Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (13,279)

Search Parameters:
Keywords = artificial intelligence (AI)

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
48 pages, 2547 KB  
Review
Security and Privacy in Generative Semantic Communication Systems: A Comprehensive Survey
by Mehwish Ali Naqvi and Insoo Sohn
Mathematics 2026, 14(9), 1522; https://doi.org/10.3390/math14091522 (registering DOI) - 30 Apr 2026
Abstract
semantic communication (SemCom) has emerged as a task-oriented communication paradigm that prioritizes meaning delivery over exact bit recovery. The integration of generative artificial intelligence (GenAI) into SemCom further enables knowledge-guided inference, multimodal reconstruction, and semantic compression through architectures such as large language models, [...] Read more.
semantic communication (SemCom) has emerged as a task-oriented communication paradigm that prioritizes meaning delivery over exact bit recovery. The integration of generative artificial intelligence (GenAI) into SemCom further enables knowledge-guided inference, multimodal reconstruction, and semantic compression through architectures such as large language models, variational autoencoders, generative adversarial networks, and diffusion models. At the same time, this integration introduces new security and privacy risks, including semantic eavesdropping, model inversion, semantic jamming, covert backdoors, prompt manipulation, and knowledge-base leakage, which are not adequately captured by conventional communication security models. In this survey, we provide a security-centric review of GenAI-assisted semantic communication systems by organizing the literature according to threat models, attack surfaces, defence strategies, and semantic modalities across text, image, and multimodal settings. The survey was conducted using IEEE Xplore, ACM Digital Library, SpringerLink, arXiv, and Google Scholar. Approximately 180 papers were initially screened, and 53 representative studies published between 2021 and 2026 were selected for detailed review. Based on this analysis, we classify the major threats into adversarial perturbation, jamming, poisoning and backdoor attacks, privacy leakage and semantic eavesdropping, and generative-model-specific vulnerabilities involving diffusion, large language models, and multimodal foundation models. We further map the corresponding defences, including adversarial training, model ensembling, semantic-aware encryption, diffusion-guided denoising, privacy-preserving representation learning, and secure resource allocation. The survey also identifies persistent open challenges, including the lack of standardized semantic security metrics, unified benchmarks, cross-layer evaluation frameworks, and robust defences for GenAI-native and multimodal semantic communication systems. Overall, this work provides a structured reference for the design of secure, trustworthy, and attack-resilient generative semantic communication systems for future intelligent networks. Full article
(This article belongs to the Special Issue Advances in Blockchain and Intelligent Computing)
21 pages, 10232 KB  
Review
The Significance of Angiopoietin Valency in Vascular Health and Disease
by Yan Ting Zhao, Devon D. Ehnes, Julie Mathieu and Hannele Ruohola-Baker
Cells 2026, 15(9), 820; https://doi.org/10.3390/cells15090820 (registering DOI) - 30 Apr 2026
Abstract
The Angiopoietin–Tie2 pathway is a key regulator of postnatal vascular maintenance and remodeling, regulating vascular barrier function and integrity. While the opposing roles of the ligands Angiopoietin-1 (Ang 1) and Angiopoietin-2 (Ang 2) have been recognized for decades, the structural mechanism governing their [...] Read more.
The Angiopoietin–Tie2 pathway is a key regulator of postnatal vascular maintenance and remodeling, regulating vascular barrier function and integrity. While the opposing roles of the ligands Angiopoietin-1 (Ang 1) and Angiopoietin-2 (Ang 2) have been recognized for decades, the structural mechanism governing their distinct signaling outputs has only recently been elucidated. As artificial intelligence and protein design continue to develop, emerging evidence suggests that ligand valency and receptor clustering are key determinants of Tie2 pathway activation and endothelial cell function; that is, “form follows function”. This review summarizes the latest discovery in the structural biology and signaling mechanism of the Tie2 pathway using protein design to decode the ligand–receptor interactions. Probing the underlying molecular basis of Tie2 offers new therapeutic opportunities for targeting diseases, featuring vascular dysfunctions such as sepsis, traumatic brain injury, acute respiratory diseases, chronic inflammation, and cancer. This also highlights the next generation of AI-designed protein therapeutics. Full article
(This article belongs to the Section Cell Signaling)
Show Figures

Figure 1

32 pages, 1790 KB  
Article
EduMSRA: A Multi-Source Educational Research Agent Integrating Retrieval-Augmented Generation and Model Context Protocol for Adaptive Intelligent Tutoring Systems
by Thi-Linh Ho and Thanh-Phong Lam
Appl. Sci. 2026, 16(9), 4400; https://doi.org/10.3390/app16094400 (registering DOI) - 30 Apr 2026
Abstract
The integration of Artificial Intelligence into educational systems has accelerated dramatically with the advent of Large Language Models (LLMs). However, two critical limitations constrain current AI-powered tutoring systems: LLMs hallucinate factually incorrect content in high-stakes pedagogical contexts, and existing systems lack standardized mechanisms [...] Read more.
The integration of Artificial Intelligence into educational systems has accelerated dramatically with the advent of Large Language Models (LLMs). However, two critical limitations constrain current AI-powered tutoring systems: LLMs hallucinate factually incorrect content in high-stakes pedagogical contexts, and existing systems lack standardized mechanisms to dynamically access and synthesize knowledge from heterogeneous educational sources, including learning management systems, open-access textbook repositories, assessment databases, and real-time educational APIs. This paper presents a systematic survey of the convergence of Retrieval-Augmented Generation (RAG) and the Model Context Protocol (MCP) in educational AI applications. Based on our taxonomy, we identify a critical architectural gap: no current system simultaneously achieves multi-source curriculum retrieval, standardized tool orchestration, learner-adaptive personalization, and citation-aware generation within a unified framework. To address this, we propose EduMSRA (Educational Multi-Source Research Agent)—a novel architecture comprising a Hierarchical Educational RAG Pipeline, an MCP-based Curriculum Tool Orchestration Layer, a Conflict-Aware Fusion Module (CAFM), a Learner Profile Manager (LPM), and a Pedagogical Policy Agent (PPA) aligned with Bloom’s taxonomy. We further provide a comprehensive experimental design road map specifying nine publicly available benchmark datasets and four evaluation experiments. Additionally, we conduct three Bayesian empirical analyses: (1) a random-effects meta-analysis of 12 RAG studies indicating a positive effect direction (μ^=0.511, 95% HDI: [0.250,0.790]) , I2=99.3% heterogeneity flagged as indicative), (2) a BKT simulation illustrating adaptive scaffolding dynamics across five learner profiles, and (3) a Beta-Binomial difficulty characterization of nine benchmark datasets. Our analysis demonstrates that EduMSRA offers a principled, scalable path toward adaptive, grounded, and pedagogically aligned AI tutoring agents. Full article
(This article belongs to the Section Computing and Artificial Intelligence)
27 pages, 4488 KB  
Article
A Neuro-Symbolic Bioinformatics Framework for Unlocking Chordate Physiological Dark Data and Validating Allometric Scaling
by Zhiyao Duan, Guihu Zhao, Changyun Li and Bo Liu
Biology 2026, 15(9), 708; https://doi.org/10.3390/biology15090708 - 30 Apr 2026
Abstract
Animal functional trait data are essential for macroecology, but massive datasets remain locked in unstructured scientific literature. Traditional manual extraction is inefficient, and general-purpose artificial intelligence (AI) systems struggle with complex biological tables and numerical accuracy. To address this bioinformatics challenge, we propose [...] Read more.
Animal functional trait data are essential for macroecology, but massive datasets remain locked in unstructured scientific literature. Traditional manual extraction is inefficient, and general-purpose artificial intelligence (AI) systems struggle with complex biological tables and numerical accuracy. To address this bioinformatics challenge, we propose a multimodal neuro-symbolic framework combining visual-language perception and code-based reasoning. This approach reconstructs complex document layouts and delegates biostatistical calculations, such as unit normalization and thermodynamic energy conversion, to an isolated programming environment to ensure mathematical and statistical consistency. By mining literature spanning 117 years, we constructed a high-fidelity physiological database for 1632 chordate species. Our method achieved a macro-averaged F1 score of 0.935 in extracting biophysical fields. External benchmarking against a curated mammalian trait database showed strong concordance for shared body-mass and metabolic-rate traits, while our database retained record-level provenance and physiological context. Furthermore, the extracted data reproduced classic allometric scaling relationships for basal metabolic rate and brain volume while preserving physiological adaptations, supporting the biological plausibility of the dataset. This study validates a reproducible bioinformatics pipeline that minimizes extraction artifacts and substantially reduces downstream mathematical and statistical conversion errors, while providing a scalable, complementary resource for building physiology-oriented trait databases from historical literature. Full article
(This article belongs to the Section Bioinformatics)
Show Figures

Figure 1

34 pages, 2208 KB  
Review
Next-Generation Artificial Intelligence Strategies for Mechanistic Cancer Target Discovery and Drug Development: A State-of-the-Art Review
by Muhammad Sohail Khan, Muhammad Saeed, Muhammad Arham, Imran Zafar, Majid Hussian, Adil Jamal, Muhammad Usman, Fayez Saeed Bahwerth, Gabsik Yang and Ki Sung Kang
Int. J. Mol. Sci. 2026, 27(9), 4028; https://doi.org/10.3390/ijms27094028 - 30 Apr 2026
Abstract
Artificial intelligence (AI) is increasingly used in cancer research, enabling integrative analysis of complex biomedical data to identify actionable therapeutic vulnerabilities. This review specifically examines how AI advances mechanistic cancer target discovery and translational drug development, focusing on: (1) the processing of large-scale [...] Read more.
Artificial intelligence (AI) is increasingly used in cancer research, enabling integrative analysis of complex biomedical data to identify actionable therapeutic vulnerabilities. This review specifically examines how AI advances mechanistic cancer target discovery and translational drug development, focusing on: (1) the processing of large-scale genomics, transcriptomics, proteomics, metabolomics, single-cell profiling, spatial, and clinical datasets using machine learning (ML) and deep learning (DL) algorithms; (2) the identification of candidate biomarkers, driver genes, dysregulated pathways, tumor dependencies, and molecular targets that traditional methods often miss; (3) the integration of multi-omics data, network biology, causal inference, and systems-level modeling to refine mechanistic understanding of cancer progression and separate functional driver events from passengers; and (4) applications in drug development, including virtual screening, molecular modeling, structure-informed target validation, drug repurposing, synthetic lethality prediction, and de novo drug design, which collectively may enhance early-stage drug discovery efficiency. The review underscores that AI serves as both a predictive tool and a platform for linking molecular mechanisms to hypothesis generation, target prioritization, and rational treatment design. Challenges such as data heterogeneity, algorithmic bias, interpretability, reproducibility, regulatory requirements, and patient privacy must be addressed for robust translation and clinical use. Future directions may focus on hybrid approaches that integrate causal modeling, explainable AI, multimodal data, and experimental validation to yield mechanistically grounded, clinically actionable insights. AI-driven approaches ultimately aim to accelerate mechanism-based cancer target discovery and enable more precise, biologically informed anticancer therapies. Full article
23 pages, 1377 KB  
Article
Identification of Antioxidant and Anti-Inflammatory Activity of Sea Cucumber (Holothuria tubulosa) Active Peptides by a Combined Approach of Omics Data and Bioinformatics Analysis
by Laura La Paglia, Mirella Vazzana, Manuela Mauro, Francesca Dumas, Alfonso Urso, Sugár Simon, Laszlo Drahos and Aiti Vizzini
Mar. Drugs 2026, 24(5), 158; https://doi.org/10.3390/md24050158 - 30 Apr 2026
Abstract
Background: Inflammatory signaling and oxidative stress machinery are interconnected and play roles in apoptosis, proliferation, redox state control, and the progression of many diseases, including cancer. The marine environment harbors a wealth of organisms that produce a wide variety of bioactive molecules with [...] Read more.
Background: Inflammatory signaling and oxidative stress machinery are interconnected and play roles in apoptosis, proliferation, redox state control, and the progression of many diseases, including cancer. The marine environment harbors a wealth of organisms that produce a wide variety of bioactive molecules with significant biological activities. Over the last decade, the advent of AI-driven approaches has enhanced the study and analysis of peptides, helping to reduce costly and time-consuming conventional laboratory testing, validation, and synthetic procedures. Methods: In this study, we predicted the antioxidative and anti-inflammatory activities of peptides isolated from proteomic data obtained from circulating cells and humoral components of the sea cucumber defense system using a bioinformatic workflow based on different artificial intelligence tools. Results: We identified 40 top-ranked peptides with antioxidative and anti-inflammatory activity and a sub-class of eight peptides shared by FreD domains. Molecular docking and molecular dynamics simulations showed that they have active binding sites for different key molecules involved in inflammatory and oxidative processes. Conclusions: The results showed that the peptides highlighted by our analysis workflow can be identified as potential molecules used as therapeutic strategies for diseases by targeting both inflammatory and oxidative processes. Full article
(This article belongs to the Special Issue Bioactive Compounds from Marine Invertebrates)
36 pages, 6769 KB  
Review
AI Methods in Sensor Calibration
by Fei Kou, Yu-Qing Liu, Chen-Xi Li, Hong-Bo Qin and Yan Liu
Sensors 2026, 26(9), 2805; https://doi.org/10.3390/s26092805 - 30 Apr 2026
Abstract
Artificial intelligence (AI)-based methods are rapidly advancing the development of sensor technology, bringing about significant advancements for sensors in structural design/optimization, fabrication, calibration and application. The recent involvement of AI models has provided a new paradigm for the calibration of sensors and greatly [...] Read more.
Artificial intelligence (AI)-based methods are rapidly advancing the development of sensor technology, bringing about significant advancements for sensors in structural design/optimization, fabrication, calibration and application. The recent involvement of AI models has provided a new paradigm for the calibration of sensors and greatly improved the accuracy and stability of obtained sensing characteristics. In this paper, we present an overview of the advances of AI methods in sensor calibration in recent years. The superiority of leveraging AI models in getting the transfer function, compensating for ambient interferences/drifts, and promoting large-scale, low-cost sensors is reviewed and discussed to illustrate the pioneering transformations in this domain. Relevant enhancing tools for data preprocessing, training optimization and data augmentation are also mentioned. The significant achievements in various sensing systems have demonstrated that AI methods can be a powerful solution to the critical issues in calibrating sensors. However, there are still several critical challenges persisting alongside these remarkable achievements, and long-term commitment remains essential for future investigations. Full article
(This article belongs to the Special Issue Intelligent Sensor Calibration: Techniques, Devices and Methodologies)
39 pages, 587 KB  
Article
Artificial Intelligence for Energy and Cost Resilience in Sustainable Supply Chains: A Dynamic LCA/TCO Approach to Multimodal Transport
by Tomasz Neumann and Paweł Wierzbicki
Energies 2026, 19(9), 2169; https://doi.org/10.3390/en19092169 - 30 Apr 2026
Abstract
The decarbonization of multimodal transport systems requires assessment approaches that simultaneously address environmental impacts and economic performance at dynamic operational conditions. Conventional Life Cycle Assessment (LCA) and Life Cycle Costing (LCC), including Total Cost of Ownership (TCO), are widely used for this purpose; [...] Read more.
The decarbonization of multimodal transport systems requires assessment approaches that simultaneously address environmental impacts and economic performance at dynamic operational conditions. Conventional Life Cycle Assessment (LCA) and Life Cycle Costing (LCC), including Total Cost of Ownership (TCO), are widely used for this purpose; however, they often rely on static assumptions and averaged data, limiting their ability to capture real-world variability. This study proposes an AI-enhanced LCA–LCC/TCO framework for the integrated evaluation of decarbonised multimodal Door-to-Port transport systems. Artificial intelligence is embedded directly into the life cycle inventory and cost inventory stages to generate scenario-specific estimates of energy consumption, greenhouse gas emissions, and operational costs. The framework is demonstrated through a case study of a multimodal Door-to-Port transport chain comprising road pre-haulage, rail line-haul, and port terminal operations. Three scenarios are analysed: conventional, partially decarbonised, and fully decarbonised configurations. The results indicate that partial decarbonization reduces greenhouse gas emissions by more than 60% compared to the baseline while achieving the lowest total cost of ownership. Full decarbonization achieves emission reductions exceeding 95% but is associated with slightly higher costs under current assumptions. Sensitivity analysis verifies the robustness of the relative scenario ranking under different energy prices, carbon pricing, and electricity carbon intensity. The proposed framework provides a structured decision-support framework for logistics operators, port authorities, and policymakers seeking cost-effective pathways to low-emission multimodal transport systems. Full article
22 pages, 1762 KB  
Review
A Clinician-Oriented Approach to Plaque Pathology in ACS: Implications for Personalized Cardiovascular Medicine—A Comprehensive Review
by Barbara Pala, Mariagrazia Piscione, Francesco Cribari, Paola Gualtieri, Marco Alfonso Perrone and Laura Di Renzo
J. Pers. Med. 2026, 16(5), 240; https://doi.org/10.3390/jpm16050240 - 30 Apr 2026
Abstract
Growing evidence indicates that myocardial infarction (MI) is the clinical manifestation of heterogeneous plaque substrates with distinct molecular, cellular, and biomechanical mechanisms. Acute coronary thrombosis (ACT) most commonly arises from plaque rupture (PR), plaque erosion (PE), and calcified nodules (CNs), each associated with [...] Read more.
Growing evidence indicates that myocardial infarction (MI) is the clinical manifestation of heterogeneous plaque substrates with distinct molecular, cellular, and biomechanical mechanisms. Acute coronary thrombosis (ACT) most commonly arises from plaque rupture (PR), plaque erosion (PE), and calcified nodules (CNs), each associated with different inflammatory profiles, thrombus composition, clinical presentation, and prognosis. This comprehensive review provides a clinician-oriented synthesis of the pathophysiological mechanisms underlying these three principal plaque phenotypes and discusses their implications for the contemporary management of acute coronary syndromes (ACS). We examine the molecular and cellular determinants of plaque instability and highlight how systemic factors such as plaque burden, impaired healing responses, and myocardial jeopardy modulate clinical risk. The role of intracoronary and non-invasive imaging is discussed primarily as a tool to elucidate plaque biology with direct clinical relevance rather than merely as a procedural guide. Building on these insights, we propose a conceptual framework for integrating plaque biology into clinical decision-making across the acute phase, secondary prevention, and long-term follow-up. In particular, recognizing the biological heterogeneity of plaque substrates may support more personalized therapeutic strategies, enabling clinicians to tailor pharmacological and interventional approaches according to the underlying plaque phenotype and patient-specific risk profile. Finally, we briefly address emerging perspectives, including the potential role of artificial intelligence (AI) in refining plaque characterization, risk stratification, and precision cardiovascular prevention. Overall, recognition of PR, PE, and CNs as biologically distinct entities supports a shift toward mechanism-informed and personalized management of MI, aligning advances in plaque biology with the principles of precision cardiovascular medicine. Full article
(This article belongs to the Special Issue Personalized Prevention and Treatment of Cardiovascular Diseases)
Show Figures

Graphical abstract

25 pages, 684 KB  
Article
Artificial Intelligence Algorithm Based on Genetics to Predict Responses to Interferon-Beta Treatment in Multiple Sclerosis Patients
by Edgar Rafael Ponce de León-Sánchez, Jorge Domingo Mendiola-Santibañez, Omar Arturo Domínguez-Ramírez, Ana Marcela Herrera-Navarro, Alberto Vázquez-Cervantes, Hugo Jiménez-Hernández, José Alfredo Acuña-García, Rafael Duarte-Pérez and José Manuel Álvarez-Alvarado
Bioengineering 2026, 13(5), 523; https://doi.org/10.3390/bioengineering13050523 - 30 Apr 2026
Abstract
Multiple sclerosis (MS) is an inflammatory disease of the central nervous system (CNS) that impacts nearly 3 million people worldwide. While the etiology and pathogenesis of MS are not yet fully understood, current evidence suggests that it results from complex interactions between genetic [...] Read more.
Multiple sclerosis (MS) is an inflammatory disease of the central nervous system (CNS) that impacts nearly 3 million people worldwide. While the etiology and pathogenesis of MS are not yet fully understood, current evidence suggests that it results from complex interactions between genetic and environmental conditions. Clarifying the autoimmune mechanisms underlying MS remains a central objective in the development of effective therapeutic strategies. Interferon-beta (IFN-β) is one of the most frequently prescribed disease-modifying treatments for individuals with MS. However, despite its established efficacy, recent studies report that approximately 30–50% of patients exhibit inadequate response to IFN-β, largely due to genetic variability. Machine learning (ML), a branch of artificial intelligence (AI), employs data-driven computational models to enhance predictive accuracy and classification. In recent MS research, unsupervised learning techniques such as hierarchical clustering and K-means have been applied for classification purposes. However, these methods often fail to yield optimal solutions because they require numerous arbitrary decisions and perform adequately only when datasets contain clusters of similar sizes and lack significant outliers. Fuzzy systems (FSs) are designed to model complex, ambiguous real-world phenomena. In this study, an AI algorithm incorporating a fuzzy system, informed by expert neurologist input, is proposed to enhance the assignment of unknown class labels related to IFN-β response in MS patients. Additionally, a genetic algorithm (GA) is introduced to identify optimal solutions within the search space, facilitating hyperparameter optimization of a deep learning (DL) model trained with genetic biomarkers to identify patients likely to benefit from this therapy. Experimental results demonstrate that the fuzzy system achieved 80% classification efficiency, in contrast to 64% with conventional hierarchical clustering. Furthermore, an artificial neural network (ANN) model, with hyperparameters optimized by the GA, achieved an accuracy of 0.8–1.0, surpassing the multi-layer perceptron (MLP), which achieved 0.6–0.8 accuracy using conventional tuning methods. Full article
(This article belongs to the Section Biosignal Processing)
Show Figures

Figure 1

14 pages, 1758 KB  
Article
Training AI to Improve Distinction of Triple-Negative Invasive Breast Cancer from Cysts and Fibroadenomas on Ultrasound
by Wendie A. Berg, Andriy I. Bandos, Linda H. Larsen, Samantha L. Heller, Regina J. Hooley, Richard S. Ha, Maham Siddique, Jeremy M. Berg, Yuying Cao, R. Chad McClennan and Ajit Jairaj
Diagnostics 2026, 16(9), 1354; https://doi.org/10.3390/diagnostics16091354 - 30 Apr 2026
Abstract
Background/Objectives: Circumscribed oval, hypoechoic masses are common on screening breast ultrasound (US), and the vast majority are benign. Triple-receptor negative invasive breast cancer (TNBC) can appear similar, resulting in both human and artificial intelligence (AI) interpretive errors. Purpose: We sought to improve [...] Read more.
Background/Objectives: Circumscribed oval, hypoechoic masses are common on screening breast ultrasound (US), and the vast majority are benign. Triple-receptor negative invasive breast cancer (TNBC) can appear similar, resulting in both human and artificial intelligence (AI) interpretive errors. Purpose: We sought to improve AI performance in distinguishing common benign masses from TNBC through a retrospective model refinement and validation study. Materials and Methods: In an Institutional Review Board-approved HIPAA-compliant protocol, from five academic medical centers, orthogonal ultrasound images of 1771 breast masses 2 cm or smaller were acquired, consisting of cysts, complicated cysts, other benign, and malignancies. Cases were randomized, controlling for lesion class, site, and patient age, with 1446 (including 402, 27.8%, malignancies) used for training and 325 (including 95, 29.2% malignancies) for validation using Koios DS® (decision support, KDS) software version 2.0. A breast imaging radiologist from each center reviewed images and recorded BI-RADS features and assessment. Demographics, symptoms, and pathology or at least one-year follow-up was recorded. The KDS score was evaluated standalone and in combination with BI-RADS using logistic regression and ROC analysis with focus on specificity at sensitivity of 98%. Results: In training, KDS standalone performed comparably to BI-RADS, and significantly improved BI-RADS malignancy risk prediction (p < 0.001). The 98%–sensitivity threshold for combined KDS + BI-RADS was estimated and kept fixed during validation. In validation, KDS standalone performed similar to BI-RADS with AUC = 0.97 (CI: 0.95–0.98) versus 0.95 (p = 0.22), with sensitivity of 98% (93/95, CI: 95–100%) for both and specificity of 70.9% (163/230, CI: 65.0–76.7%) for KDS versus 63.9% for BI-RADS (147/230, p = 0.10). Combining KDS + BIRADS significantly improved overall performance (AUC 0.98, p < 0.001) and specificity (74.4%, 171/230, p < 0.001) while maintaining sensitivity at 98% (93/95). Conclusions: While KDS alone should not replace BI-RADS, when used in combination with BI-RADS, it can significantly improve specificity for highly accurate (98% sensitivity) triaging management of masses representative of those seen on screening US. Full article
(This article belongs to the Special Issue Advances in Breast Diagnostics)
Show Figures

Figure 1

27 pages, 6465 KB  
Systematic Review
Are AI Neuroimaging Models Ready for Clinical Use? A Systematic Methodological Review
by Umid Sulaimanov, Nafiye Sanlier, Ariorad Moniri, Behman Demir, Yerkebulan Serikkanov, Ahmed Rasim Bayramoglu, Maryam Sabah Al-Jebur, Irem Uslu, Oyku Ozturk, Mariagrazia Nizzola, Erkin Ötleş, Simon Gashaw Ammanuel, Abdullah Keles, Ufuk Erginoglu and Mustafa K. Baskaya
J. Clin. Med. 2026, 15(9), 3441; https://doi.org/10.3390/jcm15093441 - 30 Apr 2026
Abstract
Background/Objectives: Artificial intelligence (AI) has rapidly expanded across medical imaging with proposed applications in diagnosis, prognostication, and surgical planning. Concerns remain regarding methodological robustness and clinical readiness for many published models. This systematic review aimed to conduct a methodological audit of AI [...] Read more.
Background/Objectives: Artificial intelligence (AI) has rapidly expanded across medical imaging with proposed applications in diagnosis, prognostication, and surgical planning. Concerns remain regarding methodological robustness and clinical readiness for many published models. This systematic review aimed to conduct a methodological audit of AI imaging studies relevant to contemporary neurosurgical practice—including intracranial, cerebrovascular, spinal, and connectomics-based applications—published in 2025. Methods: Following PRISMA guidelines and PROSPERO registration (CRD420261284068), PubMed was searched for studies published in 2025 evaluating machine learning or deep learning applications in MRI- or CT-based imaging. Three reviewers independently extracted data on validation strategy, data leakage risk, human comparator use, calibration reporting, and CLAIM/TRIPOD-AI adherence. Risk of bias was assessed using PROBAST+AI. Results: Of 1776 screened records, 91 studies met the inclusion criteria. China led contributions (54.9%), oncology was the most common domain (37.4%), and MRI was the predominant modality (67.0%). External validation was reported in 75.8% of studies, and 66.0% used multicenter cohorts. Data leakage risk was low in 93.4%. However, only 18.7% included human comparators, calibration was reported in 30.8%, and none achieved full CLAIM/TRIPOD-AI compliance. Conclusions: AI imaging studies published in 2025 demonstrate encouraging progress in multicenter design and external validation. However, persistent gaps in human benchmarking, calibration, and reporting suggest further methodological development is needed. Full article
Show Figures

Figure 1

26 pages, 958 KB  
Article
Systems Governance for Trustworthy AI: A Framework for Environmental Accountability
by Fatemeh Ahmadi Zeleti
Systems 2026, 14(5), 485; https://doi.org/10.3390/systems14050485 - 30 Apr 2026
Abstract
Artificial Intelligence systems increasingly shape environmental decision making, infrastructure planning, and resource use across public and urban domains. However, prevailing AI trust and governance mechanisms, including labels, certifications, and assurance schemes, remain primarily focused on ethical and legal accountability, with limited operational attention [...] Read more.
Artificial Intelligence systems increasingly shape environmental decision making, infrastructure planning, and resource use across public and urban domains. However, prevailing AI trust and governance mechanisms, including labels, certifications, and assurance schemes, remain primarily focused on ethical and legal accountability, with limited operational attention to environmental sustainability. This paper reconceptualises AI trust mechanisms as socio-technical governance infrastructures that can support both ethical assurance and environmental accountability. Drawing on a comparative qualitative analysis of nine AI trust initiatives, the study develops a three-dimensional analytical framework embedding Environmental Performance Indicators across three governance dimensions: trust-building effectiveness, governance readiness, and sustainable adoption. Applying a systems governance lens, the framework examines how governance instruments structure information flows, institutional practices, and lifecycle feedback relevant to environmental performance. It is analytically illustrated through two urban mobility cases, Helsinki’s Whim application and Barcelona’s smart mobility system, to examine how governance conditions enable or constrain the integration of Environmental Performance Indicators in practice. Findings show that current trust mechanisms lack measurable and publicly visible environmental criteria, indicating a gap between AI assurance and environmental governance. The study contributes a systems-oriented framework for evaluating AI trust mechanisms as governance instruments capable of supporting environmental accountability. While exploratory and based on secondary data, the results indicate that future AI trust mechanisms must incorporate measurable sustainability indicators to support eco-efficient and accountable digital transformation. Full article
(This article belongs to the Special Issue Ethics and Governance of Artificial Intelligence (AI) Systems)
Show Figures

Figure 1

24 pages, 4665 KB  
Article
Human Fall Detection with Infrared Imaging: A Comparison of Graph Convolutional Networks and YOLO
by Karol Perliński, Artur Faltyński and Aleksandra Świetlicka
Sensors 2026, 26(9), 2794; https://doi.org/10.3390/s26092794 - 30 Apr 2026
Abstract
This paper presents a comparative study of two artificial intelligence approaches—graph convolutional networks (GCNs) and the YOLO object detection algorithm—for analyzing human fall events using infrared imaging. From the AI perspective, the study introduces a GCN model that achieves over 99% classification accuracy [...] Read more.
This paper presents a comparative study of two artificial intelligence approaches—graph convolutional networks (GCNs) and the YOLO object detection algorithm—for analyzing human fall events using infrared imaging. From the AI perspective, the study introduces a GCN model that achieves over 99% classification accuracy by modeling 2D and 3D skeletal data as graph structures and evaluates the real-time detection capabilities of YOLOv8 on infrared video frames. On the engineering side, the research addresses practical challenges in elderly care and healthcare monitoring systems by demonstrating how these AI methods can accurately detect and classify fall directions under infrared conditions. The results highlight each model’s strengths and propose a hybrid framework combining YOLO’s spatial localization with GCN’s motion-pattern analysis for future real-world applications. Full article
(This article belongs to the Section Sensing and Imaging)
Show Figures

Figure 1

12 pages, 1932 KB  
Article
Diagnostic Agreement Between a General-Purpose AI Model and Retinal Specialists in Color Fundus Photography—A Pilot Study
by Sara Vaz-Pereira, Laura Vilaverde, André Ferreira and Bernardete Pessoa
J. Clin. Med. 2026, 15(9), 3430; https://doi.org/10.3390/jcm15093430 - 30 Apr 2026
Abstract
Background: Artificial intelligence (AI) has shown strong performance in disease-specific retinal screening tasks; however, its reliability in heterogeneous clinical diagnostic settings remains unclear. This study compared a general-purpose multimodal AI model with experienced retinal specialists in the interpretation of color fundus photographs (CFPs). [...] Read more.
Background: Artificial intelligence (AI) has shown strong performance in disease-specific retinal screening tasks; however, its reliability in heterogeneous clinical diagnostic settings remains unclear. This study compared a general-purpose multimodal AI model with experienced retinal specialists in the interpretation of color fundus photographs (CFPs). Methods: In this pilot retrospective cross-sectional study, 66 CFPs were independently evaluated by a masked retinal specialist and an AI model (Google Gemini 2.5 Flash). Diagnoses were compared with those of the unblinded treating specialist. The comparison was inherently asymmetric, as the reference specialist had access to full clinical information, whereas the masked evaluators performed image-only assessment. Agreement was assessed using weighted percent agreement and Gwet’s AC2 with quadratic weights. Results: Substantial agreement was observed between the two human specialists (AC2 = 0.67). In contrast, agreement between the AI model and the reference specialist was low (AC2 = −0.58). Direct comparison between the masked specialist and the AI also showed limited reliability (AC2 = −0.38). Conclusions: In this pilot study, the evaluated AI model demonstrated limited agreement relative to a context-informed specialist reference. These findings support cautious interpretation of consumer-facing multimodal AI in open-ended retinal image assessment and warrant validation in larger, multicenter studies. Full article
(This article belongs to the Special Issue Macular Diseases: From Diagnosis to Treatment)
Show Figures

Figure 1

Back to TopTop