Yixin Wang

Yongkai Liu, Helena Feng, Bin Jiang et al.

Predicting outcomes in acute ischemic stroke (AIS) guides clinical decision-making, patient counseling, and resource allocation. Clinical notes contain rich contextual information, but their unstructured nature limits their use in traditional predictive models. We developed and evaluated the Chain-of-Thought (CoT) Outcome Prediction Engine (COPE), a reasoning-enhanced large language model framework, for predicting 90-day functional outcomes after AIS from unstructured clinical notes. This study included 464 AIS patients with discharge summaries and 90-day modified Rankin Scale (mRS) scores. COPE uses a two-step CoT framework based on sequential open-source LLaMA-3-8B models: the first generates clinical reasoning, and the second outputs an mRS prediction. We compared COPE with GPT-4.1, ClinicalBERT, a structured variable-based machine learning model (Clinical ML), and a single-step LLM without CoT. Performance was evaluated using mean absolute error (MAE), accuracy within +/-1 mRS point, and exact accuracy. COPE achieved an MAE of 1.01 (95% CI 0.92-1.11), +/-1 accuracy of 74.4% (69.9, 78.8%), and exact accuracy of 32.8% (28.0, 37.6%), comparable to GPT-4.1 and superior to ClinicalBERT [MAE 1.24 (1.13-1.36)], Clinical ML [1.28 (1.18-1.39)], and the single-step LLM [1.20 (1.09-1.33)]. Subgroup analyses showed consistent performance across sex and age, with slightly higher error among older patients, those undergoing thrombectomy, and those with longer summaries. These findings demonstrate that COPE, a lightweight, interpretable, and privacy-preserving open-source framework, provides an accurate and practical solution for outcome prediction from unstructured clinical text.

Yixin Wang, Yifan Hu, Peiyuan Liu et al.

Time series forecasting remains a challenging problem due to the intricate entanglement of intra-period fluctuations and inter-period trends. While recent advances have attempted to reshape 1D sequences into 2D period-phase representations, they suffer from two principal limitations. Firstly, treating reshaped tensors as static images results in a topological mismatch, as standard spatial operators sever chronological continuity at grid boundaries. Secondly, relying on uniform fixed-size representations allocates modeling capacity inefficiently and fails to provide the adaptive resolution required for compressible, non-stationary temporal patterns. To address these limitations, we introduce TimeGS, a novel framework that fundamentally shifts the forecasting paradigm from regression to 2D generative rendering. By reconceptualizing the future sequence as a latent 2D temporal surface, TimeGS utilizes the inherent anisotropy of Gaussian kernels to adaptively model complex variations with flexible geometric alignment. To realize this, we introduce a Multi-Basis Gaussian Kernel Generation (MB-GKG) block that synthesizes kernels from a fixed dictionary to stabilize optimization, and a Multi-Period Chronologically Continuous Rasterization (MP-CCR) block that enforces strict temporal continuity across periodic boundaries. Comprehensive experiments on standard benchmark datasets demonstrate that TimeGS attains state-of-the-art or competitive performance. The code is at https://github.com/yixinwang1/TimeGS.