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Functional-based multi-omics early prediction of radiation pneumonitis in NSCLC using AI-generated perfusion and ventilation from planning CT

Phys Med Biol. 2026 Mar 13. doi: 10.1088/1361-6560/ae5209. Online ahead of print.

ABSTRACT

ObjectiveThis study aims to develop a functional-based multi-omics model for early prediction of radiation pneumonitis (RP) by extracting radiomic and dosiomic features from functionally defined lung regions, using generated perfusion (Q) and ventilation (V) from pre-radiotherapy planning computed tomography (CT).
ApproachWe retrospectively analyzed data from 121 patients with locally advanced non-small cell lung cancer (NSCLC) treated with curative-intent IMRT between 2015 and 2019, including pre-treatment CT and dose maps. Q and V maps were generated from CT with deep learning-based and supervoxel-based approaches, respectively. Regions of interest (ROIs) combined the planning target volume (PTV) with each of three functional lung regions-high functional lung (HFL), low functional lung (LFL), and whole lung (WL)-defined by thresholds on Q and V maps. Radiomic and dosiomic features were extracted from CT and dose distributions within each ROI. For each ROI, For each ROI, three methods-radiomics (R), dosiomics (D), and dual-omics (RD)-were constructed. 13 machine learning algorithms were trained and evaluated using 10-fold cross-validation, and model performance was assessed by the average area under the receiver operating characteristic curve (AUC), accuracy, precision, recall, and F1 score. RP was defined as CTCAE grade β‰₯ 2.
Main resultsOf the 35 selected features, 20 were from HFL. In dual-omics models, using HFL features improved predictive performance for RP (AUC 0.879Β±0.105) compared to WL (AUC 0.778 Β± 0.100). In HFL, the RD method outperformed both R (AUC 0.786Β± 0.076) and D (AUC 0.791 Β± 0.107) methods. Decision curve analysis showed the dual-omics model based on HFL provided the highest net benefit across threshold probabilities.
SignificanceThis study is the first to systematically demonstrate that features extracted from CT-derived HFL capture important functional differences and provide strong predictive value for RP. Compared to conventional methods, integrating radiomics, dosiomics, and CT-based functional information further improves predictive performance.&#xD.

PMID:41825133 | DOI:10.1088/1361-6560/ae5209

Functional-based multi-omics early prediction of radiation pneumonitis in NSCLC using AI-generated perfusion and ventilation from planning CT

13 March 2026 at 18:00

Phys Med Biol. 2026 Mar 13. doi: 10.1088/1361-6560/ae5209. Online ahead of print.

ABSTRACT

ObjectiveThis study aims to develop a functional-based multi-omics model for early prediction of radiation pneumonitis (RP) by extracting radiomic and dosiomic features from functionally defined lung regions, using generated perfusion (Q) and ventilation (V) from pre-radiotherapy planning computed tomography (CT).
ApproachWe retrospectively analyzed data from 121 patients with locally advanced non-small cell lung cancer (NSCLC) treated with curative-intent IMRT between 2015 and 2019, including pre-treatment CT and dose maps. Q and V maps were generated from CT with deep learning-based and supervoxel-based approaches, respectively. Regions of interest (ROIs) combined the planning target volume (PTV) with each of three functional lung regions-high functional lung (HFL), low functional lung (LFL), and whole lung (WL)-defined by thresholds on Q and V maps. Radiomic and dosiomic features were extracted from CT and dose distributions within each ROI. For each ROI, For each ROI, three methods-radiomics (R), dosiomics (D), and dual-omics (RD)-were constructed. 13 machine learning algorithms were trained and evaluated using 10-fold cross-validation, and model performance was assessed by the average area under the receiver operating characteristic curve (AUC), accuracy, precision, recall, and F1 score. RP was defined as CTCAE grade β‰₯ 2.
Main resultsOf the 35 selected features, 20 were from HFL. In dual-omics models, using HFL features improved predictive performance for RP (AUC 0.879Β±0.105) compared to WL (AUC 0.778 Β± 0.100). In HFL, the RD method outperformed both R (AUC 0.786Β± 0.076) and D (AUC 0.791 Β± 0.107) methods. Decision curve analysis showed the dual-omics model based on HFL provided the highest net benefit across threshold probabilities.
SignificanceThis study is the first to systematically demonstrate that features extracted from CT-derived HFL capture important functional differences and provide strong predictive value for RP. Compared to conventional methods, integrating radiomics, dosiomics, and CT-based functional information further improves predictive performance.&#xD.

PMID:41825133 | DOI:10.1088/1361-6560/ae5209

AISA: Awakening Intrinsic Safety Awareness in Large Language Models against Jailbreak Attacks

arXiv:2602.13547v1 Announce Type: cross Abstract: Large language models (LLMs) remain vulnerable to jailbreak prompts that elicit harmful or policy-violating outputs, while many existing defenses rely on expensive fine-tuning, intrusive prompt rewriting, or external guardrails that add latency and can degrade helpfulness. We present AISA, a lightweight, single-pass defense that activates safety behaviors already latent inside the model rather than treating safety as an add-on. AISA first localizes intrinsic safety awareness via spatiotemporal analysis and shows that intent-discriminative signals are broadly encoded, with especially strong separability appearing in the scaled dot-product outputs of specific attention heads near the final structural tokens before generation. Using a compact set of automatically selected heads, AISA extracts an interpretable prompt-risk score with minimal overhead, achieving detector-level performance competitive with strong proprietary baselines on small (7B) models. AISA then performs logits-level steering: it modulates the decoding distribution in proportion to the inferred risk, ranging from normal generation for benign prompts to calibrated refusal for high-risk requests -- without changing model parameters, adding auxiliary modules, or requiring multi-pass inference. Extensive experiments spanning 13 datasets, 12 LLMs, and 14 baselines demonstrate that AISA improves robustness and transfer while preserving utility and reducing false refusals, enabling safer deployment even for weakly aligned or intentionally risky model variants.
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