arXiv subjects

Xia Gao

Publications and source records attributed to Xia Gao.

6 recordsLinked to original sources

arXiv2026

Clinical-Injection Transformer with Domain-Adapted MAE for Lupus Nephritis Prognosis Prediction

Lupus nephritis (LN) is a severe complication of systemic lupus erythematosus that affects pediatric patients with significantly greater severity and worse renal outcomes compared to adults. Despite the urgent clinical need, predicting pediatric LN prognosis remains unexplored in computational pathology. Furthermore, the only existing histopathology-based approach for LN relies on multiple costly staining protocols and fails to integrate complementary clinical data. To address these gaps, we propose the first multimodal computational pathology framework for three-class treatment response prediction (complete remission, partial response, and no response) in pediatric LN, utilizing only routine PAS-stained biopsies and structured clinical data. Our framework introduces two key methodological innovations. First, a Clinical-Injection Transformer (CIT) embeds clinical features as condition tokens into patch-level self-attention, facilitating implicit and bidirectional cross-modal interactions within a unified attention space. Second, we design a decoupled representation-knowledge adaptation strategy using a domain-adapted Masked Autoencoder (MAE). This strategy explicitly separates self-supervised morphological feature learning from pathological knowledge extraction. Additionally, we introduce a multi-granularity morphological type injection mechanism to bridge distilled classification knowledge with downstream prognostic predictions at both the instance and patient levels. Evaluated on a cohort of 71 pediatric LN patients with KDIGO-standardized labels, our method achieves a three-class accuracy of 90.1% and an AUC of 89.4%, demonstrating its potential as a highly accurate and cost-effective prognostic tool.

eess.IV↗

arXiv2025

A Specialized Large Language Model for Clinical Reasoning and Diagnosis in Rare Diseases

Rare diseases affect hundreds of millions worldwide, yet diagnosis often spans years. Convectional pipelines decouple noisy evidence extraction from downstream inferential diagnosis, and general/medical large language models (LLMs) face scarce real world electronic health records (EHRs), stale domain knowledge, and hallucinations. We assemble a large, domain specialized clinical corpus and a clinician validated reasoning set, and develop RareSeek R1 via staged instruction tuning, chain of thought learning, and graph grounded retrieval. Across multicenter EHR narratives and public benchmarks, RareSeek R1 attains state of the art accuracy, robust generalization, and stability under noisy or overlapping phenotypes. Augmented retrieval yields the largest gains when narratives pair with prioritized variants by resolving ambiguity and aligning candidates to mechanisms. Human studies show performance on par with experienced physicians and consistent gains in assistive use. Notably, transparent reasoning highlights decisive non phenotypic evidence (median 23.1%, such as imaging, interventions, functional tests) underpinning many correct diagnoses. This work advances a narrative first, knowledge integrated reasoning paradigm that shortens the diagnostic odyssey and enables auditable, clinically translatable decision support.

cs.CL↗

arXiv2025

Pharmacokinetic characteristics of Jinhong tablets in normal, chronic superficial gastritis and intestinal microbial disorder rats

Jinhong tablet (JHT), a traditional Chinese medicine made from four herbs, effectively treats chronic superficial gastritis (CSG) by soothing the liver, relieving depression, regulating qi, and promoting blood circulation. However, its pharmacokinetics are underexplored. This study investigates JHT's pharmacokinetics in normal rats and its differences in normal, CSG, and intestinal microbial disorder rats. A quantitative method for seven active ingredients in rat plasma was established using UPLC-TQ-MS/MS. After administering various JHT doses, plasma concentrations were measured to assess pharmacokinetics in normal rats. The pharmacokinetics of four main ingredients were compared in normal, CSG, and fecal microbiota transplantation (FMT) rats. Intestinal microbial changes were evaluated by high-throughput sequencing. Spearman correlation analysis linked ingredient exposure to gut microbiota disturbances. The method showed good linearity, precision, accuracy, extraction recovery, and stability. In normal rats, all seven ingredients were rapidly absorbed. Tetrahydropalmatine, corydaline, costunolide, and rhamnosylvitexin had good exposure, while dehydrocorydaline, allocryptopine, and palmatine hydrochloride had low exposure. Tetrahydropalmatine, corydaline, and costunolide followed linear pharmacokinetics (AUC0-t, Cmax) at doses of 0.7-5.6 g/kg, while rhamnosylvitexin and dehydrocorydaline showed linearity at 0.7-2.8 g/kg. In CSG and FMT rats, pharmacokinetic differences were observed. CSG enhanced costunolide exposure and Cmax, and increased rhamnosylvitexin exposure. FMT raised corydaline exposure and rhamnosylvitexin Cmax, linked to 20 bacterial genera.

q-bio.QM↗

arXiv2025

Multi-class Decoding of Attended Speaker Direction Using Electroencephalogram and Audio Spatial Spectrum

Decoding the directional focus of an attended speaker from listeners' electroencephalogram (EEG) signals is essential for developing brain-computer interfaces to improve the quality of life for individuals with hearing impairment. Previous works have concentrated on binary directional focus decoding, i.e., determining whether the attended speaker is on the left or right side of the listener. However, a more precise decoding of the exact direction of the attended speaker is necessary for effective speech processing. Additionally, audio spatial information has not been effectively leveraged, resulting in suboptimal decoding results. In this paper, it is found that on the recently presented dataset with 14-class directional focus, models relying exclusively on EEG inputs exhibit significantly lower accuracy when decoding the directional focus in both leave-one-subject-out and leave-one-trial-out scenarios. By integrating audio spatial spectra with EEG features, the decoding accuracy can be effectively improved. The CNN, LSM-CNN, and Deformer models are employed to decode the directional focus from listeners' EEG signals and audio spatial spectra. The proposed Sp-EEG-Deformer model achieves notable 14-class decoding accuracies of 55.35% and 57.19% in leave-one-subject-out and leave-one-trial-out scenarios with a decision window of 1 second, respectively. Experiment results indicate increased decoding accuracy as the number of alternative directions reduces. These findings suggest the efficacy of our proposed dual modal directional focus decoding strategy.

cs.SD↗

arXiv2016

On the Ohno-Nakagawa Theorem

In this paper we give a new proof of the Ohno-Nakagawa Theorem using the techniques of $L$-series. By applying Eisenstein's parametrization of binary cubic forms on the one hand, and a class field theory interpretation of Datskovsky \& Wright's Theorem on the other, we reduce the Ohno-Nakagawa Theorem to an identity involving the $L$-series and the truncated $L$-series of quadratic orders. We prove this identity by establishing a general relation among these two types $L$-series.

math.NT↗

arXiv2003

Universal behavior of localization of residue fluctuations in globular proteins

Localization properties of residue fluctuations in globular proteins are studied theoretically by using the Gaussian network model. Participation ratio for each residue fluctuation mode is calculated. It is found that the relationship between participation ratio and frequency is similar for all globular proteins, indicating a universal behavior in spite of their different size, shape, and architecture.

physics.bio-ph↗