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Cancer treatments are known to introduce cardiotoxicity, negatively impacting outcomes and survivorship. Identifying cancer patients at risk of heart failure (HF) is critical to improving cancer treatment outcomes and safety. This study examined machine learning (ML) models to identify cancer patients at risk of HF using electronic health records (EHRs), including traditional ML, Time-Aware long short-term memory (T-LSTM), and large language models (LLMs) using novel narrative features derived from the structured medical codes. We identified a cancer cohort of 12,806 patients from the University of Florida Health, diagnosed with lung, breast, and colorectal cancers, among which 1,602 individuals developed HF after cancer. The LLM, GatorTron-3.9B, achieved the best F1 scores, outperforming the traditional support vector machines by 39%, the T-LSTM deep learning model by 7%, and a widely used transformer model, BERT, by 5.6%. The analysis shows that the proposed narrative features remarkably increased feature density and improved performance.

The paramount obstacle in longitudinal studies for causal inference is the complex "treatment-confounder feedback." Traditional methodologies for elucidating causal effects in longitudinal analyses are primarily based on the assumption that time moves in specific intervals or that changes in treatment occur discretely. This conventional view confines treatment-confounder feedback to a limited, countable scope. The advent of real-time monitoring in modern medical research introduces functional longitudinal data with dynamically time-varying outcomes, treatments, and confounders, necessitating dealing with a potentially uncountably infinite treatment-confounder feedback. Thus, there is an urgent need for a more elaborate and refined theoretical framework to navigate these intricacies. Recently, Ying (2024) proposed a preliminary framework focusing on end-of-study outcomes and addressing the causality in functional longitudinal data. Our paper expands significantly upon his foundation in fourfold: First, we conduct a comprehensive review of existing literature, which not only fosters a deeper understanding of the underlying concepts but also illuminates the genesis of both Ying (2024)'s and ours. Second, we extend Ying (2024) to fully embrace a functional time-varying outcome process, incorporating right censoring and truncation by death, which are both significant and practical concerns. Third, we formalize previously informal propositions in Ying (2024), demonstrating how this framework broadens the existing frameworks in a nonparametric manner. Lastly, we delve into a detailed discussion on the interpretability and feasibility of our assumptions, and outlining a strategy for future numerical studies.

Background and aims Generalizability of AI colonoscopy algorithms is important for wider adoption in clinical practice. However, current techniques for evaluating performance on unseen data require expensive and time-intensive labels. Methods We use a "Masked Siamese Network" (MSN) to identify novel phenomena in unseen data and predict polyp detector performance. MSN is trained to predict masked out regions of polyp images, without any labels. We test MSN's ability to be trained on data only from Israel and detect unseen techniques, narrow-band imaging (NBI) and chromendoscoy (CE), on colonoscopes from Japan (354 videos, 128 hours). We also test MSN's ability to predict performance of Computer Aided Detection (CADe) of polyps on colonoscopies from both countries, even though MSN is not trained on data from Japan. Results MSN correctly identifies NBI and CE as less similar to Israel whitelight than Japan whitelight (bootstrapped z-test, |z| > 496, p < 10-8 for both) using the label-free Frechet distance. MSN detects NBI with 99% accuracy, predicts CE better than our heuristic (90% vs 79% accuracy) despite being trained only on whitelight, and is the only method that is robust to noisy labels. MSN predicts CADe polyp detector performance on in-domain Israel and out-of-domain Japan colonoscopies (r=0.79, 0.37 respectively). With few examples of Japan detector performance to train on, MSN prediction of Japan performance improves (r=0.56). Conclusion Our technique can identify distribution shifts in clinical data and can predict CADe detector performance on unseen data, without labels. Our self-supervised approach can aid in detecting when data in practice is different from training, such as between hospitals or data has meaningfully shifted from training. MSN has potential for application to medical image domains beyond colonoscopy.

Millions of people have seen their daily habits transform, reducing physical activity and leading to mental health issues. This study explores how virtual characters impact motivation for well-being. Three prototypes with cartoon, robotic, and human-like avatars were tested by 22 participants. Results show that animated virtual avatars, especially with extended reality, boost motivation, enhance comprehension of activities, and heighten presence. Multiple output modalities, like audio and text, with character animations, improve the user experience. Notably, the cartoon-like character evoked positive responses. This research highlights virtual characters' potential to engage individuals in daily well-being activities.

Tactility provides crucial support and enhancement for the perception and interaction capabilities of both humans and robots. Nevertheless, the multimodal research related to touch primarily focuses on visual and tactile modalities, with limited exploration in the domain of language. Beyond vocabulary, sentence-level descriptions contain richer semantics. Based on this, we construct a touch-language-vision dataset named TLV (Touch-Language-Vision) by human-machine cascade collaboration, featuring sentence-level descriptions for multimode alignment. The new dataset is used to fine-tune our proposed lightweight training framework, TLV-Link (Linking Touch, Language, and Vision through Alignment), achieving effective semantic alignment with minimal parameter adjustments (1%). Project Page: //xiaoen0.github.io/touch.page/.

The deployment of autonomous agents in environments involving human interaction has increasingly raised security concerns. Consequently, understanding the circumstances behind an event becomes critical, requiring the development of capabilities to justify their behaviors to non-expert users. Such explanations are essential in enhancing trustworthiness and safety, acting as a preventive measure against failures, errors, and misunderstandings. Additionally, they contribute to improving communication, bridging the gap between the agent and the user, thereby improving the effectiveness of their interactions. This work presents an accountability and explainability architecture implemented for ROS-based mobile robots. The proposed solution consists of two main components. Firstly, a black box-like element to provide accountability, featuring anti-tampering properties achieved through blockchain technology. Secondly, a component in charge of generating natural language explanations by harnessing the capabilities of Large Language Models (LLMs) over the data contained within the previously mentioned black box. The study evaluates the performance of our solution in three different scenarios, each involving autonomous agent navigation functionalities. This evaluation includes a thorough examination of accountability and explainability metrics, demonstrating the effectiveness of our approach in using accountable data from robot actions to obtain coherent, accurate and understandable explanations, even when facing challenges inherent in the use of autonomous agents in real-world scenarios.

Accurate identification of breast masses is crucial in diagnosing breast cancer; however, it can be challenging due to their small size and being camouflaged in surrounding normal glands. Worse still, it is also expensive in clinical practice to obtain adequate pixel-wise annotations for training deep neural networks. To overcome these two difficulties with one stone, we propose a semi- and weakly-supervised learning framework for mass segmentation that utilizes limited strongly-labeled samples and sufficient weakly-labeled samples to achieve satisfactory performance. The framework consists of an auxiliary branch to exclude lesion-irrelevant background areas, a segmentation branch for final prediction, and a spatial prompting module to integrate the complementary information of the two branches. We further disentangle encoded obscure features into lesion-related and others to boost performance. Experiments on CBIS-DDSM and INbreast datasets demonstrate the effectiveness of our method.

The Internet of Medical Things (IoMT) transcends traditional medical boundaries, enabling a transition from reactive treatment to proactive prevention. This innovative method revolutionizes healthcare by facilitating early disease detection and tailored care, particularly in chronic disease management, where IoMT automates treatments based on real-time health data collection. Nonetheless, its benefits are countered by significant security challenges that endanger the lives of its users due to the sensitivity and value of the processed data, thereby attracting malicious interests. Moreover, the utilization of wireless communication for data transmission exposes medical data to interception and tampering by cybercriminals. Additionally, anomalies may arise due to human errors, network interference, or hardware malfunctions. In this context, anomaly detection based on Machine Learning (ML) is an interesting solution, but it comes up against obstacles in terms of explicability and protection of privacy. To address these challenges, a new framework for Intrusion Detection Systems (IDS) is introduced, leveraging Artificial Neural Networks (ANN) for intrusion detection while utilizing Federated Learning (FL) for privacy preservation. Additionally, eXplainable Artificial Intelligence (XAI) methods are incorporated to enhance model explanation and interpretation. The efficacy of the proposed framework is evaluated and compared with centralized approaches using multiple datasets containing network and medical data, simulating various attack types impacting the confidentiality, integrity, and availability of medical and physiological data. The results obtained offer compelling evidence that the FL method performs comparably to the centralized method, demonstrating high performance. Additionally, it affords the dual advantage of safeguarding privacy and providing model explanation.

Radiation therapy is crucial in cancer treatment. Experienced experts typically iteratively generate high-quality dose distribution maps, forming the basis for excellent radiation therapy plans. Therefore, automated prediction of dose distribution maps is significant in expediting the treatment process and providing a better starting point for developing radiation therapy plans. With the remarkable results of diffusion models in predicting high-frequency regions of dose distribution maps, dose prediction methods based on diffusion models have been extensively studied. However, existing methods mainly utilize CNNs or Transformers as denoising networks. CNNs lack the capture of global receptive fields, resulting in suboptimal prediction performance. Transformers excel in global modeling but face quadratic complexity with image size, resulting in significant computational overhead. To tackle these challenges, we introduce a novel diffusion model, MD-Dose, based on the Mamba architecture for predicting radiation therapy dose distribution in thoracic cancer patients. In the forward process, MD-Dose adds Gaussian noise to dose distribution maps to obtain pure noise images. In the backward process, MD-Dose utilizes a noise predictor based on the Mamba to predict the noise, ultimately outputting the dose distribution maps. Furthermore, We develop a Mamba encoder to extract structural information and integrate it into the noise predictor for localizing dose regions in the planning target volume (PTV) and organs at risk (OARs). Through extensive experiments on a dataset of 300 thoracic tumor patients, we showcase the superiority of MD-Dose in various metrics and time consumption.

Understanding causality helps to structure interventions to achieve specific goals and enables predictions under interventions. With the growing importance of learning causal relationships, causal discovery tasks have transitioned from using traditional methods to infer potential causal structures from observational data to the field of pattern recognition involved in deep learning. The rapid accumulation of massive data promotes the emergence of causal search methods with brilliant scalability. Existing summaries of causal discovery methods mainly focus on traditional methods based on constraints, scores and FCMs, there is a lack of perfect sorting and elaboration for deep learning-based methods, also lacking some considers and exploration of causal discovery methods from the perspective of variable paradigms. Therefore, we divide the possible causal discovery tasks into three types according to the variable paradigm and give the definitions of the three tasks respectively, define and instantiate the relevant datasets for each task and the final causal model constructed at the same time, then reviews the main existing causal discovery methods for different tasks. Finally, we propose some roadmaps from different perspectives for the current research gaps in the field of causal discovery and point out future research directions.