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Panchavati, S.

Publications and source records attributed to Panchavati, S..

2 recordsLinked to original sources

Effect of Large Language Models on P300 Speller Performance with Cross-Subject Training

Amyotrophic lateral sclerosis (ALS), a progressive neurodegenerative disease, severely impairs communication, requiring assistive technologies that restore interaction. The P300 speller brain-computer interface (BCI) enables communication by translating EEG responses into text; however, its practical adoption is limited by slow typing speed and the need for subject-specific calibration. Recent work has demonstrated that large language models (LLMs), such as GPT-2, can significantly improve the performance of the P300 speller by predicting words. However, it remains unclear whether these gains are model-specific or represent a broader trend across language models. Furthermore, the fundamental performance limits of LLM-assisted P300 spellers have not been systematically characterized within a unified decoding framework. In this study, we address these gaps through a systematic multi-model theoretical analysis framework. We evaluate a wide range of language models and introduce an idealized LLM to establish upper bounds on achievable performance. In addition, we incorporate cross-subject classifier training to reduce calibration requirements and assess generalization across subjects. Using extensive simulations on EEG data from 78 subjects, we demonstrate that the evaluated models consistently achieve substantial improvements in typing speed, with gains of up to [~]40% (across-subject training) and [~]75% (within-subject training) over conventional approaches. More importantly, we show that multiple models, despite architectural differences, operate within 5% of the theoretical performance bound, indicating diminishing returns from further model scaling. These improvements generalize across both within-subject and across-subject classifiers. Our results suggest that LLM-assisted P300 spellers are approaching their fundamental performance limits within the considered decoding framework, shifting the primary bottleneck from language modeling to neural signal decoding. This work provides both a practical framework for improving BCI communication and a theoretical perspective on its achievable limits.

neuroscience↗

Multicenter validation of a machine learning algorithm for 48 hour all-cause mortality prediction

PurposeThis study evaluates a machine-learning-based mortality prediction tool.\n\nMaterials and MethodsWe conducted a retrospective study with data drawn from three academic health centers. Inpatients of at least 18 years of age and with at least one observation of each vital sign were included. Predictions were made at 12, 24, and 48 hours before death. Models fit to training data from each institution were evaluated on hold-out test data from the same institution and data from the remaining institutions. Predictions were compared to those of qSOFA and MEWS using area under the receiver operating characteristic curve (AUROC).\n\nResultsFor training and testing on data from a single institution, machine learning predictions averaged AUROCs of 0.97, 0.96, and 0.95 across institutional test sets for 12-, 24-, and 48-hour predictions, respectively. When trained and tested on data from different hospitals, the algorithm achieved AUROC up to 0.95, 0.93, and 0.91, for 12-, 24-, and 48-hour predictions, respectively. MEWS and qSOFA had average 48-hour AUROCs of 0.86 and 0.82, respectively.\n\nConclusionThis algorithm may help identify patients in need of increased levels of clinical care.

bioinformatics↗