Quantitative Methods · Cross-listed from cs.AI
LifeLong Digital Twin: A Unified Modeling Paradigm and Agent Harness for Event-Driven Lifelong Health State Trajectories
Jin Jiang, Sean Yates, Jasper Chong et al. (+4 more)
Human health is a continuous, dynamic trajectory shaped by the cumulative interplay of biological processes, clinical events, behaviors and environmental exposures across the life course. Unifying the full breadth of lifelong health information, including longitudinal records, genetic variation, molecular profiles and environmental histories, is essential for whole-person modeling and remains a major challenge. We introduce LifeLong Digital Twin, a unified, event-driven modeling paradigm that organizes Life Events into daily Health States and accumulates them into Lifelong Health Context. An accompanying
Agent Harness incorporates
multimodal evidence beyond the
language model's textual context. We evaluate four
language models across 25 disease endpoints on three tasks: Disease Trajectory Forecasting, Disease Risk Ranking and Multi-horizon Disease Prediction. The approach yields marked gains over the reference condition: model-averaged F1 increases by 22.0% for disease identification in trajectory forecasting and 18.3% for five-year disease outcomes; thyroid-disease F1 reaches 0.669. The framework provides a foundation for whole-person digital twins and research on personalized lifelong disease prevention.
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All authors Jin Jiang, Sean Yates, Jasper Chong, Raymond Brooks, Alex Lawson, Yuqin Qin, Liangcai Gao
Quantitative Methods
A multimodal computer-vision based pipeline for eye-hand coordination quantification during the Nine-Hole Peg Test
Rajvardhan Gadde*, Mahya Beheshti*, Anjali Rajkumar et al. (+3 more)
The Nine-Hole Peg Test (9-HPT) is a widely used clinical measure of manual dexterity in multiple sclerosis (MS), but its primary outcome, task completion time, provides limited information about the visuomotor mechanisms contributing to impaired performance. Instrumented approaches can provide richer kinematic information but often require modifications to the task or physical instrumentation that may alter natural hand-object interaction. We developed a
multimodal computer-
vision pipeline that enables synchronized analysis of gaze, hand kinematics, and object state during an unmodified 9-HPT. Gaze was recorded using Pupil Labs Invisible glasses, three-dimensional hand landmarks were reconstructed using WiLoR, and a custom YOLO26x-seg model detected and tracked the pegboard, holes, pegs, and collection bin. Eye-tracking, hand, and object data were temporally synchronized at the
video-frame level and spatially registered to a common pegboard-centered coordinate system using frame-specific projective transformations. The pipeline further integrated hole-state transitions, hand-zone classification, and fingertip kinematics to identify PICK and PLACE events and segment hand transport and stationary phases, while fixation and saccade labels were derived from the eye-tracking system. Automated detections were visually reviewed and corrected when necessary. The resulting framework provides synchronized, event-resolved measures of gaze behavior, hand movement, object interaction, and eye-hand coordination while preserving standardized 9-HPT administration. This approach extends the 9-HPT beyond completion time and provides a reproducible platform for investigating the visuomotor mechanisms underlying dexterity impairment in MS and other neurological disorders.
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All authors Rajvardhan Gadde*, Mahya Beheshti*, Anjali Rajkumar, Silvana L. Costa, John-Ross Rizzo, Todd E. Hudson
Quantitative Methods
Approximating Parameter Regions for Multistationarity and Multistability in Mass-Action Systems
Dylan Antonio S.J. Talabis, Victoria May P. Mendoza and Bryan S. Hernandez
Identifying kinetic parameters and conserved quantities that support multistationarity and multistability remains challenging in chemical reaction network analysis. Structural theory provides existence and exclusion results, but does not always yield explicit, interpretable descriptions of the corresponding parameter regimes. We present a computational and machine-learning framework for discovering and characterizing parameter regimes with numerical evidence of multistationarity and multistability in mass-action systems. We refer to these numerically detected behaviors as approximate multistationarity and approximate multistability. The framework combines Latin hypercube sampling, adaptive sampling, and interpretable surrogate modeling. Logistic-regression and neural-network surrogates are trained separately on accumulated detection labels and independently guide later sampling toward regions with high scores for approximate multistationarity or multistability. Boundary refinement targets transitions between detected and undetected numerical classes. Buckingham–Pi groups are then used with CN2 rule induction to obtain interpretable empirical descriptions of detected regimes. Illustrative networks yield rules consistent with known multistationarity conditions, while the Schlögl model demonstrates adaptive enrichment of multistationarity detections. In the hybrid histidine kinase model and the sequential dual phosphorylation cycle, adaptive sampling substantially increased the number of parameter - total pairs with detected multistability relative to global sampling under equal sampling budgets. The framework complements analytical chemical reaction network theory by providing efficient, parameter-resolved discovery and characterization of multistationary and multistable regimes.
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Quantitative Methods
Integrated omics reveals actionable drivers of bioactive variation in US milk
Cheng-En Tan, Mariana Barboza, Pagkratios Tagkopoulos et al. (+25 more)
Despite milk being a global dietary staple, the molecular basis of its health-relevant bioactivity and the factors governing fine-scale compositional variation remain poorly understood. Here, we present an integrated seven-layer omics characterization of 60 US retail milk samples from ten geographic regions, combining genomics, transcriptomics, peptidomics, proteomics, lipidomics, metabolomics, and glycomics on the same samples. We also organized the identified and quantified compounds into the Dairy Molecule Database (DMD), a web-accessible resource for linking milk compound concentrations with SNPs, miRNAs, and product-level factors to support future milk quality optimization. In total, we identified 6,714 compounds and quantified 5,288 with absolute concentrations, including 5,220 compounds not previously available with absolute concentration estimates in existing milk compound databases. These profiles enabled bioactivity efficacy estimation and association analyses of factors linked to milk compound variation. We tested 54 computationally predicted antimicrobial candidate peptides; 35 showed activity and 6 had IC50 values below 256 {\mu}g/mL against A. baumannii, an ESKAPE pathogen. We further identified associations between downstream bioactive compound concentrations or estimated bioactivity efficacy and product-level factors, including purchase region, purchase ambient temperature, and packaging opacity, as well as SNPs, estimated Jersey breed proportion, and miRNA abundance. Overall, bioactivity efficacy profiles were associated with purchase region, selected SNPs, Jersey breed proportion, and selected miRNAs. These findings suggest that selective breeding and supply-chain optimization could help improve the bioactive quality of commercial milk.
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All authors Cheng-En Tan, Mariana Barboza, Pagkratios Tagkopoulos, Shanghyeon Kim, Lukas Maximilian Masopust, Ivor Prado, Muhammad Adil Salim, Fangzhou Li, George Berdovskiy, Ilias Apostolakos, Brandon Invergo, Karen M. Kalanetra, Danielle G. Lemay, David A. Mills, Armin Oloumi, Cheng-Yu Weng, Carlito B. Lebrilla, Xuan He, Carolyn Slupsky, Oliver Fiehn, Ibuki Kusumoto, Ameer Y. Taha, Yu Wang, Daniela Barile, Alexis Davis, David E. Olson, Justin B. Siegel, Ilias Tagkopoulos
Quantitative Methods · Cross-listed from stat.AP
Reproducibility and Leakage-Controlled Evaluation of Machine-Learning Models for Chronic Kidney Disease Classification
Lening Yang and Yichuan Zhao
Near-perfect classification of small clinical
datasets can hinge on preprocessing, data leakage, missing-data handling, and the evaluation sample. We reproduced a published chronic kidney disease (CKD) classification study on the UCI CKD
dataset (400 records, 24 predictors) under explicit leakage controls. A stratified 70:30 development-holdout partition was fixed before any learned preprocessing; imputation, encoding, scaling, supervised feature selection, and PCA were fitted only within training folds. Nine classifiers, three feature representations, and three missing-data strategies were compared by 5x3 repeated stratified cross-validation and ranked on training cross-validation only (ties reported); a frozen set of finalists was evaluated once on the holdout (discrimination, calibration, Brier score), treated as a locked historical internal sample. Ablation, grouped SHAP values, three further seeds, and post hoc sensitivity analyses examined robustness. The top-ranked selected-feature pipeline (KNN imputation, Extra Trees) reached a repeated cross-validation accuracy of 0.9869 and a holdout accuracy of 0.9833 (exact 95% interval 0.9411-0.9980). PCA (27 components, 95.96% of variance) gave only a marginal, seed-dependent advantage over interpretable original-feature representations, and several pipelines were statistically indistinguishable. Nested resampling of the selection procedure gave an outer accuracy of 0.9845, 0.0095 below the top-ranked pipeline on the same folds; missingness indicators alone yielded a ROC area of 0.85-0.88, and removing renal, urinary, and hematologic fields cut accuracy to 0.89. High internal performance persisted after leakage controls but appears driven largely by clinically proximal laboratory and urinalysis variables and CKD-associated missingness; it is not clinical validation, and external, prospective evaluation remains necessary.
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