--Reliable evaluation of machine learning models for neonatal seizure detection is critical for clinical adoption. Current practices often rely on inconsistent and biased metrics, hindering model comparability and interpretability. Expert-level claims about AI performance are frequently made without rigorous validation, raising concerns about their reliability. This study aims to systematically evaluate common performance metrics and propose best practices tailored to the specific challenges of neonatal seizure detection. Using real and synthetic seizure annotations, we assessed standard performance metrics, consensus strategies, and human-expert level equivalence tests under varying class imbalance, inter-rater agreement, and number of raters. Matthews and Pearson's correlation coefficients outperformed the area under the curve in reflecting performance under class imbalance. Consensus types are sensitive to the number of raters and agreement level among them. Among human-expert level equivalence tests, the multi-rater T uring test using Fleiss' κ best captured expert-level AI performance. We recommend reporting: (1) at least one balanced metric, (2) Sensitivity, specificity, PPV and NPV, (3) Multi-rater T uring test results using Fleiss' κ, and (4) All the above on held-out validation set. This proposed framework provides an important prerequisite to clinical validation by enabling a thorough and honest appraisal of AI methods for neonatal seizure detection. Neonatal seizures represent a common neurological emergency in neonatal intensive care units (NICUs) [1], [2], most commonly caused by hypoxic-ischemic encephalopathy (HIE) and cerebrovascular injury [1].

We developed a ResNet-based human activity recognition (HAR) model with minimal overhead to detect gait versus non-gait activities and everyday activities (walking, running, stairs, standing, sitting, lying, sit-to-stand transitions). The model was trained and evaluated using smartphone sensor data from adult healthy controls (HC) and people with multiple sclerosis (PwMS) with Expanded Disability Status Scale (EDSS) scores between 0.0-6.5. Datasets included the GaitLab study (ISRCTN15993728), an internal Roche dataset, and publicly available data sources (training only). Data from 34 HC and 68 PwMS (mean [SD] EDSS: 4.7 [1.5]) were included in the evaluation. The HAR model showed 98.4% and 99.6% accuracy in detecting gait versus non-gait activities in the GaitLab and Roche datasets, respectively, similar to a comparative state-of-the-art ResNet model (99.3% and 99.4%). For everyday activities, the proposed model not only demonstrated higher accuracy than the state-of-the-art model (96.2% vs 91.9%; internal Roche dataset) but also maintained high performance across 9 smartphone wear locations (handbag, shopping bag, crossbody bag, backpack, hoodie pocket, coat/jacket pocket, hand, neck, belt), outperforming the state-of-the-art model by 2.8% - 9.0%. In conclusion, the proposed HAR model accurately detects everyday activities and shows high robustness to various smartphone wear locations, demonstrating its practical applicability.

Multimodal sentiment analysis (MSA) aims to understand human emotions by integrating information from multiple modalities, such as text, audio, and visual data. However, existing methods often suffer from spurious correlations both within and across modalities, leading models to rely on statistical shortcuts rather than true causal relationships, thereby undermining generalization. To mitigate this issue, we propose a Multi-relational Multimodal Causal Intervention (MMCI) model, which leverages the backdoor adjustment from causal theory to address the confounding effects of such shortcuts. Specifically, we first model the multimodal inputs as a multi-relational graph to explicitly capture intra- and inter-modal dependencies. Then, we apply an attention mechanism to separately estimate and disentangle the causal features and shortcut features corresponding to these intra- and inter-modal relations. Finally, by applying the backdoor adjustment, we stratify the shortcut features and dynamically combine them with the causal features to encourage MMCI to produce stable predictions under distribution shifts. Extensive experiments on several standard MSA datasets and out-of-distribution (OOD) test sets demonstrate that our method effectively suppresses biases and improves performance.

Trustworthy interpretation of deep learning models is critical for neuroimaging applications, yet commonly used Explainable AI (XAI) methods lack rigorous validation, risking misinterpretation. We performed the first large-scale, systematic comparison of XAI methods on ~45,000 structural brain MRIs using a novel XAI validation framework. This framework establishes verifiable ground truth by constructing prediction tasks with known signal sources - from localized anatomical features to subject-specific clinical lesions - without artificially altering input images. Our analysis reveals systematic failures in two of the most widely used methods: GradCAM consistently failed to localize predictive features, while Layer-wise Relevance Propagation generated extensive, artifactual explanations that suggest incompatibility with neuroimaging data characteristics. Our results indicate that these failures stem from a domain mismatch, where methods with design principles tailored to natural images require substantial adaptation for neuroimaging data. In contrast, the simpler, gradient-based method SmoothGrad, which makes fewer assumptions about data structure, proved consistently accurate, suggesting its conceptual simplicity makes it more robust to this domain shift. These findings highlight the need for domain-specific adaptation and validation of XAI methods, suggest that interpretations from prior neuroimaging studies using standard XAI methodology warrant re-evaluation, and provide urgent guidance for practical application of XAI in neuroimaging.

Existing work has shown that cross-validation (CV) can be used to provide an asymptotic confidence interval for the test error of a stable machine learning algorithm, and existing stability results for many popular algorithms can be applied to derive positive instances where such confidence intervals will be valid. However, in the common setting where CV is used to compare two algorithms, it becomes necessary to consider a notion of relative stability which cannot easily be derived from existing stability results, even for simple algorithms. To better understand relative stability and when CV provides valid confidence intervals for the test error difference of two algorithms, we study the soft-thresholded least squares algorithm, a close cousin of the Lasso. We prove that while stability holds when assessing the individual test error of this algorithm, relative stability fails to hold when comparing the test error of two such algorithms, even in a sparse low-dimensional linear model setting. Additionally, we empirically confirm the invalidity of CV confidence intervals for the test error difference when either soft-thresholding or the Lasso is used. In short, caution is needed when quantifying the uncertainty of CV estimates of the performance difference of two machine learning algorithms, even when both algorithms are individually stable.

Confounders are extraneous variables that affect both the input and the target, resulting in spurious correlations and biased predictions. There are recent advances in dealing with or removing confounders in traditional models, such as metadata normalization (MDN), where the distribution of the learned features is adjusted based on the study confounders. However, in the context of continual learning, where a model learns continuously from new data over time without forgetting, learning feature representations that are invariant to confounders remains a significant challenge. To remove their influence from intermediate feature representations, we introduce the Recursive MDN (R-MDN) layer, which can be integrated into any deep learning architecture, including vision transformers, and at any model stage. R-MDN performs statistical regression via the recursive least squares algorithm to maintain and continually update an internal model state with respect to changing distributions of data and confounding variables. Our experiments demonstrate that R-MDN promotes equitable predictions across population groups, both within static learning and across different stages of continual learning, by reducing catastrophic forgetting caused by confounder effects changing over time.

Due to its nature of dynamic, mobility, and wireless data transfer, the Internet of Vehicles (IoV) is prone to various cyber threats, ranging from spoofing and Distributed Denial of Services (DDoS) attacks to malware. To safeguard the IoV ecosystem from intrusions, malicious activities, policy violations, intrusion detection systems (IDS) play a critical role by continuously monitoring and analyzing network traffic to identify and mitigate potential threats in real-time. However, most existing research has focused on developing centralized, machine learning-based IDS systems for IoV without accounting for its inherently distributed nature. Due to intensive computing requirements, these centralized systems often rely on the cloud to detect cyber threats, increasing delay of system response. On the other hand, edge nodes typically lack the necessary resources to train and deploy complex machine learning algorithms. To address this issue, this paper proposes an effective hierarchical classification framework tailored for IoV networks. Hierarchical classification allows classifiers to be trained and tested at different levels, enabling edge nodes to detect specific types of attacks independently. With this approach, edge nodes can conduct targeted attack detection while leveraging cloud nodes for comprehensive threat analysis and support. Given the resource constraints of edge nodes, we have employed the Boruta feature selection method to reduce data dimensionality, optimizing processing efficiency. To evaluate our proposed framework, we utilize the latest IoV security dataset CIC-IoV2024, achieving promising results that demonstrate the feasibility and effectiveness of our models in securing IoV networks.

As litter pollution continues to rise globally, developing automated tools capable of detecting litter effectively remains a significant challenge. This study presents a novel approach that combines, for the first time, privileged information with deep learning object detection to improve litter detection while maintaining model efficiency. We evaluate our method across five widely used object detection models, addressing challenges such as detecting small litter and objects partially obscured by grass or stones. In addition to this, a key contribution of our work can also be attributed to formulating a means of encoding bounding box information as a binary mask, which can be fed to the detection model to refine detection guidance. Through experiments on both within-dataset evaluation on the renowned SODA dataset and cross-dataset evaluation on the BDW and UAVVaste litter detection datasets, we demonstrate consistent performance improvements across all models. Our approach not only bolsters detection accuracy within the training sets but also generalises well to other litter detection contexts. Crucially, these improvements are achieved without increasing model complexity or adding extra layers, ensuring computational efficiency and scalability. Our results suggest that this methodology offers a practical solution for litter detection, balancing accuracy and efficiency in real-world applications.

Long-context large language models (LLMs), such as Gemini-2.5-Pro and Claude-Sonnet-4, are increasingly used to empower advanced AI systems, including retrieval-augmented generation (RAG) pipelines and autonomous agents. In these systems, an LLM receives an instruction along with a context--often consisting of texts retrieved from a knowledge database or memory--and generates a response that is contextually grounded by following the instruction. Recent studies have designed solutions to trace back to a subset of texts in the context that contributes most to the response generated by the LLM. These solutions have numerous real-world applications, including performing post-attack forensic analysis and improving the interpretability and trustworthiness of LLM outputs. While significant efforts have been made, state-of-the-art solutions such as TracLLM often lead to a high computation cost, e.g., it takes TracLLM hundreds of seconds to perform traceback for a single response-context pair. In this work, we propose AttnTrace, a new context traceback method based on the attention weights produced by an LLM for a prompt. To effectively utilize attention weights, we introduce two techniques designed to enhance the effectiveness of AttnTrace, and we provide theoretical insights for our design choice. We also perform a systematic evaluation for AttnTrace. The results demonstrate that AttnTrace is more accurate and efficient than existing state-of-the-art context traceback methods. We also show that AttnTrace can improve state-of-the-art methods in detecting prompt injection under long contexts through the attribution-before-detection paradigm. As a real-world application, we demonstrate that AttnTrace can effectively pinpoint injected instructions in a paper designed to manipulate LLM-generated reviews. The code is at https://github.com/Wang-Yanting/AttnTrace.

Objectives: Accurate prediction of fall risk in older adults is essential to prevent injuries and improve quality of life. This study evaluates the predictive performance of various machine learning models using accelerometric data, non-accelerometric data, aiming to improve predictive accuracy and identify key contributing variable. Methods: We applied random forest, XGBoost, AdaBoost, LightGBM, support vector regression (SVR), decision trees, and Bayesian ridge regression to a dataset of 146 older adults. Models were trained using accelerometric data (movement patterns) and non-accelerometric data (demographic and clinical variables). Results: Models trained on combined accelerometric and non-accelerometric data consistently outperformed those based on single data types. Bayesian ridge regression achieved the highest accuracy (MSE = 0.6746, R Non-accelerometric factors, including age and comorbidities, signi ficantly contributed to fall risk prediction. Conclusions: Integrating accelerometric and non-accelerometric data improves fall risk prediction accuracy in older adults. Bayesian ridge regression trained on combined datasets provides superior predictive power compared to traditional models. Future work should validate these models in larger, more diverse populations to enhance clinical applicability. HEALTH Volume 11: 1 - 16 DOI: 10.1177/20552076251331752 Introduction and related work Background on fall risk Falls among older adults are a major health concern, with one-third experiencing falls annually, and up to 20% resulting in serious injuries such as fractures or head trauma. This problem is compounded by an aging population and places a significant economic burden on healthcare systems, exceeding 2 billion dollars annually in countries like Canada. Beyond physical injuries, falls reduce functional independence and quality of life. They often lead to prolonged hospitalizations, institutionalization, and increased mortality. Additionally, the fear of falling can discourage physical activity, creating a cycle of physical decline that further elevates fall risk. The fi nancial burden of falls is expected to increase as populations age, reinforcing the urgent need for effective fall prevention and improved risk prediction methods to mitigate both health and economic consequences.