Xianqi Li

Yasin Shokrollahi, Jose Colmenarez, Wenxi Liu et al.

The rapid advancement of Artificial Intelligence (AI) has catalyzed revolutionary changes across various sectors, notably in healthcare. In particular, generative AI-led by diffusion models and transformer architectures-has enabled significant breakthroughs in medical imaging (including image reconstruction, image-to-image translation, generation, and classification), protein structure prediction, clinical documentation, diagnostic assistance, radiology interpretation, clinical decision support, medical coding, and billing, as well as drug design and molecular representation. These innovations have enhanced clinical diagnosis, data reconstruction, and drug synthesis. This review paper aims to offer a comprehensive synthesis of recent advances in healthcare applications of generative AI, with an emphasis on diffusion and transformer models. Moreover, we discuss current capabilities, highlight existing limitations, and outline promising research directions to address emerging challenges. Serving as both a reference for researchers and a guide for practitioners, this work offers an integrated view of the state of the art, its impact on healthcare, and its future potential.

Bing Han, Feifei Zhao, Wenxuan Pan et al.

The human brain can self-organize rich and diverse sparse neural pathways to incrementally master hundreds of cognitive tasks. However, most existing continual learning algorithms for deep artificial and spiking neural networks are unable to adequately auto-regulate the limited resources in the network, which leads to performance drop along with energy consumption rise as the increase of tasks. In this paper, we propose a brain-inspired continual learning algorithm with adaptive reorganization of neural pathways, which employs Self-Organizing Regulation networks to reorganize the single and limited Spiking Neural Network (SOR-SNN) into rich sparse neural pathways to efficiently cope with incremental tasks. The proposed model demonstrates consistent superiority in performance, energy consumption, and memory capacity on diverse continual learning tasks ranging from child-like simple to complex tasks, as well as on generalized CIFAR100 and ImageNet datasets. In particular, the SOR-SNN model excels at learning more complex tasks as well as more tasks, and is able to integrate the past learned knowledge with the information from the current task, showing the backward transfer ability to facilitate the old tasks. Meanwhile, the proposed model exhibits self-repairing ability to irreversible damage and for pruned networks, could automatically allocate new pathway from the retained network to recover memory for forgotten knowledge.

Wenxi Liu, Michael Trimboli, Xianqi Li

Brain tumor progression exhibits spatially heterogeneous growth, patient-specific treatment response, and complex interactions with surrounding anatomy, making accurate long-term prediction challenging. We propose an AI-augmented adaptive digital twin (DT) framework for brain tumor evolution prediction and treatment scheduling. The framework integrates an interpretable reaction--diffusion (RD) model, a 3D residual learning module for model-form correction, patient-specific DT updating during recursive rollout, and model predictive control (MPC) for constrained chemotherapy and radiotherapy scheduling. Experiments on 387 synthetic tumor trajectories with 120-step evolution show that the baseline RD model captures tumor location and overall temporal behavior but underestimates heterogeneous tumor burden during long-horizon prediction. Hybrid RD--residual modeling reduces masked voxel-wise mean squared error by 84.3% and increases Dice overlap by 43.5% relative to the RD baseline under dense simulated observations. Online DT updating further reduces mean squared error by 45.9% and improves Dice overlap by 9.6% compared with the non-updated hybrid model. In MPC-based scheduling simulations, the updated DT controller reduces final tumor burden by 22.4% relative to a fixed treatment schedule under the terminal-burden objective. Together, these results demonstrate a unified framework for patient-specific initialization, mechanistic modeling, adaptive learning, and constrained treatment optimization. Although validated using patient-data-informed synthetic trajectories rather than clinical longitudinal data, the proposed framework establishes a foundation for future translation to real-world adaptive treatment planning.

Tan-Hanh Pham, Xianqi Li, Kim-Doang Nguyen

Automated medical image segmentation is becoming increasingly crucial to modern clinical practice, driven by the growing demand for precise diagnosis, the push towards personalized treatment plans, and the advancements in machine learning algorithms, especially the incorporation of deep learning methods. While convolutional neural networks (CNN) have been prevalent among these methods, the remarkable potential of Transformer-based models for computer vision tasks is gaining more acknowledgment. To harness the advantages of both CNN-based and Transformer-based models, we propose a simple yet effective UNet-Transformer (seUNet-Trans) model for medical image segmentation. In our approach, the UNet model is designed as a feature extractor to generate multiple feature maps from the input images, then the maps are propagated into a bridge layer, which is introduced to sequentially connect the UNet and the Transformer. In this stage, we approach the pixel-level embedding technique without position embedding vectors, aiming to make the model more efficient. Moreover, we apply spatial-reduction attention in the Transformer to reduce the computational/memory overhead. By leveraging the UNet architecture and the self-attention mechanism, our model not only retains the preservation of both local and global context information but also is capable of capturing long-range dependencies between input elements. The proposed model is extensively experimented on seven medical image segmentation datasets including polyp segmentation to demonstrate its efficacy. Comparison with several state-of-the-art segmentation models on these datasets shows the superior performance of our proposed seUNet-Trans network.

Bing Han, Feifei Zhao, Yang Li et al.

Biological brains have the capability to adaptively coordinate relevant neuronal populations based on the task context to learn continuously changing tasks in real-world environments. However, existing spiking neural network-based continual learning algorithms treat each task equally, ignoring the guiding role of different task similarity associations for network learning, which limits knowledge utilization efficiency. Inspired by the context-dependent plasticity mechanism of the brain, we propose a Similarity-based Context Aware Spiking Neural Network (SCA-SNN) continual learning algorithm to efficiently accomplish task incremental learning and class incremental learning. Based on contextual similarity across tasks, the SCA-SNN model can adaptively reuse neurons from previous tasks that are beneficial for new tasks (the more similar, the more neurons are reused) and flexibly expand new neurons for the new task (the more similar, the fewer neurons are expanded). Selective reuse and discriminative expansion significantly improve the utilization of previous knowledge and reduce energy consumption. Extensive experimental results on CIFAR100, ImageNet generalized datasets, and FMNIST-MNIST, SVHN-CIFAR100 mixed datasets show that our SCA-SNN model achieves superior performance compared to both SNN-based and DNN-based continual learning algorithms. Additionally, our algorithm has the capability to adaptively select similar groups of neurons for related tasks, offering a promising approach to enhancing the biological interpretability of efficient continual learning.

Mohammed Alsubaie, Wenxi Liu, Linxia Gu et al.

Magnetic Resonance Imaging (MRI) is a critical tool in modern medical diagnostics, yet its prolonged acquisition time remains a critical limitation, especially in time-sensitive clinical scenarios. While undersampling strategies can accelerate image acquisition, they often result in image artifacts and degraded quality. Recent diffusion models have shown promise for reconstructing high-fidelity images from undersampled data by learning powerful image priors; however, most existing approaches either (i) rely on unsupervised score functions without paired supervision or (ii) apply data consistency only as a post-processing step. In this work, we introduce a conditional denoising diffusion framework with iterative data-consistency correction, which differs from prior methods by embedding the measurement model directly into every reverse diffusion step and training the model on paired undersampled-ground truth data. This hybrid design bridges generative flexibility with explicit enforcement of MRI physics. Experiments on the fastMRI dataset demonstrate that our framework consistently outperforms recent state-of-the-art deep learning and diffusion-based methods in SSIM, PSNR, and LPIPS, with LPIPS capturing perceptual improvements more faithfully. These results demonstrate that integrating conditional supervision with iterative consistency updates yields substantial improvements in both pixel-level fidelity and perceptual realism, establishing a principled and practical advance toward robust, accelerated MRI reconstruction.

Tan-Hanh Pham, Ovidiu C. Andronesi, Xianqi Li et al.

Magnetic Resonance Spectroscopic Imaging (MRSI) is a powerful tool for non-invasive mapping of brain metabolites, providing critical insights into neurological conditions. However, its utility is often limited by missing or corrupted data due to motion artifacts, magnetic field inhomogeneities, or failed spectral fitting-especially in high resolution 3D acquisitions. To address this, we propose the first deep learning-based, mask-free framework for estimating missing data in MRSI metabolic maps. Unlike conventional restoration methods that rely on explicit masks to identify missing regions, our approach implicitly detects and estimates these areas using contextual spatial features through 2D and 3D U-Net architectures. We also introduce a progressive training strategy to enhance robustness under varying levels of data degradation. Our method is evaluated on both simulated and real patient datasets and consistently outperforms traditional interpolation techniques such as cubic and linear interpolation. The 2D model achieves an MSE of 0.002 and an SSIM of 0.97 with 20% missing voxels, while the 3D model reaches an MSE of 0.001 and an SSIM of 0.98 with 15% missing voxels. Qualitative results show improved fidelity in estimating missing data, particularly in metabolically heterogeneous regions and ventricular regions. Importantly, our model generalizes well to real-world datasets without requiring retraining or mask input. These findings demonstrate the effectiveness and broad applicability of mask-free deep learning for MRSI restoration, with strong potential for clinical and research integration.

Xiaohui Yang, Wenming Wu, Yunmei Chen et al.

Microarray gene expression data-based tumor classification is an active and challenging issue. In this paper, an integrated tumor classification framework is presented, which aims to exploit information in existing available samples, and focuses on the small sample problem and unbalanced classification problem. Firstly, an inverse space sparse representation based classification (ISSRC) model is proposed by considering the characteristics of gene-based tumor data, such as sparsity and a small number of training samples. A decision information factors (DIF)-based gene selection method is constructed to enhance the representation ability of the ISSRC. It is worth noting that the DIF is established from reducing clinical misdiagnosis rate and dimension of small sample data. For further improving the representation ability and classification stability of the ISSRC, feature learning is conducted on the selected gene subset. The feature learning method is constructed by complementing the advantages of non-negative matrix factorization (NMF) and deep learning. Without confusion, the ISSRC combined with gene selection and feature learning is called the integrated ISSRC, whose stability, optimization and the corresponding convergence are analyzed. Extensive experiments on six public microarray gene expression datasets show the integrated ISSRC-based tumor classification framework is superior to classical and state-of-the-art methods. There are significant improvements in classification accuracy, specificity and sensitivity, whether there is a tumor in the early diagnosis, what kind of tumor, or whether metastasis occurs after tumor surgery.