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Trustworthiness of generative language models (GLMs) is crucial in their deployment to critical decision making systems. Hence, certified risk control methods such as selective prediction and conformal prediction have been applied to mitigating the hallucination problem in various supervised downstream tasks. However, the lack of appropriate correctness metric hinders applying such principled methods to language generation tasks. In this paper, we circumvent this problem by leveraging the concept of textual entailment to evaluate the correctness of the generated sequence, and propose two selective generation algorithms which control the false discovery rate with respect to the textual entailment relation (FDR-E) with a theoretical guarantee: $\texttt{SGen}^{\texttt{Sup}}$ and $\texttt{SGen}^{\texttt{Semi}}$.

Semi-supervised learning has been reported to deliver encouraging results in various settings, e.g. for object detection in computer vision (Rasmus et al., 2015), protein function prediction from sequence data (Weston et al., 2005) or prediction of cancer recurrence (Shi & Zhang, 2011) in the

In the last decade, due to high resolution cameras and accurate meta - phase analyzes, the accuracy of chromosome classification has improved substantially. However, current Karyotyping systems demand large number of high quality train data to have an adequa tely plausible Precision per each chromosome. Such provision of high quality train data with accurate devices are not yet accomplished in some out - reached pathological laboratories. To prevent false positive detections in low - cost systems and low - quality i mages settings, this paper improves the classification Precision of chromosomes using proposed reliability thresholding metrics and deliberately engineered features. The proposed method has been evaluated using a variation of deep Alex - Net neural network, SVM, K - Nearest - Neighbors, and their cascade pipelines to an automated filtering of semi - straight chromosome. The classification results have highly improved over 90% for the chromosomes with more common defections and translocations. Furthermore, a compara tive analysis over the proposed thresholding metrics has been conducted and the best metric is bolded with its salient characteristics. The high Precision results provided for a very low - quality G - banding database verifies suitability of the proposed metri cs and pruning method for Karyotyping facilities in poor countries and low - budget pathological laboratories. Keywords: G - banded Karyotyping, Precision, Reliability metrics, Pattern Recognition, Medical Imaging 1 Introduction One of the ways to study and dia gnose birth - defects and biological disorders is through using Cytogenetics. This branch of science endeavors to analyze chromosome shapes and patterns to find out common defects. The methods used for such analyzes includes G - Banding, Fluorescent In - Situ Hy bridization (FISH), Comparative Genomic Hybridization (CGH) and Chromosome - specific unique - sequence probes [27] . While Molecular Cytogenetics methods are effective in biological disorders, they do not necessarily manifest specific chromosome defects. FISH methods, though having higher accuracy results in stains, are costly and unable to identify all chromosome abnorm alities. Being temporary in sustaining fluorescence detector, they demand higher provision effort and substance supply that might not be affordable for some countries . Furthermore, detecting some abnormalities implies having G - banding technique involved an d not merely using stains.

Connected health is a multidisciplinary approach focused on health management, prioritizing pa-tient needs in the creation of tools, services, and treatments. This paradigm ensures proactive and efficient care by facilitating the timely exchange of accurate patient information among all stake-holders in the care continuum. The rise of digital technologies and process innovations promises to enhance connected health by integrating various healthcare data sources. This integration aims to personalize care, predict health outcomes, and streamline patient management, though challeng-es remain, particularly in data architecture, application interoperability, and security. Data analytics can provide critical insights for informed decision-making and health co-creation, but solutions must prioritize end-users, including patients and healthcare professionals. This perspective was explored through an agile System Development Lifecycle in an EU-funded project aimed at developing an integrated AI-generated solution for managing cancer patients undergoing immunotherapy. This paper contributes with a collaborative digital framework integrating stakeholders across the care continuum, leveraging federated big data analytics and artificial intelligence for improved decision-making while ensuring privacy. Analytical capabilities, such as treatment recommendations and adverse event predictions, were validated using real-life data, achieving 70%-90% accuracy in a pilot study with the medical partners, demonstrating the framework's effectiveness.

Background: Pleural Effusions (PE) is a common finding in many different clinical conditions, but accurately measuring their volume from CT scans is challenging. Purpose: To improve PE segmentation and quantification for enhanced clinical management, we have developed and trained a semi-supervised deep learning framework on contrast-enhanced CT volumes. Materials and Methods: This retrospective study collected CT Pulmonary Angiogram (CTPA) data from internal and external datasets. A subset of 100 cases was manually annotated for model training, while the remaining cases were used for testing and validation. A novel semi-supervised deep learning framework, Teacher-Teaching Assistant-Student (TTAS), was developed and used to enable efficient training in non-segmented examinations. Segmentation performance was compared to that of state-of-the-art models. Results: 100 patients (mean age, 72 years, 28 [standard deviation]; 55 men) were included in the study. The TTAS model demonstrated superior segmentation performance compared to state-of-the-art models, achieving a mean Dice score of 0.82 (95% CI, 0.79 - 0.84) versus 0.73 for nnU-Net (p < 0.0001, Student's T test). Additionally, TTAS exhibited a four-fold lower mean Absolute Volume Difference (AbVD) of 6.49 mL (95% CI, 4.80 - 8.20) compared to nnU-Net's AbVD of 23.16 mL (p < 0.0001). Conclusion: The developed TTAS framework offered superior PE segmentation, aiding accurate volume determination from CT scans.

Medical image segmentation has advanced rapidly over the past two decades, largely driven by deep learning, which has enabled accurate and efficient delineation of cells, tissues, organs, and pathologies across diverse imaging modalities. This progress raises a fundamental question: to what extent have current models overcome persistent challenges, and what gaps remain? In this work, we provide an in-depth review of medical image segmentation, tracing its progress and key developments over the past decade. We examine core principles, including multiscale analysis, attention mechanisms, and the integration of prior knowledge, across the encoder, bottleneck, skip connections, and decoder components of segmentation networks. Our discussion is organized around seven key dimensions: (1) the shift from supervised to semi-/unsupervised learning, (2) the transition from organ segmentation to lesion-focused tasks, (3) advances in multi-modality integration and domain adaptation, (4) the role of foundation models and transfer learning, (5) the move from deterministic to probabilistic segmentation, (6) the progression from 2D to 3D and 4D segmentation, and (7) the trend from model invocation to segmentation agents. Together, these perspectives provide a holistic overview of the trajectory of deep learning-based medical image segmentation and aim to inspire future innovation. To support ongoing research, we maintain a continually updated repository of relevant literature and open-source resources at https://github.com/apple1986/medicalSegReview

We would like to thank the reviewers for their comments and suggestions. Figure 7 in Appendix F.3, and this is likely to increase their individual utility in the long term. We will clarify this in the revised version of the paper. We will fix the statement of Proposition 4. The "strategic setting" refers to a scenario in which individuals who are subject to (semi)-automated A counterfactual is a statement of how the world would have to be different for a desirable outcome to occur [13]. We will clarify this in the revised version of the paper.

Lung diseases, including lung cancer and COPD, are significant health concerns globally. Traditional diagnostic methods can be costly, time-consuming, and invasive. This study investigates the use of semi supervised learning methods for lung sound signal detection using a model combination of MFCC+CNN. By introducing semi supervised learning modules such as Mix Match, Co-Refinement, and Co Refurbishing, we aim to enhance the detection performance while reducing dependence on manual annotations. With the add-on semi-supervised modules, the accuracy rate of the MFCC+CNN model is 92.9%, an increase of 3.8% to the baseline model. The research contributes to the field of lung disease sound detection by addressing challenges such as individual differences, feature insufficient labeled data.