ray (CXR) images using deep convolutional neural networks. The existing methods generally used the entire CXR images for training purposes, but this strategy may suffer from two drawbacks. First, potential misalignment or the existence of irrelevant objects in the entire CXR images may cause unnecessary noise and thus limit the network performance. Second, the relatively low image resolution caused by the resizing operation, which is a common preprocessing procedure for training neural networks, may lead to the…
A major obstacle to the integration of deep learning models for chest x-ray interpretation into clinical settings is the lack of understanding of their failure modes. In this work, we first investigate whether there are patient subgroups that chest x-ray models are likely to misclassify. We find that patient age and the radiographic finding of lung lesion, pneumothorax or support devices are statistically relevant features for predicting misclassification for some chest x-ray models. Second, we develop misclassification predictors on chest x-ray models using their outputs and clinical features…
MEDPSeg: Hierarchical polymorphic multitask learning for the segmentation of ground-glass opacities, consolidation, and pulmonary structures on computed tomography
School of Electrical and Computer Engineering, Universidade Estadual de Campinas(坎皮纳斯州立大学电气与计算机工程学院);University of Iowa(爱荷华大学)
VinUniversity(文大大学);VinBigData JSC(Vin大数据公司);Vingroup Big Data Institute(Vingroup大数据研究院);Hanoi Medical University Hospital(河内医科大学附属医院);Hospital 108(108医院)
Recent artificial intelligence (AI) algorithms have achieved radiologist-level performance on various medical classification tasks. However, only a few studies addressed the localization of abnormal findings from CXR scans, which is essential in explaining the image-level classification to radiologists. We introduce in this paper an explainable deep learning system called VinDr-CXR that can classify a CXR scan into multiple thoracic diseases and, at the same time, localize most types of critical findings on the image. VinDr-CXR was trained on 51,485 CXR scans with radiologist-provided bounding…
Expert Uncertainty and Severity Aware Chest X-Ray Classification by Multi-Relationship Graph Learning
University of Texas at Arlington(德克萨斯大学阿灵顿分校);RIKEN(理化学研究所);University of Tokyo(东京大学);National Institute of Health Clinical Center(美国国立卫生研究院临床中心);National Cancer Center Research Institute(国立癌症研究中心研究所)
The image captioning task is increasingly prevalent in artificial intelligence applications for medicine. One important application is clinical report generation from chest radiographs. The clinical writing of unstructured reports is time consuming and error-prone. An automated system would improve standardization, error reduction, time consumption, and medical accessibility. In this paper we demonstrate the importance of domain specific pre-training and propose a modified transformer architecture for the medical image captioning task. To accomplish this, we train a series of modified transfor…
University of Illinois Urbana-Champaign(伊利诺伊大学厄巴纳-香槟分校)
In this era of pandemic, the future of healthcare industry has never been more exciting. Artificial intelligence and machine learning (AI & ML) present opportunities to develop solutions that cater for very specific needs within the industry. Deep learning in healthcare had become incredibly powerful for supporting clinics and in transforming patient care in general. Deep learning is increasingly being applied for the detection of clinically important features in the images beyond what can be perceived by the naked human eye. Chest X-ray images are one of the most common clinical method for di…
Carnegie Mellon University(卡内基梅隆大学);Case Western Reserve University(凯斯西储大学)
Dual-energy (DE) chest radiographs provide greater diagnostic information than standard radiographs by separating the image into bone and soft tissue, revealing suspicious lesions which may otherwise be obstructed from view. However, acquisition of DE images requires two physical scans, necessitating specialized hardware and processing, and images are prone to motion artifact. Generation of virtual DE images from standard, single-shot chest radiographs would expand the diagnostic value of standard radiographs without changing the acquisition procedure. We present a Multi-scale Conditional Adve…
National Technical University of Ukraine "Igor Sikorsky Kyiv Polytechnic Institute"(乌克兰国立技术大学“伊戈尔·西科斯基基辅理工学院”);Huizhou University(惠州学院)
The recent progress of computing, machine learning, and especially deep learning, for image recognition brings a meaningful effect for automatic detection of various diseases from chest X-ray images (CXRs). Here efficiency of lung segmentation and bone shadow exclusion techniques is demonstrated for analysis of 2D CXRs by deep learning approach to help radiologists identify suspicious lesions and nodules in lung cancer patients. Training and validation was performed on the original JSRT dataset (dataset #01), BSE-JSRT dataset, i.e. the same JSRT dataset, but without clavicle and rib shadows (d…
National Institutes of Health Clinical Center(美国国立卫生研究院临床中心)
Extracting, harvesting and building large-scale annotated radiological image datasets is a greatly important yet challenging problem. It is also the bottleneck to designing more effective data-hungry computing paradigms (e.g., deep learning) for medical image analysis. Yet, vast amounts of clinical annotations (usually associated with disease image findings and marked using arrows, lines, lesion diameters, segmentation, etc.) have been collected over several decades and stored in hospitals' Picture Archiving and Communication Systems. In this paper, we mine and harvest one major type of clinic…
VinBigData JSC(VinBigData 公司);VinUniversity(温纳大学);Phu Tho Department of Health(富寿省卫生厅);Phu Tho General Hospital(富寿综合医院)
The development of diagnostic models for detecting and diagnosing pediatric diseases in CXR scans is undertaken due to the lack of high-quality physician-annotated datasets. To overcome this challenge, we introduce and release PediCXR, a new pediatric CXR dataset of 9,125 studies retrospectively collected from a major pediatric hospital in Vietnam between 2020 and 2021. Each scan was manually annotated by a pediatric radiologist with more than ten years of experience. The dataset was labeled for the presence of 36 critical findings and 15 diseases. In particular, each abnormal finding was iden…
ICON: Improving Inter-Report Consistency in Radiology Report Generation via Lesion-aware Mixup Augmentation
The Hong Kong Polytechnic University(香港理工大学);Southern University of Science and Technology(南方科技大学);Research Institute of Trustworthy Autonomous Systems(可信自主系统研究院)
Multimodal self-supervised learning for lesion localization
Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences(中国科学院深圳先进技术研究院保罗·C·劳特伯生物医学成像研究中心);Peng Cheng Laboratory(鹏城实验室);University of Chinese Academy of Sciences(中国科学院大学);The University of Hong Kong(香港大学);Pazhou Laboratory (Huangpu)(琶洲实验室(黄埔));Nanchang University(南昌大学)
Vanderbilt University(范德堡大学);Vanderbilt University Medical Center(范德堡大学医学中心)
Clinical data elements (CDEs) (e.g., age, smoking history), blood markers and chest computed tomography (CT) structural features have been regarded as effective means for assessing lung cancer risk. These independent variables can provide complementary information and we hypothesize that combining them will improve the prediction accuracy. In practice, not all patients have all these variables available. In this paper, we propose a new network design, termed as multi-path multi-modal missing network (M3Net), to integrate the multi-modal data (i.e., CDEs, biomarker and CT image) considering mis…
A Clinical-oriented Multi-level Contrastive Learning Method for Disease Diagnosis in Low-quality Medical Images
Northeastern University(东北大学);Key Laboratory of Intelligent Computing in Medical Image of Ministry of Education(医学图像智能计算教育部重点实验室);National Frontiers Science Center for Industrial Intelligence and Systems Optimization(工业智能与系统优化全国前沿科学中心)
University of New South Wales(新南威尔士大学);The Commonwealth Scientific and Industrial Research Organisation (CSIRO)(联邦科学与工业研究组织(CSIRO))
Coronavirus Disease 2019 (COVID-19) has spread globally and become a health crisis faced by humanity since first reported. Radiology imaging technologies such as computer tomography (CT) and chest X-ray imaging (CXR) are effective tools for diagnosing COVID-19. However, in CT and CXR images, the infected area occupies only a small part of the image. Some common deep learning methods that integrate large-scale receptive fields may cause the loss of image detail, resulting in the omission of the region of interest (ROI) in COVID-19 images and are therefore not suitable for further processing. To…
Nagoya University(名古屋大学);Nara Institute of Science and Technology(奈良先端科学技术大学院大学);National Institute of Informatics(国立信息学研究所);Keio University School of Medicine(庆应义塾大学医学部);Juntendo University(顺天堂大学)
This paper presents a fully-automated method for the identification of suspicious regions of a coronavirus disease (COVID-19) on chest CT volumes. One major role of chest CT scanning in COVID-19 diagnoses is identification of an inflammation particular to the disease. This task is generally performed by radiologists through an interpretation of the CT volumes, however, because of the heavy workload, an automatic analysis method using a computer is desired. Most computer-aided diagnosis studies have addressed only a portion of the elements necessary for the identification. In this work, we real…
Segmentation of COVID-19 lesions from chest CT scans is of great importance for better diagnosing the disease and investigating its extent. However, manual segmentation can be very time consuming and subjective, given the lesions' large variation in shape, size and position. On the other hand, we still lack large manually segmented datasets that could be used for training machine learning-based models for fully automatic segmentation. In this work, we propose a new interactive and user-friendly tool for COVID-19 lesion segmentation, which works by alternating automatic steps (based on level-se…
XBench: A Comprehensive Benchmark for Visual-Language Explanations in Chest Radiography
ARTORG Center for Biomedical Engineering Research, University of Bern, Switzerland(ARTORG生物医学工程研究中心,伯尔尼大学,瑞士);Shanghai Jiao Tong University, China(上海交通大学,中国);Kaiko.AI, Switzerland(Kaiko.AI,瑞士);Dept. of Radiation Oncology, Inselspital, Bern University Hospital(放射肿瘤科,因斯普尔茨医院,伯尔尼大学医院)
Super-Generalist: Towards Comprehensive and Accurate Medical Image Understanding via Generalist-Specialist Synergy
DAMO Academy, Alibaba Group(达摩院,阿里巴巴集团);Hupan Lab(湖畔实验室);Department of Radiology, Ningbo No. 2 Hospital(宁波市第二医院放射科);Department of Radiology, Guangdong Provincial People’s Hospital(广东省人民医院放射科);Department of Radiology, Shanghai Institution of Pancreatic Disease(上海胰腺疾病研究所放射科);Department of Radiology, Shengjing Hospital of China Medical University(中国医科大学附属盛京医院放射科);The First Affiliated Hospital, Zhejiang University School of Medicine(浙江大学医学院附属第一医院);Mohamed bin Zayed University of Artificial Intelligence(穆罕默德·本·扎耶德人工智能大学)
EXACT: an explainable anomaly-aware vision foundation model for analysis of 3D chest CT
School of Biomedical Engineering, Tsinghua University(清华大学生物医学工程学院);Department of Radiology, Mianyang Central Hospital(绵阳市中心医院放射科);Center for Biomedical Imaging Research, Tsinghua University(清华大学生物医学成像研究中心)
Tsinghua University(清华大学);Huazhong University of Science and Technology(华中科技大学)
Segmentation of infected areas in chest CT volumes is of great significance for further diagnosis and treatment of COVID-19 patients. Due to the complex shapes and varied appearances of lesions, a large number of voxel-level labeled samples are generally required to train a lesion segmentation network, which is a main bottleneck for developing deep learning based medical image segmentation algorithms. In this paper, we propose a weakly-supervised lesion segmentation framework by embedding the Generative Adversarial training process into the Segmentation Network, which is called GASNet. GASNet …
Darmstadt University of Technology(达姆施塔特工业大学);Uniklinik Frankfurt(法兰克福大学医院)
Automatic segmentation of ground glass opacities and consolidations in chest computer tomography (CT) scans can potentially ease the burden of radiologists during times of high resource utilisation. However, deep learning models are not trusted in the clinical routine due to failing silently on out-of-distribution (OOD) data. We propose a lightweight OOD detection method that leverages the Mahalanobis distance in the feature space and seamlessly integrates into state-of-the-art segmentation pipelines. The simple approach can even augment pre-trained models with clinically relevant uncertainty …
The First Affiliated Hospital of USTC(中国科学技术大学附属第一医院);University of Science and Technology of China(中国科学技术大学);University of Science and Technology(科技大学);The first affiliated hospital of Bengbu medical college(蚌埠医学院第一附属医院);AItour(AItour公司)
Background: Triage of patients is important to control the pandemic of coronavirus disease 2019 (COVID-19), especially during the peak of the pandemic when clinical resources become extremely limited. Purpose: To develop a method that automatically segments and quantifies lung and pneumonia lesions with synthetic chest CT and assess disease severity in COVID-19 patients. Materials and Methods: In this study, we incorporated data augmentation to generate synthetic chest CT images using public available datasets (285 datasets from "Lung Nodule Analysis 2016"). The synthetic images and masks were…
Can Deep Learning Reliably Recognize Abnormality Patterns on Chest X-rays? A Multi-Reader Study Examining One Month of AI Implementation in Everyday Radiology Clinical Practice
Carebot s.r.o.(Carebot有限责任公司);Masaryk University(马萨里克大学);Institute of Biostatistics and Analysis, s.r.o.(生物统计与分析所有限责任公司);Havířov Hospital and Clinic(哈维若夫医院与诊所);Charles University(查理大学);Czech Technical University(捷克技术大学)
本研究开发 Carebot AI CXR 检测七种胸片异常,并基于 956 张图像与六名放射科医生比较,证明其灵敏度高,可辅助降低初中级医生漏诊率。
UNSW(新南威尔士大学);Dongguk University(东国大学);Defence Science and Technology Group(国防科学技术集团)
Image segmentation is an important task in medical imaging. It constitutes the backbone of a wide variety of clinical diagnostic methods, treatments, and computer-aided surgeries. In this paper, we propose a multi-kernel image segmentation net (MKIS-Net), which uses multiple kernels to create an efficient receptive field and enhance segmentation performance. As a result of its multi-kernel design, MKIS-Net is a light-weight architecture with a small number of trainable parameters. Moreover, these multi-kernel receptive fields also contribute to better segmentation results. We demonstrate the e…
EAFP-Med: An Efficient Adaptive Feature Processing Module Based on Prompts for Medical Image Detection
College of Computer Science and Technology, National University of Defense Technology(国防科技大学计算机学院);King Abdulaziz University(阿卜杜勒阿齐兹国王大学);Xi'an Jiaotong-Liverpool University(西交利物浦大学);University of Leicester(莱斯特大学);Southeast University(东南大学);University of Liverpool(利物浦大学)