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Medicine & Health

469 items

  1. bioRxiv

    SemVac: A Semantic Vaccinology Paradigm Powered by LLMs for Antigen Discovery

    The work introduces semantic vaccinology and implements it as SemVac: publications linked to each protein are retrieved through PaperBLAST, condensed into a structured semantic profile, and an LLM is prompted to return an antigenicity probability; on a curated 246-protein bacterial benchmark the best of 14 general-purpose LLMs matched or exceeded the precision of the specialized predictor PLGDL, with open-weight Kimi K2 0905 offering the strongest performance-cost balance, predictions were robust to masking of vaccine keywords, reproducible across repeated inference, and generalized to a 1,200-protein cross-pathogen dataset; explicit chain-of-thought reasoning increased recall but lowered precision in every model tested; applied to the mpox virus proteome, SemVac recovered the established
  2. Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery

    An artificial intelligence-assisted diagnostic model for malignant head and neck tumors based on endoscopic images

    This study retrospectively collected 23 434 electronic nasopharyngolaryngoscopic images from 3 255 subjects across five medical centers (15 465 laryngoscopic and 7 969 nasopharyngoscopic images), developed the WSC-T intelligent diagnostic model for head and neck tumors, reported internal and external test accuracies of 94.89% and 91.04% with AUCs of 0.98 and 0.97 for laryngeal-hypopharyngeal cancer and 96.27% and 92.31% with AUCs of 0.98 and 0.97 for nasopharyngeal cancer, compared it with a supervised learning model without contrastive learning, and built a cloud-based platform enabling image uploading, automated analysis, and diagnostic result output.
  3. Journal of imaging informatics in medicine

    FAR-POLYP-SEG: A Prospective Single-Center Colonoscopy Dataset for Colorectal Polyp Segmentation with Patient-Level Metadata and Baseline Cross-Dataset Evaluation

    This work prospectively collected 8,181 frames from 455 patients during routine colonoscopy at Farhikhtegan Hospital, Tehran, Iran, between February and December 2025 (432 polyp-positive frames with expert pixel-level segmentation masks and 7,749 normal-mucosa frames), linked patient-level metadata (age, sex, colonoscopy indication, BBPS score, and procedure duration) to every case, and trained and evaluated six segmentation architectures under one standardized protocol with patient-grouped five-fold cross-validation, finding that PraNet reached the highest internal Dice (0.755) and nnU-Net the highest internal IoU (0.665) and pixel accuracy, yet gated false-positive rates on normal mucosa ranged from 24.9% (YOLOv11m-seg) to 59.
  4. bioRxiv

    Deep reinforcement learning-driven discovery of a MsbA-targeted small-molecule antibiotic for the treatment of Acinetobacter baumannii infection

    Using cerastecin Cpd 4 as a template, this study applied two AI tools, Link-INVENT and AutoMolDesigner, for molecular design and chemical derivatization, leading to the discovery of the MsbA-targeted small molecule Y-11 with an MIC of 0.5 g/mL against A. baumannii, equivalent potency to Cpd4 against carbapenem-resistant A. baumannii, lower cytotoxicity, hemolysis, and spontaneous resistance frequency, effective reduction of bacterial loads in infected mice, and a proposed mechanism in which Y-11 inhibits lipooligosaccharide transport and impairs outer membrane formation, probably by competitively binding the substrate binding site of MsbA and modulating ATPase activity.
  5. Pain management

    Determination of Candidate Predictors for Chiropractic Treatment Outcome of Spinal Pain Using a Machine Learning Framework for Small Datasets

    In this prospective cohort study, 96 patients with spinal pain completed an extensive questionnaire covering pain, mood, sleep, lifestyle, and treatment expectations at baseline and at 1 and 3 months, with binary recovery outcomes defined at 3 months for pain intensity, disability, quality of life, and Patient Global Impression of Change; a three-step machine learning framework combining SHAP-based candidate feature selection, Leave-One-Out Cross-Validation with permutation testing, and generalization testing yielded AUC values of 0.93-0.99 in LOOCV and 0.62-0.
  6. The Journal of asthma : official journal of the Association for the Care of Asthma

    Feasibility of Assessing Clinical Remission in Asthma via a Customized Data Extraction Approach from a Real-World Clinical Electronic Medical Records Database in Japan: A Retrospective Real-World Study

    Using the Japanese JAMDAS electronic medical records database, this retrospective observational study analyzed 32,258 patients with asthma who initiated fluticasone furoate/umeclidinium/vilanterol single-inhaler triple therapy between August 18, 2020 and December 31, 2024, extracting Asthma Control Test scores via structured query language and hospitalization and emergency transport data via a large language model, and assessed the proportion meeting the Japanese Practical Guidelines for Asthma Management 2024 clinical remission definition (oral corticosteroid-free, no exacerbations, ACT >= 23), treatment patterns, adherence and persistence at 3-month intervals up to 18 months; only 1.8-3.0%, 0.5-1.5% and 4.5-10.
  7. Acta radiologica (Stockholm, Sweden : 1987)

    Retrospective comparison of three commercial artificial intelligence algorithms for detection of intracranial hemorrhage (ICH) in the emergency radiology department

    This retrospective study analyzed 4027 consecutive non-contrast head CT examinations from a large emergency hospital in southwest Sweden to compare three commercial AI algorithms for ICH detection, finding substantial variation with only Aidoc demonstrating clinically relevant accuracy (90.3% sensitivity, 99.0% specificity), while a simulated mathematical combination of Aidoc with a human reader increased sensitivity to 96.0% while maintaining 99.4% specificity (P < 0.001), comparable to two radiologists.
  8. Research Square

    Artificial intelligence-derived quantitative blastocyst morphology for objective embryo assessment and fetal heart tone stratification

    In this retrospective multicenter study, an in-house deep learning segmentation model delineated the zona pellucida, inner cell mass, and trophectoderm and extracted 17 quantitative morphological indicators from 14,072 blastocyst images across seven Korean centers (after exclusions, 10,718 embryos for consensus grade prediction and 1,387 for fetal heart tone prediction), finding that morphology-based predicted grades agreed with consensus grades more closely than individual embryologists for developmental stage and inner cell mass, and that a quantitative morphology-based Random Forest model outperformed a manual consensus grade-based model for fetal heart tone prediction (AUROC 0.648 versus 0.610; DeLong's test p = 0.
  9. Journal of imaging informatics in medicine

    U-Net-Based Automated Quality Control of Knee Radiographs: Dual-Center Validation and Clinical Intervention

    This study developed and dual-center validated an interpretable U-Net-based AI framework for automated quality control (QC) of knee anteroposterior (AP) and lateral (LAT) radiographs, generating QC indices through anatomical segmentation and landmark localization, with mean Dice similarity coefficients of 0.964 and 0.936 in internal and external validation, most intraclass correlation coefficients exceeding 0.90, QC sensitivity of 91.67% to 98.36% and specificity of 89.13% to 99.10%; separately, six radiographers who received 4 weeks of AI-based feedback on 948 radiographs from 474 patients showed exploratory numerical gains in sensitivity, with effect sizes of 0.30 to 0.73.
  10. Circulation

    State of Cardiovascular Disease and Stroke in Hispanic/Latino Adults in the United States: A Scientific Statement From the American Heart Association

    This American Heart Association scientific statement summarizes the current epidemiology of cardiovascular disease and stroke among Hispanic/Latino adults in the United States, noting that cardiovascular disease became the leading cause of death in this population in 2022, that Hispanic adults carry a disproportionate burden of cardiometabolic risk factors including obesity, diabetes, and dyslipidemia, and that substantial differences exist across Hispanic heritage groups, sexes, and disease types, such that the "Hispanic paradox" is increasingly seen as an oversimplification; it further sets priorities including expanding disaggregated data collection, increasing research representation, and ensuring equitable implementation of precision medicine approaches including genomics, multi-omics

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