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The Challenges of Predicting Rare Outcomes: A Critical Appraisal of Machine Learning Using the Pediatric Resuscitation and Trauma Outcome (PRESTO) Model in a Tanzanian Injury Registry
Evidence-backed problem

The Challenges of Predicting Rare Outcomes: A Critical Appraisal of Machine Learning Using the Pediatric Resuscitation and Trauma Outcome (PRESTO) Model in a Tanzanian Injury Registry

Background Injuries are responsible for 950,000 deaths per year among children and adolescents under 18 years old. Trauma prediction scores are useful in determining severity and prognosis of injury patients. The pediatric resuscitation and trauma outcome (PRESTO) score was developed as a simple score for short-term mortality prediction in pediatric populations in low- and middle-income countries (LMICs). Using variables available at the bedside in resource-limited settings, PRESTO has been validated in South Af…

From Biomedical Datasets to Fairness-Aware Recommendations: An Integrated Data Orchestration Pipeline for Binary Clinical Predictions
Evidence-backed problem

From Biomedical Datasets to Fairness-Aware Recommendations: An Integrated Data Orchestration Pipeline for Binary Clinical Predictions

Many problems in biomedicine can be posed as binary classification. When they are addressed using artificial intelligence methods, though, average performance alone does not show whether a dataset is artificial intelligence ready, whether the endpoint is clinically valid, or whether errors are unevenly distributed across patient subgroups. This article presents the Fairness-Aware Data Orchestration Pipeline (FADOP), a reusable workflow that analyzes biomedical datasets, trains baseline binary classifiers, audits…

Accuracy of General-Use Multimodal AI Platforms for Pell and Gregory Classification of Impacted Mandibular Third Molars
Evidence-backed gain

Accuracy of General-Use Multimodal AI Platforms for Pell and Gregory Classification of Impacted Mandibular Third Molars

Purpose The purpose of this study was to evaluate the performance of two general-use artificial intelligence models, ChatGPT and Grok, in classifying impacted mandibular third molars using the Pell and Gregory system on panoramic radiographs, compared with a resident consensus reference standard. Materials and methods One hundred panoramic radiographic images of impacted mandibular third molars were independently classified by two blinded resident reviewers using the Pell and Gregory classification system. Resid…

Artificial intelligence-driven decision-making after endoscopic resection for early gastric cancer
Evidence-backed problem

Artificial intelligence-driven decision-making after endoscopic resection for early gastric cancer

Early gastric cancer (EGC) is increasingly managed by endoscopic resection (ER); however, lymph node metastasis (LNM), which occurs in approximately 5%-10% of cases, remains the key determinant for recommending additional gastrectomy. Current guideline-based strategies, including the eCura system, provide structured risk stratification but rely on categorical decision-making and may lead to overtreatment, as nearly 90% of patients undergoing additional surgery do not have LNM. Artificial intelligence (AI) has em…

Labor

Unmasking bias in the evidence ecosystem: a panoramic analysis of 311,751 meta-analyses using an artificial intelligence agent-based approach

Traditional secondary meta-analysis workflows are highly labour-intensive, time-consuming, and difficult to update in real time. Currently, there is a lack of comprehensive artificial intelligence frameworks capable of automating the entire meta-analysis workflow, including literature screening, data extraction, and quality assessment. Furthermore, a large-scale structured database for systematically analysing the global landscape of published meta-analyses remains unavailable. In this viewpoint, we aimed to eva…

Unmasking bias in the evidence ecosystem: a panoramic analysis of 311,751 meta-analyses using an artificial intelligence agent-based approach
Health

A novel use of AI for prediction of clinical deterioration in a post-acute hospital

There is a growing literature on the prediction of risk of deterioration in hospital settings, including by leveraging artificial intelligence (AI) models. However, this literature has focused on acute-care hospitals, rather than post-acute facilities, where the risk of deterioration remains high. Post-acute facilities tend to have lower digital maturity and poorer data foundations, as well as less rich physiologic data, making the implementation of AI tools for deterioration challenging. In this study, we demon…

A novel use of AI for prediction of clinical deterioration in a post-acute hospital
Science

Explainable deep learning improves human mental models of self-driving cars

Self-driving cars increasingly rely on deep neural networks to achieve human-like driving 1-3 . The opacity of these black-box planners makes it challenging to accurately anticipate when they will fail 4-6 , with potentially catastrophic consequences 7-9 . Although research into interpreting these systems has surged, most of it is confined to simulations or toy setups because of the difficulty of real-world deployment 10,11 , leaving the practical utility of these techniques unknown. Here, we introduce the Conce…

Explainable deep learning improves human mental models of self-driving cars
Health

Integrative bioinformatic analysis delineates a mitochondrial-hematopoietic gene signature for diagnosis and immune characterization in myelodysplastic syndromes

Objective This study aimed to develop a mitochondrial and hematopoiesis-related differentially expressed genes (MH-related DEGs) signature for Myelodysplastic syndromes (MDS) diagnosis and to characterize its regulatory network and immune microenvironment. Methods MH-related DEGs were defined as the intersection of differentially expressed genes from three integrated microarray datasets (GSE145733, GSE19429, GSE81173) with a curated set of mitochondrial- and hematopoiesis-related genes from public databases. Fun…

Integrative bioinformatic analysis delineates a mitochondrial-hematopoietic gene signature for diagnosis and immune characterization in myelodysplastic syndromes
Health

Physics-Informed Neural Networks Meet Multimodal Large Language Models: Biomechanical Simulation in Aortic Aneurysm

Axial dissections of the thoracic artery are common causes of death in people diagnosed with aortic dissection; however, decisions to intervene on ascending thoracic aortic patients are determined by the size of the ascending thoracic aorta based on its diameter. Diameter-based criteria fail to take into consideration the biomechanical properties of the aorta as well as other characteristics of the patient, and finite element analysis (in determining aortic wall stresses) would ideally address the issues associa…

Physics-Informed Neural Networks Meet Multimodal Large Language Models: Biomechanical Simulation in Aortic Aneurysm
Health

Machine learning-integrated explainable artificial intelligence for survival prediction in urothelial carcinoma with enfortumab vedotin: an exploratory real-world analysis

Background Enfortumab vedotin (EV) has transformed treatment for advanced urothelial carcinoma (aUC), but outcomes vary. Machine learning (ML) with explainable artificial intelligence (XAI) may improve survival prediction. Methods Data from 544 aUC patients receiving EV after platinum chemotherapy and immunotherapy (51 centers, 24 countries) were analyzed. Four machine learning (ML) algorithms (Random Survival Forest, XGBoost, Elastic Net-regularized Cox, Support Vector Machine) were trained (80%) and tested (20…

Machine learning-integrated explainable artificial intelligence for survival prediction in urothelial carcinoma with enfortumab vedotin: an exploratory real-world analysis
Health

A Real-World Evaluation of Large Language Model-Generated Hospital Courses in Pediatrics

Background Large language model (LLM)-generated hospital courses are increasingly integrated into electronic health records (EHRs), yet their accuracy and safety in pediatric populations remain poorly characterized. Objective To evaluate the accuracy, text quality, and perceived potential harm of EHR-integrated and LLM-generated hospital courses in pediatric inpatient care during early clinical implementation. Methods We conducted a descriptive evaluation from June 10 to August 8, 2025, at an academic freestandi…

A Real-World Evaluation of Large Language Model-Generated Hospital Courses in Pediatrics