arXiv subjects

Li Sun

Publications and source records attributed to Li Sun.

At least 91 records · Page 5Linked to original sources

arXiv2025

MoSE: Unveiling Structural Patterns in Graphs via Mixture of Subgraph Experts

While graph neural networks (GNNs) have achieved great success in learning from graph-structured data, their reliance on local, pairwise message passing restricts their ability to capture complex, high-order subgraph patterns. leading to insufficient structural expressiveness. Recent efforts have attempted to enhance structural expressiveness by integrating random walk kernels into GNNs. However, these methods are inherently designed for graph-level tasks, which limits their applicability to other downstream tasks such as node classification. Moreover, their fixed kernel configurations hinder the model's flexibility in capturing diverse subgraph structures. To address these limitations, this paper proposes a novel Mixture of Subgraph Experts (MoSE) framework for flexible and expressive subgraph-based representation learning across diverse graph tasks. Specifically, MoSE extracts informative subgraphs via anonymous walks and dynamically routes them to specialized experts based on structural semantics, enabling the model to capture diverse subgraph patterns with improved flexibility and interpretability. We further provide a theoretical analysis of MoSE's expressivity within the Subgraph Weisfeiler-Lehman (SWL) Test, proving that it is more powerful than SWL. Extensive experiments, together with visualizations of learned subgraph experts, demonstrate that MoSE not only outperforms competitive baselines but also provides interpretable insights into structural patterns learned by the model.

cs.LG↗

arXiv2025

Multi-IaC-Eval: Benchmarking Cloud Infrastructure as Code Across Multiple Formats

Infrastructure as Code (IaC) is fundamental to modern cloud computing, enabling teams to define and manage infrastructure through machine-readable configuration files. However, different cloud service providers utilize diverse IaC formats. The lack of a standardized format requires cloud architects to be proficient in multiple IaC languages, adding complexity to cloud deployment. While Large Language Models (LLMs) show promise in automating IaC creation and maintenance, progress has been limited by the lack of comprehensive benchmarks across multiple IaC formats. We present Multi-IaC-Bench, a novel benchmark dataset for evaluating LLM-based IaC generation and mutation across AWS CloudFormation, Terraform, and Cloud Development Kit (CDK) formats. The dataset consists of triplets containing initial IaC templates, natural language modification requests, and corresponding updated templates, created through a synthetic data generation pipeline with rigorous validation. We evaluate several state-of-the-art LLMs on Multi-IaC-Bench, demonstrating that while modern LLMs can achieve high success rates (>95%) in generating syntactically valid IaC across formats, significant challenges remain in semantic alignment and handling complex infrastructure patterns. Our ablation studies highlight the importance of prompt engineering and retry mechanisms in successful IaC generation. We release Multi-IaC-Bench to facilitate further research in AI-assisted infrastructure management and establish standardized evaluation metrics for this crucial domain.

cs.DC↗

arXiv2025

IRL-VLA: Training an Vision-Language-Action Policy via Reward World Model

Vision-Language-Action (VLA) models have demonstrated potential in autonomous driving. However, two critical challenges hinder their development: (1) Existing VLA architectures are typically based on imitation learning in open-loop setup which tends to capture the recorded behaviors in the dataset, leading to suboptimal and constrained performance, (2) Close-loop training relies heavily on high-fidelity sensor simulation, where domain gaps and computational inefficiencies pose significant barriers. In this paper, we introduce IRL-VLA, a novel close-loop Reinforcement Learning via \textbf{I}nverse \textbf{R}einforcement \textbf{L}earning reward world model with a self-built VLA approach. Our framework proceeds in a three-stage paradigm: In the first stage, we propose a VLA architecture and pretrain the VLA policy via imitation learning. In the second stage, we construct a lightweight reward world model via inverse reinforcement learning to enable efficient close-loop reward computation. To further enhance planning performance, finally, we design specialized reward world model guidence reinforcement learning via PPO(Proximal Policy Optimization) to effectively balance the safety incidents, comfortable driving, and traffic efficiency. Our approach achieves state-of-the-art performance in NAVSIM v2 end-to-end driving benchmark, 1st runner up in CVPR2025 Autonomous Grand Challenge. We hope that our framework will accelerate VLA research in close-loop autonomous driving.

cs.AI↗

arXiv2025

Interpretable Machine Learning Model for Early Prediction of Acute Kidney Injury in Critically Ill Patients with Cirrhosis: A Retrospective Study

Background: Cirrhosis is a progressive liver disease with high mortality and frequent complications, notably acute kidney injury (AKI), which occurs in up to 50% of hospitalized patients and worsens outcomes. AKI stems from complex hemodynamic, inflammatory, and metabolic changes, making early detection essential. Many predictive tools lack accuracy, interpretability, and alignment with intensive care unit (ICU) workflows. This study developed an interpretable machine learning model for early AKI prediction in critically ill patients with cirrhosis. Methods: We conducted a retrospective analysis of the MIMIC-IV v2.2 database, identifying 1240 adult ICU patients with cirrhosis and excluding those with ICU stays under 48 hours or missing key data. Laboratory and physiological variables from the first 48 hours were extracted. The pipeline included preprocessing, missingness filtering, LASSO feature selection, and SMOTE class balancing. Six algorithms-LightGBM, CatBoost, XGBoost, logistic regression, naive Bayes, and neural networks-were trained and evaluated using AUROC, accuracy, F1-score, sensitivity, specificity, and predictive values. Results: LightGBM achieved the best performance (AUROC 0.808, 95% CI 0.741-0.856; accuracy 0.704; NPV 0.911). Key predictors included prolonged partial thromboplastin time, absence of outside-facility 20G placement, low pH, and altered pO2, consistent with known cirrhosis-AKI mechanisms and suggesting actionable targets. Conclusion: The LightGBM-based model enables accurate early AKI risk stratification in ICU patients with cirrhosis using routine clinical variables. Its high negative predictive value supports safe de-escalation for low-risk patients, and interpretability fosters clinician trust and targeted prevention. External validation and integration into electronic health record systems are warranted.

cs.LG↗

arXiv2025

Prediction of Significant Creatinine Elevation in First ICU Stays with Vancomycin Use: A retrospective study through Catboost

Background: Vancomycin, a key antibiotic for severe Gram-positive infections in ICUs, poses a high nephrotoxicity risk. Early prediction of kidney injury in critically ill patients is challenging. This study aimed to develop a machine learning model to predict vancomycin-related creatinine elevation using routine ICU data. Methods: We analyzed 10,288 ICU patients (aged 18-80) from the MIMIC-IV database who received vancomycin. Kidney injury was defined by KDIGO criteria (creatinine rise >=0.3 mg/dL within 48h or >=50% within 7d). Features were selected via SelectKBest (top 30) and Random Forest ranking (final 15). Six algorithms were tested with 5-fold cross-validation. Interpretability was evaluated using SHAP, Accumulated Local Effects (ALE), and Bayesian posterior sampling. Results: Of 10,288 patients, 2,903 (28.2%) developed creatinine elevation. CatBoost performed best (AUROC 0.818 [95% CI: 0.801-0.834], sensitivity 0.800, specificity 0.681, negative predictive value 0.900). Key predictors were phosphate, total bilirubin, magnesium, Charlson index, and APSIII. SHAP confirmed phosphate as a major risk factor. ALE showed dose-response patterns. Bayesian analysis estimated mean risk 60.5% (95% credible interval: 16.8-89.4%) in high-risk cases. Conclusions: This machine learning model predicts vancomycin-associated creatinine elevation from routine ICU data with strong accuracy and interpretability, enabling early risk detection and supporting timely interventions in critical care.

cs.LG↗

arXiv2025

Early Mortality Prediction in ICU Patients with Hypertensive Kidney Disease Using Interpretable Machine Learning

Background: Hypertensive kidney disease (HKD) patients in intensive care units (ICUs) face high short-term mortality, but tailored risk prediction tools are lacking. Early identification of high-risk individuals is crucial for clinical decision-making. Methods: We developed a machine learning framework to predict 30-day in-hospital mortality among ICU patients with HKD using early clinical data from the MIMIC-IV v2.2 database. A cohort of 1,366 adults was curated with strict criteria, excluding malignancy cases. Eighteen clinical features-including vital signs, labs, comorbidities, and therapies-were selected via random forest importance and mutual information filtering. Several models were trained and compared with stratified five-fold cross-validation; CatBoost demonstrated the best performance. Results: CatBoost achieved an AUROC of 0.88 on the independent test set, with sensitivity of 0.811 and specificity of 0.798. SHAP values and Accumulated Local Effects (ALE) plots showed the model relied on meaningful predictors such as altered consciousness, vasopressor use, and coagulation status. Additionally, the DREAM algorithm was integrated to estimate patient-specific posterior risk distributions, allowing clinicians to assess both predicted mortality and its uncertainty. Conclusions: We present an interpretable machine learning pipeline for early, real-time risk assessment in ICU patients with HKD. By combining high predictive performance with uncertainty quantification, our model supports individualized triage and transparent clinical decisions. This approach shows promise for clinical deployment and merits external validation in broader critical care populations.

cs.LG↗

arXiv2025

Seedance 1.0: Exploring the Boundaries of Video Generation Models

Notable breakthroughs in diffusion modeling have propelled rapid improvements in video generation, yet current foundational model still face critical challenges in simultaneously balancing prompt following, motion plausibility, and visual quality. In this report, we introduce Seedance 1.0, a high-performance and inference-efficient video foundation generation model that integrates several core technical improvements: (i) multi-source data curation augmented with precision and meaningful video captioning, enabling comprehensive learning across diverse scenarios; (ii) an efficient architecture design with proposed training paradigm, which allows for natively supporting multi-shot generation and jointly learning of both text-to-video and image-to-video tasks. (iii) carefully-optimized post-training approaches leveraging fine-grained supervised fine-tuning, and video-specific RLHF with multi-dimensional reward mechanisms for comprehensive performance improvements; (iv) excellent model acceleration achieving ~10x inference speedup through multi-stage distillation strategies and system-level optimizations. Seedance 1.0 can generate a 5-second video at 1080p resolution only with 41.4 seconds (NVIDIA-L20). Compared to state-of-the-art video generation models, Seedance 1.0 stands out with high-quality and fast video generation having superior spatiotemporal fluidity with structural stability, precise instruction adherence in complex multi-subject contexts, native multi-shot narrative coherence with consistent subject representation.

cs.CV↗

arXiv2025

Devil's Hand: Data Poisoning Attacks to Locally Private Graph Learning Protocols

Graph neural networks (GNNs) have achieved significant success in graph representation learning and have been applied to various domains. However, many real-world graphs contain sensitive personal information, such as user profiles in social networks, raising serious privacy concerns when graph learning is performed using GNNs. To address this issue, locally private graph learning protocols have gained considerable attention. These protocols leverage the privacy advantages of local differential privacy (LDP) and the effectiveness of GNN's message-passing in calibrating noisy data, offering strict privacy guarantees for users' local data while maintaining high utility (e.g., node classification accuracy) for graph learning. Despite these advantages, such protocols may be vulnerable to data poisoning attacks, a threat that has not been considered in previous research. Identifying and addressing these threats is crucial for ensuring the robustness and security of privacy-preserving graph learning frameworks. This work introduces the first data poisoning attack targeting locally private graph learning protocols. The attacker injects fake users into the protocol, manipulates these fake users to establish links with genuine users, and sends carefully crafted data to the server, ultimately compromising the utility of private graph learning. The effectiveness of the attack is demonstrated both theoretically and empirically. In addition, several defense strategies have also been explored, but their limited effectiveness highlights the need for more robust defenses.

cs.LG↗

arXiv2025

Interpretable Machine Learning Model for Early Prediction of 30-Day Mortality in ICU Patients With Coexisting Hypertension and Atrial Fibrillation: A Retrospective Cohort Study

Hypertension and atrial fibrillation (AF) often coexist in critically ill patients, significantly increasing mortality rates in the ICU. Early identification of high-risk individuals is crucial for targeted interventions. However, limited research has focused on short-term mortality prediction for this subgroup. This study analyzed 1,301 adult ICU patients with hypertension and AF from the MIMIC-IV database. Data including chart events, laboratory results, procedures, medications, and demographic information from the first 24 hours of ICU admission were extracted. After quality control, missing data imputation, and feature selection, 17 clinically relevant variables were retained. The cohort was split into training (70%) and test (30%) sets, with outcome-weighted training applied to address class imbalance. The CatBoost model, along with five baseline models (LightGBM, XGBoost, logistic regression, Naive Bayes, and neural networks), was evaluated using five-fold cross-validation, with AUROC as the primary performance metric. Model interpretability was assessed using SHAP, ALE, and DREAM analyses. The CatBoost model showed strong performance with an AUROC of 0.889 (95% CI: 0.840-0.924), accuracy of 0.831, and sensitivity of 0.837. Key predictors identified by SHAP and other methods included the Richmond-RAS Scale, pO2, CefePIME, and Invasive Ventilation, demonstrating the model's robustness and clinical applicability. This model shows strong performance and interpretability in early mortality prediction, enabling early intervention and personalized care decisions. Future work will involve multi-center validation and extending the approach to other diseases.

stat.AP↗

arXiv2025

Predicting Short-Term Mortality in Elderly ICU Patients with Diabetes and Heart Failure: A Distributional Inference Framework

Elderly ICU patients with coexisting diabetes mellitus and heart failure experience markedly elevated short-term mortality, yet few predictive models are tailored to this high-risk group. Diabetes mellitus affects nearly 30% of U.S. adults over 65, and significantly increases the risk of heart failure. When combined, these conditions worsen frailty, renal dysfunction, and hospitalization risk, leading to one-year mortality rates of up to 40%. Despite their clinical burden and complexity, no established models address individualized mortality prediction in elderly ICU patients with both diabetes mellitus and heart failure. We developed and validated a probabilistic mortality prediction framework using the MIMIC-IV database, targeting 65-90-year-old patients with both diabetes mellitus and heart failure. Using a two-stage feature selection pipeline and a cohort of 1,478 patients, we identified 19 clinically significant variables that reflect physiology, comorbidities, and intensity of treatment. Among six ML models benchmarked, CatBoost achieved the highest test AUROC (0.863), balancing performance and interpretability. To enhance clinical relevance, we employed the DREAM algorithm to generate posterior mortality risk distributions rather than point estimates, enabling assessment of both risk magnitude and uncertainty. This distribution-aware approach facilitates individualized triage in complex ICU settings. Interpretability was further supported via ablation and ALE analysis, highlighting key predictors such as APS III, oxygen flow, GCS eye, and Braden Mobility. Our model enables transparent, personalized, and uncertainty-informed decision support for high-risk ICU populations.

stat.AP↗

arXiv2025

Clinically Interpretable Mortality Prediction for ICU Patients with Diabetes and Atrial Fibrillation: A Machine Learning Approach

Background: Patients with both diabetes mellitus (DM) and atrial fibrillation (AF) face elevated mortality in intensive care units (ICUs), yet models targeting this high-risk group remain limited. Objective: To develop an interpretable machine learning (ML) model predicting 28-day mortality in ICU patients with concurrent DM and AF using early-phase clinical data. Methods: A retrospective cohort of 1,535 adult ICU patients with DM and AF was extracted from the MIMIC-IV database. Data preprocessing involved median/mode imputation, z-score normalization, and early temporal feature engineering. A two-step feature selection pipeline-univariate filtering (ANOVA F-test) and Random Forest-based multivariate ranking-yielded 19 interpretable features. Seven ML models were trained with stratified 5-fold cross-validation and SMOTE oversampling. Interpretability was assessed via ablation and Accumulated Local Effects (ALE) analysis. Results: Logistic regression achieved the best performance (AUROC: 0.825; 95% CI: 0.779-0.867), surpassing more complex models. Key predictors included RAS, age, bilirubin, and extubation. ALE plots showed intuitive, non-linear effects such as age-related risk acceleration and bilirubin thresholds. Conclusion: This interpretable ML model offers accurate risk prediction and clinical insights for early ICU triage in patients with DM and AF.

cs.LG↗

arXiv2025

LIFEBench: Evaluating Length Instruction Following in Large Language Models

While large language models (LLMs) can solve PhD-level reasoning problems over long context inputs, they still struggle with a seemingly simpler task: following explicit length instructions-e.g., write a 10,000-word novel. Additionally, models often generate far too short outputs, terminate prematurely, or even refuse the request. Existing benchmarks focus primarily on evaluating generations quality, but often overlook whether the generations meet length constraints. To this end, we introduce Length Instruction Following Evaluation Benchmark (LIFEBench) to comprehensively evaluate LLMs' ability to follow length instructions across diverse tasks and a wide range of specified lengths. LIFEBench consists of 10,800 instances across 4 task categories in both English and Chinese, covering length constraints ranging from 16 to 8192 words. We evaluate 26 widely-used LLMs and find that most models reasonably follow short-length instructions but deteriorate sharply beyond a certain threshold. Surprisingly, almost all models fail to reach the vendor-claimed maximum output lengths in practice, as further confirmed by our evaluations extending up to 32K words. Even long-context LLMs, despite their extended input-output windows, counterintuitively fail to improve length-instructions following. Notably, Reasoning LLMs outperform even specialized long-text generation models, achieving state-of-the-art length following. Overall, LIFEBench uncovers fundamental limitations in current LLMs' length instructions following ability, offering critical insights for future progress.

cs.CL↗

arXiv2025

Enhancing Biomedical Multi-modal Representation Learning with Multi-scale Pre-training and Perturbed Report Discrimination

Vision-language models pre-trained on large scale of unlabeled biomedical images and associated reports learn generalizable semantic representations. These multi-modal representations can benefit various downstream tasks in the biomedical domain. Contrastive learning is widely used to pre-train vision-language models for general natural images and associated captions. Despite its popularity, we found biomedical texts have complex and domain-specific semantics that are often neglected by common contrastive methods. To address this issue, we propose a novel method, perturbed report discrimination, for pre-train biomedical vision-language models. First, we curate a set of text perturbation methods that keep the same words, but disrupt the semantic structure of the sentence. Next, we apply different types of perturbation to reports, and use the model to distinguish the original report from the perturbed ones given the associated image. Parallel to this, we enhance the sensitivity of our method to higher level of granularity for both modalities by contrasting attention-weighted image sub-regions and sub-words in the image-text pairs. We conduct extensive experiments on multiple downstream tasks, and our method outperforms strong baseline methods. The results demonstrate that our approach learns more semantic meaningful and robust multi-modal representations.

cs.CV↗

arXiv2025

Development of Interactive Nomograms for Predicting Short-Term Survival in ICU Patients with Aplastic Anemia

Aplastic anemia is a rare, life-threatening hematologic disorder characterized by pancytopenia and bone marrow failure. ICU admission in these patients often signals critical complications or disease progression, making early risk assessment crucial for clinical decision-making and resource allocation. In this study, we used the MIMIC-IV database to identify ICU patients diagnosed with aplastic anemia and extracted clinical features from five domains: demographics, synthetic indicators, laboratory results, comorbidities, and medications. Over 400 variables were reduced to seven key predictors through machine learning-based feature selection. Logistic regression and Cox regression models were constructed to predict 7-, 14-, and 28-day mortality, and their performance was evaluated using AUROC. External validation was conducted using the eICU Collaborative Research Database to assess model generalizability. Among 1,662 included patients, the logistic regression model demonstrated superior performance, with AUROC values of 0.8227, 0.8311, and 0.8298 for 7-, 14-, and 28-day mortality, respectively, compared to the Cox model. External validation yielded AUROCs of 0.7391, 0.7119, and 0.7093. Interactive nomograms were developed based on the logistic regression model to visually estimate individual patient risk. In conclusion, we identified a concise set of seven predictors, led by APS III, to build validated and generalizable nomograms that accurately estimate short-term mortality in ICU patients with aplastic anemia. These tools may aid clinicians in personalized risk stratification and decision-making at the point of care.

cs.LG↗

arXiv2025

DragLoRA: Online Optimization of LoRA Adapters for Drag-based Image Editing in Diffusion Model

Drag-based editing within pretrained diffusion model provides a precise and flexible way to manipulate foreground objects. Traditional methods optimize the input feature obtained from DDIM inversion directly, adjusting them iteratively to guide handle points towards target locations. However, these approaches often suffer from limited accuracy due to the low representation ability of the feature in motion supervision, as well as inefficiencies caused by the large search space required for point tracking. To address these limitations, we present DragLoRA, a novel framework that integrates LoRA (Low-Rank Adaptation) adapters into the drag-based editing pipeline. To enhance the training of LoRA adapters, we introduce an additional denoising score distillation loss which regularizes the online model by aligning its output with that of the original model. Additionally, we improve the consistency of motion supervision by adapting the input features using the updated LoRA, giving a more stable and accurate input feature for subsequent operations. Building on this, we design an adaptive optimization scheme that dynamically toggles between two modes, prioritizing efficiency without compromising precision. Extensive experiments demonstrate that DragLoRA significantly enhances the control precision and computational efficiency for drag-based image editing. The Codes of DragLoRA are available at: https://github.com/Sylvie-X/DragLoRA.

cs.CV↗

arXiv2025

Unsupervised Graph Clustering with Deep Structural Entropy

Research on Graph Structure Learning (GSL) provides key insights for graph-based clustering, yet current methods like Graph Neural Networks (GNNs), Graph Attention Networks (GATs), and contrastive learning often rely heavily on the original graph structure. Their performance deteriorates when the original graph's adjacency matrix is too sparse or contains noisy edges unrelated to clustering. Moreover, these methods depend on learning node embeddings and using traditional techniques like k-means to form clusters, which may not fully capture the underlying graph structure between nodes. To address these limitations, this paper introduces DeSE, a novel unsupervised graph clustering framework incorporating Deep Structural Entropy. It enhances the original graph with quantified structural information and deep neural networks to form clusters. Specifically, we first propose a method for calculating structural entropy with soft assignment, which quantifies structure in a differentiable form. Next, we design a Structural Learning layer (SLL) to generate an attributed graph from the original feature data, serving as a target to enhance and optimize the original structural graph, thereby mitigating the issue of sparse connections between graph nodes. Finally, our clustering assignment method (ASS), based on GNNs, learns node embeddings and a soft assignment matrix to cluster on the enhanced graph. The ASS layer can be stacked to meet downstream task requirements, minimizing structural entropy for stable clustering and maximizing node consistency with edge-based cross-entropy loss. Extensive comparative experiments are conducted on four benchmark datasets against eight representative unsupervised graph clustering baselines, demonstrating the superiority of the DeSE in both effectiveness and interpretability.

cs.LG↗

arXiv2025

Predicting ICU Readmission in Acute Pancreatitis Patients Using a Machine Learning-Based Model with Enhanced Clinical Interpretability

Acute pancreatitis (AP) is a common and potentially life-threatening gastrointestinal disease that imposes a significant burden on healthcare systems. ICU readmissions among AP patients are common, especially in severe cases, with rates exceeding 40%. Identifying high-risk patients for readmission is crucial for improving outcomes. This study used the MIMIC-III database to identify ICU admissions for AP based on diagnostic codes. We applied a preprocessing pipeline including missing data imputation, correlation analysis, and hybrid feature selection. Recursive Feature Elimination with Cross-Validation (RFECV) and LASSO regression, supported by expert review, reduced over 50 variables to 20 key predictors, covering demographics, comorbidities, lab tests, and interventions. To address class imbalance, we used the Synthetic Minority Over-sampling Technique (SMOTE) in a five-fold cross-validation framework. We developed and optimized six machine learning models-Logistic Regression, k-Nearest Neighbors, Naive Bayes, Random Forest, LightGBM, and XGBoost-using grid search. Model performance was evaluated with AUROC, accuracy, F1 score, sensitivity, specificity, PPV, and NPV. XGBoost performed best, with an AUROC of 0.862 (95% CI: 0.800-0.920) and accuracy of 0.889 (95% CI: 0.858-0.923) on the test set. An ablation study showed that removing any feature decreased performance. SHAP analysis identified platelet count, age, and SpO2 as key predictors of readmission. This study shows that ensemble learning, informed feature selection, and handling class imbalance can improve ICU readmission prediction in AP patients, supporting targeted post-discharge interventions.

stat.AP↗

arXiv2025

Machine Learning-Based Prediction of Mortality in Geriatric Traumatic Brain Injury Patients

Traumatic Brain Injury (TBI) is a major contributor to mortality among older adults, with geriatric patients facing disproportionately high risk due to age-related physiological vulnerability and comorbidities. Early and accurate prediction of mortality is essential for guiding clinical decision-making and optimizing ICU resource allocation. In this study, we utilized the MIMIC-III database to identify geriatric TBI patients and applied a machine learning framework to develop a 30-day mortality prediction model. A rigorous preprocessing pipeline-including Random Forest-based imputation, feature engineering, and hybrid selection-was implemented to refine predictors from 69 to 9 clinically meaningful variables. CatBoost emerged as the top-performing model, achieving an AUROC of 0.867 (95% CI: 0.809-0.922), surpassing traditional scoring systems. SHAP analysis confirmed the importance of GCS score, oxygen saturation, and prothrombin time as dominant predictors. These findings highlight the value of interpretable machine learning tools for early mortality risk stratification in elderly TBI patients and provide a foundation for future clinical integration to support high-stakes decision-making in critical care.

q-bio.QM↗