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Pegah Khosravi

Publications and source records attributed to Pegah Khosravi.

4 recordsLinked to original sources

Longitudinal 3D Foundation Modeling for Neoadjuvant Breast Cancer Response Prediction from Serial DCE-MRI

Pathologic complete response (pCR) is an important endpoint in neoadjuvant chemotherapy (NAC) for breast cancer, and predicting pCR from imaging during treatment could support treatment response assessment. Many existing imaging-based approaches rely on a single static timepoint, which fails to capture changes that occur during treatment. In this work, we present a longitudinal framework that combines a frozen 3D foundation encoder (Pillar-0) with our Temporal Dynamics Network (TDN) to predict treatment response from serial Dynamic Contrast-Enhanced (DCE) MRI acquired across four clinical timepoints from pre-treatment to pre-surgery. The TDN combines time-aware volumetric embeddings with clinical and treatment data to predict pCR. Evaluated on 982 patients from the combined I-SPY2 and ACRIN-6698 cohort, the proposed model achieves strong performance across all reported metrics when longitudinal 3D imaging is fused with clinical data (test AUROC: 73.6%, balanced accuracy: 69.1%). While clinical variables provide the strongest individual predictive signal, longitudinal 3D imaging contributes complementary information when fused with clinical data, improving pCR prediction. Our source code is available at: https://github.com/omarftt/longitudinal_temporal_pillar.

eess.IV↗

OncoTriad-QA: A Patient-Level Radiology-Pathology-Genomics Benchmark for Pan-Cancer Reasoning

Cancer diagnosis and characterization require integrating complementary evidence from radiology, pathology, genomics, and clinical metadata. However, most medical large language model (LLM) and vision-language model (VLM) benchmarks focus on isolated modalities or narrow image-text tasks, leaving patient-level oncology assessment across multiple evidence streams largely untested. We introduce OncoTriad-QA, a patient-level radiology-pathology-genomics benchmark for pan-cancer question answering. OncoTriad-QA contains 86.1k semantic questions across 9,281 TCGA patient cases from 32 cancer cohorts, aligning CT/MRI radiology, whole-slide histopathology, somatic mutations, copy-number alterations, DNA methylation, bulk RNA-seq, and clinical metadata. Case-specific annotations are constructed through a source-grounded LLM-assisted pipeline using curated labels, diagnostic reports, molecular profiles, and modality-derived evidence as primary sources of truth, with automated consistency checks and clinician review. We also introduce OncoVLM, a reference multimodal model that maps modality-native radiology, pathology, DNA methylation, and RNA-seq evidence into an LLM interface through learned projectors. Experiments show that existing general-purpose and medical LLMs remain limited on comprehensive pan-cancer QA, especially when questions require integrating imaging findings, tumor morphology, and molecular evidence. After fine-tuning on OncoTriad-QA, OncoVLM exceeds MedGemma-4B by an average of 10.7 points when using MCQ accuracy and BERTScore-F1, with consistent gains across multiple-choice and open-ended questions under radiology-only, pathology-only, and all-available settings. These results demonstrate the benchmark's value for training and evaluating models for integrated cancer question answering.

cs.CL↗

Unlocking Multi-Site Clinical Data: A Federated Approach to Privacy-First Child Autism Behavior Analysis

Automated recognition of autistic behaviors in children is essential for early intervention and objective clinical assessment. However, the development of robust models is severely hindered by strict privacy regulations (e.g., HIPAA) and the sensitive nature of pediatric data, which prevents the centralized aggregation of clinical datasets. Furthermore, individual clinical sites often suffer from data scarcity, making it difficult to learn generalized behavior patterns or tailor models to site-specific patient distributions. To address these challenges, we observe that Federated Learning (FL) can decouple model training from raw data access, enabling multi-site collaboration while maintaining strict data residency. In this paper, we present the first study exploring Federated Learning for pose-based child autism behavior recognition. Our framework employs a two-layer privacy protection mechanism: utilizing human skeletal abstraction to remove identifiable visual information from the raw RGB videos and FL to ensure sensitive pose data remains within the clinic. This approach leverages distributed clinical data to learn generalized representations while providing the flexibility for site-specific personalization. Experimental results on the MMASD benchmark demonstrate that our framework achieves high recognition accuracy, outperforming traditional federated baselines and providing a robust, privacy-first solution for multi-site clinical analysis.

cs.CV↗

SIREN Cytoscape plugin: Interaction Type Discrimination in Gene Regulatory Networks

Integrating expression data with gene interactions in a network is essential for understanding the functional organization of the cells. Consequently, knowledge of interaction types in biological networks is important for data interpretation. Signing of Regulatory Networks (SIREN) plugin for Cytoscape is an open-source Java tool for discrimination of interaction type (activatory or inhibitory) in gene regulatory networks. Utilizing an information theory based concept, SIREN seeks to identify the interaction type of pairs of genes by examining their corresponding gene expression profiles. We introduce SIREN, a fast and memory efficient tool with low computational complexity, that allows the user to easily consider it as a complementary approach for many network reconstruction methods. SIREN allows biologists to use independent expression data to predict interaction types for known gene regulatory networks where reconstruction methods do not provide any information about the nature of their interaction types. The SIREN Cytoscape plugin is implemented in Java and is freely available at http://baderlab.org/Software/SIRENplugin and via the Cytoscape app manager.

q-bio.MN↗