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Detecting Structural Heart Disease from Electrocardiograms via a Generalized Additive Model of Interpretable Foundation-Model Predictors

arXiv:2603.02616v1 Announce Type: cross Abstract: Structural heart disease (SHD) is a prevalent condition with many undiagnosed cases, and early detection is often limited by the high cost and accessibility constraints of echocardiography (ECHO). Recent studies show that artificial intelligence (AI)-based analysis of electrocardiograms (ECGs) can detect SHD, offering a scalable alternative. However, existing methods are fully black-box models, limiting interpretability and clinical adoption. To address these challenges, we propose an interpretable and effective framework that integrates clinically meaningful ECG foundation-model predictors within a generalized additive model, enabling transparent risk attribution while maintaining strong predictive performance. Using the EchoNext benchmark of over 80,000 ECG-ECHO pairs, the method demonstrates relative improvements of +0.98% in AUROC, +1.01% in AUPRC, and +1.41% in F1 score over the latest state-of-the-art deep-learning baseline, while achieving slightly better performance even with only 30% of the training data. Subgroup analyses confirm robust performance across heterogeneous populations, and the estimated entry-wise functions provide interpretable insights into the relationships between risks of traditional ECG diagnoses and SHD. This work illustrates a complementary paradigm between classical statistical modeling and modern AI, offering a pathway to interpretable, high-performing, and clinically actionable ECG-based SHD screening.

Clust-PSI-PFL: A Population Stability Index Approach for Clustered Non-IID Personalized Federated Learning

arXiv:2512.20363v2 Announce Type: replace-cross Abstract: Federated learning (FL) supports privacy-preserving, decentralized machine learning (ML) model training by keeping data on client devices. However, non-independent and identically distributed (non-IID) data across clients biases updates and degrades performance. To alleviate these issues, we propose Clust-PSI-PFL, a clustering-based personalized FL framework that uses the Population Stability Index (PSI) to quantify the level of non-IID data. We compute a weighted PSI metric, $WPSI^L$, which we show to be more informative than common non-IID metrics (Hellinger, Jensen-Shannon, and Earth Mover's distance). Using PSI features, we form distributionally homogeneous groups of clients via K-means++; the number of optimal clusters is chosen by a systematic silhouette-based procedure, typically yielding few clusters with modest overhead. Across six datasets (tabular, image, and text modalities), two partition protocols (Dirichlet with parameter $\alpha$ and Similarity with parameter S), and multiple client sizes, Clust-PSI-PFL delivers up to 18% higher global accuracy than state-of-the-art baselines and markedly improves client fairness by a relative improvement of 37% under severe non-IID data. These results establish PSI-guided clustering as a principled, lightweight mechanism for robust PFL under label skew.

Adaptive Agents in Spatial Double-Auction Markets: Modeling the Emergence of Industrial Symbiosis

arXiv:2512.17979v2 Announce Type: replace-cross Abstract: Industrial symbiosis fosters circularity by enabling firms to repurpose residual resources, yet its emergence is constrained by socio-spatial frictions that shape costs, matching opportunities, and market efficiency. Existing models often overlook the interaction between spatial structure, market design, and adaptive firm behavior, limiting our understanding of where and how symbiosis arises. We develop an agent-based model where heterogeneous firms trade byproducts through a spatially embedded double-auction market, with prices and quantities emerging endogenously from local interactions. Leveraging reinforcement learning, firms adapt their bidding strategies to maximize profit while accounting for transport costs, disposal penalties, and resource scarcity. Simulation experiments reveal the economic and spatial conditions under which decentralized exchanges converge toward stable and efficient outcomes. Counterfactual regret analysis shows that sellers' strategies approach a near Nash equilibrium, while sensitivity analysis highlights how spatial structures and market parameters jointly govern circularity. Our model provides a basis for exploring policy interventions that seek to align firm incentives with sustainability goals, and more broadly demonstrates how decentralized coordination can emerge from adaptive agents in spatially constrained markets.
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