Enhanced temporal encoding-decoding for survival analysis of multimodal clinical data in smart healthcare
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| Vydáno v: | Visual Computing for Industry Biomedicine, and Art vol. 8, no. 1 (Dec 2025), p. 28 |
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| Další autoři: | , , , , , , |
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Springer Nature B.V.
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| On-line přístup: | Citation/Abstract Full Text Full Text - PDF |
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| 001 | 3282438013 | ||
| 003 | UK-CbPIL | ||
| 022 | |a 2524-4442 | ||
| 024 | 7 | |a 10.1186/s42492-025-00209-7 |2 doi | |
| 035 | |a 3282438013 | ||
| 045 | 2 | |b d20251201 |b d20251231 | |
| 100 | 1 | |a Zhang, Xiaofeng |u Nankai University, College of Artificial Intelligence, Tianjin 300350, China (GRID:grid.216938.7) (ISNI:0000 0000 9878 7032); Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China (GRID:grid.458489.c) (ISNI:0000 0001 0483 7922) | |
| 245 | 1 | |a Enhanced temporal encoding-decoding for survival analysis of multimodal clinical data in smart healthcare | |
| 260 | |b Springer Nature B.V. |c Dec 2025 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a Effective survival analysis is essential for identifying optimal preventive treatments within smart healthcare systems and leveraging digital health advancements; however, existing prediction models face limitations, primarily relying on ensemble classification techniques with suboptimal performance in both target detection and predictive accuracy. To address these gaps, this paper proposes a multimodal framework that integrates enhanced facial feature detection and temporal predictive modeling. For facial feature extraction, this study developed a lightweight face-region convolutional neural network (FRegNet) specialized in detecting key facial components, such as eyes and lips in clinical patients that incorporates a residual backbone (Rstem) to enhance feature representation and a facial path aggregated feature pyramid network for multi-resolution feature fusion; comparative experiments reveal that FRegNet outperforms state-of-the-art target detection algorithms, achieving average precision (AP) of 0.922, average recall of 0.933, mean average precision (mAP) of 0.987, and precision of 0.98–significantly surpassing other mask region-based convolutional neural networks (RCNN) variants, such as mask RCNN-ResNeXt with AP of 0.789 and mAP of 0.957. Based on the extracted facial features and clinical physiological indicators, this study proposes an enhanced temporal encoding-decoding (ETED) model that integrates an adaptive attention mechanism and a gated weighting mechanism to improve predictive performance, with comparative results demonstrating that the ETED variant incorporating facial features (ETEncoding-Decoding-Face) outperforms traditional models, achieving an accuracy of 0.916, precision of 0.850, recall of 0.895, F1 of 0.884, and area under the curve (AUC) of 0.947–outperforming gradient boosting with an accuracy of 0.922, but AUC of 0.669, and other classifiers in comprehensive metrics. The results confirm that the multimodal dataset (facial features + physiological indicators) significantly enhances the prediction accuracy of the seven-day survival conditions of patients. Correlation analysis reveals that chronic health evaluation and mean arterial pressure are positively correlated with survival, while temperature, Glasgow Coma Scale, and fibrinogen are negatively correlated. | |
| 653 | |a Physiology | ||
| 653 | |a Feature extraction | ||
| 653 | |a Deep learning | ||
| 653 | |a Brain cancer | ||
| 653 | |a Disease | ||
| 653 | |a Cancer therapies | ||
| 653 | |a Artificial neural networks | ||
| 653 | |a Vital signs | ||
| 653 | |a Heart failure | ||
| 653 | |a Survival | ||
| 653 | |a Survival analysis | ||
| 653 | |a Jaundice | ||
| 653 | |a Recall | ||
| 653 | |a Accuracy | ||
| 653 | |a Patients | ||
| 653 | |a Cellular biology | ||
| 653 | |a Artificial intelligence | ||
| 653 | |a Health care | ||
| 653 | |a Prediction models | ||
| 653 | |a Neural networks | ||
| 653 | |a Classification | ||
| 653 | |a Target detection | ||
| 653 | |a Edema | ||
| 653 | |a Fibrinogen | ||
| 653 | |a Encoding-Decoding | ||
| 653 | |a Integrated approach | ||
| 653 | |a Ultrasonic imaging | ||
| 653 | |a Correlation analysis | ||
| 700 | 1 | |a Pan, Zijie |u Emergency Department, the Ninth Medical Center of Chinese PLA General Hospital, Beijing 100101, China (GRID:grid.414252.4) (ISNI:0000 0004 1761 8894) | |
| 700 | 1 | |a Tian, Yuhang |u General Medicine Department, the First Medical Center of the PLA General Hospital, Beijing 100039, China (GRID:grid.414252.4) (ISNI:0000 0004 1761 8894) | |
| 700 | 1 | |a Wang, Lili |u General Medicine Department, the First Medical Center of the PLA General Hospital, Beijing 100039, China (GRID:grid.414252.4) (ISNI:0000 0004 1761 8894) | |
| 700 | 1 | |a Xu, Tingting |u General Medicine Department, the First Medical Center of the PLA General Hospital, Beijing 100039, China (GRID:grid.414252.4) (ISNI:0000 0004 1761 8894) | |
| 700 | 1 | |a Chen, Li |u General Medicine Department, the First Medical Center of the PLA General Hospital, Beijing 100039, China (GRID:grid.414252.4) (ISNI:0000 0004 1761 8894) | |
| 700 | 1 | |a Liao, Xiangyun |u Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China (GRID:grid.458489.c) (ISNI:0000 0001 0483 7922); Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Guangdong Provincial Key Laboratory of Computer Vision and Virtual Reality Technology, Shenzhen 518055, China (GRID:grid.458489.c) (ISNI:0000 0001 0483 7922) | |
| 700 | 1 | |a Jiang, Tianyu |u General Medicine Department, the First Medical Center of the PLA General Hospital, Beijing 100039, China (GRID:grid.414252.4) (ISNI:0000 0004 1761 8894) | |
| 773 | 0 | |t Visual Computing for Industry Biomedicine, and Art |g vol. 8, no. 1 (Dec 2025), p. 28 | |
| 786 | 0 | |d ProQuest |t Publicly Available Content Database | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3282438013/abstract/embedded/L8HZQI7Z43R0LA5T?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text |u https://www.proquest.com/docview/3282438013/fulltext/embedded/L8HZQI7Z43R0LA5T?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3282438013/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch |