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  1. NTU Theses and Dissertations Repository
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  3. 生醫電子與資訊學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/101417
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor莊曜宇zh_TW
dc.contributor.advisorEric Y. Chuangen
dc.contributor.author劉子豪zh_TW
dc.contributor.authorTzu-Hao Liuen
dc.date.accessioned2026-02-03T16:07:31Z-
dc.date.available2026-02-04-
dc.date.copyright2026-02-03-
dc.date.issued2026-
dc.date.submitted2026-01-27-
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/101417-
dc.description.abstract在新興呼吸道傳染病爆發的關鍵初期,臨床應對常受限於確診病例稀缺與影像標註成本高昂,致使傳統深度學習模型陷入數據不足的冷啟動(Cold-start)困境。肺部超音波(Lung ultrasound)憑藉其高可攜性、無游離輻射及即時床邊檢測之優勢,成為理想的第一線篩檢工具,惟其高度依賴操作者經驗及顯著的影像變異性,為自動化分析帶來巨大挑戰。為解決上述限制,本研究提出一套創新的雙路徑分析架構,旨在有限數據條件下提供穩定的分析工具。核心模型採用FocalNet自動編碼器(Autoencoder)作為骨幹網路,並引入遮罩自動編碼器(Mask Autoencoder)訓練策略與混合損失函數,於超過30,000張無標註醫療超音波影像上進行預訓練,以學習具備高度結構判別力的穩健特徵表示。在此架構下,本研究整合了兩大技術流程,首先是無監督異常偵測流程,該流程利用滑動視窗計算區域重建誤差,並結合統計閾值機制,在完全無須病理標註的情況下即可識別異常影像,於COVID-19數據集上達到了0.770的平衡準確率。其次,針對臨床隨後逐漸取得少量確診病例的情境,本研究設計了少樣本學習(few-shot learning)流程,利用預訓練編碼器作為強效特徵提取器,僅需微調單層線性分類器即可快速適應特定疾病。實驗數據顯示,僅需3%的極少量標註數據,模型即可達成高達0.923的平衡準確率,展現優異的數據效益與臨床實用性。總結而言,本研究建立了一套具可擴展性的工程解決方案,實現了從無監督偵測到少樣本監督學習的漸進式過渡,有效克服了新興傳染病初期的數據稀缺難題,為未來面對大流行病時的快速反應與輔助篩檢,提供了一項具備高度臨床價值的技術架構。zh_TW
dc.description.abstractDuring the critical early stages of emerging respiratory infectious disease outbreaks, the clinical response is often hampered by a scarcity of confirmed cases and the high costs associated with annotation. This makes conventional supervised deep learning models less effective due to the "cold-start" dilemma. Lung ultrasound (LUS) is an ideal first-line screening tool given its portability, absence of ionizing radiation, and real-time bedside capability. However, its effective deployment is hindered by significant operator dependency and considerable image variability. To address these challenges, this study introduces a novel Dual-Pipeline Framework based on a FocalNet Autoencoder (FocalNet-AE) that integrates unsupervised anomaly detection with few-shot supervised classification capabilities. The core model was pre-trained on over 30,000 unlabeled medical ultrasound images using masked autoencoding combined with a hybrid loss function to learn robust structural representations. Within this framework, the unsupervised pipeline employs sliding-window reconstruction error analysis to identify anomalies without prior knowledge of pathology, achieving a balanced accuracy of 0.770 in zero-shot scenarios. Additionally, the supervised pipeline utilizes the pre-trained encoder to swiftly adapt to specific diseases with minimal labels, achieving a balanced accuracy of 0.923 using only 3% of the training data. This study presents a data-efficient and scalable engineering solution that facilitates a smooth transition from unsupervised anomaly detection to few-shot classification, providing a clinically applicable tool for rapid response during future pandemics.en
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dc.description.tableofcontents口試委員審定書 i
致謝 ii
摘要 iii
Abstract iv
Contents v
List of Abbreviations ix
List of Figures xi
List of Tables xii
Chapter 1 Introduction 1
1.1 Emerging Respiratory Infectious Diseases and Global Health Security 1
1.2 Transmission Dynamics and the Imperative for Early Screening 1
1.3 Pathophysiology and Clinical Manifestations of COVID-19 2
1.4 Clinical Screening Tools for Respiratory Diseases 3
1.4.1 Culture and identification 3
1.4.2 NAT-based Method 4
1.4.3 Antigen Rapid Test 5
1.4.4 Chest X-ray and X-ray Computed Tomography 6
1.4.5 Ultrasonography 7
1.5 Integrating Deep Learning into Screening Tools 8
1.5.1 Introduction of Deep Learning 9
1.5.2 Self-Supervised Learning 10
1.5.3 Deep Learning in Medical Imaging 11
1.6 Anomaly Detection 12
1.6.1 Overview of Anomaly Detection 12
1.6.2 Unsupervised Learning for Anomaly Detection 14
1.6.3 Anomaly Detection in Medical Imaging: Current Status and Limitations 15
1.7 Motivation 16
1.8 Specific Aim 16
Chapter 2 Materials and Methods 18
2.1 Overview of Proposed Workflow 18
2.2 Data Preprocessing 20
2.2.1 Datasets for Unsupervised Learning Training 20
2.2.2 Datasets for Classification Tasks with Supervised and Unsupervised Models 21
2.2.3 Data Cleaning and Preprocessing 23
2.2.4 Image Augmentation 25
2.2.5 Dataset Allocation Strategy for Training 25
2.3 Unsupervised Training Pipeline for Autoencoder 26
2.3.1 Encoder Architectures for Unsupervised and Supervised Learning 26
2.3.2 Model Architecture of Autoencoders 28
2.3.3 Proposed Model with Advanced Encoder Backbone 29
2.3.4 Masked-Autoencoder Training Strategy 30
2.3.5 Hybrid Loss Function 31
2.3.6 Sliding Window Loss Evaluation for Validation and Testing 33
2.3.7 Weighted Training Loss 34
2.3.8 Early Stopping 35
2.3.9 Threshold Determination for Unsupervised Anomaly Detection 36
2.3.10 Aggregating Frame-Level Predictions to Patient Level 38
2.3.11 Baseline Models Used in Evaluation 39
2.4 Supervised Learning Pipeline 39
2.4.1 Fine-tune Supervised Classification Head with Minimized Abnormal Data. 39
2.4.2 Evaluation Strategy under Limited Data Scenarios 40
2.5 Evaluation Metrics 40
2.6 Implementation Details 42
Chapter 3 Results 44
3.1 Dataset Characteristics and Reconstruction Results 45
3.1.1 Comparison Between Internal and Holdout Datasets under Cross-Domain Ultrasound Variability 45
3.1.2 Reconstruction Results of the Proposed Model 46
3.2 Autoencoder Fine-Tuning Strategies 48
3.2.1 Comparison of FocalNet-LRF and FocalNet-SRF Backbones 49
3.2.2 Impact of MAE Training and Loss Calculations on Model Performance 49
3.2.3 Impact of Different Loss Functions on Model Performance 51
3.2.4 Impact of Target Dataset Reweighting on Model Performance 52
3.3 Results of Downstream Unsupervised Tasks 53
3.3.1 Impact of Masking in Downstream Unsupervised Tasks 54
3.3.2 Impact of Sliding-Window-Based Loss in Downstream Unsupervised Tasks 54
3.3.3 Impact of Dynamic Thresholding in Downstream Unsupervised Tasks 55
3.3.4 Impact of Sliding Window Size in Downstream Unsupervised Tasks 56
3.3.5 Impact of Gamma Adjustment in Downstream Unsupervised Tasks 57
3.3.6 Comparison of the Proposed Autoencoder with Other Backbone Architectures 59
3.3.7 Holdout Test Results on Unsupervised Tasks 60
3.4 Results of Downstream Supervised Tasks 61
3.4.1 Impact of MAE Training and Loss Calculations on Supervised Tasks 61
3.4.2 Impact of Different Loss Functions on Supervised Tasks 62
3.4.3 Impact of Target Dataset Reweighting on Supervised Tasks 63
3.4.4 Comparison of FocalNet-LRF and FocalNet-SRF Backbones on Supervised Tasks 64
3.4.5 Comparison with Other Common Supervised Models 65
3.4.6 Independent Test Results on Supervised Tasks 65
3.4.7 Ablation Study of Fine-Tuned and ImageNet Pretrained Weights 66
Chapter 4 Discussion 68
4.1 Characteristics of the Proposed FocalNet-AE and pipelines 68
4.2 Design Considerations for Autoencoder Fine-Tuning 70
4.2.1 Variants of FocalNet 70
4.2.2 Importance of MAE in the Proposed Pipeline 71
4.2.3 Risk of Catastrophic Forgetting During Fine-Tuning 72
4.2.4 Determination of the Loss Functions 73
4.3 Design Choices and Technical Considerations in the Unsupervised Pipeline 74
4.4 Comparison Between the Existing Models 75
4.5 Clinical Applicability and Potential of the Proposed Model 78
4.6 Limitations 80
4.7 Future Work 81
Chapter 5 Conclusions 82
Chapter 6 References 84
-
dc.language.isoen-
dc.subject肺部超音波-
dc.subject無監督異常偵測-
dc.subject少樣本學習-
dc.subjectFocalNet-
dc.subject遮罩自動編碼器-
dc.subjectLung Ultrasound-
dc.subjectUnsupervised Anomaly Detection-
dc.subjectFew-Shot Learning-
dc.subjectFocalNet-
dc.subjectMasked Autoencoder-
dc.title針對新興流行病的雙路徑肺部超音波分析:基於FocalNet-AE的無監督異常偵測與少樣本分類zh_TW
dc.titleDual-Pipeline Lung Ultrasound Analysis for Emerging Pandemics: Unsupervised Anomaly Detection and Few-Shot Classification via FocalNet-Autoencoderen
dc.typeThesis-
dc.date.schoolyear114-1-
dc.description.degree碩士-
dc.contributor.coadvisor陳翔瀚zh_TW
dc.contributor.coadvisorHsiang-Han Chenen
dc.contributor.oralexamcommittee賴亮全;陳佩君zh_TW
dc.contributor.oralexamcommitteeLiang-Chuan Lai;Pei-Chun Chenen
dc.subject.keyword肺部超音波,無監督異常偵測少樣本學習FocalNet遮罩自動編碼器zh_TW
dc.subject.keywordLung Ultrasound,Unsupervised Anomaly DetectionFew-Shot LearningFocalNetMasked Autoencoderen
dc.relation.page93-
dc.identifier.doi10.6342/NTU202600268-
dc.rights.note同意授權(限校園內公開)-
dc.date.accepted2026-01-28-
dc.contributor.author-college電機資訊學院-
dc.contributor.author-dept生醫電子與資訊學研究所-
dc.date.embargo-lift2031-01-27-
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