Search Results (10,002)

Background: Artificial intelligence-based computer-aided detection (AI-CAD) systems are increasingly being used in endovascular practice to support time-sensitive detection, triage and prioritization tasks in imaging and procedural workflows. Despite rapid technological advancements and expanding regulatory clearances, the translation to lasting clinical benefit varies. Objective: This narrative review synthesizes AI-CAD applications in endovascular interventions and proposes an evaluation-oriented framework to support responsible clinical translation; this framework emphasizes detection-specific metrics, external validation, bias-aware assessment, and workflow integration. Methods: A structured narrative review was conducted using targeted searches in PubMed, Google Scholar, and IEEE Xplore (2020–2026); this review was supported by an examination of US FDA device databases and citation tracking. Evidence was assessed using a pragmatic hierarchical classification framework based on regulatory status and validation rigor. Results: AI-CAD applications were mapped across four main endovascular domains: neurovascular interventions (e.g., large vessel occlusion triage), coronary interventions (CCTA-based stenosis detection and intravascular imaging support), aortic interventions/EVAR (endoleak detection and sac monitoring), and peripheral interventions (lesion detection and angiographic decision support). Across the domains, performance reporting was heterogeneous and often relied on retrospective, single-center assessments. Key barriers to clinical readiness included acquisition variability and dataset shift due to artifacts, limited multicenter validation, annotation variability, and human–AI workflow factors. Evaluation priorities included whether to assess at the lesion level or case level, false positive burden and calibration, external validation under real-world heterogeneity, and clinical impact measures such as treatment timing and procedural decision-making. Conclusions: AI-CAD systems hold significant potential for improving endovascular care; however, clinical readiness depends on rigorous, endovascular feature-specific assessment and transparent reporting, beyond retrospective accuracy. The proposed evidence level framework and assessment checklist provide practical tools for distinguishing mature technologies from research prototypes and guiding future validation, implementation, and post-market monitoring. Full article

Background: Gastrointestinal (GI) cancers remain a major global health concern, where timely and accurate interpretation of endoscopic findings plays a decisive role in patient outcomes. In recent years, deep learning–based decision support systems have shown considerable potential in assisting GI diagnosis; however, their broader adoption is often limited by patient privacy regulations, uneven data availability, and the fragmented nature of clinical data across institutions. Federated learning (FL) offers a practical solution by enabling collaborative model training while keeping patient data local to each hospital. Methods: Vision Transformers (ViTs) are particularly well suited for endoscopic image analysis due to their ability to capture long-range contextual information. Nevertheless, their high computational and communication costs pose a significant challenge in federated settings, especially when data distributions vary across clients. To address this issue, we propose a privacy-preserving federated framework that combines ViTs with a Clinical-Entropy Guided Quantum Evolutionary Algorithm (CEQEA) for adaptive token pruning. The CEQEA leverages the diagnostic diversity of each client’s local dataset to guide population initialization, evolutionary updates, and mutation strength, allowing the pruning strategy to adapt naturally to different clinical profiles. Results: The proposed framework was evaluated on curated upper- and lower-GI tract subsets of the HyperKVASIR dataset under realistic non-IID federated conditions. On the final test sets, the model achieved a mean micro-averaged accuracy of 92.33% for lower-GI classification and 90.19% for upper-GI classification, while maintaining high specificity across all diagnostic classes. At the same time, the adaptive pruning strategy reduced the number of tokens processed by approximately 40% and decreased the number of required federated communication rounds by 33% compared to ViT-based federated baselines. Conclusions: Overall, these results indicate that entropy-aware, quantum-inspired evolutionary optimization can effectively balance diagnostic performance and efficiency, making transformer-based models more practical for privacy-preserving, multi-institutional gastrointestinal endoscopy. Full article

The rapid digitalization of cities is reshaping urban planning practices; however, significant gaps persist between technological investments and institutional governance capacity, particularly in transition economies. This study investigates how digital tools can be systematically embedded within planning processes to improve decision-making quality, coordination, and administrative efficiency. Drawing on urban governance theory and an empirical implementation study conducted in Yerevan, Armenia (population 1.1 million) between 2019 and 2023, the paper develops and operationalizes a multi-layer governance framework that aligns digital instruments—including geospatial information systems, performance dashboards, and decision-support platforms—with strategic, tactical, and operational levels of city management. The framework is evaluated through institutional analysis of municipal policy documents, planning databases, and semi-structured interviews with planning officials. The results reveal substantial governance barriers, including data fragmentation, organizational silos, and limited digital capacity. Framework-based implementation produced measurable improvements: planning decision cycles shortened by 43%, GIS utilization increased from 18% to 68% of eligible projects, inter-agency data sharing rose sixfold, and annual cost savings of approximately $1.2 million were achieved through reduced duplication and faster approvals. By combining conceptual design with empirical validation, the study advances digital urban governance research and offers a transferable, evidence-based model for implementing resilient and efficient data-driven planning systems in resource-constrained contexts. Full article

The transition to net-zero energy systems requires operationally grounded decision-making frameworks that integrate technology performance, infrastructure readiness, and policy constraints at local scale. Food transportation represents a high-emission and operationally critical component of regional energy and supply chain systems, particularly in food-producing regions. This study proposes a preliminary Local Area Energy Planning (LAEP) framework to support operational decision-making for the decarbonisation of food transportation, using Lincolnshire, UK, as a case study. The framework evaluates alternative freight transport technologies—battery electric vehicles (BEVs), hydrogen fuel cell electric vehicles (HFCEVs), battery electric road systems (BERS), and conventional internal combustion engine vehicles—across energy efficiency, CO₂ emissions, infrastructure requirements, and cost implications. Secondary data from national statistics, regional planning documents, and peer-reviewed literature are analysed using comparative quantitative and qualitative assessment methods. Results indicate that BEVs currently offer the most energy-efficient and cost-effective solution for short-haul and last-mile food logistics, achieving overall efficiencies of approximately 77–82% with zero tailpipe emissions. HFCEVs and BERS present potential long-term operational advantages for heavy-duty and long-haul freight, but remain constrained by high infrastructure investment, energy conversion losses, and system-level costs. The findings highlight the importance of phased technology adoption, renewable energy integration, and infrastructure prioritisation to enable sustainable energy operations in freight transport systems. By embedding technology comparison within a place-based planning framework, this study contributes actionable insights for local authorities, logistics operators, and policymakers seeking to support operational decision-making in sustainable energy systems. The proposed LAEP framework is transferable to other food-producing regions aiming to decarbonise freight transportation while maintaining operational efficiency. Full article

A key technological challenge for automotive manufacturers is producing multiple vehicle variants on a single production line. At the body-in-white shop of Magna’s complete vehicle plant in Graz, this is addressed through transportable positioning devices that serve as part carriers and adapters between different products, while ensuring consistent geometric alignment throughout the process. Geometrical deviations in these devices can adversely impact product quality along the entire vehicle assembly chain. This paper presents the development and implementation of two patented use cases: a cyber-physical inspection system, fully operational in serial production, and a cyber-physical assembly system, tested successfully in the prototype phase. The first actively mitigates the effects of device deviations in real time, while the second enables the on-demand configuration of flexible, advanced positioning devices via precision part matching, effectively preventing systematic deviations. Challenges and insights from both systems are discussed. Four previously introduced building blocks for automating quality control processes are validated and generalized for broad applicability across manufacturing processes and project phases via cross-system comparative analysis: the integrated capture of process and product data, automated data analytics, automated decision-making, and autonomous process intervention. This work proposes a validated, scalable framework integrating the design and implementation of cyber-physical systems to support zero-defect manufacturing. Full article

Mispronunciation detection (MD) is a key component in computer-assisted pronunciation training (CAPT) and speaking tests. Most MD systems adopt a production view, measuring phone-level deviation from a canonical pronunciation (Native Norm) or the expected pronunciation of a target population (Target Norm). Yet, pronunciation assessment is fundamentally perceptual: listeners map speech to linguistic categories under uncertainty and with individual psychological priors, so judgments are inherently subjective and lack a single gold standard. Labels are therefore often aggregated (e.g., voting), but aggregation rules are themselves subjective, require many annotators, and entangle individual perception with social consensus, complicating model training. In this paper, we propose a “Perception Norm”, which models MD as the decision process of individual annotators and trains models to simulate single listeners rather than an annotator pool. To support this study, we introduce UY/CH-CHILD-MA, a corpus of Uyghur-accented child Mandarin words and phrases with four independent phone-level annotations. Our experiments reveal substantial inter-annotator variation and show that a Transformer with pre-training and fine-tuning can learn annotator-specific patterns with high accuracy. Finally, we present a committee ensemble that combines annotator models using application-matched aggregation rules to produce task-specific assessments. The data and source code will be made publicly available upon publication. Full article

Background: Public satisfaction with public transport infrastructure is a factor in the social legitimacy of infrastructure investment policies. Methods: This study analyzes the determinants of citizen satisfaction with toll roads in Mexico using a hierarchical regression model applied to a nationally representative survey. Results: Satisfaction does not depend primarily on sociodemographic factors, but rather on users’ overall perception of the quality, safety, and management of the road system as a whole. Furthermore, the pattern of predictors varies according to usage experience, suggesting that satisfaction is influenced by different factors among users and non-users of these facilities. These findings support a contextual evaluation model, in which citizen assessments are based more on systemic interpretations than on isolated experiences. Conclusions: The study has direct implications for public policy design and infrastructure management in contexts where the use of toll roads responds to structural constraints rather than voluntary decisions. Although the study focuses on the Mexican case, its contributions offer useful interpretative insights for other countries with similar challenges in terms of mobility and institutional legitimacy. Full article

Intralogistic activities play a critical role in sustaining uninterrupted manufacturing in production systems. With the increased usage of autonomous mobile robots (AMRs) to feed the production systems; a complex problem structure has emerged that includes the simultaneous evaluation of the sizing of the robotic fleet, task assignment and scheduling, as well as feasibility analysis of the investment. In this study, a complete decision-support frame is proposed to decide the minimum number of robots, plan the time index robot-line assignments and calculate the Cost Ratio for multiline manufacturing systems without starvation. In the proposed method, the total robot travel time, plant layout, operation times and safety factors are given as inputs to the time-indexed mixed-integer linear programming (MILP). In the literature, the fleet sizing and the scheduling problems are mostly handled separately. These highly related problems are integrated into one frame in this study. The method is validated by utilizing two worst case scenarios for an uninterrupted operation with changeable batteries and mandatory charging break. The results demonstrate that charging strategies have a huge impact on the number of minimum robots, operational applicability and economic performance. Full article

Informal public transportation remains the backbone of urban mobility in many developing cities. While these systems offer flexible and affordable services, they are often associated with safety issues, unreliability, congestion, and environmental impacts. Consequently, transitioning travelers toward formal public transportation is a key objective for sustainable transport planning. This study investigates travelers’ willingness to shift from their current travel modes to a proposed Metro system in Alexandria, Egypt. The analysis uses stated preference data collected through interviews that presented respondents with multiple service scenarios. A correlated random parameters bivariate probit model with heterogeneity in means is estimated to capture interdependence between responses. The results reveal strong and statistically significant cross-equation error correlations, confirming that decisions are not independent and supporting the use of a joint modeling approach. Empirical results indicate that willingness to shift is influenced by socio-demographic characteristics, trip attributes, and current travel conditions. Female travelers are more sensitive to waiting time, while low-income and older individuals are less likely to shift across scenarios. Physical accessibility, especially walkability to and from stations, emerges as the most influential factor in encouraging adoption. These findings provide policymakers with actionable insights for designing inclusive, accessible, and sustainable public transportation systems. Full article

Infrastructure drainage projects play a critical role in urban development but are increasingly exposed to environmental, operational, and climate-related risks that challenge their long-term sustainability. Despite this, decision-makers continue to lack risk-informed, structured methods to assess sustainability performance in an uncertain environment. In order to facilitate evidence-based decision-making and sustainable risk management, this study suggests a risk-informed sustainability index for infrastructure drainage projects. The study first points out a weakness in the methods currently used for sustainability assessments, specifically the lack of risk-sensitive, standardized frameworks designed for drainage infrastructure systems. Altogether, 28 sustainability indicators are identified, with 22 indicators retained after the application of fuzzy set theory criteria. The sustainability index is developed by normalizing, weighting, and combining these indicators using a multi-criteria decision analysis (MCDA) method. To show the usefulness and practicality of the suggested approach in assessing sustainability performance and pinpointing risk-critical improvement areas, it is used for a long-term infrastructure drainage project. In order to improve infrastructure resilience, the findings emphasize the significance of early integration of sustainability and risk considerations, stakeholder engagement, and ongoing performance monitoring. The suggested approach offers a flexible and transferable framework for risk-informed decision-making, assisting engineers, project managers, and policymakers in enhancing the resilience and sustainability of infrastructure drainage systems. Full article

Adenosine triphosphate (ATP) serves as a central energy currency and signaling molecule in cellular processes, with ATP-binding sites in proteins playing critical roles in enzymatic catalysis, signal transduction, and gene regulation. The accurate identification of ATP-binding sites is essential for understanding protein function mechanisms and facilitating drug discovery, enzyme engineering, and disease pathway analysis. In this study, we present a novel hybrid deep learning framework that synergizes heterogeneous learning paradigms based on protein sequence information for accurate ATP-binding site prediction. Our approach integrates two complementary base classifiers. One is a Transformer-based model, which leverages high-level contextual embeddings generated by Evolutionary Scale Modeling 2 (ESM-2), a state-of-the-art protein language model, combined with a local–global dual-attention mechanism that enables the model to simultaneously characterize short-segment and long-range contextual dependencies across the entire protein sequence. The other is a deep Q-network (DQN)-inspired classifier that achieves residue-level prediction as a sequential decision-making process. The final predictions are generated using a weighted ensemble strategy, where optimal weights are determined via cross-validations to leverage the strengths of both models. The prediction results on benchmark independent testing sets indicate that our method achieves satisfactory performance on key metrics. Beyond predictive efficacy, this work uncovers the intrinsic biological mechanisms underlying protein–ATP interactions, including the synergistic roles of local structural motifs and global conformational constraints, as well as family-specific binding patterns, endowing the research with substantial biological significance. The research in this work offers a deeper understanding of the protein–ligand recognition mechanisms and supportive efforts on large-scale functional annotations that are critical for system biology and drug target discovery. Full article

With the rapid development in data mining and learning analytics, integrating predictive analytics into educational data has become increasingly critical for supporting students’ learning trajectories. In many schooling systems, the academic tracks (such as Liberal Arts or Science) and the performance of junior high school students can substantially shape their subsequent university pathways and career planning. Despite the long-term impact of these decisions, academic track selections and the evaluation of students’ potential are often made without systematic and evidence-based guidance. Predictive computer applications can assist, but the training of accurate models and the selection of adequate features remain key challenges. This paper details our process of engineering such an application comprising two tasks based on 1357 real-world junior high school academic performance records. The first task applies a classification approach to predict students’ academic track orientation, while the second task employs a multi-output regression model to forecast students’ future academic performance in senior high school. Our approach shows that the stacking ensemble model achieved a classification accuracy of 85.76%, whereas the Bi-LSTM model with multi-head attention attained an overall R² exceeding 82% in performance forecasting; both models demonstrated strong and reliable predictive capability. Moreover, the proposed approach provides inherent interpretability by decomposing predictions at the subject level. Feature importance analysis reveals how different academic subjects contribute variably to both academic track decisions and future academic performance, offering actionable insights for academic counselling and future study planning. By bridging predictive modelling with students’ educational and career planning needs, this study advances the practical application of educational data mining and provides support for evidence-based academic guidance and future career choices in real-world contexts. Full article

Accurate energy forecasting is essential for maintaining power system reliability, integrating renewable generation, and ensuring market stability. Although machine learning has improved forecasting accuracy, its operational deployment depends on Machine Learning Operations (MLOps) platforms that automate and scale the entire lifecycle of energy data pipelines. However, the capabilities of existing MLOps platforms for energy forecasting have not been systematically compared. This study adopts a PRISMA-informed review process to identify relevant end-to-end MLOps platforms for energy forecasting and then maps their documented capabilities using an established energy forecasting pipeline lifecycle as the reference structure. A total of 256 records were screened across vendor documentation, open-source repositories, and academic literature, of which 13 MLOps platforms were selected for comparative capability analysis. Platform capabilities are organised and presented across an end-to-end lifecycle covering project setup and governance, data ingestion and management, model development and experimentation, deployment and serving, and monitoring and feedback. Commercial platforms such as Amazon SageMaker and Google Vertex AI generally provide stronger end-to-end integration and production readiness, while open-source platforms such as Kubeflow and ClearML offer modular flexibility that typically requires additional integration effort to achieve end-to-end operation. The mapping identifies four priority areas where platform support remains limited, namely (i) governance workflow automation, (ii) automated data quality validation, (iii) feature management, and (iv) deployment and monitoring support under nonstationary conditions. These findings indicate that platform selection for energy forecasting should be treated as a lifecycle capability decision, balancing end-to-end integration, operational assurance, and long-term flexibility. Full article

To address the challenges posed by the strong uncertainty of high-proportion renewable energy sources (RES) to the secure and stable operation of distributed real-time power dispatch (D-RTPD) in new-type power systems, this paper proposes an integrated solution combining a neighborhood feature aggregation-based graph attention network (NFA-GAT) and multi-agent deep deterministic policy gradient (MADDPG). First, the D-RTPD problem is modeled as a decentralized partially observable Markov decision process (Dec-POMDP), which effectively captures the stochastic game characteristics of multi-regional agents and the partial observability of grid states. Second, the NFA-GAT is designed to enhance agents’ perception of grid operating states: by introducing a spatial discount factor, it realizes rational aggregation of multi-order neighborhood information while modeling the attenuation of electrical quantity influence with topological distance. Third, a prior-guided mechanism is integrated into the MADDPG framework to eliminate constraint-violating actions by setting their actor logits to negative infinity, improving training efficiency and strategy reliability. Simulation validations on the IEEE 118-bus test system (75.2% RES installed capacity ratio) show that the proposed method achieves efficient training convergence. Compared with the multi-layer perceptron (MLP) structure, it attains higher cumulative reward values and scenario win rates. When compared with traditional model-driven (ADMM) and data-driven (Q-MIX) methods, the proposed method balances solution efficiency, operational safety (98.7% maximum line load rate, zero power flow violation rate), and economic performance ($12,845 daily dispatch cost), providing a reliable technical support for D-RTPD under high-proportion RES integration. Full article

Historical small towns (HSTs) embody irreplaceable cultural heritage and territorial identity, facing depopulation, economic marginalization, and infrastructure decay. Improving their liveability and attractiveness is essential to reverse these trends and boost sustainable development. In this context, HSTs are potential drivers of circular and sustainable socio-technical systems, where the circular economy (CE) offers a framework for local sustainability. However, HSTs lack adequate sustainable CE implementation tools. This study, the culmination of the H-SMA-CE project, develops a Decision Support System (DSS) to assist local policymakers in planning CE transitions in Italian HSTs. The DSS integrates three building blocks: context analysis (metabolic flows, stakeholder networks), an intervention library with cost–benefit data, and a composite Municipal Circular Economy Index (MCEI). The tool enables users to assess baseline circularity, simulate scenarios, and identify optimal investment portfolios through multi-objective optimization. This approach allows for the simultaneous evaluation of the benefits of each sustainability aspect, i.e., environmental, economic and social. Tested on the municipality of Taurasi (Italy), an HST with a wine-based economy, the results show that balanced intervention strategies yield greater circularity improvements than single-objective approaches. The paper contributes to the discourse on digital tools for sustainability transitions, offering a replicable model for evidence-based CE governance in heritage-rich territorial contexts. Full article