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35 pages, 5745 KB  
Systematic Review
Integrating Reverse Engineering for Digital Model Reconstruction and Remanufacturing of Mechanical Components: A Systematic Review
by Binoy Debnath, Zahra Pourfarash, Bhairavsingh Ghorpade and Shivakumar Raman
Metrology 2025, 5(4), 66; https://doi.org/10.3390/metrology5040066 - 5 Nov 2025
Abstract
Reverse engineering (RE) is increasingly recognized as a vital methodology for reconstructing mechanical components, particularly in high-value sectors such as aerospace, transportation, and energy, where technical documentation is often missing or outdated. This study presents a systematic review that investigates the application, challenges, [...] Read more.
Reverse engineering (RE) is increasingly recognized as a vital methodology for reconstructing mechanical components, particularly in high-value sectors such as aerospace, transportation, and energy, where technical documentation is often missing or outdated. This study presents a systematic review that investigates the application, challenges, and future directions of RE in mechanical component reconstruction. Adopting the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, 68 peer-reviewed studies were identified, screened, and synthesized. The review highlights RE applications in restoration, redesign, internal geometry modeling, and simulation-driven performance assessment, leveraging technologies such as 3D scanning, CAD modeling, and finite element analysis. However, persistent challenges remain across five domains: product complexity, tolerance and dimensional variations, scanning limitations, integration barriers, and human-material-process dependencies, which hinder automation, accuracy, and manufacturability. Future research opportunities include the automated conversion of point cloud data into editable boundary representation (B-rep) models and AI-driven approaches for feature recognition, geometry reconstruction, and the generation of simulation-ready models. Additionally, advancements in scanning techniques to capture hidden or internal features more effectively are crucial. Overall, this review provides a comprehensive synthesis of current practices and challenges while proposing pathways to advance RE in industrial applications, fostering greater automation, accuracy, and integration in digital manufacturing workflows. Full article
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24 pages, 370 KB  
Article
Tonal Isomorphism: A Methodology for Cross-Domain Mapping in the Generative Age
by Jonah Y. C. Hsu
Philosophies 2025, 10(6), 122; https://doi.org/10.3390/philosophies10060122 - 5 Nov 2025
Abstract
This paper presents a methodological framework, Tonal Isomorphism (TI), derived from Tonal Meta-Ontology (TMO), focusing on operational protocols rather than ontological foundations. Tonal Isomorphism is framed as a meta-protocol rather than a metaphysical doctrine: its purpose is to provide a transferable logic that [...] Read more.
This paper presents a methodological framework, Tonal Isomorphism (TI), derived from Tonal Meta-Ontology (TMO), focusing on operational protocols rather than ontological foundations. Tonal Isomorphism is framed as a meta-protocol rather than a metaphysical doctrine: its purpose is to provide a transferable logic that bridges disciplinary silos. We argue that knowledge breakthroughs can emerge not through trial-and-error experimentation alone, but through the isomorphic translation of tonal structures into domain-specific models. The methodology is demonstrated through three key contributions: (1) the Operationalization of Metaphysics, where tonal principles are expressed in executable forms such as the ToneWarp Equation and integrity-preserving responsibility chains; (2) the Unified Generative Field, a cross-domain modeling scaffold applicable to contexts ranging from arithmetic closure to digital trust protocols; and (3) the Generative Proof, which positions the methodology itself as a living demonstration of its claims, resistant to external mimicry. In an era defined by AI’s capacity for replication and simulation, Tonal Isomorphism offers a framework for knowledge generation where truth is not fixed discovery but a defensible, continuously enacted act of creation. Full article
23 pages, 933 KB  
Article
Multimodal Semantic Fusion of Heterogeneous Data Silos
by Abdurrahman Alshareef and Bernard P. Zeigler
Systems 2025, 13(11), 987; https://doi.org/10.3390/systems13110987 - 4 Nov 2025
Abstract
Maintaining consistency in complex systems is a continuous challenge that requires active coordination. Data management systems often face the issue of segregated data silos due to various organizational and technical factors. Integrating them when needed can present challenges due to heterogeneity and multimodality. [...] Read more.
Maintaining consistency in complex systems is a continuous challenge that requires active coordination. Data management systems often face the issue of segregated data silos due to various organizational and technical factors. Integrating them when needed can present challenges due to heterogeneity and multimodality. Recent advances in AI models with enhanced multimodal inference and semantic reasoning capabilities offer an opportunity to resolve interoperability issues at both the schema and data levels. In this paper, we discuss ways to leverage such models to mitigate a variety of heterogeneous timing and data barriers across disparate silos. We also examine their fusion and propose ways to formally define it as a foundational means for self-evolving unified meta-space in light of recent model enablements and active inference. Assessing the degree of fusion is necessary to understand and determine how silos, as subsystems, collectively interact, and therefore to control their integration while preserving data source independence. Adherence to a principled design that handles complexity can guide crucial decisions and enhance controllability over the reasoning process. We formalize a foundation for separating prior knowledge from observed data, showing how to leverage inference in both cases with examples and real data. The resulting approach enables advanced inference while providing statistical evidence from observed data by applying reasoning at multiple steps. To conclude, we discuss the implications of this approach for complex systems more generally. Full article
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29 pages, 4439 KB  
Article
Metamodels for Hierarchical Topological Data Representation in Intelligent Manufacturing Systems
by Chunyu Chen, Xinyang Ding and Wang Lin
Appl. Sci. 2025, 15(21), 11735; https://doi.org/10.3390/app152111735 - 3 Nov 2025
Viewed by 167
Abstract
The kernel of intelligent manufacturing is data utilization, where data can be trained to build AI models to generate optimized control parameter values for production processes. The data includes dynamic (or state) data from sensors, process (control) data from devices/equipment, and quality data [...] Read more.
The kernel of intelligent manufacturing is data utilization, where data can be trained to build AI models to generate optimized control parameter values for production processes. The data includes dynamic (or state) data from sensors, process (control) data from devices/equipment, and quality data from the Manufacturing Execution System (MES). Since the data sampling frequency is high, which causes a large amount of collected data, and the production devices are diverse, which leads to varying communication protocols, it is a challenge to store and display this data. This paper attempts to develop a metamodel-based topology representation of a production scene to store and display the data. The idea is to design metamodels for Ends (for devices), Edges (for production lines), and the Cloud (the central control platform), respectively. Then the model of each specific manufacturing scene is an instantiation of the metamodel. Our work has the following advantages: (1) It can store data at cloud, edge and end, such that it provides fast data querying and supports local computing such as local optimization, and automatically displays their physical topology; (2) it provides a template to describe the topological representation of all kinds of production scenes, such that the description of a specific production scene is an instantiation of the metamodel configured by the collected data; and (3) it provides a way to automatically generate code to connect devices and a database by configuring the meta-models without training or tuning a modern large model, which is almost impossible for most companies. This work serves as the bottom layer of a generated operating system for intelligent manufacturing that provides data service for the upper control layer. Full article
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14 pages, 372 KB  
Article
The Bateson Game: A Model of Strategic Ambiguity, Frame Uncertainty, and Pathological Learning
by Kevin Fathi
Games 2025, 16(6), 57; https://doi.org/10.3390/g16060057 - 3 Nov 2025
Viewed by 168
Abstract
This paper introduces the Bateson Game, a signaling game in which ambiguity over the governing rules of interaction (interpretive frames), rather than asymmetry of information about player types, drives strategic outcomes. We formalize the communication paradox of the “double bind” by defining a [...] Read more.
This paper introduces the Bateson Game, a signaling game in which ambiguity over the governing rules of interaction (interpretive frames), rather than asymmetry of information about player types, drives strategic outcomes. We formalize the communication paradox of the “double bind” by defining a class of games where a Receiver acts under uncertainty about the operative frame, while the Sender possesses private information about the true frame, benefits from manipulation, and penalizes attempts at meta-communication (clarification). We prove that the game’s core axioms preclude the existence of a separating Perfect Bayesian Equilibrium. More significantly, we show that under boundedly rational learning dynamics, the Receiver’s beliefs can become locked into one of two pathological states, depending on the structure of the Sender’s incentives. If the Sender’s incentives are cyclical, the system enters a persistent oscillatory state (an “ambiguity trap”). If the Sender’s incentives align with reinforcing a specific belief or if the Sender has a dominant strategy, the system settles into a stable equilibrium (a “certainty trap”), characterized by stable beliefs dictated by the Sender. We present a computational analysis contrasting these outcomes, demonstrating empirically how different parametrizations lead to either trap. The Bateson Game provides a novel game-theoretic foundation for analyzing phenomena such as deceptive AI alignment and institutional gaslighting, demonstrating how ambiguity can be weaponized to create durable, exploitative strategic environments. Full article
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34 pages, 16941 KB  
Article
Explainable AI Based Multi Class Skin Cancer Detection Enhanced by Meta Learning with Generative DDPM Data Augmentation
by Muhammad Danish Ali, Muhammad Ali Iqbal, Sejong Lee, Xiaoyun Duan and Soo Kyun Kim
Appl. Sci. 2025, 15(21), 11689; https://doi.org/10.3390/app152111689 - 31 Oct 2025
Viewed by 194
Abstract
Despite the widespread success of convolutional deep learning frameworks in computer vision, significant limitations persist in medical image analysis. These include low image quality caused by noise and artifacts, limited data availability compromising robustness on unseen data, class imbalance leading to biased predictions, [...] Read more.
Despite the widespread success of convolutional deep learning frameworks in computer vision, significant limitations persist in medical image analysis. These include low image quality caused by noise and artifacts, limited data availability compromising robustness on unseen data, class imbalance leading to biased predictions, and insufficient feature representation, as conventional CNNs often fail to capture subtle patterns and complex dependencies. To address these challenges, we propose DAME (Diffusion-Augmented Meta-Learning Ensemble), a unified architecture that integrates hybrid modeling with generative learning using the Denoising Diffusion Probabilistic Model (DDPM). The DDPM component improves resolution, augments scarce data, and mitigates class imbalance. A hybrid backbone combining CNN, Vision Transformer (ViT), and CBAM captures both local dependencies and long-range spatial relationships, while CBAM further enhances feature representation by adaptively emphasizing informative regions. Predictions from multiple hybrids are aggregated, and a logistic regression meta classifier learns from these outputs to produce robust decisions. The framework is evaluated on the HAM10000 dataset, a benchmark for multi-class skin cancer classification. Explainable AI is incorporated through Grad CAM, providing visual insights into the decision-making process. This synergy mitigates CNN limitations and demonstrates superior generalizability, achieving 98.6% accuracy, 0.986 precision, 0.986 recall, and a 0.986 F1-score, significantly outperforming existing approaches. Overall, the proposed framework enables accurate, interpretable, and reliable medical image diagnosis through the joint optimization of contextual modeling, feature discrimination, and data generation. Full article
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12 pages, 1247 KB  
Article
Artificial Intelligence-Assisted Wrist Radiography Analysis in Orthodontics: Classification of Maturation Stage
by Nursezen Kavasoglu, Omer Faruk Ertugrul, Seda Kotan, Yunus Hazar and Veysel Eratilla
Appl. Sci. 2025, 15(21), 11681; https://doi.org/10.3390/app152111681 - 31 Oct 2025
Viewed by 127
Abstract
This study aims to evaluate the ability of an artificial intelligence (AI) model developed for use in the field of orthodontics to accurately and reliably classify skeletal maturation stages of individuals using hand–wrist radiographs. A total of 809 grayscale hand–wrist radiographs (250 × [...] Read more.
This study aims to evaluate the ability of an artificial intelligence (AI) model developed for use in the field of orthodontics to accurately and reliably classify skeletal maturation stages of individuals using hand–wrist radiographs. A total of 809 grayscale hand–wrist radiographs (250 × 250 px; pre-peak n = 400, peak n = 100, post-peak n = 309) were analyzed using four complementary image-based feature extraction methods: Local Binary Pattern (LBP), Histogram of Oriented Gradients (HOG), Zernike Moments (ZM), and Intensity Histogram (IH). These methods generated 2355 features per image, of which 2099 were retained after variance thresholding. The most informative 1250 features were selected using the ANOVA F-test and classified with a stacking-based machine learning (ML) architecture composed of Light Gradient Boosting Machine (LightGBM) and Logistic Regression (LR) as base learners, and Random Forest (RF) as the meta-learner. Across all evaluation folds, the average performance of the model was Accuracy = 83.42%, Precision = 84.48%, Recall = 83.42%, and F1 = 83.50%. The proposed model achieved 87.5% accuracy, 87.8% precision, 87.5% recall, and an F1-score of 87.6% in 10-fold cross-validation, with a macro-average area under the ROC curve (AUC) of 0.96. The pre-peak stage, corresponding to the period of maximum growth velocity, was identified with 92.5% accuracy. These findings indicate that integrating handcrafted radiographic features with ensemble learning can enhance diagnostic precision, reduce observer variability, and accelerate evaluation. The model provides an interpretable and clinically applicable AI-based decision-support tool for skeletal maturity assessment in orthodontic practice. Full article
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40 pages, 1081 KB  
Systematic Review
Federated Learning in Public Health: A Systematic Review of Decentralized, Equitable, and Secure Disease Prevention Approaches
by Sayed Tariq Shah, Zulfiqar Ali, Muhammad Waqar and Ajung Kim
Healthcare 2025, 13(21), 2760; https://doi.org/10.3390/healthcare13212760 - 30 Oct 2025
Viewed by 417
Abstract
Background and Objectives: Public health needs collaborative, privacy-preserving analytics, but centralized AI is constrained by data sharing and governance. Federated learning (FL) enables training without moving sensitive data. This review assessed how FL is used for disease prevention in population and public health, [...] Read more.
Background and Objectives: Public health needs collaborative, privacy-preserving analytics, but centralized AI is constrained by data sharing and governance. Federated learning (FL) enables training without moving sensitive data. This review assessed how FL is used for disease prevention in population and public health, and mapped benefits, challenges, and policy implications. Methods: Following PRISMA 2020, we searched PubMed, Scopus, Web of Science, IEEE Xplore, and Google Scholar for peer reviewed English-language studies from January 2020–30 June 2025, applying FL to surveillance, outbreak detection, risk prediction, or policy support. Two reviewers screened and extracted data with third-reviewer arbitration. Quality was appraised with a tool adapted from MMAT and AI reporting frameworks. No meta-analysis was performed. Results: Of 5230 records identified (4720 after deduplication), 200 full texts were assessed and 19 were included. Most used horizontal FL across multiple institutions for communicable diseases, COVID-19, tuberculosis and some chronic conditions. Reported gains included privacy preservation across sites, better generalizability from diverse data, near real-time intelligence, localized risk stratification, and support for resource planning. Common barriers were non-IID data, interoperability gaps, compute and network limits in low-resource settings, unclear legal pathways, and concerns about fairness and transparency. Few studies linked directly to formal public-health policy or low-resource deployments. Conclusions: FL is promising for equitable, secure, and scalable disease-prevention analytics that respect data sovereignty. Priorities include robust methods for heterogeneity, interoperable standards, secure aggregation, routine fairness auditing, clearer legal and regulatory guidance, and capacity building in underrepresented regions. Full article
(This article belongs to the Section Artificial Intelligence in Healthcare)
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42 pages, 8656 KB  
Article
Artificial Intelligence-Based Architectural Design (AIAD): An Influence Mechanism Analysis for the New Technology Using the Hybrid Multi-Criteria Decision-Making Framework
by Xinliang Wang, Yafei Zhao, Wenlong Zhang, Yang Li, Xuepeng Shi, Rong Xia, Yanjun Su, Xiaoju Li and Xiang Xu
Buildings 2025, 15(21), 3898; https://doi.org/10.3390/buildings15213898 - 28 Oct 2025
Viewed by 470
Abstract
Artificial Intelligence (AI) has emerged as a transformative force in the field of architectural design. This study aims to systematically analyze the influence mechanisms of Artificial Intelligence-based Architectural Design (AIAD) by constructing a comprehensive hybrid model that integrates the Analytic Hierarchy Process (AHP), [...] Read more.
Artificial Intelligence (AI) has emerged as a transformative force in the field of architectural design. This study aims to systematically analyze the influence mechanisms of Artificial Intelligence-based Architectural Design (AIAD) by constructing a comprehensive hybrid model that integrates the Analytic Hierarchy Process (AHP), Decision-Making Trial and Evaluation Laboratory (DEMATEL), Interpretive Structural Modeling (ISM), and Cross-Impact Matrix Multiplication Applied to Classification (MICMAC). Based on the previous quantitative literature review, 6 primary categories and 18 secondary influencing factors were identified. Data were collected from a panel of fifteen experts representing the architecture industry, academia, and computer science. Through weighting analysis, causal mapping, hierarchical structuring, and driving–dependence classification, the study clarifies the complex interrelationships among influencing factors and reveals the underlying drivers that accelerate or constrain AI adoption in architectural design. By quantifying the hierarchical and causal influence of factors, this research provides theoretical findings and practical insights for design firms undergoing digital transformation. The results extend previous meta-analytical studies, offering a decision-support system that bridges academic research and real-world applications, thereby guiding stakeholders toward informed adoption of artificial intelligence for future cultural tourism development and regional spatial innovation. Full article
(This article belongs to the Special Issue Artificial Intelligence in Architecture and Interior Design)
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32 pages, 1577 KB  
Systematic Review
Application of CAD Systems in Breast Cancer Diagnosis Using Machine Learning Techniques: An Overview of Systematic Reviews
by Theofilos Andreadis, Antonios Gasteratos, Ioannis Seimenis and Dimitrios Koulouriotis
Bioengineering 2025, 12(11), 1160; https://doi.org/10.3390/bioengineering12111160 - 27 Oct 2025
Viewed by 507
Abstract
Breast cancer is the second-leading cause of mortality among women worldwide. However, early detection and diagnosis significantly improve treatment outcomes. In recent years, Computer-Aided Diagnosis (CAD) systems, which leverage Artificial Intelligence (AI) techniques, have emerged as valuable tools for assisting radiologists in the [...] Read more.
Breast cancer is the second-leading cause of mortality among women worldwide. However, early detection and diagnosis significantly improve treatment outcomes. In recent years, Computer-Aided Diagnosis (CAD) systems, which leverage Artificial Intelligence (AI) techniques, have emerged as valuable tools for assisting radiologists in the accurate and efficient analysis of medical images. Following the PRISMA guidelines, this study presents the first meta-review that synthesizes evidence from 48 systematic reviews published between 2015 and January 2025. In contrast to previous reviews, which often focus on a single imaging modality or clinical task, our work provides a comprehensive overview of imaging techniques, publicly available datasets, AI methods, and clinical tasks employed in CAD systems for breast cancer diagnosis and treatment. Our analysis shows that mammography is the most frequently applied imaging modality, while DDSM, MIAS, and INBreast are the most commonly used datasets. Among clinical tasks, the detection and classification of breast lesions are the most extensively studied, with deep learning approaches being increasingly prevalent. However, current CAD systems face notable limitations, including the lack of large and diverse datasets, limited transparency and interpretability of AI-based decisions, and restricted clinical integration. By highlighting both the achievements and the limitations, this systematic review aims to support medical professionals and technical researchers in understanding the current state of CAD systems in breast cancer care and to provide guidance for future research directions. Full article
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33 pages, 5048 KB  
Systematic Review
A Comprehensive Systematic Review of Dynamic Nutrient Profiling for Personalized Diet Planning: Meta-Analysis and PRISMA-Based Evidence Synthesis
by Mohammad Hasan Molooy Zada, Da Pan and Guiju Sun
Foods 2025, 14(21), 3625; https://doi.org/10.3390/foods14213625 - 24 Oct 2025
Viewed by 605
Abstract
Background and Objectives: Dynamic nutrient profiling represents a paradigm shift in personalized nutrition, integrating real-time nutritional assessment with individualized dietary recommendations through advanced algorithmic approaches, biomarker integration, and artificial intelligence. This comprehensive systematic review and meta-analysis examines the current state of dynamic nutrient [...] Read more.
Background and Objectives: Dynamic nutrient profiling represents a paradigm shift in personalized nutrition, integrating real-time nutritional assessment with individualized dietary recommendations through advanced algorithmic approaches, biomarker integration, and artificial intelligence. This comprehensive systematic review and meta-analysis examines the current state of dynamic nutrient profiling methodologies for personalized diet planning, evaluating their effectiveness, methodological quality, and clinical outcomes. Methods: Following PRISMA 2020 guidelines, we conducted a comprehensive search of electronic databases (PubMed/MEDLINE, Scopus, Web of Science, IEEE Xplore, and Google Scholar) from inception to December 2024. The protocol was prospectively registered in PROSPERO (Registration: CRD42024512893). Studies were systematically screened using predefined inclusion criteria, quality was assessed using validated tools (RoB 2, ROBINS-I, Newcastle–Ottawa Scale), and data were extracted using standardized forms. Random-effects meta-analyses were performed where appropriate, with heterogeneity assessed using I2 statistics. Publication bias was evaluated using funnel plots and Egger’s test. Results: From 2847 initially identified records plus 156 from additional sources, 117 studies met the inclusion criteria after removing 391 duplicates and systematic screening, representing 45,672 participants across 28 countries. Studies employed various methodological approaches: algorithmic-based profiling systems (76 studies), biomarker-integrated approaches (45 studies), and AI-enhanced personalized nutrition platforms (23 studies), with some studies utilizing multiple methodologies. Meta-analysis revealed significant improvements in dietary quality measures (standardized mean difference: 1.24, 95% CI: 0.89–1.59, p < 0.001), dietary adherence (risk ratio: 1.34, 95% CI: 1.18–1.52, p < 0.001), and clinical outcomes including weight reduction (mean difference: −2.8 kg, 95% CI: −4.2 to −1.4, p < 0.001) and improved cardiovascular risk markers. Substantial heterogeneity was observed across studies (I2 = 78–92%), attributed to methodological diversity and population characteristics. AI-enhanced systems demonstrated superior effectiveness (SMD = 1.67) compared to traditional algorithmic approaches (SMD = 1.08). However, current evidence is constrained by practical limitations, including the technological accessibility of dynamic profiling systems and equity concerns in vulnerable populations. Additionally, the evidence base shows geographical concentration, with most studies conducted in high-income countries, underscoring the need for research in diverse global settings. These findings have significant implications for shaping public health policies and clinical guidelines aimed at integrating personalized nutrition into healthcare systems and addressing dietary disparities at the population level. Conclusions: Dynamic nutrient profiling demonstrates significant promise for advancing personalized nutrition interventions, with robust evidence supporting improved nutritional and clinical outcomes. However, methodological standardization, long-term validation studies exceeding six months, and comprehensive cost-effectiveness analyses remain critical research priorities. The integration of artificial intelligence and multi-omics data represents the future direction of this rapidly evolving field. Full article
(This article belongs to the Section Food Nutrition)
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21 pages, 2364 KB  
Systematic Review
Artificial Intelligence in Endodontic Education: A Systematic Review with Frequentist and Bayesian Meta-Analysis of Student-Based Evidence
by Carlos M. Ardila, Eliana Pineda-Vélez and Anny M. Vivares-Builes
Dent. J. 2025, 13(11), 489; https://doi.org/10.3390/dj13110489 - 23 Oct 2025
Viewed by 332
Abstract
Background/Objectives: Artificial intelligence (AI) is entering dental curricula, yet its educational value in endodontics remains unclear. This review synthesized student-based evidence on AI in endodontics, primarily comparing AI vs. students on diagnostic tasks as an educational endpoint and secondarily considering assessment tasks relevant [...] Read more.
Background/Objectives: Artificial intelligence (AI) is entering dental curricula, yet its educational value in endodontics remains unclear. This review synthesized student-based evidence on AI in endodontics, primarily comparing AI vs. students on diagnostic tasks as an educational endpoint and secondarily considering assessment tasks relevant to training. Methods: PubMed/MEDLINE, Embase, Scopus, and Web of Science were searched in July 2025. Eligible studies involved dental students using AI in endodontic tasks or applied AI to student-generated outputs. For diagnostic comparisons we performed random-effects meta-analysis and a complementary Bayesian random-effects model with weakly informative priors. Risk of bias used QUADAS-2; certainty used GRADE. Results: Five studies met inclusion. Two provided complete mean–SD data for the primary meta-analysis and one contributed to a sensitivity model after SD imputation; two were summarized narratively (AUC/F1 only). Pooled effects favored AI: Hedges g = 1.48 (95% CI 0.60–2.36; I2 ≈ 84%); sensitivity (k = 3) g = 1.45 (95% CI 0.77–2.14; I2 ≈ 77%). Across the two LLM studies with analyzable means/SDs, the pooled mean difference in accuracy was approximately +20 percentage points (AI − students). Bayesian analyses yielded posterior means near 1.5 with 95% credible intervals excluding 0 and P (μ > 0) ≈ 1.00. Educational outcomes were sparsely and non-standardly reported. Conclusions: Student-based evidence indicates that AI likely outperforms dental students on endodontic diagnostic tasks, supporting its use as an adjunct for formative tutoring, objective feedback, and more consistent assessment. Full article
(This article belongs to the Special Issue Dental Education: Innovation and Challenge)
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19 pages, 978 KB  
Article
From Consumption to Co-Creation: A Systematic Review of Six Levels of AI-Enhanced Creative Engagement in Education
by Margarida Romero
Multimodal Technol. Interact. 2025, 9(10), 110; https://doi.org/10.3390/mti9100110 - 21 Oct 2025
Viewed by 723
Abstract
As AI systems become more integrated into society, the relationship between humans and AI is shifting from simple automation to co-creative collaboration. This evolution is particularly important in education, where human intuition and imagination can combine with AI’s computational power to enable innovative [...] Read more.
As AI systems become more integrated into society, the relationship between humans and AI is shifting from simple automation to co-creative collaboration. This evolution is particularly important in education, where human intuition and imagination can combine with AI’s computational power to enable innovative forms of learning and teaching. This study is grounded in the #ppAI6 model, a framework that describes six levels of creative engagement with AI in educational contexts, ranging from passive consumption to active, participatory co-creation of knowledge. The model highlights progression from initial interactions with AI tools to transformative educational experiences that involve deep collaboration between humans and AI. In this study, we explore how educators and learners can engage in deeper, more transformative interactions with AI technologies. The #ppAI6 model categorizes these levels of engagement as follows: level 1 involves passive consumption of AI-generated content, while level 6 represents expansive, participatory co-creation of knowledge. This model provides a lens through which we investigate how educational tools and practices can move beyond basic interactions to foster higher-order creativity. We conducted a systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting the levels of creative engagement with AI tools in education. This review synthesizes existing literature on various levels of engagement, such as interactive consumption through Intelligent Tutoring Systems (ITS), and shifts focus to the exploration and design of higher-order forms of creative engagement. The findings highlight varied levels of engagement across both learners and educators. For learners, a total of four studies were found at level 2 (interactive consumption). Two studies were found that looked at level 3 (individual content creation). Four studies focused on collaborative content creation at level 4. No studies were observed at level 5, and only one study was found at level 6. These findings show a lack of development in AI tools for more creative involvement. For teachers, AI tools mainly support levels two and three, facilitating personalized content creation and performance analysis with limited examples of higher-level creative engagement and indicating areas for improvement in supportive collaborative teaching practices. The review found that two studies focused on level 2 (interactive consumption) for teachers. In addition, four studies were identified at level 3 (individual content creation). Only one study was found at level 5 (participatory co-creation), and no studies were found at level 6. In practical terms, the review suggests that educators need professional development focused on building AI literacy, enabling them to recognize and leverage the different levels of creative engagement that AI tools offer. Full article
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14 pages, 740 KB  
Review
The Effects of the Schroth Method on the Cobb Angle, Angle of Trunk Rotation, Pulmonary Function, and Health-Related Quality of Life in Adolescent Idiopathic Scoliosis: A Narrative Review
by Ana Belén Jiménez-Jiménez, Elena Gámez-Centeno, Javier Muñoz-Paz, María Nieves Muñoz-Alcaraz and Fernando Jesús Mayordomo-Riera
Healthcare 2025, 13(20), 2631; https://doi.org/10.3390/healthcare13202631 - 20 Oct 2025
Viewed by 756
Abstract
Background/Objectives: Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine that can negatively impact on quality of life, pulmonary function, and body image. Its conservative management includes various interventions, among which the Schroth method stands out. This approach is based [...] Read more.
Background/Objectives: Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine that can negatively impact on quality of life, pulmonary function, and body image. Its conservative management includes various interventions, among which the Schroth method stands out. This approach is based on three-dimensional corrective exercises and rotational breathing. This review aimed to analyze the effectiveness of the Schroth method, applied either alone or in combination with other conservative therapies, on variables such as Cobb angle, angle of trunk rotation (ATR), pulmonary function, and health-related quality of life in patients with AIS. Methods: A scientific literature search was conducted using the PubMed database. We searched for randomized controlling trials (RCTs), systematic reviews, and meta-analyses reported in English from 2020 to 2025. Different combinations of the terms and MeSH terms “adolescent”, “idiopathic”, “scoliosis”, and “Schroth” connected with various Boolean operators. Results: Overall, 82 articles were reviewed from the selected database. After removing duplicated papers and title/abstract screening, 13 studies were included in our review. The results showed that the Schroth method proved effective in reducing the Cobb angle and ATR, particularly in patients with mild curves and in early stages of skeletal growth. Improvements were also observed in health-related quality of life and aesthetic perception, and to a lesser extent, in pulmonary function. Moreover, therapeutic adherence and treatment continuity were important to maintaining long-term benefits. Conclusions: The Schroth method could be an effective treatment associated with orthopedic treatment, yielding satisfactory results. Its implementation requires structured programs, professional supervision, and strategies to enhance therapeutic adherence. Nevertheless, to validate its long-term effectiveness, we need more homogeneous studies with longer follow-up durations. Full article
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19 pages, 1591 KB  
Systematic Review
A Meta-Analysis of Artificial Intelligence in the Built Environment: High-Efficacy Silos and Fragmented Ecosystems
by Omar Alrasbi and Samuel T. Ariaratnam
Smart Cities 2025, 8(5), 174; https://doi.org/10.3390/smartcities8050174 - 15 Oct 2025
Viewed by 324
Abstract
Cities face mounting pressures to deliver reliable, low-carbon services amid rapid urbanization and budget constraints. Artificial Intelligence (AI), Machine Learning (ML), Deep Learning (DL), and the Internet of Things (IoT) are widely promoted to automate operations and strengthen decision-support across the built environment; [...] Read more.
Cities face mounting pressures to deliver reliable, low-carbon services amid rapid urbanization and budget constraints. Artificial Intelligence (AI), Machine Learning (ML), Deep Learning (DL), and the Internet of Things (IoT) are widely promoted to automate operations and strengthen decision-support across the built environment; however, it remains unclear whether these interventions are both effective and systemically integrated across domains. We conducted a Preferred Reporting Items for Systematic Reviews (PRISMA) aligned systematic review and meta-analysis (January 2015–July 2025) of empirical AI/ML/DL/IoT interventions in urban infrastructure. Searches across five open-access indices Multidisciplinary Digital Publishing Institute (MDPI), Directory of Open Access Journals (DOAJ), Connecting Repositories (CORE), Bielefeld Academic Search Engine (BASE), and Open Access Infrastructure for Research in Europe (OpenAIRE)returned 7432 records; after screening, 71 studies met the inclusion criteria for quantitative synthesis. A random-effects model shows a large, pooled effect (Hedges’ g = 0.92; 95% CI: 0.78–1.06; p < 0.001) for within-domain performance/sustainability outcomes. Yet 91.5% of implementations operate at integration Levels 0–1 (isolated or minimal data sharing), and only 1.4% achieve real-time multi-domain integration (Level 3). Publication bias is likely (Egger’s test p = 0.03); a conservative bias-adjusted estimate suggests a still-positive effect of g ≈ 0.68–0.70. Findings indicate a dual reality: high efficacy in silos but pervasive fragmentation that prevents cross-domain synergies. We outline actions, mandating open standards and APIs, establishing city-level data governance, funding Level-2/3 integration pilots, and adopting cross-domain evaluation metrics to translate local gains into system-wide value. Overall certainty of evidence is rated Moderate based on Grading of Recommendations Assessment, Development, and Evaluation (GRADE) due to heterogeneity and small-study effects, offset by the magnitude and consistency of benefits. Full article
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