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Xueli Chen

Publications and source records attributed to Xueli Chen.

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Adaptive Memory and Reflection Multi-Agent System for Medical Question Answering

Accurate and responsible medical question answering (QA) is important in healthcare, where complex cases require factual knowledge and nuanced reasoning. Existing medical QA systems, typically based on single-agent architectures and static retrieval, often lack adaptability, persistent memory, and structured decision-making. This work introduces an adaptive memory and reflection (AMR) agentic system, a multi-agent framework in which specialized agents use dedicated memory and reflection-based feedback to retrieve relevant prior cases and improve subsequent reasoning. Complexity assessment routes questions through solo, collaborative, or escalated workflows, while consensus and ethical overseer modules support reasoning consolidation and output review. Evaluation on MedQA and MedMCQA demonstrates strong performance compared with several baselines. Ablation studies show that combining agent-specific memory, reflection, and external retrieval yields the strongest performance. These findings highlight the potential of structured memory and feedback for developing more trustworthy medical agents. The source code is publicly available at https://github.com/mm-air/AMR-Agent.

cs.AI

A pilot study examining transcranial photobiomodulation therapy intervention in college students with insomnia

College students commonly report insufficient sleep and poor sleep quality, with ~30% meeting insomnia criteria, posing significant threats to their physical growth, cognitive development, and overall well-being, as well as imposing a substantial economic burden on society [1]. The hyperarousal model of insomnia [2] emphasizes that hyperarousal across cognitive, emotional, and physiological domains mutually reinforces one another. Neuroimaging studies have further identified prefrontal hypoactivity as a key neural substrate underlying these dysfunctional cognitions and elevated arousal, reflecting a failure of top-down modulatory control over both limbic reactivity [3] and brainstem arousal nuclei [4]. Moreover, transcranial photobiomodulation (tPBM) therapy targeting the prefrontal cortex has demonstrated therapeutic efficacy across neuropsychiatric disorders with insomnia comorbidities [5,6], providing preliminary support for its application in insomnia. However, the neuro mechanisms underlying tPBM's therapeutic effects on insomnia remain to be elucidated.

q-bio.NC

EEG Dynamic Microstate Patterns Induced by Pulsed Wave Transcranial Photobiomodulation Therapy

Transcranial photobiomodulation (tPBM) therapy is an emerging, non-invasive neuromodulation technique that has demonstrated considerable potential in the field of neuropsychiatric disorders. Several studies have found that pulsed wave (PW) tPBM therapy yields superior biomodulatory effects. However, its neural mechanisms are still unknown which poses a significant barrier to the development of an optimized protocol. A randomized, single-blind study including 29 participants was conducted using a crossover design, with sham and continuous wave (CW) groups as controls. The EEG microstate analysis was utilized to explore the relative variations in temporal parameters and brain functional connectivity. To further elucidate the dynamic activity patterns of microstates, a 10-repeat 10-fold cross-validation with nine machine learning algorithms and kernel Shapley additive explanations analysis was employed. Results indicated that the pulsed wave mode enhanced the global efficiency, local efficiency, and betweenness centrality of microstate C in brain functional networks as well as the mean durations parameter achieving a middle to large effect size, with superior effects compared to the sham and continuous wave groups. Furthermore, the support vector machine based on the radial basis function method with kernel Shapley additive explanations analysis demonstrated the best performance with an area under the curve (AUC) reaching 0.956, and found that the 8 of top-10 microstate features related to microstate C contributed most significantly to the PW mode. In conclusion, the EEG microstate analysis found that PW tPBM therapy modulates the microstate C-specific patterns in the human brain, suggesting that microstate dynamics may serve as a state-dependent biomarker for the optimization of tPBM protocol.

q-bio.NC

Dc-EEMF: Pushing depth-of-field limit of photoacoustic microscopy via decision-level constrained learning

Photoacoustic microscopy holds the potential to measure biomarkers' structural and functional status without labels, which significantly aids in comprehending pathophysiological conditions in biomedical research. However, conventional optical-resolution photoacoustic microscopy (OR-PAM) is hindered by a limited depth-of-field (DoF) due to the narrow depth range focused on a Gaussian beam. Consequently, it fails to resolve sufficient details in the depth direction. Herein, we propose a decision-level constrained end-to-end multi-focus image fusion (Dc-EEMF) to push DoF limit of PAM. The DC-EEMF method is a lightweight siamese network that incorporates an artifact-resistant channel-wise spatial frequency as its feature fusion rule. The meticulously crafted U-Net-based perceptual loss function for decision-level focus properties in end-to-end fusion seamlessly integrates the complementary advantages of spatial domain and transform domain methods within Dc-EEMF. This approach can be trained end-to-end without necessitating post-processing procedures. Experimental results and numerical analyses collectively demonstrate our method's robust performance, achieving an impressive fusion result for PAM images without a substantial sacrifice in lateral resolution. The utilization of Dc-EEMF-powered PAM has the potential to serve as a practical tool in preclinical and clinical studies requiring extended DoF for various applications.

eess.IV

Solving Energy-Independent Density for CT Metal Artifact Reduction via Neural Representation

X-ray CT often suffers from shadowing and streaking artifacts in the presence of metallic materials, which severely degrade imaging quality. Physically, the linear attenuation coefficients (LACs) of metals vary significantly with X-ray energy, causing a nonlinear beam hardening effect (BHE) in CT measurements. Reconstructing CT images from metal-corrupted measurements consequently becomes a challenging nonlinear inverse problem. Existing state-of-the-art (SOTA) metal artifact reduction (MAR) algorithms rely on supervised learning with numerous paired CT samples. While promising, these supervised methods often assume that the unknown LACs are energy-independent, ignoring the energy-induced BHE, which results in limited generalization. Moreover, the requirement for large datasets also limits their applications in real-world scenarios. In this work, we propose Density neural representation (Diner), a novel unsupervised MAR method. Our key innovation lies in formulating MAR as an energy-independent density reconstruction problem that strictly adheres to the photon-tissue absorption physical model. This model is inherently nonlinear and complex, making it a rarely considered approach in inverse imaging problems. By introducing the water-equivalent tissues approximation and a new polychromatic model to characterize the nonlinear CT acquisition process, we directly learn the neural representation of the density map from raw measurements without using external training data. This energy-independent density reconstruction framework fundamentally resolves the nonlinear BHE, enabling superior MAR performance across a wide range of scanning scenarios. Extensive experiments on both simulated and real-world datasets demonstrate the superiority of our unsupervised Diner over popular supervised methods in terms of MAR performance and robustness.

cs.CV