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To alleviate data distribution under different operating conditions, domain generalization (DG) has been applied in mechanical diagnosis. Still, its effectiveness is limited when unknown fault states appear in the target domain. Consequently, open set DG (OSDG) has emerged to identify unknown classes in unknown domains. However, data collection costs and safety concerns have resulted in a significant class imbalance in OSDG. This imbalance causes the decision boundary to be skewed toward abundant positive classes, ultimately leading to misclassifying unknown states and increasing security risks. Currently, there is a lack of methods to simultaneously address domain shift and class shift in an imbalanced unknown domain. To tackle this issue, this article proposes a multisource domain-class gradient coordination meta-learning (MDGCML) framework, which can learn the generalized boundaries of all tasks by coordinating gradients between interdomains and interclasses. Based on the MDGCML, a joint learning paradigm involving the sharing of parameters between open-set classifiers and closed-set classifiers is constructed to enable quick adaption of the model to unknown domains. The superior performance of the proposed framework has been verified on two datasets.
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http://dx.doi.org/10.1109/TCYB.2025.3531494 | DOI Listing |
J Am Coll Cardiol
August 2025
Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA; Department of Cardiology, Kaiser Permanente Santa Clara Medical Center, Santa Clara, California, USA. Electronic address:
Background: Accurate measurement of echocardiographic parameters is crucial for the diagnosis of cardiovascular disease and tracking of change over time; however, manual assessment requires time-consuming effort and can be imprecise. Artificial intelligence has the potential to reduce clinician burden by automating the time-intensive task of comprehensive measurement of echocardiographic parameters.
Objectives: The purpose of this study was to develop and validate open-sourced deep learning semantic segmentation models for the automated measurement of 18 anatomic and Doppler measurements in echocardiography.
J Robot Surg
September 2025
Department of Oncology, Shengli Oilfield Central Hospital, Dongying, China.
A major cause of cancer death, colorectal cancer is becoming more common in younger people. The comparative effectiveness of robotic versus laparoscopic total mesorectal excision (TME) as surgical interventions for mid-low rectal cancer following neoadjuvant chemoradiotherapy (nCRT) remains uncertain. To systematically evaluate oncological, perioperative, and survival outcomes of robotic versus laparoscopic surgery for mid-low rectal cancer following nCRT.
View Article and Find Full Text PDFJ Occup Rehabil
September 2025
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, QC, Canada.
Purpose: Physiotherapists play a central role in the rehabilitation of individuals with work-related musculoskeletal disorders. Yet, it is currently unclear how entry-level training prepares them to manage work disability. This study aimed to (1) identify a set of work rehabilitation competencies, (2) examine how these competencies are integrated into entry-level physiotherapy training programs in Quebec, Canada, and (3) assess educators' perceptions of the adequacy of work rehabilitation education.
View Article and Find Full Text PDFBackground: This systematic review and meta-analysis compared the intraoperative and postoperative outcomes of minimally invasive versus open distal pancreatectomy (ODP) in patients with pancreatic ductal adenocarcinoma (PDAC), which is a highly aggressive tumor with a high mortality rate. Surgical resection remains the only potentially curative treatment. Minimally invasive distal pancreatectomy (MIDP), including laparoscopic and robotic approaches, has gained popularity, although the evidence of its efficacy is limited.
View Article and Find Full Text PDFRadiol Phys Technol
September 2025
Radiation and Proton Therapy Center, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-Cho, Shizuoka, 411-8777, Japan.
In therapy with Synchrony® mounted on Radixact®, the fiducial marker (FM) and adrenal gland metastasis, which shift with respiratory phase, require margin compensation for high-dose prescriptions. Although compensation is critical, no studies have examined the margin to compensate for the respiratory phase shift. Therefore, we aimed to suggest the compensating margin for the FM and adrenal metastasis shift along with respiratory phase.
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