Search Results (4)

Objectives: To benchmark the performance of DeepSeek-R1 against three other advanced AI reasoning models (GPT-4o, Qwen3, Grok-3) in automatically extracting T/N staging from esophageal cancer endoscopic ultrasound (EUS) complex medical reports, and to evaluate the impact of language (Chinese/English) and prompting strategy (with/without designed prompt) on model accuracy and robustness. Methods: We retrospectively analyzed 625 EUS reports for T-staging and 579 for N-staging, which were collected from 663 patients at the Sun Yat-sen University Cancer Center between 2018 and 2020. A 2 × 2 factorial design (Language × Prompt) was employed under a zero-shot setting. The performance of the models was evaluated using accuracy, and the odds ratio (OR) was calculated to quantify the comparative performance advantage between models across different scenarios. Results: Performance was evaluated across four scenarios: (1) Chinese with-prompt, (2) Chinese without-prompt, (3) English with-prompt, and (4) English without-prompt. In both T and N-staging tasks, DeepSeek-R1 demonstrated superior overall performance compared to the competitors. For T-staging, the average accuracy was (DeepSeek-R1 vs. GPT-4o vs. Qwen3 vs. Grok-3: 91.4% vs. 84.2% vs. 89.5% vs. 81.3%). For N-staging, the respective average accuracy was 84.2% vs. 65.0% vs. 68.4% vs. 51.9%. Notably, N-staging proved more challenging than T-staging for all models, as indicated by lower accuracy. This superiority was most pronounced in the Chinese without-prompt T-staging scenario, where DeepSeek-R1 achieved significantly higher accuracy than GPT-4o (OR = 7.84, 95% CI [4.62–13.30], p < 0.001), Qwen3 (OR = 5.00, 95% CI [2.85–8.79], p < 0.001), and Grok-3 (OR = 6.47, 95% CI [4.30–9.74], p < 0.001). Conclusions: This study validates the feasibility and effectiveness of large language models (LLMs) for automated T/N staging from EUS reports. Our findings confirm that DeepSeek-R1 possesses strong intrinsic reasoning capabilities, achieving the most robust performance across diverse conditions, with the most pronounced advantage observed in the challenging English without-prompt N-staging task. By establishing a standardized, objective benchmark, DeepSeek-R1 mitigates inter-observer variability, and its deployment provides a reliable foundation for guiding precise, individualized treatment planning for esophageal cancer patients. Full article

Von Neumann’s minimax theorem defines optimal strategic unpredictability in zero-sum games. Empirical evidence from professional sports has been interpreted as positive behavioral evidence for minimax. In this article, we analyze the strategic optimality of offensive plays in the basketball endgame when a team has a final possession and trails by no more than a single basket. This final moment of the game most closely approximates the simultaneous-move conditions of a game where minimax theory applies. Using comprehensive NBA data from 2010 to 2025, we test for equality of success rates across shooter types (star vs. non-stars) and shot selection (two-point vs. three-point). Our analysis reveals systematic violations of minimax play that have intensified with basketball’s shift to three-pointers and higher expected points. In the final decisive moment of the game, we find that teams systematically overuse three-point shots even though the two-point attempt yields higher field goal percentages. In addition, teams over-rely on star players for the final shot; non-star two-point shots have been the top-performing endgame option in 2022–2025. Full article

Biomechanics investigation on soccer scoring techniques (SSTs) has a relatively long history. Until now, there have been 43 SSTs identified. Yet, the body of biomechanical knowledge is still limited to a few SSTs. This paper aims to provide an up-to-date overview of idiographic biomechanical studies published from the 1960s to the 2020s in order to outline pertinent discoveries, investigation directions, and methodology progresses. Additionally, the challenges faced by SST studies are discussed. The main goal of the paper is to promote biomechanical investigation on SSTs through discussions on problem solving in the past, research progress in the present, and possible research directions for the future. Full article

Background: Scientifically, both temporal and spatial variables must be examined when developing programs for training various soccer scoring techniques (SSTs). Unfortunately, previous studies on soccer goals have overwhelmingly focused on the development of goal-scoring opportunities or game analysis in elite soccer, leaving the consideration of player-centered temporal-spatial aspects of SSTs mostly neglected. Consequently, there is a scientific gap in the current scoring-opportunity identification and a dearth of scientific concepts for developing SST training in elite soccer. Objectives: This study aims to bridge the gap by introducing effective/proprioceptive shooting volume and a temporal aspect linked to this volume. Method: the SSTs found in FIFA Puskás Award (132 nominated goals between 2009 and 2021) were quantified by using biomechanical modeling and anthropometry. Results: This study found that players’ effective/proprioceptive shooting volume could be sevenfold that of normal practice in current coaching. Conclusion: The overlooked SSTs in research and training practice are commonly airborne and/or acrobatic, which are perceived as high-risk and low-reward. Relying on athletes’ talent to improvise on these complex skills can hardly be considered a viable learning/training strategy. Future research should focus on developing player-centered temporal-spatial SST training to help demystify the effectiveness of proprioceptive shooting volume and increase scoring opportunities in soccer. Full article