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Discharge summaries in Electronic Health Records (EHRs) are crucial for clinical decision-making, but their length and complexity make information extraction challenging, especially when dealing with accumulated summaries across multiple patient admissions. Large Language Models (LLMs) show promise in addressing this challenge by efficiently analyzing vast and complex data. Existing benchmarks, however, fall short in properly evaluating LLMs' capabilities in this context, as they typically focus on single-note information or limited topics, failing to reflect the real-world inquiries required by clinicians. To bridge this gap, we introduce EHRNoteQA, a novel benchmark built on the MIMIC-IV EHR, comprising 962 different QA pairs each linked to distinct patients' discharge summaries. Every QA pair is initially generated using GPT-4 and then manually reviewed and refined by three clinicians to ensure clinical relevance. EHRNoteQA includes questions that require information across multiple discharge summaries and covers eight diverse topics, mirroring the complexity and diversity of real clinical inquiries. We offer EHRNoteQA in two formats: open-ended and multi-choice question answering, and propose a reliable evaluation method for each. We evaluate 27 LLMs using EHRNoteQA and examine various factors affecting the model performance (e.g., the length and number of discharge summaries). Furthermore, to validate EHRNoteQA as a reliable proxy for expert evaluations in clinical practice, we measure the correlation between the LLM performance on EHRNoteQA, and the LLM performance manually evaluated by clinicians. Results show that LLM performance on EHRNoteQA have higher correlation with clinician-evaluated performance (Spearman: 0.78, Kendall: 0.62) compared to other benchmarks, demonstrating its practical relevance in evaluating LLMs in clinical settings.

Accurate nuclei segmentation in histopathological images is crucial for cancer diagnosis. Automating this process offers valuable support to clinical experts, as manual annotation is time-consuming and prone to human errors. However, automating nuclei segmentation presents challenges due to uncertain cell boundaries, intricate staining, and diverse structures. In this paper, we present a segmentation approach that combines the U-Net architecture with a DenseNet-121 backbone, harnessing the strengths of both to capture comprehensive contextual and spatial information. Our model introduces the Wavelet-guided channel attention module to enhance cell boundary delineation, along with a learnable weighted global attention module for channel-specific attention. The decoder module, composed of an upsample block and convolution block, further refines segmentation in handling staining patterns. The experimental results conducted on two publicly accessible histopathology datasets, namely Monuseg and TNBC, underscore the superiority of our proposed model, demonstrating its potential to advance histopathological image analysis and cancer diagnosis. The code is made available at: //github.com/AyushRoy2001/AWGUNET.

Generative models for 3D drug design have gained prominence recently for their potential to design ligands directly within protein pockets. Current approaches, however, often suffer from very slow sampling times or generate molecules with poor chemical validity. Addressing these limitations, we propose Semla, a scalable E(3)-equivariant message passing architecture. We further introduce a molecular generation model, MolFlow, which is trained using flow matching along with scale optimal transport, a novel extension of equivariant optimal transport. Our model produces state-of-the-art results on benchmark datasets with just 100 sampling steps. Crucially, MolFlow samples high quality molecules with as few as 20 steps, corresponding to a two order-of-magnitude speed-up compared to state-of-the-art, without sacrificing performance. Furthermore, we highlight limitations of current evaluation methods for 3D generation and propose new benchmark metrics for unconditional molecular generators. Finally, using these new metrics, we compare our model's ability to generate high quality samples against current approaches and further demonstrate MolFlow's strong performance.

Automatic medical image segmentation technology has the potential to expedite pathological diagnoses, thereby enhancing the efficiency of patient care. However, medical images often have complex textures and structures, and the models often face the problem of reduced image resolution and information loss due to downsampling. To address this issue, we propose HC-Mamba, a new medical image segmentation model based on the modern state space model Mamba. Specifically, we introduce the technique of dilated convolution in the HC-Mamba model to capture a more extensive range of contextual information without increasing the computational cost by extending the perceptual field of the convolution kernel. In addition, the HC-Mamba model employs depthwise separable convolutions, significantly reducing the number of parameters and the computational power of the model. By combining dilated convolution and depthwise separable convolutions, HC-Mamba is able to process large-scale medical image data at a much lower computational cost while maintaining a high level of performance. We conduct comprehensive experiments on segmentation tasks including organ segmentation and skin lesion, and conduct extensive experiments on Synapse, ISIC17 and ISIC18 to demonstrate the potential of the HC-Mamba model in medical image segmentation. The experimental results show that HC-Mamba exhibits competitive performance on all these datasets, thereby proving its effectiveness and usefulness in medical image segmentation.

This paper presents MOCAS, a multimodal dataset dedicated for human cognitive workload (CWL) assessment. In contrast to existing datasets based on virtual game stimuli, the data in MOCAS was collected from realistic closed-circuit television (CCTV) monitoring tasks, increasing its applicability for real-world scenarios. To build MOCAS, two off-the-shelf wearable sensors and one webcam were utilized to collect physiological signals and behavioral features from 21 human subjects. After each task, participants reported their CWL by completing the NASA-Task Load Index (NASA-TLX) and Instantaneous Self-Assessment (ISA). Personal background (e.g., personality and prior experience) was surveyed using demographic and Big Five Factor personality questionnaires, and two domains of subjective emotion information (i.e., arousal and valence) were obtained from the Self-Assessment Manikin (SAM), which could serve as potential indicators for improving CWL recognition performance. Technical validation was conducted to demonstrate that target CWL levels were elicited during simultaneous CCTV monitoring tasks; its results support the high quality of the collected multimodal signals.

Artificial intelligence has significantly impacted medical applications, particularly with the advent of Medical Large Vision Language Models (Med-LVLMs), sparking optimism for the future of automated and personalized healthcare. However, the trustworthiness of Med-LVLMs remains unverified, posing significant risks for future model deployment. In this paper, we introduce CARES and aim to comprehensively evaluate the Trustworthiness of Med-LVLMs across the medical domain. We assess the trustworthiness of Med-LVLMs across five dimensions, including trustfulness, fairness, safety, privacy, and robustness. CARES comprises about 41K question-answer pairs in both closed and open-ended formats, covering 16 medical image modalities and 27 anatomical regions. Our analysis reveals that the models consistently exhibit concerns regarding trustworthiness, often displaying factual inaccuracies and failing to maintain fairness across different demographic groups. Furthermore, they are vulnerable to attacks and demonstrate a lack of privacy awareness. We publicly release our benchmark and code in //github.com/richard-peng-xia/CARES.

Telepresence VR systems allow for face-to-face communication, promoting the feeling of presence and understanding of nonverbal cues. However, when discussing virtual 3D objects, limitations to presence and communication cause deictic gestures to lose meaning due to disparities in orientation. Current approaches use shared perspective, and avatar overlap to restore these references, which cause occlusions and discomfort that worsen when multiple users participate. We introduce a new approach to shared perspective in multi-user collaboration where the avatars are not co-located. Each person sees the others' avatars at their positions around the workspace while having a first-person view of the workspace. Whenever a user manipulates an object, others will see his/her arms stretching to reach that object in their perspective. SPARC combines a shared orientation and supports nonverbal communication, minimizing occlusions. We conducted a user study (n=18) to understand how the novel approach impacts task performance and workspace awareness. We found evidence that SPARC is more efficient and less mentally demanding than life-like settings.

Investigating blood flow in the cardiovascular system is crucial for assessing cardiovascular health. Computational approaches offer some non-invasive alternatives to measure blood flow dynamics. Numerical simulations based on traditional methods such as finite-element and other numerical discretizations have been extensively studied and have yielded excellent results. However, adapting these methods to real-life simulations remains a complex task. In this paper, we propose a method that offers flexibility and can efficiently handle real-life simulations. We suggest utilizing the physics-informed neural network (PINN) to solve the Navier-Stokes equation in a deformable domain, specifically addressing the simulation of blood flow in elastic vessels. Our approach models blood flow using an incompressible, viscous Navier-Stokes equation in an Arbitrary Lagrangian-Eulerian form. The mechanical model for the vessel wall structure is formulated by an equation of Newton's second law of momentum and linear elasticity to the force exerted by the fluid flow. Our method is a mesh-free approach that eliminates the need for discretization and meshing of the computational domain. This makes it highly efficient in solving simulations involving complex geometries. Additionally, with the availability of well-developed open-source machine learning framework packages and parallel modules, our method can easily be accelerated through GPU computing and parallel computing. To evaluate our approach, we conducted experiments on regular cylinder vessels as well as vessels with plaque on their walls. We compared our results to a solution calculated by Finite Element Methods using a dense grid and small time steps, which we considered as the ground truth solution. We report the relative error and the time consumed to solve the problem, highlighting the advantages of our method.

The Internet of Vehicles (IoV) emerges as a pivotal component for autonomous driving and intelligent transportation systems (ITS), by enabling low-latency big data processing in a dense interconnected network that comprises vehicles, infrastructures, pedestrians and the cloud. Autonomous vehicles are heavily reliant on machine learning (ML) and can strongly benefit from the wealth of sensory data generated at the edge, which calls for measures to reconcile model training with preserving the privacy of sensitive user data. Federated learning (FL) stands out as a promising solution to train sophisticated ML models in vehicular networks while protecting the privacy of road users and mitigating communication overhead. This paper examines the federated optimization of the cutting-edge YOLOv7 model to tackle real-time object detection amid data heterogeneity, encompassing unbalancedness, concept drift, and label distribution skews. To this end, we introduce FedPylot, a lightweight MPI-based prototype to simulate federated object detection experiments on high-performance computing (HPC) systems, where we safeguard server-client communications using hybrid encryption. Our study factors in accuracy, communication cost, and inference speed, thereby presenting a balanced approach to the challenges faced by autonomous vehicles. We demonstrate promising results for the applicability of FL in IoV and hope that FedPylot will provide a basis for future research into federated real-time object detection. The source code is available at //github.com/cyprienquemeneur/fedpylot.

The recent advancements in artificial intelligence (AI) combined with the extensive amount of data generated by today's clinical systems, has led to the development of imaging AI solutions across the whole value chain of medical imaging, including image reconstruction, medical image segmentation, image-based diagnosis and treatment planning. Notwithstanding the successes and future potential of AI in medical imaging, many stakeholders are concerned of the potential risks and ethical implications of imaging AI solutions, which are perceived as complex, opaque, and difficult to comprehend, utilise, and trust in critical clinical applications. Despite these concerns and risks, there are currently no concrete guidelines and best practices for guiding future AI developments in medical imaging towards increased trust, safety and adoption. To bridge this gap, this paper introduces a careful selection of guiding principles drawn from the accumulated experiences, consensus, and best practices from five large European projects on AI in Health Imaging. These guiding principles are named FUTURE-AI and its building blocks consist of (i) Fairness, (ii) Universality, (iii) Traceability, (iv) Usability, (v) Robustness and (vi) Explainability. In a step-by-step approach, these guidelines are further translated into a framework of concrete recommendations for specifying, developing, evaluating, and deploying technically, clinically and ethically trustworthy AI solutions into clinical practice.