Phat Tran

Phat Tran, Neville Mehta, Clara Mosquera-Lopez et al.

Accurate long-horizon glucose forecasting is critical for automated insulin delivery systems, which help people with type 1 diabetes (T1D) manage their glucose and avoid dangerous hypoglycemia. However, standard recursive long short-term memory (LSTM) networks suffer from systematic negative bias at longer horizons due to error compounding, while purely mechanistic ordinary differential equation (ODE) models fail to generalize across individuals when parameterized at the population level. We propose PhysioSeq2Seq, a hybrid architecture that combines patient-specific physiological modeling with a sequence-to-sequence (Seq2Seq) LSTM. For each glucose segment, twin matching searches a population of 300 parameterized digital twins to identify the best-fitting physiological match from a 3-hour continuous glucose monitoring (CGM) history. The 10 internal ODE state variables of the matched twin are injected as exogenous covariates into both the encoder and decoder of the Seq2Seq LSTM. This simultaneous 48-step prediction strategy eliminates recursive error compounding, while the ODE features provide a physics-grounded constraint that bounds long-horizon drift within physiologically plausible ranges. PhysioSeq2Seq was trained on CGM and insulin data from 348 participants in the Type 1 Diabetes Exercise Initiative (T1DEXI) dataset and evaluated on 74 held-out participants. At the 240-minute horizon, PhysioSeq2Seq achieves a mean absolute error of 39.28 mg/dL and a mean error of -10.62 mg/dL, reducing bias by 13.89 mg/dL over the recursive LSTM and reducing mean absolute error by 28.62 mg/dL over the ODE-based digital twin. These results show that eliminating architectural feedback and injecting patient-matched physiological states is an effective and clinically meaningful strategy for long-horizon glucose forecasting in T1D.

Ming-Hua Tsai, Phat Tran

This study investigates the use of NeuralUCB for cost-aware large language model (LLM) routing. Existing routing approaches can be broadly grouped into supervised routing methods and partial-feedback methods, each with different tradeoffs in efficiency and adaptivity. We implement a NeuralUCB-based routing policy and evaluate it on RouterBench under a simulated online setting. Experimental results show that the proposed method consistently outperforms random and min-cost baselines in utility reward. Compared with the max-quality reference, our method achieves substantially lower inference cost while maintaining competitive reward. These findings suggest that NeuralUCB is a promising approach for cost-aware LLM routing, while also highlighting remaining challenges in action discrimination and exploration.

Phat Tran, Enbai Kuang, Fred Xu

Intracranial hemorrhage (ICH) secondary to Traumatic Brain Injury (TBI) represents a critical diagnostic challenge, with approximately 64,000 TBI-related deaths annually in the United States. Current diagnostic modalities including Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) have significant limitations: high cost, limited availability, and infrastructure dependence, particularly in resource-constrained environments. This study investigates machine learning approaches for automated ICH detection using Ultrasound Tissue Pulsatility Imaging (TPI), a portable technique measuring tissue displacement from hemodynamic forces during cardiac cycles. We analyze ultrasound TPI signals comprising 30 temporal frames per cardiac cycle with recording angle information, collected from TBI patients with CT-confirmed ground truth labels. Our preprocessing pipeline employs z-score normalization and Principal Component Analysis (PCA) for dimensionality reduction, retaining components explaining 95% of cumulative variance. We systematically evaluate multiple classification algorithms spanning probabilistic, kernel-based, neural network, and ensemble learning approaches across three feature representations: original 31-dimensional space, reduced subset, and PCA-transformed space. Results demonstrate that PCA transformation substantially improves classifier performance, with ensemble methods achieving 98.0% accuracy and F1-score of 0.890, effectively balancing precision and recall despite class imbalance. These findings establish the feasibility of machine learning-based ICH detection in TBI patients using portable ultrasound devices, with applications in emergency medicine, rural healthcare, and military settings where traditional imaging is unavailable.

Montasir Shams, Chashi Mahiul Islam, Shaeke Salman et al.

Vision transformers (ViTs) have rapidly gained prominence in medical imaging tasks such as disease classification, segmentation, and detection due to their superior accuracy compared to conventional deep learning models. However, due to their size and complex interactions via the self-attention mechanism, they are not well understood. In particular, it is unclear whether the representations produced by such models are semantically meaningful. In this paper, using a projected gradient-based algorithm, we show that their representations are not semantically meaningful and they are inherently vulnerable to small changes. Images with imperceptible differences can have very different representations; on the other hand, images that should belong to different semantic classes can have nearly identical representations. Such vulnerability can lead to unreliable classification results; for example, unnoticeable changes cause the classification accuracy to be reduced by over 60\%. %. To the best of our knowledge, this is the first work to systematically demonstrate this fundamental lack of semantic meaningfulness in ViT representations for medical image classification, revealing a critical challenge for their deployment in safety-critical systems.