共找到 20 条结果
Tendon and ligament injuries are debilitating conditions across species. Poor regenerative capacities of these tissues limit restoration of original functions. The first study of this dissertation evaluated the effect of cellular administration on tendon/ligament injuries in horses using meta-analysis. The findings led to the second study that engineered implantable de novo tendon neotissue using equine adipose-derived multipotent stromal cells and collagen type I. The neotendon was evaluated for its biocompatibility and therapeutic potential in the third study using immunocompetent and immunocompromised rat bilateral calcaneal tendon elongation model. The fourth study investigated the therapeutic effects of neotendon in surgically-induced non-terminal equine accessory ligament of deep digital flexor tendon injury model.
In the middle of the last century, it has been known that neural stem cells (NSCs) play a key role in regenerative medicine to cure the neurodegenerative disease. This review article covers about the introduction to neural stem cell biology and the isolation, differentiation and transplantation methods/techniques of neural stem cells. The neural stem cells can be transplanted into the human brain in the future to replace the damaged and dead neurons. The highly limited access to embryonic stem cells and ethical issues have escalated the search for other NSC sources. The developing technologies are indicating that it can be achieved before the end of this century. In addition, the differentiation and the maturation of NSCs can artificially accelerate by modern methods.
This paper focuses on a control-based approach for enhancing the regenerative capabilities of hydraulic multi-actuator systems using individual metering valves. Thanks to this architecture, pressure and displacement of each actuator can be controlled nearly independently. By determining online, the right pressure to be driven, it enables the optimization of regenerative control strategies for resistive or driving forces. Globally, this control strategy behaves such as a load sensing approach but each metering valve is piloted in order to activate regenerative mode when it is allowable. The main contribution relies on optimizing the pressure to be controlled in each actuator and the main pump in order to maximize the regenerative capacity of a hydraulic machine while following a displacement. The effectiveness of the proposed approach is proved in simulation. Only a single pump line regeneration is explored here but extensions to multi-pump or direct regeneration are also possible.
This thesis presents Regenerative Rejection Sampling (RRS), a novel approximate sampling algorithm inspired by classical Rejection Sampling and Markov Chain Monte Carlo methods. The method constructs a continuous-time regenerative process whose stationary distribution coincides with a target density known only up to a normalizing constant. Unlike standard Rejection Sampling, RRS does not require the existence of a finite constant that upper-bounds the likelihood ratio. As a result, its total variation convergence rate remains exponential for a larger class of scenarios compared to, for example, the Independent Metropolis-Hastings sampler, which requires a finite bounding constant. To explain the workings of the method, we first present a detailed review of renewal and regenerative processes, including their limit theorems, stationary versions, and convergence properties under standard conditions. We explain a coupling proof for exponential convergence of regenerative processes, under the assumption of a spread-out cycle length distribution. We then introduce the RRS algorithm, and derive its convergence rate. Its performance is compared theoretically and empirically with classical
This paper presents a regenerative variant of the classical Ulam-von Neumann Markov chain Monte Carlo algorithm for the approximation of the matrix inverse. The algorithm presented in this paper, termed regenerative Ulam-von Neumann algorithm, utilizes the regenerative structure of classical, non-truncated Neumann series defined by a non-singular matrix and produces an estimator of the matrix inverse via ratios of unbiased estimators of the regenerative quantities. The accuracy of the proposed algorithm depends on a single parameter that controls the total number of simulated Markov transitions, thus avoiding the challenge of balancing between the total number of Markov chain replications and their length as in the classical Ulam-von Neumann algorithm. To efficiently utilize Markov chain transition samples in the calculation of the regenerative variables, the proposed algorithm automatically quantifies the contribution of each Markov transition to all regenerative quantities by a carefully designed updating scheme that utilized three separate matrices containing the current weights, total weights, and regenerative cycle count, respectively. A probabilistic analysis of the performan
Model Medicine is the science of understanding, diagnosing, treating, and preventing disorders in AI models, grounded in the principle that AI models -- like biological organisms -- have internal structures, dynamic processes, heritable traits, observable symptoms, classifiable conditions, and treatable states. This paper introduces Model Medicine as a research program, bridging the gap between current AI interpretability research (anatomical observation) and the systematic clinical practice that complex AI systems increasingly require. We present five contributions: (1) a discipline taxonomy organizing 15 subdisciplines across four divisions -- Basic Model Sciences, Clinical Model Sciences, Model Public Health, and Model Architectural Medicine; (2) the Four Shell Model (v3.3), a behavioral genetics framework empirically grounded in 720 agents and 24,923 decisions from the Agora-12 program, explaining how model behavior emerges from Core--Shell interaction; (3) Neural MRI (Model Resonance Imaging), a working open-source diagnostic tool mapping five medical neuroimaging modalities to AI interpretability techniques, validated through four clinical cases demonstrating imaging, compari
The regenerative satellite access network (SAN) architecture deploys next-generation NodeB (gNBs) on satellites to enable enhanced network management capabilities. It supports two types of regenerative payload, on-board gNB and on-board gNB-Distributed Unit (gNB-DU). Measurement results based on our prototype implementation show that the on-board gNB offers lower latency, while the on-board gNB-DU is more cost-effective, and there is often a trade-off between Quality-of-Service (QoS) and operational expenditure (OPEX) when choosing between the two payload types. However, current SAN configurations are static and inflexible -- either deploying the full on-board gNB or only the on-board gNB-DU. This rigidity can lead to resource waste or poor user experiences. In this paper, we propose Flexible SAN (FlexSAN), an adaptive satellite access network architecture that dynamically configures the optimal regenerative payload based on real-time user demands. FlexSAN selects the lowest OPEX payload configuration when all user demands are satisfied, and otherwise maximizes the number of admitted users while ensuring QoS for connected users. To address the computational complexity of dynamic pa
Mitigating climate change requires transforming agriculture to minimize environ mental impact and build climate resilience. Regenerative agricultural practices enhance soil organic carbon (SOC) levels, thus improving soil health and sequestering carbon. A challenge to increasing regenerative agriculture practices is cheaply measuring SOC over time and understanding how SOC is affected by regenerative agricultural practices and other environmental factors and farm management practices. To address this challenge, we introduce an AI-driven Soil Organic Carbon Copilot that automates the ingestion of complex multi-resolution, multi-modal data to provide large-scale insights into soil health and regenerative practices. Our data includes extreme weather event data (e.g., drought and wildfire incidents), farm management data (e.g., cropland information and tillage predictions), and SOC predictions. We find that integrating public data and specialized models enables large-scale, localized analysis for sustainable agriculture. In comparisons of agricultural practices across California counties, we find evidence that diverse agricultural activity may mitigate the negative effects of tillage;
With the increasing interest in deploying Artificial Intelligence in medicine, we previously introduced HAIM (Holistic AI in Medicine), a framework that fuses multimodal data to solve downstream clinical tasks. However, HAIM uses data in a task-agnostic manner and lacks explainability. To address these limitations, we introduce xHAIM (Explainable HAIM), a novel framework leveraging Generative AI to enhance both prediction and explainability through four structured steps: (1) automatically identifying task-relevant patient data across modalities, (2) generating comprehensive patient summaries, (3) using these summaries for improved predictive modeling, and (4) providing clinical explanations by linking predictions to patient-specific medical knowledge. Evaluated on the HAIM-MIMIC-MM dataset, xHAIM improves average AUC from 79.9% to 90.3% across chest pathology and operative tasks. Importantly, xHAIM transforms AI from a black-box predictor into an explainable decision support system, enabling clinicians to interactively trace predictions back to relevant patient data, bridging AI advancements with clinical utility.
What does Artificial Intelligence (AI) have to contribute to health care? And what should we be looking out for if we are worried about its risks? In this paper we offer a survey, and initial evaluation, of hopes and fears about the applications of artificial intelligence in medicine. AI clearly has enormous potential as a research tool, in genomics and public health especially, as well as a diagnostic aid. It's also highly likely to impact on the organisational and business practices of healthcare systems in ways that are perhaps under-appreciated. Enthusiasts for AI have held out the prospect that it will free physicians up to spend more time attending to what really matters to them and their patients. We will argue that this claim depends upon implausible assumptions about the institutional and economic imperatives operating in contemporary healthcare settings. We will also highlight important concerns about privacy, surveillance, and bias in big data, as well as the risks of over trust in machines, the challenges of transparency, the deskilling of healthcare practitioners, the way AI reframes healthcare, and the implications of AI for the distribution of power in healthcare ins
This document presents a compilation of results related to the theory of stochastic processes, with a specific focus on Markov processes, regenerative processes, renewal processes, and stationary processes. The relevance of these topics lies in the ability to identify regeneration points and the necessary conditions to ensure the stationarity of the process. The study begins with a review of Markov chains and continues with the analysis of processes that satisfy the strong Markov property. Subsequently, it delves into renewal processes, regenerative processes, and finally, stationary regenerative processes, highlighting the results presented by Thorisson [22]. This work is not intended to be exhaustive but aims to provide a solid foundation for further deepening the knowledge of these processes, given their broad range of applications in cryptography [16], queueing theory [15], and Monte Carlo methods [23]. Additionally, the importance of Poisson-type processes is emphasized due to their numerous applications (see [8]).
The success of precision medicine requires computational models that can effectively process and interpret diverse physiological signals across heterogeneous patient populations. While foundation models have demonstrated remarkable transfer capabilities across various domains, their effectiveness in handling individual-specific physiological signals - crucial for precision medicine - remains largely unexplored. This work introduces a systematic pipeline for rapidly and efficiently evaluating foundation models' transfer capabilities in medical contexts. Our pipeline employs a three-stage approach. First, it leverages physiological simulation software to generate diverse, clinically relevant scenarios, particularly focusing on data-scarce medical conditions. This simulation-based approach enables both targeted capability assessment and subsequent model fine-tuning. Second, the pipeline projects these simulated signals through the foundation model to obtain embeddings, which are then evaluated using linear methods. This evaluation quantifies the model's ability to capture three critical aspects: physiological feature independence, temporal dynamics preservation, and medical scenario d
This study examines the clinical decision-making processes in Traditional East Asian Medicine (TEAM) by reinterpreting pattern identification (PI) through the lens of dimensionality reduction. Focusing on the Eight Principle Pattern Identification (EPPI) system and utilizing empirical data from the Shang-Han-Lun, we explore the necessity and significance of prioritizing the Exterior-Interior pattern in diagnosis and treatment selection. We test three hypotheses: whether the Ext-Int pattern contains the most information about patient symptoms, represents the most abstract and generalizable symptom information, and facilitates the selection of appropriate herbal prescriptions. Employing quantitative measures such as the abstraction index, cross-conditional generalization performance, and decision tree regression, our results demonstrate that the Exterior-Interior pattern represents the most abstract and generalizable symptom information, contributing to the efficient mapping between symptom and herbal prescription spaces. This research provides an objective framework for understanding the cognitive processes underlying TEAM, bridging traditional medical practices with modern computat
Recent studies indicate that Generative Pre-trained Transformer 4 with Vision (GPT-4V) outperforms human physicians in medical challenge tasks. However, these evaluations primarily focused on the accuracy of multi-choice questions alone. Our study extends the current scope by conducting a comprehensive analysis of GPT-4V's rationales of image comprehension, recall of medical knowledge, and step-by-step multimodal reasoning when solving New England Journal of Medicine (NEJM) Image Challenges - an imaging quiz designed to test the knowledge and diagnostic capabilities of medical professionals. Evaluation results confirmed that GPT-4V performs comparatively to human physicians regarding multi-choice accuracy (81.6% vs. 77.8%). GPT-4V also performs well in cases where physicians incorrectly answer, with over 78% accuracy. However, we discovered that GPT-4V frequently presents flawed rationales in cases where it makes the correct final choices (35.5%), most prominent in image comprehension (27.2%). Regardless of GPT-4V's high accuracy in multi-choice questions, our findings emphasize the necessity for further in-depth evaluations of its rationales before integrating such multimodal AI m
3D data from high-resolution volumetric imaging is a central resource for diagnosis and treatment in modern medicine. While the fast development of AI enhances imaging and analysis, commonly used visualization methods lag far behind. Recent research used extended reality (XR) for perceiving 3D images with visual depth perception and touch but used restrictive haptic devices. While unrestricted touch benefits volumetric data examination, implementing natural haptic interaction with XR is challenging. The research question is whether a multisensory XR application with intuitive haptic interaction adds value and should be pursued. In a study, 24 experts for biomedical images in research and medicine explored 3D medical shapes with 3 applications: a multisensory virtual reality (VR) prototype using haptic gloves, a simple VR prototype using controllers, and a standard PC application. Results of standardized questionnaires showed no significant differences between all application types regarding usability and no significant difference between both VR applications regarding presence. Participants agreed to statements that VR visualizations provide better depth information, using the hand
The last few years have seen rapid progress in transitioning quantum computing from lab to industry. In healthcare and life sciences, more than 40 proof-of-concept experiments and studies have been conducted; an increasing number of these are even run on real quantum hardware. Major investments have been made with hundreds of millions of dollars already allocated towards quantum applications and hardware in medicine. In addition to pharmaceutical and life sciences uses, clinical and medical applications are now increasingly coming into the picture. This chapter focuses on three key use case areas associated with (precision) medicine, including genomics and clinical research, diagnostics, and treatments and interventions. Examples of organizations and the use cases they have been researching are given; ideas how the development of practical quantum computing applications can be further accelerated are described.
Multiclass open queueing networks find wide applications in communication, computer and fabrication networks. Often one is interested in steady-state performance measures associated with these networks. Conceptually, under mild conditions, a regenerative structure exists in multiclass networks, making them amenable to regenerative simulation for estimating the steady-state performance measures. However, typically, identification of a regenerative structure in these networks is difficult. A well known exception is when all the interarrival times are exponentially distributed, where the instants corresponding to customer arrivals to an empty network constitute a regenerative structure. In this paper, we consider networks where the interarrival times are generally distributed but have exponential or heavier tails. We show that these distributions can be decomposed into a mixture of sums of independent random variables such that at least one of the components is exponentially distributed. This allows an easily implementable embedded regenerative structure in the Markov process. We show that under mild conditions on the network primitives, the regenerative mean and standard deviation es
Medicine, including fields in healthcare and life sciences, has seen a flurry of quantum-related activities and experiments in the last few years (although biology and quantum theory have arguably been entangled ever since Schrödinger's cat). The initial focus was on biochemical and computational biology problems; recently, however, clinical and medical quantum solutions have drawn increasing interest. The rapid emergence of quantum computing in health and medicine necessitates a mapping of the landscape. In this review, clinical and medical proof-of-concept quantum computing applications are outlined and put into perspective. These consist of over 40 experimental and theoretical studies. The use case areas span genomics, clinical research and discovery, diagnostics, and treatments and interventions. Quantum machine learning (QML) in particular has rapidly evolved and shown to be competitive with classical benchmarks in recent medical research. Near-term QML algorithms have been trained with diverse clinical and real-world data sets. This includes studies in generating new molecular entities as drug candidates, diagnosing based on medical image classification, predicting patient pe
A new class of random composition structures (the ordered analog of Kingman's partition structures) is defined by a regenerative description of component sizes. Each regenerative composition structure is represented by a process of random sampling of points from an exponential distribution on the positive halfline, and separating the points into clusters by an independent regenerative random set. Examples are composition structures derived from residual allocation models, including one associated with the Ewens sampling formula, and composition structures derived from the zero set of a Brownian motion or Bessel process. We provide characterisation results and formulas relating the distribution of the regenerative composition to the L{é}vy parameters of a subordinator whose range is the corresponding regenerative set. In particular, the only reversible regenerative composition structures are those associated with the interval partition of $[0,1]$ generated by excursions of a standard Bessel bridge of dimension $2 - 2 α$ for some $α\in [0,1]$.
We consider Kingman's partition structures which are regenerative with respect to a general operation of random deletion of some part. Prototypes of this class are the Ewens partition structures which Kingman characterised by regeneration after deletion of a part chosen by size-biased sampling. We associate each regenerative partition structure with a corresponding regenerative composition structure, which (as we showed in a previous paper) can be associated in turn with a regenerative random subset of the positive halfline, that is the closed range of a subordinator. A general regenerative partition structure is thus represented in terms of the Laplace exponent of an associated subordinator. We also analyse deletion properties characteristic of the two-parameter family of partition structures.