Chenyu Tang

Chenyu Tang, Wentian Yi, Muzi Xu et al.

In wearable smart systems, continuous monitoring and accurate classification of different sleep-related conditions are critical for enhancing sleep quality and preventing sleep-related chronic conditions. However, the requirements for device-skin coupling quality in electrophysiological sleep monitoring systems hinder the comfort and reliability of night wearing. Here, we report a washable, skin-compatible smart garment sleep monitoring system that captures local skin strain signals under weak device-skin coupling conditions without positioning or skin preparation requirements. A printed textile-based strain sensor array responds to strain from 0.1% to 10% with a gauge factor as high as 100 and shows independence to extrinsic motion artefacts via strain-isolating printed pattern design. Through reversible starching treatment, ink penetration depth during direct printing on garments is controlled to achieve batch-to-batch performance variation < 10%. Coupled with deep learning, explainable artificial intelligence (XAI), and transfer learning data processing, the smart garment is capable of classifying six sleep states with an accuracy of 98.6%, maintaining excellent explainability (classification with low bias) and generalization (95% accuracy on new users with few-shot learning less than 15 samples per class) in practical applications, paving the way for next-generation daily sleep healthcare management.

Shengbo Wang, Shuo Gao, Chenyu Tang et al.

Efficient operation of intelligent machines in the real world requires methods that allow them to understand and predict the uncertainties presented by the unstructured environments with good accuracy, scalability and generalization, similar to humans. Current methods rely on pretrained networks instead of continuously learning from the dynamic signal properties of working environments and suffer inherent limitations, such as data-hungry procedures, and limited generalization capabilities. Herein, we present a memristor-based differential neuromorphic computing, perceptual signal processing and learning method for intelligent machines. The main features of environmental information such as amplification (>720%) and adaptation (<50%) of mechanical stimuli encoded in memristors, are extracted to obtain human-like processing in unstructured environments. The developed method takes advantage of the intrinsic multi-state property of memristors and exhibits good scalability and generalization, as confirmed by validation in two different application scenarios: object grasping and autonomous driving. In the former, a robot hand experimentally realizes safe and stable grasping through fast learning (in ~1 ms) the unknown object features (e.g., sharp corner and smooth surface) with a single memristor. In the latter, the decision-making information of 10 unstructured environments in autonomous driving (e.g., overtaking cars, pedestrians) is accurately (94%) extracted with a 40*25 memristor array. By mimicking the intrinsic nature of human low-level perception mechanisms, the electronic memristive neuromorphic circuit-based method, presented here shows the potential for adapting to diverse sensing technologies and helping intelligent machines generate smart high-level decisions in the real world.

Chenyu Tang, Wentian Yi, Edoardo Occhipinti et al.

A human body digital twin (DT) is a virtual representation of an individual's physiological state, created using real-time data from sensors and medical test devices, with the purpose of simulating, predicting, and optimizing health outcomes through advanced analytics and simulations. The human body DT has the potential to revolutionize healthcare and wellness, but its responsible and effective implementation requires consideration of various factors. This article presents a comprehensive overview of the current status and future prospects of the human body DT and proposes a five-level roadmap for its development. The roadmap covers the development of various components, such as wearable devices, data collection, data analysis, and decision-making systems. The article also highlights the necessary support, security, cost, and ethical considerations that must be addressed in order to ensure responsible and effective implementation of the human body DT. The proposed roadmap provides a framework for guiding future development and offers a unique perspective on the future of the human body DT, facilitating new interdisciplinary research and innovative solutions in this rapidly evolving field.

Shengbo Wang, Jingwen Zhao, Tongming Pu et al.

Optical flow, inspired by the mechanisms of biological visual systems, calculates spatial motion vectors within visual scenes that are necessary for enabling robotics to excel in complex and dynamic working environments. However, current optical flow algorithms, despite human-competitive task performance on benchmark datasets, remain constrained by unacceptable time delays (~0.6 seconds per inference, 4X human processing speed) in practical deployment. Here, we introduce a neuromorphic optical flow approach that addresses delay bottlenecks by encoding temporal information directly in a synaptic transistor array to assist spatial motion analysis. Compared to conventional spatial-only optical flow methods, our spatiotemporal neuromorphic optical flow offers the spatial-temporal consistency of motion information, rapidly identifying regions of interest in as little as 1-2 ms using the temporal motion cues derived from the embedded temporal information in the two-dimensional floating gate synaptic transistors. Thus, the visual input can be selectively filtered to achieve faster velocity calculations and various task execution. At the hardware level, due to the atomically sharp interfaces between distinct functional layers in two-dimensional van der Waals heterostructures, the synaptic transistor offers high-frequency response (~100 μs), robust non-volatility (>10000 s), and excellent endurance (>8000 cycles), enabling robust visual processing. In software benchmarks, our system outperforms state-of-the-art algorithms with a 400% speedup, frequently surpassing human-level performance while maintaining or enhancing accuracy by utilizing the temporal priors provided by the embedded temporal information.

Evelyn Yee, Alice Li, Chenyu Tang et al.

Large language models (LLMs) often improve their performance in downstream tasks when they generate Chain of Thought reasoning text before producing an answer. We investigate how LLMs recover from errors in Chain of Thought. Through analysis of error recovery behaviors, we find evidence for unfaithfulness in Chain of Thought, which occurs when models arrive at the correct answer despite invalid reasoning text. We identify factors that shift LLM recovery behavior: LLMs recover more frequently from obvious errors and in contexts that provide more evidence for the correct answer. Critically, these factors have divergent effects on faithful and unfaithful recoveries. Our results indicate that there are distinct mechanisms driving faithful and unfaithful error recoveries. Selective targeting of these mechanisms may be able to drive down the rate of unfaithful reasoning and improve model interpretability.

Chenyu Tang, Shuo Gao, Cong Li et al.

Wearable silent speech systems hold significant potential for restoring communication in patients with speech impairments. However, seamless, coherent speech remains elusive, and clinical efficacy is still unproven. Here, we present an AI-driven intelligent throat (IT) system that integrates throat muscle vibrations and carotid pulse signal sensors with large language model (LLM) processing to enable fluent, emotionally expressive communication. The system utilizes ultrasensitive textile strain sensors to capture high-quality signals from the neck area and supports token-level processing for real-time, continuous speech decoding, enabling seamless, delay-free communication. In tests with five stroke patients with dysarthria, IT's LLM agents intelligently corrected token errors and enriched sentence-level emotional and logical coherence, achieving low error rates (4.2% word error rate, 2.9% sentence error rate) and a 55% increase in user satisfaction. This work establishes a portable, intuitive communication platform for patients with dysarthria with the potential to be applied broadly across different neurological conditions and in multi-language support systems.

Jiaqi Wang, Mengtian Kang, Yong Liu et al.

Machine learning-based fundus image diagnosis technologies trigger worldwide interest owing to their benefits such as reducing medical resource power and providing objective evaluation results. However, current methods are commonly based on supervised methods, bringing in a heavy workload to biomedical staff and hence suffering in expanding effective databases. To address this issue, in this article, we established a label-free method, name 'SSVT',which can automatically analyze un-labeled fundus images and generate high evaluation accuracy of 97.0% of four main eye diseases based on six public datasets and two datasets collected by Beijing Tongren Hospital. The promising results showcased the effectiveness of the proposed unsupervised learning method, and the strong application potential in biomedical resource shortage regions to improve global eye health.

Yong Liu, Mengtian Kang, Shuo Gao et al.

Fundus diseases are major causes of visual impairment and blindness worldwide, especially in underdeveloped regions, where the shortage of ophthalmologists hinders timely diagnosis. AI-assisted fundus image analysis has several advantages, such as high accuracy, reduced workload, and improved accessibility, but it requires a large amount of expert-annotated data to build reliable models. To address this dilemma, we propose a general self-supervised machine learning framework that can handle diverse fundus diseases from unlabeled fundus images. Our method's AUC surpasses existing supervised approaches by 15.7%, and even exceeds performance of a single human expert. Furthermore, our model adapts well to various datasets from different regions, races, and heterogeneous image sources or qualities from multiple cameras or devices. Our method offers a label-free general framework to diagnose fundus diseases, which could potentially benefit telehealth programs for early screening of people at risk of vision loss.

Yanning Dai, Chenyu Tang, Ruizhi Zhang et al.

Dynamic prediction of locomotor capacity after stroke could enable more individualized rehabilitation, yet current assessments largely provide static impairment scores and do not indicate whether patients can perform specific tasks such as slope walking or stair climbing. Here, we present a wearable-informed data-physics hybrid generative framework that reconstructs a stroke survivor's locomotor control from wearable inertial sensing and predicts task-conditioned post-stroke locomotion in new environments. From a single 20 m level-ground walking trial recorded by five IMUs, the framework personalizes a physics-based digital avatar using a healthy-motion prior and hybrid imitation learning, generating dynamically feasible, patient-specific movements for inclined walking and stair negotiation. Across 11 stroke inpatients, predicted postures reached 82.2% similarity for slopes and 69.9% for stairs, substantially exceeding a physics-only baseline. In a multicentre pilot randomized study (n = 21; 28 days), access to scenario-specific locomotion predictions to support task selection and difficulty titration was associated with larger gains in Fugl-Meyer lower-extremity scores than standard care (mean change 6.0 vs 3.7 points; $p < 0.05$). These results suggest that wearable-informed generative digital avatars may augment individualized gait rehabilitation planning and provide a pathway toward dynamically personalized post-stroke motor recovery strategies.

Xuhang Chen, Ihsane Olakorede, Stefan Yu Bögli et al.

Artefacts compromise clinical decision-making in the use of medical time series. Pulsatile waveforms offer probabilities for accurate artefact detection, yet most approaches rely on supervised manners and overlook patient-level distribution shifts. To address these issues, we introduce a generalised label-free framework, GenClean, for real-time artefact cleaning and leverage an in-house dataset of 180,000 ten-second arterial blood pressure (ABP) samples for training. We first investigate patient-level generalisation, demonstrating robust performances under both intra- and inter-patient distribution shifts. We further validate its effectiveness through challenging cross-disease cohort experiments on the MIMIC-III database. Additionally, we extend our method to photoplethysmography (PPG), highlighting its applicability to diverse medical pulsatile signals. Finally, its integration into ICM+, a clinical research monitoring software, confirms the real-time feasibility of our framework, emphasising its practical utility in continuous physiological monitoring. This work provides a foundational step toward precision medicine in improving the reliability of high-resolution medical time series analysis

Chenyu Tang, Ruizhi Zhang, Shuo Gao et al.

At-home rehabilitation for post-stroke patients presents significant challenges, as continuous, personalized care is often limited outside clinical settings. Moreover, the lack of integrated solutions capable of simultaneously monitoring motor recovery and providing intelligent assistance in home environments hampers rehabilitation outcomes. Here, we present a multimodal smart home platform designed for continuous, at-home rehabilitation of post-stroke patients, integrating wearable sensing, ambient monitoring, and adaptive automation. A plantar pressure insole equipped with a machine learning pipeline classifies users into motor recovery stages with up to 94\% accuracy, enabling quantitative tracking of walking patterns during daily activities. An optional head-mounted eye-tracking module, together with ambient sensors such as cameras and microphones, supports seamless hands-free control of household devices with a 100\% success rate and sub-second response time. These data streams are fused locally via a hierarchical Internet of Things (IoT) architecture, ensuring low latency and data privacy. An embedded large language model (LLM) agent, Auto-Care, continuously interprets multimodal data to provide real-time interventions -- issuing personalized reminders, adjusting environmental conditions, and notifying caregivers. Implemented in a post-stroke context, this integrated smart home platform increased mean user satisfaction from 3.9 $\pm$ 0.8 in conventional home environments to 8.4 $\pm$ 0.6 with the full system ($n=20$). Beyond stroke, the system offers a scalable, patient-centered framework with potential for long-term use in broader neurorehabilitation and aging-in-place applications.

Silas Ruhrberg Estévez, Josée Mallah, Dominika Kazieczko et al.

Ankle exoskeletons have garnered considerable interest for their potential to enhance mobility and reduce fall risks, particularly among the aging population. The efficacy of these devices relies on accurate real-time prediction of the user's intended movements through sensor-based inputs. This paper presents a novel motion prediction framework that integrates three Inertial Measurement Units (IMUs) and eight surface Electromyography (sEMG) sensors to capture both kinematic and muscular activity data. A comprehensive set of activities, representative of everyday movements in barrier-free environments, was recorded for the purpose. Our findings reveal that Convolutional Neural Networks (CNNs) slightly outperform Long Short-Term Memory (LSTM) networks on a dataset of five motion tasks, achieving classification accuracies of $96.5 \pm 0.8 \%$ and $87.5 \pm 2.9 \%$, respectively. Furthermore, we demonstrate the system's proficiency in transfer learning, enabling accurate motion classification for new subjects using just ten samples per class for finetuning. The robustness of the model is demonstrated by its resilience to sensor failures resulting in absent signals, maintaining reliable performance in real-world scenarios. These results underscore the potential of deep learning algorithms to enhance the functionality and safety of ankle exoskeletons, ultimately improving their usability in daily life.