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Abstract Purpose Conventional multiparametric magnetic resonance imaging (mpMRI) parameters have limited ability to identify prostate cancer (PCa) patients harboring BRCA1/2 mutations. We investigated whether radiomic features extracted from apparent diffusion…
europepmc
2026
置信度 0.80
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Abstract Postoperative dysphagia remains one of the most clinically significant complications following anti-reflux surgery, yet existing preoperative risk stratification approaches incompletely integrate esophageal motility, reflux burden, and esophagogastric…
preprints
2026
置信度 0.74
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Abstract Background: Hospital readmission within 30 days of discharge is a closely watched indicator of care quality and a substantial driver of avoidable healthcare cost, and diabetes is among the chronic conditions most strongly associated with early readmis…
preprints
2026
置信度 0.74
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Background Deep Brain Stimulation (DBS) surgery is a treatment of choice for movement disorders, and utilizes an implanted electrical pulse generator that administers electrical stimulation to designated brain regions responsible for motor control. The preoper…
preprints
2026
置信度 0.74
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Abstract Background Preoperative identification of lymph node metastasis (LNM) is pivotal for tailoring surgical strategies in prostate cancer. Current radiologic assessment is limited by low sensitivity for micro-metastasis. Artificial intelligence (AI) inclu…
preprints
2026
置信度 0.74
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The authors have withdrawn this manuscript because the number of positive cases in the original data is too small, leading to major flaws in the statistical analysis and rendering the findings and conclusions unreliable. Therefore, the authors do not wish this…
preprints
2026
置信度 0.74
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Abstract Accurate multi-class diagnosis of respiratory diseases using clinical tabular data remains a challenging problem in medical decision support systems due to complex non-linear feature dependencies, severe class imbalance, and limited interpretability o…
preprints
2026
置信度 0.74
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Abstract Background. Young Black and Hispanic adults in the United States bear a disproportionate burden of cardiovascular stroke-risk factors. Using the National Health and Nutrition Examination Survey (NHANES), we quantified racial and ethnic disparities in …
preprints
2026
置信度 0.74
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Abstract Schizophrenia (SC) is a severe mental disorder characterized by complex pathological mechanisms and clinical manifestations, which poses significant challenges for diagnosis and treatment. This study aimed to explore the neural mechanism abnormalities…
preprints
2026
置信度 0.74
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Retention in antiretroviral therapy (ART) care remains a major challenge in high-burden settings such as Malawi, where substantial loss to follow up undermines treatment outcomes and long-term epidemic control. Although machine learning models can accurately i…
preprints
2026
置信度 0.74
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Heart disease remains one of the leading causes of mortality worldwide, creating an urgent need for accurate and interpretable predictive systems that can support early diagnosis and clinical decision-making. Recent advances in machine learning have demonstrat…
preprints
2026
置信度 0.74
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Abstract Background This study aimed to develop a machine learning–based radiomics model based on 18F‑FDG PET/MR images, to predict EGFR mutation status and mutation abundance in lung cancer, and to explore the value of multimodal radiomic features in clinical…
preprints
2026
置信度 0.74
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Abstract Human herpesvirus 7 (HHV-7) is a common pediatric virus whose clinical relevance is often underestimated, resulting in heterogeneous testing practices and variable diagnostic yield. Improving diagnostic decision-making requires the ability to identify…
preprints
2026
置信度 0.74
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Abstract Background First-trimester prediction of gestational diabetes mellitus (GDM) is useful only when risk estimates remain accurate over time and are interpretable enough for clinical discussion. Many GDM prediction studies emphasize discrimination, where…
europepmc
2026
置信度 0.80
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Abstract Background Sepsis complicated by gastrointestinal bleeding (GIB) is associated with high mortality in the intensive care unit (ICU). Current prognostic tools lack specificity for this dual comorbidity, making early and accurate risk stratification a m…
preprints
2026
置信度 0.74
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Clinical prediction systems are commonly optimized for intact-input discrimination, while safety engineering in other high-consequence fields asks a different question: what remains safe when one credible component fails? This paper proposes Medical Contingenc…
preprints
2026
置信度 0.74
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Introduction Distinct temperature patterns have long been recognized to correlate with fevers of differing etiologies. While the use of wearable sensors for high-frequency temperature monitoring (HFTM) on a near minute-by-minute basis has been shown to detect …
preprints
2026
置信度 0.74
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Abstract Background: Acute coronary syndrome (ACS) remains a leading cause of cardiovascular death and disability. Despite increasingly comprehensive guideline-directed therapy and the widespread use of contemporary revascularization, substantial unmet clinica…
preprints
2026
置信度 0.74
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Abstract Background Tertiary lymphoid structures (TLS) represent organized ectopic lymphoid aggregates within the tumor microenvironment and are increasingly recognized as markers of local antitumor immune organization. In pancreatic ductal adenocarcinoma (PDA…
preprints
2026
置信度 0.74
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Abstract Accurately diagnosing Attention-Deficit/Hyperactivity Disorder (ADHD) remains challenging due to symptom variability, reliance on subjective reports, and limited ecological validity of traditional tools. This study investigates the diagnostic utility …
preprints
2026
置信度 0.74
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ABSTRACT Objective To develop an interpretable multimodal machine-learning model for risk stratification of the rapid pain progression phenotype in knee osteoarthritis and to evaluate its performance in the independent PROCOAC cohort. Methods An elastic-net lo…
preprints
2026
置信度 0.74
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Abstract Cardiovascular disease (CVD) remains a leading cause of global mortality, demanding timely and precise risk stratification alongside transparent decision support. While machine learning models excel at risk prediction, they lack clinical interpretabil…
preprints
2026
置信度 0.74
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ABSTRACT Health-related social needs (HRSNs), such as housing instability, food insecurity, and transportation challenges, are nonmedical factors associated with poorer health and well-being. Screening for unmet HRSNs is a critical step towards identifying at-…
preprints
2026
置信度 0.74
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Background: /Objectives: Sleep disturbances are common but frequently underrecognized in multiple sclerosis (MS), independently predicting reduced quality of life and worsening fatigue, cognitive impairment, and depression. While pain, nocturia, fatigue, and m…
preprints
2026
置信度 0.74
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Background: Childhood neurodegenerative disorders are usually rare, genetic, and life-limiting. Whilst targeted approaches present huge potential, significant hurdles include disease rarity, geographical dispersion of patients, funding, clinical trial design, …
preprints
2026
置信度 0.74
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Abstract Sudden cardiac events in athletes, though rare, carry severe consequences and underscore the need for accurate and scalable screening methods. Electrocardiogram (ECG) analysis is a cornerstone of cardiac evaluation, but widespread implementation in at…
preprints
2026
置信度 0.74
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Background Acute pancreatitis (AP) is a common gastrointestinal emergency with a subset of patients progressing to severe acute pancreatitis (SAP), which carries substantial morbidity and mortality. Current clinical severity scores such as BISAP, APACHE II, Ra…
preprints
2026
置信度 0.74
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Background Biochemical recurrence (BCR) occurs in up to 40% of men following radical prostatectomy (RP). Current risk models rely primarily on clinicopathologic variables and may not fully capture the biological heterogeneity associated with recurrence. The De…
preprints
2026
置信度 0.74
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Background Severe dengue remains difficult to predict because patients with different clinical trajectories may present with overlapping features, and conventional severity classifications may not fully capture underlying biological heterogeneity. In this stud…
preprints
2026
置信度 0.74
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Abstract Background, the world health organization estimated in 2020 of 5.8 million people newly diagnosed with Tuberculosis, predicting tuberculosis treatment relapse is crucial for improving patient treatment outcomes, studies have explored the factors conne…
preprints
2026
置信度 0.74
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Postoperative wound healing complications present a major challenge in plastic and reconstructive surgery, prolonging recovery and impairing outcomes. Early risk identification is difficult due to complex interactions among clinical, laboratory, and molecular …
preprints
2026
置信度 0.74
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Abstract Maternal mental health disorders remain a significant global public health challenge, particularly in low- and middle-income countries where limited mental health resources and inadequate screening systems contribute to underdiagnosis and delayed inte…
preprints
2026
置信度 0.74
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Abstract Background Carotid plaque vulnerability is a key predictor of ischemic stroke (IS). We aimed to evaluate the performance of machine learning models combining multimodal ultrasound and clinical features to assess IS risk in patients with carotid plaque…
europepmc
2026
置信度 0.80
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Abstract Objective: Cardiovascular-kidney-metabolic (CKM) syndrome constitutes a continuum of metabolic, renal, and cardiovascular dysfunction, yet practical tools for stratifying progression risk in its early, modifiable stages remain absent. We aimed to deve…
preprints
2026
置信度 0.74
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Dementia is a progressive neurological condition characterized by cognitive decline and structural brain changes that evolve. Longitudinal modeling of these changes is important for improving disease monitoring, identifying progression patterns, and supporting…
preprints
2026
置信度 0.74
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Abstract Background Functional tooth loss (FTL) is a significant public health challenge among older adults, with documented adverse effects on oral function, quality of life, and systemic health outcomes. Current risk assessment tools, largely derived from cr…
preprints
2026
置信度 0.74
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Abstract Fibromyalgia frequently co-occurs with disc herniation and inflammatory bowel syndrome, and the overlapping symptom profiles of these conditions complicate differential diagnosis. This paper proposes a machine learning framework for three-class comorb…
preprints
2026
置信度 0.74
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Preterm birth is the leading cause of neonatal death. Despite sustained efforts to identify high-risk women in the mid-trimester, accurate prediction remains difficult. Quantitative cervical ultrasound texture has been proposed as a predictor of spontaneous pr…
preprints
2026
置信度 0.74
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Abstract Background ICH has high ICU mortality, yet conventional scores rely on static data and miss early dynamics. We developed and validated machine learning models using 24-hour time-series features to predict in-hospital mortality. Methods This TRIPOD + A…
preprints
2026
置信度 0.74
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ICU trauma patients are clinically heterogeneous, and early mortality risk stratification may support monitoring and resource allocation. We developed machine learning models for 30-day mortality prediction using information recorded during the first 24 hours …
preprints
2026
置信度 0.74
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Abstract Background Early prediction of prostate cancer risk is critical for timely diagnosis and treatment. While prostate-specific antigen (PSA) testing is widely used in screening, its limited specificity highlights the need for complementary biomarkers. We…
preprints
2026
置信度 0.74
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Dental implant therapy requires precise planning to ensure functional performance, aesthetic outcomes, and long-term clinical success. Conventional implant planning and crown design often rely on clinician experience, radiographic interpretation, and manual me…
preprints
2026
置信度 0.74
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Abstract Background To develop and validate a CT-based hybrid model for preoperative prediction of invasive tumor features (visceral pleural invasion, lymphovascular invasion, or spread through air spaces) and occult lymph node metastasis (OLNM) in clinical ea…
preprints
2026
置信度 0.74
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Background Periodontitis affects over 1 billion people worldwide, yet diagnosis relies on clinical measures that capture tissue destruction rather than underlying microbial dysbiosis. Most microbial-biomarker studies use 16S rRNA sequencing or reference-databa…
preprints
2026
置信度 0.74
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cardiovascular disease (CVD) is a leading cause of global mortality and may progress without obvious symptoms. This study proposes CardioSafeAI, an explainable federated learning framework for predicting ten-year coronary heart disease risk from a public datas…
preprints
2026
置信度 0.74
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Abstract Background Sudden sensorineural hearing loss (SSNHL) is a highly heterogeneous condition with unpredictable recovery. We aimed to develop and validate an interpretable, subtype-specific machine learning (ML) framework for prognostic assessment using t…
preprints
2026
置信度 0.74
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Background Breast and cervical cancer screening in Ghana remains low, and several analyses of the Ghana Demographic and Health Survey (GDHS) have already shown that wealth, education, and place of residence pattern who gets screened [1–3]. Whether this pattern…
preprints
2026
置信度 0.74
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Background Non-invasive embryo quality assessment is a critical unmet need in assisted reproductive technology (ART). Preimplantation genetic testing for aneuploidy (PGT-A) is effective but requires invasive biopsy that may compromise embryo viability. Metabol…
preprints
2026
置信度 0.74
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Early prediction of disease progression in tetanus enables timely intervention which can improve outcome. We have developed a machine learning model to predict transition to severe tetanus. The model uses continuous pulse plethysmography waveforms recorded fro…
preprints
2026
置信度 0.74
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Background: /Objectives: Motor abnormalities are frequently observed in schizophrenia, but accessible methods for objective gait quantification remain limited. This exploratory controlled-setting study examined whether markerless smartphone-based video analysi…
preprints
2026
置信度 0.74
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Abstract Purpose To develop and evaluate a machine learning based approach for the interpretation of uroflowmetry in pediatric lower urinary tract dysfunction, aiming to reduce interobserver variability and improve diagnostic consistency while maintaining clin…
preprints
2026
置信度 0.74
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Abstract Background: Dental caries remains a major public health problem among school children, and evidence show the contribution of oral microbiota dysbiosis in the disease onset and progression. However, integrative predictive models incorporating oral micr…
preprints
2026
置信度 0.74
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Abstract Risk scores guide discharge, urgent endoscopy, transfusion, and monitoring in non-variceal upper gastrointestinal bleeding (NV-UGIB), but their performance relative to machine learning (ML) models remains unclear. We reviewed 26 studies and performed …
preprints
2026
置信度 0.74
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Abstract Background Pressure injuries are a common complication in intensive care units, and existing risk assessment tools often rely on subjective judgment with inconsistent predictive performance. Recent machine learning models have shown promise, but many …
preprints
2026
置信度 0.74
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Abstract Background Accurate short-term blood glucose prediction can help reduce adverse glycemic events and improve diabetes management. Although machine learning models have shown promising performance for glucose forecasting, their clinical adoption remains…
preprints
2026
置信度 0.74
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FeePredict is a three-stage random forest machine learning framework to simultaneously predict whether Medicare reimbursement rates for specific procedures will change, in which direction they will change, and by how much. FeePredict was applied to the four ma…
preprints
2026
置信度 0.74
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Abstract Background Depression is highly prevalent in middle-aged and older patients with gastrointestinal diseases (GID) and severely impairs their quality of life and treatment outcomes. This cross-sectional study aimed to develop and validate an interpretab…
preprints
2026
置信度 0.74
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Abstract Purpose: To compare artificial intelligence and machine-learning models for in-hospital mortality prediction in adult intensive care unit (ICU) patients and examine the contribution of surgical status to model behavior. Methods: This retrospective sin…
preprints
2026
置信度 0.74
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Abstract Objective Accurate prediction of next-day hospital discharge after elective spine surgery is critical for optimizing inpatient operations and perioperative care coordination. This study introduces a structured-to-narrative modeling framework that tran…
preprints
2026
置信度 0.74
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Motivation Antimicrobial resistance (AMR) has been identified as a top global public health threat. Accurate AMR phenotype prediction from whole-genome sequencing data is an essential tool for accelerating clinical decision-making and mitigating resistance spr…
preprints
2026
置信度 0.74
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Abstract Background The Endothelial Activation and Stress Index (EASIX), derived from lactate dehydrogenase, serum creatinine, and platelet count, has been associated with adverse outcomes in hematological and cardiological populations, but its prognostic valu…
preprints
2026
置信度 0.74
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Background Bloodstream infections are a major cause of mortality, yet the primary testing method, blood cultures, have low positivity ( Methods In this retrospective cohort study, we used routinely collected clinical and laboratory data available around cultur…
europepmc
2026
置信度 0.80
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Abstract Patients with HBV-related liver disease requiring intensive care are at high risk of short-term mortality, and early prognostic stratification using information available within the first 24 hours of ICU admission remains clinically important. This re…
preprints
2026
置信度 0.74
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Abstract Background: Acute coronary syndrome (ACS) remains a leading cause of cardiovascular death and disability. Despite increasingly comprehensive guideline-directed therapy and the widespread use of contemporary revascularization, substantial unmet clinica…
preprints
2026
置信度 0.74
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Predicting new-onset motor fluctuations and levodopa-induced dyskinesias (LID) is crucial for optimizing Parkinson’s disease management. To establish a transparent prognostic framework, we applied explainable machine learning to real-world, multicentric clinic…
preprints
2026
置信度 0.74
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Abstract Purpose This study aimed to develop and validate a novel machine learning-based model for predicting distant metastasis in lung cancer, uniquely incorporating multidimensional pretreatment indicators, namely markers of systemic inflammation, tumor sta…
preprints
2026
置信度 0.74
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Background Cardiac resynchronization therapy (CRT) fails in 30% of patients, often due to suboptimal left ventricular pacing site (LVPS) selection. Current practice lacks tools for pre-procedural, patient-specific LVPS optimization within the accessible corona…
preprints
2026
置信度 0.74
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ABSTRACT Background Efficient cerebral microhemorrhage (MCH) monitoring is critical for anti-amyloid therapy safety due to ARIA-H risk. We developed MCH-Guard, a multimodal machine-learning framework, to stratify MCH risk using ADNI data (N=813). Methods Neste…
preprints
2026
置信度 0.74
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Background: Critically ill patients with cancer and sepsis have high in-hospital mortality, but externally validated prediction models are limited. Objective: To develop and externally validate an interpretable machine learning framework using first-day intens…
preprints
2026
置信度 0.74
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Purpose The 11 Integrative Cluster (IntClust) genomic subtypes of breast cancer have both prognostic and predictive value but require integrated DNA copy-number and gene expression profiling, which are not routinely used in clinical care. We tested whether Int…
preprints
2026
置信度 0.74
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Background Multiple myeloma (MM) progression is accompanied by remodeling of the bone marrow immune microenvironment. Local interactions among malignant plasma cells, stromal cells, myeloid cells, and immune cells not only support tumor cell survival, expansio…
preprints
2026
置信度 0.74
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Abstract Even though enzymes such as cyclooxygenase (COX) are fundamental in the modulation of inflammation and pain, fragmented analytical methodologies and reduced model interpretability remain a bottleneck to predictive assessment of COX inhibitors. To fill…
preprints
2026
置信度 0.74
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Background Despite a rising global psychiatric burden, a treatment gap persists where the majority of symptomatic individuals remain unmedicated. Traditional epidemiological analyses treat this untreated population as a single, uniform block, obscuring specifi…
preprints
2026
置信度 0.74
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Abstract Background Invasive fungal infection (IFI) is a life-threatening complication in critically ill patients, yet externally validated, generalizable machine learning (ML) tools for early risk stratification remain scarce. We developed and rigorously vali…
preprints
2026
置信度 0.74
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Abstract Liver metastasis is among the major determinants of prognosis in non-small cell lung cancer (NSCLC), and early identification of high-risk patients has direct implications for clinical management. We retrospectively enrolled 849 patients with stage II…
preprints
2026
置信度 0.74
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Background Postoperative delirium (POD) is a complication associated with most types of surgery, and is associated with a number of detrimental effects. Therefore, it is of interest to determine which patients may be at higher risk of POD so that mitigating st…
preprints
2026
置信度 0.74
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Dental implant therapy requires precise planning to ensure functional performance, aesthetic outcomes, and long-term clinical success. Conventional implant planning and crown design often rely on clinician experience, radiographic interpretation, and manual me…
preprints
2026
置信度 0.74
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BACKGROUND Genetic frontotemporal dementia (FTD) shows large differences in symptom profiles, brain atrophy patterns, and progression rate, making clinical trials difficult to design and power. There is a need for biomarkers that can model disease progression,…
preprints
2026
置信度 0.74
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Importance Prognostic tools beyond staging are needed to guide treatment and counseling in head and neck squamous cell carcinoma (HNSCC). Objective To develop and externally validate a machine learning model predicting survival in advanced HNSCC using routinel…
preprints
2026
置信度 0.74
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Abstract Background Hemoglobin (Hb) and red cell distribution width (RDW) are well-established risk factors for the onset and progression of diabetic kidney disease (DKD). Consequently, this study investigated the clinical association between the hemoglobin-to…
preprints
2026
置信度 0.74
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Abstract Purpose: This study aims to explore the clinical value of monitoring the vascular response index and other hemodynamic parameters using the Pulse Indicator Continuous Cardiac Output (PICCO) monitoring device in the treatment of septic shock patients. …
preprints
2026
置信度 0.74
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Abstract Background Conventional cardiometabolic risk classifications rely on predefined diagnostic thresholds and often fail to capture the continuous, multifactorial, and heterogeneous nature of risk in the general population. In particular, individuals with…
preprints
2026
置信度 0.74
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ABSTRACT Background Machine learning (ML) models for traumatic brain injury (TBI) prediction increasingly demand extensive data, computational resources, and energy consumption, yet simpler models may offer comparable clinical benefit with lower barriers to de…
preprints
2026
置信度 0.74
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Abstract Background Accurate prediction of fetal birth weight is essential for antenatal management; however, traditional formulas demonstrate limited precision and are susceptible to label leakage. This study aimed to develop a prediction model based on 30 le…
preprints
2026
置信度 0.74
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Abstract It is critical that dementia clinical interventions begin early in the disease progression to be effective. Similar clinical manifestations may be observed in both cognitively healthy older adults and older adults with early-stage cognitive impairment…
preprints
2026
置信度 0.74
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One goal of Scientific Machine Learning (SciML) is to advance traditional scientific computing frameworks with modern machine learning tools. This includes extending established methods, such as the finite element method, with cardiac function applications due…
preprints
2026
置信度 0.74
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This essay aims to develop a machine learning model that is able to build an initial advantage for behavioral biometrics. While behavioral biometrics have theoretically shown to be advantageous over traditional identification methods like passwords and physica…
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Archetypal analysis (AA) proposed by Cutler and Breiman in [1] estimates the principal convex hull of a data set. As such AA favors features that constitute representative 'corners' of the data, i.e. distinct aspects or archetypes. We will show that AA enjoys …
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Machine Learning (ML) is the process of training machines to analyze and learn from provided data. It can be categorized into three main types: supervised, unsupervised, and reinforcement learning. Unsupervised learning, a method that allows the discovery of u…
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