Crohn\'s disease (CD) is a chronic inflammatory bowel disease of unknown origin that can cause significant disability and morbidity with its progression. Due to the unique nature of CD, surgery is often necessary for many patients during their lifetime, and the incidence of postoperative complications is high, which can affect the prognosis of patients. Therefore, it is essential to identify and manage postoperative complications. Machine learning (ML) has become increasingly important in the medical field, and ML-based models can be used to predict postoperative complications of intestinal resection for CD. Recently, a valuable article titled \"Predicting short-term major postoperative complications in intestinal resection for Crohn\'s disease: A machine learning-based study\" was published by Wang et al. We appreciate the authors\' creative work, and we are willing to share our views and discuss them with the authors.

Modeling dynamic interactions among network components is crucial to uncovering the evolution mechanisms of complex networks. Recently, spatio-temporal graph learning methods have achieved noteworthy results in characterizing the dynamic changes of inter-node relations (INRs). However, challenges remain: The spatial neighborhood of an INR is underexploited, and the spatio-temporal dependencies in INRs\' dynamic changes are overlooked, ignoring the influence of historical states and local information. In addition, the model\'s explainability has been understudied. To address these issues, we propose an explainable spatio-temporal graph evolution learning (ESTGEL) model to model the dynamic evolution of INRs. Specifically, an edge attention module is proposed to utilize the spatial neighborhood of an INR at multi-level, i.e., a hierarchy of nested subgraphs derived from decomposing the initial node-relation graph. Subsequently, a dynamic relation learning module is proposed to capture the spatio-temporal dependencies of INRs. The INRs are then used as adjacent information to improve the node representation, resulting in comprehensive delineation of dynamic evolution of the network. Finally, the approach is validated with real data on brain development study. Experimental results on dynamic brain networks analysis reveal that brain functional networks transition from dispersed to more convergent and modular structures throughout development. Significant changes are observed in the dynamic functional connectivity (dFC) associated with functions including emotional control, decision-making, and language processing.

And sentences associated with these attributes and relationships have been neglected. in this paper ►We propose an end-to-end model called Knowledge Graph Enhanced neural network (KGENet) to address the above shortcomings. specifically ►We first construct a disease knowledge graph that focuses on the multi-view disease attributes of ICD codes and the disease relationships between these codes. we also use a long sequence encoder to get EHR document representation. most importantly ►KGENet leverages multi-view disease attributes and structured disease relationships for knowledge enhancement through hybrid attention and graph propagation ►Respectively. furthermore ►The above processes can provide attribute-aware and relationship-augmented explainability for the model prediction results based on our disease knowledge graph. experiments conducted on the MIMIC-III benchmark dataset show that KGENet outperforms state-of-the-art models in both model effectiveness and explainability Electronic health record (EHR) coding assigns International Classification of Diseases (ICD) codes to each EHR document. These standard medical codes represent diagnoses or procedures and play a critical role in medical applications. However, EHR is a long medical text that is difficult to represent, the ICD code label space is large, and the labels have an extremely unbalanced distribution. These factors pose challenges to automatic EHR coding. Previous studies have not explored the disease attributes (e.g., symptoms, tests, medications) of ICD codes and the disease relationships (e.g., causes, risk factors, comorbidities) between them. In addition, the important roles of medical.

OBJECTIVE: Breast cancer is a multifaceted condition characterized by diverse features and a substantial mortality rate, underscoring the imperative for timely detection and intervention. The utilization of multi-omics data has gained significant traction in recent years to identify biomarkers and classify subtypes in breast cancer. This kind of research idea from part to whole will also be an inevitable trend in future life science research. Deep learning can integrate and analyze multi-omics data to predict cancer subtypes, which can further drive targeted therapies. However, there are few articles leveraging the nature of deep learning for feature selection. Therefore, this paper proposes a Neural Network and Binary grey Wolf Optimization based BReast CAncer bioMarker (NNBGWO-BRCAMarker) discovery framework using multi-omics data to obtain a series of biomarkers for precise classification of breast cancer subtypes.
METHODS: NNBGWO-BRCAMarker consists of two phases: in the first phase, relevant genes are selected using the weights obtained from a trained feedforward neural network; in the second phase, the binary grey wolf optimization algorithm is leveraged to further screen the selected genes, resulting in a set of potential breast cancer biomarkers.
RESULTS: The SVM classifier with RBF kernel achieved a classification accuracy of 0.9242 ± 0.03 when trained using the 80 biomarkers identified by NNBGWO-BRCAMarker, as evidenced by the experimental results. We conducted a comprehensive gene set analysis, prognostic analysis, and druggability analysis, unveiling 25 druggable genes, 16 enriched pathways strongly linked to specific subtypes of breast cancer, and 8 genes linked to prognostic outcomes.
CONCLUSIONS: The proposed framework successfully identified 80 biomarkers from the multi-omics data, enabling accurate classification of breast cancer subtypes. This discovery may offer novel insights for clinicians to pursue in further studies.

OBJECTIVE: The effective segmentation of esophageal squamous carcinoma lesions in CT scans is significant for auxiliary diagnosis and treatment. However, accurate lesion segmentation is still a challenging task due to the irregular form of the esophagus and small size, the inconsistency of spatio-temporal structure, and low contrast of esophagus and its peripheral tissues in medical images. The objective of this study is to improve the segmentation effect of esophageal squamous cell carcinoma lesions.
METHODS: It is critical for a segmentation network to effectively extract 3D discriminative features to distinguish esophageal cancers from some visually closed adjacent esophageal tissues and organs. In this work, an efficient HRU-Net architecture (High-Resolution U-Net) was exploited for esophageal cancer and esophageal carcinoma segmentation in CT slices. Based on the idea of localization first and segmentation later, the HRU-Net locates the esophageal region before segmentation. In addition, an Resolution Fusion Module (RFM) was designed to integrate the information of adjacent resolution feature maps to obtain strong semantic information, as well as preserve the high-resolution features.
RESULTS: Compared with the other five typical methods, the devised HRU-Net is capable of generating superior segmentation results.
CONCLUSIONS: Our proposed HRU-NET improves the accuracy of segmentation for squamous esophageal cancer. Compared to other models, our model performs the best. The designed method may improve the efficiency of clinical diagnosis of esophageal squamous cell carcinoma lesions.

Efficient food safety risk assessment significantly affects food safety supervision. However, food detection data of different types and batches show different feature distributions, resulting in unstable detection results of most risk assessment models, lack of interpretability of risk classification, and insufficient risk traceability. This study aims to explore an efficient food safety risk assessment model that takes into account robustness, interpretability and traceability. Therefore, the Explainable unsupervised risk Warning Framework based on the Empirical cumulative Distribution function (EWFED) was proposed. Firstly, the detection data\'s underlying distribution is estimated as non-parametric by calculating each testing indicator\'s empirical cumulative distribution. Next, the tail probabilities of each testing indicator are estimated based on these distributions and summarized to obtain the sample risk value. Finally, the \"3σ Rule\" is used to achieve explainable risk classification of qualified samples, and the reasons for unqualified samples are tracked according to the risk score of each testing indicator. The experiments of the EWFED model on two types of dairy product detection data in actual application scenarios have verified its effectiveness, achieving interpretable risk division and risk tracing of unqualified samples. Therefore, this study provides a more robust and systematic food safety risk assessment method to promote precise management and control of food safety risks effectively.

Graph Neural Networks (GNNs) are often viewed as black boxes due to their lack of transparency, which hinders their application in critical fields. Many explanation methods have been proposed to address the interpretability issue of GNNs. These explanation methods reveal explanatory information about graphs from different perspectives. However, the explanatory information may also pose an attack risk to GNN models. In this work, we will explore this problem from the explanatory subgraph perspective. To this end, we utilize a powerful GNN explanation method called SubgraphX and deploy it locally to obtain explanatory subgraphs from given graphs. Then we propose methods for conducting evasion attacks and backdoor attacks based on the local explainer. In evasion attacks, the attacker gets explanatory subgraphs of test graphs from the local explainer and replace their explanatory subgraphs with an explanatory subgraph of other labels, making the target model misclassify test graphs as wrong labels. In backdoor attacks, the attacker employs the local explainer to select an explanatory trigger and locate suitable injection locations. We validate the effectiveness of our proposed attacks on state-of-art GNN models and different datasets. The results also demonstrate that our proposed backdoor attack is more efficient, adaptable, and concealed than previous backdoor attacks.

This study aimed to comprehensively evaluate non-contrast computed tomography (CT)-based radiomics for predicting early outcomes in patients with severe atherosclerotic renal artery stenosis (ARAS) after percutaneous transluminal renal angioplasty (PTRA). A total of 52 patients were retrospectively recruited, and their clinical characteristics and pretreatment CT images were collected. During a median follow-up period of 3.7 mo, 18 patients were confirmed to have benefited from the treatment, defined as a 20% improvement from baseline in the estimated glomerular filtration rate. A deep learning network trained via self-supervised learning was used to enhance the imaging phenotype characteristics. Radiomics features, comprising 116 handcrafted features and 78 deep learning features, were extracted from the affected renal and perirenal adipose regions. More features from the latter were correlated with early outcomes, as determined by univariate analysis, and were visually represented in radiomics heatmaps and volcano plots. After using consensus clustering and the least absolute shrinkage and selection operator method for feature selection, five machine learning models were evaluated. Logistic regression yielded the highest leave-one-out cross-validation accuracy of 0.780 (95%CI: 0.660-0.880) for the renal signature, while the support vector machine achieved 0.865 (95%CI: 0.769-0.942) for the perirenal adipose signature. SHapley Additive exPlanations was used to visually interpret the prediction mechanism, and a histogram feature and a deep learning feature were identified as the most influential factors for the renal signature and perirenal adipose signature, respectively. Multivariate analysis revealed that both signatures served as independent predictive factors. When combined, they achieved an area under the receiver operating characteristic curve of 0.888 (95%CI: 0.784-0.992), indicating that the imaging phenotypes from both regions complemented each other. In conclusion, non-contrast CT-based radiomics can be leveraged to predict the early outcomes of PTRA, thereby assisting in identifying patients with ARAS suitable for this treatment, with perirenal adipose tissue providing added predictive value.

The development of accurate and interpretable models for predicting reaction constants of organic compounds with hydroxyl radicals is vital for advancing quantitative structure-activity relationships (QSAR) in pollutant degradation. Methods like molecular descriptors, molecular fingerprinting, and group contribution methods have limitations, as traditional machine learning struggles to capture all intramolecular information simultaneously. To address this, we established an integrated graph neural network (GNN) with approximately 12 million learnable parameters. GNN represents atoms as nodes and chemical bonds as edges, thus transforming molecules into a graph structures, effectively capturing microscopic properties while depicting atom connectivity in non-Euclidean space. Our datasets comprise 1401 pollutants to develop an integrated GNN model with Bayesian optimization, the model achieves root mean square errors of 0.165, 0.172, and 0.189 on the training, validation, and test datasets, respectively. Furthermore, we assess molecular structure similarity using molecular fingerprint to enhance the model\'s applicability. Afterwards, we propose a gradient weight mapping method for model explainability, uncovering the key functional groups in chemical reactions in artificial intelligence perspective, which would boost chemistry through artificial intelligence extreme arithmetic power.

OBJECTIVE: Precise cortical cataract (CC) classification plays a significant role in early cataract intervention and surgery. Anterior segment optical coherence tomography (AS-OCT) images have shown excellent potential in cataract diagnosis. However, due to the complex opacity distributions of CC, automatic AS-OCT-based CC classification has been rarely studied. In this paper, we aim to explore the opacity distribution characteristics of CC as clinical priori to enhance the representational capability of deep convolutional neural networks (CNNs) in CC classification tasks.
METHODS: We propose a novel architectural unit, Multi-style Spatial Attention module (MSSA), which recalibrates intermediate feature maps by exploiting diverse clinical contexts. MSSA first extracts the clinical style context features with Group-wise Style Pooling (GSP), then refines the clinical style context features with Local Transform (LT), and finally executes group-wise feature map recalibration via Style Feature Recalibration (SFR). MSSA can be easily integrated into modern CNNs with negligible overhead.
RESULTS: The extensive experiments on a CASIA2 AS-OCT dataset and two public ophthalmic datasets demonstrate the superiority of MSSA over state-of-the-art attention methods. The visualization analysis and ablation study are conducted to improve the explainability of MSSA in the decision-making process.
CONCLUSIONS: Our proposed MSSANet utilized the opacity distribution characteristics of CC to enhance the representational power and explainability of deep convolutional neural network (CNN) and improve the CC classification performance. Our proposed method has the potential in the early clinical CC diagnosis.