Pneumonia has been one of the major causes of morbidities and mortality in the world and the prevalence of this disease is disproportionately high among the pediatric and elderly populations especially in resources trained areas Fast and precise diagnosis is a prerequisite for successful clinical intervention but due to inter observer variation fatigue among experts and a shortage of qualified radiologists traditional approaches that rely on manual interpretation of chest radiographs are frequently constrained To address these problems this paper introduces a unified automated diagnostic model using a custom Convolutional Neural Network CNN that can recognize pneumonia in chest Xray images with high precision and at minimal computational expense In contrast like other generic transfer learning based models which often possess redundant parameters the offered architecture uses a tailor made depth wise separable convolutional design which is optimized towards textural characteristics of grayscale medical images Contrast Limited Adaptive Histogram Equalization CLAHE and geometric augmentation are two significant preprocessing techniques used to ensure that the system does not experience class imbalance and is more likely to generalize The system is tested using a dataset of 5863 anterior posterior chest Xrays.
Social determinants of health (SDOH) play a critical role in Type 2 Diabetes (T2D) management but are often absent from electronic health records and risk prediction models. Most individual-level SDOH data is collected through structured screening tools, which lack the flexibility to capture the complexity of patient experiences and unique needs of a clinic's population. This study explores the use of large language models (LLMs) to extract structured SDOH information from unstructured patient life stories and evaluate the predictive value of both the extracted features and the narratives themselves for assessing diabetes control. We collected unstructured interviews from 65 T2D patients aged 65 and older, focused on their lived experiences, social context, and diabetes management. These narratives were analyzed using LLMs with retrieval-augmented generation to produce concise, actionable qualitative summaries for clinical interpretation and structured quantitative SDOH ratings for risk prediction modeling. The structured SDOH ratings were used independently and in combination with traditional laboratory biomarkers as inputs to linear and tree-based machine learning models (Ridge, Lasso, Random Forest, and XGBoost) to demonstrate how unstructured narrative data can be applied in conventional risk prediction workflows. Finally, we evaluated several LLMs on their ability to predict a patient's level of diabetes control (low, medium, high) directly from interview text with A1C values redacted. LLMs achieved 60% accuracy in predicting diabetes control levels from interview text. This work demonstrates how LLMs can translate unstructured SDOH-related data into structured insights, offering a scalable approach to augment clinical risk models and decision-making.
Research waste in biomedical science is driven by redundant studies, incomplete reporting, and the limited scalability of traditional evidence synthesis workflows. We present an AI co-scientist for scalable and transparent knowledge synthesis based on explicit formalization of Population, Intervention, Comparator, Outcome, and Study design (PICOS). The platform integrates relational storage, vector-based semantic retrieval, and a Neo4j knowledge graph. Evaluation was conducted on dementia-sport and non-communicable disease corpora. Automated PICOS compliance and study design classification from titles and abstracts were performed using a Bidirectional Long Short-Term Memory baseline and a transformer-based multi-task classifier fine-tuned from PubMedBERT. Full-text synthesis employed retrieval-augmented generation with hybrid vector and graph retrieval, while BERTopic was used to identify thematic structure, redundancy, and evidence gaps. The transformer model achieved 95.7% accuracy for study design classification with strong agreement against expert annotations, while the Bi-LSTM achieved 87% accuracy for PICOS compliance detection. Retrieval-augmented generation outperformed non-retrieval generation for queries requiring structured constraints, cross-study integration, and graph-based reasoning, whereas non-retrieval approaches remained competitive for high-level summaries. Topic modeling revealed substantial thematic redundancy and identified underexplored research areas. These results demonstrate that PICOS-aware and explainable natural language processing can improve the scalability, transparency, and efficiency of evidence synthesis. The proposed architecture is domain-agnostic and offers a practical framework for reducing research waste across biomedical disciplines.
Oculomics - the concept of predicting systemic diseases, such as cardiovascular disease and dementia, through retinal imaging - has advanced rapidly due to the data efficiency of transformer-based foundation models like RETFound. Image-level mixed sample data augmentations, such as CutMix and MixUp, are frequently used for training transformers, yet these techniques perturb patient-specific attributes, such as medical comorbidity and clinical factors, since they only account for images and labels. To address this limitation, we propose a hierarchical sampling strategy, Oculomix, for mixed sample augmentations. Our method is based on two clinical priors. First (exam level), images acquired from the same patient at the same time point share the same attributes. Second (patient level), images acquired from the same patient at different time points have a soft temporal trend, as morbidity generally increases over time. Guided by these priors, our method constrains the mixing space to the patient and exam levels to better preserve patient-specific characteristics and leverages their hierarchical relationships. The proposed method is validated using ViT models on a five-year prediction of major adverse cardiovascular events (MACE) in a large ethnically diverse population (Alzeye). We show that Oculomix consistently outperforms image-level CutMix and MixUp by up to 3% in AUROC, demonstrating the necessity and value of the proposed method in oculomics.
High-fidelity agent initialization is crucial for credible Agent-Based Modeling across diverse domains. A robust framework should be Topic-Adaptive, capturing macro-level joint distributions while ensuring micro-level individual rationality. Existing approaches fall into two categories: static data-based retrieval methods that fail to adapt to unseen topics absent from the data, and LLM-based generation methods that lack macro-level distribution awareness, resulting in inconsistencies between micro-level persona attributes and reality. To address these problems, we propose HAG, a Hierarchical Agent Generation framework that formalizes population generation as a two-stage decision process. Firstly, utilizing a World Knowledge Model to infer hierarchical conditional probabilities to construct the Topic-Adaptive Tree, achieving macro-level distribution alignment. Then, grounded real-world data, instantiation and agentic augmentation are carried out to ensure micro-level consistency. Given the lack of specialized evaluation, we establish a multi-domain benchmark and a comprehensive PACE evaluation framework. Extensive experiments show that HAG significantly outperforms representative baselines, reducing population alignment errors by an average of 37.7% and enhancing sociological consistency by 18.8%.
Breast cancer is the most commonly diagnosed cancer in women and a leading cause of cancer death worldwide. Screening mammography reduces mortality, yet interpretation still suffers from substantial false negatives and false positives, and model accuracy often degrades when deployed across scanners, modalities, and patient populations. We propose a simple conditioning signal aimed at improving external performance based on a wavelet based vectorization of persistent homology. Using topological data analysis, we summarize image structure that persists across intensity thresholds and convert this information into spatial, multi scale maps that are provably stable to small intensity perturbations. These maps are integrated into a two stage detection pipeline through input level channel concatenation. The model is trained and validated on the CBIS DDSM digitized film mammography cohort from the United States and evaluated on two independent full field digital mammography cohorts from Portugal (INbreast) and China (CMMD), with performance reported at the patient level. On INbreast, augmenting ConvNeXt Tiny with wavelet persistence channels increases patient level AUC from 0.55 to 0.75 under a limited training budget.
High-dimensional numerical optimization presents a persistent challenge. This paper introduces Quasi-Adaptive Search with Asymptotic Reinitialization (QUASAR), an evolutionary algorithm to accelerate convergence in complex, non-differentiable problems afflicted by the curse of dimensionality. Evaluated on the notoriously difficult CEC2017 benchmark suite of 29 functions, QUASAR achieved the lowest overall rank sum (150) using the Friedman test, significantly outperforming L-SHADE (229) and standard DE (305) in the dimension-variant trials. QUASAR also proves computationally efficient, with run times averaging $1.4 \text{x}$ faster than DE and $7.8 \text{x}$ faster than L-SHADE ($p \ll 0.001$) in the population-variant trials. Building upon Differential Evolution (DE), QUASAR introduces a highly stochastic architecture to dynamically balance exploration and exploitation. Inspired by the probabilistic behavior of quantum particles in a stellar core, the algorithm implements three primary components that augment standard DE mechanisms: 1) probabilistically selected mutation strategies and scaling factors; 2) rank-based crossover rates; 3) asymptotically decaying reinitialization that leverages a covariance matrix of the best solutions to introduce high-quality genetic diversity. QUASAR's performance establishes it as an effective, user-friendly optimizer for complex high-dimensional problems.
Right heart failure (RHF) is a disease characterized by abnormalities in the structure or function of the right ventricle (RV), which is associated with high morbidity and mortality. Lung disease often causes increased right ventricular load, leading to RHF. Therefore, it is very important to screen out patients with cor pulmonale who develop RHF from people with underlying lung diseases. In this work, we propose a self-supervised representation learning method to early detecting RHF from patients with cor pulmonale, which uses spirogram time series to predict patients with RHF at an early stage. The proposed model is divided into two stages. The first stage is the self-supervised representation learning-based spirogram embedding (SLSE) network training process, where the encoder of the Variational autoencoder (VAE-encoder) learns a robust low-dimensional representation of the spirogram time series from the data-augmented unlabeled data. Second, this low-dimensional representation is fused with demographic information and fed into a CatBoost classifier for the downstream RHF prediction task. Trained and tested on a carefully selected subset of 26,617 individuals from the UK Biobank, our model achieved an AUROC of 0.7501 in detecting RHF, demonstrating strong population-level distinction ability. We further evaluated the model on high-risk clinical subgroups, achieving AUROC values of 0.8194 on a test set of 74 patients with chronic kidney disease (CKD) and 0.8413 on a set of 64 patients with valvular heart disease (VHD). These results highlight the model's potential utility in predicting RHF among clinically elevated-risk populations. In conclusion, this study presents a self-supervised representation learning approach combining spirogram time series and demographic data, demonstrating promising potential for early RHF detection in clinical practice.
The population loss of trained deep neural networks often exhibits power law scaling with the size of the training dataset, guiding significant performance advancements in deep learning applications. In this study, we focus on the scaling relationship with data size in the context of medical anatomical segmentation, a domain that remains underexplored. We analyze scaling laws for anatomical segmentation across 15 semantic tasks and 4 imaging modalities, demonstrating that larger datasets significantly improve segmentation performance, following similar scaling trends. Motivated by the topological isomorphism in images sharing anatomical structures, we evaluate the impact of deformation-guided augmentation strategies on data scaling laws, specifically random elastic deformation and registration-guided deformation. We also propose a novel, scalable image augmentation approach that generates diffeomorphic mappings from geodesic subspace based on image registration to introduce realistic deformation. Our experimental results demonstrate that both registered and generated deformation-based augmentation considerably enhance data utilization efficiency. The proposed generated deformation method notably achieves superior performance and accelerated convergence, surpassing standard power law scaling trends without requiring additional data. Overall, this work provides insights into the understanding of segmentation scalability and topological variation impact in medical imaging, thereby leading to more efficient model development with reduced annotation and computational costs.
In this report, we describe the technical details of our submission to the IROS 2025 RoboSense Challenge Social Navigation Track. This track focuses on developing RGBD-based perception and navigation systems that enable autonomous agents to navigate safely, efficiently, and socially compliantly in dynamic human-populated indoor environments. The challenge requires agents to operate from an egocentric perspective using only onboard sensors including RGB-D observations and odometry, without access to global maps or privileged information, while maintaining social norm compliance such as safe distances and collision avoidance. Building upon the Falcon model, we introduce a Proactive Risk Perception Module to enhance social navigation performance. Our approach augments Falcon with collision risk understanding that learns to predict distance-based collision risk scores for surrounding humans, which enables the agent to develop more robust spatial awareness and proactive collision avoidance behaviors. The evaluation on the Social-HM3D benchmark demonstrates that our method improves the agent's ability to maintain personal space compliance while navigating toward goals in crowded indoor scenes with dynamic human agents, achieving 2nd place among 16 participating teams in the challenge.