arXiv subjects

Dongjing Shan

Publications and source records attributed to Dongjing Shan.

4 recordsLinked to original sources

arXiv2026

Artificial intelligence-driven improvement of hospital logistics management resilience: a practical exploration based on H Hospital

Hospital logistics management faces growing pressure from internal operations and external emergencies, with artificial intelligence (AI) holding untapped potential to boost its resilience. This study explores AI's role in enhancing logistics resilience via a mixed-methods case study of H Hospital, combining 12 key informant interviews and a full survey of 151 logistics staff, with the PDCA cycle as the analytical framework. Thematic and quantitative analyses (hierarchical regression, structural equation modeling) were adopted for data analysis. Results showed 94.7% staff perceived AI application, with the strongest improvements in equipment maintenance (41.1%) and resource allocation (33.1%), but limited effects in emergency response (18.54%) and risk management (15.23%). AI integration positively correlated with logistics resilience (\b{eta}=0.642, p<0.001), with management system adaptability as a positive moderator (\b{eta}=0.208, p<0.01). The PDCA cycle fully mediated the AI-resilience relationship. We conclude AI effectively enhances logistics resilience, dependent on adaptive management systems and structured continuous improvement mechanisms. Targeted strategies are proposed to form an AI-driven closed-loop resilience mechanism, offering empirical guidance for AI-hospital logistics integration and resilient health system construction.

cs.AI↗

arXiv2026

Aligning Few-Step Diffusion Models with Dense Reward Difference Learning

Few-step diffusion models enable efficient high-resolution image synthesis but struggle to align with specific downstream objectives due to limitations of existing reinforcement learning (RL) methods in low-step regimes with limited state spaces and suboptimal sample quality. To address this, we propose Stepwise Diffusion Policy Optimization (SDPO), a novel RL framework tailored for few-step diffusion models. SDPO introduces a dual-state trajectory sampling mechanism, tracking both noisy and predicted clean states at each step to provide dense reward feedback and enable low-variance, mixed-step optimization. For further efficiency, we develop a latent similarity-based dense reward prediction strategy to minimize costly dense reward queries. Leveraging these dense rewards, SDPO optimizes a dense reward difference learning objective that enables more frequent and granular policy updates. Additional refinements, including stepwise advantage estimates, temporal importance weighting, and step-shuffled gradient updates, further enhance long-term dependency, low-step priority, and gradient stability. Our experiments demonstrate that SDPO consistently delivers superior reward-aligned results across diverse few-step settings and tasks. Code is available at https://github.com/ZiyiZhang27/sdpo.

cs.LG↗

arXiv2026

Efficient endometrial carcinoma screening via cross-modal synthesis and gradient distillation

Early detection of myometrial invasion is critical for the staging and life-saving management of endometrial carcinoma (EC), a prevalent global malignancy. Transvaginal ultrasound serves as the primary, accessible screening modality in resource-constrained primary care settings; however, its diagnostic reliability is severely hindered by low tissue contrast, high operator dependence, and a pronounced scarcity of positive pathological samples. Existing artificial intelligence solutions struggle to overcome this severe class imbalance and the subtle imaging features of invasion, particularly under the strict computational limits of primary care clinics. Here we present an automated, highly efficient two-stage deep learning framework that resolves both data and computational bottlenecks in EC screening. To mitigate pathological data scarcity, we develop a structure-guided cross-modal generation network that synthesizes diverse, high-fidelity ultrasound images from unpaired magnetic resonance imaging (MRI) data, strictly preserving clinically essential anatomical junctions. Furthermore, we introduce a lightweight screening network utilizing gradient distillation, which transfers discriminative knowledge from a high-capacity teacher model to dynamically guide sparse attention towards task-critical regions. Evaluated on a large, multicenter cohort of 7,951 participants, our model achieves a sensitivity of 99.5\%, a specificity of 97.2\%, and an area under the curve of 0.987 at a minimal computational cost (0.289 GFLOPs), substantially outperforming the average diagnostic accuracy of expert sonographers. Our approach demonstrates that combining cross-modal synthetic augmentation with knowledge-driven efficient modeling can democratize expert-level, real-time cancer screening for resource-constrained primary care settings.

cs.CV↗

arXiv2025

GvT: A Graph-based Vision Transformer with Talking-Heads Utilizing Sparsity, Trained from Scratch on Small Datasets

Vision Transformers (ViTs) have achieved impressive results in large-scale image classification. However, when training from scratch on small datasets, there is still a significant performance gap between ViTs and Convolutional Neural Networks (CNNs), which is attributed to the lack of inductive bias. To address this issue, we propose a Graph-based Vision Transformer (GvT) that utilizes graph convolutional projection and graph-pooling. In each block, queries and keys are calculated through graph convolutional projection based on the spatial adjacency matrix, while dot-product attention is used in another graph convolution to generate values. When using more attention heads, the queries and keys become lower-dimensional, making their dot product an uninformative matching function. To overcome this low-rank bottleneck in attention heads, we employ talking-heads technology based on bilinear pooled features and sparse selection of attention tensors. This allows interaction among filtered attention scores and enables each attention mechanism to depend on all queries and keys. Additionally, we apply graph-pooling between two intermediate blocks to reduce the number of tokens and aggregate semantic information more effectively. Our experimental results show that GvT produces comparable or superior outcomes to deep convolutional networks and surpasses vision transformers without pre-training on large datasets. The code for our proposed model is publicly available on the website.

cs.CV↗