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Normalized risk-based evaluation of machine learning-based classification models: A multiclass approach with applications in medical devices
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Normalized risk-based evaluation of machine learning-based classification models: A multiclass approach with applications in medical devices

ObjectiveMachine learning is increasingly integrated into safety-critical domains such as medical applications. In this context, regulatory frameworks require the assessment and minimization of risks associated with incorrect model predictions. However, classical evaluation methods often focus on quantifying error frequencies, which do not reflect the heterogeneous impact of different types of errors. To address this deficiency, we elaborate an approach for assessing machine learning-based multiclass classificat…

Journal of International Medical Research
Distinct clinical patterns of preterm infants vulnerable to intestinal injury identified by unsupervised clustering
Evidence-backed gain

Distinct clinical patterns of preterm infants vulnerable to intestinal injury identified by unsupervised clustering

Background Current necrotizing enterocolitis (NEC) diagnostic criteria fail to capture the full spectrum of intestinal injury. We aimed to identify diagnosis-independent clinical patterns of intestinal injury among vulnerable very low birth weight (VLBW) infants using unsupervised hierarchical clustering. Methods Using prospectively collected data from 20,352 VLBW infants in the Korean Neonatal Network (2013-2022), unsupervised clustering was performed after excluding variables reflecting prematurity and NEC dia…

Guideline Concordance of ChatGPT-Generated Responses on Antibiotic Prophylaxis in Endodontics
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Guideline Concordance of ChatGPT-Generated Responses on Antibiotic Prophylaxis in Endodontics

Antibiotic prophylaxis decision-making in endodontics represents a core competency in dental education, requiring the integration of systemic risk assessment, guideline interpretation, and antimicrobial stewardship principles. Although artificial intelligence (AI) tools such as ChatGPT are increasingly accessed by students and clinicians for clinical guidance, their educational reliability in teaching evidence-based antibiotic prophylaxis remains unclear. This descriptive study evaluated the accuracy and guideli…

Parental Attachment Anxiety and Adolescents' Authentic Self-Disclosure to Generative AI: The Roles of Rumination, Depression, and Gender
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Parental Attachment Anxiety and Adolescents' Authentic Self-Disclosure to Generative AI: The Roles of Rumination, Depression, and Gender

Generative artificial intelligence (GenAI) is increasingly used by adolescents across various domains. While existing research has explored its impact on education and mental health, little attention has been given to adolescents' authentic self-disclosure to GenAI. Drawing on the cognitive appraisal theory of stress and the computers are social actors paradigm, this study examines how parent - adolescent attachment anxiety influences adolescents' authentic self-disclosure to GenAI, with rumination and depressio…

Identification of key molecular targets in nicotine-induced spontaneous abortion through network toxicology and multi-omics integration
Evidence-backed problem

Identification of key molecular targets in nicotine-induced spontaneous abortion through network toxicology and multi-omics integration

Introduction Spontaneous abortion (SA) remains a prevalent reproductive health challenge, with tobacco-derived nicotine emerging as a significant risk factor. This study sought to decipher the molecular underpinnings of nicotine-induced pregnancy loss through comprehensive multi-omics profiling to identify novel biomarkers and potential intervention targets. Methods An integrated bioinformatics approach was implemented combining network toxicology, transcriptomic profiling, and machine learning algorithms to elu…

Health

Rapid serum-based differentiation of ovarian tumors and assessment of post-treatment disease-free status using portable Raman spectroscopy and machine learning

Rapid, low-cost tools for ovarian tumor discrimination and post-treatment assessment remain limited because conventional serum biomarkers such as CA125 have suboptimal sensitivity and specificity. Serum contains proteins, lipids, carbohydrates, and nucleic acids that generate disease-related spectrochemical fingerprints, which portable Raman spectroscopy can capture with minimal sample preparation. We investigated serum Raman profiling for ovarian tumor discrimination and cross-sectional characterization of post…

Rapid serum-based differentiation of ovarian tumors and assessment of post-treatment disease-free status using portable Raman spectroscopy and machine learning
Health

Imaging subtypes reveal distinct biological substrates and disability profiles in multiple sclerosis

Multiple sclerosis is characterized by marked biological heterogeneity that is only partly captured by conventional clinical phenotypes and age-at-onset categories. MRI can detect focal lesions, diffuse microstructural damage and atrophy, but these measures are usually considered separately. We therefore aimed to use Subtype and Stage Inference (SuStaIn), an unsupervised machine learning framework, to identify biologically meaningful MRI subtypes of multiple sclerosis and determine their associations with disabi…

Imaging subtypes reveal distinct biological substrates and disability profiles in multiple sclerosis
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Artificial intelligence and perioperative nurses in error detection during operating room transfers: A simulation-based comparison

BackgroundThe safe and efficient transfer of patients to the operating room is a critical component of surgical care. The growing integration of artificial intelligence (AI) in healthcare introduces new possibilities for enhancing clinical decision-making.ObjectiveThis study compared the performance of AI and perioperative nurses with varying experience levels in identifying errors during the preoperative patient transfer process.MethodsA controlled simulation study was conducted involving three nurses (novice,…

Artificial intelligence and perioperative nurses in error detection during operating room transfers: A simulation-based comparison
Health

OpenAI hack on Australian government reveals anxiety at heart of global artificial intelligence dilemma

When the Australian prime minister, Anthony Albanese, sat down for an interview in the heart of Silicon Valley at the weekend he had known for two days that his was the first government known to have been attacked by a rogue AI agent. He didn’t reveal the attack then, but he sounded a warning about the march of AI: “the risk is that AI develops in a way in which humans are no longer in control of what AI is producing.” But Albanese noted, too, that two countries – the US and China – would dominate the world’s re…

OpenAI hack on Australian government reveals anxiety at heart of global artificial intelligence dilemma
Health

Agentic AI, medical morality and the transformation of the patient-physician relationship

Agentic artificial intelligence (AI) is an emerging development in the digital transformation of healthcare. Unlike conventional generative AI, agentic AI systems can perform autonomous, goal-directed actions and coordinate complex tasks. They promise to support or even collaborate with clinicians and patients in increasingly independent ways. While agentic AI raises familiar moral concerns regarding safety, accountability and bias, this article focuses on a less explored dimension: its capacity to transform the…

Agentic AI, medical morality and the transformation of the patient-physician relationship
Health

Leveraging AI for infectious disease modelling and public health decision making

Artificial intelligence (AI) is expanding the capacity of public health systems to detect infectious disease signals, forecast outbreaks, analyse pathogen evolution, generate localised risk estimates, and support operational decisions. The thirteenth session of the WHO Pandemic and Epidemic Intelligence Innovation Forum brought together experts from academic, public health, and technology organisations to examine current applications of AI in infectious disease modelling and pandemic preparedness. Examples inclu…

Leveraging AI for infectious disease modelling and public health decision making
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Diagnostic accuracy & clinical importance of AI confidence for extremity fracture detection: 2,508-patient retrospective cohort

Purpose To estimate diagnostic performance of a deep learning algorithm for extremity fracture detection on radiographs in patients aged ≥ 2 years using a refined reference standard. Secondary, to compare positive predictive value (PPV) by the algorithm's built-in confidence level (high vs. low) and diagnostic performance between adults (≥ 18 years) and children. Methods This retrospective single-center study consecutively included patients with radiography of a suspected extremity fracture between January and D…

Diagnostic accuracy & clinical importance of AI confidence for extremity fracture detection: 2,508-patient retrospective cohort