Adaptive treatment strategies (ATS) are sequential decision-making processes that enable personalized care by dynamically adjusting treatment decisions in response to evolving patient symptoms. While reinforcement learning (RL) offers a promising approach for optimizing ATS, its conventional online trial-and-error learning mechanism is not permissible in clinical settings due to risks of harm to patients. Offline RL tackles this limitation by learning policies exclusively from historical treatment data, but its performance is often constrained by data scarcity—a pervasive challenge in clinical domains. To overcome this, we propose Treatment Stitching (TreatStitch), a novel data augmentation framework that generates clinically valid treatment trajectories by intelligently stitching segments from existing treatment data. Specifically, TreatStitch identifies similar intermediate patient states across different trajectories and stitches their respective segments. Even when intermediate states are too dissimilar to stitch directly, TreatStitch leverages the Schrödinger bridge method to generate smooth and shortest possible bridging trajectories that connect dissimilar states. By augmenting these synthetic trajectories into the original dataset, offline RL can learn from a more diverse dataset, thereby improving its ability to optimize ATS. Extensive experiments across multiple treatment datasets demonstrate the effectiveness of TreatStitch in enhancing offline RL performance. Furthermore, we provide a theoretical justification showing that TreatStitch maintains clinical validity by avoiding out-of-distribution transitions.

The automatic generation of radiology reports has emerged as a promising solution to reduce a time-consuming task and accurately capture critical disease-relevant findings in X-ray images. Previous approaches for radiology report generation have shown impressive performance. However, there remains significant potential to improve accuracy by ensuring that retrieved reports contain disease-relevant findings similar to those in the X-ray images and by refining generated reports. In this study, we propose a Disease-aware image-text Alignment and self-correcting Re-alignment for Trustworthy radiology report generation (DART) framework. In the first stage, we generate initial reports based on image-to-text retrieval with disease-matching, embedding both images and texts in a shared embedding space through contrastive learning. This approach ensures the retrieval of reports with similar disease-relevant findings that closely align with the input X-ray images. In the second stage, we further enhance the initial reports by introducing a self-correction module that re-aligns them with the X-ray images. Our proposed framework achieves state-of-the-art results on two widely used benchmarks, surpassing previous approaches in both report generation and clinical efficacy metrics, thereby enhancing the trustworthiness of radiology reports.

Molecular discovery has attracted significant attention in scientific fields for its ability to generate novel molecules with desirable properties. Although numerous methods have been developed to tackle this problem, most rely on an online setting that requires repeated online evaluation of candidate molecules using the oracle. However, in real-world molecular discovery, the oracle is often represented by wet-lab experiments, making this online setting impractical due to the significant time and resource demands. To fill this gap, we propose the Molecular Stitching (MolStitch) framework, which utilizes a fixed offline dataset to explore and optimize molecules without the need for repeated oracle evaluations. Specifically, MolStitch leverages existing molecules from the offline dataset to generate novel `stitched molecules' that combine their desirable properties. These stitched molecules are then used as training samples to fine-tune the generative model using preference optimization techniques. Experimental results on various offline multi-objective molecular optimization problems validate the effectiveness of MolStitch. The source code is available online.

Transfer learning for motor imagery-based brain-computer interfaces (MI-BCIs) struggles with inter-subject variability, hindering its generalization to new users. This paper proposes an advanced implicit transfer learning framework, META-EEG, designed to overcome the challenge arising from inter-subject variability. By incorporating gradient-based meta-learning with an intermittent freezing strategy, META-EEG ensures efficient feature representation learning, providing a robust zero-calibration solution. A comparative analysis reveals that META-EEG significantly outperforms all the baseline methods and competing methods on three different public datasets. Moreover, we demonstrate the efficiency of the proposed model through a neurophysiological and feature-representational analysis. With its robustness and superior performance on challenging datasets, META-EEG provides an effective solution for calibration-free MI-EEG classification, facilitating broader usability.

Resting-state functional magnetic resonance imaging (rs-fMRI) has gained attention as a reliable technique for investigating the intrinsic function patterns of the brain. It facilitates the extraction of functional connectivity networks (FCNs) that capture synchronized activity patterns among regions of interest (ROIs). Analyzing FCNs enables the identification of distinctive connectivity patterns associated with mild cognitive impairment (MCI). For MCI diagnosis, various sparse representation techniques have been introduced, including statistical- and deep learning-based methods. However, these methods face limitations due to their reliance on supervised learning schemes, which restrict the exploration necessary for probing novel solutions. To overcome such limitation, prior work has incorporated reinforcement learning (RL) to dynamically select ROIs, but effective exploration remains challenging due to the vast search space during training. To tackle this issue, in this study, we propose an advanced RL-based framework that utilizes a divide-and-conquer approach to decompose the FCN construction task into smaller sub-problems in a subject-specific manner, enabling efficient exploration under each sub-problem condition. Additionally, we leverage the learned value function to determine the sparsity level of FCNs, considering individual characteristics of FCNs. We validate the effectiveness of our proposed framework by demonstrating its superior performance in MCI diagnosis on publicly available cohort datasets.

Major Depressive Disorder (MDD) imposes a substantial burden within the healthcare domain, impacting millions of individuals worldwide. Functional Magnetic Resonance Imaging (fMRI) has emerged as a promising tool for the objective diagnosis of MDD, enabling the investigation of functional connectivity patterns in the brain associated with this disorder. However, most existing methods focus on a single brain atlas, which limits their ability to capture the complex, multi-scale nature of functional brain networks. To address these limitations, we propose a novel multi-atlas fusion method that incorporates early and late fusion in a unified framework. Our method introduces the concept of the holistic Functional Connectivity Network (FCN), which captures both intra-atlas relationships within individual atlases and inter-regional relationships between atlases with different brain parcellation scales. This comprehensive representation enables the identification of potential disease-related patterns associated with MDD in the early stage of our framework. Moreover, by decoding the holistic FCN from various perspectives through multiple spectral Graph Convolutional Neural Networks and fusing their results with decision-level ensembles, we further improve the performance of MDD diagnosis. Our approach is easily implemented with minimal modifications to existing model structures and demonstrates a robust performance across different baseline models. Our method, evaluated on public resting-state fMRI datasets, surpasses the current multi-atlas fusion methods, enhancing the accuracy of MDD diagnosis. The proposed novel multi-atlas fusion framework provides a more reliable MDD diagnostic technique. Experimental results show our approach outperforms both single- and multi-atlas-based methods, demonstrating its effectiveness in advancing MDD diagnosis.

Major Depressive Disorder (MDD) is a pervasive disorder affecting millions of individuals, presenting a significant global health concern. Functional connectivity (FC) derived from resting-state functional Magnetic Resonance Imaging (rs-fMRI) serves as a crucial tool in revealing functional connectivity patterns associated with MDD, playing an essential role in precise diagnosis. However, the limited data availability of FC poses challenges for robust MDD diagnosis. To tackle this, some studies have employed Deep Neural Networks (DNN) architectures to construct Generative Adversarial Networks (GAN) for synthetic FC generation, but this tends to overlook the inherent topology characteristics of FC. To overcome this challenge, we propose a novel Graph Convolutional Networks (GCN)-based Conditional GAN with Class-Aware Discriminator (GC-GAN). GC-GAN utilizes GCN in both the generator and discriminator to capture intricate FC patterns among brain regions, and the class-aware discriminator ensures the diversity and quality of the generated synthetic FC. Additionally, we introduce a topology refinement technique to enhance MDD diagnosis performance by optimizing the topology using the augmented FC dataset. Our framework was evaluated on publicly available rs-fMRI datasets, and the results demonstrate that GC-GAN outperforms existing methods. This indicates the superior potential of GCN in capturing intricate topology characteristics and generating high-fidelity synthetic FC, thus contributing to a more robust MDD diagnosis.

Molecular property prediction has gained substantial attention due to its potential for various bio-chemical applications. Numerous attempts have been made to enhance the performance by combining multiple molecular representations (1D, 2D, and 3D). However, most prior works only merged a limited number of representations or tried to embed multiple representations through a single network without using representation-specific networks. Furthermore, the heterogeneous characteristics of each representation made the fusion more challenging. Addressing these challenges, we introduce the Fusion Transformer for Multiple Molecular Representations (FTMMR) framework. Our strategy employs three distinct representation-specific networks and integrates information from each network using a fusion transformer architecture to generate fused representations. Additionally, we use self-supervised learning methods to align heterogeneous representations and to effectively utilize the limited chemical data available. In particular, we adopt a combinatorial loss function to leverage the contrastive loss for all three representations. We evaluate the performance of FTMMR using seven benchmark datasets, demonstrating that our framework outperforms existing fusion and self-supervised methods.

In recent years, deep learning methods have shown promising capabilities for extracting informative and discriminative features from electroencephalography (EEG) data. However, several studies have reported that the feature selection process followed by feature extraction can be beneficial to achieve further performance improvement. Even though a recent work achieved promising results by using the single-agent reinforcement learning (RL)-based framework to select task-relevant features in the temporal domain, it still failed to consider other significant features in the spatial–spectral domain. To overcome such limitations, we propose a cooperative multiagent RL-based framework (MARS) that performs feature selection in both the spatial–spectral and temporal domains simultaneously for a motor imagery (MI)-EEG classification task. In this framework, we enable our RL agents to collaborate with each other as a team to solve a complex multiobjective feature selection problem. Furthermore, we adopt a counterfactual advantage function to overcome the free-rider problem, which is associated with the credit assignment issue in multiagent cases. To assess the MARS framework, we conduct extensive experiments with two public MI datasets under subject-dependent and subject-independent scenarios and we apply the MARS to different backbone networks. The experimental results demonstrate that our MARS outperforms other competing methods in terms of mean accuracy and achieves statistically significant improvements.