ArXiv最新文献

Structural dynamics of macromolecules is critical to their structural-function relationship. Cryogenic electron microscopy (CryoEM) provides snapshots of vitrified protein at different compositional and conformational states, and the structural heterogeneity of proteins can be characterized through computational analysis of the images. For protein systems with multiple degrees of freedom, it is still challenging to disentangle and interpret the different modes of dynamics. Here, by implementing Point Transformer, a self-attention network designed for point cloud analysis, we are able to improve the performance of heterogeneity analysis on CryoEM data, and characterize the dynamics of highly complex protein systems in a more human-interpretable way.

Alzheimer's disease (AD), defined as an abnormal buildup of amyloid plaques and tau tangles in the brain can be diagnosed with high accuracy based on protein biomarkers via PET or CSF analysis. However, due to the invasive nature of biomarker collection, most AD diagnoses are made in memory clinics using cognitive tests and evaluation of hippocampal atrophy based on MRI. While clinical assessment and hippocampal volume show high diagnostic accuracy for amnestic or typical AD (tAD), a substantial subgroup of AD patients with atypical presentation (atAD) are routinely misdiagnosed. To improve diagnosis of atAD patients, we propose a machine learning approach to distinguish between atAD and non-AD cognitive impairment using clinical testing battery and MRI data collected as standard-of-care. We develop and evaluate our approach using 1410 subjects across four groups (273 tAD, 184 atAD, 235 non-AD, and 685 cognitively normal) collected from one private data set and two public data sets from the National Alzheimer's Coordinating Center (NACC) and the Alzheimer's Disease Neuroimaging Initiative (ADNI). We perform multiple atAD vs. non-AD classification experiments using clinical features and hippocampal volume as well as a comprehensive set of MRI features from across the brain. The best performance is achieved by incorporating additional important MRI features, which outperforms using hippocampal volume alone. Furthermore, we use the Boruta statistical approach to identify and visualize significant brain regions distinguishing between diagnostic groups. Our ML approach improves the percentage of correctly diagnosed atAD cases (the recall) from 52% to 69% for NACC and from 34% to 77% for ADNI, while achieving high precision. The proposed approach has important implications for improving diagnostic accuracy for non-amnestic atAD in clinical settings using only clinical testing battery and MRI.

Infectious disease superspreading caused by heterogeneity in contact behavior has been observed to be an important determinant of epidemic dynamics and size in both empirical and theoretical settings. However, it has also been observed that the importance of this type of superspreading changes throughout an epidemic, generally in a decreasing manner as infections cascade from individuals with many contacts to those with fewer contacts. We provide an exact mathematical formulation of this phenomenon in strongly-immunizing (SIR) epidemics on static contact networks. Building on the edge-based modeling framework, we construct three metrics to track how superspreading changes through the course of an epidemic, respectively measuring infected nodes' contacts, exposures, and transmissions: (1) the mean degree of infected nodes, (2) the mean number of susceptible neighbors of infected nodes, and (3) the mean number of secondary cases that will be caused by newly infected nodes. We prove results about the behaviors of these metrics, highlighting the fact that their peak times all occur at less than half the time it takes for population-level infection prevalence to peak. This suggests that the importance of superspreading will be low when an epidemic is already near its peak, so contact-based control strategies are best employed as early in an outbreak as possible. We discuss implications for accurately measuring epidemiological parameters from incidence, mobility, contact tracing, and transmission data.

Radiotherapy planning naturally leads to a multi-criteria optimization problem which is subject to different sources of uncertainty. In order to find the desired treatment plan, a decision maker must balance these objectives as well as the level of robustness towards uncertainty against each other. This paper showcases a quantitative approach to do so, which combines the theoretical model with the ability to deal with practical challenges. To this end, the uncertainty, which can be expressed via the so-called dose-influence matrix, is modelled using interval matrices. We use inverse robustness to introduce an additional objective, which aims to maximize the volume of the uncertainty set. A multi-criteria approach allows to handle the uncertainty while keeping appropriate values of the other objective functions. We solve the resulting quadratically constrained quadratic optimization problem (QCQP) by first relaxing it to a convex semidefinite problem (SDP) and then reconstructing optimal solutions of the QCQP from solutions of the SDP.

Deep learning (DL)-based image reconstruction methods for photoacoustic computed tomography (PACT) have developed rapidly in recent years. However, most existing methods have not employed standardized datasets, and their evaluations rely on traditional image quality (IQ) metrics that may lack clinical relevance. The absence of a standardized framework for clinically meaningful IQ assessment hinders fair comparison and raises concerns about the reproducibility and reliability of reported advancements in PACT. A benchmarking framework is proposed that provides open-source, anatomically plausible synthetic datasets and evaluation strategies for DL-based acoustic inversion methods in PACT. The datasets each include over 11,000 two-dimensional (2D) stochastic breast objects with clinically relevant lesions and paired measurements at varying modeling complexity. The evaluation strategies incorporate both traditional and task-based IQ measures to assess fidelity and clinical utility. A preliminary benchmarking study is conducted to demonstrate the framework's utility by comparing DL-based and physics-based reconstruction methods. The benchmarking study demonstrated that the proposed framework enabled comprehensive, quantitative comparisons of reconstruction performance and revealed important limitations in certain DL-based methods. Although they performed well according to traditional IQ measures, they often failed to accurately recover lesions. This highlights the inadequacy of traditional metrics and motivates the need for task-based assessments. The proposed benchmarking framework enables systematic comparisons of DL-based acoustic inversion methods for 2D PACT. By integrating clinically relevant synthetic datasets with rigorous evaluation protocols, it enables reproducible, objective assessments and facilitates method development and system optimization in PACT.

Estimating brain age (BA) from T1-weighted magnetic resonance images (MRIs) provides a useful approach to map the anatomic features of brain senescence. Whereas global BA (GBA) summarizes overall brain health, local BA (LBA) can reveal spatially localized patterns of aging. Although previous studies have examined anatomical contributors to GBA, no framework has been established to compute LBA using cortical morphology. To address this gap, we introduce a novel graph neural network (GNN) that uses morphometric features (cortical thickness, curvature, surface area, gray/white matter intensity ratio and sulcal depth) to estimate LBA across the cortical surface at high spatial resolution (mean inter-vertex distance = 1.37 mm). Trained on cortical surface meshes extracted from the MRIs of cognitively normal adults (N = 14,250), our GNN identifies prefrontal and parietal association cortices as early sites of morphometric aging, in concordance with biological theories of brain aging. Feature comparison using integrated gradients reveals that morphological aging is driven primarily by changes in surface area (gyral crowns and highly folded regions) and cortical thickness (occipital lobes), with additional contributions from gray/white matter intensity ratio (frontal lobes and sulcal troughs) and curvature (sulcal troughs). In Alzheimer's disease (AD), as expected, the model identifies widespread, excessive morphological aging in parahippocampal gyri and related temporal structures. Significant associations are found between regional LBA gaps and neuropsychological measures descriptive of AD-related cognitive impairment, suggesting an intimate relationship between morphological cortical aging and cognitive decline. These results highlight the ability of GNN-derived gero-morphometry to provide insights into local brain aging.

Deep learning models in computational pathology often fail to generalize across cohorts and institutions due to domain shift. Existing approaches either fail to leverage unlabeled data from the target domain or rely on image-to-image translation, which can distort tissue structures and compromise model accuracy. In this work, we propose a semi-supervised domain adaptation (SSDA) framework that utilizes a latent diffusion model trained on unlabeled data from both the source and target domains to generate morphology-preserving and target-aware synthetic images. By conditioning the diffusion model on foundation model features, cohort identity, and tissue preparation method, we preserve tissue structure in the source domain while introducing target-domain appearance characteristics. The target-aware synthetic images, combined with real, labeled images from the source cohort, are subsequently used to train a downstream classifier, which is then tested on the target cohort. The effectiveness of the proposed SSDA framework is demonstrated on the task of lung adenocarcinoma prognostication. The proposed augmentation yielded substantially better performance on the held-out test set from the target cohort, without degrading source-cohort performance. The approach improved the weighted F1 score on the target-cohort held-out test set from 0.611 to 0.706 and the macro F1 score from 0.641 to 0.716. Our results demonstrate that target-aware diffusion-based synthetic data augmentation provides a promising and effective approach for improving domain generalization in computational pathology.

Neuronal electrical activity underlies human cognition, yet its direct, noninvasive measurement in the living human brain remains a fundamental challenge. Existing neuroimaging techniques, including EEG, MEG, and fMRI, are limited by trade-offs in sensitivity and spatial or temporal resolution. Here we propose quantum sensing MRI (qsMRI), a noninvasive approach that enables direct detection of neuronal firing-induced magnetic fields using a clinical MRI system. qsMRI exploits endogenous proton (¹H) nuclear spins in water molecules as intrinsic quantum sensors and decodes time-resolved phase information from free induction decay (FID) signals to infer neuronal magnetic fields. We validate qsMRI through simulations, phantom experiments, and human studies at rest and during motor tasks, and provide open experimental procedures to facilitate independent validation. We further present a case study demonstrating potential applications to neurological disorders. qsMRI represents a first-in-human application of quantum sensing on a clinical MRI platform, establishes a non-BOLD functional imaging modality, and enables interrogation of neuronal firing dynamics in both cortical and deep brain regions.

Multimodal language models (MLMs) perform well on semantic vision-language tasks but fail at spatial reasoning that requires adopting another agent's visual perspective. These errors reflect a persistent egocentric bias and raise questions about whether current models support allocentric reasoning. Inspired by human spatial cognition, we introduce perspective tokens , specialized embeddings that encode orientation through either (1) embodied body-keypoint cues or (2) abstract representations supporting mental rotation. Integrating these tokens into LLaVA-1.5-13B yields performance on level-2 visual perspective-taking tasks. Across synthetic and naturalistic benchmarks (Isle Bricks V2, COCO, 3DSRBench), perspective tokens improve accuracy, with rotation-based tokens generalizing to non-human reference agents. Representational analyses reveal that fine-tuning enhances latent orientation sensitivity already present in the base model, suggesting that MLMs contain precursors of allocentric reasoning but lack appropriate internal structure. Overall, embedding cognitively grounded spatial structure directly into token space provides a lightweight, model-agnostic mechanism for perspective-taking and more human-like spatial reasoning.

Current cancer screening guidelines cover only a few cancer types and rely on narrowly defined criteria such as age or a single risk factor like smoking history, to identify high-risk individuals. Predictive models using electronic health records (EHRs), which capture large-scale longitudinal patient-level health information, may provide a more effective tool for identifying high-risk groups by detecting subtle prediagnostic signals of cancer. Recent advances in large language and foundation models have further expanded this potential, yet evidence remains limited on how useful EHR-based models are compared with traditional risk factors currently used in screening guidelines. We systematically evaluated the clinical utility of EHR-based predictive models against traditional risk factors, including gene mutations and family history of cancer, for identifying high-risk individuals across eight major cancers (breast, lung, colorectal, prostate, ovarian, liver, pancreatic, and stomach), using data from the All of Us Research Program, which integrates EHR, genomic, and survey data from over 865,000 participants. Even with a baseline modeling approach, EHR-based models achieved a 3- to 6-fold higher enrichment of true cancer cases among individuals identified as high risk compared with traditional risk factors alone, whether used as a standalone or complementary tool. The EHR foundation model, a state-of-the-art approach trained on comprehensive patient trajectories, further improved predictive performance across 26 cancer types, demonstrating the clinical potential of EHR-based predictive modeling to support more precise and scalable early detection strategies.