Stephen J. White

Xin Zhang, Liangxiu Han, Stephen White et al.

Acute Coronary Syndromes (ACS), including ST-segment elevation myocardial infarctions (STEMI) and non-ST-segment elevation myocardial infarctions (NSTEMI), remain a leading cause of mortality worldwide. Traditional cardiovascular risk scores rely primarily on clinical data, often overlooking environmental influences like air pollution that significantly impact heart health. Moreover, integrating complex time-series environmental data with clinical records is challenging. We introduce TabulaTime, a multimodal deep learning framework that enhances ACS risk prediction by combining clinical risk factors with air pollution data. TabulaTime features three key innovations: First, it integrates time-series air pollution data with clinical tabular data to improve prediction accuracy. Second, its PatchRWKV module automatically extracts complex temporal patterns, overcoming limitations of traditional feature engineering while maintaining linear computational complexity. Third, attention mechanisms enhance interpretability by revealing interactions between clinical and environmental factors. Experimental results show that TabulaTime improves prediction accuracy by over 20% compared to conventional models such as CatBoost, Random Forest, and LightGBM, with air pollution data alone contributing over a 10% improvement. Feature importance analysis identifies critical predictors including previous angina, systolic blood pressure, PM10, and NO2. Overall, TabulaTime bridges clinical and environmental insights, supporting personalized prevention strategies and informing public health policies to mitigate ACS risk.

Xin Zhang, Liangxiu Han, Tam Sobeih et al.

Accurate and rapid detection of COVID-19 pneumonia is crucial for optimal patient treatment. Chest X-Ray (CXR) is the first line imaging test for COVID-19 pneumonia diagnosis as it is fast, cheap and easily accessible. Inspired by the success of deep learning (DL) in computer vision, many DL-models have been proposed to detect COVID-19 pneumonia using CXR images. Unfortunately, these deep classifiers lack the transparency in interpreting findings, which may limit their applications in clinical practice. The existing commonly used visual explanation methods are either too noisy or imprecise, with low resolution, and hence are unsuitable for diagnostic purposes. In this work, we propose a novel explainable deep learning framework (CXRNet) for accurate COVID-19 pneumonia detection with an enhanced pixel-level visual explanation from CXR images. The proposed framework is based on a new Encoder-Decoder-Encoder multitask architecture, allowing for both disease classification and visual explanation. The method has been evaluated on real world CXR datasets from both public and private data sources, including: healthy, bacterial pneumonia, viral pneumonia and COVID-19 pneumonia cases The experimental results demonstrate that the proposed method can achieve a satisfactory level of accuracy and provide fine-resolution classification activation maps for visual explanation in lung disease detection. The Average Accuracy, the Precision, Recall and F1-score of COVID-19 pneumonia reached 0.879, 0.985, 0.992 and 0.989, respectively. We have also found that using lung segmented (CXR) images can help improve the performance of the model. The proposed method can provide more detailed high resolution visual explanation for the classification decision, compared to current state-of-the-art visual explanation methods and has a great potential to be used in clinical practice for COVID-19 pneumonia diagnosis.