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AI-bio preprints (medRxiv + bioRxiv)

A rolling feed of 60 recent preprints (50 clinical medRxiv · 10 bioRxiv) whose content is AI/ML-focused, filterable by topic. Preprints are NOT peer-reviewed — read with care. Each links straight to the original; abstracts belong to their authors.

Source: medRxiv / bioRxiv · updated September 21, 2026 ICML 2026 collection → arXiv AI-bio feed →

medRxiv Clinical & Healthcare Neuroscience & Brain

Computer Vision for Real-Time Pixel-Level Anatomical Segmentation in Neurosurgery: First-in-Human Clinical Evaluation and Iterative Development (IDEAL Stage 1)

D. Z. Khan, Z. Mao, A. Wijekoon, A. Das +11

IntroductionPrecise anatomical navigation is fundamental to safe endoscopic pituitary surgery, a high-stakes procedure characterised by a challenging learning curve. While…

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medRxiv Genomics Clinical & Healthcare Protein Design Molecular & Drug Design

TRACE: A FINE-TUNED BIOMEDICAL LANGUAGE MODEL FOR DIRECTIONALLY INFORMED DRUG REPURPOSING FROM TRANSCRIPTOME-WIDE ASSOCIATION STUDIES

C. O. Otieno, H. M. Seagle, A. T. Akerele, J. Jaworski +4

Abstract/SummaryTranscriptome-wide association studies (TWAS) can identify genes where genetically predicted gene expression is associated with disease risk, but translating those…

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medRxiv Clinical & Healthcare

When can predictive uncertainty be trusted? A methodological evaluation in free-living wearable electrocardiogram signal-quality assessment

K. D. Tran

Uncertainty quantification is proposed as a safeguard for machine-learning systems in health-related signal analysis, but an uncertainty score is useful only if it behaves as a…

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medRxiv Clinical & Healthcare Molecular & Drug Design Genomics

Adaptive forecasting of antiretroviral therapy demand using machine learning in India's national HIV programme

M. Chugh, B. Neekhra, M. Bamrotiya, S. J. Clipman +1

Antiretroviral therapy (ART) stock-outs interrupt treatment, increase the risk of virologic failure and drug resistance, and erode the population-level benefits of viral…

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medRxiv Clinical & Healthcare

Integrating cognitive, linguistic and acoustic features to identify individuals with cognitive impairment: a proof-of-concept study

M. M. Y. Chan, G. A. Robinson

Early identification of cognitive impairment remains challenging in settings where comprehensive cognitive and clinical assessments are not available. Acoustic and linguistic…

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medRxiv Oncology Clinical & Healthcare Medical Imaging Genomics

Multimodal Machine Learning for Predicting Outcomes in the PASS-01 Trial of Systemic Therapy for Metastatic Pancreatic Cancer

W. Quan, D. Henault, A. Zhang, G. H. Jang +24

PurposeModified FOLFIRINOX (FFX) and gemcitabine plus nab-paclitaxel (GNP) are standard first-line treatments for metastatic pancreatic ductal adenocarcinoma (PDAC), but no…

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medRxiv Clinical & Healthcare Oncology

Drivers of Oncologist Preference of AI-Generated Literature Review in a Randomized Mixed-Methods Study

B. J. Bunning, Y. Weng, D. J. Wu, G. Hui +6

Doctors increasingly rely on AI in the clinic, yet which report features make AI-generated responses useful and trustworthy remains unclear. In this randomized mixed-methods…

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medRxiv Clinical & Healthcare Medical Imaging

Expert-Guided Visual Correction for Characterizing Diagnostic Performance and Error Patterns of Multimodal Large Language Models Using Periodontal In-Service Examination Images

P. A. Dhaimade, R. Henderson

Multimodal large language models (MLLMs) are increasingly applied to image-based clinical reasoning, yet their diagnostic reliability in periodontal image interpretation, and the…

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medRxiv Neuroscience & Brain Medical Imaging

Explainable Deep Learning Reveals Distributed Neurodegeneration Signatures of Neuropsychiatric Symptoms Across the Alzheimer's Continuum

B. Yaghooti, S. Ishrat, H. N. Le, R. P. Sapkota +10

Neuropsychiatric symptoms (NPS) are increasingly recognized as critical components of the disease progression in Alzheimers disease (AD), yet their relationship with…

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medRxiv Neuroscience & Brain Clinical & Healthcare

Intent Drift in LLM-Assisted Brain Computer Interface Communication: An In-Silico Benchmark Under Simulated Decoder Corruption

A. Gorenshtein, M. Omar, E. L. Jia, Y. Adiniaev +6

BackgroundLarge language models (LLMs) are increasingly used to correct noisy, error-prone text typed through brain-computer interfaces (BCIs) and other assistive communication…

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medRxiv Clinical & Healthcare Neuroscience & Brain

Neural, Behavioral, and Clinical Outcomes of a Voice-based AI Coach for Depression and Anxiety: A Phase 2 Randomized Trial

T. G. Kannampallil, O. Ajilore, J. M. Smyth, A. Barve +10

ImportanceArtificial Intelligence (AI) voice-based chatbots may improve access to evidence-based psychotherapy for depression and anxiety, but their therapeutic mechanisms and…

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medRxiv Medical Imaging Clinical & Healthcare Oncology

BioDeformUNet: A Deep Learning Model for Biomechanically Informed Liver Image Registration

X. Zhang, C. OConnor, A. Castelo, M. Woodland +8

PurposeTo build a 3D U-Net model, BioDeformUNet, to predict the livers deformation vector field (DVF) in near real-time, for efficient intra-procedural evaluation of the minimal…

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medRxiv Neuroscience & Brain Clinical & Healthcare

Resting-state EEG network markers differentiate people with epilepsy and functional seizures

P. Kissack, W. Woldman, R. Sparks, J. S. Winston +5

BackgroundDistinguishing epilepsy from functional/dissociative seizures (FDS) is an ongoing diagnostic challenge. Using a well-controlled clinical EEG dataset, we run the first…

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medRxiv Clinical & Healthcare Protein Design

Personalized Knowledge-based Graph Neural Networks and Regression Analysis for Computational Diagnosis of High-Risk Cardiovascular Disease Patients

T. Lampadarios, N. Karathanasis, R. Antartis, B. Pfeifer +4

Acute myocardial infarction (MI) is a major precursor to heart failure (HF), yet few biomarkers are routinely used to predict post-MI HF, and limited therapeutic options exist to…

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medRxiv Genomics Clinical & Healthcare Neuroscience & Brain

Cross-trait and multi-polytranscriptomic score analysis of Parkinson's disease identifies novel associations and improves prediction

L. Gilchrist, O. Pain, S. Calhas, G. P. Genetics Program +4

Despite major progress in genomic risk loci identification, biological mechanisms underlying Parkinsons disease (PD) remain incompletely understood and the informativity of…

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medRxiv Clinical & Healthcare Neuroscience & Brain

Multimodal Transformer Modeling of Rapamycin Treatment in Alzheimer's Disease via Random Forest Feature Filtering

C. Wang, C. Woods, T. Nguyen, J. Liu +2

Alzheimers Disease (AD) remains a leading cause of cognitive decline with no known cure, motivating the development of therapies that slow neurodegeneration. Rapamycin, an…

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medRxiv Clinical & Healthcare

Emotional intelligence and the perception of good leadership in healthcare: a mixed-methods study

J. W. Wilson, A. Michaelis, M.-E. Miller

ObjectiveTo identify and rank the leadership traits most valued by medical staff in public hospitals, and to compare them with an established generic instrument and a generative…

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medRxiv Clinical & Healthcare

Transformer-Based Survival Model for Cardiovascular Risk Prediction from Longitudinal Health Checkup Data

S. Tsurimoto, A. Nomura, Y. Nagata, M. Noguchi +7

BackgroundCardiovascular disease (CVD) is a leading global health concern. Traditional models often miss nonlinear dependencies among physiological and behavioral factors. We…

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medRxiv Medical Imaging Clinical & Healthcare

A Two-Stage Multimodal Contrastive Framework for PET-Based Prediction of Obstructive Coronary Artery Disease

S. Mostafavi, A. Shanbhag, G. Ramirez, M. Lemley +24

BackgroundPositron emission tomography (PET) myocardial perfusion imaging (MPI) provides complementary information on perfusion, myocardial blood flow and ventricular function.…

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medRxiv Clinical & Healthcare

Predicting gait patterns from actionable impairments in Duchenne muscular dystrophy: A Machine Learning and Explainable Artificial Intelligence study

I. Vandekerckhove, B. Lismont, T. De Laet

BackgroundProlonging ambulation is an important treatment goal in children with Duchenne muscular dystrophy (DMD). Clinical management targets actionable (i.e., modifiable)…

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medRxiv Neuroscience & Brain Clinical & Healthcare

Explainable machine learning reveals the challenges of predicting new-onset motor complications in Parkinson's disease

W. Endrizzi, N. Campese, F. Ragni, M. Moroni +9

Predicting new-onset motor fluctuations and levodopa-induced dyskinesias (LID) is crucial for optimizing Parkinsons disease management. To establish a transparent prognostic…

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medRxiv Clinical & Healthcare

Detecting Self-Repairs from Spontaneous Speech with Prompt Ablation Across LLMs and Fine-Tuned Encoder

R. Wu, S. Pugh, K. B. OCOnnor, K. Xie +2

Self-repairs - in-utterance revisions in which a speaker abandons and reformulates their speech - are a promising interpretable marker for speech-based cognitive screening.…

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medRxiv Neuroscience & Brain Medical Imaging

MAESTRO: A Public, Generalizable Model for Stroke Lesion Segmentation from T1 MRI Across the Recovery Continuum

M. H. Khan, O. Marin-Pardo, S. Chakraborty, K. Lee +4

Accurate stroke lesion segmentation is essential for large-scale neuroimaging studies, yet manual delineation remains labor-intensive, and existing automated methods often…

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medRxiv Neuroscience & Brain

Quantifying Large Language Model Influence in Brain Computer Interface Communication for Amyotrophic Lateral Sclerosis

A. Gorenshtein, M. Omar, E. L. Jia, Y. Adiniaev +6

Large language models are integrated into brain-computer interfaces for communication, but accuracy does not show whether an emitted character depended on neural evidence or on…

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medRxiv Clinical & Healthcare Medical Imaging Oncology

Multimodal artificial intelligence for personalized hepatocellular carcinoma treatment strategy selection

W. Feng, S. Liu, Z. Yang, Y. Tao +2

BackgroundHepatocellular carcinoma (HCC) treatment selection demands nuanced integration of heterogeneous patient data, yet prevailing predictive models rely on restricted data…

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medRxiv Clinical & Healthcare

Offline Reinforcement Learning for Out-of-Distribution ICU Sepsis Decision Support

E. Arasteh, M. S. Mirian, M. Tavakol

Offline reinforcement learning (RL) provides a promising framework for learning and evaluating treatment policies from logged clinical data, particularly in sequential…

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medRxiv Medical Imaging Clinical & Healthcare

AUTONOMOUS LOOP CONSTRUCTION AND SUPERVISION FOR CLINICIAN-ORIENTED MEDICAL-AI RESEARCH

X. Chen, X. Jiang, C. Shan, Z. Wang +2

Medical AI models have made a great impact on biomedical research and real-world clinical applications, but conducting interdisciplinary medical AI research remains challenging,…

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medRxiv Clinical & Healthcare Oncology

Large Language Model Embeddings of Surgical Procedural Names for Confounding Adjustment in Perioperative Observational Studies

L. Han, M. Ghanem, M. K. Simhambhatla, P. Chung +1

BackgroundPerioperative observational studies are increasingly used to evaluate anesthesia practices that are difficult to test in randomized trials, but treatment selection is…

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medRxiv Neuroscience & Brain Clinical & Healthcare

CHIASM: A Self-Supervised Visual Field Encoder for Neuro-Ophthalmology

T. M. Parker, E. K. Oermann, S. N. Grossman, R. C. Kenney

ImportanceArtificial intelligence (AI) is under active development to support diagnosis and prognostication of glaucoma from visual fields (VF). These systems do not audit for…

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medRxiv Genomics

Outbreak and Postnatal Antibiotic Exposures Drive the Development Trajectory of the Nasopharyngeal Microbiota in the First Year of Life

P. Rajar, A. Dhariwal, G. Salvadori, H. Aaroe Aamdal +8

Early exposure to antibiotics and prolonged hospitalization in preterm infants may perturb microbiome development and contribute to adverse health outcomes. Although…

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medRxiv Clinical & Healthcare Oncology Neuroscience & Brain

Evaluating computational assays of chronic fatigue using UK Biobank data

I. Pereira, H. Galioulline, A. Grosu, S. Frässle +3

Chronic fatigue, characterized by persistent physical and/or mental exhaustion, is a frequent and debilitating symptom in medicine. Despite its impact, clinical management remains…

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medRxiv Clinical & Healthcare Genomics

Construction of a Standardized Time-Lapse Imaging Database and a Gradient Boosting Ensemble Framework for Integrating Zygote Morphokinetic Parameters with Conventional Embryo Assessment

M. ZHAO, J. LIU, D. HAN, C. ZHANG +3

In vitro fertilization (IVF) laboratories equipped with time-lapse incubators generate vast quantities of sequential embryo images, yet the absence of standardized, annotated…

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medRxiv Clinical & Healthcare Genomics

Developing an open-source framework for LLM evaluation of patients using EHR clinical documentation; performance of LLMs relative to medical professionals

L. Barrett, N. Joshi, A. S. North, L. Dimitrov +16

BackgroundLarge language models (LLMs) have shown increasing capability in medical knowledge tasks, yet how they perform in extracting structured clinical information from…

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medRxiv Clinical & Healthcare

Evaluating Clinical Concept Extraction and Evidence-Bounded Terminology Linking: Multisite Model Comparison and Pilot Ablation Study

Y. Chen, M. Popescu

BackgroundClinical terminology pipelines must first extract candidate spans from narrative notes and then determine whether those spans map to existing concepts or warrant further…

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medRxiv Clinical & Healthcare Protein Design

Glucagon-like peptide-1 receptor agonist initiation and risk of clinically recorded Alzheimer's disease-type dementia in older adults with type 2 diabetes: a target trial emulation using causal machine learning

J. Schroeder, O.-A. Ciora, P. Heesen, M. Bendszus +4

AbstractO_ST_ABSBackgroundC_ST_ABSGlucagon-like peptide-1 (GLP-1) receptor agonists and sodium-glucose cotransporter-2 (SGLT2) inhibitors are increasingly used for type 2…

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medRxiv Clinical & Healthcare

Automated Detection of Extrahepatic Bile Duct Stones on Intraoperative Cholangiography Using Deep Learning

Y. He, M. Bloom, S. Mirshojae, L. Noel +5

ObjectiveTo evaluate the case-level performance of deep-learning segmentation models for detecting extrahepatic bile duct stones on representative intraoperative cholangiography…

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medRxiv Clinical & Healthcare

WISE-Screen: A Smartphone-Based Analytical Framework for Automated ASD Screening and Phenotyping via High-Fidelity Eye-tracking

L. Y.-L. Ho, K. C.-Y. Wong, L. W.-K. Cheng, A. T.-Y. Wan +4

The rising prevalence of autism spectrum disorder (ASD) strains clinical infrastructure. Gold-standard tools like ADOS-2 face high costs, specialized training requirements, and…

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medRxiv Clinical & Healthcare

Labeling and Disclosure of AI-generated Mental Health Content on TikTok

A. Christiansen, R. Page

TikTok has become a significant source of health information, and concern has grown about AI-generated content (henceforth, AIGC) as a vehicle for health misinformation. Where…

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medRxiv Clinical & Healthcare Medical Imaging

Development of a Deep Learning Model for Opportunistic Screening of Osteoporosis using Chest Radiographs

v. kobayashi, G. T. C. Baluyut

PurposePrevention and early detection of osteoporosis remains a global challenge, more so in regions like the Philippines where screening barriers exist. Chest x-rays meanwhile…

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medRxiv Clinical & Healthcare

Does Data Preprocessing Affect Tree-Based Super Learners? An Investigation of Ensemble Optimization and Oracle Properties in Clinical Classification.

R. Darko, D. Dwumah, K. S. Agyapong, Y. Agyenim-Boateng +4

Machine learning workflows frequently incorporate data preprocessing to enhance predictive performance. However, the need for Super Learner ensembles made up only of…

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medRxiv Clinical & Healthcare

Velocity Reflection Index and Chronological Age: Confounder-Adjusted Statistical and Machine-Learning Analyses of Carotid Doppler Waveforms

A. Azhim

PurposeTo determine whether the velocity reflection index (VRI) is the carotid Doppler waveform feature most strongly associated with chronological age after adjustment for sex…

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medRxiv Neuroscience & Brain Medical Imaging

Modifiable Contributors to Socioeconomic Inequality in Brain Aging

H. Richardson, A. Dibble, C. Dalby, K. A. Robertson +4

ImportanceSocioeconomic disadvantage is associated with accelerated brain aging. However, the modifiable factors accounting for this association, and whether they differ across…

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medRxiv Clinical & Healthcare

Mapping the flow of digital data in clinical trials and assessing its carbon footprint

H. s. Prakasam, N. Mackillop

BackgroundHealthcare contributes 5% of global carbon emissions, with clinical trials forming a meaningful share. Existing trial emission frameworks inadequately capture and…

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medRxiv Clinical & Healthcare Genomics

MTS-Bench: A Manchester Triage System Benchmark for Language Model Triage Safety

S. Ravichandran, M. Romano, R. Corga da Silva, T. Mendes +5

BackgroundGeneral purpose language models such as ChatGPT are increasingly used by physicians and triage nurses during emergency triage. A recent study reported 51.6% undertriage…

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medRxiv Clinical & Healthcare

Deep Learning-Based Single-View Echocardiographic Analysis for Prediction of Left Ventricular Outflow Tract Gradient Elevation After Transcatheter Aortic Valve Replacement

J.-W. Choi, J. Park, Y. E. Yoon, J. Kim +7

Background and ObjectivesDynamic left ventricular outflow tract (LVOT) gradient elevation can occur following transcatheter aortic valve replacement (TAVR) and remains difficult…

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medRxiv Medical Imaging Genomics Neuroscience & Brain

An Explainable Deep Learning Framework for Imaging Genetics: Deriving Brain-Genotype Scores From MRI to Link Genetic Variation, Brain Structure, and Cognition

K. T. Alhasani, U. Ghose, J. Sammet, T. Zhu +9

Imaging genetics aims to understand how genetic variation influences brain structure and cognitive function. Traditional approaches often rely on imaging-derived phenotypes…

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medRxiv Clinical & Healthcare

A Vision-Language Model for Coronary Angiography Interpretation and Clinical Decision Support

Z. Li, Y. Sun, C. Jiang, T. Pan +21

BACKGROUNDCoronary angiography remains the reference standard for diagnosing coronary artery disease and guiding revascularization, yet its interpretation requires expert…

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bioRxiv Medical Imaging Neuroscience & Brain

AFIDs-Validator: An Open-Access AI-Guided Platform for Learning Anatomical Landmark Placement

A. Taha, D. Bansal, J. Kai, T. Kuehn +11

Accurate localization of anatomical landmarks is a foundational skill in anatomy and imaging that is often taught informally through expert mentorship, requiring access to data…

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bioRxiv Protein Design Molecular & Drug Design Genomics

Biphasic Temporal Remodeling Of The Proteome In A Polyglutamine-Expanded Huntingtin In Vitro Aggregation Cell Model: From Early Rna-Regulatory Compensation To Selective Mitochondrial Energy Failure

E. Sonmez, P. Mutlu, C. Ozlevent, M. Sarihan +3

Huntington disease (HD) is caused by a polyglutamine expanded huntingtin protein that exerts progressive cellular toxicity. However, the temporal sequence of pathogenic,…

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bioRxiv Genomics Protein Design

Scaling genome annotation across the eukaryotic tree of life with OrionGeno

L. Liu, X. Cai, S. Wang, Y. Deng +16

The rapid expansion of eukaryotic genome sequencing has created an urgent demand for accurate and scalable genome annotation. Existing ab initio methods often struggle to…

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bioRxiv Genomics Clinical & Healthcare Medical Imaging Oncology

IMMF: An Interpretable Multi-Modal Framework for Hypothesis-Driven Biomarker Discovery in Triple-Negative Breast Cancer Using Public Data

A. Imran, K. M. Rahat Hossain, S. M. R. Islam, M. S. Rahman

Triple-Negative Breast Cancer (TNBC) is characterized by high heterogeneity, poor prognosis, and limited targeted treatment options. Bridging the gap between molecular alterations…

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bioRxiv Genomics Clinical & Healthcare Immunology Oncology Protein Design

Integration of proteomic data from cell lines and tumors

C. Q. Ta, J. M. Auth, M. Schilling, U. Klingmueller +1

Cancer cell lines are widely used in preclinical research, yet the clinical translation of findings from cell lines remains limited. Identifying cell lines that best resemble…

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bioRxiv Genomics Molecular & Drug Design Single-cell

A mechanism-annotated benchmark reveals limited fidelity to drug-response signatures in single-cell perturbation models

L. Li, S. Duan, X. Zha, F. Ye +4

Single-cell drug perturbation models are increasingly used to predict how compounds remodel cellular states, but they are still largely assessed by expression reconstruction.…

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bioRxiv Genomics

Plant Bioengineering Atlas: A Knowledge Graph of Genes, DNA Constructs, and Plant Traits.

K. A. Yawar, S. Martin, D. J. Weston, L. Gu +2

Plant bioengineering has generated tens of thousands of genotype-to-phenotype relationships, but this knowledge remains fragmented across narrative literature and difficult to use…

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bioRxiv Neuroscience & Brain

WITHDRAWN: The richness of little voices: using artificial intelligence to understand early language development

M. Petrache, A. Carvallo, V. Silva, P. Barcelo +1

The authors have withdrawn this manuscript because it was realized that the central classification result that we claimed was attributable to a phenomenon of shortcut learning in…

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bioRxiv Clinical & Healthcare Medical Imaging Genomics

Cooperative Modular Representation Learning for Lung Adenocarcinoma Survival Prediction from Transcriptomic and Clinical Data

S. M. JASIM, N. Hezil, A. Bouridane, R. Hamoudi

Accurate prognosis in lung adenocarcinoma (LUAD) requires integration of high-dimensional transcriptomic profiles with compact but clinically stable patient covariates. Naive…

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bioRxiv Neuroscience & Brain

Neural Mechanisms of Willed Attention Control

C. Xiong, Y. Chen, Q. Yang, S. Kim +4

Cueing paradigms are commonly used to study the neural mechanisms of visual spatial attention control. In these paradigms, each trial starts with an external cue, which instructs…

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medRxiv Clinical & Healthcare Medical Imaging

CorSeg-CineSAX: An Open-Source Deep Learning Framework for Fully Automatic Segmentation of Short-Axis Cine Cardiac MRI Across Multiple Cardiac Diseases

R. Xu, S. Jiang, Y. Zhai, Y. Xu +6

BackgroundSegmentation of the left ventricular (LV) myocardium, LV cavity, and right ventricular (RV) cavity on short-axis cine cardiac magnetic resonance (CMR) images is…

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medRxiv Clinical & Healthcare

Implementation of a clinical decision support tool for acute diarrhea management in Tanzania and the United States: A Qualitative study using the Consolidated Framework for Implementation Research

J. Chepngeno, R. K. Rosen, R. Lantini, S. C. Garbern +8

BackgroundIn two large studies conducted in Bangladesh, our recently developed artificial intelligence (AI)-based models for assessing dehydration severity in children under five…

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medRxiv Clinical & Healthcare

Large-Scale Psychiatric Concept Extraction from Electronic Health Records: A Comparative Study of Encoder-Based Language Models

X. Xue, C. Frydman-Gani, A. Arias, M. Perez Vallejo +6

BackgroundFree-text notes in electronic health records (EHRs) contain fine-grained psychiatric information that is essential for psychiatric research and clinical care, and often…

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Abstract — source: medRxiv/bioRxiv · © authors · non-peer-reviewed preprint.