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相关论文: Reasoning Before Diagnosis: Physician-Inspired Str…

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Document understanding with multimodal large language models (MLLMs) requires not only accurate answers but also explicit, evidence-grounded reasoning, especially in high-stakes scenarios. However, current document MLLMs still fall short of…

计算机视觉与模式识别 · 计算机科学 2026-03-10 Yuchuan Wu , Minghan Zhuo , Teng Fu , Mengyang Zhao , Bin Li , Xiangyang Xue

One of the major barriers to using large language models (LLMs) in medicine is the perception they use uninterpretable methods to make clinical decisions that are inherently different from the cognitive processes of clinicians. In this…

计算与语言 · 计算机科学 2023-08-15 Thomas Savage , Ashwin Nayak , Robert Gallo , Ekanath Rangan , Jonathan H Chen

Large language models (LLMs) show promise in automating clinical diagnosis, yet their non-transparent decision-making and limited alignment with diagnostic standards hinder trust and clinical adoption. We address this challenge by proposing…

人工智能 · 计算机科学 2025-11-25 Yining Yuan , J. Ben Tamo , Micky C. Nnamdi , Yifei Wang , May D. Wang

Accurate multi-label classification of electrocardiogram (ECG) signals remains challenging due to the coexistence of multiple cardiac conditions, pronounced class imbalance, and long-range temporal dependencies in multi-lead recordings.…

机器学习 · 计算机科学 2026-01-28 Alireza Jafari , Fatemeh Jafari

Clinical diagnosis begins with doctor-patient interaction, during which physicians iteratively gather information, determine examination and refine differential diagnosis through patients' response. This dynamic clinical-reasoning process…

计算与语言 · 计算机科学 2025-12-30 Yuqi Tang , Jing Yu , Zichang Su , Kehua Feng , Zhihui Zhu , Libin Wang , Lei Liang , Qiang Zhang , Keyan Ding , Huajun Chen

The electrocardiogram (ECG) remains a fundamental tool in cardiac diagnostics, yet its interpretation traditionally reliant on the expertise of cardiologists. The emergence of deep learning has heralded a revolutionary era in medical data…

信号处理 · 电气工程与系统科学 2024-09-13 Cheng Ding , Tianliang Yao , Chenwei Wu , Jianyuan Ni

Recent advances in large language models (LLMs) have shown that test-time scaling can substantially improve model performance on complex tasks, particularly in the coding domain. Under this paradigm, models use a larger token budget during…

人工智能 · 计算机科学 2026-04-21 Jiaxin Fang , Runyuan He , Sahil Bhatia , Neel Gajare , Alvin Cheung

Electrocardiogram (ECG)-based models have achieved strong performance in diagnostic tasks, yet they remain limited in modeling how cardiac dynamics evolve under external interventions. In particular, existing approaches focus primarily on…

人工智能 · 计算机科学 2026-05-19 Zhikang Chen , Yue Wang , Sen Cui , Yu Zhang , Changshui Zhang , Tianling Ren , Tingting Zhu

Extracting structured information from clinical notes requires navigating a dense web of interdependent variables where the value of one attribute logically constrains others. Existing Large Language Model (LLM)-based extraction pipelines…

Medical image segmentation is crucial for clinical diagnosis, yet existing models are limited by their reliance on explicit human instructions and lack the active reasoning capabilities to understand complex clinical questions. While recent…

计算机视觉与模式识别 · 计算机科学 2025-06-13 Yu Huang , Zelin Peng , Yichen Zhao , Piao Yang , Xiaokang Yang , Wei Shen

In this work we present a new idea to develop a method to separate stochastic and deterministic information contained in an electrocardiogram, ECG, which may provide new sources of information with diagnostic purposes. We assume that the…

数据分析、统计与概率 · 物理学 2016-08-16 R. M. Gutiérrez , L. Sandoval

Despite the wide adoption of Large Language Models (LLM)s, clinical decision support systems face a critical challenge: achieving high predictive accuracy while generating explanations aligned with the predictions. Current approaches suffer…

人工智能 · 计算机科学 2026-05-07 H M Quamran Hasan , Housam Khalifa Bashier , Jiayi Dai , Mi-Young Kim , Randy Goebel

Objective. Arrhythmia classification from electrocardiograms (ECGs) suffers from high false positive rates and limited cross-dataset generalization, particularly for atrial fibrillation (AF) detection where specificity ranges from 0.72 to…

机器学习 · 计算机科学 2026-02-16 Tiezhi Wang , Wilhelm Haverkamp , Nils Strodthoff

Test-time scaling has proven effective in further enhancing the performance of pretrained Large Language Models (LLMs). However, mainstream post-training methods (i.e., reinforcement learning (RL) with chain-of-thought (CoT) reasoning)…

机器学习 · 计算机科学 2025-08-19 Yuyang Xu , Yi Cheng , Haochao Ying , Zhuoyun Du , Renjun Hu , Xing Shi , Wei Lin , Jian Wu

It has always been a big challenge to identify subtle changes in Electroencephalogram (EEG) signals. Minor differences often lead to vital decisions, for example, which grade a certain tumour belong to or whether a haemorrhage can result in…

系统与控制 · 电气工程与系统科学 2022-06-01 Debojyoti Seth

The integration of Large Language Models (LLMs) into clinical decision support is critically obstructed by their opaque and often unreliable reasoning. In the high-stakes domain of healthcare, correct answers alone are insufficient;…

人工智能 · 计算机科学 2026-04-21 Chen Zhan , Xiaoyu Tan , Gengchen Ma , Yu-Jie Xiong , Xiaoyan Jiang , Xihe Qiu

Large language models (LLMs) hold transformative potential for medical decision support yet their application in psychiatry remains constrained by hallucinations and superficial reasoning. This limitation is particularly acute in…

Electroencephalography provides a non-invasive window into brain activity, offering valuable insights for neurological research, brain-computer interfaces, and clinical diagnostics. However, the development of robust machine learning models…

信号处理 · 电气工程与系统科学 2025-02-26 Chi-Sheng Chen , Ying-Jung Chen , Aidan Hung-Wen Tsai

The recent rise of reasoning-tuned Large Language Models (LLMs)--which generate chains of thought (CoTs) before giving the final answer--has attracted significant attention and offers new opportunities for gaining insights into human label…

计算与语言 · 计算机科学 2025-09-25 Beiduo Chen , Yang Janet Liu , Anna Korhonen , Barbara Plank

Deep learning has emerged as the preferred modeling approach for automatic ECG analysis. In this study, we investigate three elements aimed at improving the quantitative accuracy of such systems. These components consistently enhance…

信号处理 · 电气工程与系统科学 2023-08-30 Temesgen Mehari , Nils Strodthoff
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