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Iterative Identification Closure: Amplifying Causal Identifiability in Linear SEMs

arXiv.org Machine Learning

The Half-Trek Criterion (HTC) is the primary graphical tool for determining generic identifiability of causal effect coefficients in linear structural equation models (SEMs) with latent confounders. However, HTC is inherently node-wise: it simultaneously resolves all incoming edges of a node, leaving a gap of "inconclusive" causal effects (15-23% in moderate graphs). We introduce Iterative Identification Closure (IIC), a general framework that decouples causal identification into two phases: (1) a seed function S_0 that identifies an initial set of edges from any external source of information (instrumental variables, interventions, non-Gaussianity, prior knowledge, etc.); and (2) Reduced HTC propagation that iteratively substitutes known coefficients to reduce system dimension, enabling identification of edges that standard HTC cannot resolve. The core novelty is iterative identification propagation: newly identified edges feed back to unlock further identification -- a mechanism absent from all existing graphical criteria, which treat each edge (or node) in isolation. This propagation is non-trivial: coefficient substitution alters the covariance structure, and soundness requires proving that the modified Jacobian retains generic full rank -- a new theoretical result (Reduced HTC Theorem). We prove that IIC is sound, monotone, converges in O(|E|) iterations (empirically <=2), and strictly subsumes both HTC and ancestor decomposition. Exhaustive verification on all graphs with n<=5 (134,144 edges) confirms 100% precision (zero false positives); with combined seeds, IIC reduces the HTC gap by over 80%. The propagation gain is gamma~4x (2 seeds identifying ~3% of edges to 97.5% total identification), far exceeding gamma<=1.2x of prior methods that incorporate side information without iterative feedback.


CHD: Coupled Hierarchical Diffusion for Long-Horizon Tasks

arXiv.org Artificial Intelligence

Diffusion-based planners have shown strong performance in short-horizon tasks but often fail in complex, long-horizon settings. We trace the failure to loose coupling between high-level (HL) sub-goal selection and low-level (LL) trajectory generation, which leads to incoherent plans and degraded performance. We propose Coupled Hierarchical Diffusion (CHD), a framework that models HL sub-goals and LL trajectories jointly within a unified diffusion process. A shared classifier passes LL feedback upstream so that sub-goals self-correct while sampling proceeds. This tight HL-LL coupling improves trajectory coherence and enables scalable long-horizon diffusion planning. Experiments across maze navigation, tabletop manipulation, and household environments show that CHD consistently outperforms both flat and hierarchical diffusion baselines. Our website is: https://sites.google.com/view/chd2025/home


Congenital Heart Disease Classification Using Phonocardiograms: A Scalable Screening Tool for Diverse Environments

arXiv.org Artificial Intelligence

Congenital heart disease (CHD) is a critical condition that demands early detection, particularly in infancy and childhood. This study presents a deep learning model designed to detect CHD using phonocardiogram (PCG) signals, with a focus on its application in global health. We evaluated our model on several datasets, including the primary dataset from Bangladesh, achieving a high accuracy of 94.1%, sensitivity of 92.7%, specificity of 96.3%. The model also demonstrated robust performance on the public PhysioNet Challenge 2022 and 2016 datasets, underscoring its generalizability to diverse populations and data sources. We assessed the performance of the algorithm for single and multiple auscultation sites on the chest, demonstrating that the model maintains over 85% accuracy even when using a single location. Furthermore, our algorithm was able to achieve an accuracy of 80% on low-quality recordings, which cardiologists deemed non-diagnostic. This research suggests that an AI- driven digital stethoscope could serve as a cost-effective screening tool for CHD in resource-limited settings, enhancing clinical decision support and ultimately improving patient outcomes.


Integrating Probabilistic Trees and Causal Networks for Clinical and Epidemiological Data

arXiv.org Artificial Intelligence

Healthcare decision-making requires not only accurate predictions but also insights into how factors influence patient outcomes. While traditional Machine Learning (ML) models excel at predicting outcomes, such as identifying high risk patients, they are limited in addressing what-if questions about interventions. This study introduces the Probabilistic Causal Fusion (PCF) framework, which integrates Causal Bayesian Networks (CBNs) and Probability Trees (PTrees) to extend beyond predictions. PCF leverages causal relationships from CBNs to structure PTrees, enabling both the quantification of factor impacts and simulation of hypothetical interventions. PCF was validated on three real-world healthcare datasets i.e. MIMIC-IV, Framingham Heart Study, and Diabetes, chosen for their clinically diverse variables. It demonstrated predictive performance comparable to traditional ML models while providing additional causal reasoning capabilities. To enhance interpretability, PCF incorporates sensitivity analysis and SHapley Additive exPlanations (SHAP). Sensitivity analysis quantifies the influence of causal parameters on outcomes such as Length of Stay (LOS), Coronary Heart Disease (CHD), and Diabetes, while SHAP highlights the importance of individual features in predictive modeling. By combining causal reasoning with predictive modeling, PCF bridges the gap between clinical intuition and data-driven insights. Its ability to uncover relationships between modifiable factors and simulate hypothetical scenarios provides clinicians with a clearer understanding of causal pathways. This approach supports more informed, evidence-based decision-making, offering a robust framework for addressing complex questions in diverse healthcare settings.


Classification of Short Segment Pediatric Heart Sounds Based on a Transformer-Based Convolutional Neural Network

arXiv.org Artificial Intelligence

Congenital anomalies arising as a result of a defect in the structure of the heart and great vessels are known as congenital heart diseases or CHDs. A PCG can provide essential details about the mechanical conduction system of the heart and point out specific patterns linked to different kinds of CHD. This study aims to investigate the minimum signal duration required for the automatic classification of heart sounds. This study also investigated the optimum signal quality assessment indicator (Root Mean Square of Successive Differences) RMSSD and (Zero Crossings Rate) ZCR value. Mel-frequency cepstral coefficients (MFCCs) based feature is used as an input to build a Transformer-Based residual one-dimensional convolutional neural network, which is then used for classifying the heart sound. The study showed that 0.4 is the ideal threshold for getting suitable signals for the RMSSD and ZCR indicators. Moreover, a minimum signal length of 5s is required for effective heart sound classification. It also shows that a shorter signal (3 s heart sound) does not have enough information to categorize heart sounds accurately, and the longer signal (15 s heart sound) may contain more noise. The best accuracy, 93.69%, is obtained for the 5s signal to distinguish the heart sound.


Automated interpretation of congenital heart disease from multi-view echocardiograms

arXiv.org Artificial Intelligence

Congenital heart disease (CHD) is the most common birth defect and the leading cause of neonate death in China. Clinical diagnosis can be based on the selected 2D key-frames from five views. Limited by the availability of multi-view data, most methods have to rely on the insufficient single view analysis. This study proposes to automatically analyze the multi-view echocardiograms with a practical end-to-end framework. We collect the five-view echocardiograms video records of 1308 subjects (including normal controls, ventricular septal defect (VSD) patients and atrial septal defect (ASD) patients) with both disease labels and standard-view key-frame labels. Depthwise separable convolution-based multi-channel networks are adopted to largely reduce the network parameters. We also approach the imbalanced class problem by augmenting the positive training samples. Our 2D key-frame model can diagnose CHD or negative samples with an accuracy of 95.4\%, and in negative, VSD or ASD classification with an accuracy of 92.3\%. To further alleviate the work of key-frame selection in real-world implementation, we propose an adaptive soft attention scheme to directly explore the raw video data. Four kinds of neural aggregation methods are systematically investigated to fuse the information of an arbitrary number of frames in a video. Moreover, with a view detection module, the system can work without the view records. Our video-based model can diagnose with an accuracy of 93.9\% (binary classification), and 92.1\% (3-class classification) in a collected 2D video testing set, which does not need key-frame selection and view annotation in testing. The detailed ablation study and the interpretability analysis are provided.


Optimized Machine Learning for CHD Detection using 3D CNN-based Segmentation, Transfer Learning and Adagrad Optimization

arXiv.org Artificial Intelligence

Globally, Coronary Heart Disease (CHD) is one of the main causes of death. Early detection of CHD can improve patient outcomes and reduce mortality rates. We propose a novel framework for predicting the presence of CHD using a combination of machine learning and image processing techniques. The framework comprises various phases, including analyzing the data, feature selection using ReliefF, 3D CNN-based segmentation, feature extraction by means of transfer learning, feature fusion as well as classification, and Adagrad optimization. The first step of the proposed framework involves analyzing the data to identify patterns and correlations that may be indicative of CHD. Next, ReliefF feature selection is applied to decide on the most relevant features from the sample images. The 3D CNN-based segmentation technique is then used to segment the optic disc and macula, which are important regions for CHD diagnosis. Feature extraction using transfer learning is performed to extract features from the segmented regions of interest. The extracted features are then fused using a feature fusion technique, and a classifier is trained to predict the presence of CHD. Finally, Adagrad optimization is used to optimize the performance of the classifier. Our framework is evaluated on a dataset of sample images collected from patients with and without CHD. The results show that the anticipated framework accomplishes elevated accuracy in predicting the presence of CHD. either a particular user with a reasonable degree of accuracy compared to the previously employed classifiers like SVM, etc.


A POV-based Highway Vehicle Trajectory Dataset and Prediction Architecture

arXiv.org Artificial Intelligence

Vehicle Trajectory datasets that provide multiple point-of-views (POVs) can be valuable for various traffic safety and management applications. Despite the abundance of trajectory datasets, few offer a comprehensive and diverse range of driving scenes, capturing multiple viewpoints of various highway layouts, merging lanes, and configurations. This limits their ability to capture the nuanced interactions between drivers, vehicles, and the roadway infrastructure. We introduce the \emph{Carolinas Highway Dataset (CHD\footnote{\emph{CHD} available at: \url{https://github.com/TeCSAR-UNCC/Carolinas\_Dataset}})}, a vehicle trajectory, detection, and tracking dataset. \emph{CHD} is a collection of 1.6 million frames captured in highway-based videos from eye-level and high-angle POVs at eight locations across Carolinas with 338,000 vehicle trajectories. The locations, timing of recordings, and camera angles were carefully selected to capture various road geometries, traffic patterns, lighting conditions, and driving behaviors. We also present \emph{PishguVe}\footnote{\emph{PishguVe} code available at: \url{https://github.com/TeCSAR-UNCC/PishguVe}}, a novel vehicle trajectory prediction architecture that uses attention-based graph isomorphism and convolutional neural networks. The results demonstrate that \emph{PishguVe} outperforms existing algorithms to become the new state-of-the-art (SotA) in bird's-eye, eye-level, and high-angle POV trajectory datasets. Specifically, it achieves a 12.50\% and 10.20\% improvement in ADE and FDE, respectively, over the current SotA on NGSIM dataset. Compared to best-performing models on CHD, \emph{PishguVe} achieves lower ADE and FDE on eye-level data by 14.58\% and 27.38\%, respectively, and improves ADE and FDE on high-angle data by 8.3\% and 6.9\%, respectively.


Emerging Trends in AI, Ultrasound and OB/GYN Care

#artificialintelligence

From entertainment to commerce, artificial intelligence (AI) is making a difference in many aspects of life and has the power to advance diagnostics. Next-generation healthcare technology has begun implementing many AI-powered tools to improve efficacy and patient safety, and enhance the clinician experience.1 There are several image acquisition and analysis capabilities that can be enhanced by an AI application for each task.2 Nearly every woman requires an ultrasound at some point during their care. There is huge potential for AI to assist in repetitive tasks and provide promising workload-changing advances with the use of ultrasound in obstetrics and gynecologic (OB/GYN) care.2


Ensemble machine learning approach for screening of coronary heart disease based on echocardiography and risk factors

arXiv.org Machine Learning

Background: Extensive clinical evidence suggests that a preventive screening of coronary heart disease (CHD) at an earlier stage can greatly reduce the mortality rate. We use 64 two-dimensional speckle tracking echocardiography (2D-STE) features and seven clinical features to predict whether one has CHD. Methods: We develop a machine learning approach that integrates a number of popular classification methods together by model stacking, and generalize the traditional stacking method to a two-step stacking method to improve the diagnostic performance. Results: By borrowing strengths from multiple classification models through the proposed method, we improve the CHD classification accuracy from around 70% to 87.7% on the testing set. The sensitivity of the proposed method is 0.903 and the specificity is 0.843, with an AUC of 0.904, which is significantly higher than those of the individual classification models. Conclusions: Our work lays a foundation for the deployment of speckle tracking echocardiography-based screening tools for coronary heart disease.