Spiking neural networks (SNNs) transmit information via low-power binary spikes and have received widespread attention in areas such as computer vision and reinforcement learning. However, there have been very few explorations of SNNs in more practical industrial scenarios. In this paper, we focus on the application of SNNs in bearing fault diagnosis to facilitate the integration of high-performance AI algorithms and real-world industries. In particular, we identify two key limitations of existing SNN fault diagnosis methods: inadequate encoding capacity that necessitates cumbersome data preprocessing, and non-spike-oriented architectures that constrain the performance of SNNs. To alleviate these problems, we propose a Multi-scale Residual Attention SNN (MRA-SNN) to simultaneously improve the efficiency, performance, and robustness of SNN methods. By incorporating a lightweight attention mechanism, we have designed a multi-scale attention encoding module to extract multiscale fault features from vibration signals and encode them as spatio-temporal spikes, eliminating the need for complicated preprocessing. Then, the spike residual attention block extracts high-dimensional fault features and enhances the expressiveness of sparse spikes with the attention mechanism for end-to-end diagnosis. In addition, the performance and robustness of MRA-SNN is further enhanced by introducing the lightweight attention mechanism within the spiking neurons to simulate the biological dendritic filtering effect. Extensive experiments on MFPT and JNU benchmark datasets demonstrate that MRA-SNN significantly outperforms existing methods in terms of accuracy, energy consumption and noise robustness, and is more feasible for deployment in real-world industrial scenarios.

Bearing fault diagnosis technology has a wide range of practical applications in industrial production, energy and other fields. Timely and accurate detection of bearing faults plays an important role in preventing catastrophic accidents and ensuring product quality. Traditional signal analysis techniques and deep learning-based fault detection algorithms do not take into account the intricate correlation between signals, making it difficult to further improve detection accuracy. To address this problem, we introduced Graph Sampling and Aggregation (GraphSAGE) network and proposed GraphSAGE-based Bearing fault Diagnosis (GSABFD) algorithm. The original vibration signal is firstly sliced through a fixed size non-overlapping sliding window, and the sliced data is feature transformed using signal analysis methods; then correlations are constructed for the transformed vibration signal and further transformed into vertices in the graph; then the GraphSAGE network is used for training; finally the fault level of the object is calculated in the output layer of the network. The proposed algorithm is compared with five advanced algorithms in a real-world public dataset for experiments, and the results show that the GSABFD algorithm improves the AUC value by 5% compared with the next best algorithm.

Fault diagnosis (FD) is essential for maintaining operational safety and minimizing economic losses by detecting system abnormalities. Recently, deep learning (DL)-driven FD methods have gained prominence, offering significant improvements in precision and adaptability through the utilization of extensive datasets and advanced DL models. Modern industrial environments, however, demand FD methods that can handle new fault types, dynamic conditions, large-scale data, and provide real-time responses with minimal prior information. Although online continual learning (OCL) demonstrates potential in addressing these requirements by enabling DL models to continuously learn from streaming data, it faces challenges such as data redundancy, imbalance, and limited labeled data. To overcome these limitations, we propose SRTFD, a scalable real-time fault diagnosis framework that enhances OCL with three critical methods: Retrospect Coreset Selection (RCS), which selects the most relevant data to reduce redundant training and improve efficiency; Global Balance Technique (GBT), which ensures balanced coreset selection and robust model performance; and Confidence and Uncertainty-driven Pseudo-label Learning (CUPL), which updates the model using unlabeled data for continuous adaptation. Extensive experiments on a real-world dataset and two public simulated datasets demonstrate SRTFD's effectiveness and potential for providing advanced, scalable, and precise fault diagnosis in modern industrial systems.

We consider linear non-Gaussian structural equation models that involve latent confounding. In this setting, the causal structure is identifiable, but, in general, it is not possible to identify the specific causal effects. Instead, a finite number of different causal effects result in the same observational distribution. Most existing algorithms for identifying these causal effects use overcomplete independent component analysis (ICA), which often suffers from convergence to local optima. Furthermore, the number of latent variables must be known a priori. To address these issues, we propose an algorithm that operates recursively rather than using overcomplete ICA. The algorithm first infers a source, estimates the effect of the source and its latent parents on their descendants, and then eliminates their influence from the data. For both source identification and effect size estimation, we use rank conditions on matrices formed from higher-order cumulants. We prove asymptotic correctness under the mild assumption that locally, the number of latent variables never exceeds the number of observed variables. Simulation studies demonstrate that our method achieves comparable performance to overcomplete ICA even though it does not know the number of latents in advance.

Many incurable diseases prevalent across global societies stem from various influences, including lifestyle choices, economic conditions, social factors, and genetics. Research predominantly focuses on these diseases due to their widespread nature, aiming to decrease mortality, enhance treatment options, and improve healthcare standards. Among these, kidney disease stands out as a particularly severe condition affecting men and women worldwide. Nonetheless, there is a pressing need for continued research into innovative, early diagnostic methods to develop more effective treatments for such diseases. Recently, automatic diagnosis of Kidney Cancer has become an important challenge especially when using deep learning (DL) due to the importance of training medical datasets, which in most cases are difficult and expensive to obtain. Furthermore, in most cases, algorithms require data from the same domain and a powerful computer with efficient storage capacity. To overcome this issue, a new type of learning known as transfer learning (TL) has been proposed that can produce impressive results based on other different pre-trained data. This paper presents, to the best of the authors' knowledge, the first comprehensive survey of DL-based TL frameworks for kidney cancer diagnosis. This is a strong contribution to help researchers understand the current challenges and perspectives of this topic. Hence, the main limitations and advantages of each framework are identified and detailed critical analyses are provided. Looking ahead, the article identifies promising directions for future research. Moving on, the discussion is concluded by reflecting on the pivotal role of TL in the development of precision medicine and its effects on clinical practice and research in oncology.

Large language models (LLMs) have recently showcased remarkable capabilities, spanning a wide range of tasks and applications, including those in the medical domain. Models like GPT-4 excel in medical question answering but may face challenges in the lack of interpretability when handling complex tasks in real clinical settings. We thus introduce the diagnostic reasoning dataset for clinical notes (DiReCT), aiming at evaluating the reasoning ability and interpretability of LLMs compared to human doctors. It contains 511 clinical notes, each meticulously annotated by physicians, detailing the diagnostic reasoning process from observations in a clinical note to the final diagnosis. Additionally, a diagnostic knowledge graph is provided to offer essential knowledge for reasoning, which may not be covered in the training data of existing LLMs. Evaluations of leading LLMs on DiReCT bring out a significant gap between their reasoning ability and that of human doctors, highlighting the critical need for models that can reason effectively in real-world clinical scenarios.

This study analyzes hybrid AI systems' design patterns and their effectiveness in clinical decision-making using the boxology framework. It categorizes and copares various architectures combining machine learning and rule-based reasoning to provide insights into their structural foundations and healthcare applications. Addressing two main questions, how to categorize these systems againts established design patterns and how to extract insights through comparative analysis, the study uses design patterns from software engineering to understand and optimize healthcare AI systems. Boxology helps identify commonalities and create reusable solutions, enhancing these systems' scalability, reliability, and performance. Five primary architectures are examined: REML, MLRB, RBML, RMLT, and PERML. Each has unique strengths and weaknesses, highlighting the need for tailored approaches in clinical tasks. REML excels in high-accuracy prediction for datasets with limited data; MLRB in handling large datasets and complex data integration; RBML in explainability and trustworthiness; RMLT in managing high-dimensional data; and PERML, though limited in analysis, shows promise in urgent care scenarios. The study introduces four new patterns, creates five abstract categorization patterns, and refines those five further to specific systems. These contributions enhance Boxlogy's taxonomical organization and offer novel approaches to integrating expert knowledge with machine learning. Boxology's structured, modular apporach offers significant advantages in developing and analyzing hybrid AI systems, revealing commonalities, and promoting reusable solutions. In conclusion, this study underscores hybrid AI systems' crucial role in advancing healthcare and Boxology's potential to drive further innovation in AI integration, ultimately improving clinical decision support and patient outcomes.

The need for improved diagnostic methods in ophthalmology is acute, especially in the less developed regions with limited access to specialists and advanced equipment. Therefore, we introduce VisionUnite, a novel vision-language foundation model for ophthalmology enhanced with clinical knowledge. VisionUnite has been pretrained on an extensive dataset comprising 1.24 million image-text pairs, and further refined using our proposed MMFundus dataset, which includes 296,379 high-quality fundus image-text pairs and 889,137 simulated doctor-patient dialogue instances. Our experiments indicate that VisionUnite outperforms existing generative foundation models such as GPT-4V and Gemini Pro. It also demonstrates diagnostic capabilities comparable to junior ophthalmologists. VisionUnite performs well in various clinical scenarios including open-ended multi-disease diagnosis, clinical explanation, and patient interaction, making it a highly versatile tool for initial ophthalmic disease screening. VisionUnite can also serve as an educational aid for junior ophthalmologists, accelerating their acquisition of knowledge regarding both common and rare ophthalmic conditions. VisionUnite represents a significant advancement in ophthalmology, with broad implications for diagnostics, medical education, and understanding of disease mechanisms.

Machine learning systems deployed in safety-critical robotics settings must be robust to distribution shifts. However, system designers must understand the cause of a distribution shift in order to implement the appropriate intervention or mitigation strategy and prevent system failure. In this paper, we present a novel framework for diagnosing distribution shifts in a streaming fashion by deploying multiple stochastic martingales simultaneously. We show that knowledge of the underlying cause of a distribution shift can lead to proper interventions over the lifecycle of a deployed system. Our experimental framework can easily be adapted to different types of distribution shifts, models, and datasets. We find that our method outperforms existing work on diagnosing distribution shifts in terms of speed, accuracy, and flexibility, and validate the efficiency of our model in both simulated and live hardware settings.

Artificial intelligence (AI) is rapidly advancing in healthcare, enhancing the efficiency and effectiveness of services across various specialties, including cardiology, ophthalmology, dermatology, emergency medicine, etc. AI applications have significantly improved diagnostic accuracy, treatment personalization, and patient outcome predictions by leveraging technologies such as machine learning, neural networks, and natural language processing. However, these advancements also introduce substantial ethical and fairness challenges, particularly related to biases in data and algorithms. These biases can lead to disparities in healthcare delivery, affecting diagnostic accuracy and treatment outcomes across different demographic groups. This survey paper examines the integration of AI in healthcare, highlighting critical challenges related to bias and exploring strategies for mitigation. We emphasize the necessity of diverse datasets, fairness-aware algorithms, and regulatory frameworks to ensure equitable healthcare delivery. The paper concludes with recommendations for future research, advocating for interdisciplinary approaches, transparency in AI decision-making, and the development of innovative and inclusive AI applications.