Explainable Machine Learning for Sepsis Outcome Prediction Using a Novel Romanian Electronic Health Record Dataset

We develop and analyze explainable machine learning (ML) models for sepsis outcome prediction using a novel Electronic Health Record (EHR) dataset from 12,286 hospitalizations at a large emergency hospital in Romania. The dataset includes demographics, International Classification of Diseases (ICD-10) diagnostics, and 600 types of laboratory tests. This study aims to identify clinically strong predictors while achieving state-of-the-art results across three classification tasks: (1)deceased vs. discharged, (2)deceased vs. recovered, and (3)recovered vs. ameliorated. We trained five ML models to capture complex distributions while preserving clinical interpretability. Experiments explored the trade-off between feature richness and patient coverage, using subsets of the 10--50 most frequent laboratory tests. Model performance was evaluated using accuracy and area under the curve (AUC), and explainability was assessed using SHapley Additive exPlanations (SHAP). The highest performance was obtained for the deceased vs. recovered case study (AUC=0.983, accuracy=0.93). SHAP analysis identified several strong predictors such as cardiovascular comorbidities, urea levels, aspartate aminotransferase, platelet count, and eosinophil percentage. Eosinopenia emerged as a top predictor, highlighting its value as an underutilized marker that is not included in current assessment standards, while the high performance suggests the applicability of these models in clinical settings.

SegMate: Asymmetric Attention-Based Lightweight Architecture for Efficient Multi-Organ Segmentation

State-of-the-art models for medical image segmentation achieve excellent accuracy but require substantial computational resources, limiting deployment in resource-constrained clinical settings. We present SegMate, an efficient 2.5D framework that achieves state-of-the-art accuracy, while considerably reducing computational requirements. Our efficient design is the result of meticulously integrating asymmetric architectures, attention mechanisms, multi-scale feature fusion, slice-based positional conditioning, and multi-task optimization. We demonstrate the efficiency-accuracy trade-off of our framework across three modern backbones (EfficientNetV2-M, MambaOut-Tiny, FastViT-T12). We perform experiments on three datasets: TotalSegmentator, SegTHOR and AMOS22. Compared with the vanilla models, SegMate reduces computation (GFLOPs) by up to 2.5x and memory footprint (VRAM) by up to 2.1x, while generally registering performance gains of around 1%. On TotalSegmentator, we achieve a Dice score of 93.51% with only 295MB peak GPU memory. Zero-shot cross-dataset evaluations on SegTHOR and AMOS22 demonstrate strong generalization, with Dice scores of up to 86.85% and 89.35%, respectively. We release our open-source code at https://github.com/andreibunea99/SegMate.