Bing Yao

Jiahao Shao, Anam Nawaz Khan, Christopher Brett et al.

Pathology reports serve as the definitive record for breast cancer staging, yet their unstructured format impedes large-scale data curation. While Large Language Models (LLMs) offer semantic reasoning, their deployment is often limited by high computational costs and hallucination risks. This study introduces a parameter-efficient, multi-task framework for automating the extraction of Tumor-Node-Metastasis (TNM) staging, histologic grade, and biomarkers. We fine-tune a Llama-3-8B-Instruct encoder using Low-Rank Adaptation (LoRA) on a curated, expert-verified dataset of 10,677 reports. Unlike generative approaches, our architecture utilizes parallel classification heads to enforce consistent schema adherence. Experimental results demonstrate that the model achieves a Macro F1 score of 0.976, successfully resolving complex contextual ambiguities and heterogeneous reporting formats that challenge traditional extraction methods including rule-based natural language processing (NLP) pipelines, zero-shot LLMs, and single-task LLM baselines. The proposed adapter-efficient, multi-task architecture enables reliable, scalable pathology-derived cancer staging and biomarker profiling, with the potential to enhance clinical decision support and accelerate data-driven oncology research.

Zekai Wang, Bing Yao

Spatiotemporal dynamics forecasting is inherently challenging, particularly in systems defined over irregular geometric domains, due to the need to jointly capture complex spatial correlations and nonlinear temporal dynamics. To tackle these challenges, we propose TK-GCN, a two-stage framework that integrates geometry-aware spatial encoding with long-range temporal modeling. In the first stage, a Koopman-enhanced Graph Convolutional Network (K-GCN) is developed to embed the high-dimensional dynamics distributed on spatially irregular domains into a latent space where the evolution of system states is approximately linear. By leveraging Koopman operator theory, this stage enhances the temporal consistency during the latent learning. In the second stage, a Transformer module is employed to model the temporal progression within the Koopman-encoded latent space. Through the self-attention mechanism, the Transformer captures long-range temporal dependencies, enabling accurate forecasting over extended horizons. We evaluate TK-GCN in spatiotemporal cardiac dynamics forecasting and benchmark its performance against several state-of-the-art baselines. Experimental results and ablation studies show that TK-GCN consistently delivers superior predictive accuracy across a range of forecast horizons, demonstrating its capability to effectively model complex spatial structures and nonlinear temporal dynamics.