John Onofrey, PhD
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About
Titles
Assistant Professor of Radiology & Biomedical Imaging and of Urology
Biography
Dr. John Onofrey conducts basic research to develop and apply novel software solutions to solve clinical problems by combining data science, machine learning and biomedical imaging. A member of the Departments of Radiology and Biomedical Imaging, Urology, and Biomedical Engineering, Dr. Onofrey is the principal investigator of major research funded by the National Institutes of Health. Currently, his interdisciplinary work addresses challenges in prostate cancer diagnosis, liver cancer staging, and positron emission tomography (PET) image analysis.
Dr. Onofrey’s research focuses on the development of novel image analysis algorithms using machine learning, including deep learning methods, and he has a particular interest in image classification, image segmentation, and image registration. He has applied his background in computer science to a wide variety of medical image analysis research projects. His doctoral research focused on leveraging large amounts of clinical data to build effective statistical models of both brain shape and brain deformation for image-guided neurosurgery. As a postdoctoral researcher, Dr. Onofrey applied machine learning towards interventional image-guided biopsy of prostate cancer. He has also applied state-of-the-art machine learning techniques, including deep learning, to automatically segment anatomical structures from clinical images. Not only did these projects leverage large amounts of data to train complex machine learning software algorithms, but they also required detailed software engineering practices to rigorously test and validate these algorithms.
As an educator, Dr. Onofrey co-created and co-teaches the interdisciplinary “Data and Clinical Decision-Making” class in the School of Engineering, which teaches undergraduate and graduate students, and clinical fellows how data science and machine learning are being applied to real-world clinical problems.
Before coming to Yale in 2007, Dr. Onofrey worked as a professional software engineer for the U.S. Army Research Lab (ARL) and Lockheed Martin. He holds a B.S. and M.S. in Computer Science from Johns Hopkins University and a Ph.D. in Biomedical Engineering from Yale University.
Appointments
Radiology & Biomedical Imaging
Assistant ProfessorFully JointUrology
Assistant ProfessorFully Joint
Other Departments & Organizations
Education & Training
- Postdoctoral Associate
- Yale School of Medicine (2016)
- PhD
- Yale University, Biomedical Engineering (2013)
- MPhil
- Yale University, Biomedical Engineering (2009)
- MS
- Yale University, Biomedical Engineering (2008)
- MS
- Johns Hopkins University, Computer Science (2007)
- BS
- Johns Hopkins University, Computer Science (2003)
Research
Publications
Featured Publications
Reliable Prostate Cancer Risk Mapping From MRI Using Targeted and Systematic Core Needle Biopsy Histopathology
Zeevi T, Leapman M, Sprenkle P, Venkataraman R, Staib L, Onofrey J. Reliable Prostate Cancer Risk Mapping From MRI Using Targeted and Systematic Core Needle Biopsy Histopathology. IEEE Transactions On Biomedical Engineering 2024, 71: 1084-1091. PMID: 37874731, PMCID: PMC10901528, DOI: 10.1109/tbme.2023.3326799.Peer-Reviewed Original ResearchMagnetic resonance imagingIndividual patientsBiopsy locationProstate biopsy dataBiopsy histopathologyHistopathology scoresPathology scoresBiopsy dataMRI biomarkersTreatment planPatientsResonance imagingProstate regionBiomarkersTherapy treatment plansPathologyRepresentative sampleScoresImaging analysisPrevious studiesHistopathologyProstateCancerCliniciansAutomated graded prognostic assessment for patients with hepatocellular carcinoma using machine learning
Gross M, Haider S, Ze’evi T, Huber S, Arora S, Kucukkaya A, Iseke S, Gebauer B, Fleckenstein F, Dewey M, Jaffe A, Strazzabosco M, Chapiro J, Onofrey J. Automated graded prognostic assessment for patients with hepatocellular carcinoma using machine learning. European Radiology 2024, 34: 6940-6952. PMID: 38536464, PMCID: PMC11399284, DOI: 10.1007/s00330-024-10624-8.Peer-Reviewed Original ResearchContrast-enhanced magnetic resonance imagingMagnetic resonance imagingClinical staging systemTime of diagnosisHepatocellular carcinomaClinical dataMortality risk predictionOverall survivalStaging systemRadiomic featuresManagement of hepatocellular carcinomaPersonalized follow-up strategiesAssociated with OSMethodsThis retrospective studyHepatocellular carcinoma patientsBaseline magnetic resonance imagingMRI radiomics featuresIndependent validation cohortHarrell's C-indexRisk predictionFollow-up strategiesHigh-risk groupPredictive risk scoreRadiomics feature extractionMedian timeAutomated MRI liver segmentation for anatomical segmentation, liver volumetry, and the extraction of radiomics
Gross M, Huber S, Arora S, Ze’evi T, Haider S, Kucukkaya A, Iseke S, Kuhn T, Gebauer B, Michallek F, Dewey M, Vilgrain V, Sartoris R, Ronot M, Jaffe A, Strazzabosco M, Chapiro J, Onofrey J. Automated MRI liver segmentation for anatomical segmentation, liver volumetry, and the extraction of radiomics. European Radiology 2024, 34: 5056-5065. PMID: 38217704, PMCID: PMC11245591, DOI: 10.1007/s00330-023-10495-5.Peer-Reviewed Original ResearchMagnetic resonance imagingRadiomics feature extractionLiver volumetryIntraclass correlation coefficientRadiomic featuresLiver segmentationAutomated liver volumetryHepatocellular carcinoma patientsMann-Whitney U testAutomated liver segmentationManual segmentationQuantitative imaging biomarkersCarcinoma patientsRetrospective studyInstitutional databaseAnatomical localizationClinical relevanceManual volumetryMann-WhitneyU testExternal validationInternal test setImaging biomarkersInclusion criteriaResultsIn totalIntegrating Prostate Specific Antigen Density Biomarker Into Deep Learning Prostate MRI Lesion Segmentation Models
Zhong J, Staib L, Venkataraman R, Onofrey J. Integrating Prostate Specific Antigen Density Biomarker Into Deep Learning Prostate MRI Lesion Segmentation Models. 2011 IEEE International Symposium On Biomedical Imaging: From Nano To Macro 2023, 00: 1-5. PMID: 38090633, PMCID: PMC10711801, DOI: 10.1109/isbi53787.2023.10230418.Peer-Reviewed Original ResearchFast Reconstruction for Deep Learning PET Head Motion Correction
Zeng T, Zhang J, Lieffrig E, Cai Z, Chen F, You C, Naganawa M, Lu Y, Onofrey J. Fast Reconstruction for Deep Learning PET Head Motion Correction. Lecture Notes In Computer Science 2023, 14229: 710-719. PMID: 38174207, PMCID: PMC10758999, DOI: 10.1007/978-3-031-43999-5_67.Peer-Reviewed Original ResearchCross-Attention for Improved Motion Correction in Brain PET
Cai Z, Zeng T, Lieffrig E, Zhang J, Chen F, Toyonaga T, You C, Xin J, Zheng N, Lu Y, Duncan J, Onofrey J. Cross-Attention for Improved Motion Correction in Brain PET. Lecture Notes In Computer Science 2023, 14312: 34-45. PMID: 38174216, PMCID: PMC10758996, DOI: 10.1007/978-3-031-44858-4_4.Peer-Reviewed Original ResearchDeep learning networkCross-attention mechanismDeep learning benchmarksMotion correctionTraining data domainPET list-mode dataPET image reconstructionQuality of reconstructionData domainCross attentionLearning networkSupervised mannerLearning benchmarksReference imageMotion trackingInherent informationList-mode dataImage reconstructionBrain PET dataPrediction resultsDifferent scannersHead motionImproved motion correctionNetworkSpatial correspondence
2024
AI-driven Patient-Selection For Preoperative Portal Vein Embolization For Patients With Colorectal Cancer Liver Metastases
Kuhn T, Engelhardt W, Kahl V, Alkukhun A, Gross M, Iseke S, Onofrey J, Covey A, Camacho Vasquez J, Kawaguchi Y, Hasegawa K, Odisio B, Vauthey J, Antoch G, Chapiro J, Madoff D. AI-driven Patient-Selection For Preoperative Portal Vein Embolization For Patients With Colorectal Cancer Liver Metastases. Journal Of Vascular And Interventional Radiology 2024 PMID: 39638087, DOI: 10.1016/j.jvir.2024.11.025.Peer-Reviewed Original ResearchTotal liver volumeMetastatic colorectal cancer patientsPreoperative portal vein embolizationColorectal cancer liver metastasesPortal vein embolizationCancer liver metastasesMulticenter retrospective studyColorectal cancer patientsStudent's t-testBoard-certified radiologistsVein embolizationConsecutive patientsLiver metastasesLiver volumePatient selectionRetrospective studyCancer patientsRadiomic featuresInclusion criteriaPatientsSemi-automatic segmentationLab valuesT-testSDAUCCT-Less Whole-Body Bone Segmentation of PET Images Using a Multimodal Deep Learning Network
Bao N, Zhang J, Li Z, Wei S, Zhang J, Greenwald S, Onofrey J, Lu Y, Xu L. CT-Less Whole-Body Bone Segmentation of PET Images Using a Multimodal Deep Learning Network. IEEE Journal Of Biomedical And Health Informatics 2024, PP: 1-16. DOI: 10.1109/jbhi.2024.3501386.Peer-Reviewed Original ResearchPositron emission tomographyMultimodal fusion modulePositron emission tomography imagingMultimodal fusion networkAttenuation mapDice similarity coefficientFusion moduleFusion networkEncoder RepresentationsEncoder branchesCT imagesTraining dataComputed tomographyTumor analysisTracer activityModality imagesMultimodal deep learning networkPET imagingBone segmentsSqueeze-and-excitationBone cancerPositron emission tomography informationCT-based approachDeep learning networkImprove segmentation performanceBias in medical AI: Implications for clinical decision-making
Cross J, Choma M, Onofrey J. Bias in medical AI: Implications for clinical decision-making. PLOS Digital Health 2024, 3: e0000651. PMID: 39509461, PMCID: PMC11542778, DOI: 10.1371/journal.pdig.0000651.Peer-Reviewed Original ResearchMedical AIArtificial intelligenceClinical decision-makingSupervised learning modelsMedical artificial intelligenceDiverse data setsSocial determinants of healthDeployment solutionDeterminants of healthAI algorithmsData featuresDebiasing methodsPerformance metricsLearning modelsAI lifecycleAI developmentModel interpretationData setsSuboptimal performanceModel's clinical utilityHealthcare disparitiesSocial determinantsCare practicesDecision-makingImplicit cognitive biasesData-driven non-rigid motion detection and correction for NeuroEXPLORER
Zhang J, Sun C, Volpi T, Zeng T, Fontaine K, Du Y, Toyonaga T, Onofrey J, Lu Y, Carson R. Data-driven non-rigid motion detection and correction for NeuroEXPLORER. 2024, 00: 1-2. DOI: 10.1109/nss/mic/rtsd57108.2024.10658289.Peer-Reviewed Original ResearchNon-rigid motionNon-rigid motion estimationMotion dataNon-rigid regionsHead motion dataTracking capabilityMotion estimationMotion detectionRigid transformationImage-derived input functionMotion tracking systemImage blurringCarotid arteryEffective MCMotion patternsPatient movementTracking systemMotion correction frameworkBrain PET systemRigid motionMotion-corrected reconstructionFacial surfaceRigid motion correctionCorrect reconstructionCorrection framework
Academic Achievements & Community Involvement
News
News
- November 18, 2024
‘Bias in, bias out’: Tackling bias in medical artificial intelligence
- October 30, 2024
Yale Urology Research [Q3: July-September 2024]
- July 31, 2024
Yale Urology Research [Q2: April-June 2024]
- May 24, 2024
The "Why" for Yale Urology Research Faculty