Evaluating Unmanned Aerial Vehicle(UAV)systems within a System-of-Systems(SoS)environment helps clarify their contribution to the overall combat capability and supports effectiveness-oriented system optimization.When ...Evaluating Unmanned Aerial Vehicle(UAV)systems within a System-of-Systems(SoS)environment helps clarify their contribution to the overall combat capability and supports effectiveness-oriented system optimization.When assessing decision systems in such an environment,cross-level modeling and simulation are required,which often face a trade-off between low modeling cost and high simulation accuracy,while the credibility of results remains challenging to ensure.To address these issues,this study proposes a hybrid-granularity Hardware-In-the-Loop(HIL)SoS environment construction method based on Graphical Evaluation and Review Technique(GERT).The method employs GERT to analyze the relationships between simulation systems,the System Under Test(SUT),and mission outcomes,thereby determining the required model precision for different systems.A dynamic resource allocation algorithm is applied to adjust model granularity on demand,ensuring high-fidelity simulation under constrained total cost.Additionally,GERT estimates the computational frequency and communication bandwidth requirements of the SUT,guiding hardware selection to enhance simulation credibility.A UAV maritime combat case study was conducted for validation.The results demonstrate that,compared to the flat modeling approach,the hybrid-granularity scenario based on GERT analysis achieves higher simulation accuracy with lower overall model complexity.The coefficient of variation in evaluation results significantly decreases in HIL simulations compared to virtual simulations,confirming improved credibility.Under the hybrid-granularity HIL scenario,the decision system was evaluated from an effectiveness perspective,identifying the most sensitive performance parameter.Subsequent targeted optimization led to an 11.90%improvement in effectiveness,validating the method's practical utility.展开更多
Earthquakes are highly destructive spatio-temporal phenomena whose analysis is essential for disaster preparedness and risk mitigation.Modern seismological research produces vast volumes of heterogeneous data from sei...Earthquakes are highly destructive spatio-temporal phenomena whose analysis is essential for disaster preparedness and risk mitigation.Modern seismological research produces vast volumes of heterogeneous data from seismic networks,satellite observations,and geospatial repositories,creating the need for scalable infrastructures capable of integrating and analyzing such data to support intelligent decision-making.Data warehousing technologies provide a robust foundation for this purpose;however,existing earthquake-oriented data warehouses remain limited,often relying on simplified schemas,domain-specific analytics,or cataloguing efforts.This paper presents the design and implementation of a spatio-temporal data warehouse for seismic activity.The framework integrates spatial and temporal dimensions in a unified schema and introduces a novel array-based approach for managing many-to-many relationships between facts and dimensions without intermediate bridge tables.A comparative evaluation against a conventional bridge-table schema demonstrates that the array-based design improves fact-centric query performance,while the bridge-table schema remains advantageous for dimension-centric queries.To reconcile these trade-offs,a hybrid schema is proposed that retains both representations,ensuring balanced efficiency across heterogeneous workloads.The proposed framework demonstrates how spatio-temporal data warehousing can address schema complexity,improve query performance,and support multidimensional visualization.In doing so,it provides a foundation for integrating seismic analysis into broader big data-driven intelligent decision systems for disaster resilience,risk mitigation,and emergency management.展开更多
The global shift towards sustainable energy has intensified research into renewable sources,particularly wave energy.Pakistan,with its long coastline,holds significant potential for wave energy development.However,ide...The global shift towards sustainable energy has intensified research into renewable sources,particularly wave energy.Pakistan,with its long coastline,holds significant potential for wave energy development.However,identifying optimal locations for wave energy plants involves evaluating complex,multi-faceted criteria.This study employs a multi-criteria group decisionmaking(MCGDM)approach using single-valued neutrosophic numbers(SVNNs)to address both qualitative and quantitative uncertainties inherent in real-world scenarios.To enhance decision quality,we introduce two novel operators:the singlevalued neutrosophic prioritised averaging(SVNPAd)operator and the single-valued neutrosophic prioritised geometric(SVNPGd)operator,both incorporating priority degrees.These tools allow decision-makers to express preferences better and handle ambiguous data.The proposed model is validated through comparative analysis with prior studies and demonstrates improved robustness in site selection.Furthermore,we analyse how variations in priority degrees influence decision outcomes,enabling a more dynamic and tailored decision-making process.Our method contributes a more holistic and adaptive framework for selecting locations for wave energy projects,ultimately supporting informed investments in renewable energy infrastructure and improving energy access in underserved coastal regions.展开更多
Embodied intelligent systems integrate perception,control,and decision-making within physical agents,and have become a cornerstone of modern aerospace,autonomous driving,and cooperative robotic applications.When opera...Embodied intelligent systems integrate perception,control,and decision-making within physical agents,and have become a cornerstone of modern aerospace,autonomous driving,and cooperative robotic applications.When operating in uncertain and dynamic environments,such systems must address challenges arising from incomplete sensing,unpredictable maneuvers,communication constraints,disturbances,and evolving network structures.展开更多
Eco-driving behaviors have been recommended around the world because the transport is a key factor of energy use and pollution emissions.Therefore,based on the driving decision model,this paper introduces three aspect...Eco-driving behaviors have been recommended around the world because the transport is a key factor of energy use and pollution emissions.Therefore,based on the driving decision model,this paper introduces three aspects of the driving decisions(strategic decision,tactical decision and operation decision)to analyze the economy of vehicle energy.The analytic hierarchy process(AHP)is used to assign the weight of the internal evaluation indexes,so as to form a complete assessment for drivers'eco-driving behaviors.The research result can not only quantitatively describe the energy-saving effect of drivers'decisions,but also put forward targeted driving suggestions to optimize drivers'eco-driving behaviors.This assessment model helps to clarify the potential of eco-driving on energy economy of transportation in a hierarchical way,and provides a valuable theoretical basis for the further promotion and application of eco-driving education.展开更多
Intervention strategies to control non-point source nitrogen(N)and phosphorus(P)pollution in agriculture are expensive and there is a trade-off between engineering cost and treatment effectiveness.Implementing strateg...Intervention strategies to control non-point source nitrogen(N)and phosphorus(P)pollution in agriculture are expensive and there is a trade-off between engineering cost and treatment effectiveness.Implementing strategies often result in unsatisfactory outcomes and massive engineering costs when managing diffusive pollution in agricultural catchments.To address this issue,this paper proposes a robust,handy,catchment N&P decision support system(CNPDSS),an Android-based smartphone system integrated with a web-based geographic information system(GIS).The CNPDSS aims to provide artificial intelligence-driven decisions that minimize N&P loadings and engineering costs for mitigating pollution in agricultural catchments.It consists of four components:a general user interface(GUI),GIS,N&P pollution modeling(NPPM),and a DSS.The CNPDSS simplifies the GUI and integrates GIS modules to create a user-friendly interface,enabling non-professional users to operate the system easily through intuitive actions.The NPPM uses straightforward empirical models to predict N&P loadings,enhancing efficiency by avoiding excessive parameters.Taking into account the N&P movement pathway in the catchment,the DSS incorporates three control measures:source reduction in farmland(before migration stage),process retention by ecological ditch(midway transport stage),and down-end purification by constructed wetland(waterbody discharge stage),to formulate a comprehensive ternary controlling strategy.To optimize the cost-effectiveness of any proposed N&P control strategies for sub-catchments,a differential evolution algorithm(DEA)is employed in CNPDSS to carry out a dual-objective decision-making optimization computation.In this study,the CNPDSS is applied to a case study in an agricultural catchment in Central China to develop the most cost-effective ternary N&P control strategies that ensure the catchment water quality within Criterion Ⅲ of the Chinese Surface Water Quality Standard GB3838-2002 is met(total N concentration≤1.0 mg L^(-1)and total P concentration≤0.2 mg L^(-1)).Our results demonstrate that the CNPDSS is feasible and also possesses an adaptive design and flexible architecture to enable its generalization and extension to support strong hands-on applications in other catchments.展开更多
Objective To develop a clinical decision and prescription generation system(CDPGS)specifically for diarrhea in traditional Chinese medicine(TCM),utilizing a specialized large language model(LLM),Qwen-TCM-Dia,to standa...Objective To develop a clinical decision and prescription generation system(CDPGS)specifically for diarrhea in traditional Chinese medicine(TCM),utilizing a specialized large language model(LLM),Qwen-TCM-Dia,to standardize diagnostic processes and prescription generation.Methods Two primary datasets were constructed:an evaluation benchmark and a fine-tuning dataset consisting of fundamental diarrhea knowledge,medical records,and chain-ofthought(CoT)reasoning datasets.After an initial evaluation of 16 open-source LLMs across inference time,accuracy,and output quality,Qwen2.5 was selected as the base model due to its superior overall performance.We then employed a two-stage low-rank adaptation(LoRA)fine-tuning strategy,integrating continued pre-training on domain-specific knowledge with instruction fine-tuning using CoT-enriched medical records.This approach was designed to embed the clinical logic(symptoms→pathogenesis→therapeutic principles→prescriptions)into the model’s reasoning capabilities.The resulting fine-tuned model,specialized for TCM diarrhea,was designated as Qwen-TCM-Dia.Model performance was evaluated for disease diagnosis and syndrome type differentiation using accuracy,precision,recall,and F1-score.Furthermore,the quality of the generated prescriptions was compared with that of established open-source TCM LLMs.Results Qwen-TCM-Dia achieved peak performance compared to both the base Qwen2.5 model and five other open-source TCM LLMs.It achieved 97.05%accuracy and 91.48%F1-score in disease diagnosis,and 74.54%accuracy and 74.21%F1-score in syndrome type differentiation.Compared with existing open-source TCM LLMs(BianCang,HuangDi,LingDan,TCMLLM-PR,and ZhongJing),Qwen-TCM-Dia exhibited higher fidelity in reconstructing the“symptoms→pathogenesis→therapeutic principles→prescriptions”logic chain.It provided complete prescriptions,whereas other models often omitted dosages or generated mismatched prescriptions.Conclusion By integrating continued pre-training,CoT reasoning,and a two-stage fine-tuning strategy,this study establishes a CDPGS for diarrhea in TCM.The results demonstrate the synergistic effect of strengthening domain representation through pre-training and activating logical reasoning via CoT.This research not only provides critical technical support for the standardized diagnosis and treatment of diarrhea but also offers a scalable paradigm for the digital inheritance of expert TCM experience and the intelligent transformation of TCM.展开更多
During 13 to 16 January 2026,with 148 participating nations,rising global relevance and a marked increase in visitor quality,Heimtextil 2026 stood for stability and reliability in a volatile market environment.Once ag...During 13 to 16 January 2026,with 148 participating nations,rising global relevance and a marked increase in visitor quality,Heimtextil 2026 stood for stability and reliability in a volatile market environment.Once again,3,000 exhibitors from across the globe placed their trust in the industry’s central platform in Frankfurt,presenting current collections,materials and textile solutions for holistic interior design to approximately 47,000 buyers.Under the motto“Lead the Change”,Heimtextil brought evolving market dynamics,Artificial Intelligence(AI)and new business opportunities to life.The focus was on progressive design approaches,visionary talents,functional textiles and new hospitality concepts shaping the future of interior design.A tangible sense of confidence and a clear commitment to Heimtextil as a strong industry partner resonated throughout the exhibition halls.展开更多
Transforming urban spatial structures to promote green and low-carbon development is an effective strategy.Although prior studies have examined the impact of urban polycentricity on carbon emissions and economic devel...Transforming urban spatial structures to promote green and low-carbon development is an effective strategy.Although prior studies have examined the impact of urban polycentricity on carbon emissions and economic development,research on its role in the synergistic relationship between these factors regarding carbon emission efficiency is limited.Furthermore,existing literature often overlooks nonlinear effects and interactions with other urban variables.This paper analyzed data from 295 Chinese cities in 2020,calculating urban population polycentricity,population dispersion indices,and carbon emission efficiency.Utilizing local spatial autocorrelation tools,we reveal interactions among urban population polycentricity,dispersion,carbon emissions,and carbon emission efficiency.We then employ a gradient boosting decision tree model(GBDT)to explore nonlinear and synergistic effects of polycentric urbanization.Key findings include:1)polycentric urbanization in Chinese cities exhibits significant spatial differentiation characteristics.The Polycentricity index is relatively high in economically developed eastern coastal regions with an overall low level,carbon emissions are concentrated in industrialized north-central cities and some Yangtze River Delta hubs,and carbon emission efficiency is the highest in the Yangtze River Delta while relatively low in Northeast China;there are significant spatially heterogeneous interaction characteristics among population polycentricity,population dispersion,carbon emissions,and carbon emission efficiency.2)Urban population polycentricity contributes 9.42%to total carbon emissions and 6.24%to carbon emission efficiency.3)The polycentricity index has a nonlinear impact on carbon emissions and carbon emission efficiency:no significant effect when below 0.50 or above 0.55,increased carbon emissions in 0.50-0.53,and reduced carbon emissions with improved efficiency in 0.53-0.55.4)The polycentricity index has an interaction effect with other variables;specifically,when the polycentricity index is between 0.53 and 0.55,its interaction with urban gross domestic product(GDP),urban population,urban built-up area,green coverage rate in built-up areas,urban technological expenditure,and the proportion of the output value of the secondary industry will reduce carbon emissions and improve carbon emission efficiency.These findings enhance the understanding of urban spatial structures and carbon emissions,providing valuable insights for policymakers in developing green and low-carbon strategies.展开更多
Further investigation is warranted into the collaborative function of carbon capture and electrolysis-to-gas conversion technologies within integrated electro-gas energy systems,as well as optimized scheduling that ad...Further investigation is warranted into the collaborative function of carbon capture and electrolysis-to-gas conversion technologies within integrated electro-gas energy systems,as well as optimized scheduling that addresses the variability of wind and solar energy,to promote multi-energy complementarity and energy decarbonization while enhancing the capacity to absorb new energy.This work presents an optimized scheduling model for electro-gas integrated energy systems that include hydrogen storage,utilizing information gap decision theory(IGDT).A model is constructed that integrates the synergistic functions of carbon capture and storage(CCS),power-to-gas(P2G),and gas turbine units through electrical coupling.A carbon ladder trading mechanism is implemented to mitigate carbon emissions inside the system.A day-ahead optimization scheduling model is subsequently built to maximize system operational profit and ensure hydrogen storage safety,while considering economic viability,low-carbon performance,and safety.Secondly,the trinitrotoluene(TNT)equivalent approach and the half-lethal range were employed to quantify the safety concerns associated with hydrogen storage tanks,offering the model optimization guidance and conservative management.Ultimately,the CCS-P2G integrated operation accounted for the unpredictability in wind and solar energy production through the application of information gap decision theory.The model was solved using the GUROBI solver.The findings indicate that the proposed approach diminishes system carbon emissions by 66%,attains complete integration of wind and solar energy,and eliminates hazardous working time for hydrogen storage tanks,reducing it from 10 h to zero.It ensures system safety while guaranteeing profits of at least 90%of the anticipated value,accounting for changes in wind and solar output within±14%.This confirms the model’s efficacy in improving renewable energy integration rates,facilitating low-carbon,cost-effective,and secure system operation,while mitigating the unpredictability of renewable energy production.展开更多
Electrical parking lots(EPLs)play a vital role in the current energy system to achieve the decarbonization goal.This paper proposes a novel structure for integrating EPLs into a multi-carrier energy system(MCES)using ...Electrical parking lots(EPLs)play a vital role in the current energy system to achieve the decarbonization goal.This paper proposes a novel structure for integrating EPLs into a multi-carrier energy system(MCES)using a Stackelberg game theory approach.The bi-level optimization is used to model the Stackelberg game.Within this bi-level optimization model,the MCES operator minimizes the MCES cost by participating in the upstream energy market at the upper level,and the EPL operators maximize their profits by participating in the local energy market between the MCES operator and themselves at the lower level.At the upper level,the MCES operator faces uncertainties in the wind and PV systems.The bi-level multi-objective information gap decision theory(MO-IGDT)is employed to address uncertainties at the upper level of the Stackelberg game problem,resulting in a nested bi-level optimization model.The nested bi-level optimization problem is converted into a mixed-integer linear programming(MILP)optimization problem using Karush–Kuhn–Tucker(KKT)conditions.The main research assumptions pertain to EPLs’privacy and the KKT-based approach.The results demonstrate that increasing the incentive/penalty price for self-sufficiency programs from 0.0$/%to 0.2$/%,with a 50%self-sufficiency target,can reduce MCES operation costs by 10.19%.展开更多
As Artificial Intelligence(AI)is moving fast from Large Language Models(LLMs)to AI Agents and Agentic Intelligence,the need to incorporate new AI into Decision Intelligence(DI)is becoming more and more urgent for both...As Artificial Intelligence(AI)is moving fast from Large Language Models(LLMs)to AI Agents and Agentic Intelligence,the need to incorporate new AI into Decision Intelligence(DI)is becoming more and more urgent for both practical and theoretic reasons:both decision and process complexities would be significantly increased due to the use of advanced AI tools and agents,and both traditional and recent thinking must be rethought and reconstructed accordingly.Our perspective would like to address this important issue based on some historical milestone developments in Computer-Aided Software Engineering(CASE)and recent efforts in digital theatrical technology[1].展开更多
Across four studies,we explore the impact of solitude on consumers’reliance on feelings versus reasons in decision making,along with the underlying mechanism and boundary conditions.The results indicate that solitude...Across four studies,we explore the impact of solitude on consumers’reliance on feelings versus reasons in decision making,along with the underlying mechanism and boundary conditions.The results indicate that solitude individuals(vs.non-solitude)would prefer feeling-based strategy in decision-making,resulting in a higher intention of choosing the affectively superior option over the cognitively superior option(Study 1).Self-focus plays the underlying mechanism in the solitude effect(Study 2).Moreover,we also examine two boundary conditions:motivation(Study 3)and temporal orientation(Study 4),which indicates that involuntary motivation and future orientation can mitigate the solitude effect on affective processing.These findings provide insights into consumers’judgments of product attributes and selection of decision-making strategies according to their situations.展开更多
Traditional Chinese medicine(TCM)represents a paradigmatic approach to personalized medicine,developed through the systematic accumulation and refinement of clinical empirical data over more than 2000 years,and now en...Traditional Chinese medicine(TCM)represents a paradigmatic approach to personalized medicine,developed through the systematic accumulation and refinement of clinical empirical data over more than 2000 years,and now encompasses large-scale electronic medical records(EMR)and experimental molecular data.Artificial intelligence(AI)has demonstrated its utility in medicine through the development of various expert systems(e.g.,MYCIN)since the 1970s.With the emergence of deep learning and large language models(LLMs),AI’s potential in medicine shows considerable promise.Consequently,the integration of AI and TCM from both clinical and scientific perspectives presents a fundamental and promising research direction.This survey provides an insightful overview of TCM AI research,summarizing related research tasks from three perspectives:systems-level biological mechanism elucidation,real-world clinical evidence inference,and personalized clinical decision support.The review highlights representative AI methodologies alongside their applications in both TCM scientific inquiry and clinical practice.To critically assess the current state of the field,this work identifies major challenges and opportunities that constrain the development of robust research capabilities—particularly in the mechanistic understanding of TCM syndromes and herbal formulations,novel drug discovery,and the delivery of high-quality,patient-centered clinical care.The findings underscore that future advancements in AI-driven TCM research will rely on the development of high-quality,large-scale data repositories;the construction of comprehensive and domain-specific knowledge graphs(KGs);deeper insights into the biological mechanisms underpinning clinical efficacy;rigorous causal inference frameworks;and intelligent,personalized decision support systems.展开更多
Decision Support Tool(DST)enables farmers to make site-specific crop management decisions;however,comprehensive calibration can be both costly and time-consuming.This study assessed the production and economic benefit...Decision Support Tool(DST)enables farmers to make site-specific crop management decisions;however,comprehensive calibration can be both costly and time-consuming.This study assessed the production and economic benefits of two calibrations of the Nutrient Expert(NE)tool for rice in Sri Lanka’s Alfisols:the basic calibration(Nutrient Expert Sri Lanka 1,NESL1)and the comprehensive calibration(Nutrient Expert Sri Lanka 2,NESL2).NESL1 was developed by adapting the South Indian version of NE to local conditions,while NESL2 was an updated version,using three years of data from 71 farmer fields.展开更多
People have been engaged in sports activities both individually and collectively for years.Sports consumption,which refers to the process that covers many issues related to sports in the form of playing,watching,liste...People have been engaged in sports activities both individually and collectively for years.Sports consumption,which refers to the process that covers many issues related to sports in the form of playing,watching,listening or reading,is a form of human behavior.The satisfaction of the four marketing components of product,price,distribution and promotion by using the leisure time of the sports consumer effectively and ensuring its continuity in the future process can be ensured by effective utilization of facilities and quality recreation activities.Consumer behaviors,which have a very complex structure,are seen in the form of choosing,buying,using and obtaining.With this study,it is aimed to determine the mediating role of consumer decision-making styles in determining the effect of marketing components in the consumption of sports activities on the satisfaction of sports consumers.In this direction,data were collected in the province of Istanbul,which was determined as the sample.Data were obtained with a questionnaire form created on Google Form.These data were analyzed in line with the model and hypotheses created with these data and it was determined that the marketing components of sports consumption have an impact on the sports consumer and it was concluded that consumer decision-making styles have a positive mediating effect in this regard.展开更多
The satellite orbital pursuit game focuses on studying spacecraft maneuvering strategies in space.Traditional numerical methods often face real-time inadequacies and adaptability limitations when dealing with highly n...The satellite orbital pursuit game focuses on studying spacecraft maneuvering strategies in space.Traditional numerical methods often face real-time inadequacies and adaptability limitations when dealing with highly nonlinear problems.With the advancement of Deep Reinforcement Learning(DRL)technology,continuous-time orbital control capabilities have significantly improved.Despite this,the existing DRL technologies still need adjustments in action delay and discretization structure to better adapt to practical application scenarios.Combining continuous learning and model planning demonstrates the adaptability of these methods in continuous-time decision problems.Additionally,to more effectively handle action delay issues,a new scheduled action execution technique has been developed.This technique optimizes action execution timing through real-time policy adjustments,thus adapting to the dynamic changes in the orbital environment.A Hierarchical Reinforcement Learning(HRL)strategy was also adopted to simplify the decision-making process for long-distance pursuit tasks by setting phased subgoals to gradually approach the target.The effectiveness of the proposed strategy in practical satellite pursuit scenarios has been verified through simulations of two different tasks.展开更多
Objective:To explore factors influencing decision regret among colorectal cancer patients undergoing intestinal ostomy.Methods:A questionnaire survey was conducted among 102 colorectal cancer patients who underwent in...Objective:To explore factors influencing decision regret among colorectal cancer patients undergoing intestinal ostomy.Methods:A questionnaire survey was conducted among 102 colorectal cancer patients who underwent intestinal ostomy surgery and visited the ostomy clinic at a tertiary hospital in Baoding from July to September 2025.The Chinese version of the Ostomy Adaptation Inventory(OAI-20),Decision Regret Scale(DRS),Decision Conflict Scale(DCS),and Functional Assessment of Cancer Therapy-Colorectal(FACT-C)were used to measure patients’adaptation to stoma,decision regret,decision conflict,and quality of life.The Shared Decision-Making Questionnaire(SDM-Q-9)assessed patient involvement in ostomy surgery decisions,while the SSUK-8 evaluated social support.Additional items explored perceptions related to decision-making,participation,and outcomes.Results:Among 134 eligible patients attending the clinic,120 participated in the questionnaire,with 102 completing all items.Stoma patients reported an average decision regret score of 60.83(SD 28.43),an average coping ability score of 54.26(SD 26.69),an average decision conflict score of 62.55(SD 25.95),and a quality of life score of 56.93(SD 27.46).In the multiple regression analysis,decision regret was associated with decision conflict,poor patient coping ability,low quality of life,and low social support.Conclusion:Decision regret is prevalent among Chinese CRC patients following ostomy surgery.Compared with similar studies in other regions,Chinese CRC patients exhibit a higher rate of regret.This may be related to lower patient involvement in decision-making,generally poorer quality of life,and heavier economic burdens.展开更多
BACKGROUND Cancer care faces challenges due to tumor heterogeneity and rapidly evolving therapies,necessitating artificial intelligence(AI)-driven clinical decision support.While general-purpose models like ChatGPT of...BACKGROUND Cancer care faces challenges due to tumor heterogeneity and rapidly evolving therapies,necessitating artificial intelligence(AI)-driven clinical decision support.While general-purpose models like ChatGPT offer adaptability,domain-specific systems(e.g.,DeepSeek)may better align with clinical guidelines.However,their comparative efficacy in oncology remains underexplored.This study hypothesizes that domain-specific AI will outperform general-purpose models in technical accuracy,while the latter will excel in patient-centered communication.AIMS To compare ChatGPT and DeepSeek in oncology decision support for diagnosis,treatment,and patient communication.METHODS A retrospective analysis was conducted using 1200 anonymized oncology cases(2018–2023)from The Cancer Genome Atlas and institutional databases,covering six cancer types.Each case included histopathology,imaging,genomic profiles,and treatment histories.Both models generated diagnostic interpretations,staging assessments,and therapy recommendations.Performance was evaluated against NCCN/ESMO guidelines and expert oncologist panels using F1-scores,Cohen'sκ,Likert-scale ratings,and readability metrics.Statistical significance was assessed via analysis of variance and post-hoc Tukey tests.RESULTS DeepSeek demonstrated superior performance in diagnostic accuracy(F1-score:89.2%vs ChatGPT's 76.5%,P<0.001)and treatment alignment with guidelines(κ=0.82 vs 0.67,P=0.003).ChatGPT exhibited strengths in patient communi-cation,generating layman-friendly explanations(readability score:8.2/10 vs DeepSeek's 6.5/10,P=0.012).Both models showed limitations in rare cancer subtypes(e.g.,cholangiocarcinoma),with accuracy dropping below 60%.Clinicians rated DeepSeek's outputs as more actionable(4.3/5 vs 3.7/5,P=0.021)but highlighted ChatGPT's utility in palliative care discussions.CONCLUSION Domain-specific AI(DeepSeek)excels in technical precision,while general-purpose models(ChatGPT)enhance patient engagement.A hybrid system integrating both approaches may optimize oncology workflows,contingent on expanded training for rare cancers and real-time guideline updates.展开更多
基金funded by Henan Key Laboratory of General Aviation Technology,grant number ZHKF-240202。
文摘Evaluating Unmanned Aerial Vehicle(UAV)systems within a System-of-Systems(SoS)environment helps clarify their contribution to the overall combat capability and supports effectiveness-oriented system optimization.When assessing decision systems in such an environment,cross-level modeling and simulation are required,which often face a trade-off between low modeling cost and high simulation accuracy,while the credibility of results remains challenging to ensure.To address these issues,this study proposes a hybrid-granularity Hardware-In-the-Loop(HIL)SoS environment construction method based on Graphical Evaluation and Review Technique(GERT).The method employs GERT to analyze the relationships between simulation systems,the System Under Test(SUT),and mission outcomes,thereby determining the required model precision for different systems.A dynamic resource allocation algorithm is applied to adjust model granularity on demand,ensuring high-fidelity simulation under constrained total cost.Additionally,GERT estimates the computational frequency and communication bandwidth requirements of the SUT,guiding hardware selection to enhance simulation credibility.A UAV maritime combat case study was conducted for validation.The results demonstrate that,compared to the flat modeling approach,the hybrid-granularity scenario based on GERT analysis achieves higher simulation accuracy with lower overall model complexity.The coefficient of variation in evaluation results significantly decreases in HIL simulations compared to virtual simulations,confirming improved credibility.Under the hybrid-granularity HIL scenario,the decision system was evaluated from an effectiveness perspective,identifying the most sensitive performance parameter.Subsequent targeted optimization led to an 11.90%improvement in effectiveness,validating the method's practical utility.
文摘Earthquakes are highly destructive spatio-temporal phenomena whose analysis is essential for disaster preparedness and risk mitigation.Modern seismological research produces vast volumes of heterogeneous data from seismic networks,satellite observations,and geospatial repositories,creating the need for scalable infrastructures capable of integrating and analyzing such data to support intelligent decision-making.Data warehousing technologies provide a robust foundation for this purpose;however,existing earthquake-oriented data warehouses remain limited,often relying on simplified schemas,domain-specific analytics,or cataloguing efforts.This paper presents the design and implementation of a spatio-temporal data warehouse for seismic activity.The framework integrates spatial and temporal dimensions in a unified schema and introduces a novel array-based approach for managing many-to-many relationships between facts and dimensions without intermediate bridge tables.A comparative evaluation against a conventional bridge-table schema demonstrates that the array-based design improves fact-centric query performance,while the bridge-table schema remains advantageous for dimension-centric queries.To reconcile these trade-offs,a hybrid schema is proposed that retains both representations,ensuring balanced efficiency across heterogeneous workloads.The proposed framework demonstrates how spatio-temporal data warehousing can address schema complexity,improve query performance,and support multidimensional visualization.In doing so,it provides a foundation for integrating seismic analysis into broader big data-driven intelligent decision systems for disaster resilience,risk mitigation,and emergency management.
基金supported by Science foundation Ireland(22/NCF/DR/11309).
文摘The global shift towards sustainable energy has intensified research into renewable sources,particularly wave energy.Pakistan,with its long coastline,holds significant potential for wave energy development.However,identifying optimal locations for wave energy plants involves evaluating complex,multi-faceted criteria.This study employs a multi-criteria group decisionmaking(MCGDM)approach using single-valued neutrosophic numbers(SVNNs)to address both qualitative and quantitative uncertainties inherent in real-world scenarios.To enhance decision quality,we introduce two novel operators:the singlevalued neutrosophic prioritised averaging(SVNPAd)operator and the single-valued neutrosophic prioritised geometric(SVNPGd)operator,both incorporating priority degrees.These tools allow decision-makers to express preferences better and handle ambiguous data.The proposed model is validated through comparative analysis with prior studies and demonstrates improved robustness in site selection.Furthermore,we analyse how variations in priority degrees influence decision outcomes,enabling a more dynamic and tailored decision-making process.Our method contributes a more holistic and adaptive framework for selecting locations for wave energy projects,ultimately supporting informed investments in renewable energy infrastructure and improving energy access in underserved coastal regions.
文摘Embodied intelligent systems integrate perception,control,and decision-making within physical agents,and have become a cornerstone of modern aerospace,autonomous driving,and cooperative robotic applications.When operating in uncertain and dynamic environments,such systems must address challenges arising from incomplete sensing,unpredictable maneuvers,communication constraints,disturbances,and evolving network structures.
文摘Eco-driving behaviors have been recommended around the world because the transport is a key factor of energy use and pollution emissions.Therefore,based on the driving decision model,this paper introduces three aspects of the driving decisions(strategic decision,tactical decision and operation decision)to analyze the economy of vehicle energy.The analytic hierarchy process(AHP)is used to assign the weight of the internal evaluation indexes,so as to form a complete assessment for drivers'eco-driving behaviors.The research result can not only quantitatively describe the energy-saving effect of drivers'decisions,but also put forward targeted driving suggestions to optimize drivers'eco-driving behaviors.This assessment model helps to clarify the potential of eco-driving on energy economy of transportation in a hierarchical way,and provides a valuable theoretical basis for the further promotion and application of eco-driving education.
基金financially supported by the National Key Research and Development Program of China(2024YFD1700104 and 2022YFE0209200-03)the National Natural Science Foundation of China(42161144002 and 41977156)+3 种基金the Guangxi Natural Science Foundation,China(2022GXNSFBA035625)the Guangxi Technology Base and Talent Subject,China(Guike AD22035927)the Shandong Key Research and Development Project,China(2022TZXD0045)the State Key Laboratory of Earth System Numerical Modeling and Application,Institute of Atmospheric Physics,Chinese Academy of Sciences。
文摘Intervention strategies to control non-point source nitrogen(N)and phosphorus(P)pollution in agriculture are expensive and there is a trade-off between engineering cost and treatment effectiveness.Implementing strategies often result in unsatisfactory outcomes and massive engineering costs when managing diffusive pollution in agricultural catchments.To address this issue,this paper proposes a robust,handy,catchment N&P decision support system(CNPDSS),an Android-based smartphone system integrated with a web-based geographic information system(GIS).The CNPDSS aims to provide artificial intelligence-driven decisions that minimize N&P loadings and engineering costs for mitigating pollution in agricultural catchments.It consists of four components:a general user interface(GUI),GIS,N&P pollution modeling(NPPM),and a DSS.The CNPDSS simplifies the GUI and integrates GIS modules to create a user-friendly interface,enabling non-professional users to operate the system easily through intuitive actions.The NPPM uses straightforward empirical models to predict N&P loadings,enhancing efficiency by avoiding excessive parameters.Taking into account the N&P movement pathway in the catchment,the DSS incorporates three control measures:source reduction in farmland(before migration stage),process retention by ecological ditch(midway transport stage),and down-end purification by constructed wetland(waterbody discharge stage),to formulate a comprehensive ternary controlling strategy.To optimize the cost-effectiveness of any proposed N&P control strategies for sub-catchments,a differential evolution algorithm(DEA)is employed in CNPDSS to carry out a dual-objective decision-making optimization computation.In this study,the CNPDSS is applied to a case study in an agricultural catchment in Central China to develop the most cost-effective ternary N&P control strategies that ensure the catchment water quality within Criterion Ⅲ of the Chinese Surface Water Quality Standard GB3838-2002 is met(total N concentration≤1.0 mg L^(-1)and total P concentration≤0.2 mg L^(-1)).Our results demonstrate that the CNPDSS is feasible and also possesses an adaptive design and flexible architecture to enable its generalization and extension to support strong hands-on applications in other catchments.
基金National Key Research and Development Program of China(2024YFC3505400)Capital Clinical Project of Beijing Municipal Science&Technology Commission(Z221100007422092)Capital’s Funds for Health Improvement and Research(2024-1-2231).
文摘Objective To develop a clinical decision and prescription generation system(CDPGS)specifically for diarrhea in traditional Chinese medicine(TCM),utilizing a specialized large language model(LLM),Qwen-TCM-Dia,to standardize diagnostic processes and prescription generation.Methods Two primary datasets were constructed:an evaluation benchmark and a fine-tuning dataset consisting of fundamental diarrhea knowledge,medical records,and chain-ofthought(CoT)reasoning datasets.After an initial evaluation of 16 open-source LLMs across inference time,accuracy,and output quality,Qwen2.5 was selected as the base model due to its superior overall performance.We then employed a two-stage low-rank adaptation(LoRA)fine-tuning strategy,integrating continued pre-training on domain-specific knowledge with instruction fine-tuning using CoT-enriched medical records.This approach was designed to embed the clinical logic(symptoms→pathogenesis→therapeutic principles→prescriptions)into the model’s reasoning capabilities.The resulting fine-tuned model,specialized for TCM diarrhea,was designated as Qwen-TCM-Dia.Model performance was evaluated for disease diagnosis and syndrome type differentiation using accuracy,precision,recall,and F1-score.Furthermore,the quality of the generated prescriptions was compared with that of established open-source TCM LLMs.Results Qwen-TCM-Dia achieved peak performance compared to both the base Qwen2.5 model and five other open-source TCM LLMs.It achieved 97.05%accuracy and 91.48%F1-score in disease diagnosis,and 74.54%accuracy and 74.21%F1-score in syndrome type differentiation.Compared with existing open-source TCM LLMs(BianCang,HuangDi,LingDan,TCMLLM-PR,and ZhongJing),Qwen-TCM-Dia exhibited higher fidelity in reconstructing the“symptoms→pathogenesis→therapeutic principles→prescriptions”logic chain.It provided complete prescriptions,whereas other models often omitted dosages or generated mismatched prescriptions.Conclusion By integrating continued pre-training,CoT reasoning,and a two-stage fine-tuning strategy,this study establishes a CDPGS for diarrhea in TCM.The results demonstrate the synergistic effect of strengthening domain representation through pre-training and activating logical reasoning via CoT.This research not only provides critical technical support for the standardized diagnosis and treatment of diarrhea but also offers a scalable paradigm for the digital inheritance of expert TCM experience and the intelligent transformation of TCM.
文摘During 13 to 16 January 2026,with 148 participating nations,rising global relevance and a marked increase in visitor quality,Heimtextil 2026 stood for stability and reliability in a volatile market environment.Once again,3,000 exhibitors from across the globe placed their trust in the industry’s central platform in Frankfurt,presenting current collections,materials and textile solutions for holistic interior design to approximately 47,000 buyers.Under the motto“Lead the Change”,Heimtextil brought evolving market dynamics,Artificial Intelligence(AI)and new business opportunities to life.The focus was on progressive design approaches,visionary talents,functional textiles and new hospitality concepts shaping the future of interior design.A tangible sense of confidence and a clear commitment to Heimtextil as a strong industry partner resonated throughout the exhibition halls.
基金Under the auspices of National Natural Science Foundation of China(No.42571300)。
文摘Transforming urban spatial structures to promote green and low-carbon development is an effective strategy.Although prior studies have examined the impact of urban polycentricity on carbon emissions and economic development,research on its role in the synergistic relationship between these factors regarding carbon emission efficiency is limited.Furthermore,existing literature often overlooks nonlinear effects and interactions with other urban variables.This paper analyzed data from 295 Chinese cities in 2020,calculating urban population polycentricity,population dispersion indices,and carbon emission efficiency.Utilizing local spatial autocorrelation tools,we reveal interactions among urban population polycentricity,dispersion,carbon emissions,and carbon emission efficiency.We then employ a gradient boosting decision tree model(GBDT)to explore nonlinear and synergistic effects of polycentric urbanization.Key findings include:1)polycentric urbanization in Chinese cities exhibits significant spatial differentiation characteristics.The Polycentricity index is relatively high in economically developed eastern coastal regions with an overall low level,carbon emissions are concentrated in industrialized north-central cities and some Yangtze River Delta hubs,and carbon emission efficiency is the highest in the Yangtze River Delta while relatively low in Northeast China;there are significant spatially heterogeneous interaction characteristics among population polycentricity,population dispersion,carbon emissions,and carbon emission efficiency.2)Urban population polycentricity contributes 9.42%to total carbon emissions and 6.24%to carbon emission efficiency.3)The polycentricity index has a nonlinear impact on carbon emissions and carbon emission efficiency:no significant effect when below 0.50 or above 0.55,increased carbon emissions in 0.50-0.53,and reduced carbon emissions with improved efficiency in 0.53-0.55.4)The polycentricity index has an interaction effect with other variables;specifically,when the polycentricity index is between 0.53 and 0.55,its interaction with urban gross domestic product(GDP),urban population,urban built-up area,green coverage rate in built-up areas,urban technological expenditure,and the proportion of the output value of the secondary industry will reduce carbon emissions and improve carbon emission efficiency.These findings enhance the understanding of urban spatial structures and carbon emissions,providing valuable insights for policymakers in developing green and low-carbon strategies.
文摘Further investigation is warranted into the collaborative function of carbon capture and electrolysis-to-gas conversion technologies within integrated electro-gas energy systems,as well as optimized scheduling that addresses the variability of wind and solar energy,to promote multi-energy complementarity and energy decarbonization while enhancing the capacity to absorb new energy.This work presents an optimized scheduling model for electro-gas integrated energy systems that include hydrogen storage,utilizing information gap decision theory(IGDT).A model is constructed that integrates the synergistic functions of carbon capture and storage(CCS),power-to-gas(P2G),and gas turbine units through electrical coupling.A carbon ladder trading mechanism is implemented to mitigate carbon emissions inside the system.A day-ahead optimization scheduling model is subsequently built to maximize system operational profit and ensure hydrogen storage safety,while considering economic viability,low-carbon performance,and safety.Secondly,the trinitrotoluene(TNT)equivalent approach and the half-lethal range were employed to quantify the safety concerns associated with hydrogen storage tanks,offering the model optimization guidance and conservative management.Ultimately,the CCS-P2G integrated operation accounted for the unpredictability in wind and solar energy production through the application of information gap decision theory.The model was solved using the GUROBI solver.The findings indicate that the proposed approach diminishes system carbon emissions by 66%,attains complete integration of wind and solar energy,and eliminates hazardous working time for hydrogen storage tanks,reducing it from 10 h to zero.It ensures system safety while guaranteeing profits of at least 90%of the anticipated value,accounting for changes in wind and solar output within±14%.This confirms the model’s efficacy in improving renewable energy integration rates,facilitating low-carbon,cost-effective,and secure system operation,while mitigating the unpredictability of renewable energy production.
基金supported by the first Cycle of ARG Grant No.ARG01-0504-230073,from the Qatar Research,Development and Innovation(QRDI)Council,Qatar.The findings herein reflect the work,and are solely the responsibility,of the authors.The authors also gratefully acknowledge support from Qatar University.
文摘Electrical parking lots(EPLs)play a vital role in the current energy system to achieve the decarbonization goal.This paper proposes a novel structure for integrating EPLs into a multi-carrier energy system(MCES)using a Stackelberg game theory approach.The bi-level optimization is used to model the Stackelberg game.Within this bi-level optimization model,the MCES operator minimizes the MCES cost by participating in the upstream energy market at the upper level,and the EPL operators maximize their profits by participating in the local energy market between the MCES operator and themselves at the lower level.At the upper level,the MCES operator faces uncertainties in the wind and PV systems.The bi-level multi-objective information gap decision theory(MO-IGDT)is employed to address uncertainties at the upper level of the Stackelberg game problem,resulting in a nested bi-level optimization model.The nested bi-level optimization problem is converted into a mixed-integer linear programming(MILP)optimization problem using Karush–Kuhn–Tucker(KKT)conditions.The main research assumptions pertain to EPLs’privacy and the KKT-based approach.The results demonstrate that increasing the incentive/penalty price for self-sufficiency programs from 0.0$/%to 0.2$/%,with a 50%self-sufficiency target,can reduce MCES operation costs by 10.19%.
基金supported by the Science and Technology Development Fund,Macao Special Administrative Region(SAR)(0093/2023/RIA2,0157/2024/RIA2,0145/2023/RIA3)the Distinguished Program of Obuda University and the DeSci Center for Parallel Intelligence at the Obuda University,Hungary.This article is based on the report of“Digital Theaters and Theatrical Intelligence for Decision Science”Project(DeSCII-0017-1023-2023,PI:Qinghua Ni)initiated by DeSci International.
文摘As Artificial Intelligence(AI)is moving fast from Large Language Models(LLMs)to AI Agents and Agentic Intelligence,the need to incorporate new AI into Decision Intelligence(DI)is becoming more and more urgent for both practical and theoretic reasons:both decision and process complexities would be significantly increased due to the use of advanced AI tools and agents,and both traditional and recent thinking must be rethought and reconstructed accordingly.Our perspective would like to address this important issue based on some historical milestone developments in Computer-Aided Software Engineering(CASE)and recent efforts in digital theatrical technology[1].
文摘Across four studies,we explore the impact of solitude on consumers’reliance on feelings versus reasons in decision making,along with the underlying mechanism and boundary conditions.The results indicate that solitude individuals(vs.non-solitude)would prefer feeling-based strategy in decision-making,resulting in a higher intention of choosing the affectively superior option over the cognitively superior option(Study 1).Self-focus plays the underlying mechanism in the solitude effect(Study 2).Moreover,we also examine two boundary conditions:motivation(Study 3)and temporal orientation(Study 4),which indicates that involuntary motivation and future orientation can mitigate the solitude effect on affective processing.These findings provide insights into consumers’judgments of product attributes and selection of decision-making strategies according to their situations.
基金supported by the National Key Research and Development Program (No.2023YFC3502604)the National Natural Science Foundation of China (Nos.U23B2062, 82274352,82174533, 82374302, 82204941)+3 种基金the Noncommunicable Chronic Diseases-National Science and Technology Major Project (No.2023ZD0505700)the Beijing-Tianjin-Hebei Basic Research Cooperation Project (No.22JCZXJC00070)the State Key Laboratory on Technologies for Chinese Medicine Pharmaceutical Process Control and Intelligent Manufacture (No.SKL2024Z0102)Key R&D project of Ningxia Autonomous Region (No.2022BEG02036).
文摘Traditional Chinese medicine(TCM)represents a paradigmatic approach to personalized medicine,developed through the systematic accumulation and refinement of clinical empirical data over more than 2000 years,and now encompasses large-scale electronic medical records(EMR)and experimental molecular data.Artificial intelligence(AI)has demonstrated its utility in medicine through the development of various expert systems(e.g.,MYCIN)since the 1970s.With the emergence of deep learning and large language models(LLMs),AI’s potential in medicine shows considerable promise.Consequently,the integration of AI and TCM from both clinical and scientific perspectives presents a fundamental and promising research direction.This survey provides an insightful overview of TCM AI research,summarizing related research tasks from three perspectives:systems-level biological mechanism elucidation,real-world clinical evidence inference,and personalized clinical decision support.The review highlights representative AI methodologies alongside their applications in both TCM scientific inquiry and clinical practice.To critically assess the current state of the field,this work identifies major challenges and opportunities that constrain the development of robust research capabilities—particularly in the mechanistic understanding of TCM syndromes and herbal formulations,novel drug discovery,and the delivery of high-quality,patient-centered clinical care.The findings underscore that future advancements in AI-driven TCM research will rely on the development of high-quality,large-scale data repositories;the construction of comprehensive and domain-specific knowledge graphs(KGs);deeper insights into the biological mechanisms underpinning clinical efficacy;rigorous causal inference frameworks;and intelligent,personalized decision support systems.
基金supported by the National Research Council of Sri Lanka(Grant No.NRC TO 16-07).
文摘Decision Support Tool(DST)enables farmers to make site-specific crop management decisions;however,comprehensive calibration can be both costly and time-consuming.This study assessed the production and economic benefits of two calibrations of the Nutrient Expert(NE)tool for rice in Sri Lanka’s Alfisols:the basic calibration(Nutrient Expert Sri Lanka 1,NESL1)and the comprehensive calibration(Nutrient Expert Sri Lanka 2,NESL2).NESL1 was developed by adapting the South Indian version of NE to local conditions,while NESL2 was an updated version,using three years of data from 71 farmer fields.
文摘People have been engaged in sports activities both individually and collectively for years.Sports consumption,which refers to the process that covers many issues related to sports in the form of playing,watching,listening or reading,is a form of human behavior.The satisfaction of the four marketing components of product,price,distribution and promotion by using the leisure time of the sports consumer effectively and ensuring its continuity in the future process can be ensured by effective utilization of facilities and quality recreation activities.Consumer behaviors,which have a very complex structure,are seen in the form of choosing,buying,using and obtaining.With this study,it is aimed to determine the mediating role of consumer decision-making styles in determining the effect of marketing components in the consumption of sports activities on the satisfaction of sports consumers.In this direction,data were collected in the province of Istanbul,which was determined as the sample.Data were obtained with a questionnaire form created on Google Form.These data were analyzed in line with the model and hypotheses created with these data and it was determined that the marketing components of sports consumption have an impact on the sports consumer and it was concluded that consumer decision-making styles have a positive mediating effect in this regard.
基金supported by the National Natural Science Foundation of China(No.12202281)the Shanghai Natural Science Foundation,China(No.23ZR1461800)the Research Initiation Fund of Northwestern Polytechnical University,China(No.G2024KY05103)。
文摘The satellite orbital pursuit game focuses on studying spacecraft maneuvering strategies in space.Traditional numerical methods often face real-time inadequacies and adaptability limitations when dealing with highly nonlinear problems.With the advancement of Deep Reinforcement Learning(DRL)technology,continuous-time orbital control capabilities have significantly improved.Despite this,the existing DRL technologies still need adjustments in action delay and discretization structure to better adapt to practical application scenarios.Combining continuous learning and model planning demonstrates the adaptability of these methods in continuous-time decision problems.Additionally,to more effectively handle action delay issues,a new scheduled action execution technique has been developed.This technique optimizes action execution timing through real-time policy adjustments,thus adapting to the dynamic changes in the orbital environment.A Hierarchical Reinforcement Learning(HRL)strategy was also adopted to simplify the decision-making process for long-distance pursuit tasks by setting phased subgoals to gradually approach the target.The effectiveness of the proposed strategy in practical satellite pursuit scenarios has been verified through simulations of two different tasks.
文摘Objective:To explore factors influencing decision regret among colorectal cancer patients undergoing intestinal ostomy.Methods:A questionnaire survey was conducted among 102 colorectal cancer patients who underwent intestinal ostomy surgery and visited the ostomy clinic at a tertiary hospital in Baoding from July to September 2025.The Chinese version of the Ostomy Adaptation Inventory(OAI-20),Decision Regret Scale(DRS),Decision Conflict Scale(DCS),and Functional Assessment of Cancer Therapy-Colorectal(FACT-C)were used to measure patients’adaptation to stoma,decision regret,decision conflict,and quality of life.The Shared Decision-Making Questionnaire(SDM-Q-9)assessed patient involvement in ostomy surgery decisions,while the SSUK-8 evaluated social support.Additional items explored perceptions related to decision-making,participation,and outcomes.Results:Among 134 eligible patients attending the clinic,120 participated in the questionnaire,with 102 completing all items.Stoma patients reported an average decision regret score of 60.83(SD 28.43),an average coping ability score of 54.26(SD 26.69),an average decision conflict score of 62.55(SD 25.95),and a quality of life score of 56.93(SD 27.46).In the multiple regression analysis,decision regret was associated with decision conflict,poor patient coping ability,low quality of life,and low social support.Conclusion:Decision regret is prevalent among Chinese CRC patients following ostomy surgery.Compared with similar studies in other regions,Chinese CRC patients exhibit a higher rate of regret.This may be related to lower patient involvement in decision-making,generally poorer quality of life,and heavier economic burdens.
文摘BACKGROUND Cancer care faces challenges due to tumor heterogeneity and rapidly evolving therapies,necessitating artificial intelligence(AI)-driven clinical decision support.While general-purpose models like ChatGPT offer adaptability,domain-specific systems(e.g.,DeepSeek)may better align with clinical guidelines.However,their comparative efficacy in oncology remains underexplored.This study hypothesizes that domain-specific AI will outperform general-purpose models in technical accuracy,while the latter will excel in patient-centered communication.AIMS To compare ChatGPT and DeepSeek in oncology decision support for diagnosis,treatment,and patient communication.METHODS A retrospective analysis was conducted using 1200 anonymized oncology cases(2018–2023)from The Cancer Genome Atlas and institutional databases,covering six cancer types.Each case included histopathology,imaging,genomic profiles,and treatment histories.Both models generated diagnostic interpretations,staging assessments,and therapy recommendations.Performance was evaluated against NCCN/ESMO guidelines and expert oncologist panels using F1-scores,Cohen'sκ,Likert-scale ratings,and readability metrics.Statistical significance was assessed via analysis of variance and post-hoc Tukey tests.RESULTS DeepSeek demonstrated superior performance in diagnostic accuracy(F1-score:89.2%vs ChatGPT's 76.5%,P<0.001)and treatment alignment with guidelines(κ=0.82 vs 0.67,P=0.003).ChatGPT exhibited strengths in patient communi-cation,generating layman-friendly explanations(readability score:8.2/10 vs DeepSeek's 6.5/10,P=0.012).Both models showed limitations in rare cancer subtypes(e.g.,cholangiocarcinoma),with accuracy dropping below 60%.Clinicians rated DeepSeek's outputs as more actionable(4.3/5 vs 3.7/5,P=0.021)but highlighted ChatGPT's utility in palliative care discussions.CONCLUSION Domain-specific AI(DeepSeek)excels in technical precision,while general-purpose models(ChatGPT)enhance patient engagement.A hybrid system integrating both approaches may optimize oncology workflows,contingent on expanded training for rare cancers and real-time guideline updates.
