Stroke-based Rendering (SBR) aims to decompose an input image into a sequence of parameterized strokes, which can be rendered into a painting that resembles the input image. Recently, Neural Painting methods that utilize deep learning and reinforcement learning models to predict the stroke sequences have been developed, but suffer from longer inference time or unstable training. To address these issues, we propose AttentionPainter, an efficient and adaptive model for single-step neural painting. First, we propose a novel scalable stroke predictor, which predicts a large number of stroke parameters within a single forward process, instead of the iterative prediction of previous Reinforcement Learning or auto-regressive methods, which makes AttentionPainter faster than previous neural painting methods. To further increase the training efficiency, we propose a Fast Stroke Stacking algorithm, which brings 13 times acceleration for training. Moreover, we propose Stroke-density Loss, which encourages the model to use small strokes for detailed information, to help improve the reconstruction quality. Finally, we propose a new stroke diffusion model for both conditional and unconditional s
Creating a stroke-by-stroke evolution process of a visual artwork tries to bridge the emotional and educational gap between the finished static artwork and its creation process. Recent stroke-based painting systems focus on capturing stroke details by predicting and iteratively refining stroke parameters to maximize the similarity between the input image and the rendered output. However, these methods often struggle to produce stroke compositions that align with artistic principles and intent. To address this, we explore an image-to-painting method that (i) facilitates semantic guidance for brush strokes in targeted regions, (ii) computes the brush stroke parameters, and (iii) establishes a sequence among segments and strokes to sequentially render the final painting. Experimental results on various input image types, such as face images, paintings, and photographic images, show that our method aligns with a region-based painting strategy while rendering a painting with high fidelity and superior stroke quality.
Accurate badminton stroke prediction is crucial for fine-grained sports analysis and tactical decision support. However, existing methods struggle to model rich temporal context. This paper introduces TemPose-TF-ASF (Adjacent-Stroke Fusion), a context-aware extension of TemPose. It enhances stroke recognition by incorporating stroke-type information from both preceding and subsequent strokes. A two-stage training and inference strategy is adopted. Preliminary predictions from the baseline model are reused as estimated temporal context. These predictions guide the joint optimization of the ASF module and the classifier. By explicitly modeling bidirectional temporal stroke dependencies, the proposed method can be seamlessly integrated into existing state-of-the-art models. Experiments on a large-scale badminton match dataset show consistent improvements over the baseline and its variants in terms of Accuracy and Macro-F1. Moreover, integrating ASF into other advanced methods yields notable performance gains. These results demonstrate strong transferability and generalization capability.
Stroke is globally a major cause of mortality and morbidity, and hence accurate and rapid diagnosis of stroke is valuable. Retinal fundus imaging reveals the known markers of elevated stroke risk in the eyes, which are retinal venular widening, arteriolar narrowing, and increased tortuosity. In contrast to other imaging techniques used for stroke diagnosis, the acquisition of fundus images is easy, non-invasive, fast, and inexpensive. Therefore, in this study, we propose a multi-view stroke network (MVS-Net) to detect stroke and transient ischemic attack (TIA) using retinal fundus images. Contrary to existing studies, our study proposes for the first time a solution to discriminate stroke and TIA with deep multi-view learning by proposing an end-to-end deep network, consisting of multi-view inputs of fundus images captured from both right and left eyes. Accordingly, the proposed MVS-Net defines representative features from fundus images of both eyes and determines the relation within their macula-centered and optic nerve head-centered views. Experiments performed on a dataset collected from stroke and TIA patients, in addition to healthy controls, show that the proposed framework a
Artificial intelligence models have shown strong potential in acute ischemic stroke imaging, particularly for lesion detection and segmentation using computed tomography and magnetic resonance imaging. However, most existing approaches operate as black box predictors, producing deterministic outputs without explicit uncertainty awareness or structured mechanisms to abstain under ambiguous conditions. This limitation raises serious safety and trust concerns in high risk emergency radiology settings. In this paper, we propose an explainable agentic AI framework for uncertainty aware and abstention enabled decision support in acute ischemic stroke imaging. The framework follows a modular agentic pipeline in which a perception agent performs lesion aware image analysis, an uncertainty estimation agent computes slice level predictive reliability, and a decision agent determines whether to issue a prediction or abstain based on predefined uncertainty thresholds. Unlike prior stroke imaging systems that primarily focus on improving segmentation or classification accuracy, the proposed framework explicitly prioritizes clinical safety, transparency, and clinician aligned decision behavior.
Classifying fine-grained ischemic stroke phenotypes relies on identifying important clinical information. Radiology reports provide relevant information with context to determine such phenotype information. We focus on stroke phenotypes with location-specific information: brain region affected, laterality, stroke stage, and lacunarity. We use an existing fine-grained spatial information extraction system--Rad-SpatialNet--to identify clinically important information and apply simple domain rules on the extracted information to classify phenotypes. The performance of our proposed approach is promising (recall of 89.62% for classifying brain region and 74.11% for classifying brain region, side, and stroke stage together). Our work demonstrates that an information extraction system based on a fine-grained schema can be utilized to determine complex phenotypes with the inclusion of simple domain rules. These phenotypes have the potential to facilitate stroke research focusing on post-stroke outcome and treatment planning based on the stroke location.
Surface electromyography (sEMG) is a promising control signal for assist-as-needed hand rehabilitation after stroke, but detecting intent from paretic muscles often requires lengthy, subject-specific calibration and remains brittle to variability. We propose a healthy-to-stroke adaptation pipeline that initializes an intent detector from a model pretrained on large-scale able-bodied sEMG, then fine-tunes it for each stroke participant using only a small amount of subject-specific data. Using a newly collected dataset from three individuals with chronic stroke, we compare adaptation strategies (head-only tuning, parameter-efficient LoRA adapters, and full end-to-end fine-tuning) and evaluate on held-out test sets that include realistic distribution shifts such as within-session drift, posture changes, and armband repositioning. Across conditions, healthy-pretrained adaptation consistently improves stroke intent detection relative to both zero-shot transfer and stroke-only training under the same data budget; the best adaptation methods improve average transition accuracy from 0.42 to 0.61 and raw accuracy from 0.69 to 0.78. These results suggest that transferring a reusable healthy-
Understanding the stroke-based evolution of visual artworks is useful for advancing artwork learning, appreciation, and interactive display. While the stroke sequence of renowned artworks remains largely unknown, formulating this sequence for near-natural image drawing processes can significantly enhance our understanding of artistic techniques. This paper introduces a novel method for approximating artwork stroke evolution through a proximity-based clustering mechanism. We first convert pixel images into vector images via parametric curves and then explore the clustering approach to determine the sequence order of extracted strokes. Our proposed algorithm demonstrates the potential to infer stroke sequences in unknown artworks. We evaluate the performance of our method using WikiArt data and qualitatively demonstrate the plausible stroke sequences. Additionally, we demonstrate the robustness of our approach to handle a wide variety of input image types such as line art, face sketches, paintings, and photographic images. By exploring stroke extraction and sequence construction, we aim to improve our understanding of the intricacies of the art development techniques and the step-by-
Stroke extraction of Chinese characters plays an important role in the field of character recognition and generation. The most existing character stroke extraction methods focus on image morphological features. These methods usually lead to errors of cross strokes extraction and stroke matching due to rarely using stroke semantics and prior information. In this paper, we propose a deep learning-based character stroke extraction method that takes semantic features and prior information of strokes into consideration. This method consists of three parts: image registration-based stroke registration that establishes the rough registration of the reference strokes and the target as prior information; image semantic segmentation-based stroke segmentation that preliminarily separates target strokes into seven categories; and high-precision extraction of single strokes. In the stroke registration, we propose a structure deformable image registration network to achieve structure-deformable transformation while maintaining the stable morphology of single strokes for character images with complex structures. In order to verify the effectiveness of the method, we construct two datasets respect
Every year in the United States, 800,000 individuals suffer a stroke - one person every 40 seconds, with a death occurring every four minutes. While individual factors vary, certain predictors are more prevalent in determining stroke risk. As strokes are the second leading cause of death and disability worldwide, predicting stroke likelihood based on lifestyle factors is crucial. Showing individuals their stroke risk could motivate lifestyle changes, and machine learning offers solutions to this prediction challenge. Neural networks excel at predicting outcomes based on training features like lifestyle factors, however, they're not the only option. Logistic regression models can also effectively compute the likelihood of binary outcomes based on independent variables, making them well-suited for stroke prediction. This analysis will compare both neural networks (dense and convolutional) and logistic regression models for stroke prediction, examining their pros, cons, and differences to develop the most effective predictor that minimizes false negatives.
Background: Hemiparesis after subcortical stroke is classically described as distal upper-extremity (UE) predominant, but prevalence data in chronic stroke is limited. Objective: Determine the prevalence of distal predominant UE weakness in exclusively subcortical chronic stroke versus other stroke distributions, characterize cohort differences, and describe UE weakness patterns in chronic stroke overall. Methods: Outpatient records were retrospectively reviewed to identify chronic stroke subjects. Lesion locations were classified from radiographic reports as exclusively subcortical or not (using a whole brain and supratentorial definition). UE weakness was categorized as distal predominant or not. Prevalence was compared with $χ$-squared testing and odds ratios (OR). Results: 250 subjects were included (mean 861 days post-stroke). Using the whole-brain definition, distal predominant weakness occurred in 30.6% of exclusively subcortical versus 17.4% of non-exclusively subcortical strokes (OR 2.09, 95% CI 1.15-3.81; p=0.014). Using the supratentorial definition, distal predominant weakness occurred in 27.9% versus 17.9%, respectively (OR 2.16, 95% CI 1.17-3.96; p=0.012). Across all
Stroke remains one of the most critical global health challenges, ranking as the second leading cause of death and the third leading cause of disability worldwide. This study explores the effectiveness of machine learning algorithms in predicting stroke risk using demographic, clinical, and lifestyle data from the Stroke Prediction Dataset. By addressing key methodological challenges such as class imbalance and missing data, we evaluated the performance of multiple models, including Logistic Regression, Random Forest, and XGBoost. Our results demonstrate that while these models achieve high accuracy, sensitivity remains a limiting factor for real-world clinical applications. In addition, we identify the most influential predictive features and propose strategies to improve machine learning-based stroke prediction. These findings contribute to the development of more reliable and interpretable models for the early assessment of stroke risk.
Handwriting stroke generation is crucial for improving the performance of tasks such as handwriting recognition and writers order recovery. In handwriting stroke generation, it is significantly important to imitate the sample calligraphic style. The previous studies have suggested utilizing the calligraphic features of the handwriting. However, they had not considered word spacing (word layout) as an explicit handwriting feature, which results in inconsistent word spacing for style imitation. Firstly, this work proposes multi-scale attention features for calligraphic style imitation. These multi-scale feature embeddings highlight the local and global style features. Secondly, we propose to include the words layout, which facilitates word spacing for handwriting stroke generation. Moreover, we propose a conditional diffusion model to predict strokes in contrast to previous work, which directly generated style images. Stroke generation provides additional temporal coordinate information, which is lacking in image generation. Hence, our proposed conditional diffusion model for stroke generation is guided by calligraphic style and word layout for better handwriting imitation and stroke
In the realm of medical imaging, precise segmentation of stroke lesions from brain MRI images stands as a critical challenge with significant implications for patient diagnosis and treatment. Addressing this, our study introduces an innovative approach using a Fuzzy Information Seeded Region Growing (FISRG) algorithm. Designed to effectively delineate the complex and irregular boundaries of stroke lesions, the FISRG algorithm combines fuzzy logic with Seeded Region Growing (SRG) techniques, aiming to enhance segmentation accuracy. The research involved three experiments to optimize the FISRG algorithm's performance, each focusing on different parameters to improve the accuracy of stroke lesion segmentation. The highest Dice score achieved in these experiments was 94.2\%, indicating a high degree of similarity between the algorithm's output and the expert-validated ground truth. Notably, the best average Dice score, amounting to 88.1\%, was recorded in the third experiment, highlighting the efficacy of the algorithm in consistently segmenting stroke lesions across various slices. Our findings reveal the FISRG algorithm's strengths in handling the heterogeneity of stroke lesions. How
Stroke is a leading cause of serious, long-term disability in the United States. There exist disparities in both stroke prevalence and outcomes between people with stroke in Hispanic and Latinx communities and the general stroke population. Current stroke technology - which aims to improve quality of life and bring people with stroke to the most functional, independent state possible - has shown promising results for the general stroke population, but has failed to close the recovery outcome gap for underserved Hispanic and Latinx people with stroke. Previous work in health education, digital health, and HRI has improved human health outcomes by incorporating social-cultural factors, though not for stroke. In this position paper, we aim to justify accounting for unique cultural factors in stroke technology design for the Hispanic and Latinx community. We review examples of successful culturally appropriate interventions and suggest design considerations (mutually beneficial community consultation, accommodating for barriers beforehand, building on culture, and incorporating education of the family) to provide more culturally appropriate design of Hispanic and Latinx stroke technolo
Generating sketches guided by reference styles requires precise transfer of stroke attributes, such as line thickness, deformation, and texture sparsity, while preserving semantic structure and content fidelity. To this end, we propose Stroke2Sketch, a novel training-free framework that introduces cross-image stroke attention, a mechanism embedded within self-attention layers to establish fine-grained semantic correspondences and enable accurate stroke attribute transfer. This allows our method to adaptively integrate reference stroke characteristics into content images while maintaining structural integrity. Additionally, we develop adaptive contrast enhancement and semantic-focused attention to reinforce content preservation and foreground emphasis. Stroke2Sketch effectively synthesizes stylistically faithful sketches that closely resemble handcrafted results, outperforming existing methods in expressive stroke control and semantic coherence. Codes are available at https://github.com/rane7/Stroke2Sketch.
Understanding the longitudinally changing associations between Social Determinants of Health (SDOH) and stroke mortality is essential for effective stroke management. Previous studies have uncovered significant regional disparities in the relationships between SDOH and stroke mortality. However, existing studies have not utilized longitudinal associations to develop data-driven methods for regional division in stroke control. To fill this gap, we propose a novel clustering method to analyze SDOH -- stroke mortality associations in US counties. To enhance the interpretability of the clustering outcomes, we introduce a novel regularized expectation-maximization algorithm equipped with various sparsity-and-smoothness-pursued penalties, aiming at simultaneous clustering and variable selection in longitudinal associations. As a result, we can identify crucial SDOH that contribute to longitudinal changes in stroke mortality. This facilitates the clustering of US counties into different regions based on the relationships between these SDOH and stroke mortality. The effectiveness of our proposed method is demonstrated through extensive numerical studies. By applying our method to longitudi
Visual illusions traditionally rely on spatial manipulations such as multi-view consistency. In this work, we introduce Progressive Semantic Illusions, a novel vector sketching task where a single sketch undergoes a dramatic semantic transformation through the sequential addition of strokes. We present Stroke of Surprise, a generative framework that optimizes vector strokes to satisfy distinct semantic interpretations at different drawing stages. The core challenge lies in the "dual-constraint": initial prefix strokes must form a coherent object (e.g., a duck) while simultaneously serving as the structural foundation for a second concept (e.g., a sheep) upon adding delta strokes. To address this, we propose a sequence-aware joint optimization framework driven by a dual-branch Score Distillation Sampling (SDS) mechanism. Unlike sequential approaches that freeze the initial state, our method dynamically adjusts prefix strokes to discover a "common structural subspace" valid for both targets. Furthermore, we introduce a novel Overlay Loss that enforces spatial complementarity, ensuring structural integration rather than occlusion. Extensive experiments demonstrate that our method sign
Stroke is one of the leading causes of death and disability worldwide but it is believed to be highly preventable. The majority of stroke prevention focuses on targeting high-risk individuals but its is important to understand how the targeting of high-risk individuals might impact the overall societal burden of stroke. We propose using an agent-based model that follows agents through their pre-stroke and stroke journey to assess the impacts of different interventions at the population level. We present a case study looking at the impacts of agents being informed of their stroke risk at certain ages and those agents taking measure to reduce their risk. The results of our study show that if agents are aware of their risk and act accordingly we see a significant reduction in strokes and population DALYs. The case study highlights the importance of individuals understanding their own stroke risk for stroke prevention and the usefulness of agent-based models in assessing the impact of stroke interventions.
Sketch edit at stroke-level aims to transplant source strokes onto a target sketch via stroke expansion or replacement, while preserving semantic consistency and visual fidelity with the target sketch. Recent studies addressed it by relocating source strokes at appropriate canvas positions. However, as source strokes could exhibit significant variations in both size and orientation, we may fail to produce plausible sketch editing results by merely repositioning them without further adjustments. For example, anchoring an oversized source stroke onto the target without proper scaling would fail to produce a semantically coherent outcome. In this paper, we propose SketchMod to refine the source stroke through transformation so as to align it with the target sketch's patterns, further realize flexible sketch edit at stroke-level. As the source stroke refinement is governed by the patterns of the target sketch, we learn three key offset attributes (scale, orientation and position) from the source stroke to another, and align it with the target by: 1) resizing to match spatial proportions by scale, 2) rotating to align with local geometry by orientation, and 3) displacing to meet with se