The deployment of large language models (LLMs) within the healthcare sector has sparked both enthusiasm and apprehension. These models exhibit the remarkable ability to provide proficient responses to free-text queries, demonstrating a nuanced understanding of professional medical knowledge. This comprehensive survey delves into the functionalities of existing LLMs designed for healthcare applications and elucidates the trajectory of their development, starting with traditional Pretrained Language Models (PLMs) and then moving to the present state of LLMs in the healthcare sector. First, we explore the potential of LLMs to amplify the efficiency and effectiveness of diverse healthcare applications, particularly focusing on clinical language understanding tasks. These tasks encompass a wide spectrum, ranging from named entity recognition and relation extraction to natural language inference, multimodal medical applications, document classification, and question-answering. Additionally, we conduct an extensive comparison of the most recent state-of-the-art LLMs in the healthcare domain, while also assessing the utilization of various open-source LLMs and highlighting their significance in healthcare applications. Furthermore, we present the essential performance metrics employed to evaluate LLMs in the biomedical domain, shedding light on their effectiveness and limitations. Finally, we summarize the prominent challenges and constraints faced by large language models in the healthcare sector by offering a holistic perspective on their potential benefits and shortcomings. This review provides a comprehensive exploration of the current landscape of LLMs in healthcare, addressing their role in transforming medical applications and the areas that warrant further research and development.

This article investigates the stabilization of discrete-time stochastic neural networks with time-varying delay via aperiodically intermittent control (AIC). A comprehensive analysis of the stabilization of discrete-time delayed systems via AIC is provided, where the Lyapunov function method and the Lyapunov-Krasovskii functional method are investigated, respectively. Then, three stabilization criteria are given, which extend previous works from the continuous-time framework to the discrete-time one, and the average activation time ratio (AATR) of AIC is estimated. It is highlighted that for the Lyapunov-Krasovskii functional method, a more flexible estimation for the AATR can be obtained. Finally, the differences and the advantages of the three stabilization criteria are illustrated by numerical simulations.

Composite-database micro-expression recognition is attracting increasing attention as it is more practical for real-world applications. Though the composite database provides more sample diversity for learning good representation models, the important subtle dynamics are prone to disappearing in the domain shift such that the models greatly degrade their performance, especially for deep models. In this article, we analyze the influence of learning complexity, including input complexity and model complexity, and discover that the lower-resolution input data and shallower-architecture model are helpful to ease the degradation of deep models in composite-database task. Based on this, we propose a recurrent convolutional network (RCN) to explore the shallower-architecture and lower-resolution input data, shrinking model and input complexities simultaneously. Furthermore, we develop three parameter-free modules (i.e., wide expansion, shortcut connection and attention unit) to integrate with RCN without increasing any learnable parameters. These three modules can enhance the representation ability in various perspectives while preserving not-very-deep architecture for lower-resolution data. Besides, three modules can further be combined by an automatic strategy (a neural architecture search strategy) and the searched architecture becomes more robust. Extensive experiments on the MEGC2019 dataset (composited of existing SMIC, CASME II and SAMM datasets) have verified the influence of learning complexity and shown that RCNs with three modules and the searched combination outperform the state-of-the-art approaches.

This paper introduces an innovative methodology for producing high-quality 3D lung CT images guided by textual information. While diffusion-based generative models are increasingly used in medical imaging, current state-of-the-art approaches are limited to low-resolution outputs and underutilize radiology reports’ abundant information. The radiology reports can enhance the generation process by providing additional guidance and offering fine-grained control over the synthesis of images. Nevertheless, expanding text-guided generation to high-resolution 3D images poses significant memory and anatomical detail-preserving challenges. Addressing the memory issue, we introduce a hierarchical scheme that uses a modified UNet architecture. We start by synthesizing low-resolution images conditioned on the text, serving as a foundation for subsequent generators for complete volumetric data. To ensure the anatomical plausibility of the generated samples, we provide further guidance by generating vascular, airway, and lobular segmentation masks in conjunction with the CT images. The model demonstrates the capability to use textual input and segmentation tasks to generate synthesized images. Algorithmic comparative assessments and blind evaluations conducted by 10 board-certified radiologists indicate that our approach exhibits superior performance compared to the most advanced models based on GAN and diffusion techniques, especially in accurately retaining crucial anatomical features such as fissure lines and airways. This innovation introduces novel possibilities. This study focuses on two main objectives: (1) the development of a method for creating images based on textual prompts and anatomical components, and (2) the capability to generate new images conditioning on anatomical elements. The advancements in image generation can be applied to enhance numerous downstream tasks.

Benefited from the powerful ability of spatial temporal Graph Convolutional Networks (ST-GCNs), skeleton-based human action recognition has gained promising success. However, the node interaction through message propagation does not always provide complementary information. Instead, it May even produce destructive noise and thus make learned representations indistinguishable. Inevitably, the graph representation would also become over-smoothing especially when multiple GCN layers are stacked. This paper proposes spatial-temporal graph deconvolutional networks (ST-GDNs), a novel and flexible graph deconvolution technique, to alleviate this issue. At its core, this method provides a better message aggregation by removing the embedding redundancy of the input graphs from either node-wise, frame-wise or element-wise at different network layers. Extensive experiments on three current most challenging benchmarks verify that ST-GDN consistently improves the performance and largely reduce the model size on these datasets.