Qiong Wang

Luyang Luo, Mingxiang Wu, Mei Li et al.

Breast Magnetic Resonance Imaging (MRI) demonstrates the highest sensitivity for breast cancer detection among imaging modalities and is standard practice for high-risk women. Interpreting the multi-sequence MRI is time-consuming and prone to subjective variation. We develop a large mixture-of-modality-experts model (MOME) that integrates multiparametric MRI information within a unified structure, leveraging breast MRI scans from 5,205 female patients in China for model development and validation. MOME matches four senior radiologists' performance in identifying breast cancer and outperforms a junior radiologist. The model is able to reduce unnecessary biopsies in Breast Imaging-Reporting and Data System (BI-RADS) 4 patients, classify triple-negative breast cancer, and predict pathological complete response to neoadjuvant chemotherapy. MOME further supports inference with missing modalities and provides decision explanations by highlighting lesions and measuring modality contributions. To summarize, MOME exemplifies an accurate and robust multimodal model for noninvasive, personalized management of breast cancer patients via multiparametric MRI. Code is available at https://github.com/LLYXC/MOME/tree/main.

Mingxuan Cui, Yilan Jiang, Duo Zhou et al.

Drug shortages pose critical risks to patient care and healthcare systems worldwide, yet the effectiveness of regulatory interventions remains poorly understood due to fundamental information asymmetries in pharmaceutical supply chains. We present \textbf{ShortageSim}, the first Large Language Model (LLM)-based multi-agent simulation framework that captures the complex, strategic interactions between drug manufacturers, institutional buyers, and regulatory agencies in response to shortage alerts. Unlike traditional game-theoretic models that assume perfect rationality and complete information, \textbf{ShortageSim} leverages LLMs to simulate bounded-rational decision-making under uncertainty. Through a sequential production game spanning multiple quarters, we model how FDA announcements, both reactive alerts about existing shortages and proactive warnings about potential disruptions, propagate through the supply chain and influence capacity investment and procurement decisions. Our experiments on historical shortage events reveal that \textbf{ShortageSim} reduces the resolution-lag percentage for discontinued-disclosed cases by 83\%, bringing simulated durations more aligned to ground truth than the zero-shot baseline. We open-source \textbf{ShortageSim} and a dataset of 2,925 FDA shortage events at https://github.com/Lemutisme/Sortage_Management, providing a novel computational framework for designing and testing interventions in complex, information-scarce supply chains.