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Machine Learning-Based Prediction of Speech Arrest During Direct Cortical Stimulation Mapping

arXiv.org Artificial Intelligence

Identifying cortical regions critical for speech is essential for safe brain surgery in or near language areas. While Electrical Stimulation Mapping (ESM) remains the clinical gold standard, it is invasive and time-consuming. To address this, we analyzed intracranial electrocorticographic (ECoG) data from 16 participants performing speech tasks and developed machine learning models to directly predict if the brain region underneath each ECoG electrode is critical. Ground truth labels indicating speech arrest were derived independently from Electrical Stimulation Mapping (ESM) and used to train classification models. Our framework integrates neural activity signals, anatomical region labels, and functional connectivity features to capture both local activity and network-level dynamics. We found that models combining region and connectivity features matched the performance of the full feature set, and outperformed models using either type alone. To classify each electrode, trial-level predictions were aggregated using an MLP applied to histogram-encoded scores. Our best-performing model, a trial-level RBF-kernel Support Vector Machine together with MLP-based aggregation, achieved strong accuracy on held-out participants (ROC-AUC: 0.87, PR-AUC: 0.57). These findings highlight the value of combining spatial and network information with non-linear modeling to improve functional mapping in presurgical evaluation.


Retrieval-Augmented VLMs for Multimodal Melanoma Diagnosis

arXiv.org Artificial Intelligence

Accurate and early diagnosis of malignant melanoma is critical for improving patient outcomes. While convolutional neural networks (CNNs) have shown promise in dermoscopic image analysis, they often neglect clinical metadata and require extensive preprocessing. Vision-language models (VLMs) offer a multimodal alternative but struggle to capture clinical specificity when trained on general-domain data. To address this, we propose a retrieval-augmented VLM framework that incorporates semantically similar patient cases into the diagnostic prompt. Our method enables informed predictions without fine-tuning and significantly improves classification accuracy and error correction over conventional baselines. These results demonstrate that retrieval-augmented prompting provides a robust strategy for clinical decision support.


RepViT-CXR: A Channel Replication Strategy for Vision Transformers in Chest X-ray Tuberculosis and Pneumonia Classification

arXiv.org Artificial Intelligence

Chest X-ray (CXR) imaging remains one of the most widely used diagnostic tools for detecting pulmonary diseases such as tuberculosis (TB) and pneumonia. Recent advances in deep learning, particularly Vision Transformers (ViTs), have shown strong potential for automated medical image analysis. However, most ViT architectures are pretrained on natural images and require three-channel inputs, while CXR scans are inherently grayscale. To address this gap, we propose RepViT-CXR, a channel replication strategy that adapts single-channel CXR images into a ViT-compatible format without introducing additional information loss. We evaluate RepViT-CXR on three benchmark datasets. On the TB-CXR dataset,our method achieved an accuracy of 99.9% and an AUC of 99.9%, surpassing prior state-of-the-art methods such as Topo-CXR (99.3% accuracy, 99.8% AUC). For the Pediatric Pneumonia dataset, RepViT-CXR obtained 99.0% accuracy, with 99.2% recall, 99.3% precision, and an AUC of 99.0%, outperforming strong baselines including DCNN and VGG16. On the Shenzhen TB dataset, our approach achieved 91.1% accuracy and an AUC of 91.2%, marking a performance improvement over previously reported CNN-based methods. These results demonstrate that a simple yet effective channel replication strategy allows ViTs to fully leverage their representational power on grayscale medical imaging tasks. RepViT-CXR establishes a new state of the art for TB and pneumonia detection from chest X-rays, showing strong potential for deployment in real-world clinical screening systems.


Contributions to Robust and Efficient Methods for Analysis of High Dimensional Data

arXiv.org Artificial Intelligence

A ubiquitous feature of data of our era is their extra-large sizes and dimensions. Analyzing such high-dimensional data poses significant challenges, since the feature dimension is often much larger than the sample size. This thesis introduces robust and computationally efficient methods to address several common challenges associated with high-dimensional data. In my first manuscript, I propose a coherent approach to variable screening that accommodates nonlinear associations. I develop a novel variable screening method that transcends traditional linear assumptions by leveraging mutual information, with an intended application in neuroimaging data. This approach allows for accurate identification of important variables by capturing nonlinear as well as linear relationships between the outcome and covariates. Building on this foundation, I develop new optimization methods for sparse estimation using nonconvex penalties in my second manuscript. These methods address notable challenges in current statistical computing practices, facilitating computationally efficient and robust analyses of complex datasets. The proposed method can be applied to a general class of optimization problems. In my third manuscript, I contribute to robust modeling of high-dimensional correlated observations by developing a mixed-effects model based on Tsallis power-law entropy maximization and discussed the theoretical properties of such distribution. This model surpasses the constraints of conventional Gaussian models by accommodating a broader class of distributions with enhanced robustness to outliers. Additionally, I develop a proximal nonlinear conjugate gradient algorithm that accelerates convergence while maintaining numerical stability, along with rigorous statistical properties for the proposed framework.


From Limited Data to Rare-event Prediction: LLM-powered Feature Engineering and Multi-model Learning in Venture Capital

arXiv.org Artificial Intelligence

This paper presents a framework for predicting rare, high-impact outcomes by integrating large language models (LLMs) with a multi-model machine learning (ML) architecture. The approach combines the predictive strength of black-box models with the interpretability required for reliable decision-making. We use LLM-powered feature engineering to extract and synthesize complex signals from unstructured data, which are then processed within a layered ensemble of models including XGBoost, Random Forest, and Linear Regression. The ensemble first produces a continuous estimate of success likelihood, which is then thresholded to produce a binary rare-event prediction. We apply this framework to the domain of Venture Capital (VC), where investors must evaluate startups with limited and noisy early-stage data. The empirical results show strong performance: the model achieves precision between 9.8X and 11.1X the random classifier baseline in three independent test subsets. Feature sensitivity analysis further reveals interpretable success drivers: the startup's category list accounts for 15.6% of predictive influence, followed by the number of founders, while education level and domain expertise contribute smaller yet consistent effects.


Two-Stage Swarm Intelligence Ensemble Deep Transfer Learning (SI-EDTL) for Vehicle Detection Using Unmanned Aerial Vehicles

arXiv.org Artificial Intelligence

This paper introduces SI-EDTL, a two-stage swarm intelligence ensemble deep transfer learning model for detecting multiple vehicles in UAV images. It combines three pre-trained Faster R-CNN feature extractor models (InceptionV3, ResNet50, GoogLeNet) with five transfer classifiers (KNN, SVM, MLP, C4.5, Naรฏve Bayes), resulting in 15 different base learners. These are aggregated via weighted averaging to classify regions as Car, Van, Truck, Bus, or background. Hyperparameters are optimized with the whale optimization algorithm to balance accuracy, precision, and recall. Implemented in MATLAB R2020b with parallel processing, SI-EDTL outperforms existing methods on the AU-AIR UAV dataset.


Enhancing Privacy Preservation and Reducing Analysis Time with Federated Transfer Learning in Digital Twins-based Computed Tomography Scan Analysis

arXiv.org Artificial Intelligence

The application of Digital Twin (DT) technology and Federated Learning (FL) has great potential to change the field of biomedical image analysis, particularly for Computed Tomography (CT) scans. This paper presents Federated Transfer Learning (FTL) as a new Digital Twin-based CT scan analysis paradigm. FTL uses pre-trained models and knowledge transfer between peer nodes to solve problems such as data privacy, limited computing resources, and data heterogeneity. The proposed framework allows real-time collaboration between cloud servers and Digital Twin-enabled CT scanners while protecting patient identity. We apply the FTL method to a heterogeneous CT scan dataset and assess model performance using convergence time, model accuracy, precision, recall, F1 score, and confusion matrix. It has been shown to perform better than conventional FL and Clustered Federated Learning (CFL) methods with better precision, accuracy, recall, and F1-score. The technique is beneficial in settings where the data is not independently and identically distributed (non-IID), and it offers reliable, efficient, and secure solutions for medical diagnosis. These findings highlight the possibility of using FTL to improve decision-making in digital twin-based CT scan analysis, secure and efficient medical image analysis, promote privacy, and open new possibilities for applying precision medicine and smart healthcare systems.


XBusNet: Text-Guided Breast Ultrasound Segmentation via Multimodal Vision-Language Learning

arXiv.org Artificial Intelligence

Background: Precise breast ultrasound (BUS) segmentation supports reliable measurement, quantitative analysis, and downstream classification, yet remains difficult for small or low-contrast lesions with fuzzy margins and speckle noise. Text prompts can add clinical context, but directly applying weakly localized text-image cues (e.g., CAM/CLIP-derived signals) tends to produce coarse, blob-like responses that smear boundaries unless additional mechanisms recover fine edges. Methods: We propose XBusNet, a novel dual-prompt, dual-branch multimodal model that combines image features with clinically grounded text. A global pathway based on a CLIP Vision Transformer encodes whole-image semantics conditioned on lesion size and location, while a local U-Net pathway emphasizes precise boundaries and is modulated by prompts that describe shape, margin, and Breast Imaging Reporting and Data System (BI-RADS) terms. Prompts are assembled automatically from structured metadata, requiring no manual clicks. We evaluate on the Breast Lesions USG (BLU) dataset using five-fold cross-validation. Primary metrics are Dice and Intersection over Union (IoU); we also conduct size-stratified analyses and ablations to assess the roles of the global and local paths and the text-driven modulation. Results: XBusNet achieves state-of-the-art performance on BLU, with mean Dice of 0.8765 and IoU of 0.8149, outperforming six strong baselines. Small lesions show the largest gains, with fewer missed regions and fewer spurious activations. Ablation studies show complementary contributions of global context, local boundary modeling, and prompt-based modulation. Conclusions: A dual-prompt, dual-branch multimodal design that merges global semantics with local precision yields accurate BUS segmentation masks and improves robustness for small, low-contrast lesions.


PUUMA (Placental patch and whole-Uterus dual-branch U-Mamba-based Architecture): Functional MRI Prediction of Gestational Age at Birth and Preterm Risk

arXiv.org Artificial Intelligence

Preterm birth is a major cause of mortality and lifelong morbidity in childhood. Its complex and multifactorial origins limit the effectiveness of current clinical predictors and impede optimal care. In this study, a dual-branch deep learning architecture (PUUMA) was developed to predict gestational age (GA) at birth using T2* fetal MRI data from 295 pregnancies, encompassing a heterogeneous and imbalanced population. The model integrates both global whole-uterus and local placental features. Its performance was benchmarked against linear regression using cervical length measurements obtained by experienced clinicians from anatomical MRI and other Deep Learning architectures. The GA at birth predictions were assessed using mean absolute error. Accuracy, sensitivity, and specificity were used to assess preterm classification. Both the fully automated MRI-based pipeline and the cervical length regression achieved comparable mean absolute errors (3 weeks) and good sensitivity (0.67) for detecting preterm birth, despite pronounced class imbalance in the dataset. These results provide a proof of concept for automated prediction of GA at birth from functional MRI, and underscore the value of whole-uterus functional imaging in identifying at-risk pregnancies. Additionally, we demonstrate that manual, high-definition cervical length measurements derived from MRI, not currently routine in clinical practice, offer valuable predictive information. Future work will focus on expanding the cohort size and incorporating additional organ-specific imaging to improve generalisability and predictive performance.


MSRFormer: Road Network Representation Learning using Multi-scale Feature Fusion of Heterogeneous Spatial Interactions

arXiv.org Artificial Intelligence

Transforming road network data into vector representations using deep learning has proven effective for road network analysis. However, urban road networks' heterogeneous and hierarchical nature poses challenges for accurate representation learning. Graph neural networks, which aggregate features from neighboring nodes, often struggle due to their homogeneity assumption and focus on a single structural scale. To address these issues, this paper presents MSRFormer, a novel road network representation learning framework that integrates multi-scale spatial interactions by addressing their flow heterogeneity and long-distance dependencies. It uses spatial flow convolution to extract small-scale features from large trajectory datasets, and identifies scale-dependent spatial interaction regions to capture the spatial structure of road networks and flow heterogeneity. By employing a graph transformer, MSRFormer effectively captures complex spatial dependencies across multiple scales. The spatial interaction features are fused using residual connections, which are fed to a contrastive learning algorithm to derive the final road network representation. Validation on two real-world datasets demonstrates that MSRFormer outperforms baseline methods in two road network analysis tasks. The performance gains of MSRFormer suggest the traffic-related task benefits more from incorporating trajectory data, also resulting in greater improvements in complex road network structures with up to 16% improvements compared to the most competitive baseline method. This research provides a practical framework for developing task-agnostic road network representation models and highlights distinct association patterns of the interplay between scale effects and flow heterogeneity of spatial interactions.