arXiv subjects

Sangjoon Park

Publications and source records attributed to Sangjoon Park.

At least 19 recordsLinked to original sources

arXiv2026

Synchronization Pathways and Resilience in Power Grids

Ensuring a sustainable energy supply requires maintaining power-grid stability. Rotor dynamics are governed by the swing equation, which takes the form of a second-order Kuramoto model with a correlation between power and total coupling strength. Yet the microscopic mechanisms that nucleate and propagate synchronized clusters remain poorly understood. Using a minimal model motivated by empirical grid data and the \Adhoc potential method, we reveal two distinct seed cluster types and propagation pathways: a population-driven seed cluster at the center of the power distribution propagating to its tails by rotor accretion, and, for a symmetric distribution, coupling-driven seed clusters at its tails propagating inward to the center by cluster merger. These differences generate distinct order-parameter patterns, while inertia controls whether the seed clusters persist with distinct angular velocities. The same propagation pathways also govern recovery following external disturbances. We further confirm that the same selection--persistence rule holds in data-derived annealed representations of European power grids. Therefore, our results can inform strategies for sustaining stable power-grid operation. More generally, our pathway-based framework reframes synchronization by emphasizing the dynamics of cluster formation and recovery rather than relying solely on static criteria.

nlin.AO↗

arXiv2026

DuetFair: Coupling Inter- and Intra-Subgroup Robustness for Fair Medical Image Segmentation

Medical image segmentation models can perform unevenly across subgroups. Most existing fairness methods focus on improving average subgroup performance, implicitly treating each subgroup as internally homogeneous. However, this can hide difficult cases within a subgroup, where high-loss samples are obscured by the subgroup mean. We call this problem \textbf{intra-group hidden failure}. To solve this, we propose \textbf{DuetFair} mechanism, a dual-axis fairness framework that jointly considers inter-subgroup adaptation and intra-subgroup robustness. Based on DuetFair, we introduce \textbf{FairDRO}, which combines distribution-aware mixture-of-experts (dMoE) with subgroup-conditioned distributionally robust optimization (DRO) loss aggregation. This design allows the model to adapt across subgroups while also reducing hidden failures within each subgroup. We evaluate FairDRO on three medical image segmentation benchmarks with varying degrees of within-group heterogeneity. FairDRO achieves the best equity-scaled performance on Harvard-FairSeg and improves worst-case subgroup performance on HAM10000 under both age- and race-based grouping schemes. On the 3D radiotherapy target cohort, FairDRO further improves worst-group Dice by 3.5 points ($\uparrow 6.0\%$) under the tumor-stage grouping and by 4.1 points ($\uparrow 7.4\%$) under the institution grouping over the strongest baseline.

cs.CV↗

arXiv2026

CoMMa: Contribution-Aware Medical Multi-Agents for Decentralized Oncology Decision Support

Recent multi-agent frameworks have shown promise for oncology decision support, yet most assume centralized data access and rely on prompt-based assignment, limiting their applicability in privacy-sensitive clinical settings. We propose Contribution-Aware Medical Multi-Agents (CoMMa), a decentralized LLM-agent framework where specialists operate on partitioned clinical data streams. Unlike prior approaches that share inputs across agents, CoMMa enforces data decentralization to include stronger role specialization and further enhances this via agent-specific finetuning. To enable reliable and interpretable coordination, we introduce a contribution-aware aggregation mechanism that replaces stochastic, narrative-based reasoning with deterministic embedding projections to approximate each agent's marginal utility. This yields explicit credit assignment over agents, providing a stable and interpretable decision pathway aligned with clinical requirements. We evaluate CoMMa on multiple oncology benchmarks, including real-world multidisciplinary tumor board datasets from large academic hospitals in North America and East Asia, as well as public datasets, demonstrating strong performance and generalization across heterogeneous clinical settings.

cs.AI↗

arXiv2026

AI-Driven Stabilization in Power Grids through Controlling Line Admittances

The global transition from traditional power plants to renewable energy sources introduces new challenges in grid stability, primarily because inverter-based technologies provide insufficient inertia. To address this, we introduce an artificial intelligence algorithm that autonomously stabilizes power grids by adaptively tuning admittance regulators in response to disturbances. This Adaptive Admittance Controller (AAC) algorithm not only stabilizes the system in real time but also identifies the best regulator locations, thereby unifying grid planning and real time control within a single framework. When tested on a real UK power grid, the AAC markedly reduces frequency deviations and rapidly restores nominal operation. In addition, the algorithm isolates a small number of key regulators and intervenes only on these, lowering both system complexity and cost. The AAC algorithm further reduces the nonlinearity effect, quickly stabilizing the frequency and power flow. This intelligent control scheme enables power grids to reliably return to stable operating conditions under a broad spectrum of fault scenarios. The proposed framework can also be used to mitigate cascading failures by adaptively controlling critical links in a variety of networked infrastructures, such as cascades of traffic congestion on road networks or fuse failures in energy-saving systems.

physics.soc-ph↗

arXiv2025

AutoMedic: An Automated Evaluation Framework for Clinical Conversational Agents with Medical Dataset Grounding

Evaluating large language models (LLMs) has recently emerged as a critical issue for safe and trustworthy application of LLMs in the medical domain. Although a variety of static medical question-answering (QA) benchmarks have been proposed, many aspects remain underexplored, such as the effectiveness of LLMs in generating responses in dynamic, interactive clinical multi-turn conversation situations and the identification of multi-faceted evaluation strategies beyond simple accuracy. However, formally evaluating a dynamic, interactive clinical situation is hindered by its vast combinatorial space of possible patient states and interaction trajectories, making it difficult to standardize and quantitatively measure such scenarios. Here, we introduce AutoMedic, a multi-agent simulation framework that enables automated evaluation of LLMs as clinical conversational agents. AutoMedic transforms off-the-shelf static QA datasets into virtual patient profiles, enabling realistic and clinically grounded multi-turn clinical dialogues between LLM agents. The performance of various clinical conversational agents is then assessed based on our CARE metric, which provides a multi-faceted evaluation standard of clinical conversational accuracy, efficiency/strategy, empathy, and robustness. Our findings, validated by human experts, demonstrate the validity of AutoMedic as an automated evaluation framework for clinical conversational agents, offering practical guidelines for the effective development of LLMs in conversational medical applications.

cs.CL↗

arXiv2025

Cluster-Mediated Synchronization Dynamics in Globally Coupled Oscillators with Inertia

Globally coupled oscillator systems with inertia exhibit complex synchronization patterns, among which the emergence of a couple of secondary synchronized clusters (SCs) in addition to the primary cluster (PC) is especially distinctive. Although previous studies have predominantly focused on the collective properties of the PC, the dynamics of individual clusters and their inter-cluster interactions remain largely unexplored. Here, we demonstrate that multiple clusters emerge and coexist, forming a hierarchical pattern known as the Devil's Staircase. We identify three key findings by investigating individual cluster dynamics and inter-cluster interactions. First, the PC persistently suppresses the formation of SCs during its growth and even after it has fully formed, revealing the significant impact of inter-cluster interactions on cluster formation. Second, once established, SCs induce higher-order clusters exhibiting frequency resonance via inter-cluster interactions, resulting in the Devil's Staircase pattern. Third, sufficiently large SCs can destabilize and fragment the PC, highlighting the bidirectional nature of cluster interactions. We develop a coarse-grained Kuramoto model that treats each cluster as a macroscopic oscillator to capture these inter-cluster dynamics and the resulting phenomena. Our work marks a significant step beyond system-wide averages in the study of inertial oscillator systems, offering new insights into the rich dynamics of cluster formation and synchronization in real-world applications such as power grid networks.

nlin.AO↗

arXiv2025

Deep operator network for surrogate modeling of poroelasticity with random permeability fields

Poroelasticity -- coupled fluid flow and elastic deformation in porous media -- often involves spatially variable permeability, especially in subsurface systems. In such cases, simulations with random permeability fields are widely used for probabilistic analysis, uncertainty quantification, and inverse problems. These simulations require repeated forward solves that are often prohibitively expensive, motivating the development of efficient surrogate models. However, efficient surrogate modeling techniques for poroelasticity with random permeability fields remain scarce. In this study, we propose a surrogate modeling framework based on the deep operator network (DeepONet), a neural architecture designed to learn mappings between infinite-dimensional function spaces. The proposed surrogate model approximates the solution operator that maps random permeability fields to transient poroelastic responses. To enhance predictive accuracy and stability, we integrate three strategies: nondimensionalization of the governing equations, input dimensionality reduction via Karhunen--Loéve expansion, and a two-step training procedure that decouples the optimization of branch and trunk networks. The methodology is evaluated on two benchmark problems in poroelasticity: soil consolidation and ground subsidence induced by groundwater extraction. In both cases, the DeepONet achieves substantial speedup in inference while maintaining high predictive accuracy across a wide range of permeability statistics. These results highlight the potential of the proposed approach as a scalable and efficient surrogate modeling technique for poroelastic systems with random permeability fields.

cs.LG↗

arXiv2025

Optimal location of reinforced inertia to stabilize power grids

The increasing adoption of renewable energy sources has significantly reduced the inertia in the modernized power grid, making the system more vulnerable. One way to stabilize the grid is to add extra inertia from unused turbines, called the fast frequency response (FFR), to the existing grid. However, reinforcing inertia can cause unintended consequences, such as more significant avalanche failures. This phenomenon is known as the Braess paradox. Here, we propose a method to find the optimal position of FFR. This method is applied to the second-order Kuramoto model to find an effective position to mitigate cascading failures. To address this, we propose a method to evaluate a ratio between the positive effects of mitigation and the negative consequences. Through this analysis, we find that the peripheral area of the network is a seemingly effective location for inertia reinforcement across various reinforcement scales. This strategy provides essential insights for enhancing the stability of power grids in a time of widespread renewable energy usage.

physics.soc-ph↗

arXiv2025

Rethinking Test-Time Scaling for Medical AI: Model and Task-Aware Strategies for LLMs and VLMs

Test-time scaling has recently emerged as a promising approach for enhancing the reasoning capabilities of large language models or vision-language models during inference. Although a variety of test-time scaling strategies have been proposed, and interest in their application to the medical domain is growing, many critical aspects remain underexplored, including their effectiveness for vision-language models and the identification of optimal strategies for different settings. In this paper, we conduct a comprehensive investigation of test-time scaling in the medical domain. We evaluate its impact on both large language models and vision-language models, considering factors such as model size, inherent model characteristics, and task complexity. Finally, we assess the robustness of these strategies under user-driven factors, such as misleading information embedded in prompts. Our findings offer practical guidelines for the effective use of test-time scaling in medical applications and provide insights into how these strategies can be further refined to meet the reliability and interpretability demands of the medical domain.

cs.CL↗

arXiv2025

End-to-End Breast Cancer Radiotherapy Planning via LMMs with Consistency Embedding

Recent advances in AI foundation models have significant potential for lightening the clinical workload by mimicking the comprehensive and multi-faceted approaches used by medical professionals. In the field of radiation oncology, the integration of multiple modalities holds great importance, so the opportunity of foundational model is abundant. Inspired by this, here we present RO-LMM, a multi-purpose, comprehensive large multimodal model (LMM) tailored for the field of radiation oncology. This model effectively manages a series of tasks within the clinical workflow, including clinical context summarization, radiation treatment plan suggestion, and plan-guided target volume segmentation by leveraging the capabilities of LMM. In particular, to perform consecutive clinical tasks without error accumulation, we present a novel Consistency Embedding Fine-Tuning (CEFTune) technique, which boosts LMM's robustness to noisy inputs while preserving the consistency of handling clean inputs. We further extend this concept to LMM-driven segmentation framework, leading to a novel Consistency Embedding Segmentation (CESEG) techniques. Experimental results including multi-centre validation confirm that our RO-LMM with CEFTune and CESEG results in promising performance for multiple clinical tasks with generalization capabilities.

cs.CV↗

arXiv2025

Distribution-aware Fairness Learning in Medical Image Segmentation From A Control-Theoretic Perspective

Ensuring fairness in medical image segmentation is critical due to biases in imbalanced clinical data acquisition caused by demographic attributes (e.g., age, sex, race) and clinical factors (e.g., disease severity). To address these challenges, we introduce Distribution-aware Mixture of Experts (dMoE), inspired by optimal control theory. We provide a comprehensive analysis of its underlying mechanisms and clarify dMoE's role in adapting to heterogeneous distributions in medical image segmentation. Furthermore, we integrate dMoE into multiple network architectures, demonstrating its broad applicability across diverse medical image analysis tasks. By incorporating demographic and clinical factors, dMoE achieves state-of-the-art performance on two 2D benchmark datasets and a 3D in-house dataset. Our results highlight the effectiveness of dMoE in mitigating biases from imbalanced distributions, offering a promising approach to bridging control theory and medical image segmentation within fairness learning paradigms. The source code will be made available. The source code is available at https://github.com/tvseg/dMoE.

eess.IV↗

arXiv2025

Susceptibility of Large Language Models to User-Driven Factors in Medical Queries

Large language models (LLMs) are increasingly used in healthcare, but their reliability is heavily influenced by user-driven factors such as question phrasing and the completeness of clinical information. In this study, we examined how misinformation framing, source authority, model persona, and omission of key clinical details affect the diagnostic accuracy and reliability of LLM outputs. We conducted two experiments: one introducing misleading external opinions with varying assertiveness (perturbation test), and another removing specific categories of patient information (ablation test). Using public datasets (MedQA and Medbullets), we evaluated proprietary models (GPT-4o, Claude 3.5 Sonnet, Claude 3.5 Haiku, Gemini 1.5 Pro, Gemini 1.5 Flash) and open-source models (LLaMA 3 8B, LLaMA 3 Med42 8B, DeepSeek R1 8B). All models were vulnerable to user-driven misinformation, with proprietary models especially affected by definitive and authoritative language. Assertive tone had the greatest negative impact on accuracy. In the ablation test, omitting physical exam findings and lab results caused the most significant performance drop. Although proprietary models had higher baseline accuracy, their performance declined sharply under misinformation. These results highlight the need for well-structured prompts and complete clinical context. Users should avoid authoritative framing of misinformation and provide full clinical details, especially for complex cases.

cs.CL↗

arXiv2024

Read Like a Radiologist: Efficient Vision-Language Model for 3D Medical Imaging Interpretation

Recent medical vision-language models (VLMs) have shown promise in 2D medical image interpretation. However extending them to 3D medical imaging has been challenging due to computational complexities and data scarcity. Although a few recent VLMs specified for 3D medical imaging have emerged, all are limited to learning volumetric representation of a 3D medical image as a set of sub-volumetric features. Such process introduces overly correlated representations along the z-axis that neglect slice-specific clinical details, particularly for 3D medical images where adjacent slices have low redundancy. To address this limitation, we introduce MS-VLM that mimic radiologists' workflow in 3D medical image interpretation. Specifically, radiologists analyze 3D medical images by examining individual slices sequentially and synthesizing information across slices and views. Likewise, MS-VLM leverages self-supervised 2D transformer encoders to learn a volumetric representation that capture inter-slice dependencies from a sequence of slice-specific features. Unbound by sub-volumetric patchification, MS-VLM is capable of obtaining useful volumetric representations from 3D medical images with any slice length and from multiple images acquired from different planes and phases. We evaluate MS-VLM on publicly available chest CT dataset CT-RATE and in-house rectal MRI dataset. In both scenarios, MS-VLM surpasses existing methods in radiology report generation, producing more coherent and clinically relevant reports. These findings highlight the potential of MS-VLM to advance 3D medical image interpretation and improve the robustness of medical VLMs.

eess.IV↗

arXiv2024

Improving Mortality Prediction After Radiotherapy with Large Language Model Structuring of Large-Scale Unstructured Electronic Health Records

Accurate survival prediction in radiotherapy (RT) is critical for optimizing treatment decisions. This study developed and validated the RT-Surv framework, which integrates general-domain, open-source large language models (LLMs) to structure unstructured electronic health records alongside structured clinical data. Using data from 34,276 patients and an external cohort of 852, the framework successfully transformed unstructured clinical information into structured formats. Incorporating LLM-structured clinical features improved the concordance index from 0.779 to 0.842 during external validation, demonstrating a significant performance enhancement. Key LLM-structured features, such as disease extent, general condition, and RT purpose, showed high predictive importance and aligned closely with statistically significant predictors identified through conventional statistical analyses, thereby improving model interpretability. Furthermore, the framework enhanced risk stratification, enabling more distinct differentiation among low-, intermediate-, and high-risk groups (p < 0.001) using LLM-structured clinical features. These findings highlight the potential of LLMs to convert unstructured data into actionable insights, improving predictive modeling and patient outcomes in clinics.

cs.CL↗

arXiv2024

LLM-driven Multimodal Target Volume Contouring in Radiation Oncology

Target volume contouring for radiation therapy is considered significantly more challenging than the normal organ segmentation tasks as it necessitates the utilization of both image and text-based clinical information. Inspired by the recent advancement of large language models (LLMs) that can facilitate the integration of the textural information and images, here we present a novel LLM-driven multimodal AI, namely LLMSeg, that utilizes the clinical text information and is applicable to the challenging task of target volume contouring for radiation therapy, and validate it within the context of breast cancer radiation therapy target volume contouring. Using external validation and data-insufficient environments, which attributes highly conducive to real-world applications, we demonstrate that the proposed model exhibits markedly improved performance compared to conventional unimodal AI models, particularly exhibiting robust generalization performance and data efficiency. To our best knowledge, this is the first LLM-driven multimodal AI model that integrates the clinical text information into target volume delineation for radiation oncology.

eess.IV↗

arXiv2024

Mixture of Multicenter Experts in Multimodal AI for Debiased Radiotherapy Target Delineation

Clinical decision-making reflects diverse strategies shaped by regional patient populations and institutional protocols. However, most existing medical artificial intelligence (AI) models are trained on highly prevalent data patterns, which reinforces biases and fails to capture the breadth of clinical expertise. Inspired by the recent advances in Mixture of Experts (MoE), we propose a Mixture of Multicenter Experts (MoME) framework to address AI bias in the medical domain without requiring data sharing across institutions. MoME integrates specialized expertise from diverse clinical strategies to enhance model generalizability and adaptability across medical centers. We validate this framework using a multimodal target volume delineation model for prostate cancer radiotherapy. With few-shot training that combines imaging and clinical notes from each center, the model outperformed baselines, particularly in settings with high inter-center variability or limited data availability. Furthermore, MoME enables model customization to local clinical preferences without cross-institutional data exchange, making it especially suitable for resource-constrained settings while promoting broadly generalizable medical AI.

eess.IV↗

arXiv2024

Improving Cone-Beam CT Image Quality with Knowledge Distillation-Enhanced Diffusion Model in Imbalanced Data Settings

In radiation therapy (RT), the reliance on pre-treatment computed tomography (CT) images encounter challenges due to anatomical changes, necessitating adaptive planning. Daily cone-beam CT (CBCT) imaging, pivotal for therapy adjustment, falls short in tissue density accuracy. To address this, our innovative approach integrates diffusion models for CT image generation, offering precise control over data synthesis. Leveraging a self-training method with knowledge distillation, we maximize CBCT data during therapy, complemented by sparse paired fan-beam CTs. This strategy, incorporated into state-of-the-art diffusion-based models, surpasses conventional methods like Pix2pix and CycleGAN. A meticulously curated dataset of 2800 paired CBCT and CT scans, supplemented by 4200 CBCT scans, undergoes preprocessing and teacher model training, including the Brownian Bridge Diffusion Model (BBDM). Pseudo-label CT images are generated, resulting in a dataset combining 5600 CT images with corresponding CBCT images. Thorough evaluation using MSE, SSIM, PSNR and LPIPS demonstrates superior performance against Pix2pix and CycleGAN. Our approach shows promise in generating high-quality CT images from CBCT scans in RT.

cs.CV↗

arXiv2024

Improving Demand Forecasting in Open Systems with Cartogram-Enhanced Deep Learning

Predicting temporal patterns across various domains poses significant challenges due to their nuanced and often nonlinear trajectories. To address this challenge, prediction frameworks have been continuously refined, employing data-driven statistical methods, mathematical models, and machine learning. Recently, as one of the challenging systems, shared transport systems such as public bicycles have gained prominence due to urban constraints and environmental concerns. Predicting rental and return patterns at bicycle stations remains a formidable task due to the system's openness and imbalanced usage patterns across stations. In this study, we propose a deep learning framework to predict rental and return patterns by leveraging cartogram approaches. The cartogram approach facilitates the prediction of demand for newly installed stations with no training data as well as long-period prediction, which has not been achieved before. We apply this method to public bicycle rental-and-return data in Seoul, South Korea, employing a spatial-temporal convolutional graph attention network. Our improved architecture incorporates batch attention and modified node feature updates for better prediction accuracy across different time scales. We demonstrate the effectiveness of our framework in predicting temporal patterns and its potential applications.

cs.LG↗