In high-dimensional statistics, the Lasso is a cornerstone method for simultaneous variable selection and parameter estimation. However, its reliance on the squared loss function renders it highly sensitive to outliers and heavy-tailed noise, potentially leading to unreliable model selection and biased estimates. To address this limitation, we introduce the Exponential Lasso, a novel robust method that integrates an exponential-type loss function within the Lasso framework. This loss function is designed to achieve a smooth trade-off between statistical efficiency under Gaussian noise and robustness against data contamination. Unlike other methods that cap the influence of large residuals, the exponential loss smoothly redescends, effectively downweighting the impact of extreme outliers while preserving near-quadratic behavior for small errors. We establish theoretical guarantees showing that the Exponential Lasso achieves strong statistical convergence rates, matching the classical Lasso under ideal conditions while maintaining its robustness in the presence of heavy-tailed contamination. Computationally, the estimator is optimized efficiently via a Majorization-Minimization (MM) algorithm that iteratively solves a series of weighted Lasso subproblems. Numerical experiments demonstrate that the proposed method is highly competitive, outperforming the classical Lasso in contaminated settings and maintaining strong performance even under Gaussian noise. Our method is implemented in the \texttt{R} package \texttt{heavylasso} available on Github: https://github.com/tienmt/heavylasso

High-quality intraoperative feedback from a surgical trainer is pivotal for improving trainee performance and long-term skill acquisition. Automating natural, trainer-style feedback promises timely, accessible, and consistent guidance at scale but requires models that understand clinically relevant representations. We present a structure-aware pipeline that learns a surgical action ontology from real trainer-to-trainee transcripts (33 surgeries) and uses it to condition feedback generation. We contribute by (1) mining Instrument-Action-Target (IAT) triplets from real-world feedback text and clustering surface forms into normalized categories, (2) fine-tuning a video-to-IAT model that leverages the surgical procedure and task contexts as well as fine-grained temporal instrument motion, and (3) demonstrating how to effectively use IAT triplet representations to guide GPT-4o in generating clinically grounded, trainer-style feedback. We show that, on Task 1: Video-to-IAT recognition, our context injection and temporal tracking deliver consistent AUC gains (Instrument: 0.67 to 0.74; Action: 0.60 to 0.63; Tissue: 0.74 to 0.79). For Task 2: feedback text generation (rated on a 1-5 fidelity rubric where 1 = opposite/unsafe, 3 = admissible, and 5 = perfect match to a human trainer), GPT-4o from video alone scores 2.17, while IAT conditioning reaches 2.44 (+12.4%), doubling the share of admissible generations with score >= 3 from 21% to 42%. Traditional text-similarity metrics also improve: word error rate decreases by 15-31% and ROUGE (phrase/substring overlap) increases by 9-64%. Grounding generation in explicit IAT structure improves fidelity and yields clinician-verifiable rationales, supporting auditable use in surgical training.

High-dimensional neuroimaging analyses for clinical diagnosis are often constrained by compromises in spatiotemporal fidelity and by the limited adaptability of large-scale, general-purpose models. To address these challenges, we introduce Dynamic Curriculum Learning for Spatiotemporal Encoding (DCL-SE), an end-to-end framework centered on data-driven spatiotemporal encoding (DaSE). We leverage Approximate Rank Pooling (ARP) to efficiently encode three-dimensional volumetric brain data into information-rich, two-dimensional dynamic representations, and then employ a dynamic curriculum learning strategy, guided by a Dynamic Group Mechanism (DGM), to progressively train the decoder, refining feature extraction from global anatomical structures to fine pathological details. Evaluated across six publicly available datasets, including Alzheimer's disease and brain tumor classification, cerebral artery segmentation, and brain age prediction, DCL-SE consistently outperforms existing methods in accuracy, robustness, and interpretability. These findings underscore the critical importance of compact, task-specific architectures in the era of large-scale pretrained networks.

Data-driven methods for electrocardiogram (ECG) interpretation are rapidly progressing. Large datasets have enabled advances in artificial intelligence (AI) based ECG analysis, yet limitations in annotation quality, size, and scope remain major challenges. Here we present CODE-II, a large-scale real-world dataset of 2,735,269 12-lead ECGs from 2,093,807 adult patients collected by the Telehealth Network of Minas Gerais (TNMG), Brazil. Each exam was annotated using standardized diagnostic criteria and reviewed by cardiologists. A defining feature of CODE-II is a set of 66 clinically meaningful diagnostic classes, developed with cardiologist input and routinely used in telehealth practice. We additionally provide an open available subset: CODE-II-open, a public subset of 15,000 patients, and the CODE-II-test, a non-overlapping set of 8,475 exams reviewed by multiple cardiologists for blinded evaluation. A neural network pre-trained on CODE-II achieved superior transfer performance on external benchmarks (PTB-XL and CPSC 2018) and outperformed alternatives trained on larger datasets.

This work proposes a hybrid deep learning approach, namely Residual and Spatial Learning based Channel Augmented Integrated CNN-Transformer architecture, that leverages the strengths of CNN and Transformer towards enhanced MPox detection. The proposed RS-CA-HSICT framework is composed of an HSICT block, a residual CNN module, a spatial CNN block, and a CA, which enhances the diverse feature space, detailed lesion information, and long-range dependencies. The new HSICT module first integrates an abstract representation of the stem CNN and customized ICT blocks for efficient multihead attention and structured CNN layers with homogeneous (H) and structural (S) operations. The customized ICT blocks learn global contextual interactions and local texture extraction. Additionally, H and S layers learn spatial homogeneity and fine structural details by reducing noise and modeling complex morphological variations. Moreover, inverse residual learning enhances vanishing gradient, and stage-wise resolution reduction ensures scale invariance. Furthermore, the RS-CA-HSICT framework augments the learned HSICT channels with the TL-driven Residual and Spatial CNN maps for enhanced multiscale feature space capturing global and localized structural cues, subtle texture, and contrast variations. These channels, preceding augmentation, are refined through the Channel-Fusion-and-Attention block, which preserves discriminative channels while suppressing redundant ones, thereby enabling efficient computation. Finally, the spatial attention mechanism refines pixel selection to detect subtle patterns and intra-class contrast variations in Mpox. Experimental results on both the Kaggle benchmark and a diverse MPox dataset reported classification accuracy as high as 98.30% and an F1-score of 98.13%, which outperforms the existing CNNs and ViTs.

Phishing websites pose a major cybersecurity threat, exploiting unsuspecting users and causing significant financial and organisational harm. Traditional machine learning approaches for phishing detection often require extensive feature engineering, continuous retraining, and costly infrastructure maintenance. At the same time, proprietary large language models (LLMs) have demonstrated strong performance in phishing-related classification tasks, but their operational costs and reliance on external providers limit their practical adoption in many business environments. This paper investigates the feasibility of small language models (SLMs) for detecting phishing websites using only their raw HTML code. A key advantage of these models is that they can be deployed on local infrastructure, providing organisations with greater control over data and operations. We systematically evaluate 15 commonly used Small Language Models (SLMs), ranging from 1 billion to 70 billion parameters, benchmarking their classification accuracy, computational requirements, and cost-efficiency. Our results highlight the trade-offs between detection performance and resource consumption, demonstrating that while SLMs underperform compared to state-of-the-art proprietary LLMs, they can still provide a viable and scalable alternative to external LLM services. By presenting a comparative analysis of costs and benefits, this work lays the foundation for future research on the adaptation, fine-tuning, and deployment of SLMs in phishing detection systems, aiming to balance security effectiveness and economic practicality.

Reliable semantic segmentation is essential for clinical decision making, yet deep models rarely provide explicit statistical guarantees on their errors. We introduce a simple post-hoc framework that constructs confidence masks with distribution-free, image-level control of false-positive predictions. Given any pretrained segmentation model, we define a nested family of shrunken masks obtained either by increasing the score threshold or by applying morphological erosion. A labeled calibration set is used to select a single shrink parameter via conformal prediction, ensuring that, for new images that are exchangeable with the calibration data, the proportion of false positives retained in the confidence mask stays below a user-specified tolerance with high probability. The method is model-agnostic, requires no retraining, and provides finite-sample guarantees regardless of the underlying predictor. Experiments on a polyp-segmentation benchmark demonstrate target-level empirical validity. Our framework enables practical, risk-aware segmentation in settings where over-segmentation can have clinical consequences. Code at https://github.com/deel-ai-papers/conseco.

Objective: Machine learning (ML) predictive models are often developed without considering downstream value trade-offs and clinical interpretability. This paper introduces a cost-aware prediction (CAP) framework that combines cost-benefit analysis assisted by large language model (LLM) agents to communicate the trade-offs involved in applying ML predictions. Materials and Methods: We developed an ML model predicting 1-year mortality in patients with heart failure (N = 30,021, 22% mortality) to identify those eligible for home care. We then introduced clinical impact projection (CIP) curves to visualize important cost dimensions - quality of life and healthcare provider expenses, further divided into treatment and error costs, to assess the clinical consequences of predictions. Finally, we used four LLM agents to generate patient-specific descriptions. The system was evaluated by clinicians for its decision support value. Results: The eXtreme gradient boosting (XGB) model achieved the best performance, with an area under the receiver operating characteristic curve (AUROC) of 0.804 (95% confidence interval (CI) 0.792-0.816), area under the precision-recall curve (AUPRC) of 0.529 (95% CI 0.502-0.558) and a Brier score of 0.135 (95% CI 0.130-0.140). Discussion: The CIP cost curves provided a population-level overview of cost composition across decision thresholds, whereas LLM-generated cost-benefit analysis at individual patient-levels. The system was well received according to the evaluation by clinicians. However, feedback emphasizes the need to strengthen the technical accuracy for speculative tasks. Conclusion: CAP utilizes LLM agents to integrate ML classifier outcomes and cost-benefit analysis for more transparent and interpretable decision support.

Online social media platforms enable influencers to distribute content and quickly capture audience reactions, significantly shaping their promotional strategies and advertising agreements. Understanding how sentiment dynamics and emotional contagion unfold among followers is vital for influencers and marketers, as these processes shape engagement, brand perception, and purchasing behavior. While sentiment analysis tools effectively track sentiment fluctuations, dynamical models explaining their evolution remain limited, often neglecting network structures and interactions both among blogs and between their topic-focused follower groups. In this study, we tracked influential tech-focused Weibo bloggers over six months, quantifying follower sentiment from text-mined feedback. By treating each blogger's audience as a single "macro-agent", we find that sentiment trajectories follow the principle of iterative averaging -- a foundational mechanism in many dynamical models of opinion formation, a theoretical framework at the intersection of social network analysis and dynamical systems theory. The sentiment evolution aligns closely with opinion-dynamics models, particularly modified versions of the classical French-DeGroot model that incorporate delayed perception and distinguish between expressed and private opinions. The inferred influence structures reveal interdependencies among blogs that may arise from homophily, whereby emotionally similar users subscribe to the same blogs and collectively shape the shared sentiment expressed within these communities.