Yang Yang

Wenxuan Li, Pedro R. A. S. Bassi, Lizhou Wu et al.

Pancreatic ductal adenocarcinoma (PDAC), one of the deadliest solid malignancies, is often detected at a late and inoperable stage. Retrospective reviews of prediagnostic CT scans, when conducted by expert radiologists aware that the patient later developed PDAC, frequently reveal lesions that were previously overlooked. To help detecting these lesions earlier, we developed an automated system named ePAI (early Pancreatic cancer detection with Artificial Intelligence). It was trained on data from 1,598 patients from a single medical center. In the internal test involving 1,009 patients, ePAI achieved an area under the receiver operating characteristic curve (AUC) of 0.939-0.999, a sensitivity of 95.3%, and a specificity of 98.7% for detecting small PDAC less than 2 cm in diameter, precisely localizing PDAC as small as 2 mm. In an external test involving 7,158 patients across 6 centers, ePAI achieved an AUC of 0.918-0.945, a sensitivity of 91.5%, and a specificity of 88.0%, precisely localizing PDAC as small as 5 mm. Importantly, ePAI detected PDACs on prediagnostic CT scans obtained 3 to 36 months before clinical diagnosis that had originally been overlooked by radiologists. It successfully detected and localized PDACs in 75 of 159 patients, with a median lead time of 347 days before clinical diagnosis. Our multi-reader study showed that ePAI significantly outperformed 30 board-certified radiologists by 50.3% (P < 0.05) in sensitivity while maintaining a comparable specificity of 95.4% in detecting PDACs early and prediagnostic. These findings suggest its potential of ePAI as an assistive tool to improve early detection of pancreatic cancer.

Yaxin Du, Junru Song, Yifan Zhou et al.

Retrieval-augmented generation is a practical paradigm for question answering over long documents, but it remains brittle for multimodal reading where text, tables, and figures are interleaved across many pages. First, flat chunking breaks document-native structure and cross-modal alignment, yielding semantic fragments that are hard to interpret in isolation. Second, even iterative retrieval can fail in long contexts by looping on partial evidence or drifting into irrelevant sections as noise accumulates, since each step is guided only by the current snippet without a persistent global search state. We introduce $G^2$-Reader, a dual-graph system, to address both issues. It evolves a Content Graph to preserve document-native structure and cross-modal semantics, and maintains a Planning Graph, an agentic directed acyclic graph of sub-questions, to track intermediate findings and guide stepwise navigation for evidence completion. On VisDoMBench across five multimodal domains, $G^2$-Reader with Qwen3-VL-32B-Instruct reaches 66.21\% average accuracy, outperforming strong baselines and a standalone GPT-5 (53.08\%).