Wolff-Parkinson-White (WPW) syndrome is a cardiac electrophysiology (EP) disorder caused by the presence of an accessory pathway (AP) that bypasses the atrioventricular node, faster ventricular activation rate, and provides a substrate for atrio-ventricular reentrant tachycardia (AVRT). Accurate localization of the AP is critical for planning and guiding catheter ablation procedures. While traditional diagnostic tree (DT) methods and more recent machine learning (ML) approaches have been proposed to predict AP location from surface electrocardiogram (ECG), they are often constrained by limited anatomical localization resolution, poor interpretability, and the use of small clinical datasets. In this study, we present a Deep Learning (DL) model for the localization of single manifest APs across 24 cardiac regions, trained on a large, physiologically realistic database of synthetic ECGs generated using a personalized virtual heart model. We also integrate eXplainable Artificial Intelligence (XAI) methods, Guided Backpropagation, Grad-CAM, and Guided Grad-CAM, into the pipeline. This enables interpretation of DL decision-making and addresses one of the main barriers to clinical adoption: lack of transparency in ML predictions. Our model achieves localization accuracy above 95%, with a sensitivity of 94.32% and specificity of 99.78%. XAI outputs are physiologically validated against known depolarization patterns, and a novel index is introduced to identify the most informative ECG leads for AP localization. Results highlight lead V2 as the most critical, followed by aVF, V1, and aVL. This work demonstrates the potential of combining cardiac digital twins with explainable DL to enable accurate, transparent, and non-invasive AP localization.

We propose a new approach to multi-factor classification of natural language texts based on weighted structured patterns such as N-grams, taking into account the heterarchical relationships between them, applied to solve such a socially impactful problem as the automation of detection of specific cognitive distortions in psychological care, relying on an interpretable, robust and transparent artificial intelligence model. The proposed recognition and learning algorithms improve the current state of the art in this field. The improvement is tested on two publicly available datasets, with significant improvements over literature-known F1 scores for the task, with optimal hyper-parameters determined, having code and models available for future use by the community.

The integration of medical images with clinical context is essential for generating accurate and clinically interpretable radiology reports. However, current automated methods often rely on resource-heavy Large Language Models (LLMs) or static knowledge graphs and struggle with two fundamental challenges in real-world clinical data: (1) missing modalities, such as incomplete clinical context , and (2) feature entanglement, where mixed modality-specific and shared information leads to suboptimal fusion and clinically unfaithful hallucinated findings. To address these challenges, we propose the DiA-gnostic VLVAE, which achieves robust radiology reporting through Disentangled Alignment. Our framework is designed to be resilient to missing modalities by disentangling shared and modality-specific features using a Mixture-of-Experts (MoE) based Vision-Language Variational Autoencoder (VLVAE). A constrained optimization objective enforces orthogonality and alignment between these latent representations to prevent suboptimal fusion. A compact LLaMA-X decoder then uses these disentangled representations to generate reports efficiently. On the IU X-Ray and MIMIC-CXR datasets, DiA has achieved competetive BLEU@4 scores of 0.266 and 0.134, respectively. Experimental results show that the proposed method significantly outperforms state-of-the-art models.

Background: Magnetic resonance imaging (MRI) has high sensitivity for breast cancer detection, but interpretation is time-consuming. Artificial intelligence may aid in pre-screening. Purpose: To evaluate the DINOv2-based Medical Slice Transformer (MST) for ruling out significant findings (Breast Imaging Reporting and Data System [BI-RADS] >=4) in contrast-enhanced and non-contrast-enhanced abbreviated breast MRI. Materials and Methods: This institutional review board approved retrospective study included 1,847 single-breast MRI examinations (377 BI-RADS >=4) from an in-house dataset and 924 from an external validation dataset (Duke). Four abbreviated protocols were tested: T1-weighted early subtraction (T1sub), diffusion-weighted imaging with b=1500 s/mm2 (DWI1500), DWI1500+T2-weighted (T2w), and T1sub+T2w. Performance was assessed at 90%, 95%, and 97.5% sensitivity using five-fold cross-validation and area under the receiver operating characteristic curve (AUC) analysis. AUC differences were compared with the DeLong test. False negatives were characterized, and attention maps of true positives were rated in the external dataset. Results: A total of 1,448 female patients (mean age, 49 +/- 12 years) were included. T1sub+T2w achieved an AUC of 0.77 +/- 0.04; DWI1500+T2w, 0.74 +/- 0.04 (p=0.15). At 97.5% sensitivity, T1sub+T2w had the highest specificity (19% +/- 7%), followed by DWI1500+T2w (17% +/- 11%). Missed lesions had a mean diameter <10 mm at 95% and 97.5% thresholds for both T1sub and DWI1500, predominantly non-mass enhancements. External validation yielded an AUC of 0.77, with 88% of attention maps rated good or moderate. Conclusion: At 97.5% sensitivity, the MST framework correctly triaged cases without BI-RADS >=4, achieving 19% specificity for contrast-enhanced and 17% for non-contrast-enhanced MRI. Further research is warranted before clinical implementation.

Transformers replace recurrence with a memory that grows with sequence length and self-attention that enables ad-hoc look ups over past tokens. Consequently, they lack an inherent incentive to compress history into compact latent states with consistent transition rules. This often leads to learning solutions that generalize poorly. We introduce Next-Latent Prediction (NextLat), which extends standard next-token training with self-supervised predictions in the latent space. Specifically, NextLat trains a transformer to learn latent representations that are predictive of its next latent state given the next output token. Theoretically, we show that these latents provably converge to belief states, compressed information of the history necessary to predict the future. This simple auxiliary objective also injects a recurrent inductive bias into transformers, while leaving their architecture, parallel training, and inference unchanged. NextLat effectively encourages the transformer to form compact internal world models with its own belief states and transition dynamics -- a crucial property absent in standard next-token prediction transformers. Empirically, across benchmarks targeting core sequence modeling competencies -- world modeling, reasoning, planning, and language modeling -- NextLat demonstrates significant gains over standard next-token training in downstream accuracy, representation compression, and lookahead planning. NextLat stands as a simple and efficient paradigm for shaping transformer representations toward stronger generalization.

Patients with chronic obstructive pulmonary disease (COPD) have an increased risk of hospitalizations, strongly associated with decreased survival, yet predicting the timing of these events remains challenging and has received limited attention in the literature. In this study, we performed survival analysis to predict hospitalization and death in COPD patients using longitudinal electronic health records (EHRs), comparing statistical models, machine learning (ML), and deep learning (DL) approaches. We analyzed data from more than 150k patients from the SIDIAP database in Catalonia, Spain, from 2013 to 2017, modeling hospitalization as a first event and death as a semi-competing terminal event. Multiple models were evaluated, including Cox proportional hazards, SurvivalBoost, DeepPseudo, SurvTRACE, Dynamic Deep-Hit, and Deep Recurrent Survival Machine. Results showed that DL models utilizing recurrent architectures outperformed both ML and linear approaches in concordance and time-dependent AUC, especially for hospitalization, which proved to be the harder event to predict. This study is, to our knowledge, the first to apply deep survival analysis on longitudinal EHR data to jointly predict multiple time-to-event outcomes in COPD patients, highlighting the potential of DL approaches to capture temporal patterns and improve risk stratification.

Reinforcement learning (RL) is often credited with improving language model reasoning and generalization at the expense of degrading memorized knowledge. We challenge this narrative by observing that RL-enhanced models consistently outperform their base and supervised fine-tuned (SFT) counterparts on pure knowledge recall tasks, particularly those requiring traversal of hierarchical, structured knowledge (e.g., medical codes). We hypothesize these gains stem not from newly acquired data, but from improved procedural skills in navigating and searching existing knowledge hierarchies within the model parameters. To support this hypothesis, we show that structured prompting, which explicitly guides SFTed models through hierarchical traversal, recovers most of the performance gap (reducing 24pp to 7pp on MedConceptsQA for DeepSeek-V3/R1). We further find that while prompting improves final-answer accuracy, RL-enhanced models retain superior ability to recall correct procedural paths on deep-retrieval tasks. Finally our layer-wise internal activation analysis reveals that while factual representations (e.g., activations for the statement "code 57.95 refers to urinary infection") maintain high cosine similarity between SFT and RL models, query representations (e.g., "what is code 57.95") diverge noticeably, indicating that RL primarily transforms how models traverse knowledge rather than the knowledge representation itself.

Voice-controlled dialog systems have become immensely popular due to their ability to perform a wide range of actions in response to diverse user queries. These agents possess a predefined set of skills or intents to fulfill specific user tasks. But every system has its own limitations. There are instances where, even for known intents, if any model exhibits low confidence, it results in rejection of utterances that necessitate manual annotation. Additionally, as time progresses, there may be a need to retrain these agents with new intents from the system-rejected queries to carry out additional tasks. Labeling all these emerging intents and rejected utterances over time is impractical, thus calling for an efficient mechanism to reduce annotation costs. In this paper, we introduce IDALC (Intent Detection and Active Learning based Correction), a semi-supervised framework designed to detect user intents and rectify system-rejected utterances while minimizing the need for human annotation. Empirical findings on various benchmark datasets demonstrate that our system surpasses baseline methods, achieving a 5-10% higher accuracy and a 4-8% improvement in macro-F1. Remarkably, we maintain the overall annotation cost at just 6-10% of the unlabelled data available to the system. The overall framework of IDALC is shown in Fig. 1

Fruits and vegetables form a vital component of the global economy; however, their distribution poses complex logistical challenges due to high perishability, supply fluctuations, strict quality and safety standards, and environmental sensitivity. In this paper, we propose an adaptive optimization model that accounts for delays, travel time, and associated temperature changes impacting produce shelf life, and compare it against traditional approaches such as Robust Optimization, Distributionally Robust Optimization, and Stochastic Programming. Additionally, we conduct a series of computational experiments using Internet of Things (IoT) sensor data to evaluate the performance of our proposed model. Our study demonstrates that the proposed adaptive model achieves a higher shelf life, extending it by over 18\% compared to traditional optimization models, by dynamically mitigating temperature deviations through a temperature feedback mechanism. The promising results demonstrate the potential of this approach to improve both the freshness and efficiency of logistics systems an aspect often neglected in previous works.

New intent discovery (NID) seeks to recognize both new and known intents from unlabeled user utterances, which finds prevalent use in practical dialogue systems. Existing works towards NID mainly adopt a cascaded architecture, wherein the first stage focuses on encoding the utterances into informative text embeddings beforehand, while the latter is to group similar embeddings into clusters (i.e., intents), typically by K-Means. However, such a cascaded pipeline fails to leverage the feedback from both steps for mutual refinement, and, meanwhile, the embedding-only clustering overlooks nuanced textual semantics, leading to suboptimal performance. To bridge this gap, this paper proposes NILC, a novel clustering framework specially catered for effective NID. Particularly, NILC follows an iterative workflow, in which clustering assignments are judiciously updated by carefully refining cluster centroids and text embeddings of uncertain utterances with the aid of large language models (LLMs). Specifically, NILC first taps into LLMs to create additional semantic centroids for clusters, thereby enriching the contextual semantics of the Euclidean centroids of embeddings. Moreover, LLMs are then harnessed to augment hard samples (ambiguous or terse utterances) identified from clusters via rewriting for subsequent cluster correction. Further, we inject supervision signals through non-trivial techniques seeding and soft must links for more accurate NID in the semi-supervised setting. Extensive experiments comparing NILC against multiple recent baselines under both unsupervised and semi-supervised settings showcase that NILC can achieve significant performance improvements over six benchmark datasets of diverse domains consistently.