Lanruo Wang

Ran Tong, Tong Wang, Lanruo Wang et al.

Medium-horizon Alzheimer's disease progression prediction is difficult because future clinical scores can remain tied to baseline severity, while biomarker histories are irregular and incompletely observed. We develop an anchor-based analysis of 24-month Clinical Dementia Rating Sum of Boxes (CDR-SB) change using harmonized Alzheimer's Disease Neuroimaging Initiative (ADNI) tables. Each labeled sample is anchored at a mild cognitive impairment visit, uses only clinical and biomarker history observed at or before that anchor, and defines the response as CDR-SB at the future visit closest to 24 months within an 18--30 month window minus anchor CDR-SB. The analytic cohort contains 2,600 labeled anchors from 858 participants and 7,276 longitudinal rows. We propose a residual gap-aware transformer that combines a mixed-effects statistical reference with transformer-based residual learning from pre-anchor clinical and biomarker histories. The model uses participant-level random intercepts in the mixed-effects reference, observation-level triplet tokenization for irregular histories, and a learned nonnegative time-gap penalty inside self-attention. We compare the proposed model with a Bayesian-information-criterion-selected linear mixed-effects baseline, GRU-D, and STraTS under repeated participant-level train--test splits. Across five participant-level random seeds, the proposed model achieves the best mean test performance across all reported metrics, reducing MSE by 13.1% and increasing prediction--observation correlation by 26.4% relative to the mixed-effects baseline. It also improves over both GRU-D and STraTS in mean error and correlation. These results show that statistical anchoring and gap-aware residual learning provide a useful structure for medium-horizon Alzheimer's disease progression prediction.

Ran Tong, Jiaqi Liu, Tong Wang et al.

The accurate interpretation of chest radiographs using automated methods is a critical task in medical imaging. This paper presents a comparative analysis between a supervised lightweight Convolutional Neural Network (CNN) and a state-of-the-art, zero-shot medical Vision-Language Model (VLM), BiomedCLIP, across two distinct diagnostic tasks: pneumonia detection on the PneumoniaMNIST benchmark and tuberculosis detection on the Shenzhen TB dataset. Our experiments show that supervised CNNs serve as highly competitive baselines in both cases. While the default zero-shot performance of the VLM is lower, we demonstrate that its potential can be unlocked via a simple yet crucial remedy: decision threshold calibration. By optimizing the classification threshold on a validation set, the performance of BiomedCLIP is significantly boosted across both datasets. For pneumonia detection, calibration enables the zero-shot VLM to achieve a superior F1-score of 0.8841, surpassing the supervised CNN's 0.8803. For tuberculosis detection, calibration dramatically improves the F1-score from 0.4812 to 0.7684, bringing it close to the supervised baseline's 0.7834. This work highlights a key insight: proper calibration is essential for leveraging the full diagnostic power of zero-shot VLMs, enabling them to match or even outperform efficient, task-specific supervised models.

Ran Tong, Lanruo Wang, Tong Wang et al.

Predicting Parkinson's Disease (PD) progression is crucial, and voice biomarkers offer a non-invasive method for tracking symptom severity (UPDRS scores) through telemonitoring. Analyzing this longitudinal data is challenging due to within-subject correlations and complex, nonlinear patient-specific progression patterns. This study benchmarks LMMs against two advanced hybrid approaches: the Generalized Neural Network Mixed Model (GNMM) (Mandel 2021), which embeds a neural network within a GLMM structure, and the Neural Mixed Effects (NME) model (Wortwein 2023), allowing nonlinear subject-specific parameters throughout the network. Using the Oxford Parkinson's telemonitoring voice dataset, we evaluate these models' performance in predicting Total UPDRS to offer practical guidance for PD research and clinical applications.

Ran Tong, Jiaqi Liu, Su Liu et al.

We present a compact, strictly causal benchmark for streaming clinical time series on the MIT--BIH Arrhythmia Database using per-second heart rate. Two tasks are studied under record-level, non-overlapping splits: near-term tachycardia risk (next ten seconds) and one-step heart rate forecasting. We compare a GRU-D (RNN) and a Transformer under matched training budgets against strong non-learned baselines. Evaluation is calibration-aware for classification and proper for forecasting, with temperature scaling and grouped bootstrap confidence intervals. On MIT-BIH, GRU-D slightly surpasses the Transformer for tachycardia risk, while the Transformer clearly lowers forecasting error relative to GRU-D and persistence. Our results show that, in longitudinal monitoring, model choice is task-dependent: compact RNNs remain competitive for short-horizon risk scoring, whereas compact Transformers deliver clearer gains for point forecasting.

Ran Tong, Songtao Wei, Jiaqi Liu et al.

Hateful memes aimed at LGBTQ\,+ communities often evade detection by tweaking either the caption, the image, or both. We build the first robustness benchmark for this setting, pairing four realistic caption attacks with three canonical image corruptions and testing all combinations on the PrideMM dataset. Two state-of-the-art detectors, MemeCLIP and MemeBLIP2, serve as case studies, and we introduce a lightweight \textbf{Text Denoising Adapter (TDA)} to enhance the latter's resilience. Across the grid, MemeCLIP degrades more gently, while MemeBLIP2 is particularly sensitive to the caption edits that disrupt its language processing. However, the addition of the TDA not only remedies this weakness but makes MemeBLIP2 the most robust model overall. Ablations reveal that all systems lean heavily on text, but architectural choices and pre-training data significantly impact robustness. Our benchmark exposes where current multimodal safety models crack and demonstrates that targeted, lightweight modules like the TDA offer a powerful path towards stronger defences.

Jiaqi Liu, Tong Wang, Su Liu et al.

The research evaluates lightweight medical abstract classification methods to establish their maximum performance capabilities under financial budget restrictions. On the public medical abstracts corpus, we finetune BERT base and Distil BERT with three objectives cross entropy (CE), class weighted CE, and focal loss under identical tokenization, sequence length, optimizer, and schedule. DistilBERT with plain CE gives the strongest raw argmax trade off, while a post hoc operating point selection (validation calibrated, classwise thresholds) sub stantially improves deployed performance; under this tuned regime, focal benefits most. We report Accuracy, Macro F1, and WeightedF1, release evaluation artifacts, and include confusion analyses to clarify error structure. The practical takeaway is to start with a compact encoder and CE, then add lightweight calibration or thresholding when deployment requires higher macro balance.

Jiexi Xu, Jiaqi Liu, Lanruo Wang et al.

Large language model (LLM) agents are increasingly capable of orchestrating complex tasks in low-code environments. However, these agents often exhibit hallucinations and logical inconsistencies because their inherent reasoning mechanisms rely on probabilistic associations rather than genuine causal understanding. This paper introduces a new programming paradigm: Causal-Visual Programming (CVP), designed to address this fundamental issue by explicitly introducing causal structures into the workflow design. CVP allows users to define a simple "world model" for workflow modules through an intuitive low-code interface, effectively creating a Directed Acyclic Graph (DAG) that explicitly defines the causal relationships between modules. This causal graph acts as a crucial constraint during the agent's reasoning process, anchoring its decisions to a user-defined causal structure and significantly reducing logical errors and hallucinations by preventing reliance on spurious correlations. To validate the effectiveness of CVP, we designed a synthetic experiment that simulates a common real-world problem: a distribution shift between the training and test environments. Our results show that a causally anchored model maintained stable accuracy in the face of this shift, whereas a purely associative baseline model that relied on probabilistic correlations experienced a significant performance drop. The primary contributions of this study are: a formal definition of causal structures for workflow modules; the proposal and implementation of a CVP framework that anchors agent reasoning to a user-defined causal graph; and empirical evidence demonstrating the framework's effectiveness in enhancing agent robustness and reducing errors caused by causal confusion in dynamic environments. CVP offers a viable path toward building more interpretable, reliable, and trustworthy AI agents.

Su Liu, Xin Hu, Shurong Wen et al.

Physiologically Based Pharmacokinetic (PBPK) modeling plays a critical role in drug development by predicting drug concentration dynamics across organs. Traditional approaches rely on ordinary differential equations with strong simplifying assumptions, which limit their adaptability to nonlinear physiological interactions. In this study, we explore data-driven alternatives for PBPK prediction using deep learning. Two baseline architectures - a multilayer perceptron (MLP) and a long short-term memory (LSTM) network - are implemented to capture molecular and temporal dependencies, respectively. To incorporate inter-organ interactions, we propose a Dynamic Graph Neural Network (Dynamic GNN) that models physiological connections as recurrent message-passing processes between organs. Experimental results demonstrate that the proposed Dynamic GNN achieves the highest predictive performance among all models, with an R^2 of 0.9342, an RMSE of 0.0159, and an MAE of 0.0116. In comparison, the MLP baseline obtains an R^2 of 0.8705 and the LSTM achieves 0.8059. These results highlight that explicitly modeling the spatial and temporal dependencies of organ interactions enables more accurate and generalizable drug concentration prediction. The Dynamic GNN provides a scalable, equation-free alternative to traditional PBPK formulations and demonstrates strong potential for data-driven pharmacokinetic modeling in preclinical and clinical research.