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Search Results (295)

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14 pages, 827 KB  
Article
Toronto Staging Guidelines for Wilms Tumour: The Meeting Point Between Clinicians and Epidemiologists—Results of the BENCHISTA-ITA Project
by Laura Botta, Fabio Didonè, Riccardo Capocaccia, Massimo Conte, Marcella Sessa, Fabio Savoia, Andrea Di Cataldo, Marta Arrabito, Milena Maria Maule, Gemma Gatta, Rosalia Ragusa and The BENCHISTA-ITA WG
Cancers 2026, 18(13), 2111; https://doi.org/10.3390/cancers18132111 (registering DOI) - 29 Jun 2026
Abstract
Background/Objectives: Despite overall excellent outcomes for Wilms tumour, regional variations in stage at diagnosis and care pathways remain a concern across Europe. We evaluated stage distribution, three-year survival, and treatment patterns in Italy, considering hospital care as a proxy for healthcare capacity and [...] Read more.
Background/Objectives: Despite overall excellent outcomes for Wilms tumour, regional variations in stage at diagnosis and care pathways remain a concern across Europe. We evaluated stage distribution, three-year survival, and treatment patterns in Italy, considering hospital care as a proxy for healthcare capacity and migration. Methods: Data were obtained from 26 population-based cancer registries (PBCRs), covering 148 patients (ages 0–14) diagnosed between 2013 and 2017, representing about 80% of the Italian population. Stage was classified according to the Toronto guidelines. Information on treatment and diagnosed/treating hospitals was collected. Stage at diagnosis was further refined using probabilistic linkage with the clinical registry 1.01 Model. Overall survival, defined as all-cause mortality, was estimated using the Kaplan–Meier method. Results: Most patients presented with localized disease (77%), 32% Stage I, while 19% were Stage IV. Three-year survival analysis showed significant differences between stages, ranging from 98% in patients with Stage I to 78% in the ones with Stage IV. No significant disparity across the Italian regions was observed in stage distribution or survival. Diagnoses and treatments were mostly (>90%) centralized in the same region for patients residing in the Centre or North of Italy. However, the cross-regional health migration from the South was of about 30% for diagnosis and larger for treatments. Conclusions: This study shows that standardized staging improves data comparability and highlights challenges in managing metastatic cases and regional care pathways. The results support the use of clinical and PBCR information to interpret survival patterns and guide improvements in paediatric oncology care. Full article
(This article belongs to the Special Issue Recent Advances in Epidemiology of Childhood Cancer)
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22 pages, 160005 KB  
Article
ESMStereo: Enhanced ShuffleMixer Disparity Upsampling for Real-Time and Accurate Stereo Matching
by Mahmoud Tahmasebi, Saif Huq, Kevin Meehan and Marion McAfee
J. Imaging 2026, 12(7), 277; https://doi.org/10.3390/jimaging12070277 - 24 Jun 2026
Viewed by 178
Abstract
Stereo matching has become an increasingly important component of modern autonomous systems. Developing deep learning-based stereo-matching models that deliver high accuracy while operating in real time continues to be a major challenge in computer vision. In the domain of cost volume-based stereo matching, [...] Read more.
Stereo matching has become an increasingly important component of modern autonomous systems. Developing deep learning-based stereo-matching models that deliver high accuracy while operating in real time continues to be a major challenge in computer vision. In the domain of cost volume-based stereo matching, accurate disparity estimation depends heavily on large-scale cost volumes. However, such large volumes store substantial redundant information and also require computationally intensive aggregation units for processing and regression, making real-time performance unattainable. Conversely, small-scale cost volumes followed by lightweight aggregation units provide a promising route for real-time performance, but lack sufficient information to ensure highly accurate disparity estimation. To address this challenge, we propose the Enhanced Shuffle Mixer (ESM) to mitigate information loss associated with small-scale cost volumes. ESM restores critical details by integrating primary features into the disparity upsampling unit. It quickly extracts features from the initial disparity estimation and fuses them with image features. These features are mixed by shuffling and layer splitting, then refined through a compact feature-guided hourglass network to recover more detailed scene geometry. The ESM focuses on local contextual connectivity with a large receptive field and low computational cost, leading to improved disparity estimation accuracy while maintaining real-time performance under the evaluated settings. The compact version of ESMStereo achieves an inference speed of 116 FPS on RTX 4070S and 91 FPS on the AGX Orin. Full article
(This article belongs to the Section Computer Vision and Pattern Recognition)
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32 pages, 2494 KB  
Article
Economic Resilience in China: Multidimensional Disparities and the Systemic Structure of Its Influencing Factors Within a DPSIR-Based Framework
by Tao Huang, Xiaoling Yuan, Xinyu Yuan and Rang Liu
Systems 2026, 14(7), 727; https://doi.org/10.3390/systems14070727 (registering DOI) - 23 Jun 2026
Viewed by 112
Abstract
Clarifying the sources of disparity and the systemic structure of influencing factors behind China’s economic resilience is crucial for promoting regional coordinated development and ensuring national security. This study constructs an evaluation index system based on the DPSIR model and employs the entropy [...] Read more.
Clarifying the sources of disparity and the systemic structure of influencing factors behind China’s economic resilience is crucial for promoting regional coordinated development and ensuring national security. This study constructs an evaluation index system based on the DPSIR model and employs the entropy method to measure China’s economic resilience from 2008 to 2023, examining its temporal evolution and spatial distribution. A bi-dimensional decomposition method of Gini coefficient is applied to examine disparities from both spatial and structural perspectives. Furthermore, the DEMATEL-ISM model is employed to reveal the systemic structure of influencing factors. The findings reveal that: (1) China’s economic resilience steadily improved during the study period, showing a spatial gradient of “Eastern > Central > Northeastern > Western,” with its geographic center shifting southeastward, reflecting strong spatial dependence. (2) Disparities in economic resilience have generally widened. Inter-regional differences are the main source of spatial disparities, while variations in response dominate the structural disparities. Initially, disparities were mainly due to differences in influence between eastern and western regions, but by the end of the period, disparities in driving forces became the key contributor. (3) Influencing factors follow a four-level, three-stage hierarchical structure. Foreign capital withdrawal risks, innovation investment, technological progress, factor supply, and the output of opening-up constitute deep-level factors influencing economic resilience. This study refines the evaluation framework of economic resilience and provides important references for understanding the disparities in China’s economic resilience and developing targeted improvement strategies. Full article
(This article belongs to the Section Systems Practice in Social Science)
30 pages, 86356 KB  
Article
Geometric Principles of Stereo Vision: A Quantitative Evaluation and Physical Validation of the Classical Pipeline
by Angel Fernando Ceballos-Espinoza, David Balderas-Silva, Alfredo Diaz-Lara and Rita Q. Fuentes-Aguilar
Appl. Sci. 2026, 16(12), 6212; https://doi.org/10.3390/app16126212 - 19 Jun 2026
Viewed by 150
Abstract
Stereo vision is essential for passive three-dimensional perception in resource-constrained applications that require low power consumption, predictable latency, and explainable geometry. Although deep learning architectures dominate recent benchmarks, the classical block-matching pipeline remains a foundational approach. Optimizing this pipeline involves navigating complex trade-offs [...] Read more.
Stereo vision is essential for passive three-dimensional perception in resource-constrained applications that require low power consumption, predictable latency, and explainable geometry. Although deep learning architectures dominate recent benchmarks, the classical block-matching pipeline remains a foundational approach. Optimizing this pipeline involves navigating complex trade-offs among matching robustness, map density, and computational efficiency. This study systematically surveys and physically validates the classical stereo framework. After revisiting geometric first principles, three matching costs (SAD, NCC, ZNCC) are benchmarked alongside Sobel preprocessing and structural refinements, with subsequent validation using a calibrated consumer webcam rig. Middlebury benchmarks (2001–2021) indicate that while SAD fails under complex radiometric distortion, NCC consistently achieves superior quantitative metrics, incurring only a 1.2-fold computational overhead. Extending the disparity search range improves foreground localization, while block size imposes a trade-off between resolving the aperture problem and preserving fine geometric detail. To bridge theoretical analysis and practical deployment, the pipeline is validated using a custom-calibrated consumer stereo rig. The optimized Sobel-NCC architecture is then evaluated for real-time edge deployment on constrained hardware (NVIDIA Jetson Nano) and narrow-baseline sensors (OAK-D SR) in the context of agricultural robotic manipulation. By prioritizing metric precision over dense prediction, the classical pipeline reconstructs target surfaces with approximately 1 cm depth accuracy at 21 frames per second. These results demonstrate that optimized local algorithms offer deterministic and reliable geometric foundations for real-time edge-computed robotics. Although neural networks are essential for dense reconstructions in ill-posed regions, the foundational principles established here remain indispensable for advanced stereo vision system deployment. Full article
(This article belongs to the Section Robotics and Automation)
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23 pages, 11232 KB  
Article
Extreme Streamflow and Sediment Yield Responses and Seasonal Eco-Hydrological Stress in the Koshi River Basin Under a Warming and Wetting Climate
by Chengjiang Deng, Bo Kong, Huan Yu, Han Wang, Jianan Li, Kangkang Li and Yunfeng Gao
Water 2026, 18(12), 1502; https://doi.org/10.3390/w18121502 - 18 Jun 2026
Viewed by 180
Abstract
This study established a refined, distributed SWAT modeling framework that integrates elevation-band and snowmelt modules to reconstruct the alpine hydrological and sediment cycles of the Koshi River Basin (KRB) over the period 1990–2024, with climate scenarios constructed using the delta change approach. The [...] Read more.
This study established a refined, distributed SWAT modeling framework that integrates elevation-band and snowmelt modules to reconstruct the alpine hydrological and sediment cycles of the Koshi River Basin (KRB) over the period 1990–2024, with climate scenarios constructed using the delta change approach. The KRB, a major transboundary watershed traversing China, Nepal, and India, was selected owing to its critical hydro-climatic role under the destabilizing “Asian Water Tower”; it generates substantial sediment yield, hosts the densest concentration of hydropower potential within the Ganges system, and spans an extreme vertical gradient from Mount Everest to the southern alluvial plains. Results reveal accelerated warming at a rate of 0.21 °C per decade and an overall warming–wetting trend, punctuated by an abrupt interdecadal shift around 2015. Precipitation dominated interannual streamflow variability, with enhanced rainfall triggering basin-wide sediment surges that overwhelmed the natural buffering capacity of the land surface. Conversely, rising temperatures intensified actual evapotranspiration, markedly depleting soil water and reducing total water yield and monsoon runoff, although sustained snow and glacier melt effectively elevated the dry-season low-flow baseline. The integrated climate forcing reshaped the disparity between hydrological extremes, imposing severe seasonal eco-hydrological stress that manifested as a pre-monsoon deficit in terrestrial green water and acute summer sediment outbursts for aquatic habitats. Furthermore, the flood regime exhibited an altered distribution, with mid-to-high frequency floods enhanced while low-frequency extreme flood peaks declined. The hydro-sedimentological regime consequently exhibits pronounced nonlinear responses to climate change, providing a critical, threshold-based scientific foundation for adaptive transboundary water resource management. Full article
(This article belongs to the Section Water and Climate Change)
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29 pages, 1513 KB  
Article
Peaks and Plateaus: A Conceptual System Dynamics Framework for AI-Enabled Educational Robotics Adoption, with Evidence from Romania
by Răzvan Bologa, Andrei Toma, Corina-Marina Mirea, Dimitrie-Daniel Plăcintă, Aura Elena Grigorescu, Iulian Întorsureanu, Dragoș-Marcel Vespan, Alina-Mihaela Ion, Lorena Bătăgan and Sergiu Costan
Computers 2026, 15(6), 385; https://doi.org/10.3390/computers15060385 - 15 Jun 2026
Viewed by 298
Abstract
This article examines the medium to long-term enrollment patterns of an AI-based platform designed to support children in learning robotics and participating in a national robotics competition in Romania. Drawing on registration and participation data covering students and teachers across urban and rural [...] Read more.
This article examines the medium to long-term enrollment patterns of an AI-based platform designed to support children in learning robotics and participating in a national robotics competition in Romania. Drawing on registration and participation data covering students and teachers across urban and rural schools between 2020 and 2025, the study documents a consistent pattern: an initial period of high enrollment and rapid adoption followed by a steady decline over time. A key feature of the initiative is that hardware, platform access, and learning resources were provided entirely free of charge, allowing cost-related explanations for the decline to be set aside and structural and human factors to be examined directly. The paper makes two primary contributions. First, it proposes a System Dynamics framework grounded in innovation diffusion theory as a first-generation calibration model for understanding AI-enabled educational robotics adoption in a resource-constrained national context. The model is designed to be progressively tested and refined as anonymized aggregate data accumulates, and it relies exclusively on anonymized aggregated public data in accordance with GDPR requirements. Second, it advances the hypothesis that an AI-based educational platform, even one from which all financial barriers have been removed, will experience sustained enrollment decline in the absence of adequate human teacher involvement. The empirical trajectory and model outputs are consistent with this hypothesis and motivate further investigation. This represents a hypothesis-generating and framework-building paper. The framework reveals pronounced urban-rural disparities and differential outcomes by age of entry. All findings are presented as model-generated hypotheses rather than empirically demonstrated conclusions. The paper invites researchers gathering comparable data from similar initiatives in other countries to collaborate in testing and refining the model. The central conclusion is cautiously optimistic: AI may support robotics education adoption, but it is not a substitute for dedicated teachers, and without sustained investment in human capital, even a financially accessible platform is insufficient to maintain long-term enrollments. Full article
(This article belongs to the Special Issue STEAM Literacy and Computational Thinking in the Digital Era)
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23 pages, 3649 KB  
Review
Evolution Mechanisms of Diffusion-Induced Phase Transformation Layers in Gun-Barrel Bores Under Thermochemical Coupling
by Jinghua Cao, Yiming Liu, Mengran Zhu, Jiawei Fu, Yao Jiang, Zheng Li, Ying Liu and Jingtao Wang
Metals 2026, 16(6), 623; https://doi.org/10.3390/met16060623 - 5 Jun 2026
Viewed by 263
Abstract
This study focuses on a 155 mm 32CrNi3MoV steel barrel and presents a thermochemically coupled phase transformation and diffusion dynamics model. The model leverages the significant disparity between radial and axial temperature gradients to simplify the heat conduction problem to a one-dimensional transient [...] Read more.
This study focuses on a 155 mm 32CrNi3MoV steel barrel and presents a thermochemically coupled phase transformation and diffusion dynamics model. The model leverages the significant disparity between radial and axial temperature gradients to simplify the heat conduction problem to a one-dimensional transient formulation. The temperature field distribution during firing sequences is solved analytically, accounting for the dynamic shift in critical phase transformation temperatures under high heating rates. The evolution of the martensitic layer thickness under repeated thermal shock is subsequently calculated. A numerical model for the pulsed diffusion of C and N is established based on Fick’s second law, incorporating the competitive diffusion–phase transformation mechanisms that govern martensite/austenite interface migration. To quantitatively evaluate the synergistic contribution of C and N to austenite stabilization, a carbon equivalent (Ceq) model is introduced, with the weight coefficient of N relative to C determined to be 0.68 and the critical Ceq required to lower the martensite start temperature below 25 °C calculated as 1.15 wt%. Concurrently, the microstructure and elemental distribution within the austenite layer of the retired barrel are systematically characterized using multi-scale techniques. The results indicate that the austenite layer on the inner bore surface arises from the synergistic effects of cyclic thermal-shock-induced phase transformation and elemental diffusion. Based on the Ceq criterion, the austenite layer thickness increases rapidly during the initial ~100 firing cycles, after which the growth rate slows significantly: it reaches approximately 1.27 μm after the first cycle and 2.94 μm after 1000 cycles, with only 0.2 μm of additional thickening between 100 and 1000 cycles—consistent with the experimentally observed range of 1.52–4.16 μm. The martensitic layer formed during the first firing cycle exhibits low thermal conductivity, which impedes subsequent heat transfer and leads to stabilization of its thickness at a characteristic depth. Grain refinement induced by repeated thermal shock provide short-circuit diffusion paths for elemental diffusion, accelerating compositional homogenization within the austenite layer and resulting in a stepped concentration profile at the interface. This study provides a representative example of non-equilibrium coupled phase transformation–diffusion phenomena under extreme transient loading. The established thickness prediction model can provide guidance for service life assessment of large-caliber barrels, offering both theoretical foundations and practical engineering guidance for their material design and performance optimization. Full article
(This article belongs to the Special Issue Advances in Forming and Heat Treatments of Metallic Materials)
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42 pages, 8518 KB  
Review
Racial Disparity in Ductal Carcinoma in Situ: Risk-Predictive and Actionable Biomarkers for Early Intervention
by Dana Franklin, Padmashree Rida and Nikita Jinna
Cancers 2026, 18(11), 1794; https://doi.org/10.3390/cancers18111794 - 31 May 2026
Viewed by 320
Abstract
Ductal carcinoma in situ (DCIS) is a non-invasive precursor to invasive breast cancer. DCIS incidence continues to rise, yet its clinical management remains constrained by the absence of reliable biomarkers that can adequately distinguish indolent lesions from those with high invasive potential, to [...] Read more.
Ductal carcinoma in situ (DCIS) is a non-invasive precursor to invasive breast cancer. DCIS incidence continues to rise, yet its clinical management remains constrained by the absence of reliable biomarkers that can adequately distinguish indolent lesions from those with high invasive potential, to circumvent over- or under-treatment. Black women with DCIS are significantly more likely to progress to invasive breast cancer, are disproportionately diagnosed with high-grade, hormone receptor-negative lesions, and experience elevated risk of recurrence and mortality relative to White women with DCIS. These disparities persist despite comparable access to screening and treatment, suggesting underlying biological and tissue microenvironmental factors. This review synthesizes emerging evidence implicating early molecular and systemic changes that may be driving the disparity in DCIS progression. We highlight racial distinctions in interconnected pathways involving Wnt/β-catenin signaling, metabolic and nutritional dysregulation, immune microenvironment remodeling, and cellular tolerance of genomic instability. We further discuss how epigenetic alterations, obesity-associated inflammation, and immune dysregulation may arise during the pre-invasive stage that intersect with social and environmental exposures to influence racial differences in lesion fate. We spotlight candidate biomarkers disproportionately associated with aggressive disease in Black women—including KIFC1, a mediator of centrosome clustering and genomic instability tolerance, and ACKR1/DARC, a regulator of chemokine gradients and immune trafficking—as potential drivers of progression-permissive states. This review advances an integrated, equity-informed framework for DCIS progression that links early tumor evolution to coordinated alterations in genomic instability, immune regulation, metabolic signaling, and stress-adaptive pathways. Importantly, we propose that DCIS progression is governed not by isolated molecular alterations but by coordinated programs that enable survival under genomic and immunologic stress. Current clinical risk assays, which primarily capture tumor-intrinsic proliferation and hormone signaling, do not fully resolve these pathways and may therefore incompletely reflect biologically meaningful racial disparities. This synthesis underscores the need for pathway-level, microenvironment-informed, and population-representative approaches to DCIS risk stratification. Advancing such frameworks will be essential for identifying actionable biomarkers, refining early intervention strategies, and ultimately reducing racial disparities in breast cancer outcomes. Full article
(This article belongs to the Special Issue Clinical and Molecular Biomarkers in Breast Cancer Management)
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21 pages, 1609 KB  
Article
Patient-Facing Radiology Communication with LLMs: Calibration Deficit and the Metadata Paradox
by Cheong Shin, Jung Hyun Park, Sungjun Kim, Young Han Lee and Hong-Seon Lee
Healthcare 2026, 14(11), 1490; https://doi.org/10.3390/healthcare14111490 - 27 May 2026
Viewed by 243
Abstract
Background/Objectives: Patients increasingly access radiology reports via online portals and frequently seek clarification. While Large Language Models (LLMs) may facilitate this communication, their clinical safety and reliability in this context remain largely uncharacterized. This study aimed to evaluate performance heterogeneity (the disparity [...] Read more.
Background/Objectives: Patients increasingly access radiology reports via online portals and frequently seek clarification. While Large Language Models (LLMs) may facilitate this communication, their clinical safety and reliability in this context remain largely uncharacterized. This study aimed to evaluate performance heterogeneity (the disparity between factual synthesis and interpretive reasoning), the Metadata Paradox (performance degradation triggered by demographic priors), and calibration characteristics in answering simulated patient questions derived from radiology reports. Methods: In this retrospective study, 2000 simulated inquiries were generated from 200 MIMIC-IV radiology reports based on an expert-refined 10-category taxonomy, categorized into factual tasks (e.g., terminology/anatomy) and interpretive tasks (e.g., diagnostic confidence/finding detail). Three LLMs (GPT-4o mini, Grok (v4-0709), Claude 3.5 Sonnet) generated 12,000 answers (with/without metadata). Quality was scored (1–3 scale) by Gemini 2.5 Flash, validated by three independent board-certified radiologists and finalized through four-specialist consensus adjudication (n = 1200). Performance and self-confidence calibration were assessed using Generalized Estimating Equations. Results: The LLM judge showed an overall agreement rate of 90.5% with the adjudicated ground truth. Grok and Claude 3.5 Sonnet significantly outperformed GPT-4o mini (p < 0.001); specifically, GPT-4o mini was associated with a 2.8-fold higher risk of failure compared to Grok (adjusted OR 2.83; 95% CI: 2.28–3.49; p < 0.001) and an absolute risk difference (ARD) of 8.4 percentage points. Accuracy reached its ceiling in factual tasks (Terminology: 98.1%) but was significantly lower in interpretive tasks (Diagnostic Confidence: 82.3%, p < 0.001). Metadata inclusion triggered the ‘Metadata Paradox,’ significantly increasing the risk of failure (OR 1.11; p = 0.044). A substantial calibration deficit (defined as the disconnect between self-confidence and accuracy) was observed; notably, the majority of safety-critical errors (Score 1: clinically significant misinformation; n = 131) were assigned high self-confidence (8/10; GPT-4o mini: 93.8%, Grok: 100%, Claude 3.5 Sonnet: 61.5%). Conclusions: Although LLMs accurately address factual queries, their consistent calibration deficit in safety-critical errors and susceptibility to stochastic stereotyping highlight the necessity of independent verification frameworks. Full article
(This article belongs to the Special Issue Enhancing Communication in Clinical Practice for Better Care)
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29 pages, 4359 KB  
Article
Assessing Circularity Readiness in Data-Scarce Contexts: A Regional Framework for Environmental Resource Sectors in Vietnam
by Xuan-Nam Bui, Manoj Khandelwal, Nga Nguyen, Diep Anh Vu, Anh Hoa Nguyen and Thi Minh Hoa Le
Sustainability 2026, 18(10), 5116; https://doi.org/10.3390/su18105116 - 19 May 2026
Viewed by 541
Abstract
Transitioning to a circular economy (CE) is now a strategic priority for countries to decouple economic growth from environmental degradation. However, in developing contexts, the readiness of environmental resource sectors to adopt CE principles is unknown due to a lack of data and [...] Read more.
Transitioning to a circular economy (CE) is now a strategic priority for countries to decouple economic growth from environmental degradation. However, in developing contexts, the readiness of environmental resource sectors to adopt CE principles is unknown due to a lack of data and uneven institutional capacity. This study presents the first regional baseline assessment of circularity readiness in Vietnam’s environmental resource sectors, focusing on land, mining, water and waste. A five-dimensional readiness framework (policy, resource management, innovation, business, awareness) was developed and applied across Vietnam’s six ecological–economic regions. A Delphi process with 12 experts was conducted in three rounds to capture and refine expert judgments, supplemented by triangulated proxy indicators (e.g., plastic recycling rates, wastewater treatment coverage). Readiness scores were aggregated at dimension and regional levels and analyzed using radar charts, heatmaps and hierarchical clustering. Results showed significant regional disparities. The Southeast (SE) and Red River Delta (RRD) have high readiness due to clearer policy frameworks, stronger institutions and more dynamic business ecosystems. The Northern Midlands and Mountains (NMM) and Central Highlands (CH) have low readiness due to infrastructural gaps, weak innovation and limited public engagement. The Mekong Delta (MD) and North Central Coast (NCC) have medium readiness, reflecting partial progress but uneven implementation. The study made three contributions: (1) a new context-specific framework for CE readiness in environmental resource sectors; (2) the value of expert-based, proxy-informed methods in data-scarce contexts; and (3) a policy roadmap for different regional readiness levels. Findings suggest that the CE should be integrated into resource planning, regional observatories should be established and CE-related research and development (R&D) should receive investment. Future research should move towards standardized quantitative indicators and predictive models to track how readiness changes under policy interventions. Full article
(This article belongs to the Section Environmental Sustainability and Applications)
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27 pages, 116833 KB  
Article
Sparse Self-Prompt-Guided Stereo Matching for Real-World Generalization
by Hangbiao Li, Haojun Mo, Xing Li, Tao Fang, Sikun Liu, Shuzhen Yu and Zhibo Rao
Sensors 2026, 26(10), 3173; https://doi.org/10.3390/s26103173 - 17 May 2026
Viewed by 350
Abstract
Stereo matching has witnessed rapid advances on curated benchmarks, yet deploying models in unconstrained real-world environments remains a fundamental challenge. This paper presents a sparse self-prompt-guided network (SSPGNet) for stereo matching with strong generalization across diverse environments. Our core innovation lies in a [...] Read more.
Stereo matching has witnessed rapid advances on curated benchmarks, yet deploying models in unconstrained real-world environments remains a fundamental challenge. This paper presents a sparse self-prompt-guided network (SSPGNet) for stereo matching with strong generalization across diverse environments. Our core innovation lies in a sparse self-prompt guidance mechanism: (1) a sparse disparity map, used as a prompt, is self-estimated from visual foundation model features via cost aggregation; (2) the sparse disparity is progressively refined into dense disparity maps through cross-attention-based stereo feature interaction, enabling sparse-to-dense disparity prediction. Additionally, we collected a diverse set of indoor and outdoor stereo pairs by using a ZED 2 camera to assess the real-world performance of our model. Extensive experiments demonstrate that the proposed sparse-to-dense prompt mechanism not only preserves the semantic awareness of visual foundation models but also enhances stereo correspondence reasoning, achieving strong performance on public benchmarks and our in-the-wild dataset. Specifically, under the cross-domain (zero-shot) protocol, the proposed SSPGNet achieves bad-pixel error rates of 3.6% on KITTI 2012 (>3 px), 4.4% on KITTI 2015 (>3 px), 7.6% on Middlebury (>2 px), and 2.1% on ETH3D (>1 px), ranking first on three of the four public benchmarks. These results highlight the potential of SSPGNet for direct deployment in real-world stereo perception systems. The code is publicly available at GitHub. Full article
(This article belongs to the Section Sensing and Imaging)
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16 pages, 2472 KB  
Article
Evaluating the Impact of Social and Environmental Factors on the Use of HHH Medications Using Wastewater-Based Epidemiology in 30 Cities in China
by Ruyue Zhang, Lingrong Zhang, Peng Du, Qiuda Zheng, Kim Anh Dang, Yuyao Zhang, Ke Ma, Ziqi Fang, Xiqing Li and Phong K. Thai
Water 2026, 18(10), 1175; https://doi.org/10.3390/w18101175 - 13 May 2026
Viewed by 420
Abstract
(1) Background: Metabolic disorders, including hypertension, hyperlipidemia, and hyperglycemia (HHH), rank at the top of the disease burden in China. However, population-level assessment of pharmacological treatment remains limited by the lack of scalable metrics for monitoring medication use and outcomes. (2) Methods: We [...] Read more.
(1) Background: Metabolic disorders, including hypertension, hyperlipidemia, and hyperglycemia (HHH), rank at the top of the disease burden in China. However, population-level assessment of pharmacological treatment remains limited by the lack of scalable metrics for monitoring medication use and outcomes. (2) Methods: We pioneered the use of standardized combined “HHH” medication usage—encompassing antihypertensive, antidiabetic, and lipid-lowering agents—as an integrated proxy for evaluating interventions for cardiovascular diseases and diabetes. Leveraging wastewater-based epidemiology (WBE), we quantified HHH medication loads (mg/d/1000 persons) across 30 prefectures covering all regions in China, and mapped the associated geographical disparities using independent t-tests. Associations with environmental, socioeconomic, demographic, social service, and health-related behavioral and lifestyle factors were further examined via correlation analysis. (3) Results: Our findings confirmed a pronounced north–south gradient in HHH medication uses (the mean standardized loads in the north were approximately twice as high as those in the south, p < 0.05). Furthermore, aging, sex ratio, nicotine consumption, obesity rate, the comprehensive Air Quality Index (AQI), precipitation and the Urban Wellness and Healthcare Index were identified as the top seven influencing factors (|r| values ranging from 0.37 to 0.71, all p < 0.05). (4) Conclusions: As a comprehensive national-scale analysis of multi-drug use for HHH via WBE, this study provides valuable insights into national multi-disease pharmacological treatment, offering evidence-based support for refining clinical prescribing guidelines and rationalizing the allocation of healthcare resources. Full article
(This article belongs to the Special Issue Water Safety, Ecological Risk and Public Health)
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51 pages, 4517 KB  
Review
Artificial Intelligence in Oncology: A Comprehensive Cross-Cancer Translational Readiness Analysis Across 18 Malignancies
by Sai Kiran Kuchana, Uday Kumar Repalle, Nikhilesh V. Alahari, Manpreet Kondamuri, Sai Kiran Manduva, Raghu Vamsi Vanguru, Sri Anjali Gorle and Suresh K. Alahari
Cancers 2026, 18(10), 1543; https://doi.org/10.3390/cancers18101543 - 10 May 2026
Viewed by 983
Abstract
Background: Artificial intelligence (AI) is reshaping oncology at every stage of the cancer care pathway, from population-level screening through molecular diagnosis, treatment planning, and post-treatment surveillance. Despite an exponential growth in AI oncology publications exceeding 5000 peer-reviewed studies annually, a critical and persistent [...] Read more.
Background: Artificial intelligence (AI) is reshaping oncology at every stage of the cancer care pathway, from population-level screening through molecular diagnosis, treatment planning, and post-treatment surveillance. Despite an exponential growth in AI oncology publications exceeding 5000 peer-reviewed studies annually, a critical and persistent gap separates demonstrated algorithmic performance from genuine patient benefit. Most published evidence derives from retrospective, single-institution studies conducted in curated dataset environments that systematically differ from real-world clinical deployment conditions. This comprehensive review examines the translational maturity of AI applications across 18 major malignancies, providing an evidence-stratified, cross-cancer assessment of where AI has fulfilled, approaches, or remains far from fulfilling its transformative potential in oncological care. Methods: A structured narrative review was conducted across PubMed/MEDLINE, Embase, IEEE Xplore, and the Cochrane Library, supplemented by regulatory grey literature including FDA 510(k) decision summaries, CE Technical Files, and ClinicalTrials.gov. Search terms combined cancer site-specific terminology with AI methodology terms and translational outcome descriptors. Studies were only included if they applied an AI or machine learning methodology to a defined clinical oncological task, reported a clearly specified performance evaluation, and involved human subjects or human-derived clinical data. Evidence quality was assessed using QUADAS-2, PROBAST, and Cochrane RoB 2. A five-tier translational readiness framework, grounded in the NIH T0–T4 translational spectrum and CONSORT-AI/SPIRIT-AI guidelines, was applied a priori to enable cross-cancer comparison. A rigorous distinction was maintained between diagnostic accuracy and clinical utility, defined as demonstrated impact on clinical decision-making or patient-centered outcomes. Results: Across all 18 malignancies, AI development varied profoundly by cancer type. Breast cancer and prostate cancer (Tier 1) represent the most mature AI ecosystems, with multiple FDA-cleared tools for mammographic screening and digital pathology achieving prospective multi-institutional validation; however, randomized evidence demonstrating reduced cancer-specific mortality remains absent. Lung, hepatocellular, and melanoma AI (Tier 2) have achieved regulatory milestones but face documented performance disparities across demographic subgroups, including DermaSensor’s 20.7% specificity in primary care settings and HCC model failures in non-viral disease etiologies. Colorectal, glioma, pancreatic, and ovarian cancers (Tier 3) exhibit technical maturity without clinical clarity: colorectal CADe systems increase adenoma detection but meta-analyses of 18,232 patients across 21 RCTs fail to demonstrate improvement in advanced neoplasia detection or cancer incidence reduction. A full study-level presentation of pooled estimates, confidence intervals, and heterogeneity statistics for each cited randomized evidence base across all cancer types would extend beyond the intended scope and format of this cross-cancer narrative review. Gastric, esophageal, cervical, bladder, head and neck, and endometrial cancers (Tier 4) demonstrate promising single-institutional or geographically restricted results without multi-institutional external validation, particularly notable for cervical cancer AI’s transformative potential in low- and middle-income countries constrained by absent regulatory frameworks. Hematologic malignancies, sarcoma, and pediatric solid tumors (Tier 5) face structural barriers, workflow incompatibility in hematopathology, extreme rarity in sarcoma (>70 subtypes, <15,000 US cases annually), and irreducible ethical constraints in pediatric data governance, that cannot be resolved through algorithmic refinement alone. Conclusions: Oncological AI has not yet fulfilled its clinical promise. Across all five translational tiers, a single finding is consistent: diagnostic accuracy is not a surrogate for patient benefit. AI tools with high sensitivity and specificity have repeatedly failed to demonstrate equivalent reductions in cancer-specific mortality, overdiagnosis, or procedural harm under real-world outcome scrutiny. Simultaneously, documented performance disparities across races, ethnicity, disease etiology, and geographic setting reveal that current AI systems risk amplifying the very health inequities they are positioned to resolve. Bridging this translational gap requires three coordinated systemic shifts: regulatory frameworks mandating post-market outcome surveillance as a condition of clinical clearance; prospective trial designs measuring patient-centered endpoints rather than diagnostic concordance alone; and sustained infrastructure investment in federated data governance, demographically inclusive training datasets, and LMIC-accessible regulatory pathways. AI holds genuine potential to reduce cancer mortality on a global scale—but only if held to the evidentiary and equity standards that the stakes of oncological care demand. Full article
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36 pages, 2356 KB  
Article
Assessing the Low-Carbon Transition of Manufacturing Clusters and Its Evolution: Evidence from China
by Xiaofei Liao, Qin Chu and Xiaohui Song
Sustainability 2026, 18(9), 4384; https://doi.org/10.3390/su18094384 - 29 Apr 2026
Viewed by 779
Abstract
The low-carbon transition (LCT) of manufacturing clusters is a critical pathway to addressing bottlenecks in global climate governance and promoting sustainable economic development in developing countries. Accurately measuring the level of this transition and clarifying its dynamic trends are of great significance. Drawing [...] Read more.
The low-carbon transition (LCT) of manufacturing clusters is a critical pathway to addressing bottlenecks in global climate governance and promoting sustainable economic development in developing countries. Accurately measuring the level of this transition and clarifying its dynamic trends are of great significance. Drawing on the economic rationale of a low-carbon economy, this study constructs a comprehensive evaluation indicator system and employs the entropy-weighted CRITIC-grey relational TOPSIS method to measure the LCT levels of China’s four major industrial bases from 2013 to 2023. Combined with convergence analysis, the Theil index, mechanism analysis, and policy scenario simulation, it systematically analyzes the characteristics of disparities and the underlying mechanisms. The study’s results show that low-carbon technology is the core driver of the LCT of the four major industrial bases. The LCT levels of the four major industrial bases have generally increased, with some bases exhibiting a catch-up effect internally. The overall disparity among the four major industrial bases has widened, primarily driven by intra-base differences. Specifically, the Beijing–Tianjin–Tangshan industrial base displays polarization characteristics, while the Central-Southern Liaoning industrial base shows a relatively low-level equilibrium. The transition of resource-based cities lags, mainly constrained by rigid industrial structures and insufficient investment in technology. Industrial structure optimization plays a certain role in improving resource-based regions, whereas technological innovation has a more pronounced effect in developed regions. This study constructs a comprehensive analytical framework of “measurement–evolution–mechanism–simulation,” which refines the quantitative evaluation system for the LCT of manufacturing clusters. The findings provide empirical support for formulating differentiated low-carbon policies for manufacturing clusters and optimizing coordinated emission reduction pathways, while also offering a reference paradigm for similar research in other developing countries. Full article
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25 pages, 7920 KB  
Article
MBA-Former: A Boundary-Aware Transformer for Synergistic Multi-Modal Representation in Pine Wilt Disease Detection from High-Resolution Satellite Imagery
by Rui Hou, Yantao Zhou, Ying Wang, Zhiquan Huang, Jing Yao, Quanjun Jiao, Wenjiang Huang and Biyao Zhang
Forests 2026, 17(5), 517; https://doi.org/10.3390/f17050517 - 23 Apr 2026
Viewed by 399
Abstract
Pine wilt disease (PWD) is a devastating biological forest disturbance, making its large-scale and high-precision remote sensing monitoring crucial for epidemic prevention and control. However, the performance of existing deep learning methods in high-resolution imagery is often limited by the confusion of spectral [...] Read more.
Pine wilt disease (PWD) is a devastating biological forest disturbance, making its large-scale and high-precision remote sensing monitoring crucial for epidemic prevention and control. However, the performance of existing deep learning methods in high-resolution imagery is often limited by the confusion of spectral features among disparate ground objects and the complexity of forest boundaries. To address these challenges, this study proposes an innovative, end-to-end deep learning architecture termed MBA-Former. Built upon the robust Swin Transformer V2 backbone, the model systematically integrates two highly adaptable functional modules: (1) a front-end intelligent fusion module designed to adaptively fuse heterogeneous features, and (2) a back-end boundary refinement module that refines segmentation contours via dual-task learning. To train and evaluate the model, fine-grained manual annotations were first performed on Gaofen-2 satellite imagery acquired from multiple typical epidemic areas across northern and southern China. Information-enhanced datasets were constructed by fusing the original spectral bands, typical vegetation indices, and texture features. A comprehensive performance evaluation was then conducted, specifically targeting typical challenging scenarios characterized by complex ground object boundaries. The experimental results demonstrate that the Multi-modal Boundary-Aware Transformer (MBA-Former) significantly outperforms current state-of-the-art models. It achieved a mean Intersection over Union (mIoU) of 81.74%, an IoU of 77.58% for the most critical infected tree category, and a Boundary F1-Score of 78.62%. Compared to the best-performing baseline model, Swin-Unet, these three metrics exhibited notable improvements of 2.88%, 3.55%, and 4.46%, respectively. These findings convincingly demonstrate that MBA-Former provides a highly accurate and robust solution for the large-scale, automated remote sensing monitoring of forest diseases, offering immense value in preventing significant economic losses and preserving forest ecosystem integrity. Full article
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