We're learning more about what vitamin D does to our bodies The sunshine vitamin could affect your immune system and heart health. It has started to get really wintry here in London over the last few days. The mornings are frosty, the wind is biting, and it's already dark by the time I pick my kids up from school. The darkness in particular has got me thinking about vitamin D, a.k.a. the sunshine vitamin. At a checkup a few years ago, a doctor told me I was deficient in vitamin D. But he wouldn't write me a prescription for supplements, simply because, as he put it, in the UK is deficient. Putting the entire population on vitamin D supplements would be too expensive for the country's national health service, he told me.

Cardiologists often struggle to assess heart attack risk. New startups using AI could help. For all the modern marvels of cardiology, we struggle to predict who will have a heart attack. Many people never get screened at all. Now, startups like Bunkerhill Health, Nanox.AI, and HeartLung Technologies are applying AI algorithms to screen millions of CT scans for early signs of heart disease. This technology could be a breakthrough for public health, applying an old tool to uncover patients whose high risk for a heart attack is hiding in plain sight.

Breakthroughs, discoveries, and DIY tips sent every weekday. Few predators swallow their prey whole. Even fewer can digest their meals with bones and all. Herpetologists have spent years trying to understand how bones are not only safe and healthy for the serpents, but how their biology manages to regulate when and how many bones to digest. Now, researchers believe they have identified an explanation hidden inside the "crypts" of specialized cells.

Biological systems are non-linear, include unobserved variables and the physical principles that govern their dynamics are partly unknown. This makes the characterization of their behavior very challenging. Notably, their activity occurs on multiple interdependent spatial and temporal scales that require linking mechanisms across scales. To address the challenge of bridging gaps between scales, we leverage partial differential equations (PDE) discovery. PDE discovery suggests meso-scale dynamics characteristics from micro-scale data. In this article, we present our framework combining particle-based simulations and PDE discovery and conduct preliminary experiments to assess equation discovery in controlled settings. We evaluate five state-of-the-art PDE discovery methods on particle-based simulations of calcium diffusion in astrocytes. The performances of the methods are evaluated on both the form of the discovered equation and the forecasted temporal variations of calcium concentration. Our results show that several methods accurately recover the diffusion term, highlighting the potential of PDE discovery for capturing macroscopic dynamics in biological systems from microscopic data.

Despite coronary artery calcium scoring being considered a largely solved problem within the realm of medical artificial intelligence, this paper argues that significant improvements can still be made. By shifting the focus from pathology detection to a deeper understanding of anatomy, the novel algorithm proposed in the paper both achieves high accuracy in coronary artery calcium scoring and offers enhanced interpretability of the results. This approach not only aids in the precise quantification of calcifications in coronary arteries, but also provides valuable insights into the underlying anatomical structures. Through this anatomically-informed methodology, the paper shows how a nuanced understanding of the heart's anatomy can lead to more accurate and interpretable results in the field of cardiovascular health. We demonstrate the superior accuracy of the proposed method by evaluating it on an open-source multi-vendor dataset, where we obtain results at the inter-observer level, surpassing the current state of the art. Finally, the qualitative analyses show the practical value of the algorithm in such tasks as labeling coronary artery calcifications, identifying aortic calcifications, and filtering out false positive detections due to noise.

Coronary artery disease (CAD), one of the leading causes of mortality worldwide, necessitates effective risk assessment strategies, with coronary artery calcium (CAC) scoring via computed tomography (CT) being a key method for prevention. Traditional methods, primarily based on UNET architectures implemented on pre-built models, face challenges like the scarcity of annotated CT scans containing CAC and imbalanced datasets, leading to reduced performance in segmentation and scoring tasks. In this study, we address these limitations by incorporating the self-supervised learning (SSL) technique of DINO (self-distillation with no labels), which trains without requiring CAC-specific annotations, enhancing its robustness in generating distinct features. The DINO-LG model, which leverages label guidance to focus on calcified areas, achieves significant improvements, with a sensitivity of 89% and specificity of 90% for detecting CAC-containing CT slices, compared to the standard DINO model's sensitivity of 79% and specificity of 77%. Additionally, false-negative and false-positive rates are reduced by 49% and 59%, respectively, instilling greater confidence in clinicians when ruling out calcification in low-risk patients and minimizing unnecessary imaging reviews by radiologists. Further, CAC scoring and segmentation tasks are conducted using a basic UNET architecture, applied specifically to CT slices identified by the DINO-LG model as containing calcified areas. This targeted approach enhances CAC scoring accuracy by feeding the UNET model with relevant slices, significantly improving diagnostic precision, reducing both false positives and false negatives, and ultimately lowering overall healthcare costs by minimizing unnecessary tests and treatments, presenting a valuable advancement in CAD risk assessment.

The issue of hallucinations in large language models (LLMs) remains a critical barrier to the adoption of AI in enterprise and other high-stakes applications. Despite advancements in retrieval-augmented generation (RAG) systems, current state-of-the-art methods fail to achieve more than 80% accuracy in generating faithful and factually correct outputs, even when provided with relevant and accurate context. In this work, we introduce Acurai, a novel systematic approach that achieves 100% hallucination-free responses in LLMs by reformatting queries and context data prior to input. Leveraging a deep understanding of LLM internal representations, the importance of noun-phrase dominance, and the role of discrete functional units (DFUs), Acurai ensures alignment between input context and generated output. We validate this method using the RAGTruth corpus, demonstrating its ability to eliminate 100% hallucinations for both GPT-4 and GPT-3.5 Turbo. Acurai sets a new standard for achieving consistent, accurate, and faithful AI responses, marking a significant step forward in the development of trustworthy AI systems.

Coronary artery calcium (CAC) is highly predictive of cardiovascular events. While millions of chest CT scans are performed annually in the United States, CAC is not routinely quantified from scans done for non-cardiac purposes. A deep learning algorithm was developed using 446 expert segmentations to automatically quantify CAC on non-contrast, non-gated CT scans (AI-CAC). Our study differs from prior works as we leverage imaging data across the Veterans Affairs national healthcare system, from 98 medical centers, capturing extensive heterogeneity in imaging protocols, scanners, and patients. AI-CAC performance on non-gated scans was compared against clinical standard ECG-gated CAC scoring. Non-gated AI-CAC differentiated zero vs. non-zero and less than 100 vs. 100 or greater Agatston scores with accuracies of 89.4% (F1 0.93) and 87.3% (F1 0.89), respectively, in 795 patients with paired gated scans within a year of a non-gated CT scan. Non-gated AI-CAC was predictive of 10-year all-cause mortality (CAC 0 vs. >400 group: 25.4% vs. 60.2%, Cox HR 3.49, p < 0.005), and composite first-time stroke, MI, or death (CAC 0 vs. >400 group: 33.5% vs. 63.8%, Cox HR 3.00, p < 0.005). In a screening dataset of 8,052 patients with low-dose lung cancer-screening CTs (LDCT), 3,091/8,052 (38.4%) individuals had AI-CAC >400. Four cardiologists qualitatively reviewed LDCT images from a random sample of >400 AI-CAC patients and verified that 527/531 (99.2%) would benefit from lipid-lowering therapy. To the best of our knowledge, this is the first non-gated CT CAC algorithm developed across a national healthcare system, on multiple imaging protocols, without filtering intra-cardiac hardware, and compared against a strong gated CT reference. We report superior performance relative to previous CAC algorithms evaluated against paired gated scans that included patients with intra-cardiac hardware.

The paradigm of'pretraining' from a set of relevant auxiliary tasks and then'finetuning' on a target task has been successfully applied in many different domains. However, when the auxiliary tasks are abundant, with complex relationships to the target task, using domain knowledge or searching over all possible pretraining setups is inefficient and suboptimal. To address this challenge, we propose a method to automatically select from a large set of auxiliary tasks, which yields a representation most useful to the target task. In particular, we develop an efficient algorithm that uses automatic auxiliary task selection within a nested-loop metalearning process. We have applied this algorithm to the task of clinical outcome predictions in electronic medical records, learning from a large number of selfsupervised tasks related to forecasting patient trajectories. Experiments on a real clinical dataset demonstrate the superior predictive performance of our method compared to direct supervised learning, naive pretraining and simple multitask learning, in particular in low-data scenarios when the primary task has very few examples. With detailed ablation analysis, we further show that the selection rules are interpretable and able to generalize to unseen target tasks with new data.

Precise localization of coronary arteries in Computed Tomography (CT) scans is critical from the perspective of medical assessment of coronary artery disease. Although various methods exist that offer high-quality segmentation of coronary arteries in cardiac contrast-enhanced CT scans, the potential of less invasive, non-contrast CT in this area is still not fully exploited. Since such fine anatomical structures are hardly visible in this type of medical images, the existing methods are characterized by high recall and low precision, and are used mainly for filtering of atherosclerotic plaques in the context of calcium scoring. In this paper, we address this research gap and introduce a deep learning algorithm for segmenting coronary arteries in multi-vendor ECG-gated non-contrast cardiac CT images which benefits from a novel framework for semi-automatic generation of Ground Truth (GT) via image registration. We hypothesize that the proposed GT generation process is much more efficient in this case than manual segmentation, since it allows for a fast generation of large volumes of diverse data, which leads to well-generalizing models. To investigate and thoroughly evaluate the segmentation quality based on such an approach, we propose a novel method for manual mesh-to-image registration, which is used to create our test-GT. The experimental study shows that the trained model has significantly higher accuracy than the GT used for training, and leads to the Dice and clDice metrics close to the interrater variability.