Integrating novel medical concepts and relationships into existing ontologies can significantly enhance their coverage and utility for both biomedical research and clinical applications. Clinical notes, as unstructured documents rich with detailed patient observations, offer valuable context-specific insights and represent a promising yet underutilized source for ontology extension. Despite this potential, directly leveraging clinical notes for ontology extension remains largely unexplored. To address this gap, we propose CLOZE, a novel framework that uses large language models (LLMs) to automatically extract medical entities from clinical notes and integrate them into hierarchical medical ontologies. By capitalizing on the strong language understanding and extensive biomedical knowledge of pre-trained LLMs, CLOZE effectively identifies disease-related concepts and captures complex hierarchical relationships. The zero-shot framework requires no additional training or labeled data, making it a cost-efficient solution. Furthermore, CLOZE ensures patient privacy through automated removal of protected health information (PHI). Experimental results demonstrate that CLOZE provides an accurate, scalable, and privacy-preserving ontology extension framework, with strong potential to support a wide range of downstream applications in biomedical research and clinical informatics.

Specialized edge accelerators rely on low-bit quantization, but vendor compilers differ in scaling, clipping, and kernel support, often as black boxes. The same floating-point (FP) checkpoint can therefore yield inconsistent accuracy across backends, forcing practitioners to tweak flags or refactor models to vendor-friendly operator subsets. We introduce Quant-Trim, a training-phase method that produces a hardware-neutral checkpoint robust to backend and precision choices. It combines progressive fake quantization to align training with the deployed integer grid and reverse pruning to tame outlier-driven scale inflation while preserving learnability. Quant-Trim is agnostic to quantization schemes (symmetric/asymmetric, per-tensor/per-channel, INT8/INT4) and requires no vendor-specific graph changes. Across models and tasks, it narrows the FP-to-low-bit gap, reduces dependence on compiler heuristics/calibration, and avoids per-backend retraining. We report accuracy and edge metrics latency, throughput, energy per inference, and cost under static/dynamic activation scaling and varying operator coverage.

Contrastive vision-language models continue to be the dominant approach for image and text retrieval. Contrastive Language-Image Pre-training (CLIP) trains two neural networks in contrastive manner to align their image and text embeddings in a shared latent space. Recent results evaluating CLIP on negated or paraphrased text have shown mixed performance because negation changes meaning radically with minimal lexical changes, while paraphrasing can create very different textual expressions with the same intended meaning. This poses a significant challenge for improving the evaluation results and alignment of vision-language models. To address this challenge, this paper evaluates the combination of paraphrasing and negation, proposes a new CLIP contrastive loss function accounting for both paraphrasing and negation, and applies LLM-generated training triples consisting of original, paraphrased and negated textual captions to CLIP-like training models. The approach, called SemCLIP, is shown to move paraphrased captions towards the original image embeddings while pushing negated captions further away in embedding space. Empirically, SemCLIP is shown to be capable of preserving CLIP's performance while increasing considerably the distances to negated captions. On the CC-Neg benchmark using an original over negation image-retrieval accuracy metric, SemCLIP improves accuracy from 68.1% to 78.1%. Although results are mixed when compared with CLIP on the Sugarcrepe++ benchmark, SemCLIP's performance is generally better than the models trained with negated captions. This robustness to negation extends to downstream zero-shot classification tasks where SemCLIP pre-trained on Sugarcrepe++ performs better than CLIP on all tested downstream tasks. These results indicate that SemCLIP can achieve significant robustness to semantic transformations.

Efficient and lightweight adaptation of pre-trained Vision-Language Models (VLMs) to downstream tasks through collaborative interactions between local clients and a central server is a rapidly emerging research topic in federated learning. Existing adaptation algorithms are typically trained iteratively, which incur significant communication costs and increase the susceptibility to potential attacks. Motivated by the one-shot federated training techniques that reduce client-server exchanges to a single round, developing a lightweight one-shot federated VLM adaptation method to alleviate these issues is particularly attractive. However, current one-shot approaches face certain challenges in adapting VLMs within federated settings: (1) insufficient exploitation of the rich multimodal information inherent in VLMs; (2) lack of specialized adaptation strategies to systematically handle the severe data heterogeneity; and (3) requiring additional training resource of clients or server. To bridge these gaps, we propose a novel Training-free One-shot Federated Adaptation framework for VLMs, named TOFA. To fully leverage the generalizable multimodal features in pre-trained VLMs, TOFA employs both visual and textual pipelines to extract task-relevant representations. In the visual pipeline, a hierarchical Bayesian model learns personalized, class-specific prototype distributions. For the textual pipeline, TOFA evaluates and globally aligns the generated local text prompts for robustness. An adaptive weight calibration mechanism is also introduced to combine predictions from both modalities, balancing personalization and robustness to handle data heterogeneity. Our method is training-free, not relying on additional training resources on either the client or server side. Extensive experiments across 9 datasets in various federated settings demonstrate the effectiveness of the proposed TOFA method.

Child malnutrition remains a global crisis, yet existing screening methods are laborious and poorly scalable, hindering early intervention. In this work, we present Nu-triScreener, a retrieval-augmented, multi-pose graph attention network that combines CLIP-based visual embeddings, class-boosted knowledge retrieval, and context awareness to enable robust malnutrition detection and anthropometric prediction from children's images, simultaneously addressing generalizability and class-imbalance. In a clinical study, doctors rated it 4.3/5 for accuracy and 4.6/5 for efficiency, confirming its deployment readiness in low-resource settings. Trained and tested on 2,141 children from AnthroVision and additionally evaluated on diverse cross-continent populations, including ARAN and an in-house collected CampusPose dataset. It achieves 0.79 recall, 0.82 AUC, and significantly lower anthropometric RMSEs, demonstrating reliable measurement in unconstrained, pediatric settings. Cross-dataset results show up to 25% recall gain and up to 3.5 cm RMSE reduction using demographically matched knowledge bases. NutriScreener offers a scalable and accurate solution for early malnutrition detection in low-resource environments.

We present a practical framework for detecting errors in LLM-generated SQL by estimating uncertainty at the level of individual nodes in the query's abstract syntax tree (AST). Our approach proceeds in two stages. First, we introduce a semantically aware labeling algorithm that, given a generated SQL and a gold reference, assigns node-level correctness without over-penalizing structural containers or alias variation. Second, we represent each node with a rich set of schema-aware and lexical features - capturing identifier validity, alias resolution, type compatibility, ambiguity in scope, and typo signals - and train a supervised classifier to predict per-node error probabilities. We interpret these probabilities as calibrated uncertainty, enabling fine-grained diagnostics that pinpoint exactly where a query is likely to be wrong. Across multiple databases and datasets, our method substantially outperforms token log-probabilities: average AUC improves by +27.44% while maintaining robustness under cross-database evaluation. Beyond serving as an accuracy signal, node-level uncertainty supports targeted repair, human-in-the-loop review, and downstream selective execution. Together, these results establish node-centric, semantically grounded uncertainty estimation as a strong and interpretable alternative to aggregate sequence level confidence measures.

Purpose: Accurate identification of hepatocystic anatomy is critical to preventing surgical complications during laparoscopic cholecystectomy. Deep learning models often struggle with occlusions, long-range dependencies, and capturing the fine-scale geometry of rare structures. This work addresses these challenges by introducing graph-based segmentation approaches that enhance spatial and semantic understanding in surgical scene analyses. Methods: We propose two segmentation models integrating Vision Transformer (ViT) feature encoders with Graph Neural Networks (GNNs) to explicitly model spatial relationships between anatomical regions. (1) A static k Nearest Neighbours (k-NN) graph with a Graph Convolutional Network with Initial Residual and Identity Mapping (GCNII) enables stable long-range information propagation. (2) A dynamic Differentiable Graph Generator (DGG) with a Graph Attention Network (GAT) supports adaptive topology learning. Both models are evaluated on the Endoscapes-Seg50 and CholecSeg8k benchmarks. Results: The proposed approaches achieve up to 7-8% improvement in Mean Intersection over Union (mIoU) and 6% improvement in Mean Dice (mDice) scores over state-of-the-art baselines. It produces anatomically coherent predictions, particularly on thin, rare and safety-critical structures. Conclusion: The proposed graph-based segmentation methods enhance both performance and anatomical consistency in surgical scene segmentation. By combining ViT-based global context with graph-based relational reasoning, the models improve interpretability and reliability, paving the way for safer laparoscopic and robot-assisted surgery through a precise identification of critical anatomical features.

Multivariate time-series (MTS) forecasting is fundamental to applications ranging from urban mobility and resource management to climate modeling. While recent generative models based on denoising diffusion have advanced state-of-the-art performance in capturing complex data distributions, they suffer from significant computational overhead due to iterative stochastic sampling procedures that limit real-time deployment. Moreover, these models can be brittle when handling high-dimensional, non-stationary, and multi-scale periodic patterns characteristic of real-world sensor networks. We introduce FreqFlow, a novel framework that leverages conditional flow matching in the frequency domain for deterministic MTS forecasting. Unlike conventional approaches that operate in the time domain, FreqFlow transforms the forecasting problem into the spectral domain, where it learns to model amplitude and phase shifts through a single complex-valued linear layer. This frequency-domain formulation enables the model to efficiently capture temporal dynamics via complex multiplication, corresponding to scaling and temporal translations. The resulting architecture is exceptionally lightweight with only 89k parameters - an order of magnitude smaller than competing diffusion-based models-while enabling single-pass deterministic sampling through ordinary differential equation (ODE) integration. Our approach decomposes MTS signals into trend, seasonal, and residual components, with the flow matching mechanism specifically designed for residual learning to enhance long-term forecasting accuracy. Extensive experiments on real-world traffic speed, volume, and flow datasets demonstrate that FreqFlow achieves state-of-the-art forecasting performance, on average 7\% RMSE improvements, while being significantly faster and more parameter-efficient than existing methods

Case-based reasoning networks are machine-learning models that make predictions based on similarity between the input and prototypical parts of training samples, called prototypes. Such models are able to explain each decision by pointing to the prototypes that contributed the most to the final outcome. As the explanation is a core part of the prediction, they are often qualified as ``interpretable by design". While promising, we show that such explanations are sometimes misleading, which hampers their usefulness in safety-critical contexts. In particular, several instances may lead to different predictions and yet have the same explanation. Drawing inspiration from the field of formal eXplainable AI (FXAI), we propose Abductive Latent Explanations (ALEs), a formalism to express sufficient conditions on the intermediate (latent) representation of the instance that imply the prediction. Our approach combines the inherent interpretability of case-based reasoning models and the guarantees provided by formal XAI. We propose a solver-free and scalable algorithm for generating ALEs based on three distinct paradigms, compare them, and present the feasibility of our approach on diverse datasets for both standard and fine-grained image classification. The associated code can be found at https://github.com/julsoria/ale

Clinical time series data from electronic health records and medical registries offer unprecedented opportunities to understand patient trajectories and inform medical decision-making. However, leveraging such data presents significant challenges due to irregular sampling, complex latent physiology, and inherent uncertainties in both measurements and disease progression. To address these challenges, we propose a generative modeling framework based on latent neural stochastic differential equations (SDEs) that views clinical time series as discrete-time partial observations of an underlying controlled stochastic dynamical system. This formulation naturally handles irregularly sampled observations, learns complex non-linear interactions, and captures the stochasticity of disease progression and measurement noise within a unified scalable probabilistic framework. Results show that our framework outperforms ordinary differential equation and long short-term memory baseline models in accuracy and uncertainty estimation. These results highlight its potential for enabling precise, uncertainty-aware predictions to support clinical decision-making. Introduction Predicting patient trajectories is critical for enabling timely interventions, better understanding of disease progression, and developing personalized medicine [1]. For instance, early detection of sepsis has been shown to significantly reduce the risk of organ failure and mortality [2]. This potential is increasingly becoming feasible due to the rapid growth of available healthcare data like electronic health records (EHRs) [3]. A defining feature of healthcare data are their temporal nature, reflecting the dynamic evolution of patient conditions over time. These temporal patterns highlight the need for time series models specifically tailored to the complexities of clinical data. However, healthcare time series have unique characteristics such as missing values, irregular sampling, aleatoric uncertainty, and patient-specific variability, that make modeling them particularly challenging [5, 6]. Traditional time series models, such as autoregressive moving average (ARIMA) models, have been applied to healthcare data but often struggle with its complexity and irregularity [7].