搜索结果：BMC urology

Large Language Models (LLMs) are revolutionizing medical Question-Answering (medQA) through extensive use of medical literature. However, their performance is often hampered by outdated training data and a lack of explainability, which limits clinical applicability. This study aimed to create and assess UroBot, a urology-specialized chatbot, by comparing it with state-of-the-art models and the performance of urologists on urological board questions, ensuring full clinician-verifiability. UroBot was developed using OpenAI's GPT-3.5, GPT-4, and GPT-4o models, employing retrieval-augmented generation (RAG) and the latest 2023 guidelines from the European Association of Urology (EAU). The evaluation included ten runs of 200 European Board of Urology (EBU) In-Service Assessment (ISA) questions, with performance assessed by the mean Rate of Correct Answers (RoCA). UroBot-4o achieved an average RoCA of 88.4%, surpassing GPT-4o by 10.8%, with a score of 77.6%. It was also clinician-verifiable and exhibited the highest run agreement as indicated by Fleiss' Kappa (k = 0.979). By comparison, the average performance of urologists on board questions, as reported in the literature, is 68.7%. Uro

Amortized Bayesian model comparison (BMC) enables fast probabilistic ranking of models via simulation-based training of neural surrogates. However, the accuracy of neural surrogates deteriorates when simulation models are misspecified; the very case where model comparison is most needed. We evaluate four different amortized BMC methods. We supplement traditional simulation-based training of these methods with a \emph{self-consistency} (SC) loss on unlabeled real data to improve BMC estimates under distribution shifts. Using one artificial and two real-world case studies, we compare amortized BMC estimators with and without SC against analytic or bridge sampling benchmarks. In the \emph{closed-world} case (data is generated by one of the candidate models), BMC estimators using classifiers work acceptably well even without SC training. However, these methods also benefit the least from SC training. In the \emph{open-world} scenario (all models misspecified), SC training strongly improves BMC estimators when having access to analytic likelihoods, or when surrogate likelihoods are locally accurate near the true parameter posterior, even for severely misspecified models. We conclude wit

Bounded Model Checking (BMC) is a widely used software verification technique. Despite its successes, the technique has several limiting factors, from state-space explosion to lack of completeness. Over the years, interval analysis has repeatedly been proposed as a partial solution to these limitations. In this work, we evaluate whether the computational cost of interval analysis yields significant enough improvements in BMC's performance to justify its use. In more detail, we quantify the benefits of interval analysis on two benchmarks: the Intel Core Power Management firmware and 9537 programs in the ReachSafety category of the International Competition on Software Verification. Our results show that interval analysis is essential in solving 203 unique benchmarks.

Finding software vulnerabilities in concurrent programs is a challenging task due to the size of the state-space exploration, as the number of interleavings grows exponentially with the number of program threads and statements. We propose and evaluate EBF (Ensembles of Bounded Model Checking with Fuzzing) -- a technique that combines Bounded Model Checking (BMC) and Gray-Box Fuzzing (GBF) to find software vulnerabilities in concurrent programs. Since there are no publicly-available GBF tools for concurrent code, we first propose OpenGBF -- a new open-source concurrency-aware gray-box fuzzer that explores different thread schedules by instrumenting the code under test with random delays. Then, we build an ensemble of a BMC tool and OpenGBF in the following way. On the one hand, when the BMC tool in the ensemble returns a counterexample, we use it as a seed for OpenGBF, thus increasing the likelihood of executing paths guarded by complex mathematical expressions. On the other hand, we aggregate the outcomes of the BMC and GBF tools in the ensemble using a decision matrix, thus improving the accuracy of EBF. We evaluate EBF against state-of-the-art pure BMC tools and show that it can

Bounded model checking (BMC) and fuzzing techniques are among the most effective methods for detecting errors and security vulnerabilities in software. However, there are still shortcomings in detecting these errors due to the inability of existent methods to cover large areas in target code. We propose FuSeBMC v4, a test generator that synthesizes seeds with useful properties, that we refer to as smart seeds, to improve the performance of its hybrid fuzzer thereby achieving high C program coverage. FuSeBMC works by first analyzing and incrementally injecting goal labels into the given C program to guide BMC and Evolutionary Fuzzing engines. After that, the engines are employed for an initial period to produce the so-called smart seeds. Finally, the engines are run again, with these smart seeds as starting seeds, in an attempt to achieve maximum code coverage / find bugs. During both seed generation and normal running, coordination between the engines is aided by the Tracer subsystem. This subsystem carries out additional coverage analysis and updates a shared memory with information on goals covered so far. Furthermore, the Tracer evaluates test cases dynamically to convert cases

We introduce RJUA-QA, a novel medical dataset for question answering (QA) and reasoning with clinical evidence, contributing to bridge the gap between general large language models (LLMs) and medical-specific LLM applications. RJUA-QA is derived from realistic clinical scenarios and aims to facilitate LLMs in generating reliable diagnostic and advice. The dataset contains 2,132 curated Question-Context-Answer pairs, corresponding about 25,000 diagnostic records and clinical cases. The dataset covers 67 common urological disease categories, where the disease coverage exceeds 97.6\% of the population seeking medical services in urology. Each data instance in RJUA-QA comprises: (1) a question mirroring real patient to inquiry about clinical symptoms and medical conditions, (2) a context including comprehensive expert knowledge, serving as a reference for medical examination and diagnosis, (3) a doctor response offering the diagnostic conclusion and suggested examination guidance, (4) a diagnosed clinical disease as the recommended diagnostic outcome, and (5) clinical advice providing recommendations for medical examination. RJUA-QA is the first medical QA dataset for clinical reasonin

The training process of generative adversarial networks (GANs) is unstable and does not converge globally. In this paper, we examine the stability of GANs from the perspective of control theory and propose a universal higher-order noise-based controller called Brownian Motion Controller (BMC). Starting with the prototypical case of Dirac-GANs, we design a BMC to retrieve precisely the same but reachable optimal equilibrium. We theoretically prove that the training process of DiracGANs-BMC is globally exponential stable and derive bounds on the rate of convergence. Then we extend our BMC to normal GANs and provide implementation instructions on GANs-BMC. Our experiments show that our GANs-BMC effectively stabilizes GANs' training under StyleGANv2-ada frameworks with a faster rate of convergence, a smaller range of oscillation, and better performance in terms of FID score.

Tumor documentation in Germany is largely done manually, requiring reading patient records and entering data into structured databases. Large language models (LLMs) could potentially enhance this process by improving efficiency and reliability. This evaluation tests eleven different open source LLMs with sizes ranging from 1-70 billion model parameters on three basic tasks of the tumor documentation process: identifying tumor diagnoses, assigning ICD-10 codes, and extracting the date of first diagnosis. For evaluating the LLMs on these tasks, a dataset of annotated text snippets based on anonymized doctors' notes from urology was prepared. Different prompting strategies were used to investigate the effect of the number of examples in few-shot prompting and to explore the capabilities of the LLMs in general. The models Llama 3.1 8B, Mistral 7B, and Mistral NeMo 12 B performed comparably well in the tasks. Models with less extensive training data or having fewer than 7 billion parameters showed notably lower performance, while larger models did not display performance gains. Examples from a different medical domain than urology could also improve the outcome in few-shot prompting, wh

Satisfiability Modulo Theories (SMT) solvers have been successfully applied to solve many problems in formal verification such as bounded model checking (BMC) for many classes of systems from integrated circuits to cyber-physical systems. Typically, BMC is performed by checking satisfiability of a possibly long, but quantifier-free formula. However, BMC problems can naturally be encoded as quantified formulas over the number of BMC steps. In this approach, we then use decision procedures supporting quantifiers to check satisfiability of these quantified formulas. This approach has previously been applied to perform BMC using a Quantified Boolean Formula (QBF) encoding for purely discrete systems, and then discharges the QBF checks using QBF solvers. In this paper, we present a new quantified encoding of BMC for rectangular hybrid automata (RHA), which requires using more general logics due to the real (dense) time and real-valued state variables modeling continuous states. We have implemented a preliminary experimental prototype of the method using the HyST model transformation tool to generate the quantified BMC (QBMC) queries for the Z3 SMT solver. We describe experimental result

With the skyrocketing costs of GPUs and their virtual instances in the cloud, there is a significant desire to use CPUs for large language model (LLM) inference. KV cache update, often implemented as allocation, copying, and in-place strided update for each generated token, incurs significant overhead. As the sequence length increases, the allocation and copy overheads dominate the performance. Alternate approaches may allocate large KV tensors upfront to enable in-place updates, but these matrices (with zero-padded rows) cause redundant computations. In this work, we propose a new KV cache allocation mechanism called Balancing Memory and Compute (BMC). BMC allocates, once every r iterations, KV tensors with r redundant rows, allowing in-place update without copy overhead for those iterations, but at the expense of a small amount of redundant computation. Second, we make an interesting observation that the extra rows allocated in the KV tensors and the resulting redundant computation can be repurposed for Speculative Decoding (SD) that improves token generation efficiency. Last, BMC represents a spectrum of design points with different values of r. To identify the best-performing d

Bayesian model comparison (BMC) offers a principled approach for assessing the relative merits of competing computational models and propagating uncertainty into model selection decisions. However, BMC is often intractable for the popular class of hierarchical models due to their high-dimensional nested parameter structure. To address this intractability, we propose a deep learning method for performing BMC on any set of hierarchical models which can be instantiated as probabilistic programs. Since our method enables amortized inference, it allows efficient re-estimation of posterior model probabilities and fast performance validation prior to any real-data application. In a series of extensive validation studies, we benchmark the performance of our method against the state-of-the-art bridge sampling method and demonstrate excellent amortized inference across all BMC settings. We then showcase our method by comparing four hierarchical evidence accumulation models that have previously been deemed intractable for BMC due to partly implicit likelihoods. Additionally, we demonstrate how transfer learning can be leveraged to enhance training efficiency. We provide reproducible code for

Bounded Model Checking (BMC) is a powerful technique for proving unsafety. However, finding deep counterexamples that require a large bound is challenging for BMC. On the other hand, acceleration techniques compute "shortcuts" that "compress" many execution steps into a single one. In this paper, we tightly integrate acceleration techniques into SMT-based bounded model checking. By adding suitable "shortcuts" on the fly, our approach can quickly detect deep counterexamples. Moreover, using so-called blocking clauses, our approach can prove safety of examples where BMC diverges. An empirical comparison with other state-of-the-art techniques shows that our approach is highly competitive for proving unsafety, and orthogonal to existing techniques for proving safety.

Bounded model checking (BMC) is an effective technique for hunting bugs by incrementally exploring the state space of a system. To reason about infinite traces through a finite structure and to ultimately obtain completeness, BMC incorporates loop conditions that revisit previously observed states. This paper focuses on developing loop conditions for BMC of HyperLTL- a temporal logic for hyperproperties that allows expressing important policies for security and consistency in concurrent systems, etc. Loop conditions for HyperLTL are more complicated than for LTL, as different traces may loop inconsistently in unrelated moments. Existing BMC approaches for HyperLTL only considered linear unrollings without any looping capability, which precludes both finding small infinite traces and obtaining a complete technique. We investigate loop conditions for HyperLTL BMC, where the HyperLTL formula can contain up to one quantifier alternation. We first present a general complete automata-based technique which is based on bounds of maximum unrollings. Then, we introduce alternative simulation-based algorithms that allow exploiting short loops effectively, generating SAT queries whose satisfia

Objective: Conventional urodynamics (UDS) provide critical diagnostic information, but requires invasive dual catheterization and manual labeling of clinically important events. Wireless, catheter-free bladder function tests are becoming available for home use, but only provide vesical pressure (Pves). We developed a machine learning framework that was trained and externally validated on UDS data for automated urological event classification from single-channel (Pves) recordings. Methods: We analyzed 118 annotated UDS traces segmented into 0.8-second Pves intervals. Using the discrete wavelet transform, we extracted 55 statistical features per segment. Consecutive segments (233,338 segments; three classes) sharing the same class, abdominal (ABD), detrusor overactivity (DO), or voiding contraction (VOID), were grouped into events, and median feature aggregation was applied to derive event-level representations. Using an imbalanced dataset, we trained a two-stage multilayer perceptron (MLP): Stage 1 distinguished VOID vs non-VOID, and Stage 2 classified non-VOID into ABD and DO. The model was trained on two independent datasets and externally validated on a third independent dataset.

Until recently, Computer-Aided Medical Interventions (CAMI) and Medical Robotics have focused on rigid and non deformable anatomical structures. Nowadays, special attention is paid to soft tissues, raising complex issues due to their mobility and deformation. Mini-invasive digestive surgery was probably one of the first fields where soft tissues were handled through the development of simulators, tracking of anatomical structures and specific assistance robots. However, other clinical domains, for instance urology, are concerned. Indeed, laparoscopic surgery, new tumour destruction techniques (e.g. HIFU, radiofrequency, or cryoablation), increasingly early detection of cancer, and use of interventional and diagnostic imaging modalities, recently opened new challenges to the urologist and scientists involved in CAMI. This resulted in the last five years in a very significant increase of research and developments of computer-aided urology systems. In this paper, we propose a description of the main problems related to computer-aided diagnostic and therapy of soft tissues and give a survey of the different types of assistance offered to the urologist: robotization, image fusion, surgi

Tissue engineering technology and tissue cell-based stem cell research have made great strides in treating tissue and organ damage, correcting tissue and organ dysfunction, and reducing surgical complications. In the past, traditional methods have used biological substitutes for tissue repair materials, while tissue engineering technology has focused on merging sperm cells with biological materials to form biological tissues with the same structure and function as their own tissues. The advantage is that tissue engineering technology can overcome donors. Material procurement restrictions can effectively reduce complications. The aim of studying tissue engineering technology is to find sperm cells and suitable biological materials to replace the original biological functions of tissues and to establish a suitable in vivo microenvironment. This article mainly describes the current developments of tissue engineering in various fields of urology and discusses the future trends of tissue engineering technology in the treatment of complex diseases of the urinary system. The results of the research in this article indicate that while the current clinical studies are relatively few, the go

In order to address the need for more capacity and coverage in the 5th generation (5G) of wireless networks, ultra-dense wireless networks are introduced which mainly consist of indoor small cells. This new architecture has paved the way for the advent of a new concept called Micro Operator. A micro operator is an entity that provides connections and local 5G services to the customers and relies on local frequency resources. We discuss business models of micro operators in a 5G coopetitive environment and develop a framework to indicate the business model canvas (BMC) of this new concept. Providing BMC for new businesses is a strategic approach to offer value to customers. In this research study, BMC and its elements are introduced and explained for 5G micro operators.

Robot-assisted surgery has profoundly influenced current forms of minimally invasive surgery. However, in transurethral suburethral urological surgical robots, they need to work in a liquid environment. This causes vaporization of the liquid when shearing and heating is performed, resulting in bubble atomization that affects the visual perception of the robot. This can lead to the need for uninterrupted pauses in the surgical procedure, which makes the surgery take longer. To address the atomization characteristics of liquids under urological surgical robotic vision, we propose an unsupervised zero-shot dehaze method (RSF-Dehaze) for urological surgical robotic vision. Specifically, the proposed Region Similarity Filling Module (RSFM) of RSF-Dehaze significantly improves the recovery of blurred region tissues. In addition, we organize and propose a dehaze dataset for robotic vision in urological surgery (USRobot-Dehaze dataset). In particular, this dataset contains the three most common urological surgical robot operation scenarios. To the best of our knowledge, we are the first to organize and propose a publicly available dehaze dataset for urological surgical robot vision. The pr

Resolving the exploration-exploitation trade-off remains a fundamental problem in the design and implementation of reinforcement learning (RL) algorithms. In this paper, we focus on model-free RL using the epsilon-greedy exploration policy, which despite its simplicity, remains one of the most frequently used forms of exploration. However, a key limitation of this policy is the specification of $\varepsilon$. In this paper, we provide a novel Bayesian perspective of $\varepsilon$ as a measure of the uniformity of the Q-value function. We introduce a closed-form Bayesian model update based on Bayesian model combination (BMC), based on this new perspective, which allows us to adapt $\varepsilon$ using experiences from the environment in constant time with monotone convergence guarantees. We demonstrate that our proposed algorithm, $\varepsilon$-\texttt{BMC}, efficiently balances exploration and exploitation on different problems, performing comparably or outperforming the best tuned fixed annealing schedules and an alternative data-dependent $\varepsilon$ adaptation scheme proposed in the literature.