搜索结果：Renal failure

Post-training algorithms based on deep reinforcement learning can push the limits of robotic models for specific objectives, such as generalizability, accuracy, and robustness. However, Intervention-requiring Failures (IR Failures) (e.g., a robot spilling water or breaking fragile glass) during real-world exploration happen inevitably, hindering the practical deployment of such a paradigm. To tackle this, we introduce Failure-Aware Offline-to-Online Reinforcement Learning (FARL), a new paradigm minimizing failures during real-world reinforcement learning. We create FailureBench, a benchmark that incorporates common failure scenarios requiring human intervention, and propose an algorithm that integrates a world-model-based safety critic and a recovery policy trained offline to prevent failures during online exploration. Extensive simulation and real-world experiments demonstrate the effectiveness of FARL in significantly reducing IR Failures while improving performance and generalization during online reinforcement learning post-training. FARL reduces IR Failures by 73.1% while elevating performance by 11.3% on average during real-world RL post-training. Videos and code are availabl

Failures in multi-turn reasoning models are largely invisible to terminal-score evaluation. A model can lock onto an unsafe stance early in a long dialogue, yet its final-turn refusal rate may appear indistinguishable from a robustly aligned baseline. To expose these hidden temporal dynamics, we propose a trace-level diagnostic - the CoT-Output 2x2 safety matrix. This framework labels every turn along two independent axes (internal reasoning and visible output), yielding four operationally defined failure cells: robust alignment, alignment faking, overt jailbreak, and a distinct failure mode we term context-injection failure (where the CoT maintains safe reasoning, but the visible output produces harm, highlighting a multi-turn manifestation of reasoning unfaithfulness). We evaluate three distilled reasoning targets against a fixed attacker across five oversight conditions, collecting 6750 turn-level observations on the Information-Hazard scenario. Our analysis reveals two reproducible vulnerabilities: an oversight paradox where explicit monitoring cues paradoxically increase alignment-faking rates rather than suppress them, and a context-injection failure where models lock onto un

Background: Renal blood flow (RBF) is an important marker of kidney health, but noninvasive assessment is not routinely used in clinical imaging. We evaluated the feasibility and physiologic validity of quantifying renal transport of Rubidium-82 (K1) during standard myocardial perfusion imaging (MPI) PET. Methods: We studied 126 patients (age 60 +/- 12 years; 48% male; 51% Black) undergoing clinically indicated rest and stress Rb-82 MPI, in whom at least one kidney was partially visualized within the axial field of view. Volumes of interest were drawn over the visible renal cortex. K1 was estimated using a one-tissue compartment model with arterial input functions (AIF) derived from either the left ventricle (LV) or abdominal aorta. Results: LV-derived AIF produced physiologic and internally consistent flow estimates, whereas aorta-derived AIF systematically overestimated K1 and flow. LV-based measurements were therefore used for all analyses. K1 demonstrated nonlinear flow dependence consistent with the Renkin-Crone extraction model, plateauing at higher perfusion states. Renal K1 and flow declined progressively with worsening kidney function, from 1.24 +/- 0.35 ml/min/g (eGFR &gt

Citations from LLM-based RAG systems are supposed to simplify response verification. However, this goal is undermined in cases of citation failure, where a model generates a helpful response, but fails to generate citations to complete evidence. In contrast to previous work, we propose to disentangle this from response failure, where the response itself is flawed, and citing complete evidence is impossible. To address citation failure, this work follows a two-step approach: (1) We study when citation failure occurs and (2) how it can be mitigated efficiently. For step 1, we extend prior work by investigating how the relation between response and evidence affects citation quality. We introduce CITECONTROL, a benchmark that systematically varies this relation to enable the analysis of failure modes. Experiments show that failures increase with relational complexity and suggest that combining citation methods could improve performance, motivating step 2. To study the efficient improvement of LLM citation, we propose CITENTION, a framework integrating generative, attention-based, and retrieval-based methods. Results demonstrate substantial citation improvements on CITECONTROL and in tr

Accurate fine-grained segmentation of the renal vasculature is critical for nephrological analysis, yet it faces challenges due to diverse and insufficiently annotated images. Existing methods struggle to accurately segment intricate regions of the renal vasculature, such as the inner and outer walls, arteries and lesions. In this paper, we introduce FH-Seg, a Full-scale Hierarchical Learning Framework designed for comprehensive segmentation of the renal vasculature. Specifically, FH-Seg employs full-scale skip connections that merge detailed anatomical information with contextual semantics across scales, effectively bridging the gap between structural and pathological contexts. Additionally, we implement a learnable hierarchical soft attention gates to adaptively reduce interference from non-core information, enhancing the focus on critical vascular features. To advance research on renal pathology segmentation, we also developed a Large Renal Vasculature (LRV) dataset, which contains 16,212 fine-grained annotated images of 5,600 renal arteries. Extensive experiments on the LRV dataset demonstrate FH-Seg's superior accuracies (71.23% Dice, 73.06% F1), outperforming Omni-Seg by 2.67

Over the past two decades, the task of musical beat tracking has transitioned from heuristic onset detection algorithms to highly capable deep neural networks (DNN). Although DNN-based beat tracking models achieve near-perfect performance on mainstream, percussive datasets, the SMC dataset has stubbornly yielded low F-measure scores. By testing how well state-of-the-art models detect beats on individual tracks in the SMC dataset, we identify three distinct failure modes: octave errors, continuity errors, and complete tracking failure where all metrics fall below 0.3. We reveal that state-of-the-art models tend to generate "confident-but-wrong" activations. Furthermore, we show that the standard DBN's default minimum tempo of 55 BPM prevents it from inferring the correct tempo for 21\% of SMC tracks, forcing double-tempo predictions on slow music. By exposing such fundamental oversights, we provide concrete directions for improving beat and downbeat detection, specifically emphasizing training data diversification and multi-hypothesis tempo estimation.

This work aims to characterise renal tumour microstructure using diffusion MRI (dMRI); via the Vascular, Extracellular and Restricted Diffusion for Cytometry in Tumours (VERDICT)-MRI framework with self-supervised learning. Comprehensive datasets were acquired from 14 patients with 15 biopsy-confirmed renal tumours, with nine b-values in the range b=[0,2500]s/mm2. A three-compartment VERDICT model for renal tumours was fitted to the dMRI data using a self-supervised deep neural network, and ROIs were drawn by an experienced uroradiologist. An economical acquisition protocol for future studies with larger patient cohorts was optimised using a recursive feature selection approach. The VERDICT model described the diffusion data in renal tumours more accurately than IVIM or ADC. Combined with self-supervised deep learning, VERDICT identified significant differences in the intracellular volume fraction between cancerous and normal tissue, and in the vascular volume fraction between vascular and non-vascular. The feature selector yields a 4 b-value acquisition of b = [70,150,1000,2000], with a duration of 14 minutes.

Ensuring continuous service coverage under unexpected hardware failures is a fundamental challenge for 3D Aerial-Ground Integrated Networks. Although Multi-Agent Reinforcement Learning facilitates autonomous coordination, traditional architectures often lack resilience to sudden topology deformations. This paper proposes the Topology-Aware Graph MAPPO (TAG-MAPPO) framework to enhance system survivability through autonomous 3D spatial reconfiguration. Our framework integrates graph-based feature aggregation with a residual ego-state fusion mechanism to capture intricate inter-agent dependencies. To achieve structural robustness, we introduce a Random Observation Shuffling mechanism that fosters strong generalization to agent population fluctuations by breaking coordinate-index dependencies. Extensive simulations across heterogeneous environments, including high-speed mobility at 15 meters per second, demonstrate that TAG-MAPPO significantly outperforms Multi-Layer Perceptron baselines. Specifically, the framework reduces redundant handoffs by up to 50 percent while maintaining superior energy efficiency. Most notably, TAG-MAPPO exhibits exceptional self-healing capabilities, restori

Despite great advances in what robots can do, they still experience failures in human-robot collaborative tasks due to high randomness in unstructured human environments. Moreover, a human's unfamiliarity with a robot and its abilities can cause such failures to repeat. This makes the ability to failure explanation very important for a robot. In this work, we describe a user study that incorporated different robotic failures in a human-robot collaboration (HRC) task aimed at filling a shelf. We included different types of failures and repeated occurrences of such failures in a prolonged interaction between humans and robots. The failure resolution involved human intervention in form of human-robot bidirectional handovers. Through such studies, we aim to test different explanation types and explanation progression in the interaction and record humans.

Renal mass segmentation has important potential to enhance the clinical workflow, especially in settings requiring quantitative assessments. Kidney volume could serve as an important biomarker for renal diseases, with changes in volume correlating directly with kidney function. Currently, clinical practice often relies on subjective visual assessment for evaluating kidney size and kidney lesions, including tumors and cysts, which are typically staged based on diameter, volume, and anatomical location. To support a more objective and reproducible approach, this research aims to develop a robust, thoroughly validated renal mass segmentation algorithm, named Renal-Net. We employ publicly available training datasets and leverage the state-of-the-art medical image segmentation framework nnU-Net. Validation is conducted using both proprietary and public test datasets, with segmentation performance quantified by Dice coefficient and the 95th percentile Hausdorff distance. Furthermore, we analyze robustness across subgroups based on patient sex, age, CT contrast phases, and tumor histologic subtypes. Our findings demonstrate that our segmentation algorithm, trained exclusively on publicly

The rapid proliferation of open-source medical foundation models (FMs) raises a practical question: how well do their pre-trained representations transfer to clinically relevant but data-scarce classification tasks? Particularly in CT-based renal lesion classification, a push toward greater generalizability would be meaningful, as the field is constrained by inherently limited training data. We addressed this through a benchmark of three medical FMs on this specific task. This six-class problem spans common entities like cysts and clear cell renal cell carcinoma, alongside rare subtypes. Using a frozen feature-probing protocol, we compared FM embeddings against a handcrafted radiomics classifier and a 3D ResNet-50 trained from scratch. Models were trained on a composite dataset of 2,854 lesions and evaluated on an external test set of 234 lesions from The Cancer Imaging Archive. Our results reveal two key findings. First, FM performance (AUC 0.70-0.77) matched the from-scratch ResNet (AUC 0.72) while drastically reducing hardware demand, requiring only seconds on a CPU after feature extraction. However, the conventional radiomics baseline significantly outperformed all deep learnin

Accurate morphological quantification of renal pathology functional units relies on instance-level segmentation, yet most existing datasets and automated methods provide only binary (semantic) masks, limiting the precision of downstream analyses. Although classical post-processing techniques such as watershed, morphological operations, and skeletonization, are often used to separate semantic masks into instances, their individual effectiveness is constrained by the diverse morphologies and complex connectivity found in renal tissue. In this study, we present DyMorph-B2I, a dynamic, morphology-guided binary-to-instance segmentation pipeline tailored for renal pathology. Our approach integrates watershed, skeletonization, and morphological operations within a unified framework, complemented by adaptive geometric refinement and customizable hyperparameter tuning for each class of functional unit. Through systematic parameter optimization, DyMorph-B2I robustly separates adherent and heterogeneous structures present in binary masks. Experimental results demonstrate that our method outperforms individual classical approaches and naïve combinations, enabling superior instance separation a

Large models have become mainstream, yet their applications in digital pathology still require exploration. Meanwhile renal pathology images play an important role in the diagnosis of renal diseases. We conducted image segmentation and paired corresponding text descriptions based on 60 books for renal pathology, clustering analysis for all image and text description features based on large models, ultimately building a retrieval system based on the semantic features of large models. Based above analysis, we established a knowledge base of 10,317 renal pathology images and paired corresponding text descriptions, and then we evaluated the semantic feature capabilities of 4 large models, including GPT2, gemma, LLma and Qwen, and the image-based feature capabilities of dinov2 large model. Furthermore, we built a semantic retrieval system to retrieve pathological images based on text descriptions, and named RppD (aidp.zjsru.edu.cn).

Objective Renal cancer is a common malignancy and a major cause of cancer-related deaths. Computed tomography (CT) is central to early detection, staging, and treatment planning. However, the growing CT workload increases radiologists' burden and risks incomplete documentation. Automatically generating accurate reports remains challenging because it requires integrating visual interpretation with clinical reasoning. Advances in artificial intelligence (AI), especially large language and vision-language models, offer potential to reduce workload and enhance diagnostic quality. Methods We propose a clinically informed, two-stage framework for automatic renal CT report generation. In Stage 1, a multi-task learning model detects structured clinical features from each 2D image. In Stage 2, a vision-language model generates free-text reports conditioned on the image and the detected features. To evaluate clinical fidelity, generated clinical features are extracted from the reports and compared with expert-annotated ground truth. Results Experiments on an expert-labeled dataset show that incorporating detected features improves both report quality and clinical accuracy. The model achieved

The extent of renal scarring in chronic kidney disease (CKD) can only be ascertained by highly invasive, painful and sometimes risky tissue biopsy. Interestingly, CKD-related abnormalities in kidney size can often be visualized using ultrasound. Nevertheless, not only does the ellipsoid formula used today underestimate true renal size but also the relation governing renal size and collagen content remains unclear. We used coronal kidney sections from healthy mice and mice with renal disease to develop a new technique for estimating the renal parenchymal area. While treating the kidney as an ellipse with the major axis the polar distance, this technique involves extending the minor axis into the renal pelvis. The calculated renal parenchymal area is remarkably similar to the measured area. Biochemically determined kidney collagen content revealed a strong and positive correlation with the calculated renal parenchymal area. The extent of renal scarring, i.e. kidney collagen content, can now be computed by making just two renal axial measurements which can easily be accomplished via noninvasive imaging of this organ.

Renal Cell Carcinoma is typically asymptomatic at the early stages for many patients. This leads to a late diagnosis of the tumor, where the curability likelihood is lower, and makes the mortality rate of Renal Cell Carcinoma high, with respect to its incidence rate. To increase the survival chance, a fast and correct categorization of the tumor subtype is paramount. Nowadays, computerized methods, based on artificial intelligence, represent an interesting opportunity to improve the productivity and the objectivity of the microscopy-based Renal Cell Carcinoma diagnosis. Nonetheless, much of their exploitation is hampered by the paucity of annotated dataset, essential for a proficient training of supervised machine learning technologies. This study sets out to investigate a novel self supervised training strategy for machine learning diagnostic tools, based on the multi-resolution nature of the histological samples. We aim at reducing the need of annotated dataset, without significantly reducing the accuracy of the tool. We demonstrate the classification capability of our tool on a whole slide imaging dataset for Renal Cancer subtyping, and we compare our solution with several state

Developing robust and correctable visuomotor policies for robotic manipulation is challenging due to the lack of self-recovery mechanisms from failures and the limitations of simple language instructions in guiding robot actions. To address these issues, we propose a scalable data generation pipeline that automatically augments expert demonstrations with failure recovery trajectories and fine-grained language annotations for training. We then introduce Rich languAge-guided failure reCovERy (RACER), a supervisor-actor framework, which combines failure recovery data with rich language descriptions to enhance robot control. RACER features a vision-language model (VLM) that acts as an online supervisor, providing detailed language guidance for error correction and task execution, and a language-conditioned visuomotor policy as an actor to predict the next actions. Our experimental results show that RACER outperforms the state-of-the-art Robotic View Transformer (RVT) on RLbench across various evaluation settings, including standard long-horizon tasks, dynamic goal-change tasks and zero-shot unseen tasks, achieving superior performance in both simulated and real world environments. Vide

Early diagnosis of renal cancer can greatly improve the survival rate of patients. Contrast-enhanced ultrasound (CEUS) is a cost-effective and non-invasive imaging technique and has become more and more frequently used for renal tumor diagnosis. However, the classification of benign and malignant renal tumors can still be very challenging due to the highly heterogeneous appearance of cancer and imaging artifacts. Our aim is to detect and classify renal tumors by integrating B-mode and CEUS-mode ultrasound videos. To this end, we propose a novel multi-modal ultrasound video fusion network that can effectively perform multi-modal feature fusion and video classification for renal tumor diagnosis. The attention-based multi-modal fusion module uses cross-attention and self-attention to extract modality-invariant features and modality-specific features in parallel. In addition, we design an object-level temporal aggregation (OTA) module that can automatically filter low-quality features and efficiently integrate temporal information from multiple frames to improve the accuracy of tumor diagnosis. Experimental results on a multicenter dataset show that the proposed framework outperforms t

The thrombotic microangiopathies (TMAs) manifest in renal biopsy histology with a broad spectrum of acute and chronic findings. Precise diagnostic criteria for a renal biopsy diagnosis of TMA are missing. As a first step towards a machine learning- and computer vision-based analysis of wholes slide images from renal biopsies, we trained a segmentation model for the decisive diagnostic kidney tissue compartments artery, arteriole, glomerulus on a set of whole slide images from renal biopsies with TMAs and Mimickers (distinct diseases with a similar nephropathological appearance as TMA like severe benign nephrosclerosis, various vasculitides, Bevacizumab-plug glomerulopathy, arteriolar light chain deposition disease). Our segmentation model combines a U-Net-based tissue detection with a Shifted windows-transformer architecture to reach excellent segmentation results for even the most severely altered glomeruli, arterioles and arteries, even on unseen staining domains from a different nephropathology lab. With accurate automatic segmentation of the decisive renal biopsy compartments in human renal vasculopathies, we have laid the foundation for large-scale compartment-specific machine